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This chapter continues the story of Sofia’s water supply, beginning with the political turmoil that marred urban fabrics and economies across the Ottoman Balkans from the 1790s to the 1820s and ending in 1912 when, after a long series of failed attempts, post-Ottoman Sofia received its first modern water supply system. I emphasize the similarity in the predicaments that shaped the Ottoman and Bulgarian policies in the fields of urban planning, underground infrastructures, and natural resource management. I explain how a series of extreme human-made and natural phenomena, including banditry, war, and intensified seismicity limited the capabilities of the Ottoman authorities to accomplish their modernizing intentions. In post-Ottoman Bulgaria, the modernization of urban fabrics was seen as a statement of the superiority of the nation-state over its former imperial master. However, in a series of attempts to meet the water needs of the national capital’s constantly expanding population, the post-Ottoman authorities found themselves continually unable to come up with solutions superior to the water supply practices of their predecessors. The chapter argues that throughout the long nineteenth century Sofia’s water supply functioned within the bounds of the system established by the Ottomans.
David T. Sandwell, Scripps Institution of Oceanography, University of California, San Diego,Xiaohua Xu, University of Science and Technology of China,Jingyi Chen, University of Texas at Austin,Robert J. Mellors, Scripps Institution of Oceanography, University of California, San Diego,Meng Wei, University of Rhode Island,Xiaopeng Tong, Institute of Geophysics, China Earthquake Administration,John B. DeSanto, University of Washington,Qi Ou, University of Edinburgh
Chapter 1 discusses six types of remote sensing methods possible from Earth’s orbit and introduces radar interferometry as the optimal approach for measuring small surface deformation.
Following natural disasters nurses assume a critical role in the provision of primary health care services in container cities. This study aims to reveal the experiences of nurses who voluntarily provided primary health care services in the container city constructed after the earthquake.
Methods
This study was conducted using a qualitative study design, and reported following the COREQ guidelines. Interviews were conducted with 9 volunteer nurses between January 11-29, 2024. Study data were collected using a “Personal Information Form” and “Semi-Structured Questionnaire” via in-depth interview technique. Collected data were analyzed with a 6-step thematic analysis method.
Results
Five main themes were featured in the study: “Factors affecting participation in volunteer activities,” “Scope of volunteer services,” “Challenges experienced in volunteer activities,” “Achievements of volunteer activities,” and “Suggestions for improving volunteer services.”
Conclusions
Volunteer nurses have experienced various gains, as well as difficulties, as a result of their container city experiences. Suggestions for improving disaster nursing are instructive in terms of strengthening disaster nursing.
The study addresses nutrition service management after the 7.8M and 7.6M Kahramanmaraş earthquakes. Initially, permission from the Turkish Red Crescent General Directorate and the support of the Turkish Red Crescent Academy were obtained to gather knowledge about the disaster response. In the short term, nutritional support was achieved for some settlements by the Turkish Red Crescent because the affected area was on a large scale. As a result, risk management should be considered, especially when planning nutrition services for the acute period. Nevertheless, the Turkish Red Crescent coordinated the long-term transportation and management of all food aid. Nearly 100 000 earthquake victims received nutrition services from the Turkish Red Crescent, while more than 3 million earthquake victims received food aid from nutrition platforms and other institutions. A multilevel nutrition service management model, which includes pre-disaster, disaster, and post-disaster, can accelerate the transition to normalization following the earthquake with a high-quality food supply and nutrition service.
Comprising the largest group of health care professionals, nurses play a great role and assume many responsibilities during disaster periods, when the public needs health care services the most. The aim of this study was to reveal the experiences of nurses assigned to the disaster area during relief efforts after the February 6, 2023 earthquakes in Türkiye.
Methods
This qualitative and descriptive study used the maximum variation sampling method, one of the purposive sampling methods, and was completed with 20 nurses. Data were analyzed using inductive content analysis.
Results
Four main themes emerged from the experiences of the nurses who provided health care services in the disaster area: experiences related to pre-mission processes, experiences during the mission, post-mission experiences, and recommendations for disaster preparedness.
Conclusions
Nurses’ experiences and suggestions revealed in this study may inform future disaster preparedness and disaster management plans, and this study’s results point to the need for the development of professional nursing skills in disaster management.
Disaster risk reduction measures are now being developed based on social vulnerability. This study aimed to identify socially vulnerable areas to disasters in Razavi Khorasan Province, Iran.
