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[PMID]:29368474
[Au] Autor:Rhodes J; Gupta R
[Ti] Título:Building Resilient Communities: Preparedness and Response for Health Care and Public Health Professionals.
[So] Source:W V Med J;112(5):24-5, 2016 Sep-Oct.
[Is] ISSN:0043-3284
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Assistência à Saúde/normas
Planejamento em Desastres/organização & administração
Desastres
Inundações
Disseminação de Informação
Saúde Pública/normas
[Mh] Termos MeSH secundário: Abrigo de Emergência/normas
Seres Humanos
Disseminação de Informação/métodos
Unidades Móveis de Saúde/normas
Toxoide Tetânico/administração & dosagem
West Virginia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Tetanus Toxoid)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE


  2 / 147 MEDLINE  
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[PMID]:29301425
[Au] Autor:Shah AA; Valles N; Banu S; Storch EA; Goodman W
[Ad] Endereço:From the Menninger Department of Psychiatry, Baylor College of Medicine, Houston; and the Department of Pediatrics, Morsani College of Medicine, University of South Florida, Tampa.
[Ti] Título:Meeting the Mental Health Needs of Hurricane Harvey Evacuees.
[So] Source:Am J Psychiatry;175(1):13-14, 2018 Jan 01.
[Is] ISSN:1535-7228
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Defesa Civil
Desastres
Serviços de Emergência Psiquiátrica/métodos
Abrigo de Emergência/métodos
Serviços de Saúde Mental
Sobreviventes/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso de 80 Anos ou mais
Pré-Escolar
Defesa Civil/métodos
Defesa Civil/normas
Tempestades Ciclônicas
Feminino
Seres Humanos
Masculino
Saúde Mental/normas
Serviços de Saúde Mental/organização & administração
Serviços de Saúde Mental/normas
Determinação de Necessidades de Cuidados de Saúde
Melhoria de Qualidade
Transporte de Pacientes/organização & administração
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE
[do] DOI:10.1176/appi.ajp.2017.17101108


  3 / 147 MEDLINE  
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[PMID]:28452144
[Au] Autor:Horner MW; Ozguven EE; Marcelin JM; Kocatepe A
[Ad] Endereço:PhD is a Professor in the Department of Geography, Florida State University, United States.
[Ti] Título:Special needs hurricane shelters and the ageing population: development of a methodology and a case study application.
[So] Source:Disasters;42(1):169-186, 2018 Jan.
[Is] ISSN:1467-7717
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Recent experience of hurricanes, particularly in the southeast United States, has heightened awareness of the multifaceted nature of and the challenges to effective disaster relief planning. One key element of this planning is providing adequate shelter at secure locations for people who evacuate. Some of these individuals will have 'special needs', yet there is little research on the relationship with shelter space. This study designed a geographic information systems-based network optimisation methodology for the siting of special needs hurricane relief shelters, with a focus on the transportation component. It sought to find new locations for shelters that maximise accessibility by vulnerable populations, given capacity constraints, concentrating on the ageing population. The framework was implemented in a medium-sized metropolitan statistical area in the state of Florida where data suggest a possible deficit in special needs shelter space. The study analysed options for increasing special needs shelter capacity, while considering potential uncertainties in transportation network availability.
[Mh] Termos MeSH primário: Tempestades Ciclônicas
Planejamento em Desastres/métodos
Planejamento em Desastres/organização & administração
Abrigo de Emergência
Determinação de Necessidades de Cuidados de Saúde
[Mh] Termos MeSH secundário: Idoso
Florida
Sistemas de Informação Geográfica
Seres Humanos
Estudos de Casos Organizacionais
Transportes
Populações Vulneráveis
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1111/disa.12233


