bluuebunny/crossref_metadata_2025_split huggingface dataset:
(P2-52) Nurse Educators' Experiences of Conducting Trauma Healing to Reduce Anxiety Among Victims of the MT. Merapi Eruption at Universitas Muhammadiyah Yogyakarta
Authors: Suhariyanto S. , Rochmawati E. 
Published: May 2011

BackgroundThe number of victims in various refugee camps who experience anxiety after the Mount Merapi eruption. Various factors that cause this condition include a lack of concern for the early treatment of psychological casualties. Support from health professionals, particularly nurses, is needed to prevent the onset of mild anxiety.ObjectivesThe study was carried out in order to help understand the meaning of nurses' experiences of trauma healing to prevent anxiety among the victims of the Mount Merapi eruption.MethodThis was a qualitative research study with a phenomenological approach. In-depth interviews were used to explore participants' experiences conducting trauma healing therapy to the Mount Merapi eruption victims.ResultThe result showed the implementation of trauma healing therapy includes: (1) assessment of emotional responses; (2) physical examination; and (3) psychological assistance. The therapy being implemented includes: (1) five-finger hypnosis therapy; (2) stopped thinking therapy; and (3) progressive relaxation. The impacts of trauma healing included: (1) spirit returning; (2) increased of relaxation; (3) calmness; (4) normal vital signs; and (5) the ability to interact with other refugees. Problems experienced included the large number of refugees, the noisy environment, and a lack of concentration from the nurse when providing therapy.ConclusionTo solve the problem, nurses are expected to recognize the response required for the victim and apply interventions based on the assessment, data analysis, planning, implementation, and evaluation. Victims of the Mount Merapi eruption are expected to attempt to apply the self-trauma healing.
(P2-53) Investigation of Comprehension of Disaster/Emergency Nursing in Nurse Practitioners in Ningbo Area, China
Authors: Wang X.W. , Xu J. , Shen Y.J. 
Published: May 2011

BackgroundKnowledge of disaster/emergency nursing is essential to nurse practitioners (NP) due to the increasing frequency of disasters. The objective of this study was to identify the knowledge and the response relating D/EN and to investigate whether the reactions vary among NPs in different level hospitals in Ningbo Area, China.MethodsPre- and post-test questionnaires were used. A total of 297 NPs in five hospitals (two tertiary hospitals, two secondary hospitals, one primary hospital) were involved in this study. Five lectures were implemented based on disaster/emergency nursing from 8 December 2009 to 14 April 2010.ResultsThe mean age of the sample was 31.54 years. Average working experience was 9.57 years. Only 12 participants from the emergency department attended the lecture, yet the lecture was advertised one week in advance. The mean score was 8.88 (pre-test), 12.97 (post-test). Most of the low scores (< 7) on the pre-test were from primary hospitals (43%), while only 0.6% of staff from tertiary hospitals scored that low. A total of 45% of NPs failed to distinguish the contribution of different zones of triage. Nearly 24% of participants considered that the frequency of ALS training should no more than once a month. All participants comprehended the contribution of a triage system after attending lecture, 35% of NPs received perfect scores on the post-test.ConclusionsComprehension of disaster/emergency nursing in NPs in Ningbo is deficient. Primary hospital NPs had a lower score than high-level hospitals. Education and training programs associated with disaster/emergency nursing are necessary for NPs.
(P2-58) A Multicasualty Event of Multiple Burn Victims Caused by Spout of Heated Hydrochloric Acid in a Chemical Plant
Authors: Fuke N. , Sato M. , Shiga H. , Yamashita M. , Yokoi T. , Kobayashi Y. , Kobayashi A. , Ikita R. 
Published: May 2011

