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[PMID]:29265181
[Au] Autor:Horai M; Satoh S; Matsuo M; Iwanaga M; Horio K; Jo T; Takasaki Y; Kawaguchi Y; Tsushima H; Yoshida S; Taguchi M; Itonaga H; Sawayama Y; Taguchi J; Imaizumi Y; Hata T; Moriuchi Y; Haase D; Yoshiura KI; Miyazaki Y
[Ad] Endereço:Department of Haematology, Atomic Bomb Disease and Hibakusha Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
[Ti] Título:Chromosomal analysis of myelodysplastic syndromes among atomic bomb survivors in Nagasaki.
[So] Source:Br J Haematol;180(3):381-390, 2018 02.
[Is] ISSN:1365-2141
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The myelodysplastic syndromes (MDS) are clonal haematopoietic disorders that develop de novo and also secondary to chemotherapy and/or radiation therapy. We previously demonstrated that the risk of MDS is increased among atomic bomb survivors with significant correlation to radiation dose; however, the clinical characteristics of these survivors have not been well analysed. In this study, we investigated chromosomal abnormalities of MDS among survivors. The frequency of abnormal karyotypes was significantly higher, with more very poor risk karyotypes, according to the revised International Prognostic Scoring System, among those exposed close to the hypocentre compared with unexposed cases. However, abnormal karyotype frequency did not reflect the prognosis of exposed cases with respect to distance from the hypocentre. In addition, there was no difference in prognosis between exposed and unexposed cases. Among proximally exposed cases (<1·5 km from the hypocentre), chromosomal translocations and inversions were more frequent, and the frequency of structural alterations in chromosomes 3, 8, and 11 was significantly increased compared with unexposed cases. These results suggest that chromosomal alterations in MDS among survivors have different features compared with those in de novo or therapy-related MDS. Detailed molecular study is warranted.
[Mh] Termos MeSH primário: Aberrações Cromossômicas
Vítimas de Desastres
Síndromes Mielodisplásicas/epidemiologia
Síndromes Mielodisplásicas/genética
Armas Nucleares
Sobreviventes
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Contagem de Células Sanguíneas
Medula Óssea/patologia
Análise Citogenética
Feminino
Seres Humanos
Japão/epidemiologia
Masculino
Meia-Idade
Síndromes Mielodisplásicas/diagnóstico
Síndromes Mielodisplásicas/terapia
Avaliação de Resultados da Assistência ao Paciente
Sistema de Registros
Análise de Sobrevida
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE
[do] DOI:10.1111/bjh.15050


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[PMID]:29384734
[Au] Autor:Ohtani M; Oshima T; Mimasaka S
[Ad] Endereço:Department of Forensic Sciences, Akita University Graduate School of Medicine.
[Ti] Título:Extra-oral dental radiography for disaster victims using a flat panel X-ray detector and a hand-held X-ray generator.
[So] Source:J Forensic Odontostomatol;2(35):33-40, 2017 Dec 01.
[Is] ISSN:2219-6749
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Forensic odontologists commonly incise the skin for post-mortem dental examinations when it is difficult to open the victim's mouth. However, it is prohibited by law to incise dead bodies without permission in Japan. Therefore, we attempted using extra-oral dental radiography, using a digital X-ray equipment with rechargeable batteries, to overcome this restriction. MATERIALS AND METHODS: A phantom was placed in the prone position on a table, and three plain dental radiographs were used per case: "lateral oblique radiographs" for left and right posterior teeth and a "contact radiograph" for anterior teeth were taken using a flat panel X-ray detector and a hand-held X-ray generator. The resolving power of the images was measured by a resolution test chart, and the scattered X-ray dose was measured using an ionization chamber-type survey meter. RESULTS: The resolving power of the flat panel X-ray detector was 3.0 lp/mm, which was less than that of intra-oral dental methods, but the three extra-oral plain dental radiographs provided the overall dental information from outside of the mouth, and this approach was less time-consuming. In addition, the higher dose of scattered X-rays was laterally distributed, but the dose per case was much less than that of intra-oral dental radiographs. CONCLUSION: Extra-oral plain dental radiography can be used for disaster victim identification by dental methods even when it is difficult to open the mouth. Portable and rechargeable devices, such as a flat panel X-ray detector and a hand-held X-ray generator, are convenient to bring and use anywhere, even at a disaster scene lacking electricity and water.
[Mh] Termos MeSH primário: Vítimas de Desastres
Radiografia Dentária/instrumentação
[Mh] Termos MeSH secundário: Odontologia Legal/instrumentação
Seres Humanos
Imagens de Fantasmas
Sistemas Automatizados de Assistência Junto ao Leito
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE


