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Rehabilitation strategies after 2004 Aceh earthquake and tsunami disaster in Indonesia: Case report
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Abstracts / Annals of Physical and Rehabilitation Medicine 61S (2018) e435–e557
Disclosure of interest The authors have not supplied their declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1209 ISPR8-0851
2017 Bangladesh landslides: Physical rehabilitation perspective T. Uddin 1,∗ , T. Islam 1 , J. Goseny Jr. 2 Bangabandhu Sheikh Mujib Medical University, Physical Medicine and Rehabilitation, Dhaka, Bangladesh 2 Eastern VA Medical School, Sentara Center for Simulation and Immersive Learning SCSIL, Norfolk VA, USA ∗ Corresponding author. E-mail address: [email protected] (T. Uddin) 1
Introduction/Background This report characterizes traumatic rehabilitation injuries due to the 2017 Bangladesh landslides. Emergency care for rehabilitation conditions provided by field respondents, at receiving community treatment centers, district and at regional hospital(s) is described. Recommendations to improve rehabilitative care in future landslides are provided. Landslides are triggered by external processes including earthquakes, rainstorms, and slope disturbance by humans. Humans are highly vulnerable to the high energy forces of sliding earth and debris which can result in severe traumatic physical injury and death. Landslides triggered by torrential seasonal monsoon rain began early June 2017 and severely affected 42,000 persons in several hilly and coastal districts of Bangladesh. Material and method An electronic literature search was performed to identify relevant articles on landslides in Bangladesh, Southeast Asia, and other developing countries. Reports from government and non-governmental sources including relevant hospital admissions data were obtained and analyzed. Information was also obtained through personal communications with local health and emergency management officials and from local and international media sources Results The 2017 Bangladesh landslides resulted in 172 deaths and 11 missing persons. Thousands of persons received first aid from responding medical teams. Of the 194 persons admitted to district hospitals for severe injuries, 33.50% of injuries treated were musculoskeletal conditions. Twelve (12) persons with critical injuries including long bone fracture, spinal injury, and head injury were referred to a regional tertiary hospital for management by neurology, orthopedic surgery, physical Rehabilitation medicine and psychiatry specialists. Conclusion Landslides can result in severe traumatic injuries. Rehabilitative treatment with involvement of physiatrists should be provided at all levels of emergency care. Specialized rehabilitation response teams should be employed in landslides and other severe natural disasters in Bangladesh. Keywords Bangladesh landslides rehabilitation; Disaster Disclosure of interest The authors have not supplied their declaration of competing interest. Appendix A Appendix A Supplementary data Supplementary data associated with this article can be found, in the online version, at https://doi.org/10.1016/j.rehab.2018.05.1210. https://doi.org/10.1016/j.rehab.2018.05.1210 ISPR8-1544
Rehabilitation strategies after 2004 Aceh earthquake and tsunami disaster in Indonesia: Case report
W. Kusumaningsih ∗ , N. Murdana , H. Purba , A. Wanarani Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Department of Rehabilitation Medicine, Jakarta, Indonesia ∗ Corresponding author. E-mail address: [email protected] (W. Kusumaningsih)
Introduction/Background December 26, 2004 an earthquake with a magnitude of 8,9 SR US followed by tsunami has hit the west and north coast of Nangroe Aceh Darussalam (NAD) province and North Sumatra region in Indonesia. Hundreds of thousands has been dead, many more have been injured, it also caused damaged to almost every infrastructures including health services. Health problem related to earthquake and tsunami other than respiratory problems are multiple bone fractures, peripheral nerve injuries, severe infected wounds, gangrenes that often lead to amputation of the injured limbs. The only rehabilitation centre in Aceh province at Zainoel Abidin hospital in Banda Aceh, have been damaged seriously including all equipments for mobility and the prosthesis-orthosis workshop. Many limb amputee persons, has great need for prosthesis so they can walk and do their daily living activity. Prosthesis manufactures need special skill and