Methods
The research utilized a mixed method approach conducted in 2 stages. First, a vulnerability index was created using 8 sub-indices, and the value of the index was calculated for each of the 91 rural districts in the study area. In the second stage, spatial analysis using Anselin’s Local Moran’s I was performed to identify the most vulnerable districts.
Results
Results indicated that 40 of 91 districts, covering 49% of the total area, had high social vulnerability to disasters. Anselin’s Local Moran’s I analysis identified 2 high-high clusters consisting of 5 districts. The study also found that areas with higher social vulnerability were more susceptible to natural hazards such as floods and earthquakes.
Conclusions
Nearly half of the studied areas exhibited a high level of social vulnerability and were at risk of natural disasters. Implementing general measures to improve the socio-economic status of the population, such as increasing education and income levels, along with specific actions like assisting vulnerable populations in relocating to safer areas, can help mitigate disaster risks.
This article explores 2 key earthquake survival strategies: the widely endorsed “Drop, Cover, and Hold On” (DCH) method and the alternative fetal position within a survival triangle. While DCH provides mechanical protection from falling debris, its effectiveness in scenarios involving structural collapse and prolonged entrapment remains uncertain. Drawing on recent field data and thermodynamic considerations, this paper argues that the fetal position may offer survival advantages by minimizing heat loss and conserving metabolic energy—especially under cold conditions and delayed rescue. We emphasize the need for context-sensitive public safety guidance and further comparative research to inform adaptive earthquake preparedness protocols.
Ozette Lake, located on the Olympic Peninsula of western Washington, is ideally situated to provide a sedimentary record of past earthquakes along the northern portion of the Cascadia subduction zone. The lake stratigraphy is punctuated by turbidites, with characteristics typical of those triggered by earthquake shaking as seen in other lakes worldwide. Sediments deposited in Ozette Lake over the past 1300 years between earthquake events show decadal-scale variations in color, magnetic susceptibility, clay content, organic carbon content, density, and computed tomography (CT) intensity. Applying the dynamic time warping technique reveals a strong correlation of CT intensity to historical, instrumental measurements of regional cool-season precipitation, indicating that sediments in the lake preserve a high-fidelity record of decadally averaged fluvial sediment discharge and climate. Correlation of CT intensity patterns from older strata preserved deeper in the lake stratigraphy to two independent, regional paleo-precipitation reconstructions similarly suggests that the sediments record decadal variations in hydroclimate. We provide radiocarbon-independent dates for the past four northern Cascadia subduction earthquakes that are within the uncertainty of a radiocarbon age-depth model but are more precisely estimated by placing earthquake-triggered turbidites in the context of wet and dry periods in these tree-ring- and oxygen-isotope-based reconstructions. Paleoclimate-based constraints on the age of event layers in this and other regional lakes have the potential to help address ongoing questions about past ruptures on the Cascadia subduction margin.
Breastfeeding assumes critical importance in the aftermath of disasters such as earthquakes, as it provides all the essential nutrients required by infants, enhances their immune systems, and mitigates the risks associated with using contaminated water for formula preparation. This study investigates the experiences of breastfeeding mothers living in temporary shelters within the earthquake-affected region.
Methods
A qualitative approach was employed to identify the challenges faced by breastfeeding mothers. The study’s sample included 14 mothers who met the inclusion criteria. Data were collected through a semi-structured interview form and analyzed using MAXQDA qualitative data analysis software, following Colaizzi’s 7-step method.
Results
The mothers in the study ranged in age from 31-37 years, with their infants ranging from 10 days-6 months old. Based on the data gathered from the interviews, 4 main themes were identified: basic life needs (with sub-themes of housing, warmth, nutrition, hygiene/sanitation, sleep, and clothing), emotional difficulties (with sub-themes of shock, fear, crying, and stress), care difficulties (with sub-themes of challenges in accessing medication, constipation, diarrhea, reduced comfort, and decreased urine output), and breastfeeding difficulties (with sub-themes of breast rejection, breast engorgement, baby feeding issues, reduced milk production or interruption, and privacy concerns).
Conclusions
From the onset of the earthquake, mothers encountered significant challenges in breastfeeding their infants. In emergency and disaster situations, it is imperative that experienced health care personnel offer essential information and support to assist these mothers in navigating the difficulties they face.
This study aimed to determine the health needs of individuals with non-communicable diseases affected by earthquakes.
Methods
The study employed a descriptive and cross-sectional design and was conducted in 3 of the 11 provinces affected by the February 6, 2023 earthquakes. Data were obtained using an introductory information form and a health needs information form. Percentages, averages, McNemar’s test, and classification and regression tree algorithm for decision tree analysis were used to evaluate the data.
