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Comprising the largest group of health care professionals, nurses play a great role and assume many responsibilities during disaster periods, when the public needs health care services the most. The aim of this study was to reveal the experiences of nurses assigned to the disaster area during relief efforts after the February 6, 2023 earthquakes in Türkiye.
Methods
This qualitative and descriptive study used the maximum variation sampling method, one of the purposive sampling methods, and was completed with 20 nurses. Data were analyzed using inductive content analysis.
Results
Four main themes emerged from the experiences of the nurses who provided health care services in the disaster area: experiences related to pre-mission processes, experiences during the mission, post-mission experiences, and recommendations for disaster preparedness.
Conclusions
Nurses’ experiences and suggestions revealed in this study may inform future disaster preparedness and disaster management plans, and this study’s results point to the need for the development of professional nursing skills in disaster management.
Disaster risk reduction measures are now being developed based on social vulnerability. This study aimed to identify socially vulnerable areas to disasters in Razavi Khorasan Province, Iran.
Methods
The research utilized a mixed method approach conducted in 2 stages. First, a vulnerability index was created using 8 sub-indices, and the value of the index was calculated for each of the 91 rural districts in the study area. In the second stage, spatial analysis using Anselin’s Local Moran’s I was performed to identify the most vulnerable districts.
Results
Results indicated that 40 of 91 districts, covering 49% of the total area, had high social vulnerability to disasters. Anselin’s Local Moran’s I analysis identified 2 high-high clusters consisting of 5 districts. The study also found that areas with higher social vulnerability were more susceptible to natural hazards such as floods and earthquakes.
Conclusions
Nearly half of the studied areas exhibited a high level of social vulnerability and were at risk of natural disasters. Implementing general measures to improve the socio-economic status of the population, such as increasing education and income levels, along with specific actions like assisting vulnerable populations in relocating to safer areas, can help mitigate disaster risks.
This article explores 2 key earthquake survival strategies: the widely endorsed “Drop, Cover, and Hold On” (DCH) method and the alternative fetal position within a survival triangle. While DCH provides mechanical protection from falling debris, its effectiveness in scenarios involving structural collapse and prolonged entrapment remains uncertain. Drawing on recent field data and thermodynamic considerations, this paper argues that the fetal position may offer survival advantages by minimizing heat loss and conserving metabolic energy—especially under cold conditions and delayed rescue. We emphasize the need for context-sensitive public safety guidance and further comparative research to inform adaptive earthquake preparedness protocols.
Ozette Lake, located on the Olympic Peninsula of western Washington, is ideally situated to provide a sedimentary record of past earthquakes along the northern portion of the Cascadia subduction zone. The lake stratigraphy is punctuated by turbidites, with characteristics typical of those triggered by earthquake shaking as seen in other lakes worldwide. Sediments deposited in Ozette Lake over the past 1300 years between earthquake events show decadal-scale variations in color, magnetic susceptibility, clay content, organic carbon content, density, and computed tomography (CT) intensity. Applying the dynamic time warping technique reveals a strong correlation of CT intensity to historical, instrumental measurements of regional cool-season precipitation, indicating that sediments in the lake preserve a high-fidelity record of decadally averaged fluvial sediment discharge and climate. Correlation of CT intensity patterns from older strata preserved deeper in the lake stratigraphy to two independent, regional paleo-precipitation reconstructions similarly suggests that the sediments record decadal variations in hydroclimate. We provide radiocarbon-independent dates for the past four northern Cascadia subduction earthquakes that are within the uncertainty of a radiocarbon age-depth model but are more precisely estimated by placing earthquake-triggered turbidites in the context of wet and dry periods in these tree-ring- and oxygen-isotope-based reconstructions. Paleoclimate-based constraints on the age of event layers in this and other regional lakes have the potential to help address ongoing questions about past ruptures on the Cascadia subduction margin.
Breastfeeding assumes critical importance in the aftermath of disasters such as earthquakes, as it provides all the essential nutrients required by infants, enhances their immune systems, and mitigates the risks associated with using contaminated water for formula preparation. This study investigates the experiences of breastfeeding mothers living in temporary shelters within the earthquake-affected region.
Methods
A qualitative approach was employed to identify the challenges faced by breastfeeding mothers. The study’s sample included 14 mothers who met the inclusion criteria. Data were collected through a semi-structured interview form and analyzed using MAXQDA qualitative data analysis software, following Colaizzi’s 7-step method.
