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Chan)] TJ ET 0.271 0.267 0.267 rg BT 97.786 663.247 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 103.207 663.247 Td /F1 9.8 Tf [(Frederick M. Burkle Jr)] TJ ET 0.271 0.267 0.267 rg BT 26.250 651.342 Td /F1 9.8 Tf [(Chan JL, Burkle FM. A Framework and Methodology for Navigating Disaster and Global Health in Crisis Literature. PLOS )] TJ ET BT 26.250 639.438 Td /F1 9.8 Tf [(Currents Disasters. 2013 Apr 4 . Edition 1. doi: 10.1371/currents.dis.9af6948e381dafdd3e877c441527cba0.)] TJ ET q 15.000 32.753 577.500 604.304 re W n 0.271 0.267 0.267 rg BT 26.250 610.335 Td /F4 12.0 Tf [(Abstract)] TJ ET BT 26.250 590.381 Td /F1 9.8 Tf [(Both disasters and global health in crisis research has dramatically grown due to the ever-increasing frequency and )] TJ ET BT 26.250 578.476 Td /F1 9.8 Tf [(magnitude of crises around the world. Large volumes of peer-reviewed literature are not only a testament to the fields value and )] TJ ET BT 26.250 566.571 Td /F1 9.8 Tf [(evolution, but also present an unprecedented outpouring of seemingly unmanageable information across a wide array of crises )] TJ ET BT 26.250 554.667 Td /F1 9.8 Tf [(and disciplines. Disaster medicine, health and humanitarian assistance, global health and public health disaster literature all lie )] TJ ET BT 26.250 542.762 Td /F1 9.8 Tf [(within the disaster and global health in crisis literature spectrum and are increasingly accepted as multidisciplinary and )] TJ ET BT 26.250 530.857 Td /F1 9.8 Tf [(transdisciplinary disciplines. Researchers, policy makers, and practitioners now face a new challenge; that of accessing this )] TJ ET BT 26.250 518.952 Td /F1 9.8 Tf [(expansive literature for decision-making and exploring new areas of research. Individuals are also reaching beyond the peer-)] TJ ET BT 26.250 507.048 Td /F1 9.8 Tf [(reviewed environment to grey literature using search engines like Google Scholar to access policy documents, consensus )] TJ ET BT 26.250 495.143 Td /F1 9.8 Tf [(reports and conference proceedings. What is needed is a method and mechanism with which to search and retrieve relevant )] TJ ET BT 26.250 483.238 Td /F1 9.8 Tf [(articles from this expansive body of literature. This manuscript presents both a framework and workable process for a diverse )] TJ ET BT 26.250 471.333 Td /F1 9.8 Tf [(group of users to navigate the growing peer-reviewed and grey disaster and global health in crises literature.)] TJ ET BT 26.250 451.929 Td /F1 9.8 Tf [(Methods:)] TJ ET BT 26.250 440.024 Td /F1 9.8 Tf [(Disaster terms from textbooks, peer-reviewed and grey literature were used to design a framework of thematic clusters and )] TJ ET BT 26.250 428.119 Td /F1 9.8 Tf [(subject matter nodes. A set of 84 terms, selected from 143 curated terms was organized within each node reflecting topics )] TJ ET BT 26.250 416.214 Td /F1 9.8 Tf [(within the disaster and global health in crisis literature. Terms were crossed with one another and the term disaster. The results )] TJ ET BT 26.250 404.310 Td /F1 9.8 Tf [(were formatted into tables and matrices. This process created a roadmap of search terms that could be applied to the PubMed )] TJ ET BT 26.250 392.405 Td /F1 9.8 Tf [(database. Each search in the matrix or table results in a listed number of articles. This process was applied to literature from )] TJ ET BT 26.250 380.500 Td /F1 9.8 Tf [(PubMed from 2005-2011. A complementary process