Medicine of catastrophes

The creation in Ukraine of a state service for medicine of catastrophes stipulated the necessity for this service to be in a state of everyday readiness to implement the functions laid on it, above all things the operative management of extraordinary situations. 

Voloshyn V. A., Terentyeva A. V., Terentyev A. V. Modem directions of development of the automated control systems by government service of medicine of catastrophes // Announcer of social hygiene and organization of health protection of Ukraine. - 2000. -N°3. - P. 37-40... 

Kolyada A. A., Kochin I. V., Sydorenko P. I. Problems of prognostication of possible sanitary losses from extraordinary situations with the use of the expertly-deliberative computer system of // The Organizational, medical-pharmaceutical and methodical aspects of medicine of catastrophes. Materials of allukrainian scientifically-practical conference. Temopil.-2005.-P. 30-31... 

Rogers, A. J., Denk, L. D. and Wax, P. M. 2004. Catastrophic brain injury after nicotine insecticide ingestion. Journal of Emergency Medicine, 26 169-172. 

The second catastrophe that influenced the development of medicines regulation far more than any event in history was the thalidomide disaster. Thalidomide was a sedative and hypnotic that first went on sale in Western Germany in 1956. Between 1958 and 1960 it was introduced in 46 different countries worldwide resulting in an estimated 10,000 babies being born with phocomelia and other... 

The Medicare Catastrophic Coverage Act of 1988 was passed and included coverage for outpatient prescription medicines under Medicare Part B. Cover-... 

Benson, M., Koenig, K. L., Schultz, C. H. (1996). Disaster triage START then SAVE—A new method of dynamic triage for victims of a catastrophic earthquake. Prehospital and Disaster Medicine, JJ(2), 117-124. 

In 2001 a critical stndy published in Nature Medicine showed in vitro nse of ribavirin triphosphate by a model viral RNA polymerase, polioviras 3D pol. Ribavirin incorporation is mutagenic, because it serves as a template for incorporation of cytidine and uridine with equal efficiency (Figure 2-2). Ribavirin reduces infectious poliovirus production to as little as 0.00001 percent in cell culture. The antiviral activity of ribavirin correlates directly with its mutagenic activity. These data indicate that ribavirin forces the virus into error catastrophe. This study reveals a new concept about nucleoside analogs, that is, mutagenic ribonucleosides may represent an important class of anti-RNA virus agents. 

Not long afterward, a few miles north of Ground Zero — the empty ground where the World Trade Center once stood—a pediatrics group at the Mt. Sinai School of Medicine, together with others there and at the Bronx Veterans Affairs Medical Center, began to ask a simple question Was it possible the shock of the 9/11 catastrophe had caused effects in the fetuses of pregnant women who lived close to the disaster ... 

Over the past half-century a wide variety of medicinal drugs have been produced, and fheir usage has resulted in an impressive reduction in many potentially catastrophic conditions. Although there are many advantages of modern drug therapy, almost all medications possess the potential for harm from adverse drug evenfs [1]. 

Based on an acceptable cost-benefit and risk-benefit-assessment for both public and individual health, a pharmacist is mandated for the legal provision of medicines used to treat his patients. This scope is defined by Acts, Ordinances or Decrees, national or regional needs, and, in hospitals, is formalised in the formulary, normally defined by a medicines committee. This formulary includes medicines, controlled medicines, devices, chemicals, disinfectants, and ethanol in various concentrations and presentations. Each pharmacy should be responsible for ensuring that a locally agreed list of products should be available to meet the needs of the business even in times of accidents and catastrophes (Table 3.1). This list is adapted and recalculated from a list of a Swiss University Hospital, which has been agreed by emergency and ICU, anaesthesia, and hospital pharmacy... 

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