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[PMID]:28321035
[Au] Autor:Numata N; Makinae H; Yoshida W; Daimon M; Murakami H
[Ad] Endereço:Department of Orthopedic Surgery, Tochinai Hospital.
[Ti] Título:Disaster Victim Identification using Orthopedic Implants in the 2011 East-Japan Earthquake and Tsunami.
[So] Source:Tohoku J Exp Med;241(3):219-223, 2017 03.
[Is] ISSN:1349-3329
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:On March 11, 2011, an earthquake (magnitude 9.0) devastated Japan's east coast, and the associated tsunami resulted in social and mechanical destruction. Search for the missing people is still ongoing. Surgical implants are common in the general population. Medical implants usually have lot numbers, and their forensic use is common for victim identification. This investigation was conducted mainly in the cities of Kamaishi and Otsuchi, both of which were affected by the tsunami disaster in 2011. We visited 6 mortuaries with the police between March 20 (9 days after the tsunami) and April 20 (40 days after the tsunami) to examine the presence of surgical scars and related information. Unidentified human remains were investigated by visual and tactile examination. We also visited temples where the ashes were preserved. If implants were found, their lot numbers and estimated surgical procedures were recorded to determine positive identification. Ten of 233 sets of unidentified human remains before cremation displayed characteristics of a potential past surgical history. However, only 2 of these 233 sets had orthopedic implants. Instead, non-combustible orthopedic implants were found and recognized in 8 of the 331 sets of unidentified human ashes in the temples after cremation; the lot numbers were fully legible in 2 of the 8 sets. We estimated the surgical procedures, which led to positive identification. In conclusion, lot numbers and the surgical knowledge of orthopedic surgeons could assist with the positive identification of disaster victims. However, the relevant information can be erased after cremation.
[Mh] Termos MeSH primário: Vítimas de Desastres
Terremotos
Ortopedia
Próteses e Implantes
Tsunamis
[Mh] Termos MeSH secundário: Cicatriz/patologia
Cremação
Geografia
Seres Humanos
Japão
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170322
[St] Status:MEDLINE
[do] DOI:10.1620/tjem.241.219


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[PMID]:28213085
[Au] Autor:Couessurel N; Genotelle N; Fleury C; Bodenan P; Lefort H
[Ad] Endereço:Service départemental métropolitain d'incendie et de secours, 17, rue Rabelais, 69003 Lyon, France.
[Ti] Título:1/10 Responsabilité juridique du soignant en cas d'attentat ou de catastrophe..
[So] Source:Soins;62(812):61-62, 2017 Jan - Feb.
[Is] ISSN:0038-0814
[Cp] País de publicação:France
[La] Idioma:fre
[Mh] Termos MeSH primário: Medicina de Desastres/legislação & jurisprudência
Legislação de Enfermagem
Papel do Profissional de Enfermagem
Terrorismo/legislação & jurisprudência
[Mh] Termos MeSH secundário: Medicina de Desastres/recursos humanos
Vítimas de Desastres/legislação & jurisprudência
Desastres
Emergências/enfermagem
Seres Humanos
Cuidados de Enfermagem/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170706
[Lr] Data última revisão:
170706
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170219
[St] Status:MEDLINE


