Disaster Medicine and Public Health Preparedness最新文献

{"title":"Emergency Supply Kits and Medical Self-Sufficiency: Lessons from Hurricane Ian.","authors":"Jelonia Tasha Rumph, Stephanie Kieszak, Andrea Winquist, Arianna Hanchey, Laura DiGrande, Amy Helene Schnall","doi":"10.1017/dmp.2025.10096","DOIUrl":"10.1017/dmp.2025.10096","url":null,"abstract":"<p><strong>Objectives: </strong>Emergency supply kits (ESKs) may support disaster-related self-sufficiency and may be important for people with chronic health conditions (CHCs). However, evidence of ESK's effectiveness in supporting self-sufficiency is lacking. This study examined associations between households possessing ESKs and 1) household members leaving home for medicine and 2) individuals with CHCs seeking medical care.</p><p><strong>Methods: </strong>Data were collected through a survey distributed to southwest Florida after Hurricane Ian's impact (<i>n</i> = 1342). Associations were assessed using logistic regression models.</p><p><strong>Results: </strong>ESK possession was more common among households with members with CHCs (63%) than households without such members (56%). Overall, regression models revealed no clear association between ESK possession and leaving home for medicine (adjusted Odds Ratio (aOR)=1.27; CI = 0.81-2.02). Analyses restricted to households with individuals with CHCs revealed no clear associations between ESK possession and leaving the home for medicine (aOR= 1.35; CI = 0.81-2.25) or seeking medical care (aOR = 1.07; CI = 0.68-1.68).</p><p><strong>Conclusions: </strong>This study did not provide evidence that ESKs promote medical self-sufficiency. However, it did not characterize the medication in households' ESKs or the type, duration, and severity of CHCs, and could have had uncontrolled confounding. Characterization of such factors would be important in future studies of ESKs and self-sufficiency among people with CHCs.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e240"},"PeriodicalIF":1.8,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857041","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}

{"title":"Anesthesiologists' Preparedness and Training Needs in Disaster Management: A Mixed-Methods Study from a Conflict-Affected Region.","authors":"Vanda Abi Raad, Sandrella Bou Malhab, Samantha Succar, Sandra Elias, Charbel Gerges, Micheline Bou Khalil, Hanane Barakat","doi":"10.1017/dmp.2025.10152","DOIUrl":"10.1017/dmp.2025.10152","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate anesthesiologists' preparedness and training needs during a mass casualty event in a resource-limited setting, focusing on hospital disaster planning and response effectiveness.</p><p><strong>Methods: </strong>This study utilized an exploratory mixed-methods design, combining qualitative and quantitative approaches to assess the experiences of anesthesiologists during a catastrophic disaster. Data were collected through interviews and a survey of anesthesiologists who were directly involved in emergency response.</p><p><strong>Results: </strong>The findings highlight significant gaps in disaster preparedness among hospitals, influenced by factors such as physical infrastructure damage, resource shortages, and limited personnel involvement in disaster planning. Anesthesiologists demonstrated adaptability and commitment despite inadequate training and limited disaster management frameworks. The study underscores the urgent need for standardized disaster preparedness plans, multidisciplinary training, and enhanced psychological support for health care professionals.</p><p><strong>Conclusions: </strong>This study reveals critical deficiencies in hospital disaster preparedness and anesthesiologists' training in emergency response. Addressing these gaps through robust disaster planning, simulation-based education, and institutional support is essential to enhance health care systems' resilience in resource-limited and conflict-affected regions.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e230"},"PeriodicalIF":1.8,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838544","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}