was also applied to Google Scholar using the same framework of clusters, )] TJ ET BT 26.250 368.595 Td /F1 9.8 Tf [(nodes, and terms expanding the search process to include the broader grey literature assets.)] TJ ET BT 26.250 349.191 Td /F1 9.8 Tf [(Results:)] TJ ET BT 26.250 337.286 Td /F1 9.8 Tf [(A framework of four thematic clusters and twelve subject matter nodes were designed to capture diverse disaster and global )] TJ ET BT 26.250 325.381 Td /F1 9.8 Tf [(health in crisis-related content. From 2005-2011 there were 18,660 articles referring to the term [disaster]. Restricting the search )] TJ ET BT 26.250 313.476 Td /F1 9.8 Tf [(to human research, MeSH, and English language there remained 7,736 identified articles representing an unmanageable )] TJ ET BT 26.250 301.572 Td /F1 9.8 Tf [(number to adequately process for research, policy or best practices. However, using the crossed search and matrix process )] TJ ET BT 26.250 289.667 Td /F1 9.8 Tf [(revealed further examples of robust realms of research in disasters, emergency medicine, EMS, public health and global health. )] TJ ET BT 26.250 277.762 Td /F1 9.8 Tf [(Examples of potential gaps in current peer-reviewed disaster and global health in crisis literature were identified as mental )] TJ ET BT 26.250 265.857 Td /F1 9.8 Tf [(health, elderly care, and alternate sites of care. The same framework and process was then applied to Google Scholar, )] TJ ET BT 26.250 253.953 Td /F1 9.8 Tf [(specifically for topics that resulted in few PubMed search returns. When applying the same framework and process to the )] TJ ET BT 26.250 242.048 Td /F1 9.8 Tf [(Google Scholar example searches retrieved unique peer-reviewed articles not identified in PubMed and documents including )] TJ ET BT 26.250 230.143 Td /F1 9.8 Tf [(books, governmental documents and consensus papers.)] TJ ET BT 26.250 210.738 Td /F1 9.8 Tf [(Conclusions:)] TJ ET BT 26.250 198.834 Td /F1 9.8 Tf [(The proposed framework, methodology and process using four clusters, twelve nodes and a matrix and table process applied )] TJ ET BT 568.701 198.834 Td /F1 9.8 Tf [(to )] TJ ET BT 26.250 186.929 Td /F1 9.8 Tf [(PubMed and Google Scholar unlocks otherwise inaccessible opportunities to better navigate the massively growing body of )] TJ ET BT 26.250 175.024 Td /F1 9.8 Tf [(peer-reviewed disaster and global health in crises literature. This approach will assist researchers, policy makers, and )] TJ ET BT 26.250 163.119 Td /F1 9.8 Tf [(practitioners to generate future research questions, report on the overall evolution of the disaster and global health in crisis field )] TJ ET BT 26.250 151.215 Td /F1 9.8 Tf [(and further guide disaster planning, prevention, preparedness, mitigation response and recovery.)] TJ ET BT 26.250 114.612 Td /F4 12.0 Tf [(INTRODUCTION)] TJ ET BT 26.250 94.658 Td /F1 9.8 Tf [(Over the past four decades disaster and global health in crisis research has grown tremendously and this growth is reflected in )] TJ ET BT 26.250 82.753 Td /F1 9.8 Tf [(the rapid increase in peer-reviewed literature. This is partly due to the increasing number and size of disasters. In 2011, there )] TJ ET BT 26.250 70.848 Td /F1 9.8 Tf [(were 332 natural disasters with over 244.7 million victims.)] TJ ET 0.267 0.267 0.267 rg BT 274.953 72.356 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 279.772 70.848 Td /F1 9.8 Tf [( According to UNHCR, over 4.3 million people were newly displaced )] TJ ET BT 26.250 58.944 Td /F1 9.8 Tf [(in 2011, mostly due to conflict.)] TJ ET 0.267 0.267 0.267 rg BT 157.397 60.451 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 162.216 58.944 Td /F1 9.8 Tf [( The multidisciplinary and transdisciplinary field of practitioners, policy-makers, and researchers, )] TJ ET BT 26.250 47.039 Td /F1 9.8 Tf [(many who are experts in sociology, information sciences, law, economics and ethics, just to name a few, continue to push )] TJ ET Q q 15.000 684.354 577.500 53.646 re W n 0.267 0.267 0.267 rg BT 15.000 718.042 Td /F2 21.0 Tf [(A Framework and Methodology for Navigating Disaster and )] TJ ET BT 15.000 693.094 Td /F2 21.0 Tf [(Global Health in Crisis Literature)] TJ ET Q 0.271 0.267 0.267 rg BT 15.000 675.088 Td /F3 9.8 Tf [(April 4, 2013)] TJ ET BT 71.608 675.088 Td /F3 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 76.483 675.088 Td /F3 9.8 Tf [(Research Article)] TJ ET BT 26.250 663.247 Td /F1 9.8 Tf [(Jennifer L. Chan)] TJ ET 0.271 0.267 0.267 rg BT 97.786 663.247 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 103.207 663.247 Td /F1 9.8 Tf [(Frederick M. Burkle Jr)] TJ ET 0.271 0.267 0.267 rg BT 26.250 651.342 Td /F1 9.8 Tf [(Chan JL, Burkle FM. A Framework and Methodology for Navigating Disaster and Global Health in Crisis Literature. PLOS )] TJ ET BT 26.250 639.438 Td /F1 9.8 Tf [(Currents Disasters. 2013 Apr 4 . Edition 1. doi: 10.1371/currents.dis.9af6948e381dafdd3e877c441527cba0.)] TJ ET q 15.000 32.753 577.500 604.304 re W n 0.271 0.267 0.267 rg BT 26.250 610.335 Td /F4 12.0 Tf [(Abstract)] TJ ET BT 26.250 590.381 Td /F1 9.8 Tf [(Both disasters and global health in crisis research has dramatically grown due to the ever-increasing frequency and )] TJ ET BT 26.250 578.476 Td /F1 9.8 Tf [(magnitude of crises around the world. Large volumes of peer-reviewed literature are not only a testament to the fields value and )] TJ ET BT 26.250 566.571 Td /F1 9.8 Tf [(evolution, but also present an unprecedented outpouring of seemingly unmanageable information across a wide array of crises )] TJ ET BT 26.250 554.667 Td /F1 9.8 Tf [(and disciplines. Disaster medicine, health and humanitarian assistance, global health and public health disaster literature all lie )] TJ ET BT 26.250 542.762 Td /F1 9.8 Tf [(within the disaster and global health in crisis literature spectrum and are increasingly accepted as multidisciplinary and )] TJ ET BT 26.250 530.857 Td /F1 9.8 Tf [(transdisciplinary disciplines. Researchers, policy makers, and practitioners now face a new challenge; that of accessing this )] TJ ET BT 26.250 518.952 Td /F1 9.8 Tf [(expansive literature for decision-making and exploring new areas of research. Individuals are also reaching beyond the peer-)] TJ ET BT 26.250 507.048 Td /F1 9.8 Tf [(reviewed environment to grey literature using search engines like Google Scholar to access policy documents, consensus )] TJ ET BT 26.250 495.143 Td /F1 9.8 Tf [(reports and conference proceedings. What is needed is a method and mechanism with which to search and retrieve relevant )] TJ ET BT 26.250 483.238 Td /F1 9.8 Tf [(articles from this expansive body of literature. This manuscript presents both a framework and workable process for a diverse )] TJ ET BT 26.250 471.333 Td /F1 9.8 Tf [(group of users to navigate the growing peer-reviewed and grey disaster and global health in crises literature.)] TJ ET BT 26.250 451.929 Td /F1 9.8 Tf [(Methods:)] TJ ET BT 26.250 440.024 Td /F1 9.8 Tf [(Disaster terms from textbooks, peer-reviewed and grey literature were used to design a framework of thematic clusters and )] TJ ET BT 26.250 428.119 Td /F1 9.8 Tf [(subject matter nodes. A set of 84 terms, selected from 143 curated terms was organized within each node reflecting topics )] TJ ET BT 26.250 416.214 Td /F1 9.8 Tf [(within the disaster and global health in crisis literature. Terms were crossed with one another and the term disaster. The results )] TJ ET BT 26.250 404.310 Td /F1 9.8 Tf [(were formatted into tables and matrices. This process created a roadmap of search terms that could be applied to the PubMed )] TJ ET BT 26.250 392.405 Td /F1 9.8 Tf [(database. Each search in the matrix or table results in a listed number of articles. This process was applied to literature from )] TJ ET BT 26.250 380.500 Td /F1 9.8 Tf [(PubMed from 2005-2011. A complementary process was also applied to Google Scholar using the same framework of clusters, )] TJ ET BT 26.250 368.595 Td /F1 9.8 Tf [(nodes, and terms expanding the search process to include the broader grey literature assets.)] TJ ET BT 26.250 349.191 Td /F1 9.8 Tf [(Results:)] TJ ET BT 26.250 337.286 Td /F1 9.8 Tf [(A framework of four thematic clusters and twelve subject matter nodes were designed to capture diverse disaster and global )] TJ ET BT 26.250 325.381 Td /F1 9.8 Tf [(health in crisis-related content. From 2005-2011 there were 18,660 articles referring to the term [disaster]. Restricting the search )] TJ ET BT 26.250 313.476 Td /F1 9.8 Tf [(to human research, MeSH, and English language there remained 7,736 identified articles representing an unmanageable )] TJ ET BT 26.250 301.572 Td /F1 9.8 Tf [(number to adequately process for research, policy or best practices. However, using the crossed search and matrix process )] TJ ET BT 26.250 289.667 Td /F1 9.8 Tf [(revealed further examples of robust realms of research in disasters, emergency medicine, EMS, public health and global health. )] TJ ET BT 26.250 277.762 Td /F1 9.8 Tf [(Examples of potential gaps in current peer-reviewed disaster and global health in crisis literature were identified as mental )] TJ ET BT 26.250 265.857 Td /F1 9.8 Tf [(health, elderly care, and alternate sites of care. The same framework and process was then applied to Google Scholar, )] TJ ET BT 26.250 253.953 Td /F1 9.8 Tf [(specifically for topics that resulted in few PubMed search returns. When applying the same framework and process to the )] TJ ET BT 26.250 242.048 Td /F1 9.8 Tf [(Google Scholar example searches retrieved unique peer-reviewed articles not identified in PubMed and documents including )] TJ ET BT 26.250 230.143 Td /F1 9.8 Tf [(books, governmental documents and consensus papers.)] TJ ET BT 26.250 210.738 Td /F1 9.8 Tf [(Conclusions:)] TJ ET BT 26.250 198.834 Td /F1 9.8 Tf [(The proposed framework, methodology and process using four clusters, twelve nodes and a matrix and table process applied )] TJ ET BT 568.701 198.834 Td /F1 9.8 Tf [(to )] TJ ET BT 26.250 186.929 Td /F1 9.8 Tf [(PubMed and Google Scholar unlocks otherwise inaccessible opportunities to better navigate the massively growing body of )] TJ ET BT 26.250 175.024 Td /F1 9.8 Tf [(peer-reviewed disaster and global health in crises literature. This approach will assist researchers, policy makers, and )] TJ ET BT 26.250 163.119 Td /F1 9.8 Tf [(practitioners to generate future research