Urban search and rescue operations (USAR) in collapsed buildings after the 2023 earthquake in Türkiye

The earthquakes that occurred in February 2023 in Türkiye had some of the worst consequences of recent years. The Turkish authorities first deployed local resources and then appealed for international help. The International Search and Rescue Group of the United Nations aims to establish minimum international standards for search and rescue teams and a methodology for coordinating responses to earthquakes, tsunamis, and other natural disasters. A main concern of the group is to coordinate operations on the ground. This article offers perspectives on the epidemiology of earthquakes, the management of emergency response teams and Türkiye’s disaster management agency (AFAD); it also explains how rescues are carried out in collapsed buildings. The experience of Firefighters Without Borders after the recent earthquakes and a rescue that took 14 hours are also described.Instituto de Investigación Sanitaria del Principado de Asturias (ISPA

Novel Google Maps and Google Earth application for chemical industry disaster risk assessment during complex emergencies in Eastern Ukraine

Abstract The war in Ukraine has led to complex emergencies, humanitarian crises, and other severe consequences, such as chemical industry disasters. The chemical industry is one of the principal sectors of Ukraine’s economy. In 2019, Ukraine had a total volume of hazardous chemical accumulation of more than a 5.1billion tons. Therefore, an attack on chemical industrial facilities will lead to catastrophic consequences such as chemical disasters. This paper aims to study the disaster risk of chemical industrial facilities and its effects on public health and the environment during complex emergencies in Eastern Ukraine. Observational cross-sectional risk assessment method was utilized to assess hazard, vulnerability, and exposure of the chemical industry in Eastern Ukraine in Donetsk Oblast and Luhansk Oblast. Data on chemical factories in Eastern Ukraine was collected on Google Maps and Google Earth on May 2022. Lastly, the semi-quantitative risk assessment method was utilized to describe the risk from the perspective of consequences for life and health, the environment, property, and speed of development. Our disaster risk assessment found more than 1 million people (1,187,240 people) in Donetsk Oblast and more than 350 thousand people (353,716 people) in Luhansk Oblast are exposed to potential hazards from the chemical facilities clusters. The aggregation risk of bombardment of chemical facilities cluster in Eastern Ukraine is also high due to ongoing war. Therefore, the chemical industry disaster risks for Eastern Ukraine during complex emergencies in Donetsk Oblast and Luhansk Oblast are high in terms of likelihood and consequences to life and health, environment, property, and speed of development.Instituto de Investigación Sanitaria del Principado de Asturias (ISPA

Embarazo y enfermedades autoinmunes sistémicas. Hospital Universitario Central de Asturias

Protocolo del Servicio de Ginecología y Obstetricia Hospital Universitario Central de Asturias. Área Sanitaria IV

Ablación miomas por radiofrecuencia. Hospital Universitario Central de Asturias

Protocolo del Servicio de Obstetricia y Ginecología el HUCA. Área Sanitaria I

Plan de Acción de Gobierno Abierto 2022-2023 (Informe de valoración inicial)

Informe elaborado por la Universidad de Oviedo en colaboración con la Dirección General de de Gobernanza Pública, Transparencia, Participación Ciudadana y Agenda 2030.Este documento es un informe de evaluación inicial del proceso de diseño y co-creación entre el Gobierno del Principado de Asturias y representantes de la sociedad civil de los compromisos asumidos en el marco del I Plan de Acción Gobierno Abierto OGP 2022-23. La incorporación en mayo de 2022 del Principado de Asturias a la Alianza por el Gobierno Abierto (Open Government Partnership) tras un riguroso proceso de selección ha supuesto un importante avance en la ya consolidada tradición de su gobierno por su apertura a la sociedad y la transparencia en la comunicación de sus actividades. La Alianza OGP es una asociación que incluye a los gobiernos de más de setenta países y centenar y medio de gobiernos locales de todo el mundo, cuya misión central es trabajar por la idea de que un gobierno abierto es más accesible, receptivo y responsable ante los ciudadanos y de que mejorar la relación entre las personas y su gobierno tiene efectos positivos exponenciales a largo plazo para todos. A través de esta organización, agentes gubernamentales y no gubernamentales trabajan juntos para cocrear los denominados Planes de Acción, de carácter bianual, en los que se concretan y ejecutan una serie de compromisos relacionados con la transparencia, la participación de la sociedad y la rendición de cuentas pública. Desde su creación en 2011, OGP ha supervisado más de 4.000 compromisos a nivel mundial, cuya correcta implementación es supervisada y monitorizada por agencias independientes de evaluación a través de un proceso formal establecido por la propia OGP en sus manuales operativos. El objetivo de este mecanismo de revisión y monitoreo es crear un contexto en el que agentes gubernamentales, sociedad civil y agencia de evaluación interactúen de forma pautada, provocando un aprendizaje continuado y una mejora iterativa en la implementación de los compromisos asumidos por los gobiernos en materia de transparencia y gobierno abierto. Una de las primeras obligaciones de cada agencia independiente de evaluación, en el caso del presente documento el Grupo de Investigación GESPUB formado por Catedráticos y Profesores Titulares de las Universidades de Oviedo y de Extremadura, es la realización de un informe inicial sobre cómo se ha gestado el proceso de co-creación de cada Plan de Acción. Este informe inicial, que para los planes bianuales debe ser entregado en un plazo de dos meses tras el envío del Plan a OGP, se centra en evaluar el grado de cumplimiento de las recomendaciones ofrecidas por la Alianza para la incorporación de la sociedad civil al diseño de los compromisos, identificando potenciales progresos y favoreciendo así una mejora continuada de las actuaciones en materia de gobierno abierto

