Cancer Treatment Disruption by Residence Region in the Aftermath of Hurricanes Irma and María in Puerto Rico DOI Open Access
Francisco J. Muñoz‐Torres, Marievelisse Soto‐Salgado, Karen J. Ortiz‐Ortiz

и другие.

International Journal of Environmental Research and Public Health, Год журнала: 2024, Номер 21(10), С. 1334 - 1334

Опубликована: Окт. 8, 2024

Since 2017, Puerto Rico has faced environmental, economic, and political crises, leading to the emigration of healthcare workers weakening system. These challenges have affected cancer treatment continuity, exacerbating access island-wide. In this study, we estimate effect residence region on disruption following Hurricanes Irma María (2017). Telephone surveys were conducted with 241 breast colorectal patients aged 40 older who diagnosed within six months before hurricanes receiving at time hurricanes. Treatment was defined as any pause in surgery, chemotherapy, radiotherapy, or oral due Prevalence ratios (PRs) by estimated using San Juan Metropolitan Area (SJMA) reference. Fifty-nine percent respondents reported disruption; among them, half experienced disruptions lasting more than 30 days, 14% these enduring longer 90 days. Adjusted models showed a 48% higher prevalence outside SJMA (PR = 1.48, 95% CI: 1.06-2.07). Specific geographic regions (Arecibo, Bayamón, Caguas, Mayagüez) exhibited prevalence. findings emphasize need for disaster preparedness strategies that ensure equitable all environmental calamities.

Язык: Английский

A digital heat early warning system for older adults DOI Creative Commons
M.M. Oberai, Zhiwei Xu, Aaron J. E. Bach

и другие.

npj Digital Medicine, Год журнала: 2025, Номер 8(1)

Опубликована: Фев. 20, 2025

Abstract Extreme heat events lead to considerable health burden and are becoming more severe frequent, calling for the development of effective population-based individualised early warning systems. We developed an system tested it in 78 older adults’ ( ≥ 65 years) homes Southeast Queensland, Australia. Quantitative qualitative data from this proof-of-concept testing study showed that Ethos performed well on a standard usability scale (mean score System Usability Scale). Following summer-time use system, there were increases preparedness P < 0.001, marginal homogeneity tests) but no significant risk perception or uptake low-cost cooling measures (e.g., hand/forearm bath, fans). This research demonstrated tailored, actionable, real-time digital although effectiveness remains be evaluated robust trial design.

Язык: Английский

Процитировано

1
Public Perceptions of Climate Risks, Vulnerability, and Adaptation Strategies: Fuzzy Cognitive Mapping in Irish and Spanish Living Labs DOI Creative Commons
Ananya Tiwari, Luís Campos Rodrigues,

Sudha-Rani Nalakurthi

и другие.

Environmental and Sustainability Indicators, Год журнала: 2025, Номер unknown, С. 100678 - 100678

Опубликована: Апрель 1, 2025

Язык: Английский

Процитировано

0
Assessment of the spatial and temporal dynamics of food system resilience and its response to natural hazards DOI

Xinjun He,

Yiping Fang, Baosheng Wang

и другие.

International Journal of Disaster Risk Reduction, Год журнала: 2024, Номер 112, С. 104781 - 104781

Опубликована: Авг. 24, 2024

Язык: Английский

Процитировано

2
Public Perceptions of Climate Risks, Vulnerability, and Adaptation Strategies: Fuzzy Cognitive Mapping in Irish and Spanish Living Labs DOI
Ananya Tiwari, Luís Campos Rodrigues,

Sudha-Rani Nalakurthi

и другие.

Опубликована: Янв. 1, 2024

Язык: Английский

Процитировано

0
Public Perceptions of Climate Risks, Vulnerability, and Adaptation Strategies: Fuzzy Cognitive Mapping in Irish and Spanish Living Labs DOI
Ananya Tiwari, Luís Campos Rodrigues,

Sudha-Rani Nalakurthi

и другие.

Опубликована: Янв. 1, 2024

Язык: Английский

Процитировано

0
Cancer Treatment Disruption by Residence Region in the Aftermath of Hurricanes Irma and María in Puerto Rico DOI Open Access
Francisco J. Muñoz‐Torres, Marievelisse Soto‐Salgado, Karen J. Ortiz‐Ortiz

и другие.

International Journal of Environmental Research and Public Health, Год журнала: 2024, Номер 21(10), С. 1334 - 1334

Опубликована: Окт. 8, 2024

Since 2017, Puerto Rico has faced environmental, economic, and political crises, leading to the emigration of healthcare workers weakening system. These challenges have affected cancer treatment continuity, exacerbating access island-wide. In this study, we estimate effect residence region on disruption following Hurricanes Irma María (2017). Telephone surveys were conducted with 241 breast colorectal patients aged 40 older who diagnosed within six months before hurricanes receiving at time hurricanes. Treatment was defined as any pause in surgery, chemotherapy, radiotherapy, or oral due Prevalence ratios (PRs) by estimated using San Juan Metropolitan Area (SJMA) reference. Fifty-nine percent respondents reported disruption; among them, half experienced disruptions lasting more than 30 days, 14% these enduring longer 90 days. Adjusted models showed a 48% higher prevalence outside SJMA (PR = 1.48, 95% CI: 1.06-2.07). Specific geographic regions (Arecibo, Bayamón, Caguas, Mayagüez) exhibited prevalence. findings emphasize need for disaster preparedness strategies that ensure equitable all environmental calamities.

Язык: Английский

Процитировано

0