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This study aimed to assess the perception of disaster risk and the level of earthquake awareness among students enrolled in the Department of Nursing at Artvin Çoruh University, Faculty of Health Sciences. The study sample comprised 274 students enrolled in the Department of Nursing at Artvin Çoruh University, Faculty of Health Sciences. The data were gathered utilizing the Sociodemographic Characteristics Form, Disaster Risk Perception Scale, and Sustainable Earthquake Awareness Scale. The data was obtained using the SPSS 24.0 program and analyzed using t tests, One-way ANOVA, and Pearson correlation analyses. The study’s findings indicate that most students have yet to undergo disaster training, yet most are interested in such training. Furthermore, it was ascertained that most students had not encountered any calamity. However, they wanted to participate actively and voluntarily in disaster scenarios. A statistically significant difference was observed between the students’ class and the average total scores of disaster risk perception scale and sustainable earthquake awareness scale. Courses on disaster management should be added to nursing education curricula. In order to provide disaster risk perception and sustainable earthquake awareness to nursing students, they need to take part in different activities in the field of disaster management.
Tissue injuries that occur after earthquakes are usually traumatic and cause various anatomical damages. Hyperbaric Oxygen Therapy (HBOT) is an increasingly popular treatment modality for such tissue injuries because it has the potential to accelerate the healing process of tissues by providing effective oxygen.
This study aimed to present a retrospective evaluation of the effects and outcomes of HBOT in patients with tissue damage after earthquakes, thus contributing to the development of medical intervention strategies following natural disasters.
Methods
This study included 51 patients treated as earthquake victims in the Hyperbaric Oxygen Therapy Unit. Information regarding the earthquake victims was obtained retrospectively and relevant analyses were conducted. Statistical analyses were performed to evaluate the relationship between the Mangled Extremity Severity Score (MESS) and related variables.
Results
Sensory and functional recovery rates were 64.7% and 62.7%, respectively, after HBOT. After treatment, 10 (19.6%) patients had a minor amputation, and 5 (9.8%) patients had a major amputation. As patients’ MESS Scores increased, the rate of amputation did not increase (P < 0.05), but the rate of recovery of sensation and function in the recovered extremities decreased (P < 0.05). No patient died during treatment.
Conclusions
These results suggest that HBOT can protect life and limb in earthquake injuries, but also save numb and non-functioning limbs in severe cases.
Health workers are one of the work groups that have the biggest role in overcoming the crises that occur with disasters. It is very critical for health care workers to be healthy, happy and productive both for overcoming crises with minimal damage and for a healthy society. This study aimed to examine the anxiety levels of health care workers after the Kahramanmaraş earthquake and to evaluate the effect of earthquake anxiety on the level of perceived stress and work-family conflict.
Methods
It is a cross-sectional study. The sample of this study, which was conducted approximately 9 months after the earthquake, consisted of 150 health care workers working in a private hospital in Gaziantep.
Results
It was observed that the post-earthquake anxiety levels of health care workers were above average. It has been found that earthquake anxiety significantly affects both perceived stress and the level of work-family conflict. Additionally, it was determined that the explanatory nature of the model increased by 4.5% with the inclusion of perceived stress and educational level on the effect of earthquake anxiety on work-family conflict.
Conclusions
More research is needed to evaluate the mental state of health care workers after the earthquake, to ensure positive development and to put forward appropriate strategies.
This study aims to determine the effect of death anxiety on the life satisfaction of individuals living in 11 provinces declared as earthquake zones in Turkey.
Methods
This cross-sectional and correlational study was conducted with 435 participants in earthquake zones in Turkey. Data were collected online through Google Forms using a sociodemographic form, the Revised Death Anxiety Scale (RDAS), and the Satisfaction with Life Scale (SWLS).
Results
In this study, it was determined that 48.5% of the participants exhibited moderate levels of death anxiety. The participants’ average score on the RDAS was 53.97 (SD = 16.21), and their mean score on the SWLS was 12.30 (SD = 4.33).
Conclusions
This study showed that death anxiety adversely affects life satisfaction. Higher death anxiety among participants was associated with lower satisfaction with life. Consequently, health care professionals should offer increased psychological and communication support to individuals who have experienced significant disasters like earthquakes.
Earthquakes deeply affect people’s lives and cause significant psychological damage. This study was conducted to determine the trauma level of midwifery students after the devastating earthquake in Turkey.
