Measuring Personal Damage in a Large-Scale Disaster: A Review of the Reports Published by the Japanese Fire and Disaster Management Agency on the Great East Japan Earthquake and Tsunami.

OBJECTIVE: The study's aim is to identify the challenges in estimating personal damages in the early stages of a disaster. METHODS: The study reviewed personal damage data in the reports on the Great East Japan earthquake and tsunami published by Japanese public agencies from 2011 to 2020, including 159 situation reports by the Fire and Disaster Management Agency and 17 disaster-related indirect death reports by the Reconstruction Agency. The study compared the reported number of deaths, missing persons, and injuries with the latest statistics to evaluate how soon the disaster's real damages were estimated. RESULTS: The reported number of deaths significantly increased in the first 1.5 years, whereas the number of missing persons spiked in the first 30 days. It required approximately 1 year until the numbers approximated the current reference rate. The total casualties included 3739 indirect deaths. CONCLUSION: The results indicated an overestimation of missing persons, a possible underestimation of injuries, and the excess deaths due to indirect causes that complicated the estimation. The limitations of the current data collection approaches are the delay in reporting from the field and incomplete and unreliable information. A novel system is proposed, which directly collects data from all affected individuals anonymously.

[Compensation of damage in cancerology]. / Réparation du dommage en cancérologie.

In a few situations, the consequences secondary to a carcinological pathology require an assessment of damages for compensatory purposes. This is particularly the case when liable parties have been found to be at cause of the disease: occupational pathologies in the case of inexcusable employer's fault, exposure to a radioactive risk, for example in the context of full compensation for damages suffered by the victims of nuclear experiments performed by France, or lastly, in the after-effects of late diagnosis. This article does not discuss the imputability of cancer pathologies to an event, but it proposes an adaptation of methods for assessing damages, in an attempt to provide full compensation for damages.

Medico-legal assessment of personal damage in older people: report from a multidisciplinary consensus conference.

Ageing of the global population represents a challenge for national healthcare systems and healthcare professionals, including medico-legal experts, who assess personal damage in an increasing number of older people. Personal damage evaluation in older people is complex, and the scarcity of evidence is hindering the development of formal guidelines on the subject. The main objectives of the first multidisciplinary Consensus Conference on Medico-Legal Assessment of Personal Damage in Older People were to increase knowledge on the subject and establish standard procedures in this field. The conference, organized according to the guidelines issued by the Italian National Institute of Health (ISS), was held in Bologna (Italy) on June 8, 2019 with the support of national scientific societies, professional organizations, and stakeholders. The Scientific Technical Committee prepared 16 questions on 4 thematic areas: (1) differences in injury outcomes in older people compared to younger people and their relevance in personal damage assessment; (2) pre-existing status reconstruction and evaluation; (3) medico-legal examination procedures; (4) multidimensional assessment and scales. The Scientific Secretariat reviewed relevant literature and documents, rated their quality, and summarized evidence. During conference plenary public sessions, 4 pairs of experts reported on each thematic area. After the last session, a multidisciplinary Jury Panel (15 members) drafted the consensus statements. The present report describes Conference methods and results, including a summary of evidence supporting each statement, and areas requiring further investigation. The methodological recommendations issued during the Conference may be useful in several contexts of damage assessment, or to other medico-legal evaluation fields.

La memoria comunicativa y los temas de la memoria colectiva de la crisis de 2001 en Argentina, según generaciones, ideología política y afectación / Communicative memory and the themes of the collective memory of the 2001 crisis in Argentina, across generations, political ideology and degree of personal damage

Resumen El desarrollo de estudios en torno a la memoria colectiva da lugar a la consideración de nuevas elaboraciones y distinciones en su composición. De estas últimas, hay dos que son relevantes al presente estudio. La primera, en relación a la fuente del recuerdo, distingue entre una memoria comunicativa y una memoria cultural. La segunda, en relación al tipo de recuerdo, distingue entre la memoria colectiva semántica vivida (MCSV) y la memoria colectiva semántica distante (MCSD). También se considera la forma de afectación que han tenido los hechos sobre los participantes y la autocategorización ideológica/política de los participantes. El presente estudio aborda cómo los factores tipo de recuerdo, afectación e ideología influyeron en el contenido del recuerdo colectivo de la crisis de 2001, considerando a los temas/ideas principales. 80 participantes respondieron a una tarea de recuerdo libre. Se llevaron a cabo múltiples Análisis de la Varianza (ANOVAs). Los resultados muestran que los distintos grupos (MCSV y MCSD; Afectados Directamente e Indirectamente; Derecha e Izquierda) comparten los mismos contenidos, caracterizados por una descripción de hechos y por una ausencia de contextualización de los mismos. Las pocas diferencias tienden a mostrar un clima emocional y social de la época, ofrecido por aquellos participantes con recuerdos vividos y afectados indirectamente. No se encontraron diferencias en función de la autocategorización ideológica/política. Esta falta de diferencias se explicaría por las características propias de una memoria a predominio comunicativo, como la de la crisis de 2001, que no promovería la elaboración de contextos en la memoria colectiva.