Results
Among the participants, 34.87% had hypertension, 27.95% had diabetes, and 14.12% had asthma. Compared to the pre-earthquake period, the participants’ needs for medication, transportation to hospital, disease-specific nutrition, and social support significantly increased after the earthquake (P<0.05). This study revealed that participants with faced challenges in accessing the medicines, hospitals, medical devices, and disease-specific nutrition required for disease management during the early post-earthquake period, experiencing delays or no access. Among the identified health needs, participants with hypertension and diabetes require access to healthy nutrition, while those with asthma have a heightened need for clean air.
Conclusions
Conducting health screenings in tent cities without requiring individual attendance at health tents and promptly identifying and addressing health needs in the early period are strongly recommended.
The aim of this descriptive study was to assess diabetes self-management and health care demand procrastination behaviors among earthquake victims with type 2 diabetes.
Methods
The population of the study consisted of earthquake victims with Type 2 diabetes in Hatay, Türkiye. The sample included 202 people with type 2 diabetes who lived in 7 distinct container cities. Data were collected using the Introductory Information Form, Diabetes Self-Management Scale, and Healthcare Demand Procrastination Scale via face-to-face interviews.
Results
Participants’ average score on the diabetes self-management scale was 58.34 ± 9.11. Being under the age of 60, employed, visiting a medical center on their own, having received diabetes education, and owning a glucometer were associated with better diabetes self-management, whereas being illiterate and having difficulty covering diabetes-related expenses were associated with poor diabetes management (P < 0.05). Participants’ average score on the Healthcare Demand Procrastination Scale was 2.35 ± 0.72. Respondents who didn’t have a nearby health care institution, whose diabetes diagnosis duration was between 1-5 years, and who didn’t have a glucometer had significantly higher scores on the Healthcare Demand Procrastination Scale (P < 0.05).
Conclusions
Diabetes self-management among earthquake victims with Type 2 diabetes was low. It was also determined that participants’ health care demand procrastination behaviors were at a moderate level.
Many people who are rescued alive from rubble after earthquakes suffer from crush injuries and associated acute kidney injury (AKI). McMahon score is used to determine the risk of AKI and mortality due to rhabdomyolysis in hospitalized patients. In this study, we aimed to evaluate the clinical findings, biochemical characteristics, and outcomes of crush injury patients admitted to our tertiary hospital and the use of the McMahon score in determining the need for renal replacement therapy (RRT) in this patient group.
Methods
Sociodemographic, clinical, and biochemical parameters of 28 patients who had creatine kinase levels of 1000 U/L and above were recorded. Patients with crush injuries requiring and not requiring RRT were compared according to the McMahon Score.
Results
A total of 42% of patients developed AKI and 67% of them required renal replacement therapy. In crush injury patients requiring RRT, serum urea, creatinine, LDH, aspartate aminotransferase, alanine transaminase, phosphorus, and procalcitonin levels were significantly higher and albumin levels were significantly lower at admission compared to patients not requiring RRT. All patients who required RRT had a McMahon Score ≥6.
Conclusions
A high McMahon score at hospital admission is associated with an increased need for RRT.
On January 1, 2024, an earthquake with a maximum seismic intensity of 7 struck the Noto Peninsula in Ishikawa Prefecture, Japan, causing significant casualties and displacement. The Noto Peninsula has a high aging rate, with 49.5% of its population aged 65 or older. This case study focuses on a 68-year-old woman who developed aspiration pneumonia after being admitted to a welfare shelter. The case highlights the challenges of managing chronic medical care during disasters, particularly for the elderly.
Located on the North Anatolian Fault, Constantinople was frequently shaken by earthquakes over the course of its history. This book discusses religious responses to these events between the fourth and the tenth century AD. The church in Constantinople commemorated several earthquakes that struck the city, prescribing an elaborate liturgical rite celebrated annually for each occasion. These rituals were means by which city-dwellers created meaning from disaster and renegotiated their relationships to God and the land around them in the face of its most destabilizing ecological characteristic: seismicity. Mark Roosien argues that ritual and theological responses to earthquakes shaped Byzantine conceptions of God and the environment and transformed Constantinople's self-understanding as the capital of the oikoumene and center of divine action in history. The book enhances our understanding of Byzantine Christian religion and culture, and provides a new, interdisciplinary framework for understanding Byzantine views of the natural world.