Results
The mothers in the study ranged in age from 31-37 years, with their infants ranging from 10 days-6 months old. Based on the data gathered from the interviews, 4 main themes were identified: basic life needs (with sub-themes of housing, warmth, nutrition, hygiene/sanitation, sleep, and clothing), emotional difficulties (with sub-themes of shock, fear, crying, and stress), care difficulties (with sub-themes of challenges in accessing medication, constipation, diarrhea, reduced comfort, and decreased urine output), and breastfeeding difficulties (with sub-themes of breast rejection, breast engorgement, baby feeding issues, reduced milk production or interruption, and privacy concerns).
Conclusions
From the onset of the earthquake, mothers encountered significant challenges in breastfeeding their infants. In emergency and disaster situations, it is imperative that experienced health care personnel offer essential information and support to assist these mothers in navigating the difficulties they face.
This study aimed to determine the health needs of individuals with non-communicable diseases affected by earthquakes.
Methods
The study employed a descriptive and cross-sectional design and was conducted in 3 of the 11 provinces affected by the February 6, 2023 earthquakes. Data were obtained using an introductory information form and a health needs information form. Percentages, averages, McNemar’s test, and classification and regression tree algorithm for decision tree analysis were used to evaluate the data.
Results
Among the participants, 34.87% had hypertension, 27.95% had diabetes, and 14.12% had asthma. Compared to the pre-earthquake period, the participants’ needs for medication, transportation to hospital, disease-specific nutrition, and social support significantly increased after the earthquake (P<0.05). This study revealed that participants with faced challenges in accessing the medicines, hospitals, medical devices, and disease-specific nutrition required for disease management during the early post-earthquake period, experiencing delays or no access. Among the identified health needs, participants with hypertension and diabetes require access to healthy nutrition, while those with asthma have a heightened need for clean air.
Conclusions
Conducting health screenings in tent cities without requiring individual attendance at health tents and promptly identifying and addressing health needs in the early period are strongly recommended.
The aim of this descriptive study was to assess diabetes self-management and health care demand procrastination behaviors among earthquake victims with type 2 diabetes.
Methods
The population of the study consisted of earthquake victims with Type 2 diabetes in Hatay, Türkiye. The sample included 202 people with type 2 diabetes who lived in 7 distinct container cities. Data were collected using the Introductory Information Form, Diabetes Self-Management Scale, and Healthcare Demand Procrastination Scale via face-to-face interviews.
Results
Participants’ average score on the diabetes self-management scale was 58.34 ± 9.11. Being under the age of 60, employed, visiting a medical center on their own, having received diabetes education, and owning a glucometer were associated with better diabetes self-management, whereas being illiterate and having difficulty covering diabetes-related expenses were associated with poor diabetes management (P < 0.05). Participants’ average score on the Healthcare Demand Procrastination Scale was 2.35 ± 0.72. Respondents who didn’t have a nearby health care institution, whose diabetes diagnosis duration was between 1-5 years, and who didn’t have a glucometer had significantly higher scores on the Healthcare Demand Procrastination Scale (P < 0.05).
Conclusions
Diabetes self-management among earthquake victims with Type 2 diabetes was low. It was also determined that participants’ health care demand procrastination behaviors were at a moderate level.
Many people who are rescued alive from rubble after earthquakes suffer from crush injuries and associated acute kidney injury (AKI). McMahon score is used to determine the risk of AKI and mortality due to rhabdomyolysis in hospitalized patients. In this study, we aimed to evaluate the clinical findings, biochemical characteristics, and outcomes of crush injury patients admitted to our tertiary hospital and the use of the McMahon score in determining the need for renal replacement therapy (RRT) in this patient group.
Methods
Sociodemographic, clinical, and biochemical parameters of 28 patients who had creatine kinase levels of 1000 U/L and above were recorded. Patients with crush injuries requiring and not requiring RRT were compared according to the McMahon Score.
Results
A total of 42% of patients developed AKI and 67% of them required renal replacement therapy. In crush injury patients requiring RRT, serum urea, creatinine, LDH, aspartate aminotransferase, alanine transaminase, phosphorus, and procalcitonin levels were significantly higher and albumin levels were significantly lower at admission compared to patients not requiring RRT. All patients who required RRT had a McMahon Score ≥6.
Conclusions
A high McMahon score at hospital admission is associated with an increased need for RRT.
On January 1, 2024, an earthquake with a maximum seismic intensity of 7 struck the Noto Peninsula in Ishikawa Prefecture, Japan, causing significant casualties and displacement. The Noto Peninsula has a high aging rate, with 49.5% of its population aged 65 or older. This case study focuses on a 68-year-old woman who developed aspiration pneumonia after being admitted to a welfare shelter. The case highlights the challenges of managing chronic medical care during disasters, particularly for the elderly.