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[PMID]:28077824
[Au] Autor:Suzuki Y; Fukasawa M; Obara A; Kim Y
[Ad] Endereço:Department of Adult Mental Health, National Institute of Mental Health, National Center of Neurology and Psychiatry.
[Ti] Título:Burnout among public servants after the Great East Japan Earthquake: decomposing the construct aftermath of disaster.
[So] Source:J Occup Health;59(2):156-164, 2017 Mar 28.
[Is] ISSN:1348-9585
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To examine whether disaster-related variables, in addition to known work-related risk factors, influence burnout and its subscales (exhaustion, cynicism, and lack of professional efficacy) among public servants who experienced a major disaster. METHODS: Cross-sectional studies were conducted among public servants of Miyagi prefecture at 2 and 16 months after the Great East Japan Earthquake (n=3,533, response rate 66.8%); burnout was assessed at 16 months using the Japanese version of the Maslach Burnout Inventory-General Survey. We examined the relationships between burnout and its subscales with disaster-related variables at 2 months after the disaster, while controlling for age, gender, and work-related variables at 16 months after the disaster. RESULTS: After controlling for age, gender, and work-related variables, a significant risk factor of burnout was having severe house damage. For the each subscale of burnout, living someplace other than their own house increased the risk of both exhaustion and cynicism, while handling residents' complaints did so only for exhaustion. Notably, workers from health and welfare departments showed an increased risk of burnout, exhaustion, and cynicism, but not lack of professional efficacy. CONCLUSIONS: The findings suggest that special attention is needed for workers with severe house damage to prevent burnout, as well as those who lived someplace other than their own house to prevent exhaustion and cynicism after a major disaster. Interventions directed at workers of the health and welfare department should focus more on limiting exhaustion and cynicism, rather than promoting professional efficacy.
[Mh] Termos MeSH primário: Esgotamento Profissional/epidemiologia
Esgotamento Profissional/psicologia
Vítimas de Desastres/psicologia
Fadiga/epidemiologia
Fadiga/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Estudos Transversais
Vítimas de Desastres/estatística & dados numéricos
Desastres
Terremotos
Feminino
Pessoal de Saúde/psicologia
Habitação
Seres Humanos
Japão/epidemiologia
Masculino
Meia-Idade
Ocupações
Distribuição de Poisson
Fatores de Risco
Autoeficácia
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170113
[St] Status:MEDLINE
[do] DOI:10.1539/joh.16-0263-OA


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[PMID]:28043240
[Au] Autor:Hugelius K; Adolfsson A; Örtenwall P; Gifford M
[Ad] Endereço:1School of Health Sciences,Örebro University,Örebro,Sweden.
[Ti] Título:Being Both Helpers and Victims: Health Professionals' Experiences of Working During a Natural Disaster.
[So] Source:Prehosp Disaster Med;32(2):117-123, 2017 Apr.
[Is] ISSN:1945-1938
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In November 2013, the Haiyan typhoon hit parts of the Philippines. The typhoon caused severe damage to the medical facilities and many injuries and deaths. Health professionals have a crucial role in the immediate disaster response system, but knowledge of their experiences of working during and in the immediate aftermath of a natural disaster is limited. Aim The aim of this study was to explore health professionals' experiences of working during and in the immediate aftermath of a natural disaster. METHOD: Eight health professionals were interviewed five months after the disaster. The interviews were analyzed using phenomenological hermeneutic methods. RESULTS: The main theme, being professional and survivor, described both positive and negative emotions and experiences from being both a helper, as part of the responding organization, and a victim, as part of the surviving but severely affected community. Sub-themes described feelings of strength and confidence, feelings of adjustment and acceptance, feelings of satisfaction, feelings of powerless and fear, feelings of guilt and shame, and feelings of loneliness. CONCLUSION: Being a health professional during a natural disaster was a multi-faceted, powerful, and ambiguous experience of being part of the response system at the same time as being a survivor of the disaster. Personal values and altruistic motives as well as social aspects and stress-coping strategies to reach a balance between acceptance and control were important elements of the experience. Based on these findings, implications for disaster training and response strategies are suggested. Hugelius K , Adolfsson A , Örtenwall P , Gifford M . Being both helpers and victims: health professionals' experiences of working during a natural disaster. Prehosp Disaster Med. 2017;32(2):117-123.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Tempestades Ciclônicas
Vítimas de Desastres/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Entrevistas como Assunto
Masculino
Meia-Idade
Filipinas
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170104
[St] Status:MEDLINE
[do] DOI:10.1017/S1049023X16001412


