Disaster Medicine and Public Health Preparedness最新文献_第10页

Emergency Medical Care Provided by Humanitarian Organizations in Response to Sudden Onset Disasters in Southeast Asia: A Scoping Review. 人道主义组织在应对东南亚突发灾害中提供的紧急医疗服务：范围审查。

IF 1.9 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-07-21 DOI: 10.1017/dmp.2025.10071

Jemar Anne Sigua, Ebru Caymaz, Rafael Castro-Delgado

{"title":"Emergency Medical Care Provided by Humanitarian Organizations in Response to Sudden Onset Disasters in Southeast Asia: A Scoping Review.","authors":"Jemar Anne Sigua, Ebru Caymaz, Rafael Castro-Delgado","doi":"10.1017/dmp.2025.10071","DOIUrl":"10.1017/dmp.2025.10071","url":null,"abstract":"Objectives: The objective of this scoping review is to identify the types of EMC provided by humanitarian organizations in response to sudden-onset disasters in Southeast Asia in the last 10 years.Methods: We followed Arskey and O'Malley method and Joanna Briggs Institute guidance. Limited to online-based journal databases (PubMed, Embase, and ProQuest) and ReliefWeb and PreventionWeb for grey literature between 2014 and 2023. Study was performed from January-June 2024.Results: Finally, 33 studies were included covering 17 disasters (Indonesia, Philippines, Laos, and Myanmar). Fourteen disasters were caused by a single hazard: earthquakes (6, 35.3%), floods (4, 23,5%), cyclones (2, 11.8%), tsunamis (1, 5.9%), and volcanic eruptions, and 3 were multi-hazard: earthquakes and tsunamis (2, 11.8%) and flood and landslide (1, 5.9%). The main services provided were mental health and psychosocial support; assessment, resuscitation, and stabilization; referral and transfer; and health promotion and community engagement.Conclusions: Humanitarian organizations should prioritize services to meet demands: mental health and psychosocial support; assessment, resuscitation, and stabilization; referral and transfer; and health promotion and community engagement. This can guide national governments in scaling up preparedness and response efforts, ensuring that demands are met at a local level but also aligned with international disaster response.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e196"},"PeriodicalIF":1.9,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676603","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

Spatio-Temporal SIR Model of Pandemic Spread During Warfare with Optimal Dual-use Health Care System Administration using Deep Reinforcement Learning. 基于深度强化学习的军民两用卫生保健系统管理下战争期间流行病传播的时空SIR模型。

IF 1.9 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-07-21 DOI: 10.1017/dmp.2025.10062

Adi Shuchami, Teddy Lazebnik

{"title":"Spatio-Temporal SIR Model of Pandemic Spread During Warfare with Optimal Dual-use Health Care System Administration using Deep Reinforcement Learning.","authors":"Adi Shuchami, Teddy Lazebnik","doi":"10.1017/dmp.2025.10062","DOIUrl":"https://doi.org/10.1017/dmp.2025.10062","url":null,"abstract":"Objectives: Large-scale crises, including wars and pandemics, have repeatedly shaped human history, and their simultaneous occurrence presents profound challenges to societies. Understanding the dynamics of epidemic spread during warfare is essential for developing effective containment strategies in complex conflict zones. While research has explored epidemic models in various settings, the impact of warfare on epidemic dynamics remains underexplored.Methods: We proposed a novel mathematical model that integrates the epidemiological SIR (susceptible-infected-recovered) model with the war dynamics Lanchester model to explore the dual influence of war and pandemic on a population's mortality. Moreover, we consider a dual-use military and civil health care system that aims to reduce the overall mortality rate, which can use different administration policies such as prioritizing soldiers over civilians. Using an agent-based simulation to generate in silico data, we trained a deep reinforcement learning model based on the deep Q-network algorithm for health care administration policy and conducted an intensive investigation on its performance.Results: Our results show that a pandemic during war conduces chaotic dynamics where the health care system should either prioritize war-injured soldiers or pandemic-infected civilians based on the immediate amount of mortality from each option, ignoring long-term objectives.Conclusions: Our findings highlight the importance of integrating conflict-related factors into epidemic modeling to enhance preparedness and response strategies in conflict-affected areas.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e197"},"PeriodicalIF":1.9,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676604","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

Advanced Medical Countermeasures and Devices for Use During a Radiological or Nuclear Emergency. 放射或核紧急情况下使用的先进医疗对策和设备。

