eng
University of Social Welfare & Rehabilitation Sciences
Health in Emergencies and Disasters Quarterly
2345-4210
2345-4210
2013-08
1
1
0
0
article
Letter to Editor
dr.alipour
1
Intersectionality and Disaster public health: Is there Any Way to Join them?
http://hdq.uswr.ac.ir/article-1-47-en.pdf
eng
University of Social Welfare & Rehabilitation Sciences
Health in Emergencies and Disasters Quarterly
2345-4210
2345-4210
2013-08
1
1
0
0
article
Editorial
dr.khankeh
1
Disasters, either natural or man-made, entail devastating consequences which can have deep and obvious influences or unknown results for humans, their properties and activities.
http://hdq.uswr.ac.ir/article-1-46-en.pdf
per
University of Social Welfare & Rehabilitation Sciences
Health in Emergencies and Disasters Quarterly
2345-4210
2345-4210
2013-08
1
1
0
0
article
The study of diagnosis status and, transfer time of stroke patients transferred by pre-hospital emergency medical system (EMS) to Vali-Asr hospital in Arak City
Saiedeh Bahrampouri
s_bahrampouri@yahoo.com
1
Hamid Reza Khankeh
hamid.khankeh@ki.se
2
Asghar Dalvandi
Asghar.Dalvandi@gmail.com
3
University Of Social Welfare & Rehabilitation Sciences
University Of Social Welfare & Rehabilitation Sciences
University Of Social Welfare & Rehabilitation Sciences
Introduction: Stroke is main cause of death and disability in worldwide and emergency care can decrease complications. Emergency Medical System transferred half of stroke patients to hospital, so improve accuracy of diagnosis may accelerated treatment. This study aimed to determine diagnosis status and, transfer time of stroke patients transferred by prehospital Emergency Medical System to hospital in Arak City.
Methods: This study was descriptive -analytic study and all 43 patient’s records with a diagnosis of stroke that transferred by Emergency Medical System to hospital in Arak City was selected. The study Checklist was contained information about age, sex, type of accident prehospital, response time, scene time, transfer time and total time from inpatients records and Emergency Center statistics .Regarding data analysis,SPSS19 software and descriptive statistical tests were used.
Results: Mean (SD) of age all patients were 73/7±3/8 and 51/2% were women. Ambulance paramedics' stroke diagnosis was correct in 15 (34/9%),20(46/5%)of false and 8(18/6%) not diagnosed for stroke patients who initially presented to them. The most common non stroke conditions were confusion. Mean response time and scene time, transfer time and total time were 6/9,16/9,9/1 and 35/3 minutes, respectively. In patients with correct diagnose stroke, mean response, scene, transfer and total time were 7,17/1,3/9 and 35/7 minutes. The people with the wrong diagnosis or no diagnosis of stroke by emergency medical personnel were taken to hospital, Mean response, scene, transfer and total time were 6/9, 16/8,9/7 and 33/5 minutes.
Conclusions: The results of this study showed that, the correct diagnosis by EMS personnel could be resulted faster transferring patient to definite treatment center.It is recommended to develop prehospital diagnosis tool of stroke, which is contextually adapted and appropriate to facilitate diagnose of strokes and improve the quality of care.
http://hdq.uswr.ac.ir/article-1-39-en.html
Diagnosis status
Transfer time
stroke patient
pre-hospital emergency
eng
University of Social Welfare & Rehabilitation Sciences
Health in Emergencies and Disasters Quarterly
2345-4210
2345-4210
2013-08
1
1
0
0
article
Shigellosis, Diagnosis, Treatment, and Methods to Deal with It in Disasters
Mohamad Heiat
1
Isa Malmir
2
Hossein Aghamollaei
aghamolaei22@gmail.com
3
Hamid Kooshki
4
Atefeh YA Ali Jahromi
5
Mohamadreza Rezaeemehr
6
1- Applied Biotechnology Research Center, Baqiyatallah University of Medical Sciences
Baqiyatallah University of Medical Sciences
1- Applied Biotechnology Research Center, Baqiyatallah University of Medical Sciences
1- Nano Biotechnology Research Center, Baqiyatallah University of Medical Sciences
Jahrom University of Medical Sciences
Jahrom University of Medical Sciences
Introduction: Shigellosis, known as a bacillary diarrhea, is an infectious disease that begets by a gram negative bacterium called shigella. Shigella, as an invasive pathogen, has a powerful ability to cause diarrhea even with a small number of bacteria. It is one of the most important and potentially dangerous agents which can cause outbreaks in disasters. Investigation on Shigella, its prevention, treatment, modes of detection and also hygienic guidelines can reduce shigellosis related consequences in disasters.
Methods: This is a review study in which to find the required articles we searched through related databases like PubMed and Elsevier. Following keywords were used in this regard: bacteria species, growth conditions, virulence factors, diagnosis, treatment of shigellosis. Obtained data were categorized, analyzed and divided into different sections.
Results: Findings about bacterial morphology, growth properties, antigen patterns, clinical symptoms and diagnosis of Shigellosis, treatment, outbreak prevention in the crises and view points of some experts were separately classified.
Conclusion: Public and strategic educations about this pathogenic agent can decrease the backwash of epidemic events. Preparation of a plan to draw social preparation against shigellosis is can be of effective strategies to combat shigellosis in disasters.
Keywords: Shigellosis, Treatment, Detection, Disasters
http://hdq.uswr.ac.ir/article-1-36-en.html
Shigella
Disaster
Treatment
per
University of Social Welfare & Rehabilitation Sciences
Health in Emergencies and Disasters Quarterly
2345-4210
2345-4210
2013-08
1
1
0
0
article
Health in Disasters Researches Trend in Iran: An Overview of the International Congress on Health and Crisis Management in Disasters
ali ardalan
aardalan@gmail.com
1
Amir Salari
salaramir@gmail.com
2
javad babaie
Javad1403@yahoo.com
3
Tehran university of medical science
Tehran university of medical science
Tehran university of medical science
Aims:
Since the “International Congress on health and crisis management in disasters and emergencies” has provided a valuable opportunity for researchers to come together from all around the country, its output can be used as one of the indicators of disaster health research development. This article explores trend of original researches in the recent five Congress.
Methods:
Based on the abstract book of the last five Congress, investigated variables were: number of articles regarding to presentation methods, type of article and methodology of study. Articles were considered as research papers that were based on a defined methodology, data collection and analysis and the results of them were reported. To determine the type of research papers, the first priority was author's opinions. In about the cases that the study types were not explicitly stated, the issue discussed in a meeting and decision make with consensus.
Results:
At the last five congresses 1866 articles have been presented at all, that 343 Article (18.4 percent) were oral and 1523 Article (81.6%) were posters. 356 (19.1 percent) were original articles and 1510 (80.9 percent) were non original. The trend of original articles show incremental slope from 2012 to 2003 to 18.5 percent rate, but this slope in 2007 up to 2012 is not significant (3.1 percent).
Conclusions:
The trend of reporting of original researches as an important indicator of development of health in disaster research in the country is increasing, but accelerating of this increase will require: 1) developing and training of research methodology in the disaster, 2) developing educational programs to train researcher in this field and 3) the systematic and financial support of the disaster risk reduction and management research in the country.
http://hdq.uswr.ac.ir/article-1-35-en.html
Disaster
Emergency
Health in disasters &
amp
emergencies
Research
Iran
per
University of Social Welfare & Rehabilitation Sciences
Health in Emergencies and Disasters Quarterly
2345-4210
2345-4210
2013-08
1
1
0
0
article
Investigation of army soldiers readiness about health actions in critical circumstances. Case study: Malek Ashtar Military Garrison’s
abdollah vosoughi niri
a.vosoughi@yahoo.com
1
mehdi vosoughi niri
niri@chmail.ir
2
hafez golestani far
a.vosoughi@chmail.ir
3
bagher pahlovanzadeh
a_vosog_n@yahoo.com
4
mohammad taghi savadpoor
an.vosoughi@gmail.com
5
Introduction: Health related measures in emergencies are of the issues that, if taken properly, can reduce damages of a disaster effectively. To have this situation happened knowledge of health personnel, crisis staff, and military and other related groups has to improve. This study aimed to determine military staffs’ attitude and knowledge about health measures in emergencies.