questions, report on the overall evolution of the disaster and global health in crisis field )] TJ ET BT 26.250 151.215 Td /F1 9.8 Tf [(and further guide disaster planning, prevention, preparedness, mitigation response and recovery.)] TJ ET BT 26.250 114.612 Td /F4 12.0 Tf [(INTRODUCTION)] TJ ET BT 26.250 94.658 Td /F1 9.8 Tf [(Over the past four decades disaster and global health in crisis research has grown tremendously and this growth is reflected in )] TJ ET BT 26.250 82.753 Td /F1 9.8 Tf [(the rapid increase in peer-reviewed literature. This is partly due to the increasing number and size of disasters. In 2011, there )] TJ ET BT 26.250 70.848 Td /F1 9.8 Tf [(were 332 natural disasters with over 244.7 million victims.)] TJ ET 0.267 0.267 0.267 rg BT 274.953 72.356 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 279.772 70.848 Td /F1 9.8 Tf [( According to UNHCR, over 4.3 million people were newly displaced )] TJ ET BT 26.250 58.944 Td /F1 9.8 Tf [(in 2011, mostly due to conflict.)] TJ ET 0.267 0.267 0.267 rg BT 157.397 60.451 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 162.216 58.944 Td /F1 9.8 Tf [( The multidisciplinary and transdisciplinary field of practitioners, policy-makers, and researchers, )] TJ ET BT 26.250 47.039 Td /F1 9.8 Tf [(many who are experts in sociology, information sciences, law, economics and ethics, just to name a few, continue to push )] TJ ET Q q 15.000 684.354 577.500 53.646 re W n 0.267 0.267 0.267 rg BT 15.000 718.042 Td /F2 21.0 Tf [(A Framework and Methodology for Navigating Disaster and )] TJ ET BT 15.000 693.094 Td /F2 21.0 Tf [(Global Health in Crisis Literature)] TJ ET Q 0.271 0.267 0.267 rg BT 15.000 675.088 Td /F3 9.8 Tf [(April 4, 2013)] TJ ET BT 71.608 675.088 Td /F3 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 76.483 675.088 Td /F3 9.8 Tf [(Research Article)] TJ ET BT 26.250 663.247 Td /F1 9.8 Tf [(Jennifer L. Chan)] TJ ET 0.271 0.267 0.267 rg BT 97.786 663.247 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 103.207 663.247 Td /F1 9.8 Tf [(Frederick M. Burkle Jr)] TJ ET 0.271 0.267 0.267 rg BT 26.250 651.342 Td /F1 9.8 Tf [(Chan JL, Burkle FM. A Framework and Methodology for Navigating Disaster and Global Health in Crisis Literature. PLOS )] TJ ET BT 26.250 639.438 Td /F1 9.8 Tf [(Currents Disasters. 2013 Apr 4 . Edition 1. doi: 10.1371/currents.dis.9af6948e381dafdd3e877c441527cba0.)] TJ ET q 15.000 32.753 577.500 604.304 re W n 0.271 0.267 0.267 rg BT 26.250 610.335 Td /F4 12.0 Tf [(Abstract)] TJ ET BT 26.250 590.381 Td /F1 9.8 Tf [(Both disasters and global health in crisis research has dramatically grown due to the ever-increasing frequency and )] TJ ET BT 26.250 578.476 Td /F1 9.8 Tf [(magnitude of crises around the world. Large volumes of peer-reviewed literature are not only a testament to the fields value and )] TJ ET BT 26.250 566.571 Td /F1 9.8 Tf [(evolution, but also present an unprecedented outpouring of seemingly unmanageable information across a wide array of crises )] TJ ET BT 26.250 554.667 Td /F1 9.8 Tf [(and disciplines. Disaster medicine, health and humanitarian assistance, global health and public health disaster literature all lie )] TJ ET BT 26.250 542.762 Td /F1 9.8 Tf [(within the disaster and global health in crisis literature spectrum and are increasingly accepted as multidisciplinary and )] TJ ET BT 26.250 530.857 Td /F1 9.8 Tf [(transdisciplinary disciplines. Researchers, policy makers, and