{"title":"Effects of Perceived Trauma Levels of Women at Reproductive Age after Earthquakes on Their Menstruation Cycle.","authors":"Cansu Ağralı, Fatma Keskİn Töre, Gülçin Nacar, Simge Öztürk","doi":"10.1017/dmp.2025.10159","DOIUrl":"10.1017/dmp.2025.10159","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study is to determine the effects of the perceived trauma levels of women at reproductive age after earthquakes on their menstruation cycle.</p><p><strong>Methods: </strong>This descriptive and correlational study was conducted between March 17, 2023, and April 17, 2023, after the earthquakes that happened in Turkey on February 6, 2023 and affected 11 cities. The study was conducted with 355 women. Data were collected using an online questionnaire form prepared via Google Forms. Data collection was performed using a Participant Information Form and the Post-Earthquake Trauma Level Determination Scale.</p><p><strong>Results: </strong>According to the multiple regression analysis results, the significant predictors of perceived trauma levels after the earthquakes included the severity of dysmenorrhea (β-coefficient = 0.164, <i>P</i> = .007), characteristics of vaginal discharge (β-coefficient = 0.136, <i>P</i> = .027), and itching in the perineum (β-coefficient = -0.220, <i>P</i> = .001). These variables explained 12.4% of the total variance in the perceived trauma levels of the participants.</p><p><strong>Conclusions: </strong>The perceived trauma levels of women after the earthquakes had significant effects on the severity of dysmenorrhea, characteristics of vaginal discharge, and itching in the perineum. Health professionals should not overlook the effects of women's perceived trauma levels on their menstruation cycles after earthquakes and evaluate the issue considering these aspects.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e237"},"PeriodicalIF":1.8,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838547","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}

{"title":"Bibliometric Insights into Human Metapneumovirus Interventions: Trends, Gaps, and Future Directions.","authors":"Sridevi Gnanasekaran, Vignesh Murugan, Surendran Venkataraman, Vinoth Rajendran, Jayaraj Vinothini, Kavita Vasudevan","doi":"10.1017/dmp.2025.10175","DOIUrl":"10.1017/dmp.2025.10175","url":null,"abstract":"<p><strong>Background: </strong>Human metapneumovirus (HMPV) is a significant cause of respiratory tract infections, particularly in young children, the elderly, and immunocompromised individuals. Despite its global impact, research on therapeutic, diagnostic, and preventive interventions remains fragmented. This study conducts a bibliometric analysis to evaluate global trends, advancements, and gaps in HMPV intervention research.</p><p><strong>Methods: </strong>Bibliometric data were retrieved from the Scopus database using keywords related to HMPV interventions, including \"treatment,\" \"vaccine,\" and \"diagnostics,\" for the period 2000-2025. Data were analyzed using Biblioshiny, the graphical interface of the Bibliometrix R package. Descriptive metrics, keyword analysis, thematic evolution, and collaboration networks were assessed, with results visualized as charts, maps, and network diagrams.</p><p><strong>Results: </strong>A total of 2482 publications were analyzed. Research output accelerated markedly after 2015, driven by advances in molecular diagnostics and global interest in respiratory viruses. The United States, the United Kingdom, and China emerged as leading contributors, while low- and middle-income countries (LMICs) remained underrepresented. The most productive journals were <i>Journal of Clinical Virology</i> and <i>Journal of Medical Virology.</i> Prominent themes included vaccine development, antiviral therapies, and molecular diagnostics. However, key research gaps were identified in the areas of coinfections, long-term sequelae, and interventions tailored for high-risk and resource-limited populations. Collaboration networks highlighted concentrated partnerships among high-income countries, indicating limited global equity in HMPV research.</p><p><strong>Conclusion: </strong>While progress in HMPV research is evident, critical disparities remain in global collaboration and focus areas. Future efforts should prioritize inclusive partnerships, increased research in LMICs, and the development of affordable diagnostic and therapeutic solutions. This bibliometric analysis serves as a roadmap to guide equitable and impactful global HMPV research.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e238"},"PeriodicalIF":1.8,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838545","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}