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[PMID]:27899794
[Au] Autor:Mesmar S; Talhouk R; Akik C; Olivier P; Elhajj IH; Elbassuoni S; Armoush S; Kalot J; Balaam M; Germani A; Ghattas H
[Ad] Endereço:Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, P.O.Box 11-0236/EPHD, Riad El Solh, Beirut, 1107 2020, Lebanon.
[Ti] Título:The impact of digital technology on health of populations affected by humanitarian crises: Recent innovations and current gaps.
[So] Source:J Public Health Policy;37(Suppl 2):167-200, 2016 Nov.
[Is] ISSN:1745-655X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Digital technology is increasingly used in humanitarian action and promises to improve the health and social well-being of populations affected by both acute and protracted crises. We set out to (1) review the current landscape of digital technologies used by humanitarian actors and affected populations, (2) examine their impact on health and well-being of affected populations, and (3) consider the opportunities for and challenges faced by users of these technologies. Through a systematic search of academic databases and reports, we identified 50 digital technologies used by humanitarian actors, and/or populations affected by crises. We organized them according to the stage of the humanitarian cycle that they were used in, and the health outcomes or determinants of health they affected. Digital technologies were found to facilitate communication, coordination, and collection and analysis of data, enabling timely responses in humanitarian contexts. A lack of evaluation of these technologies, a paternalistic approach to their development, and issues of privacy and equity constituted major challenges. We highlight the need to create a space for dialogue between technology designers and populations affected by humanitarian crises.
[Mh] Termos MeSH primário: Desastres
[Mh] Termos MeSH secundário: Tecnologia Biomédica
Planejamento em Desastres
Vítimas de Desastres
Seres Humanos
Informática Médica
Refugiados
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161201
[St] Status:MEDLINE