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-07-21 DOI: 10.1017/dmp.2025.12

Andrea DiCarlo, Jonathan Button, David Cassatt, Arthur Chang, Lauren Finklea, Narayan Iyer, Maria Moroni, Carmen Rios, Michael Rudokas, Merriline Satyamitra, Lanyn Taliaferro, Thomas Winters, Mary Homer

{"title":"Advanced Medical Countermeasures and Devices for Use During a Radiological or Nuclear Emergency.","authors":"Andrea DiCarlo, Jonathan Button, David Cassatt, Arthur Chang, Lauren Finklea, Narayan Iyer, Maria Moroni, Carmen Rios, Michael Rudokas, Merriline Satyamitra, Lanyn Taliaferro, Thomas Winters, Mary Homer","doi":"10.1017/dmp.2025.12","DOIUrl":"10.1017/dmp.2025.12","url":null,"abstract":"Since the early 2000s, the US Government has made purposeful investments to help ensure medical preparedness should a radiological or nuclear incident occur within its borders. This focused support of products to diagnose, mitigate, and treat radiation-induced bodily injuries that would be anticipated during a radiation public health emergency has involved many departments, ranging from multiple agencies within the Department of Health and Human Services to the Department of Defense. The intent of this manuscript is to convey information both on products that have been approved by the US Food and Drug Administration for radiation injuries during a radiation incident, as well as promising approaches under advanced stages of development. These products impact multiple organ systems (e.g., bone marrow, gastrointestinal tract, lungs, kidneys, skin) and have been tested for efficacy in a number of different small and large preclinical animal models. The successful development of these models, methods, products, and devices discussed herein demonstrate the importance of an intentionally collaborative, \"one-government\" approach to fostering radiation research, while also showcasing the need for critical public-private partnerships - all to ensure the safety of the public should the unthinkable occur.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e199"},"PeriodicalIF":1.8,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Self-Management and Affecting Factors in Dialysis Patients Experiencing the Earthquake in Türkiye. 震区透析患者自我管理及影响因素分析。

IF 1.9 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-07-18 DOI: 10.1017/dmp.2025.10103

Sevim Güler, Türkan Şahin, Nimet Ovayolu, Reva Gündoğan

{"title":"Self-Management and Affecting Factors in Dialysis Patients Experiencing the Earthquake in Türkiye.","authors":"Sevim Güler, Türkan Şahin, Nimet Ovayolu, Reva Gündoğan","doi":"10.1017/dmp.2025.10103","DOIUrl":"https://doi.org/10.1017/dmp.2025.10103","url":null,"abstract":"Objectives: The present study was conducted to determine self-management and influencing factors in dialysis patients who experienced the earthquake.Methods: The study was conducted descriptively with 125 patients receiving dialysis in a city affected by the earthquake in Türkiye. Data were collected with the \"Personal Information Form\" and the \"Chronic Illness Self-Management Scale\" (CISMS). Kolmogorov-Smirnov, Mann Whitney U, Kruskall Wallis, Spearman Correlation tests, Wilcoxon, and Linear Regression were used in the statistical analysis.Results: The study found that 9.6% of the patients were trapped under the rubble in the earthquake, 71.2% lost a relative, 43.8% changed dialysis centers, 36.8% missed dialysis sessions, and 51.2% could not comply with the diet after the earthquake. Women (p < 0.001), those with secondary school or lower educational levels (p < 0.05), those with another chronic disease, and those who lost a relative in the earthquake had lower health care maintenance efficacy (p < 0.05). The treatment adherence of those who adhered to the diet was higher than those who did not (p < 0.05).Conclusion: It was determined that the level of self-stigma of the patients after the earthquake was low, their treatment adherence was high, and there were many variables affecting their self-management.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e195"},"PeriodicalIF":1.9,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661007","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

Correspondence on "Evaluating University and Surrounding Area Factors Causing Variability in COVID-19 Vaccine Rates Among United States Universities". 关于“评估导致美国大学COVID-19疫苗接种率差异的大学及周边地区因素”的函电。

IF 1.9 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-07-17 DOI: 10.1017/dmp.2025.10134

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

Analysis of 2023 Kahramanmaraş, Türkiye Earthquake Documents in Scopus Database. Scopus数据库中2023 kahramanmaraka， t<s:1> rkiye地震文献分析。