Located on the North Anatolian Fault, Constantinople was frequently shaken by earthquakes over the course of its history. This book discusses religious responses to these events between the fourth and the tenth century AD. The church in Constantinople commemorated several earthquakes that struck the city, prescribing an elaborate liturgical rite celebrated annually for each occasion. These rituals were means by which city-dwellers created meaning from disaster and renegotiated their relationships to God and the land around them in the face of its most destabilizing ecological characteristic: seismicity. Mark Roosien argues that ritual and theological responses to earthquakes shaped Byzantine conceptions of God and the environment and transformed Constantinople's self-understanding as the capital of the oikoumene and center of divine action in history. The book enhances our understanding of Byzantine Christian religion and culture, and provides a new, interdisciplinary framework for understanding Byzantine views of the natural world.
There is scientific consensus that an earthquake of a magnitude of at least 7 will soon occur on the North Anatolian Fault, which runs south of İstanbul. This earthquake would render one-fifth of İstanbul’s buildings uninhabitable, which means that approximately 200,000 buildings would be expected to suffer moderate or severe damage. As a part of preparedness for the anticipated earthquake, people in İstanbul are invited to have their buildings risk tested. This article, pivoting on cultural anthropology and science and technology studies, investigates how earthquake-proneness of buildings in İstanbul is technically and legally examined and determined. It ethnographically analyzes the risk assessments and demonstrates that the risk is enacted differently through distinctive engineering practices and legal regulations in different networks. When the two different risk assessment processes are examined in İstanbul, a building that is categorized as risky due to its earthquake vulnerability could be regarded as sturdy in the other assessment.
This study aims to assess the prevalence of Post-Traumatic Stress Disorder (PTSD) in mothers affected by the February 2023 earthquakes in Turkey and to explore the influence of spiritual well-being and other factors on their Post-Traumatic Growth (PTG) levels.
Methods
The study’s sample consisted of mothers invited to participate voluntarily through online social media platforms between October-December 2023. The Mother Information Form, Post-Traumatic Stress Disorder Control List, Post-Traumatic Growth Scale, and Spiritual Well-Being Scale (SWBS) were used as data collection instruments.
Results
A total of 303 mothers participated in this study. The mean total PTSD score was 49.35 (SD: 19.76), and 83.5% of mothers were categorized under severe anxiety levels. There was a statistically significant weak and positive relationship between PTSD and PTG levels (r: 0.282, P:0.000). When the predictors of PTG are considered, the spiritual well-being of mothers significantly predicts PTG (F: 43.944, P: 0.000). It accounts for 12.7% (R Square = 0.127) of the variance in mothers’ PTG.
Conclusions
Mothers showed high PTSD levels 9 months after the earthquakes, but alongside these high levels, it has a positive relation with their PTG, which may show mothers becoming stronger after their traumatic experience. Study results showed the mothers’ spiritual levels were a significant predictor for PTG.
This chapter locates a shift in beginning in the seventh century in which the power to halt quakes began to move away from collective repentance and toward saintly intercession. First, it examines the seventh-century Life of St. Symeon Stylites the Younger, a Syrian pillar saint with ties to Constantinople. It focuses in particular on hymns recorded in the Life for earthquakes that purportedly caused them to cease when sung by the holy man. The chapter shows how seventh-century Byzantines could have constructed the role of the saintly intercessor when faced with natural disasters. Next, it analyzes changes in Constantinople’s earthquake commemoration rite in the eighth century, specifically the introduction of the Theotokos as the city’s chief protection against earthquakes. Eighth-century liturgical editors borrowed from the rites commemorating the enemy invasions of Constantinople in 623, 626, and 717–18, in which the Theotokos was remembered to play a prominent role in protecting the city. It shows how the earthquake commemoration liturgy no longer saw earthquakes as divine judgment against the sin of the city, but as outside threats to the city for which powerful heavenly intercessions were needed.
This chapter discusses how East Roman emperors utilized the theology of divine chastisement, particularly the efficacy accorded to repentance, to their advantage. During the earthquakes of 396 and 447, Emperors Arcadius and Theodosius II, respectively, led mass penitential rituals and performed public acts of humility until the quakes ceased. Such public acts of repentance posed a political risk to emperors since they could appear to confirm their responsibility for the disasters. However, imperial supporters like bishop Severian of Gabala and historian Socrates Scholasticus highlighted the quakes’ cessation rather than their cause, and located the power to halt quakes in the humble prayers of the rulers themselves rather than worshippers as a collective. In the aftermath of these earthquakes, authorities framed Roman emperors as “New Davids” – effective spiritual intercessors as well as military protectors – inaugurating a biblical typology for emperors that would continue throughout Byzantine history.