{"title":"Comparative Analysis of Pediatric Acute Poisoning Cases: Before and During the COVID-19 Pandemic.","authors":"Aynur Arslan Sabancı, Muhammed Cihan Güvel, Okşan Derinöz Güleryüz, Canan Uluoğlu, Sevil Özger İlhan","doi":"10.1017/dmp.2025.10157","DOIUrl":"10.1017/dmp.2025.10157","url":null,"abstract":"<p><strong>Objectives: </strong>Acute poisoning is a major cause of pediatric emergency department (PED) visits, with the COVID-19 pandemic potentially altering exposure risks and care-seeking behaviors. This study compares pediatric poisoning characteristics before and during the pandemic.</p><p><strong>Methods: </strong>A retrospective analysis was conducted at the Gazi University PED between January 2018 and June 2022. Patients aged 1 month-18 years diagnosed with poisoning were identified via ICD codes grouped into before pandemic and during pandemic cases. A systematic random sampling yielded 178 BP (before the pandemic) and 94 DP (during the pandemic) cases with complete data. Demographic and clinical properties of cases were analyzed.</p><p><strong>Results: </strong>The mean age was significantly higher during the pandemic (BP:7.63±0.49; DP:9.27±0.69). A higher prevalence of chronic diseases was noted in DP cases (BP:0.29±0.049; DP:0.57±0.100). Hotline consultations were higher in DP period (54.5% vs.72.5%) while hospitalization rates were lower (55% vs. 35.2%). While suicide attempts were significantly higher in women compared to men before the pandemic, this difference disappeared during the pandemic period (BP:8.6% of males vs. 37.2% of females; DP: 25% of males vs. 39% of females).</p><p><strong>Conclusion: </strong>The COVID-19 pandemic significantly impacted pediatric poisoning profiles, underscoring the need for targeted prevention strategies and adaptive emergency protocols.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e235"},"PeriodicalIF":1.8,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838546","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}

{"title":"Introducing the K-HEPI: A Breakthrough in Evaluating Household Disaster Preparedness Among Korean-Speaking Communities - CORRIGENDUM.","authors":"William Samuels, Tara N Heagele, Jung Moon Hyun, So-Hyun Park, Jin Young Seo","doi":"10.1017/dmp.2025.10182","DOIUrl":"10.1017/dmp.2025.10182","url":null,"abstract":"","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e236"},"PeriodicalIF":1.8,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838548","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}

{"title":"Effect of Average Heat Index on the Diagnosis of Amoebic Diarrhea in Emergency Departments: A Climate Change Perspective Study.","authors":"Neslihan Ergün Süzer, Omerul Faruk Aydın, Sarper Yılmaz","doi":"10.1017/dmp.2025.10169","DOIUrl":"https://doi.org/10.1017/dmp.2025.10169","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study is to examine the effect of the heat index over a 1-week period in the region where patients reside on those presenting to the emergency department (ED) with complaints of acute diarrhea and diagnosed with amoebic diarrhea based on their test results.</p><p><strong>Methods: </strong>This study retrospectively analyzed patients who presented with acute diarrhea to a tertiary health care center over the course of 1 year, focusing on the association between symptomatic amoebic diarrhea cases and the 7-day average heat index prior to admission.</p><p><strong>Results: </strong>A total of 1406 patients were included in the analysis, of whom 251 (17.9%) were diagnosed with amebiasis, while 1155 (82.1%) were classified as non-amebiasis. Multivariate logistic regression analysis identified an increased 7-day heat index average (OR: 1.12, 95% CI: 1.099-1.141, <i>P</i> < 0.001) as independent predictors of amebiasis. The proportion of amebiasis cases demonstrated a moderate positive correlation with the heat index at lag 0 (<i>r</i> = 0.55, <i>P</i> < 0.001), peaking at lag 4 (<i>r</i> = 0.57, <i>P</i> < 0.001). This correlation remained statistically significant up to lag 14 (<i>r</i> = 0.46, <i>P</i> = 0.013) but weakened substantially at longer lags.</p><p><strong>Conclusions: </strong>This study determined that in diarrhea patients presenting to the ED, the average increase in the heat index during the week prior to admission influenced the detection rate of amoebic infections.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e231"},"PeriodicalIF":1.8,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818297","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}

