洪水淹没和隔离对透析护理的获得有不同的影响
Jennifer A Horney1, Utkarsh Gangwal2, Shangjia Dong2
1Epidemiology Program, University of Delaware, Newark, Delaware. ORCID: https://orcid. org/0000-0003-3060-0894.
American journal of disaster medicine
|December 9, 2024
概括
洪水威胁到德拉华州的透析护理服务. 六个设施面临洪水,三个孤立,不成比例地影响弱势群体,突出不公平的护理分配.
科学领域:
- 环境健康 环境健康
- 公共卫生准备 公共卫生准备
- 医疗保健中的地理信息系统 (GIS)
背景情况:
- 对于末期病患者来说,获得透析护理至关重要.
- 洪水事件对医疗保健基础设施和患者访问构成重大威胁.
- 了解空间风险对于减轻破坏至关重要.
研究的目的:
- 评估洪水对特拉华州透析护理可及性的影响.
- 为了比较与洪水淹没和隔离相关的当前和未来风险.
- 确定易受伤害的人口和处于风险的地理区域.
主要方法:
- 一个使用GIS绘图的横截面研究.
- 分析包括100年的洪水平原,交通网络和透析中心的位置.
- 量化道路关闭,设施隔离和受影响的人口.
主要成果:
- 预计在一次事件期间,六个透析设施将被淹没,另外三个设施将被隔离.
- 目前透析护理服务的分配在全州范围内不公平.
- 社会脆弱群体面临的风险不成比例地更高.
结论:
- 对透析护理的洪水影响进行映射对于风险识别至关重要.
- 强调地理差异和易受服务中断影响的弱势群体.
- 为透析中心的有针对性的准备和缓解策略提供信息.
相关概念视频
Dialysis
264
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
264
Heart Failure Drugs: Diuretics
340
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
340
Renal Failure: Dose Adjustments
63
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
63
Renal Tubule and Collecting Duct
789
The renal tubule is divided into three parts: the proximal convoluted tubule (PCT), the Loop of Henle (LOH), and the distal convoluted tubule (DCT).
Proximal Convoluted Tubule (PCT):
The PCT is the initial segment of the renal tubule, extending from the Bowman's capsule that encloses the glomerulus. Its convoluted structure and microvilli-lined cells increase the surface area for reabsorption. The PCT reabsorbs glucose, amino acids, sodium, and water from the filtrate, ensuring essential...
Proximal Convoluted Tubule (PCT):
The PCT is the initial segment of the renal tubule, extending from the Bowman's capsule that encloses the glomerulus. Its convoluted structure and microvilli-lined cells increase the surface area for reabsorption. The PCT reabsorbs glucose, amino acids, sodium, and water from the filtrate, ensuring essential...
789
Factors Affecting Renal Clearance: Renal Impairment
53
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
53
Applications of GIS: Disaster Management and Emergency Response
37
Geographic Information System (GIS) technology is essential for risk identification, action prioritization, and resource optimization in critical situations like flooding and earthquakes. By integrating spatial and demographic data, GIS provides a comprehensive framework for emergency response.GIS integrates data layers, like rainfall intensity, topography, elevation profiles, and river levels, to model high-risk flood zones. These layers assess areas susceptible to flooding based on their...
37