Point‑of‑care ultrasonography in diagnosing necrotizing fasciitis—a literature review

Abstract Introduction Necrotizing fasciitis (NF) is a rapidly progressive necrosis of the fascial layer with a high mortality rate. It is a life-threatening medical emergency that requires urgent treatment. Lack of skin finding in NF made diagnosis difficult and required a high clinical index of suspicion. The use of ultrasound may guide clinicians in improving diagnostic speed and accuracy, thus leading to improved management decisions and patient outcomes. This literature search aims to review the use of point-of-care ultrasonography in diagnosing necrotizing fasciitis. Method We searched relevant electronic databases, including PUBMED, MEDLINE, and SCOPUS, and performed a systematic review. Keywords used were “necrotizing fasciitis” or “necrotising fasciitis” or “necrotizing soft tissue infections” and “point-of-care ultrasonography” “ultrasonography” or “ultrasound”. No temporal limitation was set. An additional search was performed via google scholar, and the top 100 entry was screened. Results Among 540 papers screened, only 21 were related to diagnosing necrotizing fasciitis using ultrasonography. The outcome includes three observational studies, 16 case reports, and two case series, covering the period from 1976 to 2022. Conclusion Although the use of ultrasonography in diagnosing NF was published in several papers with promising results, more studies are required to investigate its diagnostic accuracy and potential to reduce time delay before surgical intervention, morbidity, and mortality.Instituto de Investigación Sanitaria del Principado de Asturias (ISPA

Análisis de la producción científica en el Área Sanitaria IV. Servicio de Salud del Principado de Asturias (2018-2022).

Este trabajo fin de máster pretende alcanzar el objetivo de conocer y analizar la producción científica del Área Sanitaria IV, del Servicio de Salud del Principado de Asturias, durante el periodo comprendido entre el 2018-2022. Se obtuvieron 3.808 registros, de los cuales solamente 3.501 procedían de una institución normalizada: El Hospital Universitario Central de Asturias (HUCA). Se utilizó para el análisis los indicadores disponibles en la Web of Science (WoS), y se analizaron con la suite de Incites y se utilizó como software de análisis de datos Biblioshiny. Para la visualización de las redes de colaboración se trabajó con la herramienta VOSviewer. Los resultados de la investigación reflejaron que la mayor parte de la producción científica se concentra en el Hospital Universitario Central de Asturias, siendo este un referente para Asturias en materia sanitaria. La tendencia de la colaboración es local, ya que la mayor parte de las instituciones con más documentos en colaboración son de organizaciones locales como son la Universidad de Oviedo y el Instituto de Investigación Sanitaria del Principado de Asturias (ISPA). Las áreas temáticas donde más se publica son Oncología y Cardiología; la autora con mayor número de publicaciones es Paula Jiménez-Fonseca. Con este trabajo se pretende aportar información a la institución para concienciar a los gestores de la importancia de conocer los patrones de comportamiento de su producción científica que puede servir para establecer una política científica a la hora de determinar proyectos, alianzas de colaboración y planes de formación para mejorar la situación del Servicio de Salud de Asturias.With this work the objective of knowing and analyzing the scientific production of the Health Area IV, of the Health Service of the Principality of Asturias, during the period from 2018-2022. A total of 3,808 records were obtained, of which only 3,501 came from a standardized institution: the Hospital Universitario Central de Asturias (HUCA). The indicators available in the Web of Science (WOS) were used for the analysis, and were analyzed with the Incites suite and Biblioshiny data analysis software. The VOSviewer tool was used to visualize the collaborative networks. The results of the research showed that most of the scientific production is concentrated in the Hospital Universitario Central de Asturias, which is a reference point for Asturias in the field of health. The tendency of collaboration is local, since most of the institutions with more documents in collaboration are local organizations such as the University of Oviedo and the Institute for Health Research of the Principality of Asturias (ISPA). Oncology and Cardiology are the most published thematic areas; the author with the highest number of publications is Paula Jiménez-Fonseca. The aim of this work is to provide information to the institution in order to make managers aware of the importance of knowing the behavioral patterns of its scientific production, which can be used to establish an appropriate methodology for the management of the institution

