One-month recovery experience of a disaster relief team functioning as an outpatient clinic following Super Typhoon Haiyan: Changes in distribution of trauma patients and required medical components

2018 ◽  
Vol 13 (3) ◽  
pp. 147-152
Author(s):  
Seongyup Kim, PhD ◽  
Jin Sil Moon, MS ◽  
Yong Won Kim, MD

As the distribution of trauma and non-trauma patients changes with time following a large-scale disaster, the required medical resources change commensurately. An understanding of these changes is necessary to provide effective medical support. Super Typhoon Yolanda, one of the strongest recorded tropical cyclones, struck the central area of the Republic of the Philippines on November 8, 2013. The current authors worked together on one of the disaster relief medical teams from the Republic of Korea. The authors investigated differences in medical components provided to trauma and non-trauma patients and analyzed changes in the distribution of trauma patients over time in the Tacloban area affected by Super Typhoon Yolanda.The authors retrospectively reviewed patients admitted to an outpatient clinic established by our Korean Disaster Relief Team (KDRT) located in Tacloban City, Republic of the Philippines, between November 16 and December 13, 2013. Medical records were reviewed to collect patient information, including date of admission, sex, age, patient categorization as trauma or non-trauma, types of medical resource provided to patients, and times at which patients were transferred to other hospitals or clinics.During the study period, 5,827 patients were admitted to the KDRT clinic. Of these, 1,378 (23.6 percent) were trauma patients and 4,449 (76.4 percent) were non-trauma patients. The total patient number per week increased from the second to third weeks (1,553 to 2,426) and rapidly decreased from the third to fifth weeks (2,426 to 757) following the disaster. Trauma patients were consistently present, and the proportion of trauma patients rapidly increased from the third to fifth weeks (18 to 39 percent) following the disaster.Certain patient factors were significantly related to trauma, including patient age [OR (95% CI): 1.01 (1.01-1.01)], male sex [OR (95% CI): 2.12 (11.88-2.40)], frequency of laboratory tests [OR (95% CI): 0.19 (0.12- 0.29)], required electrocardiography [OR (95% CI): 0.28 (0.14-0.50)], required ultrasound [OR (95% CI): 0.32 (0.21-0.47)], required invasive procedures [OR (95% CI): 53.50 (44.17-65.18)], required short-term monitoring [OR (95% CI): 1.25 (1.05-1.50)], and required prescriptions for medication [OR (95% CI): 0.33 (0.29-0.38)]. Other factors (eg, X-ray radiography and transfer from the clinic) were not associated with trauma. The proportions of trauma patients increased over time after disaster. The medical requirements for effective patient care were different between non-trauma and trauma patients.

Author(s):  
Daniela Loconsole ◽  
Francesca Centrone ◽  
Caterina Morcavallo ◽  
Silvia Campanella ◽  
Anna Sallustio ◽  
...  

Epidemiological and virological studies have revealed that SARS-CoV-2 variants of concern (VOCs) are emerging globally, including in Europe. The aim of this study was to evaluate the spread of B.1.1.7-lineage SARS-CoV-2 in southern Italy from December 2020–March 2021 through the detection of the S gene target failure (SGTF), which could be considered a robust proxy of VOC B.1.1.7. SGTF was assessed on 3075 samples from week 52/2020 to week 10/2021. A subset of positive samples identified in the Apulia region during the study period was subjected to whole-genome sequencing (WGS). A descriptive and statistical analysis of the demographic and clinical characteristics of cases according to SGTF status was performed. Overall, 20.2% of samples showed SGTF; 155 strains were confirmed as VOC 202012/01 by WGS. The proportion of SGTF-positive samples rapidly increased over time, reaching 69.2% in week 10/2021. SGTF-positive cases were more likely to be symptomatic and to result in hospitalization (p < 0.0001). Despite the implementation of large-scale non-pharmaceutical interventions (NPIs), such as the closure of schools and local lockdowns, a rapid spread of VOC 202012/01 was observed in southern Italy. Strengthened NPIs and rapid vaccine deployment, first among priority groups and then among the general population, are crucial both to contain the spread of VOC 202012/01 and to flatten the curve of the third wave.


2020 ◽  
Vol 3 (2) ◽  
pp. 133-134
Author(s):  
Crendellee G. Cordevilla ◽  
Zeaphard Gerhart V. Caelian

Disasters occur worldwide that affect many people and cause loss of life and destruction. The Philippines is considered one of the most frequently affected by natural calamities. It is also the third most disaster-prone country that costs billions of losses in the economy. Typhoon Haiyan, or the Super Typhoon Yolanda, one of the disastrous and strongest storms ever hit the country, brought massive destruction and casualties in the Philippines. Banks were also greatly affected during that time. This research focused on the extent of implementation of the Disaster Risk Reduction Management (DRRM) practices and the level of awareness of the bank employees of the universal banks in Bacolod City. It will contribute knowledge about Disaster Risk Reduction Management, especially on banks, and fill the literature gap. It aimed to determine whether there is a significant difference in the level of awareness of the employees and the extent of DRRM practices of the bank and whether there is a significant relationship between the two. 


2019 ◽  
pp. 15-36
Author(s):  
Shareen Hertel

This chapter offers an historical overview of poor peoples’ involvement with public and private policymaking that has shaped the business and human rights arena over four decades. The chapter reveals the continuity of constraints on poor peoples’ involvement in policymaking and corresponding limits on their ability to fully claim their economic rights. It outlines three corresponding “eras” in community consultation and draws on primary and secondary sources to trace the evolution of poor peoples’ involvement with state and corporate actors over time through each. The first era, the 1970s–1980s, was characterized by participation as damage control in the wake of large-scale industrial disasters. The second era, the 1990s, was characterized by participation as testimonial with the rise of the 24/7 news cycle and increased attention to sweatshop conditions in global supply chains and corresponding worker testimony. The third era, the 2000s, is characterized by participation as a vehicle for empowerment through the United Nations Principles on Business and Human Rights (colloquially known as the Ruggie Principles).