BackgroundA sudden break-down of a heat-exchanger in vinyl chloride plant resulted in that 141 °C, 23% concentration of hydrochloric acid spouted out over the workers around it. Eight workers suffered and Ichihara City Fire Department was deployed in response to the call 3 minutes after the onset of the incident, 17 vehicles including 5 fire engines, 6 ambulances, and two helicopters. Finally three severely (> 80% of TBSA) burned, two moderately (20–80%) burned, and three slightly (< 20%) burned victims were identified and triaged. One severely burned was transferred at first to the closest tertiary care hospital (TUCMC) which existed within 2.5 km distance by an ambulance and other two and one moderately burned were transferred by helicopters to the neighboring tertiary care hospitals. Another moderately burned one was sent to TUCMC by an ambulance about 30 minutes later than the first one. Three slightly burned victims were sent to a local hospital and treated as an outpatient. This casualty mission was ended by 120 minutes after the call. Two among the three severely burned patients lost their lives but another severe one and two moderately burned were survived. Conclusions: With these considerations, the management of this multiple burn casualty was successful, partly because of small number of the victims and of that the incident occurred in a weekday morning.
(P2-64) Pattern and Factors Associated with Violent Incidents in the Emergency Department of a Level-1 Trauma Center
Authors: Sharma K. , Bhoi S. , Chauhan S. 
Published: May 2011

BackgroundViolent incidents (VI) in emergency departments (EDs) are under-reported concerns for emergency care providers (ECP). There are limited data from EDs in India.ObjectiveThis is a study of pattern and factors associated with VIs in the ED of a Level-1 Trauma Center.MethodsA qualitative survey questionnaire was distributed to 42 ECPs who worked in the ED of the All India Institute of Medical Sciences. Responses of ECPs were compiled and analyzed.ResultsA total of 78.6% of nurses, 19.1% doctors, and 2.4% registration clerks participated in the study. A total of 54.8% were female. A total of 85.7% had five years of work experience in the ED. A total of 59.5% witnessed and experienced verbal abuse; 19.04% witnessed and experienced physical abuse. The remaining experienced and witnessed verbal abuse as well as physical abuse. A total of 57.1% had experienced VI multiple times in last six months. Of these, 88.2% faced the incident between 8 pm and 8 am. The ECP reported the incident to hospital authority's 54.8% of the time, 19.1% reported it to the police, and 14.29% did not report, while 7.1% reported to police and hospital administration. Eighty-five percent experienced insecurity & emotional disturbance. Patient-related factors included intoxication and anxiety. Healthcare system-related factors included delay in investigations, non-availability of beds, overcrowding of ED, and lack of staff. A total of 47.7% of participants felt that there was improper communication between healthcare workers and 40.1% felt that non-availability of senior doctor were the system deficiency factors. A total of 16.6% of ECPs had formal training regarding communication skills, and 11.9% had grief counseling. All respondents felt that steps should be taken to decrease and mitigate the VIs in the ED.ConclusionsVerbal and physical abuse of emergency care workers is common.
(P2-78) Creating Alternate Care Sites and Community-Based Care Centers for the Delivery of Medical Care During Public Health Emergencies
Authors: Reilly M. 
Published: May 2011

IntroductionDeveloping alternative systems to deliver emergency health services during a pandemic or public health emergency is essential to preserving the operation of acute care hospitals and the overall health care infrastructure. Alternate care sites or community-based care centers which can serve as areas for primary screening and triage or short-term medical treatment can assist in diverting non-acute patients from hospital emergency departments and manage non-life threatening illnesses in a systematic and efficient manner. Additionally, if planned for correctly these facilities can also be used to decant less critical patients from inpatient wards thereby increasing the surge capacity of acute care hospitals.MethodsA model concept of operations plan for alternate care sites to be used during pandemics and large-scale public health emergencies was developed over a 3 year period, 2007–2010. Subject matter experts were convened and best-practice methods were used to design operational plans, clinical protocols, modified standards of care, and checklists for facilities appropriate to locate such a facility. This model plan was designed to allow the mild to moderately ill patient to be managed in a non-acute care hospital or community-based care setting and then ultimately return to their homes for convalescence, following a public health emergency where regional surge capacity had been exceeded.ResultsOver three years of interagency, comprehensive planning, training and review was conducted to create the model alternate care site/community-based care center concept of operations plan. Accomplishments and milestones included: Creating stakeholders, engaging community partners, site selection, staffing issues, detailed medical protocols and clinical pathways, functional role development, equipment and supplies, site security, media and communications plans, designing training programs and conducting drills and exercises.ConclusionThe key tenets of the concept, planning, operation and demobilization of an alternate care site or community-based care center will be discussed in this session. Participants will learn what has worked based on our planning experience. Lessons learned and best-practices developed in our program will be presented to assist attendees in beginning or continuing the process of creating surge capacity in the out-of-hospital setting, by planning to operate alternate care sites in their local areas.
(P2-78a) Feasibility and Safety of Ultrasonography-Guided Nerve Blocks Performed by Emergency Physicians in the Emergency Department
Authors: Bhoi S. , Sinha T.P. , Rodha M. , Bhasin A. 
Published: May 2011

