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Orthopaedic care provided by the 14th combat support hospital in support of humanitarian and disaster relief after hurricane Maria in Puerto Rico 被引量:2
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作者 Nathan Lanham Kyle Bockelman +2 位作者 Fernando Lopez Marc M Serra Bradford Scanlan 《World Journal of Orthopedics》 2020年第2期76-81,共6页
On September 20,2017 Hurricane Maria,a category 4 hurricane,made landfall on the eastern coast of Puerto Rico.This was preceded by Hurricane Irma,a category 5 hurricane,which passed just off the coast 13 d prior.The d... On September 20,2017 Hurricane Maria,a category 4 hurricane,made landfall on the eastern coast of Puerto Rico.This was preceded by Hurricane Irma,a category 5 hurricane,which passed just off the coast 13 d prior.The destruction from both Hurricane Irma and Maria precipitated a coordinated federal response which included the Federal Emergency Management Agency(FEMA)and the United States military.The United States Army dispatched the 14^th Combat Support Hospital(CSH)to Humacao,a city on the eastern side of the island where Maria made landfall.The mission of the 14^th CSH was to provide medical humanitarian aid and conduct disaster relief operations in support of the government of Puerto Rico and FEMA.During the 14^th CSH deployment to Puerto Rico,1157 patients were evaluated and treated.Fifty-seven operative cases were performed to include 23 orthopaedic cases.The mean age of the orthopaedic patients treated was 45.7 years(range 13-76 years).The most common operation was irrigation and debridement of open contaminated and/or infected wounds.Patients presented a mean 10.8 d from their initial injury(range 1-40 d).Fractures and infections were the most common diagnoses with the greatest delay in treatment from the initial date of injury.The deployment of the 14^th CSH to Puerto Rico was unique in its use of air transport,language and local customs encountered,as well as deployment to a location outside the continental United States.These factors coupled with the need for rapid deployment of the 14^th CSH provided valuable experience which will undoubtedly enable future success in similar endeavors. 展开更多
关键词 hurricane maria Disaster relief Combat support hospital Army
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Puerto Rico’s Water Supply: An Investigation of the Levels of Trihalomethanes and Other Contaminants
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作者 Yaritza Jones Wendy Wilburn +1 位作者 Sujata Guha Ryan Beni 《Journal of Geoscience and Environment Protection》 2023年第8期1-21,共12页
The US Commonwealth of Puerto Rico is comprised of 143 islands, atolls, cays, and islets. Of the 143 localities, only 3 islands are inhabited: The mainland (often referenced as Puerto Rico), Culebra, and Vieques. To p... The US Commonwealth of Puerto Rico is comprised of 143 islands, atolls, cays, and islets. Of the 143 localities, only 3 islands are inhabited: The mainland (often referenced as Puerto Rico), Culebra, and Vieques. To properly analyze the water supply quality, the mainland will be the focal point for examining environmental and social injustices. Puerto Rico is a racially diverse but ethnically homogenous territory, with most of the commonwealth living below the poverty level. Access to clean water sources is always tenuous in Puerto Rico. Over 70 percent of the island is served by water, violating US health standards. However, the recent hurricanes made the situation even more detrimental. According to data reported between January 2015 and March 2018 by the Consumer Confidence Report (CCR), 97 percent of the population of Puerto Rico utilizes a common drinking water system with one or more recent violations of the Safe Drinking Water Act for its testing requirements for lead and copper levels. The amounts found were far higher than any US state, meaning that virtually everyone on the island gets water from systems that violated testing or reporting requirements. In this study, we have collected and analyzed the levels of trihalomethanes (THMs), haloacetic acids (HAAs), copper, lead, and total organic compounds (TOCs) in drinking water providing systems in Puerto Rico and compared them with the recommended levels of contaminants provided by the US Environmental Protection Agency (EPA) guidelines. Many of these reported contaminants can have serious and detrimental health effects after prolonged exposure to higher concentrations of the contaminants found in the drinking water sources of Puerto Rico. 展开更多