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[PMID]:27641311
[Au] Autor:Nicol AL; Sieberg CB; Clauw DJ; Hassett AL; Moser SE; Brummett CM
[Ad] Endereço:Department of Anesthesiology, University of Kansas School of Medicine, Kansas City, Kansas. Electronic address: anicol@kumc.edu.
[Ti] Título:The Association Between a History of Lifetime Traumatic Events and Pain Severity, Physical Function, and Affective Distress in Patients With Chronic Pain.
[So] Source:J Pain;17(12):1334-1348, 2016 12.
[Is] ISSN:1528-8447
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Evidence suggests that pain patients who report lifetime abuse experience greater psychological distress, have more severe pain and other physical symptoms, and greater functional disability. The aim of the present study was to determine the associations between a history of lifetime abuse and affective distress, fibromyalgianess (measured using the 2011 Fibromyalgia Survey), pain severity and interference, and physical functioning. A cross-sectional analysis of 3,081 individuals presenting with chronic pain was performed using validated measures and a history of abuse was assessed via patient self-report. Multivariate logistic regression showed that individuals with a history of abuse (n = 470; 15.25%) had greater depression, greater anxiety, worse physical functioning, greater pain severity, worse pain interference, higher catastrophizing, and higher scores on the Fibromyalgia Survey criteria (P < .001 for all comparisons). Mediation models showed that the Fibromyalgia Survey score and affective distress independently mediate the relationship between abuse and pain severity and physical functioning (Ps < .001). Our mediation models support a novel biopsychosocial paradigm wherein affective distress and fibromyalgianess interact to play significant roles in the association between abuse and pain. We posit that having a centralized pain phenotype underlies the mediation of increased pain morbidity in individuals with a history of abuse. PERSPECTIVE: This article examines the associations between a history of lifetime abuse and affective distress, fibromyalgianess, pain severity and interference, and physical functioning in chronic pain patients. Our findings support a novel biopsychosocial paradigm in which affective distress and fibromyalgianess interact to play roles in the association between abuse and pain.
[Mh] Termos MeSH primário: Dor Crônica/etiologia
Dor Crônica/psicologia
Vítimas de Desastres/psicologia
Exercício/fisiologia
Fibromialgia/complicações
Transtornos do Humor/etiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Catastrofização/fisiopatologia
Catastrofização/psicologia
Dor Crônica/epidemiologia
Estudos Transversais
Feminino
Fibromialgia/epidemiologia
Fibromialgia/psicologia
Seres Humanos
Modelos Lineares
Estudos Longitudinais
Masculino
Meia-Idade
Transtornos do Humor/epidemiologia
Medição da Dor
Estudos Retrospectivos
Índice de Gravidade de Doença
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171127
[Lr] Data última revisão:
171127
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160920
[St] Status:MEDLINE


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[PMID]:27460461
[Au] Autor:Scannell L; Cox RS; Fletcher S; Heykoop C
[Ad] Endereço:ResilienceByDesign Lab, Disaster and Emergency Management, School of Humanitarian Studies, Royal Roads University, Victoria, BC, Canada. Leila.Scannell@RoyalRoads.ca.
[Ti] Título:"That was the Last Time I Saw my House": The Importance of Place Attachment among Children and Youth in Disaster Contexts.
[So] Source:Am J Community Psychol;58(1-2):158-73, 2016 09.
[Is] ISSN:1573-2770
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Place attachment is important for children and youth's disaster preparedness, experiences, recovery, and resilience, but most of the literature on place and disasters has focused on adults. Drawing on the community disaster risk reduction, recovery, and resilience literature as well as the literature on normative place attachment, children and youth's place-relevant disaster experiences are examined. Prior to a disaster, place attachments are postulated to enhance children and youth's disaster preparedness contributions and reinforce their pre-disaster resilience. During a disaster, damage of, and displacement from, places of importance can create significant emotional distress among children and youth. Following a disaster, pre-existing as well as new place ties can aid in their recovery and bolster their resilience moving forward. This framework enriches current theories of disaster recovery, resilience, and place attachment, and sets an agenda for future research.
[Mh] Termos MeSH primário: Vítimas de Desastres/psicologia
Habitação
Apego ao Objeto
[Mh] Termos MeSH secundário: Adaptação Psicológica
Adolescente
Criança
Planejamento em Desastres
Seres Humanos
Distribuição Espacial da População
Resiliência Psicológica
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171121
[Lr] Data última revisão:
171121
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160728
[St] Status:MEDLINE
[do] DOI:10.1002/ajcp.12069


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[PMID]:27433564
[Au] Autor:Arndt J
[Ti] Título:[Not Available].
[Ti] Título:Ein Land ringt um den Wiederaufbau..
[So] Source:Dtsch Med Wochenschr;141(6):442-3, 2016 Mar.
[Is] ISSN:1439-4413
[Cp] País de publicação:Germany
[La] Idioma:ger
[Mh] Termos MeSH primário: Medicina de Desastres
Vítimas de Desastres
Terremotos
[Mh] Termos MeSH secundário: Seres Humanos
Nepal
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160718
[Lr] Data última revisão:
160718
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160720
[St] Status:MEDLINE



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