  4 / 147 MEDLINE  
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[PMID]:28610649
[Au] Autor:Smith R; Mozzer M; Albanese J; Paturas J; Gold J
[Ti] Título:Enhancing resiliency for elderly populations : Shelter-in-place planning and training at facilities serving elderly populations through the Rhode Island Senior Resiliency Project.
[So] Source:J Bus Contin Emer Plan;10(4):384-392, 2017 Jun 01.
[Is] ISSN:1749-9216
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Elderly populations are disproportionately affected by disasters. In part, this is true because for many older adults, special assistance is needed to mitigate the consequences of disasters on their health and wellbeing. In addition, many older adults may reside in diverse living complexes such as long-term care facilities, assisted living facilities and independent-living senior housing complexes. Planning for each type of facility is different and the unique features of these facilities must be considered to develop readiness to deal with disasters. Based on this, the Rhode Island Department of Health established the Senior Resiliency Project to bolster the level of resiliency for the types of living facilities housing older adults. The project involves performing onsite assessments of energy resources, developing site-specific sheltering-inplace and energy resiliency plans, and educating and training facility employees and residents on these plans and steps they can take to be better prepared. Based on the feasibility of conducting these activities within a variety of facilities housing older adults, the project is segmented into three phases. This paper describes survey findings, outcomes of interventions, challenges and recommendations for bridging gaps observed in phases 1 and 2 of the project.
[Mh] Termos MeSH primário: Planejamento em Desastres/organização & administração
Instituição de Longa Permanência para Idosos/organização & administração
Habitação para Idosos/organização & administração
[Mh] Termos MeSH secundário: Idoso
Desastres
Fontes de Energia Elétrica
Abrigo de Emergência
Arquitetura de Instituições de Saúde
Seres Humanos
Desenvolvimento de Programas
Rhode Island
Populações Vulneráveis
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170829
[Lr] Data última revisão:
170829
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE


  5 / 147 MEDLINE  
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[PMID]:28610643
[Au] Autor:Fournier C; Campbell G
[Ti] Título:Evacuation decision-making : Building a model to account for risk-taking preference.
[So] Source:J Bus Contin Emer Plan;10(4):308-319, 2017 Jun 01.
[Is] ISSN:1749-9216
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:One of the most stressful decisions a coastal emergency manager may face is the decision to order a large-scale evacuation for a hurricane. Even in a best-case scenario, evacuations are not a panacea. They are unpopular, expensive, disruptive and highly vulnerable to their own hazards. These issues become even more daunting when exacerbated by high populations in vulnerable areas, limited evacuation routes and a lack of nearby shelter space, which combine to create extremely long evacuation clearance times. Add forecast errors and uncertainty to these and one begins to understand the complexity of the decision-making process. These were the challenges faced by the authors as they tried to define and document the evacuation decision-making process in Lee County in Southwest Florida.
[Mh] Termos MeSH primário: Tempestades Ciclônicas
Tomada de Decisões
Planejamento em Desastres
Transferência de Pacientes
[Mh] Termos MeSH secundário: Desastres
Abrigo de Emergência
Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170829
[Lr] Data última revisão:
170829
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE


  6 / 147 MEDLINE  
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[PMID]:28403114
[Au] Autor:Iwata K; Fukuchi T; Hirai M; Yoshimura K; Kanatani Y
[Ad] Endereço:aDivision of Infectious Diseases Therapeutics, Kobe University Graduate School of Medicine, Kobe bDepartment of General Medicine, Saitama Medical Center Jichi Medical University, Saitama cDepartment of Pharmacokinetics and Pharmaceutics, Kobe University Graduate School of Medicine, Kobe dInnovative Clinical Research Center (iCREK), Kanazawa University Hospital, Kanazawa eDepartment of Health Crisis Management, National Institute of Public Health, Wako, Japan.
[Ti] Título:Prevalence of inappropriate antibiotic prescriptions after the great east Japan earthquake, 2011.
[So] Source:Medicine (Baltimore);96(15):e6625, 2017 Apr.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Few studies have investigated the appropriateness of antibiotic use in postdisaster settings. We retrospectively evaluated clinical databases on health care delivered at clinics near shelters set up after the Great East Japan Earthquake, 2011. We defined appropriate, acceptable, and inappropriate antibiotic use for each diagnostic category, by applying and adopting precedent studies and clinical guidelines. From March to July, 2011, a total of 23,704 clinic visits occurred at 98 shelters with 7934 residents. Oral antibiotics were prescribed a total of 2253 times. The median age of the patients was 48.5 years old (range 0-97), and 43.7% were male. Of 2253 antibiotic prescriptions, 1944 were judged to be inappropriate (86.3% 95% CI 84.8%-87.7%). The most prescribed antibiotic was clarithromycin (646 times, 28.7%), followed by cefcapene pivoxil (644 times, 28.6%), levofloxacin (380, 16.9%), cefdinir (194, 8.6%), and cefditren pivoxil (98, 4.4%). The most frequent diagnosis for which antibiotics were prescribed was upper respiratory infection (URI, 1040 visits, 46.2%), followed by acute bronchitis (369, 16.4%), pharyngitis (298, 13.2%), traumatic injuries (194, 8.6%), acute gastroenteritis (136, 6.0%), urinary tract infections (UTIs, 123, 5.5%), and allergic rhinitis (5.1%). The majority of antibiotics prescribed at clinics after the Great East Japan Earthquake was inappropriate. Significant improvement of the use of antibiotics in postdisaster settings should be sought immediately in Japan.
[Mh] Termos MeSH primário: Assistência Ambulatorial/estatística & dados numéricos
Antibacterianos/uso terapêutico
Abrigo de Emergência/estatística & dados numéricos
Prescrição Inadequada/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Pré-Escolar
Bases de Dados Factuais
Desastres
Uso de Medicamentos/estatística & dados numéricos
Terremotos
Feminino
Seres Humanos
Lactente
Recém-Nascido
Japão
Masculino
Meia-Idade
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170430
[Lr] Data última revisão:
170430
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170414
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000006625


