The disasters can result in considerable damages to urban structures. In vulnerable cities, the amount of economic damages and fatalities is highlighted. The review of the literature indicates the urban vulnerabilities related to building qualification and the society situation. In this paper, some factors that can affect the vulnerability of old cities in Iran are listed. For evaluating the importance of each factor in identifying the vulnerability of Fahadan district, the AHP method is used. Twenty-five academic-related disaster management experts helped to achieve the priority of factors. Two vulnerability maps of the district were achieved by using the weight of factors obtained from the AHP model and geographic information system (GIS). Maps' analysis shows that places with high vulnerability cover all parts of the district, and residential parts of district suffer from susceptibility. Also, the results show that less vulnerable parts of the district surround the district. Reconstruction and rehabilitation measures can decrease the vulnerability value of Fahadan district.
Background: Air emergency medical services provide advanced medical care to patients and critically injured as soon as possible to reduce injuries and casualties. In this study, the status of the Medical Emergency and Accident Management Center in Yazd Province in terms of the necessary standards for air emergencies was investigated and compared with existing standards. Materials and Methods: The present research was a cross-sectional descriptive study. Using a researcher-made checklist, the required data, such as human resource requirements, physical and environmental space, time, communication equipment, medical equipment, equipment for traffic detection and management, and equipment for technical and safety services, were collected by asking relevant officials and experts. Finally, data analysis was performed using tables and descriptive statistics. Results: The study findings showed that in total, 2 items in the field of human resource requirements, 7 items in physical space and environmental requirements, 2 items regarding time requirements, 4 items regarding communication equipment requirements, 43 items regarding equipment and medicine requirements, including patient cabin equipment, emergency resuscitation kit and Cardiopulmonary Resuscitation (CPR), medicine and jump bag equipment, delivery set, triage bag, dressing equipment and technical and safety service equipment requirements were in accordance with the existing standards. Conclusion: Based on the existing standards, the air emergency in Yazd Province in most areas was satisfactory. Because of the importance of the issue, authorities must take the necessary measures to address the deficiencies and limitations so that the emergency missions be carried out in the best conditions.
Background: Hospitals play a vital role in disaster stricken regions. The resilient hospitals will be able to provide essential services to affected people and it can mitigate the risk of injuries during and after disasters. This study aimed to obtain the indicators required for the evaluation of hospital resilience. Methods: This systematic review was conducted in 2018. Through this systematic review, international electronic databases were investigated for the research studies published in English. The exclusion and inclusion criteria were determined to extract the hospital resilience indicators. These indicators will be used in order to develop a model to keep the system performance at an acceptable level during disasters. Results: Out of 1794 research studies published until September 2018, 89 articles and guidelines with full text were surveyed. Thirty-two articles and guidelines were then selected and analyzed to collect the indicators related to hospital disaster resilience (HDR). The domains and the indicators were extracted from these selected research studies. The authors collected and categorized them into three domains and twenty seven subdomains. The three domains included constructive, infrastructural, and administrative resilience. The relevant indicators were designed for each subdomain to assess HDR. Conclusion : Since diverse indicators affect hospital resilience, other studies should be conducted to propose some models or tools to quantify the hospital resilience in different countries and scopes with an all hazards approach. Key words : Disaster; Hospital; Resilience; Structural and Non-structural Systems; Indicators
Background: Hospitals play a vital role in disaster stricken regions. The resilient hospitals will be able to provide essential services to affected people and it can mitigate the risk of injuries during and after disasters. This study aimed to obtain the indicators required for the evaluation of hospital resilience. Methods: This systematic review was conducted in 2018. Through this systematic review, international electronic databases were investigated for the research studies published in English. The exclusion and inclusion criteria were determined to extract the hospital resilience indicators. These indicators will be used in order to develop a model to keep the system performance at an acceptable level during disasters. Results: Out of 1794 research studies published until September 2018, 89 articles and guidelines with full text were surveyed. Thirty-two articles and guidelines were then selected and analyzed to collect the indicators related to hospital disaster resilience (HDR). The domains and the indicators were extracted from these selected research studies. The authors collected and categorized them into three domains and twenty seven subdomains. The three domains included constructive, infrastructural, and administrative resilience. The relevant indicators were designed for each subdomain to assess HDR. Conclusion : Since diverse indicators affect hospital resilience, other studies should be conducted to propose some models or tools to quantify the hospital resilience in different countries and scopes with an all hazards approach.
Background: Hospitals play a vital role in disaster stricken regions. The resilience of hospitals conducts related services without interruption and it can mitigate the risk of the injuries during and after disasters. The aim of this paper was to obtain the indicators required for the evaluation of hospital resilience. Methods: This systematic review was conducted in 2018. Through this systematic review, the international electronic databases were investigated for the researches published in English. The exclusion and inclusion criteria were determined to extract the effective indicators resilience of the structural and non-structural parts in hospitals in order to develop a model to keep the system performance at an acceptable level. Results: Out of 1794 researches that were published until September 2018, 89 articles and guidelines with full text were surveyed. 32 articles and guidelines were then selected and analyzed to collect the indicators related to hospital disaster resilience (HDR). Initially, the domains and the indicators were extracted from these selected researches. Conclusion: As our suggested model, the indicators categorized into three domains including constructive, infrastructural and also administrative resilience. Also, 27 subdomains proposed that the indicators were designed to be the component for each of them. Since diverse indicators affect hospital resilience, therefore, other studies should be conducted to propose some models or tools to quantify the hospital resilience in different countries and scopes with an all hazard approach. Key words: Disaster; Hospital; Resilience; Structural and non-structural systems; Indicators;
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