There is scientific consensus that an earthquake of a magnitude of at least 7 will soon occur on the North Anatolian Fault, which runs south of İstanbul. This earthquake would render one-fifth of İstanbul’s buildings uninhabitable, which means that approximately 200,000 buildings would be expected to suffer moderate or severe damage. As a part of preparedness for the anticipated earthquake, people in İstanbul are invited to have their buildings risk tested. This article, pivoting on cultural anthropology and science and technology studies, investigates how earthquake-proneness of buildings in İstanbul is technically and legally examined and determined. It ethnographically analyzes the risk assessments and demonstrates that the risk is enacted differently through distinctive engineering practices and legal regulations in different networks. When the two different risk assessment processes are examined in İstanbul, a building that is categorized as risky due to its earthquake vulnerability could be regarded as sturdy in the other assessment.
This study aims to assess the prevalence of Post-Traumatic Stress Disorder (PTSD) in mothers affected by the February 2023 earthquakes in Turkey and to explore the influence of spiritual well-being and other factors on their Post-Traumatic Growth (PTG) levels.
Methods
The study’s sample consisted of mothers invited to participate voluntarily through online social media platforms between October-December 2023. The Mother Information Form, Post-Traumatic Stress Disorder Control List, Post-Traumatic Growth Scale, and Spiritual Well-Being Scale (SWBS) were used as data collection instruments.
Results
A total of 303 mothers participated in this study. The mean total PTSD score was 49.35 (SD: 19.76), and 83.5% of mothers were categorized under severe anxiety levels. There was a statistically significant weak and positive relationship between PTSD and PTG levels (r: 0.282, P:0.000). When the predictors of PTG are considered, the spiritual well-being of mothers significantly predicts PTG (F: 43.944, P: 0.000). It accounts for 12.7% (R Square = 0.127) of the variance in mothers’ PTG.
Conclusions
Mothers showed high PTSD levels 9 months after the earthquakes, but alongside these high levels, it has a positive relation with their PTG, which may show mothers becoming stronger after their traumatic experience. Study results showed the mothers’ spiritual levels were a significant predictor for PTG.
This chapter locates a shift in beginning in the seventh century in which the power to halt quakes began to move away from collective repentance and toward saintly intercession. First, it examines the seventh-century Life of St. Symeon Stylites the Younger, a Syrian pillar saint with ties to Constantinople. It focuses in particular on hymns recorded in the Life for earthquakes that purportedly caused them to cease when sung by the holy man. The chapter shows how seventh-century Byzantines could have constructed the role of the saintly intercessor when faced with natural disasters. Next, it analyzes changes in Constantinople’s earthquake commemoration rite in the eighth century, specifically the introduction of the Theotokos as the city’s chief protection against earthquakes. Eighth-century liturgical editors borrowed from the rites commemorating the enemy invasions of Constantinople in 623, 626, and 717–18, in which the Theotokos was remembered to play a prominent role in protecting the city. It shows how the earthquake commemoration liturgy no longer saw earthquakes as divine judgment against the sin of the city, but as outside threats to the city for which powerful heavenly intercessions were needed.
This chapter discusses how East Roman emperors utilized the theology of divine chastisement, particularly the efficacy accorded to repentance, to their advantage. During the earthquakes of 396 and 447, Emperors Arcadius and Theodosius II, respectively, led mass penitential rituals and performed public acts of humility until the quakes ceased. Such public acts of repentance posed a political risk to emperors since they could appear to confirm their responsibility for the disasters. However, imperial supporters like bishop Severian of Gabala and historian Socrates Scholasticus highlighted the quakes’ cessation rather than their cause, and located the power to halt quakes in the humble prayers of the rulers themselves rather than worshippers as a collective. In the aftermath of these earthquakes, authorities framed Roman emperors as “New Davids” – effective spiritual intercessors as well as military protectors – inaugurating a biblical typology for emperors that would continue throughout Byzantine history.
This chapter concerns Constantinople’s liturgical rite for the commemoration of earthquakes in its original, fifth-century form. Celebrated each year on the anniversary of certain quakes, worshippers ritually reenacted local earthquakes, performing a long, penitential procession that retraced the earthquake evacuation route. The rite was structured by biblical readings, hymns, and prayers that framed the people of Constantinople as the sinful, biblical people of God. In ritual performance, worshippers could envision quakes as manifestations of divine wrath against the sins of the city, and their collective repentance as effective in restoring stability to the earth and balance within the human-environment-divine relationship. After discussing the liturgical rite, its performance, and theology, the chapter locates the origins of its theology of divine chastisement in local homilies and ritual responses to earlier quakes, focusing in particular on the archbishop John Chrysostom’s Constantinopolitan homilies on earthquakes from the early fifth century.