Methods
A descriptive cross-sectional study was conducted with 252 students enrolled in the midwifery department of the Faculty of Health Sciences of a state university in Turkey. Data were collected using the participant information form and the Scale for Determining the Level of Post-Earthquake Trauma. Kruskal-Wallis and Mann-Whitney U tests were used for data analysis.
Results
This study found that post-earthquake, students had trauma levels and sub-dimension scores related to behavioral problems, excitement limitation, affective and cognitive structuring, and sleep problems that were above average. The research revealed that students who were present in one of the earthquake-affected provinces, experienced house destruction, suffered the loss of relatives, had previous traumatic events, or received disaster management training had significantly higher levels of trauma.
Conclusions
In this direction, it is of utmost importance for university students in midwifery departments to be prepared for natural disasters like earthquakes. This preparedness will enable them to effectively cope with the physical and psychological issues caused by such disasters, benefiting both their own health and public health.
By the reason that mathematical analysis is not feasible for practical control of buildings, decentralized control (DC) and fuzzy control (FC) technologies were introduced to optimize the control problem of high-rise building (HRB) structures. For the control problem of HRB structures, magnetorheological fluid dampers (MRFDs) were introduced to optimize the lateral stress problem of each floor, and the influence of different output variables on FC was compared. In the analysis of fuzzy DC experiments, there were significant differences in the impact of different structural controls (SCs) on building acceleration. In the comparison of the interstory displacement (ISD) time history of the lower concrete structure, the maximum ISD value without control was -12 cm in the nineth second, −7 cm in the nineth second of LQR (linear quadratic regularization) control, and -6 cm in the FC. The proposed biomedical evolutionary technology had better SC effects in practical scenarios, with better safety and stability. The research was mainly based on FC controller technology, and in the future, updated IT2FL (interval type2 fuzzy logic) control technology can be adopted. At the same time, machine learning models are used to optimize parameter problems and improve the control effect of concrete structures. Therefore, fluid dampers help reduce vibrations caused by external earthquakes and other dynamic loads. By dampening devices, fluid dampers enhance the overall stability of the building by improving comfort levels. By allowing for lighter structural designs, fluid dampers can reduce the amount of material needed for construction, leading to cost savings. With reduced vibrations and stresses, there may be fewer maintenance issues over time. Fluid dampers can be designed for various types of structures and can be used in conjunction with other damping systems, making them flexible solutions for different engineering challenges. The future study can be effectively combined with base isolation systems to further improve a building’s resilience against seismic forces.
After the Kahramanmaraş earthquakes, the study aimed to assess the nutritional quality, energy, and macronutrient content of meals from field kitchens, evaluating their capacity to meet recommended daily intakes in the region.
Methods
The contents of morning, lunch, and evening meals prepared by the Turkish Red Crescent in field kitchens in 10 provinces were collected on the second day of the earthquake and 3 times at 1-month intervals: February 7, March 7, and April 7.
Results
During the Kahramanmaraş earthquakes, 570 public institutions and/or non-governmental organizations provided food assistance at 2.342 assembly points in 10 provinces on February 7, March 7, and April 7. In the aftermath of the Kahramanmaraş earthquakes, the Turkish Red Crescent provided meals to over 4.8 million people at 10 different locations for a period of 3 days. Starting from the second day after the earthquake (February 7), when food services were regularly recorded at nutrition service points, the percentages of macronutrients covering total energy were found to be within the normal range.
Conclusions
To promote the health of disaster survivors, it is important to improve the balanced RDAs for energy and macronutrients and ensure compliance with national dietary guidelines.
This article shows how security forces in Japan in the early 1960s used studies of the violence and unrest that followed the Great Kantō Earthquake as templates for speculation about the challenges they would face in the aftermath of Tokyo's next disastrous earthquake. Both studies reiterated the ambiguities associated with earlier state-sanctioned descriptions of the circumstances surrounding the massacres of Koreans and others in 1923, while maintaining that the Imperial Japanese Army and the police had done all they could to prevent that violence. The Self-Defense Agency and police analysts responsible for the two new studies concluded that if the capital district were to suffer another earthquake disaster like the one in 1923, then it was quite likely that the spread of misinformation – among other factors – would once again lead to outbreaks of vigilante violence and political instability, leaving the police and the SDF with no choice but to respond as their counterparts had forty years earlier.