Effect of Mo content on the properties of graphite-MoC composites sintered by spark plasma sintering

Graphite–molybdenum–titanium powders prepared by colloidal processing technique were sintered by Spark Plasma Sintering (SPS). This material is proposed in this manuscript due to its potential interest as heat sink. The influence of the molybdenum content (2.5, 5.0 and 10.0 vol.%) on the thermal, electrical, and mechanical properties of the composite are studied to define the composite with the best properties. Thermal, electrical, and mechanical properties of the composite graphite–10 vol.% Mo–1 vol.% Ti (that are composites of graphite with molybdenum and titanium carbides after sintering) are significantly better than those ofthe composites with lower molybdenum contents (2.5 vol.% and 5 vol.%). This way, flexural strength, electrical conductivity, and thermal conductivity are 1.5, 7.8 and 18 times greater, respectively,than in the composite graphite–2.5 vol.% Mo–1 vol.% Ti. In the case of comparing with the composite graphite–5 vol.% Mo–1 vol.% Ti, flexural strength, electrical conductivity, and thermal conductivity are 1.2, 5.1 and 3.2 greater in the composite graphite–10 vol.% Mo–1 vol.% Ti, respectively.Daniel Fernández-González acknowledges the grant (Juan de la Cierva-Formación program) FJC2019-041139-I funded by MCIN/AEI/ 10.13039/501100011033 (Ministerio de Ciencia e Innovación, Agencia Estatal de Investigación). Juan Pinuela ˜ Noval acknowledges the Programa “Severo Ochoa” of Grants for Research and Teaching of the Principality of Asturias for the funds received for the elaboration of the Ph.D. Thesis (Ref: BP20 041)

Reduced Graphene Oxide Aerogels Cartridges for Solid Phase Extraction of Benzotriazoles

UV-benzotriazoles have been identified as water micropollutants that cause serious problems for human health and the environment. Their low concentration in water bodies complicates their detection by direct water analysis, slowing the corrective actions to avoid bioaccumulation. In this regard, the use of graphene-based materials with a high affinity for non-polar molecules has been demonstrated to be a potential tool for the optimal separation and concentration of this type of molecules in solid phase extraction (SPE) processes. This work evaluates the potential of novel reduced graphene oxide aerogels (rGO) as extractants of mixtures of three UV-benzotriazoles in water at low concentrations. These rGO aerogels incorporate graphenic domains into a tough structure of polymeric chains by adding graphene oxide during the synthesis of resorcinol-formaldehyde gels. Aerogels with a different content and ordering of graphenic domains were obtained and characterized using Raman, XRD, SEM and nitrogen adsorption isotherms (196 ºC). The rGO aerogels that performed better as solid phase extractants were those containing 60% rGO. Aerogels with lower rGO contents (40%) required a high-temperature (2000 C) treatment to render competitive results. The SPE methodology using selected rGO aerogels was optimized by varying the elution solvent, elution time and volume. The best performances, i.e., recoveries of 80–100% and enrichment factors of 12.5–50, were accomplished when using 0.8 mL of tetrahydrofuran (THF) as an elution solvent. As a result, a fast (10 min) and simple extraction method of UV-benzotriazoles in water was attained, achieving a detection limit of 1 ng /mL. Selected aerogels were finally tested for the SPE of spiked samples of river waters, showing a similar performance to that observed with synthetic mixtures