Responding to physical and psychological health impacts of disasters: case study of the Iranian disaster rehabilitation plan.

This paper describes the process of developing a national pre-disaster plan for physical health and psychological rehabilitation of disaster-stricken communities. Data gathered from a literature review and expert panel discussions informed the process of drawing up unified definitions of physical and psychological health rehabilitation, carrying out stakeholder and STEEP-V analyses, and assigning the responsible organization and the collaborative organizations for each task. The Ministry of Health and the Welfare Organization were selected as the two responsible organizations. Integrated management at all levels, and sharing information, education and funding, were identified as ways to improve stakeholders' participation and collaboration. A system is needed for evaluating the implementation of the disaster rehabilitation plan, using valid and reliable indicators.

Responding to physical and psychological health impacts of disasters:case study of the Iranian disaster rehabilitation plan

This paper describes the process of developing a national pre-disaster plan for physical health and psychological rehabilitation of disaster-stricken communities.Data gathered from a literature review and expert panel discussions informed the process of drawing up unified definitions of physical and psychological health rehabilitation,carrying out stakeholder and STEEP-V analyses,and assigning the responsible organization and the collaborative organizations for each task.The Ministry of Health and the Welfare Organization were selected as the two responsible organizations.Integrated management at all levels,and sharing information,education and funding,were identified as ways to improve stakeholders' participation and collaboration.A system is needed for evaluating the implementation of the disaster rehabilitation plan,using valid and reliable indicators

La presente etude decrit le processus d'elaboration d'un plan national de preparation aux catastrophes naturelles pour la sante physique et la rehabilitation psychologique des populations frappees par les catastrophes.Ees donnees collectees a partir d'une analyse documentaire et de groupes de discussions d'experts ont permis la redaction de definitions unifiees en matiere de rehabilitation au plan de la sante physique et mentale,la conduite d'analyses des parties prenantes et d'analyses PEST[E]-V [politique,economique,sociologique,technologique et ecologique,et questions liees aux valeurs], et I'attribution de chaque tache a I'organisation responsable et aux organisations collaborates.Ee ministere de la Sante et l'Organisation de protection sociale ont ete designees comme les deux entites responsables.Une prise en charge integree a tous les niveaux,le partage de l'information,I'education et Taide financiere ont ete identifies comme les moyens de renforcer la participation et la collaboration des parties prenantes.E'etablissement d'un systeme est requis pour evaluer la mise en oeuvre du plan de relevement post-catastrophe a I'appui d'indicateurs valables et fiables

Evaluation of three imaging techniques for the detection of vertical root fractures in the absence and presence of gutta-percha root fillings.

AIM: To compare the accuracy of digital radiography (DR), multidetector computed tomography (MDCT) and cone beam computed tomography (CBCT) in detecting vertical root fractures (VRF) in the absence and presence of gutta-percha root filling. METHODOLOGY: The root canals of 100 extracted human single-rooted teeth were prepared and randomly divided into four groups: two experimental groups with artificially fractured root and two intact groups as controls. In one experimental and one control group, a size 40, 0.04 taper gutta-percha cone was inserted in the root canals. Then DR, MDCT and CBCT were performed and the images evaluated. Statistical analyses of sensitivity, specificity and accuracy of each imaging technique in the presence and absence of gutta-percha were calculated and compared. RESULTS: In the absence of gutta-percha, the specificity of DR, MDCT and CBCT was similar. CBCT was the most accurate and sensitive imaging technique (P < 0 .05). In the presence of gutta-percha, the accuracy of MDCT was higher than the other imaging techniques (P < 0.05). The sensitivity of CBCT and MDCT was significantly higher than that of DR (P < 0.05), whereas CBCT was the least specific technique. CONCLUSIONS: Under the conditions of this ex vivo study, CBCT was the most sensitive imaging technique in detecting vertical root fracture. The presence of gutta-percha reduced the accuracy, sensitivity and specificity of CBCT but not MDCT. The sensitivity of DR was reduced in the presence of gutta-percha. The use of MDCT as an alternative technique may be recommended when VRF are suspected in root filled teeth. However, as the radiation dose of MDCT is higher than CBCT, the technique could be considered at variance with the principles of ALARA.