Methods: This descriptive and cross-sectional study was conducted through a self-administrated questionnaire. Validity and reliability of the questionnaire was previously proven. The questionnaire included items on personal information and knowledge and attitude about health measures in emergencies. Using a multi-stage sampling, 190 soldiers of Malek Ashtar Military Garrison in Arak were selected. ANOVA, Kruskal- Wallis, Chi Square, Spearman rho’s coefficient correlation and T-test were used to analyze that data.
Results: Findings showed that 43 percent of soldiers had good knowledge of health measures in emergencies. About 11 percent of staff had poor knowledge. Half of staff had an average attitude toward emergency health measures. Concerning the degree of knowledge, no significant difference was observed between soldiers with different levels of education. Regarding knowledge and attitude, there was no statistically significant difference between different age groups.
Conclusion: Having a basic knowledge of health measures in emergencies is of salient importance. Considering lack of such basic knowledge among some military staff, provision of training on health related measures for those staff is recommended.
Keywords: knowledge, attitude, health measures, military staff, crisis
http://hdq.uswr.ac.ir/article-1-27-en.html
awareness
attitude
health action
emergency
crisis
per
University of Social Welfare & Rehabilitation Sciences
Health in Emergencies and Disasters Quarterly
2345-4210
2345-4210
2013-08
1
1
0
0
article
Analysis and modeling of safety parameters in the selection of optimal routes for emergency evacuation after the earthquake (Case study: 13 Aban neighborhood of Tehran)
Sajad Ganjehi
s.ganjehi@yahoo.com
1
Babak Omidvar
bomidvar@ut.ac.ir
2
Bahram Malekmohammadi
malekb@ut.ac.ir
3
Khadijeh Norouzi Khaghatiri
eng.norouzi2011@yahoo.com
4
Faculty of Environment, University of Tehran
Faculty of Environment, University of Tehran
Faculty of Environment, University of Tehran
Faculty of Environment, University of Tehran
Introduction : Earthquakes are imminent threats to urban areas of Iran, especially Tehran. They can cause extensive destructions and lead to heavy casualties. One of the most important aspects of disaster management after earthquake is the rapid transfer of casualties to emergency shelters. To expedite emergency evacuation process the optimal safe path method should be considered. To examine the safety of road networks and to determine the most optimal route at pre-earthquake phase, a series of parameters should be taken into account. Methods : In this study, we employed a multi-criteria decision-making approach to determine and evaluate the effective safety parameters for selection of optimal routes in emergency evacuation after an earthquake. Results: The relationship between the parameters was analyzed and the effect of each parameter was listed. A process model was described and a case study was implemented in the 13th Aban neighborhood ( Tehran’s 20th municipal district) . Then, an optimal path to safe places in an emergency evacuation after an earthquake in the 13th Aban neighborhood was selected. Conclusion : Analytic hierarchy process (AHP), as the main model, was employed. Each parameter of the model was described. Also, the capabilities of GIS software such as layer coverage were used. Keywords: Earthquake, emergency evacuation, Analytic Hierarchy Process (AHP), crisis management, optimization, 13th Aban neighborhood of Tehran
http://hdq.uswr.ac.ir/article-1-22-en.html
Earthquake
eemergency evacuation
Analytic hierarchy process (AHP)
crisis management
optimization
13 Aban neighborhood of Tehran