IF 1.9 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-07-17 DOI: 10.1017/dmp.2025.10132

Tuba Tülay Koca

引用次数: 0

Emergency Preparedness and Factors Influencing Decision-Making in a Sample of Public K-12 Schools During the COVID-19 Pandemic: A Mixed Methods Study. COVID-19大流行期间公立K-12学校样本的应急准备和影响决策的因素：一项混合方法研究

IF 1.9 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-07-17 DOI: 10.1017/dmp.2025.10102

Laima Licitis, India Rose, Zachary Oberholtzer, Colleen Murray, Catherine N Rasberry, Lisa C Barrios, Sanjana Pampati

{"title":"Emergency Preparedness and Factors Influencing Decision-Making in a Sample of Public K-12 Schools During the COVID-19 Pandemic: A Mixed Methods Study.","authors":"Laima Licitis, India Rose, Zachary Oberholtzer, Colleen Murray, Catherine N Rasberry, Lisa C Barrios, Sanjana Pampati","doi":"10.1017/dmp.2025.10102","DOIUrl":"https://doi.org/10.1017/dmp.2025.10102","url":null,"abstract":"Objectives: Evaluate factors influencing the decision-making processes of school administrators and investigate the existence and use of emergency operations plans (EOPs) during the COVID-19 pandemic.Methods: Using survey data representative of US K-12 public schools in 2022, the prevalence of 16 factors that influenced reporting school administrators' COVID-19 prevention strategy implementation decision-making (Wave 4; N = 399) and the presence and use of school EOPs (Wave 5; N = 400) are presented overall and by urban-rural classification, poverty level, and school level. Qualitative interviews were conducted with a subset of school administrators and used thematic analysis to understand factors influencing implementation of prevention strategies and emergency preparedness.Results: School district requirements or recommendations (81.6%) was the top reported factor influencing decisions on the use of COVID-19 prevention strategies. Although most schools created or updated their EOP during the 2021/2022 school year (78.1%), only 26.7% implemented or exercised an EOP during the COVID-19 pandemic. Themes from qualitative analysis focused on factors influencing the implementation of prevention strategies, limitations of current EOPs, and importance of continuous investment in school preparedness.Conclusions: Investing in actions to improve schools' capacity to respond to emergencies such as developing comprehensive EOPs, building partnerships, and defining roles and responsibilities is important.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e194"},"PeriodicalIF":1.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651241","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

Factors Affecting Separation Anxiety Disorder in Adolescent Earthquake Survivors: The Case of Kahramanmaraş Earthquakes (2023). 影响青少年地震幸存者分离焦虑障碍的因素：以kahramanmaraku地震为例（2023）。

IF 1.9 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-07-17 DOI: 10.1017/dmp.2025.10123

Ibrahim Kiymis, Ahsen Aydin Dogan

{"title":"Factors Affecting Separation Anxiety Disorder in Adolescent Earthquake Survivors: The Case of Kahramanmaraş Earthquakes (2023).","authors":"Ibrahim Kiymis, Ahsen Aydin Dogan","doi":"10.1017/dmp.2025.10123","DOIUrl":"https://doi.org/10.1017/dmp.2025.10123","url":null,"abstract":"Objective: The Kahramanmaras Earthquakes (2023) are the largest and most devastating earthquakes in the history of the Republic. The effects of these earthquakes are particularly deeply felt among younger generations and trigger various psychological factors. Therefore, the aim of this study is to measure the levels of post-traumatic stress disorder (PTSD), social phobia (SP), generalized anxiety disorder (GAD), and depression on separation anxiety disorder (SAD) among adolescent earthquake survivors affected by the Kahramanmaras Earthquakes (2023).Methods: In the study, the data were obtained using a survey method. A total of 605 adolescent earthquake survivors exposed to the Kahramanmaras earthquakes were reached. The research was analyzed using structural equation modeling (SEM).Results: Surprisingly, according to the research findings, there was no significant and positive relationship between SP (β = -0.006, P > 0.05) and Depression (β = -0.117, P > 0.05) on SAD.Conclusions: Consequently, while PTSD and GAD had significant and positive effects on SAD in those adolescent earthquake survivors affected by the Kahramanmaras Earthquakes (2023), SP and Depression did not have significant and positive effects on SAD. Therefore, it is recommended that future studies examine the effects of SP and Depression on SAD more comprehensively and in detail through qualitative research.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e191"},"PeriodicalIF":1.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651242","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