This chapter concerns Constantinople’s liturgical rite for the commemoration of earthquakes in its original, fifth-century form. Celebrated each year on the anniversary of certain quakes, worshippers ritually reenacted local earthquakes, performing a long, penitential procession that retraced the earthquake evacuation route. The rite was structured by biblical readings, hymns, and prayers that framed the people of Constantinople as the sinful, biblical people of God. In ritual performance, worshippers could envision quakes as manifestations of divine wrath against the sins of the city, and their collective repentance as effective in restoring stability to the earth and balance within the human-environment-divine relationship. After discussing the liturgical rite, its performance, and theology, the chapter locates the origins of its theology of divine chastisement in local homilies and ritual responses to earlier quakes, focusing in particular on the archbishop John Chrysostom’s Constantinopolitan homilies on earthquakes from the early fifth century.
This chapter examines the ways in which Byzantine political and ecclesiastical elites recast local earthquakes as divine blessing upon the city rather than manifestations of divine wrath as evinced in the liturgical commemoration rite. First, it examines a legend that arose in connection with the earthquake of 438 that framed it as a divine theophany. Following the divisive Council of Chalcedon in 451, ecclesiastical authorities in Constantinople’s imperial church used the legend against their miaphysite opponents to cast the quake as divine approval of Constantinople’s political and theological claims. Next, it turns to the earthquake of 557, which partially destroyed the famous church of Hagia Sophia built by the emperor Justinian in 537. Justinian rebuilt the church in 562 and held an elaborate ceremony complete with a liturgy of rededication for the church. This ceremony and its liturgy eschewed the theology of divine chastisement and framed the quake as a temporary setback, an opportunity for Justinian to display his prowess over the destructive effects of nature by rebuilding the church to be more magnificent than before.
This chapter describes how medieval Constantinople ceased to commemorate new local earthquakes on its liturgical calendar and instead crafted new ways of responding liturgically to seismicity. First it discusses new liturgical hymnography added to the commemoration rite for the quake of October 26, 740, and the establishment of that day as an annual “earthquake day” on which worshippers could reflect on natural disaster in the abstract, even as the hymns presented an incoherent set of conflicting theologies of earthquakes. It then examines how earthquakes from the distant past became potent ideological symbols in this period. It concludes with an examination of a prayer from the late eighth century created for use whenever earthquakes struck, a form of liturgical response that came to replace the practice of commemorating new quakes.
In recent years, Japan has experienced a series of earthquakes and torrential rain disasters in various regions, and in Gifu City, there is concern about the possibility ofNankai Trough earthquakes in the near future. However, pharmacists’ awareness of disaster preparedness and status of drug stockpiles in pharmacies are not clearly outlined.
Methods
A survey on disaster prevention and stockpiling was conducted in 286 pharmacies in Gifu City. Data were collected from August to the end of October 2022. A simple aggregate was used in the study.
Results
The response rate was 66.8% (191 pharmacies). Among them, 9.9% (19 pharmacies) had stockpiles of medicines for disasters, in which 33.3% of the medicines needed in the early stages of a disaster were above the average overall stockpiling rate. In addition, 2.1% (4 pharmacies) selected medicines according to national or prefectural manuals, and 96.3% (184 pharmacies) preferred to have the “national or local government” bear the cost of stockpiling.
Conclusions
This study allowed us to understand the stockpiling situation of pharmacies in Gifu City in event of a disaster such as the Nankai Trough earthquake, which is likely to occur in the future. Based on these results, it is necessary to consider measures for disaster stockpiling.
Earthquakes cause devastating effects, resulting in the deaths of thousands of people each year. Understanding the full range of impacts, including fatalities, and the pathophysiological mechanisms underlying these effects is crucial for mitigating the aftermath of earthquakes. Therefore, this review aims to: delineate the critical golden time periods following earthquakes and identify the most effective responses and resilience factors during these periods; accurately define the terminology for injuries sustained post-earthquake; elucidate the basic pathophysiology of CRUSH injury-induced myopathy, one of the most significant pathologies in post-earthquake patient management; explore the role of nitric oxide (NO) mechanisms in crush injuries, which are believed to be fundamental to the “smiling death phenomenon” and represent the unseen part of the iceberg; and highlight the importance of the 3 main phenomena responsible for mortality—acidosis, coagulopathy, and hypothermia—during disasters. This comprehensive review, based on the latest literature, encompasses search and rescue, pre-hospital processes, emergency department procedures, and subsequent internal and surgical management algorithms.