Abstract Among the distinctions in the field of collective memory studies, there is one that refers to the source of the memories, and is growing in force and importance: that is, the distinction between communicative and cultural memories. Another important distinction refers to the type of memories that constitute collective memories, and is the one between Lived Semantic Collective Memory and Distant Semantic Collective Memory. Another two important factors are the ideology of the rememberer and how was the rememberer affected by the crisis. The present study aims to investigate how the last three factors (type of memory, being affected or not, and ideology) influenced the content of collective recall of the 2001 crisis, considering themes/main ideas as dependent variables. As national memories allow us to study collective memory, the present study is focused on the memories Argentinians have of the economic, political and social crisis of 2001. This is considered the most profound economic and financial crisis in Argentina´s recent history. After years of economic recession, the crisis was triggered by an economic measure called "corralito," which almost completely froze bank accounts and thereby prevented people from withdrawing their money. Demonstrations and protests followed, which contributed to the resignation of President Fernando de la Rúa after he declared a state of siege. Police action resulted in more than 30 deaths. Institutional and political chaos and a succession of five Presidents in one week followed De la Rúa's resignation. Despite its magnitude, there is not a cultural memory constituted around this event. For example, there are only a few books, films, memorials or monuments on this event, it has received little attention in High School history curricula, and there is not a national commemorative day. That is why it is considered an event around which people have predominantly a communicative memory. Conversely, the 1976 coup d´état and the military dictatorship that followed has led to the development of a cultural memory (for example, there are many books, movies, monuments or memorials, and a national commemorative day). In the present study, participants´ memories about the 2001 crisis are considered. Eighty participants responded to a free-recall task about the crisis. Two groups of forty participants were conformed, one with Lived Semantic Collective Memory and the other with Distant Semantic Collective Memory. At the same time, half of the members of each of these groups were directly affected by the crisis, and the other half was indirectly affected. The political ideology of the participants in terms of right and left is also considered. The dependent variables were the themes or main ideas that constitute the participants recall of the 2001 crisis. Multiple Anova´s were performed. Results showed that participants with Lived Semantic Collective Memories and indirectly affected remembered themes/main ideas which offered information regarding the social and emotional climate of that period or, in the case of those with Lived Semantic Collective Memories, a themes/main idea that assigned responsibilities for the crisis. We found no differences as a function of ideology. But most importantly, results show a predominant lack of differences in the themes/main ideas remembered by different groups. Overall, the recall is mostly composed of themes/main ideas that are mostly descriptive of the different facts that took place during the 2001 crisis. There are no differences for themes/main ideas that offered a more contextualized recall. In general, results are explained in terms of the kind of memories promoted by communicative memories, which are less elaborated, more emotional and composed mostly of facts. In contrast, cultural memories seem to offer a more contextualized version, with causes and consequences that explain the facts.

A novel methodology for the objective ascertainment of psychic and existential damage.

Personal injury is a legal term for a physical or psychic injury suffered by the plaintiff under civil and/or tort law. With reference to non-pecuniary damages, the evidence itself of physical and/or psychic injury is not sufficient for damage compensation. The process of ascertaining impairments and/or disabilities which pertain to the "personal sphere" of the individual, such as pain and suffering, loss of amenity, and/or psycho-existential damage, poses particular difficulties in relation to the obtainment of scientific evidence. The "immateriality" and the subjective connotation of the personal sphere are, in themselves, critical issues. The clinical data obtained from the neuropsychological ascertainment find their essential prerequisite in the active participation of the examinee who, in legally relevant contexts (criminal law, civil law, insurance), may be "affected" by personal interests. The present manuscript presents a novel interdisciplinary methodology, experimented on a series of judicial and extra-judicial cases, aimed at the attainment of objectivity and accuracy eligible in relation to the judicial settlement of cases and other matters involving the ascertainment of peculiar aspects of non-pecuniary damage.

Whiplash-Associated Disorders : Clinical and medico-legal guidelines on the methods of ascertainment.

The manuscript presents the International Guidelines developed by the Working Group on Personal Injury and Damage under the patronage of the International Academy of Legal Medicine (IALM) regarding the Methods of Ascertainment of any suspected Whiplash-Associated Disorders (WAD).The document includes a detailed description of the logical and methodological steps of the ascertainment process as well as a synoptic diagram in the form of Flow Chart.

Padova Charter on personal injury and damage under civil-tort law : Medico-legal guidelines on methods of ascertainment and criteria of evaluation.

Compensation for personal damage, defined as any pecuniary or non-pecuniary loss causally related to a personal injury under civil-tort law, is strictly based on the local jurisdiction and therefore varies significantly across the world. This manuscript presents the first "International Guidelines on Medico-Legal Methods of Ascertainment and Criteria of Evaluation of Personal Injury and Damage under Civil-Tort Law". This consensus document, which includes a step-by-step illustrated explanation of flow charts articulated in eight sequential steps and a comprehensive description of the ascertainment methodology and the criteria of evaluation, has been developed by an International Working Group composed of juridical and medico-legal experts and adopted as Guidelines by the International Academy of Legal Medicine (IALM).

The characteristics of injuries and medical protection in nuclear terror raid / 解放军医学杂志

In the present and future, nuclear terror raid may be tremendously hazardous to human health and social security. The governments of many countries have already established specific organizations to strike and smash nuclear terror raid. The government of our country also pays high attention to it. In order to help people understand and prevent the nuclear terror raid, the article summarizes the effects of each injurious factor, kinds and ranges of injurious effects, medical prevention and treatment at the scene of nuclear terror raid.