{"title":"Teaching Emergency Medical Technicians about Advanced Life Support Interventions: Pilot Study of an Online Continuing Education Course.","authors":"Enzo G Plaitano, Bianca L Pate, Kevin M Ryan","doi":"10.1017/dmp.2025.10171","DOIUrl":"10.1017/dmp.2025.10171","url":null,"abstract":"<p><strong>Objectives: </strong>Emergency Medical Technician (EMT) scope of practice guidelines in the US suggest that EMTs should assist paramedics with advanced skills during patient care. However, learning to assist with these skills is not an EMT national education requirement. This study examined the feasibility and impact of a short, online pilot continuing education course in providing EMTs with the confidence and basic knowledge to assist with advanced interventions.</p><p><strong>Methods: </strong>The pilot cohort included licensed EMTs (<i>n</i>=10) self-enrolled in a continuing education class listed on the institution's EMS continuing education website and advertised on social media. Optional, anonymous questionnaires and multiple-choice exams were administered to students pre/post-course. Statistical analysis included paired nonparametric tests.</p><p><strong>Results: </strong>Total scores were 43% higher on the post-exam (88/100, 95% CI [76, 100]) compared to the pre-exam (45/100, 95% CI [37, 53]) (<i>P</i><0.05). Self-reported comfort was higher on the post-evaluation for needle thoracostomy (95% increase), advanced airways (25% increase), EKGs (19% increase), intravenous access (14% increase), and communication (22% increase).</p><p><strong>Conclusions: </strong>Results suggest that short, online continuing education courses on BLS-ALS interface for EMTs might be efficacious in improving both comfort and knowledge of selected advanced interventions often used by paramedics, although larger future studies are needed.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e233"},"PeriodicalIF":1.8,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12359697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818299","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}

{"title":"Offsite Consequences of the Fukushima Nuclear Accident: Recovery and Return to Hometown After Evacuation.","authors":"Seiji Yasumura","doi":"10.1017/dmp.2025.10090","DOIUrl":"https://doi.org/10.1017/dmp.2025.10090","url":null,"abstract":"<p><p>After the Great East Japan Earthquake of March 11, 2011, the Fukushima Prefectural Government commissioned Fukushima Medical University to conduct the \"Fukushima Health Management Survey\" to investigate long-term low-dose radiation exposure caused by the accident. The primary purposes of this survey are to monitor the long-term health of Fukushima residents and to promote their health and well-being. The survey consists of a Basic Survey and 4 detailed surveys (Thyroid Ultrasound Examination, Comprehensive Health Check, Mental Health and Lifestyle Survey, and Pregnancy and Birth Survey). Some physical and mental health problems have persisted. Survey participants who evacuated from Fukushima and continue to live outside Fukushima showed higher mental health deterioration than those who evacuated from Fukushima and came back to live in Fukushima. Problems arise from misunderstanding radiation health effects among non-Fukushima residents, and the dignity of \"place of living\" among Fukushima residents.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e234"},"PeriodicalIF":1.8,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818298","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}

{"title":"The New Methods of Help Seeking During Disasters and Crises in Vulnerable Groups (Children, Women, Disabled People, Elderly, Blind and Deaf): A Systematic Review.","authors":"Nasrin Joudyian, Siamak Soltani, Nilofar Sadat Lohi, Mahsa Shirazi, Ali Tahmasebi","doi":"10.1017/dmp.2025.10146","DOIUrl":"10.1017/dmp.2025.10146","url":null,"abstract":"<p><strong>Objectives: </strong>To examine innovative methods of seeking assistance during disasters and crises in vulnerable groups through a systematic review approach.</p><p><strong>Methods: </strong>This study is a systematic review. The necessary data were obtained using relevant keywords from PubMed, Scopus, Web of Knowledge, Embase, ProQuest databases, and the Google Scholar search engine. The study was conducted without any time limitations and using the PRISMA protocol. The CASP tool was used for assessing the quality of the articles.</p><p><strong>Results: </strong>Of 6002 initial articles, 11 final articles were selected and included in the study. Most of the studies were from Australia, and the most frequently examined vulnerable groups were disabled people and people who are deaf or hard of hearing. The basis for the methods and tools used in seeking assistance and managing disasters was the disaster risk reduction programs in communities, which utilized information systems, educational frameworks, communication platforms, and media tools to achieve the goals, considering specific environmental and cultural conditions.</p><p><strong>Conclusions: </strong>Given the emergency nature of disasters, government commitment and support should be based on the allocation of special resources and the active participation of vulnerable individuals.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e232"},"PeriodicalIF":1.8,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818300","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}