关键词 Water Quality Social Disparity Puerto Rico CONTAMINANTS Household Income Income Per Capita Environmental Justice hurricane maria
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Perceptions of Climate Change in Puerto Rico before and after Hurricane Maria
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作者 Méndez-Tejeda Rafael María Santos-Corrada Mena Sandra 《American Journal of Climate Change》 2021年第2期153-166,共14页
This article analyzes the perceptions of Puerto Rican citizens of global climate change (GCC) before and after an extreme weather event, specifically Hurricane Maria (HM). The purpose of the current article is to eval... This article analyzes the perceptions of Puerto Rican citizens of global climate change (GCC) before and after an extreme weather event, specifically Hurricane Maria (HM). The purpose of the current article is to evaluate Puerto Ricans’ perceptions of the impact of extreme meteorological phenomena and of GCC before and after HM. This tropical cyclone entered the island as a category IV hurricane on September 17, 2017, causing enormous destruction, loss of life, and economic damage. In this study, two data samples were collected before and after HM struck Puerto Rico (PR) (the second sample was collected approximately six months after the hurricane). Surveyed citizens with general knowledge of GCC increased from 43% to 62%, which the researchers consider a small increase, considering the severe destruction caused by HM. This study also found that Puerto Ricans trust non-profit institutions and the scientific community more than state authorities. Furthermore, 85% of citizens believe that public policies on GCC should be directed by the state (federal, state, and municipal governments);this did not change after HM. In addition, this study found that the poor response of the federal and state governments to the destruction caused by HM increased citizens’ trust in the scientific community. 展开更多
关键词 Puerto Rico hurricane maria PERCEPTION CLIMATECHANGE
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An Assessment of Water Quality Parameters at the Cerrillos Reservoir, Ponce, Puerto Rico in the Aftermath of Hurricane Maria
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作者 Yashira Marie Sánchez-Colón Javier Alejandro Chévere-Del Río +1 位作者 Nichole Marie Sánchez-Guzmán Fred Charles Schaffner 《Journal of Water Resource and Protection》 2022年第1期35-49,共15页
Maintaining the water quality of lakes and reservoirs is part of the 2030 Agenda for Sustainable Development, an initiative promoted by the United Nations, including anthropogenic and natural factors that may influenc... Maintaining the water quality of lakes and reservoirs is part of the 2030 Agenda for Sustainable Development, an initiative promoted by the United Nations, including anthropogenic and natural factors that may influence water quality. The water reservoirs of Puerto Rico were built in watersheds to provide runoff control and for primary uses. The Cerrillos Reservoir is one of the largest water reservoirs in southern Puerto Rico, and is used as a source of potable water and for recreational activities. After hurricane Maria, in September 2017, many communities were without public water service and have obtained their drinking water from local rivers or their tributaries, without filtration or purification treatment. This research explored the physical-chemical parameters of Cerrillos Reservoir’s surface water from May 2018 to January 2019. The objective of the present study is to assess seasonal variations in surface water quality with respect to physical (temperature, turbidity, and conductivity), chemical (nutrient concentrations: (Phosphorus (P) (Soluble Reactive Phosphorus, phosphate, or orthophosphate) and Nitrogen (N) (nitrate, nitrite, and ammonia)), pH, and dissolved oxygen), and biological (total coliforms and <em>Escherichia coli</em>) parameters. Results suggest that Cerrillos Reservoir did not exceed the parameters of temperature, turbidity, conductivity, pH and DO, established by the Puerto Rico Department of Natural and Environmental Resources (PRDNER). The reservoir showed a stable trophic state in relation to inorganic phosphorus and nitrogen as N and P concentrations did not increase sufficiently to disrupt this ecosystem. However, total coliforms exceeded the maximum parameter (23 MPN/100mL - 994 MPN/100mL) established for the Puerto Rico Department of Natural and Environmental Resources and are likely to be the results of the disruption caused by hurricane Maria. 展开更多
关键词 Cerrillos Reservoir Water Quality Puerto Rico Post hurricane maria
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