The decade following the Great Kantō Earthquake of 1923 witnessed a proliferation of writings by officials, academics, businessmen, and journalists on the economic consequences of the disaster. This abundance of contemporary analysis stands in strong contrast to the relative scarcity of subsequent scholarly studies of many aspects of the disaster's economic impact. In this article, I suggest that part of the reason for this relative lacuna lies in broader trends within economics and economic history scholarship. In particular, a focus on quantitative analysis and macro-level indicators has led to the conclusion that over the longer term, the Kantō earthquake, like similar disasters elsewhere, did not matter that much for the development of the country's economy. I also show that although recent advances in economic theory, especially in the economics of disasters, can strengthen historians' analyses of the economic consequences of the 1923 disaster, many of these ‘new’ conceptual frameworks were foreshadowed by contemporary commentators seeking to analyze the impact of the disaster on the economic life of the nation. Ikeuchi Yukichika's book Shinsai Keizai Shigan, published in December 1923, is a particularly good example of how, just like recent disaster economists, Japanese contemporaries viewed the analysis of markets as the key to understanding both the economic impact of the disaster and how best to rebuild Japan's economy.
This study was conducted to examine the relationship between disaster literacy and disaster preparedness of the community.
Methods
This cross-sectional study was conducted on adult participants after a major earthquake that occurred in Türkiye on February 6, 2023 (n = 414). Convenience sample was used in sample selection. Data collection instruments are the Disaster Literacy Scale-DLS and Disaster Preparedness Scale-DPS. Descriptive statistics, independent samples t test, correlation, and multiple linear regression analysis were used to analyze the data.
Results
Participants’ DLS score was 33.08 ± 6.72 (limited disaster literacy) and DPS score was 31.89 ± 5.15 (moderate level). A positive correlation was found between DLS and DPS scores (r = 0.242; P = 0.000). Disaster literacy scores are higher for those with higher education levels, those who have taken disaster-related training/courses, those who have a disaster plan at home, and those who have a disaster kit (P < 0.05). In community, increasing disaster literacy, having a disaster kit, insuring the house, and making family plans against disasters positively affect disaster preparedness.
Conclusions
The disaster literacy level of the participants is limited, and the disaster preparedness level is moderate. To increase the disaster literacy levels of individuals, it is recommended that public health nurses strengthen public education and disseminate disaster training in community.
Disasters pose unique challenges, triggering significant psychological and social crises with both short- and long-term impacts. In this article, we address the critical role of professional psychiatric associations (PPAs) in responding to large-scale disasters, emphasizing the operational model connected with the Psychiatric Association of Türkiye’s (PAT) response to the 2023 earthquakes in Türkiye and Northern Syria. We propose the SOLIDARITE model, a structured response framework, which incorporates sustained preparedness, organized networks, resource libraries, on-site and remote interventions, and comprehensive disaster planning across early, middle, and long-term phases. The model emphasizes a multidimensional approach integrating pre-disaster preparedness through training, various psychosocial support options, the establishment of networks, and the formulation of a master disaster response plan. The implementation of this model by PAT during the 2023 earthquakes facilitated an effective and prompt response, underlining the importance of PPAs’ role in disaster preparedness and action. The SOLIDARITE model supports the need for deeper integration of disaster psychiatry into psychiatric training and calls for national and international collaboration to enhance the preparedness and response capacity of PPAs.
This study aimed to investigate the psychological impact of the Turkey 2023 earthquakes on preschool-aged children and to compare them with those with other life-threatening traumas. Thirty-four preschool children who experienced earthquakes on February 6, 2023, and applied to our outpatient clinic in the following 3 months, and 37 other trauma-experienced preschool children were included in this cross-sectional study. Preschool Age Psychiatric Assessment/Post-Traumatic Stress sections were conducted. Parents were asked to complete the Pediatric Emotional Distress Scale and the Child Behavior Checklist for Ages 1.5–5 to evaluate stress-related reactions alongside psychiatric problems of children. The results showed that acute stress disorder and post-traumatic stress disorder (PTSD) were more common in the earthquake-experienced group than in the other trauma-experienced group (Fisher’s exact test, 52.9% vs. 8.1%, p < 0.001 and 38.2% vs. 8.1%, p = 0.004, respectively). Migration after the earthquake had no additional impact on trauma-related psychiatric outcomes, either ASD or PTSD (p = .153, and p = 0.106, respectively); whereas sleep problems predicted PTSD (OR = 1.26, β = 0.42, p = 0.036) in the earthquake-experienced group. Our study provides implications for understanding the psychological impact of earthquakes and risk factors for PTSD among preschool children.
