Effective Evacuation Route Strategy during Natural Disaster

Nowadays, most of the countries around the world encounter affect of disasters. Disaster can occur anytime and anywhere, without giving any alarm or message. During the disaster, the rapid response and recovery activities are critical issues to save lives and properties. The effective response actions play vital role in the disaster situation because the large amount of properties and valuable lives are depending on it. But, the rescue teams and emergency organizations have many problems and delays to give the effective response to the victim areas. To reduce the risk and damage, identifying the best evacuation routes for the recuse teams is vital. The proposed system provides not only the recuse teams which locate near the victim area but also the best evacuation routes to move people from the hazard place to the safe places. This paper describes a web-based application for the best evacuation route assessment during natural disaster

The pale evidence for treatment of iron-deficiency anaemia in older people

Funding The authors have received funding to carry out a pilot RCT on management of IDA in older people from the Chief Scientist Office, Scotland.Peer reviewedPostprin

Should bone mineral content be part of the equation for assessing fracture risk in patients with Cerebral Palsy

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A Review of Frailty Syndrome and Its Physical, Cognitive and Emotional Domains in the Elderly

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Association between osteoarthritis and cardiovascular disease: systematic review and meta-analysis

Background: To examine for a possible relationship between osteoarthritis and cardiovascular disease (CVD). Design: A systematic review and meta-analysis Methods: Published and unpublished literature from: MEDLINE, EMBASE, CINAHL, the Cochrane Library, OpenGrey and clinical trial registers. Search to 22nd November 2014. Cohort, case-control, randomised and non-randomised controlled trial papers reporting the prevalence of CVD in osteoarthritis were included. Results: Fifteen studies with 32,278,744 individuals were eligible. Pooled prevalence for overall CVD pathology in people with osteoarthritis was 38.4% (95% Confidence interval (CI): 37.2% to 39.6%). Individuals with osteoarthritis were almost three times as likely to have heart failure (Relative Risk (RR): 2.80; 95% CI: 2.25 to 3.49) or ischaemic heart disease (RR: 1.78; 95% CI: 1.18 to 2.69) compared to matched non-osteoarthritis cohorts. No significant difference was detected between the two groups for the risk of experiencing myocardial infarction or stroke. There was a three-fold decrease in the risk of experiencing a transient ischaemic attack in the osteoarthritis cohort compared to the non-osteoarthritis group. Conclusions: Prevalence of CVD in patients with OA is significant. There was an observed increased risk of incident heart failure and ischaemic heart disease in people with OA compared to matched controls. However the relationship between OA and CVD is not straight-forward and there is a need to better understand the potential common pathways linking pathophysiological mechanisms

Author Reply : The relationship between alcohol intake and falls

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Early weight loss in parkinsonism predicts poor outcomes : evidence from an incident cohort study

This study was funded by Parkinson’s UK, the Scottish Chief Scientist Office, NHS Grampian endowments, the BMA Doris Hillier award, RS Macdonald Trust, the BUPA Foundation, and the Special Parkinson’s Research Interest Group (SPRING). The Article Processing Charge was funded by Parkinson's UK.Peer reviewedPublisher PD

The Scottish Intercollegiate Guidelines Network (SIGN) 157: Guidelines on Risk Reduction and Management of Delirium : Communication

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Risk prediction models for mortality in community-acquired pneumonia : a systematic review

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Prevention and Treatment of Acute Stroke in the Nonagenarians and Beyond : Medical and Ethical Issues

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