BackgroundEmergency physicians often encounter patients who require procedural sedation and analgesia (PSA) for the treatment of acute traumatic injuries like fracture reduction, joint dislocation reduction, wound care, and pain relief. Its complications include airway or circulatory compromise. Ultrasound (US) guided peripheral nerve block is a safe alternative that utilizes minimal amounts of local anesthetic and does not require hemodynamic monitoring or prolonged post-procedure observation.ObjectiveThe objective of this study is to determine the feasibility and safety of ultrasonography-guided nerve blocks, performed by emergency physicians.MethodsA prospective study involving 28 patients > 12 years of age presenting to an emergency department (ED) were recruited after informed consent. Ultrasonography-guided nerve blocks were performed by emergency physicians who underwent a minimal training of 10 supervised nerve blocks. Brachial plexus, forearm, and lower-limb nerve blocks were performed as deemed necessary. Verbal analogue scale (VAS) was used to quantify pain, before and five minutes after the procedure. The outcomes for feasibility and safety were the percentage of cases in which no further anesthesia was required, the median reduction in VAS score, median time to completion of procedure and the complication rate noted during the procedure.ResultsAll procedures were completed without additional anesthesia. The different nerve blocks performed were brachial plexus (20 cases, 71.4%), forearm (3 cases, 10.7%), femoral (2 cases, 7.1%), combined femoral and sciatic (2 cases, 7.1%) and tibial (1 case, 3.6%). Median reduction in VAS score was 7.0 points (interquartile range 6.0, 8.0; p < 0.001). The median time to completion of nerve blocks was 5 minutes per patient (interquartile range 2 minutes 25 seconds, 10 minutes 0 seconds). There were no immediate complications noted after the procedure.ConclusionsEmergency physicians with minimal training can perform ultrasonography-guided nerve blocks safely, quickly and without the need for additional anesthesia in the ED.
(P2-85) Automatic vs. Manual Bag Valve Resuscitation: An Experimental Bench Test
Authors: L'her E. , Marjanovic N. , Le floch S. , Jaffrelot M. 
Published: May 2011

IntroductionEfficiency of resuscitation has been fewly assessed. The aim of our study was to compare standard manual to automatic ventilation using a new device.Methods5 categories of healthcare professionals were included (paramedics, nurses, respiratory therapists, senior and junior emergency physicians; n = 10 in each group) and they evaluated 2 different apparatus: manual bag valve (BVM) and automated resuscitator (EasyCPR, Weinman). The experimental bench test consisted in an artificial test lung (ASL5000, IngmarMed), simulating 3 pathological status (COPD, ALI, ASA) and connected to a resuscitation-training manikin for the interface with the mask. Recorded parameters were: tidal volume (Vt), Peak Inspiratory Pressure (PIP), Residual Volume (Vr), overall distension (Vt + Vr), respiratory rate (RR). The ergonomy of the device was assessed at the end of each sequence (1–very uneasy à 5–very easy to use).ResultsMean Vt reached the goal (400–600 ml) for only 26% [0, 6–45] of the cycles with BVM and 29% [0, 3–80] with the CPR. Within a same pathological status, PIP was higher with BVM (21 ± 17 cmH2O), as compared to CPR (11 ± 3 cmH2O; p < 0.001). Mean RR was 18 ± 6 C/minute with BVM and 10 ± 2 C/minute with CPR. Overall distension was significantly higher with BVM (491 ± 328 ml; up to 1750 ml), as compared to CPR (380 ± 168 ml; p < 0.001). Ergonomy of CPR was considered better for paramedics and nurses (p < 0.05).ConclusionBVM resuscitation does not allow reaching the standards in terms of Vt and RR, and may expose to overpressure (gastric distension) and thoracic overinflation. Automatic resuscitation (CPR) may standardize emergency ventilation, allowing a better fit to recommendations and an ergonomy enhancement.
(P2-93) Triage During a Mass Casualty Incident: The 2009 Turkish Airlines Crash in Amsterdam
Authors: Postma I.L.E. , Weel H. , Heetveld M. , Bloemers F. , Bijlsma T. , Goslings J.C. 
Published: May 2011