Patients with thoracic trauma require rapid decision making and early intervention, especially during natural disasters when the influx of patients complicates hospitalization decisions. Identifying the characteristics of these patients can improve triage protocols, optimize resource allocation, and enhance outcomes in future disaster scenarios.
Study Objective:
The aim of this study was to determine the characteristics of hospitalized patients after the February 2023 earthquakes in Türkiye and to contribute to Disaster Medicine.
Methods:
This retrospective, cross-sectional study was conducted in a university hospital’s emergency department (ED) located in the earthquake area. All patients over 18 years old with earthquake-related thoracic trauma were included. Demographic information, mechanisms of injury, associated injuries, laboratory results, and treatments were recorded. Patients were divided into two groups: discharged and hospitalized.
Results:
The study included 179 patients, with a median age of 45 years. Overall, 80.4% were trapped under debris, and 43.8% were rescued on the first day. Hospitalization rates were higher in patients trapped under debris and those rescued after the first day. Blunt thoracic trauma was observed in 95.5% of patients. One hundred and three patients (57.5%) underwent Extended Focused Assessment with Sonography in Trauma (E-FAST) in the ED, 152 patients (84.9%) underwent x-ray, and 129 patients (72.1%) underwent computed tomography (CT). Imaging studies revealed rib fractures in 49.7% and lung parenchymal injuries in 48.6% of patients. Patients with lung parenchymal injury had higher hospitalizations rates. Hospitalized patients had higher levels of white blood cells (WBCs), potassium, blood urea nitrogen (BUN), creatinine, creatinine kinase (CK), creatine kinase-myocardial band (CKMB), and troponin I.
Conclusion:
This study highlights the prevalence of blunt thoracic trauma and the importance of imaging in the assessment of thoracic injuries following earthquakes. While few patients needed surgery, many required hospitalizations and had abnormal laboratory results, emphasizing the need for careful monitoring for complications like muscle damage and infection.
Throughout human history, numerous natural disasters, particularly earthquakes, have caused significant destruction to civilizations. On February 6, 2023, 2 major earthquakes struck Turkey. The first occurred at 04:17 local time with a magnitude of 7.7 (37.288N-37.043E) centered in Pazarcık, and the second at 13:24 with a magnitude of 7.6 (38.089N-37.239E) centered in Elbistan. Both earthquakes affected a vast area encompassing 11 cities. These 2 devastating earthquakes resulted in the destruction and damage of many buildings, affecting over 14 million people. More than 40 000 people lost their lives, and thousands were injured and left homeless. Turkey, a country frequently affected by earthquakes due to its geographical location, experienced 2 consecutive major earthquakes on the same day, marking a tragic event in its history.
The knowledge of students’ quality of life and post-traumatic stress disorder levels, investigation of the relationship between them, and taking measures are essential in terms of guiding the necessary interventions. This study was conducted to determine the quality of life and post-traumatic stress disorder levels of midwifery students experiencing an earthquake.
Methods
This descriptive and correlational study was conducted with 363 midwifery students who had experienced the Kahramanmaras, Türkiye earthquake. Data were obtained using a Descriptive Information Form, the PTSD-Brief Scale, and the World Health Organization Quality of Life Scale (WHOQOL-BREF).
Results
The rate of post-traumatic stress disorder in the sample studied (n = 363), which consisted of midwifery students who would work in the field of health, was 21.5% 2 months after the earthquake. The multiple linear regression analysis indicated that factors predicting post-traumatic stress disorder following the earthquake were quality of life score related to physical and environmental domains, damage status of the house, presence of family history of depression, and smoking status.
Conclusions
This study, which was conducted 2 months following the earthquakes, showed that living spaces had an impact on the occurrence of post-traumatic stress disorder symptoms.
Earthquakes cause great destruction due to their suddenness and intensity. Although all people are affected by earthquakes, children are among those most affected. Every year, millions of children and young people are exposed to many natural disasters and are affected differently. Earthquakes can cause physical, mental, and sleep disorders in children. The aim of this study is to investigate the post-traumatic response and its effects on sleep on child and adolescent earthquake survivors living in the earthquake zone in Turkey.