are individually design. Material and method After early assessment, a special rehabilitation medicine team together with an international NGO, work for relief after disaster, made and distribute free prosthetic-orthotics. Results From April 24, 2005 till March 29, 2006 the rehabilitation medicine team and prosthetic-orthotic technicians has made seven visits to Banda Aceh and approximately for three to four days on each visit. The team made and give one hundred fifty (150) free prosthesis-orthosis appliances for 134 amputee. All these prosthetic-orthotic appliances was made at the orthotic-prosthetic laboratory. Department of Rehabilitation Medicine, Cipto Mangunkusumo teaching hospitals in Jakarta. Conclusion There is a great need to rebuilt rehabilitation medicine services in Aceh with its infrastructures, equipments and specialized trained person such as rehabilitation medicine specialist and prosthetic-orthotic technician. Long-term plan from rehabilitation medicine view are to develop a mobile limb workshop for rehabilitation medicine services, so an outreach program can be done more effectively. Keywords Tsunami and earthquake; Limb amputee; Rehabilitation medicine disaster team Disclosure of interest The authors have not supplied their declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1211
D2.05 Comprehensive rehabilitation intervention research–Technology transfer ISPR8-2163
Development of an English-language version of a Japanese iPad application to enhance person-centered goal setting in rehabilitation W.M. Levack 1,∗ , K. Tomori 2 , K. Takahashi 3 University of Otago, Medicine, Wellington, New Zealand 2 Tokyo University of Technology, Department of Occupational therapy, School of Health Science, Tokyo, Japan 3 Kitasato University, Department of Occupational Therapy, School of Allied Health Science, Kanagawa, Japan ∗ Corresponding author. E-mail address: [email protected] (W.M. Levack)
1
Introduction/Background Person-centered goal setting is considered a core part of the rehabilitation process. However, barriers to patient involvement in goal selection exist, including: cognitive and communicative impairments; tendencies for rehabilitation professional to control and direct the goal selection process; and difficulties some patients have with identifying meaningful goals that are relevant to rehabilitation. The aim of this study was to
Abstracts / Annals of Physical and Rehabilitation Medicine 61S (2018) e435–e557
Disclosure of interest The authors have not supplied their declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1209 ISPR8-0851
2017 Bangladesh landslides: Physical rehabilitation perspective T. Uddin 1,∗ , T. Islam 1 , J. Goseny Jr. 2 Bangabandhu Sheikh Mujib Medical University, Physical Medicine and Rehabilitation, Dhaka, Bangladesh 2 Eastern VA Medical School, Sentara Center for Simulation and Immersive Learning SCSIL, Norfolk VA, USA ∗ Corresponding author. E-mail address: [email protected] (T. Uddin) 1
Introduction/Background This report characterizes traumatic rehabilitation injuries due to the 2017 Bangladesh landslides. Emergency care for rehabilitation conditions provided by field respondents, at receiving community treatment centers, district and at regional hospital(s) is described. Recommendations to improve rehabilitative care in future landslides are provided. Landslides are triggered by external processes including earthquakes, rainstorms, and slope disturbance by humans. Humans are highly vulnerable to the high energy forces of sliding earth and debris which can result in severe traumatic physical injury and death. Landslides triggered by torrential seasonal monsoon rain began early June 2017 and severely affected 42,000 persons in several hilly and coastal districts of Bangladesh. Material and method An electronic literature search was performed to identify relevant articles on landslides in Bangladesh, Southeast Asia, and other developing countries. Reports from government and non-governmental sources including relevant hospital admissions data were obtained and analyzed. Information was also obtained through personal communications with local health and emergency management officials and from local and international media sources Results The 2017 Bangladesh landslides resulted in 172 deaths and 11 missing persons. Thousands of persons received first aid from responding medical teams. Of the 194 persons admitted to district hospitals for severe injuries, 33.50% of injuries treated were musculoskeletal conditions. Twelve (12) persons with critical