IntroductionTriage is an important aspect of the management of mass-casualty incidents (MCIs). This study evaluates triage after the Turkish Airlines aircraft crash near Amsterdam in 2009. What were the results of triage? What were the injuries of priority 3, and of “walking” casualties? Did the mechanism of trauma have a factor in this mass-casualty triage? How does this affect spinal immobilization rate during transport?MethodsA retrospective analysis of investigational reports, ambulance forms, and medical charts of survivors of the crash was performed. Outcomes included triage classification, type of injury, Abbreviated Injury Scale (AIS) score, Injury Severity Scale (ISS) score, need for emergency intervention according to the “Baxt criteria”, and spinal immobilization during transport.ResultsThere was minimal documentation of prehospital triage. According to the in-hospital triage, 28% of patients were priority 1, 10% had an ISS score ≥ 16, and 3% met the Baxt criteria for emergency intervention. Forty percent were priority 3, 72% had an ISS score ≤ 8, and 63% were discharged from the emergency department. Approximately 83% were over-triaged, and the critical mortality rate was 0%. Nine percent of priority 3 casualties. and 17% of “walking” casualties had serious injuries. Twenty-five percent of all casualties were transported with spinal immobilization; 22% of patients with diagnosed spinal injury were not transported with spinal immobilization.ConclusionsAfter the Turkish Airlines crash, documentation of triage was minimal. According to the Baxt criteria, there was a great amount of over-triage. Possible injuries sustained by plane crash survivors that seem minimally harmed (P3) must not be underestimated. Considering spinal immobilization, Not insufficient consideration given the high-energy trauma mechanism.
(P2-102) Lessons Learned from Medical Humanitarian Mission During Somalia Civilian War 1992–1994. Moroccan Experience
Authors: Lahsen S. 
Published: May 2011

Lessons learned from medical humanitarian mission during Somalia civilian war 1992–1994. Moroccan experience L. Safi. Chirurgical Intensive Unit Mohammed V Military Hospital Hay Riad Rabat Morocco Introduction Natural disasters and civilian war in Africa demonstrate a similar critical need for national preparedness. As one of a team of military physician who went on a medical mission, I would like to share glimpses of our experience and reflect our thought about humanitarian mission.ObjectiveTo report our experience during medical humanitarian mission.BackgroundDuring Somalia civilian war Morocco deployed level 2 hospital to provide medical and social aid to soma liens during united Nations interventions UNISOM. The specific mission was to provide immediate relief to the affected population of Mogadishu, to minimize loss of life, and to mitigate human suffering. A team of 21 physicians specialists and 40 nurses were deployed in an university campus to provided medical assistance.MethodsData were collected from interviews, observations, field notes, memos, and retrospective study of medical statistique.Results80% of all patients we examined have infection disease in all fields: dermatology, ophthalmology, ORL, pneumology etc 90% of childs have denutrition Only the emergency surgery was involved.Discussion and ConclusionIn doing so, the medical team learned many important lessons, including five of particular value to planners of similar relief operations in the future. A successful medical humanitarian mission will depend on accurate and relevant medical intelligence and socio-geographical mapping in advance of deployment.
Automorphismes, graduations et catégories triangulées
Authors: Rouquier Raphaël 
Published: May 2011

RésuméNous donnons une construction comme espace de modules du groupe d'automorphisme d'une algèbre de dimension finie analogue à celle du groupe de Picard d'un schéma. Nous en déduisons que la composante connexe de l'identité du groupe des automorphismes extérieurs est invariante par équivalences stables et dérivées. Ceci permet de transférer des graduations entre algèbres et fournit conjecturalement une construction homologique de graduations sur les blocs à défaut abé;lien de groupes finis. Nous donnons des applications au relèvement d'équivalences stables en équivalences dérivées. Nous donnons une version du résultat d'invariance pour les variétés projectives lisses : le produit Pic0 × Aut0 est invariant par équivalences dérivées.
Bullying behaviours among students in Pavia, Italy: prevalence and association with stress and cannabis use
Authors: Martinelli V. , Brondino N. , Rossi S. , Panigati R. , Magnani R. , Cappucciati M. , Vecchia L. , Tinelli S. , Emanuele E. , Politi P. 
Published: May 2011

