This study aimed to examine the compliance of post-disaster emergency assembly areas with their planning criteria in the Battalgazi district of Malatya province. This district is one of the settlements that was most affected by the two big earthquakes that occurred in Türkiye on 6 February 2023. The emergency assembly areas were evaluated qualitatively based on the criterion of “appropriateness”, with the sub-variables of “usability”, “accessibility”, and “safety”. They were also evaluated quantitatively based on the criterion of “adequacy” with the sub-variable “per capita m2”. There are a total of 103 neighborhoods in the district. However, there are only eight emergency assembly areas in total within its boundaries. According to the results of this study, only 7.5% of the current population of the district resides within 500 m of the emergency assembly areas. The fact that four emergency assembly areas (Hürriyet Park, Şehit Kemal Özalper High School, the Community Garden, Battalgazi Municipality) are situated next to each other and there are emergency assembly areas in only six of the 103 neighborhoods within the municipal boundaries shows that were significant problems in the decisions made regarding their locations. In addition, it was determined that there were disadvantages in terms of accessibility and usability within the criterion of appropriateness, while there were some positive aspects in terms of safety. When examined with regard to the criterion of adequacy, it was determined that the emergency assembly areas at Mişmiş Park, the Community Garden, Battalgazi Municipality, and Şehit Kemal Özalper High School were most adequate, while the emergency assembly areas at Hürriyet Park, Fırat Neighborhood Mukhtar, Nevzat Er Park, and 100 Yıl İmam Hatip Secondary School were least adequate.
Acute abdomen is a frequent clinical picture in emergency diagnostics. Pathologic changes of the female genital organs play an important role. Gynecologic emergencies threaten fertility and are potentially life-threatening. Many differential diagnoses must be considered in the diagnostic process, depending on the age of the patient and any pregnancy. In particular, acute gastrointestinal symptoms often cannot be differentiated from gynecologic emergencies on clinical examination. Here, imaging makes a significant contribution to narrowing the differential diagnosis, making treatment decisions, and monitoring therapy. This review article will discuss the central role of imaging in the context of common gynecologic emergencies.
The question of whether legal gun ownership is a positive security factor in the Czech Republic is subject to expert debate and depends on several factors, including available crime data, public attitudes, and the legal framework. Some argue that legal gun ownership can dissuade criminals because they know victims may be armed. Many advocates argue that the right to own guns is a fundamental right that should be protected. Sometimes, it is difficult to clearly demonstrate that legal gun ownership directly contributes to crime reduction. Statistical data can be interpreted in different ways. In contrast, the presence of guns can in some situations escalate conflicts that could otherwise be resolved nonviolently. In the Czech Republic, legal gun ownership is relatively strictly regulated. Citizens must meet the conditions established by law, including criminal integrity and passing a theoretical-practical examination of professional competence. This regulation aims to ensure that only responsible and qualified individuals own guns. Therefore, the presented article discusses legal gun ownership as an internal factor of state security. Using statistical data, it analyses the amount of violent crime committed with firearms in relation to the possibility of holding and carrying a gun in the conditions of the Czech Republic and in selected EU countries. Furthermore, with the help of a questionnaire survey, it identifies that legal gun ownership can be considered a positive safety factor in certain situations, if it is associated with strict regulation and a responsible attitude of gun owners. The resulting effect on security depends on a combination of legal frameworks, gun culture, and effective law enforcement.
Focused Assessment with Sonography for Trauma (FAST) has been widely used and studied in blunt and penetrating trauma for the past 3 decades. Prior to FAST, invasive procedures such as diagnostic peritoneal lavage and exploratory laparotomy were commonly used to diagnose intra-abdominal injuries. Today, the FAST examination has evolved into a more comprehensive study of the abdomen, heart, thorax, inferior vena cava, among others, with many variations in technique, protocols and interpretation. Trauma management strategies such as laparotomy, endoscopy, computed tomography angiography, angiographic intervention, serial imaging and clinical observation have also changed over the years. This technique, at times, has managed to replace computed tomography and peritoneal lavage diagnosis, without producing delays in the surgical procedure. As such, the relationship between the patient’s clinical information and the results of the exam should be guided to guide therapeutic approaches in difficult to access settings such as intensive care units in war zones, rural or remote locations where other imaging methods are not available. This review will discuss the evolution of the FAST exam to its current status and evaluate its evolving role in the acute management of the trauma patient.
Given the rising threat of terror attacks and the increasing frequency of natural disasters attributed to climate change, enhancing evacuation capacities in various spaces has become crucial for saving lives and accelerating recovery processes. This study investigates the influence of altruistic behavior on evacuation efficiency by developing a social force model that categorizes individuals into three demographic groups: youth, middle-aged, and seniors. Simulation experiments based on the model were conducted to evaluate the impact of altruistic behavior on evacuation efficiency under different conditions, such as evacuation capacity, reliability, and recovery time. The simulation results show that a higher probability of falling leads to longer evacuation times. While an increase in the probability of altruistic behavior improves evacuation efficiency, excessive altruistic behavior causes evacuation times to vary in a zigzag pattern. When the help range exceeds 0.7m, evacuation efficiency fluctuates without a clear trend of improvement.
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