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[PMID]:28135192
[Au] Autor:Zhang W; Ohira T; Abe M; Kamiya K; Yamashita S; Yasumura S; Ohtsuru A; Masaharu M; Harigane M; Horikoshi N; Suzuki Y; Yabe H; Yuuki M; Nagai M; Takahashi H; Nakano H; Fukushima Health Management Survey Group
[Ad] Endereço:Department of Epidemiology, School of Medicine, Fukushima Medical University, Fukushima, Japan. Electronic address: zhangw09@fmu.ac.jp.
[Ti] Título:Evacuation after the Great East Japan Earthquake was associated with poor dietary intake: The Fukushima Health Management Survey.
[So] Source:J Epidemiol;27(1):14-23, 2017 Jan.
[Is] ISSN:1349-9092
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Few studies have investigated the relationship between living arrangements and dietary intake among evacuees after disasters. OBJECTIVES: To examine the relationship between living arrangements and dietary intake using the data of a large-scale cohort survey of evacuees after the Great East Japan Earthquake in 2011. METHODS: 73,433 residents in evacuation zones responded to the Fukushima Health Management Survey questionnaire. Subjects were excluded if they did not report their living conditions or were missing more than three pieces of information about dietary intake. The data of 52,314 subjects (23,149 men and 29,165 women ≥15 years old) were used for the analyses. Evacuees' living arrangements were characterized into three categories: evacuation shelters or temporary housing, rental houses or apartments, or a relative's home or their own home. Dietary intake was characterized in terms of grains, fruits and vegetables, meat, soybean products, dairy products, and fish. Daily consumption of the third quartile (Q3) or higher for each food group was defined as 'high consumption'. Prevalence ratios (PRs) and 95% confidence intervals (CIs) were estimated using modified Poisson regression analyses. RESULTS: Modified Poisson regression analyses showed that, compared with respondents living in a relative's home or their own home, the PRs and 95% CIs for the people living in rental apartments of high consumption of fruits and vegetables (non-juice), meat, soybean products, and dairy products were 0.69 (95% CI, 0.61-0.77), 0.82 (95% CI, 0.73-0.91), 0.89 (95% CI, 0.83-0.94), and 0.83 (95% CI, 0.74-0.93) respectively. The corresponding PRs and 95% CIs for people living in evacuation shelters or temporary housing were 0.83 (95% CI, 0.78-0.88), 0.90 (95% CI, 0.86-0.95), 0.94 (95% CI, 0.91-0.97), and 0.91 (95% CI, 0.86-0.96) for high consumption of fruits and vegetables (non-juice), meat, soybean products, and dairy products, respectively. CONCLUSION: The present study suggests that, after the earthquake, living in non-home conditions was associated with poor dietary intake of fruits and vegetables (non-juice), meat, soybean products, and dairy products, suggesting the need for early improvements in the provision of balanced meals among evacuees living in non-home conditions.
[Mh] Termos MeSH primário: Dieta/estatística & dados numéricos
Desastres
Terremotos
Abrigo de Emergência/estatística & dados numéricos
Habitação/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Inquéritos Epidemiológicos
Seres Humanos
Japão
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170131
[St] Status:MEDLINE