Shifts in Food Acquisition and Consumption Habits During COVID-19: Insights from a Diverse Sample. 2019冠状病毒病期间食物获取和消费习惯的转变：来自不同样本的见解。

IF 1.9 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-07-17 DOI: 10.1017/dmp.2025.10138

Danielle J Gartner, Kathryn Janda-Thomte, Aida Nielsen, Baojiang Chen, Alexandra van den Berg

{"title":"Shifts in Food Acquisition and Consumption Habits During COVID-19: Insights from a Diverse Sample.","authors":"Danielle J Gartner, Kathryn Janda-Thomte, Aida Nielsen, Baojiang Chen, Alexandra van den Berg","doi":"10.1017/dmp.2025.10138","DOIUrl":"https://doi.org/10.1017/dmp.2025.10138","url":null,"abstract":"Objectives: Shifts in food acquisition during the COVID-19 pandemic may have affected diet. Assessing changes in diet is needed to inform food assistance programs aimed at mitigating diet disparities during future crises. This longitudinal study assessed changes in diet among a low-income, racially diverse population from March-November 2020.Methods: Survey data were collected from 291 adults living in Austin, TX. Multivariable ordinal logistic regression models assessed the relationship between changes in consumption of fresh, frozen, and canned fruits and vegetables (FV), and sugar-sweetened beverages (SSBs) and the following food acquisition factors: food security, difficulty finding food, food bank usage, and food shopping method.Results: Adjusted models indicated individuals with consistent food insecurity had increased odds of reporting a higher category of consumption for frozen (aOR = 2.13, P < 0.05, CI:1.18-3.85) and canned (aOR = 4.04, P < 0.01, CI:2.27-7.20) FV and SSB (aOR = 3.01, P < 0.01, CI:1.65-5.51). Individuals who reported using a food bank were more likely to report increased consumption of frozen (aOR = 2.14, P < 0.05, CI:1.22-3.76) and canned FV (aOR = 2.91, P < 0.01, CI:1.69-4.99).Conclusions: Shifts in food acquisition factors were associated with changes in diet. Findings demonstrate the need for more robust food assistance programs that specifically focus on all dimensions of food security.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e193"},"PeriodicalIF":1.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651243","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

Preliminary Report on Symptoms of Anxiety, Depression, and PTSD Following Severe Flooding in Brazil: A Longitudinal Perspective. 巴西严重洪灾后焦虑、抑郁和创伤后应激障碍症状的初步报告：纵向视角

IF 1.9 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-07-16 DOI: 10.1017/dmp.2025.10125

Santiago Madeira Diefenthaeler, Alice Cacilhas, Simone Hauck

{"title":"Preliminary Report on Symptoms of Anxiety, Depression, and PTSD Following Severe Flooding in Brazil: A Longitudinal Perspective.","authors":"Santiago Madeira Diefenthaeler, Alice Cacilhas, Simone Hauck","doi":"10.1017/dmp.2025.10125","DOIUrl":"https://doi.org/10.1017/dmp.2025.10125","url":null,"abstract":"Objectives: This preliminary longitudinal web-based study examines the progression of anxiety, depression, and posttraumatic stress disorder (PTSD) symptoms among individuals affected by severe flooding in Rio Grande do Sul, Brazil. The aim is to provide data that can inform early interventions and future research on mental health following disasters.Methods: Sixty-four participants were assessed during the flood (T1) and 1 month later (T2). Evaluations included sociodemographic data, trauma exposure, and symptoms of depression, anxiety, acute stress disorder (ASD), and PTSD.Results: Depression and anxiety symptoms remained relatively stable between T1 and T2, while posttraumatic symptoms increased significantly, particularly re-experiencing and avoidance. This progression suggests a shift from initial hyperarousal to more entrenched symptoms of reliving trauma and avoidance, indicating that the long-term effects of trauma may be more closely tied to PTSD. Additionally, trauma exposure and specific ASD symptoms predicted PTSD severity at T2.Conclusions: The results suggest a time-dependent progression of PTSD symptoms, with initial hyperarousal giving way to re-experiencing and avoidance, which are central to PTSD. Early psychoeducational interventions targeting re-experiencing symptoms and avoidance may help reduce PTSD severity. Further research in larger, more diverse samples is needed to assess generalizability.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e189"},"PeriodicalIF":1.9,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644137","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