Showing 4 results for Disaster
R Rad Goodarzi , A Rahimi Movaghar , E Sahimi Izadian , M.r Mohammadi , M Vazirian ,
Volume 3, Issue 3 (6-2005)
Abstract
The aims of the present study were to assess preparedness and function of health system in the management of withdrawal symptoms in opioid dependents after Bam earthquake, the methods that medical staff used for identification of dependents, the viewpoints of the medical staff as well as opioid dependents about the roles of health system, and the appropriate methods for managing opioid dependence after disaster.
This qualitative study was carried out in the city of Bam, one of its nearby villages and eight hospitals in Tehran and Kerman, admitting earthquake victims. Our analysis was based on 163 semi-structured interviews, with drug abusers, their family members, people living in Bam, service providers, and the authorities.
No specific training for drug abuse was reported by medical staff. No guideline or program was available for prevention and management of drug dependence in disasters. Most of the medical staff had negative attitudes toward involvement in treatment of opioid dependence. During the first two weeks after the earthquake, medical management of the withdrawal symptoms was inadequate. Most of the interviewees suggested managing the withdrawal symptoms with prescribing opioid agonists and then treating the opioid dependence following improvement of physical injuries and stability of social situation.
In disaster situations, the consequences of inadequate management of opioid dependence can be ominous. Such consequences consist of a change in incidence of substance use, intensity of use and dependence, type of substance and route of use to more dangerous ways. Therefore, a practical protocol (disaster planning) is needed for prevention and management of substance dependence in the times of crises.
H Malek Afzali , A.s Forouzan , F Bahreini , A Mowla ,
Volume 3, Issue 4 (7-2005)
Abstract
Natural disasters cause millions of death and disability and major financial losses
world wide every year. The major concern of our health system has already been to
reduce physical mortality and morbidity. While such events may be a considerable
source of stress for the survivors and cause serious and long-lasting psychiatric
complications. The purpose of this study was to assess the function of rescuers in
mental health service delivery to survivors of Bam earthquake in four steps Rescuing,
Emergency services, Transportation of the injured survivors and Treatment in the first
2 weeks after the earthquake.
For reaching the purpose 4 groups of the survivors were selected: first group was the
healthy survivors (>15 years) living in Bam after the earthquake, the second group
was healthy survivors (<15 years) living in Bam after the earthquake, the third group
was the injured survivors admitted in Kerman and Tehran hospitals and the last group
was the Relatives who accompanied the injured survivors. 2 weeks after the
earthquake a questionnaire including questions about, demographic data, function of
rescuers in rescuing and emergency services steps, informing the survivors of their
relatives condition and Condoling with the survivors and mental health services
delivery was filled for each of the cases.
In all groups, more than 85% of the cases who needed help and rescued from the load
of the earthquake were rescued by their relatives and rescuers of the Red Crescent
Society or other governmental organization just had a little portion (5%)in this field.
Only 25%of the cases who needed help and rescuing from the load of the earthquake
were rescued in the first hour after the earthquake. Only 40% of the cases were
sympathized by their rescuers. About 65% of the cases had enough information about
their relatives. 40% of the cases were prevented from crying by rescuers. Only 30% of
the cases said that they knew addict individuals who were hot given alternative
materials. 30/% of the children had played during 2 weeks after earthquake and 42/%
of them had facilities for playing.
Regarding to all studied groups rescue activities, primary care services and transfers
have been performed by relatives and domestic people , therefore general training and
organizing CBO (community Based organization) for providing services in disasters
especially in regions which are at high risk of earthquake will be useful for reducing
the injuries. According to this research rescuers are in serious need of training in
mental health services and that major areas of education need are: using counseling
techniques, providing the necessary information for the survivors and stress
management techniques.
Sm Hosseini Shokouh, M Arab, A Rahimi, A Rashidian, N Sadr Momtaz,
Volume 6, Issue 3 (2-2009)
Abstract
Background and Aim: Hospital disaster-management planning and preparedness are essential, considering earthquake threats in Iran. The objective of this study was to assess preparedness of hospitals affiliated to Iran University of Medical Science (IUMS) in Tehran against earthquakes in 2007 (1386 Iranian year).
Materials and Methods: This was a cross-sectional, descriptive-analytical study, involving 21 governmental and private hospitals affiliated to IUMS selected by random sampling. Data were gathered using checklists, questionnaires, interviews, and observation. The SPSS software was used for analysis of the data, and the Fisher exact test was employed for statistical analysis.
Results: The data showed that, on the whole, 28.6 %, 61.9 %, and 9.5 % of the hospitals were at a weak, moderate, and good preparedness level, respectively. The hospitals preparedness level with regard to equipment safety and hazardous materials planning increases with their degree of specialization, the association being statistically significant (p = 0.038). The findings also show that there is a significant relationship between the hospital preparedness level (as regards planning for building dangers reduction) and crisis management training courses (p = 0.034).
Conclusion: Training courses are very effective for creating hospital preparedness against earthquakes.
Ali Labaf, Mohammad Jalili, Ebrahim Jaafari Pooyan, Maryam Mazinani,
Volume 18, Issue 4 (3-2021)
Abstract
Background and Aim: The strategies of hospitals in confronting the Covid-19 crisis is extremely important in the control and management of this epidemic. Exploring the challenges and suitable strategies for controlling biological epidemics in Tehran University of Medical Sciences (TUMS) hospitals might pave the way for better management of possible similar crises in the future.
Materials and Methods: This was a qualitative, exploratory and inductive study including 22 health professionals from TUMS involved in the management of the disease. Data were collected using semi-structured interviews and analysed by thematic analysis, using MAXQDA.
Results: The most important challenges identified were related to the lack of preparedness at the macro-level, impracticability of controlling the use of personal protection equipment (PPE) and the consumption of medications, as well as provision of equipment, medications and protecting medical devices. The effective strategies and interventions in the pandemic were grouped into the following categories: manpower, education, communications, clinical work, decision-making and organizational activities.
Conclusion: Preventive measures and preparedness before the onset of the crisis have not received sufficient attention. Hospitals could have an important role in confronting the crisis through promoting work efficiency and standards. Timely prevention and preparedness before a pandemic as regards medications, personal protection equipment and diagnostics are extremely essential, as are timely and flexible decisions by crisis committees and the control of manpower emotions flux during crisis management.