2014 ◽  
Vol 100 (1) ◽  
pp. 83-89
Author(s):  
S J Butterworth

AbstractSuper-Typhoon Haiyan struck the Philippines on 7 November 2013. The initial reports estimated 10 000 fatalities and four million displaced persons. As the United Kingdom’s initial response to this disaster, HMS DARING was diverted from her deployment to take part in humanitarian aid, named Operation PATWIN. This article will outline the medical aspects of the relief effort undertaken and aim to identify any lessons that may inform future operations.


Author(s):  
Rubén Rodriguez Paredes

In this article we propose to address the opening of three Time Capsules to reconstruct three clearly identifiable contexts, each providing information for the analysis of what international relations between the Ottoman Empire/Turkey with Latin America have been like.  In this way, we seek to analyze the content of the links through the density of the macro-relationships that developed over time, in order to make a cognitive map of the state of situation, taking into account not only the interests of the actors but also the endogenous and exogenous conditions. In that line are raised three contexts of opening the Capsules of Time. The first in 1923, when the Empire died and the Republic of Turkey was born; the second at the end of the 20th century; and the third in 2019, spanning almost the first two decades of the 21st century.


2013 ◽  
pp. 116-123
Author(s):  
Claire Bompaire-Evesque

This article is a inquiry about how Barrès (1862-1923) handles the religious rite of pilgrimage. Barrès stages in his writings three successive forms of pilgrimage, revealing what is sacred to him at different times. The pilgrimage to a museum or to the birthplace of an artist is typical for the egotism and the humanism of the young Barrès, expressed in the Cult of the Self (1888-1891). After his conversion to nationalism, Barrès tries to unite the sons of France and to instill in them a solemn reverence for “the earth and the dead” ; for that purpose he encourages in French Amities (1903) pilgrimages to historical places of national importance (battlefields; birthplace of Joan of Arc), building what Nora later called the Realms of Memory. The third stage of Barrès’ intellectual evolution is exemplified by The Sacred Hill (1913). In this book the writer celebrates the places where “the Spirit blows”, and proves open to a large scale of spiritual forces, reaching back to paganism and forward to integrative syncretism, which aims at unifying “the entire realm of the sacred”.


Author(s):  
Ben Epstein

This chapter shifts the focus to the third and final stabilization phase of the political communication cycle (PCC). During the stabilization phase, a new political communication order (PCO) takes shape through the building of norms, institutions, and regulations that serve to fix the newly established status quo in place. This status quo occurs when formerly innovative political communication activities become mundane, yet remain powerful. Much of the chapter details the pattern of communication regulation and institution construction over time. In particular, this chapter explores the instructive similarities and key differences between the regulation of radio and the internet, which offers important perspectives on the significance of our current place in the PCC and the consequences of choices that will be made over the next few years.


2006 ◽  
Vol 30 (1) ◽  
pp. 20-25 ◽  
Author(s):  
David A. Cole

Many outcome variables in developmental psychopathology research are highly stable over time. In conventional longitudinal data analytic approaches such as multiple regression, controlling for prior levels of the outcome variable often yields little (if any) reliable variance in the dependent variable for putative predictors to explain. Three strategies for coping with this problem are described. One involves focusing on developmental periods of transition, in which the outcome of interest may be less stable. A second is to give careful consideration to the amount of time allowed to elapse between waves of data collection. The third is to consider trait-state-occasion models that partition the outcome variable into two dimensions: one entirely stable and trait-like, the other less stable and subject to occasion-specific fluctuations.


Water ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 141
Author(s):  
Firoza Akhter ◽  
Maurizio Mazzoleni ◽  
Luigia Brandimarte

In this study, we explore the long-term trends of floodplain population dynamics at different spatial scales in the contiguous United States (U.S.). We exploit different types of datasets from 1790–2010—i.e., decadal spatial distribution for the population density in the US, global floodplains dataset, large-scale data of flood occurrence and damage, and structural and nonstructural flood protection measures for the US. At the national level, we found that the population initially settled down within the floodplains and then spread across its territory over time. At the state level, we observed that flood damages and national protection measures might have contributed to a learning effect, which in turn, shaped the floodplain population dynamics over time. Finally, at the county level, other socio-economic factors such as local flood insurances, economic activities, and socio-political context may predominantly influence the dynamics. Our study shows that different influencing factors affect floodplain population dynamics at different spatial scales. These facts are crucial for a reliable development and implementation of flood risk management planning.


2020 ◽  
Vol 60 (4) ◽  
pp. 612-622
Author(s):  
Rosina Lozano

The twenty-first century has seen a surge in scholarship on Latino educational history and a new nonbinary umbrella term, Latinx, that a younger generation prefers. Many of historian Victoria-María MacDonald's astute observations in 2001 presaged the growth of the field. Focus has increased on Spanish-surnamed teachers and discussions have grown about the Latino experience in higher education, especially around student activism on campus. Great strides are being made in studying the history of Spanish-speaking regions with long ties to the United States, either as colonies or as sites of large-scale immigration, including Puerto Rico, Cuba, and the Philippines. Historical inquiry into the place of Latinos in the US educational system has also developed in ways that MacDonald did not anticipate. The growth of the comparative race and ethnicity field in and of itself has encouraged cross-ethnic and cross-racial studies, which often also tie together larger themes of colonialism, language instruction, legal cases, and civil rights or activism.


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