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牙科在灾害管理和遇难者身份识别中的作用:印度-尼泊尔地区面临的挑战概述

The Role of Dentistry in Disaster Management and Victim Identification: An Overview of Challenges in Indo-Nepal Scenario.

作者信息

Dutta Shubha Ranjan, Singh Purnima, Passi Deepak, Varghese Don, Sharma Sarang

机构信息

Department of Oral and Maxillofacial Surgery, M B Kedia Dental College, Tribhuwan University, Chhapkaiya, Birgunj-2 Nepal.

Department of Physiology, M B Kedia Dental College, Tribhuwan University, Chhapkaiya, Birgunj Nepal.

出版信息

J Maxillofac Oral Surg. 2016 Dec;15(4):442-448. doi: 10.1007/s12663-016-0896-4. Epub 2016 Apr 21.

Abstract

BACKGROUND

Recently, natural disasters and terrorist activities have been leading to mass casualty situations unexpectedly around the globe. In addition to the traditional emergency medical services centering around medically trained and paramedic personnel, dental practitioners having vital skills and attributes may be important in responding to a mass casualty situation.

OBJECTIVE

This paper aims at discussing the role of dentists in disaster management and the role of forensic odontology in the disaster victim identification (DVI), its status in India and some suggestions to develop the plans for same.

MATERIALS AND METHODS

Articles were searched in various medical databases such as Google Scholar, Pubmed Central, Sciencedirect,Wiley online Library, Scopus, Copernicus to gather all relevant information on the subject. Various keywords were used as search tool such as 'Mass disaster', 'Forensic odontology', 'Victim identification'.

RESULTS

The search resulted in total of 170 articles which we reviewed. Due to limitation to the list of references we have constricted our review to only 39 articles for more informative literature and supported the topic of the present manuscript 'The Role of Dentistry in Disaster Management and Victim Identification: An Overview of Challenges in Indo-Nepal Scenario' more specifically.

CONCLUSION

Every disaster is unique and involves interplay of different factors and circumstances such as nature of disaster, number of victims and extent of body fragmentation that ultimately challenges the disaster response planning. Apart from the victim recovery and evacuation, the disaster response planning must include the established procedures for the identification of the victims of the disaster. The identification of victims essentially relies on forensic anthropology, radiology, DNA typing and fingerprints, as well as odontology.

摘要

背景

近年来,自然灾害和恐怖活动在全球范围内意外导致了大规模伤亡情况。除了以受过医学培训的医护人员和护理人员为核心的传统紧急医疗服务外,具备关键技能和特质的牙科从业者在应对大规模伤亡情况时可能也很重要。

目的

本文旨在探讨牙医在灾害管理中的作用以及法医牙科学在灾难受害者身份识别(DVI)中的作用、其在印度的现状以及针对制定相关计划的一些建议。

材料与方法

在谷歌学术、PubMed Central、ScienceDirect、Wiley在线图书馆、Scopus、哥白尼等各种医学数据库中搜索文章,以收集有关该主题的所有相关信息。使用了“大规模灾难”“法医牙科学”“受害者身份识别”等各种关键词作为搜索工具。

结果

搜索共得到170篇文章,我们对其进行了综述。由于参考文献列表的限制,我们将综述范围缩小到仅39篇文章,以获取更丰富的信息性文献,并更具体地支持了本手稿的主题“牙科在灾害管理和受害者身份识别中的作用:印度 - 尼泊尔情况的挑战概述”。

结论

每场灾难都是独特的,涉及不同因素和情况的相互作用,如灾难的性质、受害者数量和身体破碎程度,这最终对灾难应对计划构成挑战。除了受害者的救援和疏散外,灾难应对计划必须包括确定灾难受害者身份的既定程序。受害者身份的确定主要依赖于法医人类学、放射学、DNA分型和指纹识别,以及牙科学。

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