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[PMID]:27654660
[Au] Autor:Nath R; Shannon H; Kabali C; Oremus M
[Ad] Endereço:PhD Candidate in the Department of Clinical Epidemiology and Biostatistics, McMaster University, Canada.
[Ti] Título:Investigating the key indicators for evaluating post-disaster shelter.
[So] Source:Disasters;41(3):606-627, 2017 Jul.
[Is] ISSN:1467-7717
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This study sought to identify the primary indicators for evaluating shelter assistance following natural disasters and then to develop a shelter evaluation instrument based on these indicators. Electronic databases and the 'grey' literature were scoured for publications with a relation to post-disaster shelter assistance. Indicators for evaluating such assistance were extracted from these publications. In total, 1,525 indicators were extracted from 181 publications. A preliminary evaluation instrument was designed from these 1,525 indicators. Shelter experts checked the instrument for face and content validity, and it was revised subsequently based on their input. The revised instrument comprises a version for use by shelter agencies (48 questions that assess 23 indicators) and a version for use by beneficiaries (52 questions that assess 22 indicators). The instrument can serve as a standardised tool to enable groups to gauge whether or not the shelter assistance that they supply meets the needs of disaster-affected populations.
[Mh] Termos MeSH primário: Desastres
Abrigo de Emergência/organização & administração
Inquéritos e Questionários
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170726
[Lr] Data última revisão:
170726
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160923
[St] Status:MEDLINE
[do] DOI:10.1111/disa.12213


  9 / 147 MEDLINE  
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[PMID]:28009805
[Au] Autor:Chen P; Zhang J; Sun Y; Liu X
[Ad] Endereço:School of Tourism and Geography Sciences, Jilin Normal University, Siping 136000, China. pp11290@163.com.
[Ti] Título:Wargame Simulation Theory and Evaluation Method for Emergency Evacuation of Residents from Urban Waterlogging Disaster Area.
[So] Source:Int J Environ Res Public Health;13(12), 2016 Dec 21.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:Urban waterlogging seriously threatens the safety of urban residents and properties. Wargame simulation research on resident emergency evacuation from waterlogged areas can determine the effectiveness of emergency response plans for high risk events at low cost. Based on wargame theory and emergency evacuation plans, we used a wargame exercise method, incorporating qualitative and quantitative aspects, to build an urban waterlogging disaster emergency shelter using a wargame exercise and evaluation model. The simulation was empirically tested in Daoli District of Harbin. The results showed that the wargame simulation scored 96.40 points, evaluated as good. From the simulation results, wargame simulation of urban waterlogging emergency procedures for disaster response can improve the flexibility and capacity for command, management and decision-making in emergency management departments.
[Mh] Termos MeSH primário: Planejamento em Desastres/métodos
Desastres
Modelos Teóricos
População Urbana
[Mh] Termos MeSH secundário: Tomada de Decisões
Emergências
Abrigo de Emergência
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161224
[St] Status:MEDLINE


  10 / 147 MEDLINE  
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[PMID]:27916912
[Au] Autor:Mizuno K; Okamoto-Mizuno K; Tanabe M; Niwano K
[Ad] Endereço:Faculty of Education, Tohoku Fukushi University, Sendai 981-8522, Japan. mizuno-k@tfu-mail.tfu.ac.jp.
[Ti] Título:Sleep in a Gymnasium: A Study to Examine the Psychophysiological and Environmental Conditions in Shelter-Analogue Settings.
[So] Source:Int J Environ Res Public Health;13(12), 2016 Nov 30.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:We aimed to examine sleep in shelter-analogue settings to determine the sleep and environmental conditions in evacuation shelters. A summer social/educational event was conducted in an elementary school, wherein children and their parents ( = 109) spent one night in the school gymnasium; a total of 15 children and 7 adults completed the study. Data were recording using wrist actigraphy and questionnaires, from two days before the event to two days after the event. During the night in the gymnasium, sleep initiation in the children was found to be significantly delayed, whereas adults did not show any significant change in actigraphic sleep parameters. Although 57% of adults complained of stiffness of the floor, only 7% of children had the same complaint. The nocturnal noise recorded at four locations in the gymnasium showed that the percentage of 1-min data epochs with a noise level >40 dB ranged from 53% to 74% during lights-out. The number of subjects that woke up during the night showed a similar pattern with the changes in the noise level. The changes in sleep might represent event-specific responses, such as to a noisy environment, and the different complaints between adults and children could be useful in shelter management.
[Mh] Termos MeSH primário: Abrigo de Emergência
Ruído
Sono
[Mh] Termos MeSH secundário: Actigrafia
Adulto
Criança
Ambiente Controlado
Feminino
Seres Humanos
Masculino
Pais
Comportamento Social
Inquéritos e Questionários
Punho
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170728
[Lr] Data última revisão:
170728
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161206
[St] Status:MEDLINE



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