injuries including long bone fracture, spinal injury, and head injury were referred to a regional tertiary hospital for management by neurology, orthopedic surgery, physical Rehabilitation medicine and psychiatry specialists. Conclusion Landslides can result in severe traumatic injuries. Rehabilitative treatment with involvement of physiatrists should be provided at all levels of emergency care. Specialized rehabilitation response teams should be employed in landslides and other severe natural disasters in Bangladesh. Keywords Bangladesh landslides rehabilitation; Disaster Disclosure of interest The authors have not supplied their declaration of competing interest. Appendix A Appendix A Supplementary data Supplementary data associated with this article can be found, in the online version, at https://doi.org/10.1016/j.rehab.2018.05.1210. https://doi.org/10.1016/j.rehab.2018.05.1210 ISPR8-1544
Rehabilitation strategies after 2004 Aceh earthquake and tsunami disaster in Indonesia: Case report
W. Kusumaningsih ∗ , N. Murdana , H. Purba , A. Wanarani Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Department of Rehabilitation Medicine, Jakarta, Indonesia ∗ Corresponding author. E-mail address: [email protected] (W. Kusumaningsih)
Introduction/Background December 26, 2004 an earthquake with a magnitude of 8,9 SR US followed by tsunami has hit the west and north coast of Nangroe Aceh Darussalam (NAD) province and North Sumatra region in Indonesia. Hundreds of thousands has been dead, many more have been injured, it also caused damaged to almost every infrastructures including health services. Health problem related to earthquake and tsunami other than respiratory problems are multiple bone fractures, peripheral nerve injuries, severe infected wounds, gangrenes that often lead to amputation of the injured limbs. The only rehabilitation centre in Aceh province at Zainoel Abidin hospital in Banda Aceh, have been damaged seriously including all equipments for mobility and the prosthesis-orthosis workshop. Many limb amputee persons, has great need for prosthesis so they can walk and do their daily living activity. Prosthesis manufactures need special skill and are individually design. Material and method After early assessment, a special rehabilitation medicine team together with an international NGO, work for relief after disaster, made and distribute free prosthetic-orthotics. Results From April 24, 2005 till March 29, 2006 the rehabilitation medicine team and prosthetic-orthotic technicians has made seven visits to Banda Aceh and approximately for three to four days on each visit. The team made and give one hundred fifty (150) free prosthesis-orthosis appliances for 134 amputee. All these prosthetic-orthotic appliances was made at the orthotic-prosthetic laboratory. Department of Rehabilitation Medicine, Cipto Mangunkusumo teaching hospitals in Jakarta. Conclusion There is a great need to rebuilt rehabilitation medicine services in Aceh with its infrastructures, equipments and specialized trained person such as rehabilitation medicine specialist and prosthetic-orthotic technician. Long-term plan from rehabilitation medicine view are to develop a mobile limb workshop for rehabilitation medicine services, so an outreach program can be done more effectively. Keywords Tsunami and earthquake; Limb amputee; Rehabilitation medicine disaster team Disclosure of interest The authors have not supplied their declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1211
D2.05 Comprehensive rehabilitation intervention research–Technology transfer ISPR8-2163
Development of an English-language version of a Japanese iPad application to enhance person-centered goal setting in rehabilitation W.M. Levack 1,∗ , K. Tomori 2 , K. Takahashi 3 University of Otago, Medicine, Wellington, New Zealand 2 Tokyo University of Technology, Department of Occupational therapy, School of Health Science, Tokyo, Japan 3 Kitasato University, Department of Occupational Therapy, School of Allied Health Science, Kanagawa, Japan ∗ Corresponding author. E-mail address: [email protected] (W.M. Levack)
1
Introduction/Background Person-centered goal setting is considered a core part of the rehabilitation process. However, barriers to patient involvement in goal selection exist, including: cognitive and communicative impairments; tendencies for rehabilitation professional to control and direct the goal selection process; and difficulties some patients have with identifying meaningful goals that are relevant to rehabilitation. The aim of this study was to