Background.This study examined the prevalence of students’ reported experiences of bullying and victimization in primary and secondary schools and their association with levels of perceived stress and cannabis use.Methods.We consecutively enrolled 407 students attending three secondary schools in Pavia (Italy). Bullying and victimization were measured using the retrospective bullying questionnaire (RQB). The 10-item perceived stress scale (PSS-10) was used to assess the degree to which situations in life were perceived as stressful. Data on demographic characteristics and cannabis use in the previous 6 months were also collected.Results.There were 328 victims (80.6%) and 221 bullies (52.1%). The results of the stepwise regression analysis with bullying as the dependent variable were significant with either male sex (R2 = 0.030,p = 0.024) or PSS-10 scores (R2 = 0.056,p = 0.036) in the model. With victimization as the dependent variable, only the PSS-10 scores were retained in the model as an independent predictor variable (R2 = 0.048,p < 0.001).Conclusions.The results from this study indicate that the level of perceived stress has an independent association with both bullying and victimization. Further studies are needed to clarify the psychobiological links between stress, cannabis use and bullying behaviours.
Can Plant-Made Copper Chaperones Heal Early Alzheimer’s Disease?
Authors: Kastenholz Bernd , Horst Basil , Horst Jürgen 
Published: May 2011

AbstractCommercially available medicinal plant extracts such as Ginkgo biloba leaf extract show no consistent pattern of clinical benefit for people with dementia or cognitive impairment, and have been suggested to be toxic to cells at higher doses. However, medicinal plants may contain other more efficient bioactive molecules apart from the well-known flavonoids and terpenoids. Therapeutic recombinant proteins, plant-made copper chaperone for superoxide dismutase (CCS) derived from Ginkgo biloba leaves, may establish and maintain physiologic Cu levels through restoration and modulation of biometal metabolism in organ systems of younger Alzheimer patients (> 50 years). Medications developed from plant-made copper chaperone proteins may delay progression during early disease stages or even be a basis for a possible causal treatment of preclinical stages of Alzheimer’s disease by preventing formation of A β plaques in the brain, a major putative factor involved in Alzheimer’s disease pathogenesis.
Egg mortality: predation and hydrography in the central Baltic
Authors: Voss Rüdiger , Hinrichsen Hans-Harald , Stepputtis Daniel , Bernreuther Matthias , Huwer Bastian , Neumann Viola , Schmidt Jörn O. 
Published: May 2011

Abstract
Voss, R., Hinrichsen, H-H., Stepputtis, D., Bernreuther, M., Huwer, B., Neumann, V., and Schmidt, J. O. 2011. Egg mortality: predation and hydrography in the central Baltic. – ICES Journal of Marine Science, 68: 1379–1390. Cod and sprat are the dominant fish species in the Baltic pelagic ecosystem, both of great economic importance and ecologically strongly interlinked. Management of both species is challenged by highly variable recruitment success. Recent studies have identified predation and hydrographic conditions during the egg phase to be of critical importance. Two years of extensive field investigations in the Bornholm Basin, central Baltic Sea, were undertaken. In 2002, a typical stagnation situation characterized by low salinity and poor oxygen conditions was investigated, and in early 2003, a major inflow of North Sea water completely changed the hydrographic conditions by increasing salinity and oxygen content, thereby altering ecological conditions. The goal was to quantify egg mortality caused by predation and hydrography, and to compare these estimates with independent estimates based on cohort analysis. Results indicated high intra-annual variability in egg mortality. Cod and sprat egg mortality responded differently to the major Baltic inflow: mortality related to hydrographic conditions increased for sprat and decreased for cod. On the other hand, predation mortality during peak spawning decreased for sprat and increased for cod.
Prevalence and Risk Factors for Hypovitaminosis D in Young Patients With Inflammatory Bowel Disease
Authors: Pappa Helen M. , Langereis Eveline J. , Grand Richard J. , Gordon Catherine M. 
Published: May 2011

ABSTRACTVitamin D plays an important role in bone homeostasis. We aimed to report the prevalence of hypovitaminosis D in children with inflammatory bowel disease (IBD) and risk factors associated with low serum 25‐hydroxyvitamin D (25OHD) concentration in children with IBD.Risk factors for deficiency of this vitamin are similar to those in healthy children, with the addition of higher erythrocyte sedimentation rate. Both patients with ulcerative colitis and Crohn disease are at risk for hypovitaminosis D.