Methods
This research was carried out between June and August 2023 as a descriptive and cross-sectional study. A total of 230 earthquake survivor children from Adıyaman were included in the study. Personal information forms, the Child Posttraumatic Stress Reaction Index (CPTS-RI), and the Sleep Disturbance Scale for Children (SDSC) were used to collect data.
Results
It was determined that the scale scores of the children who were financially affected by the earthquake, who were injured, and who were under the rubble were higher (P < 0.05).
Conclusions
It was observed that more than half of the children had severe trauma and had sleep disorders. Children who experience trauma from an earthquake have more sleep disorders. For this reason, in addition to emergency aid and interventions in earthquakes, arrangements should be made for the mental health of children and social and psychological support should be provided.
History of prior mental disorder, particularly post-traumatic stress disorder (PTSD), increases risk for PTSD following subsequent trauma exposure. However, limited research has examined differences associated with specific prior mental disorders among people with PTSD.
Aims
The current study examined whether different prior mental disorders were associated with meaningful differences among individuals presenting to a specialist service for severe earthquake-related distress following the Canterbury earthquakes (N = 177).
Method
Two sets of comparisons were made: between participants with no history of prior disorder and participants with history of any prior disorder; and between participants with history of prior PTSD and those with history of other prior disorders. Comparisons were made in relation to sociodemographic factors, earthquake exposure, peri-traumatic distress, life events and current psychological functioning.
Results
Participants with any prior mental disorder had more current disorders than those with no prior disorder. Among participants with history of any prior disorder, those with prior PTSD reported more life events in the past 5 years than those with other prior disorders.
Conclusions
Findings suggest a history of any prior mental disorder contributes to increased clinical complexity, but not increased PTSD severity, among people with PTSD seeking treatment. Although post-disaster screening efforts should include those with prior mental disorders, it should also be recognised that those with no prior disorders are also at risk of developing equally severe PTSD.
The injuries that occurred in earthquakes caused an accumulation in hospitals and the need for health services increased. The most needed human resource in the provision of health services in disasters is nurses. The aim of this study is to determine the scope of nursing services in earthquakes and to identify the service needs in hospitals during the February 6 earthquakes in Turkey. In this study, Delphi technique was used for needs analysis. The managers of health institutions in 11 provinces that experienced the earthquake were interviewed to determine how nursing services are carried out during earthquakes. As a result of this study, it was determined that there were inadequacies in triage, identification of earthquake victims, medical intervention and keeping records, identification of deceased earthquake victims, storage of personal belongings, communication with relatives of earthquake victims, and psychosocial support services in disasters such as earthquakes where many people were seriously injured. It has been observed that there is a need for disaster nurses and forensic nurses to work in these areas and it is thought that these 2 nursing fields should be taken into consideration in the planning of health professional resources in disasters.
Earthquakes and other disasters caused by natural hazards have a significant impact on the mental health and well-being of children and adolescents. This study aimed to investigate the psychological symptoms, suicide probability, and future expectations among adolescents affected by the Kahramanmaraş-centered earthquake in Türkiye. A total of 704 individuals participated in the study. We conducted a cross-sectional study using the Brief Symptom Inventory, Suicide Probability Scale and Future Expectation Scale. The mean age of participants was 15.27 ± 1.39. Participants lost up to 10 of their relatives and up to 4 of their nuclear families due to the earthquake. The study showed a strong positive correlation between psychological symptoms and suicide probability and a strong negative correlation between psychological symptoms and future expectations among adolescents. Additionally, losing family members or relatives was associated with increased psychological problems. Earthquake-related issues such as lack of food, shelter and security, and education disruption should be addressed to mitigate the mental health impact of the disaster. Additionally, mental health and psychosocial support services should be made available for adolescents and their families in the earthquake-affected regions.
This chapter provides the tools necessary to implement virtually any type of peril in the hazard module of a catastrophe (CAT) model. These tools comprise, for a given peril, the creation of the following: a set of simulated events, a catalogue of hazard intensity footprints, and the main metrics employed in probabilistic hazard assessment (hazard curves and hazard maps). Despite the general purpose of the standard CAT modelling framework, peril-specific CAT models are commonly developed in silos by dedicated experts. In view of the dozens of perils quantified in this textbook, a more generalist approach is employed. An ontology is proposed that harmonizes the description of different perils, going from (1) event source, to (2) event size distribution, to, finally, (3) event intensity footprint. To illustrate how all the previous steps can be wrapped up in one continuous modelling pipeline, an application to probabilistic seismic hazard assessment is also provided.