practitioners now face a new challenge; that of accessing this )] TJ ET BT 26.250 518.952 Td /F1 9.8 Tf [(expansive literature for decision-making and exploring new areas of research. Individuals are also reaching beyond the peer-)] TJ ET BT 26.250 507.048 Td /F1 9.8 Tf [(reviewed environment to grey literature using search engines like Google Scholar to access policy documents, consensus )] TJ ET BT 26.250 495.143 Td /F1 9.8 Tf [(reports and conference proceedings. What is needed is a method and mechanism with which to search and retrieve relevant )] TJ ET BT 26.250 483.238 Td /F1 9.8 Tf [(articles from this expansive body of literature. This manuscript presents both a framework and workable process for a diverse )] TJ ET BT 26.250 471.333 Td /F1 9.8 Tf [(group of users to navigate the growing peer-reviewed and grey disaster and global health in crises literature.)] TJ ET BT 26.250 451.929 Td /F1 9.8 Tf [(Methods:)] TJ ET BT 26.250 440.024 Td /F1 9.8 Tf [(Disaster terms from textbooks, peer-reviewed and grey literature were used to design a framework of thematic clusters and )] TJ ET BT 26.250 428.119 Td /F1 9.8 Tf [(subject matter nodes. A set of 84 terms, selected from 143 curated terms was organized within each node reflecting topics )] TJ ET BT 26.250 416.214 Td /F1 9.8 Tf [(within the disaster and global health in crisis literature. Terms were crossed with one another and the term disaster. The results )] TJ ET BT 26.250 404.310 Td /F1 9.8 Tf [(were formatted into tables and matrices. This process created a roadmap of search terms that could be applied to the PubMed )] TJ ET BT 26.250 392.405 Td /F1 9.8 Tf [(database. Each search in the matrix or table results in a listed number of articles. This process was applied to literature from )] TJ ET BT 26.250 380.500 Td /F1 9.8 Tf [(PubMed from 2005-2011. A complementary process was also applied to Google Scholar using the same framework of clusters, )] TJ ET BT 26.250 368.595 Td /F1 9.8 Tf [(nodes, and terms expanding the search process to include the broader grey literature assets.)] TJ ET BT 26.250 349.191 Td /F1 9.8 Tf [(Results:)] TJ ET BT 26.250 337.286 Td /F1 9.8 Tf [(A framework of four thematic clusters and twelve subject matter nodes were designed to capture diverse disaster and global )] TJ ET BT 26.250 325.381 Td /F1 9.8 Tf [(health in crisis-related content. From 2005-2011 there were 18,660 articles referring to the term [disaster]. Restricting the search )] TJ ET BT 26.250 313.476 Td /F1 9.8 Tf [(to human research, MeSH, and English language there remained 7,736 identified articles representing an unmanageable )] TJ ET BT 26.250 301.572 Td /F1 9.8 Tf [(number to adequately process for research, policy or best practices. However, using the crossed search and matrix process )] TJ ET BT 26.250 289.667 Td /F1 9.8 Tf [(revealed further examples of robust realms of research in disasters, emergency medicine, EMS, public health and global health. )] TJ ET BT 26.250 277.762 Td /F1 9.8 Tf [(Examples of potential gaps in current peer-reviewed disaster and global health in crisis literature were identified as mental )] TJ ET BT 26.250 265.857 Td /F1 9.8 Tf [(health, elderly care, and alternate sites of care. The same framework and process was then applied to Google Scholar, )] TJ ET BT 26.250 253.953 Td /F1 9.8 Tf [(specifically for topics that resulted in few PubMed search returns. When applying the same framework and process to the )] TJ ET BT 26.250 242.048 Td /F1 9.8 Tf [(Google Scholar example searches retrieved unique peer-reviewed articles not identified in PubMed and documents including )] TJ ET BT 26.250 230.143 Td /F1 9.8 Tf [(books, governmental documents and consensus papers.)] TJ ET BT 26.250 210.738 Td /F1 9.8 Tf [(Conclusions:)] TJ ET BT 26.250 198.834 Td /F1 9.8 Tf [(The proposed framework, methodology and process using four clusters, twelve nodes and a matrix and table process applied )] TJ ET BT 568.701 198.834 Td /F1 9.8 Tf [(to )] TJ ET BT 26.250 186.929 Td /F1 9.8 Tf [(PubMed and Google Scholar unlocks otherwise inaccessible opportunities to better navigate the massively growing body of )] TJ ET BT 26.250 175.024 Td /F1 9.8 Tf [(peer-reviewed disaster and global health in crises literature. This approach will assist researchers, policy makers, and )] TJ ET BT 26.250 163.119 Td /F1 9.8 Tf [(practitioners to generate future research questions, report on the overall evolution of the disaster and global health in crisis field )] TJ ET BT 26.250 151.215 Td /F1 9.8 Tf [(and further guide disaster planning, prevention, preparedness, mitigation response and recovery.)] TJ ET BT 26.250 114.612 Td /F4 12.0 Tf [(INTRODUCTION)] TJ ET BT 26.250 94.658 Td /F1 9.8 Tf [(Over the past four decades disaster and global health in crisis research has grown tremendously and this growth is reflected in )] TJ ET BT 26.250 82.753 Td /F1 9.8 Tf [(the rapid increase in peer-reviewed literature. This is partly due to the increasing number and size of disasters. In 2011, there )] TJ ET BT 26.250 70.848 Td /F1 9.8 Tf [(were 332 natural disasters with over 244.7 million victims.)] TJ ET 0.267 0.267 0.267 rg BT 274.953 72.356 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 279.772 70.848 Td /F1 9.8 Tf [( According to UNHCR, over 4.3 million people were newly displaced )] TJ ET BT 26.250 58.944 Td /F1 9.8 Tf [(in 2011, mostly due to conflict.)] TJ ET 0.267 0.267 0.267 rg BT 157.397 60.451 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 162.216 58.944 Td /F1 9.8 Tf [( The multidisciplinary and transdisciplinary field of practitioners, policy-makers, and researchers, )] TJ ET BT 26.250 47.039 Td /F1 9.8 Tf [(many who are experts in sociology, information sciences, law, economics and ethics, just to name a few, continue to push )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(1)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 8 0 obj << /Type /Font /Subtype /Type1 /Name /F1 /BaseFont /Helvetica /Encoding /WinAnsiEncoding >> endobj 9 0 obj << /Type /Font /Subtype /Type1 /Name /F2 /BaseFont /Times-Bold /Encoding /WinAnsiEncoding >> endobj 10 0 obj << /Type /Font /Subtype /Type1 /Name /F3 /BaseFont /Times-Italic /Encoding /WinAnsiEncoding >> endobj 11 0 obj << /Type /Font /Subtype /Type1 /Name /F4 /BaseFont /Helvetica-Bold /Encoding /WinAnsiEncoding >> endobj 12 0 obj << /Type /XObject /Subtype /Image /Width 500 /Height 52 /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 1 /Columns 500 /BitsPerComponent 8>> /ColorSpace /DeviceGray /BitsPerComponent 8 /Length 144>> stream x1 0 'ݲ؎"e{dzAdzAdzAdzAdzAdzAdzAdzAdzAdzAdzAdzAtlM0\ endstream endobj 13 0 obj << /Type /XObject /Subtype /Image /Width 500 /Height 52 /SMask 12 0 R /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 3 /Columns 500 /BitsPerComponent 8>> /ColorSpace /DeviceRGB /BitsPerComponent 8 /Length 3627>> stream x?b!/w N BU!@rܥ>L%|"ɾeB~qbϧG0 0 0 ü<,a ,a ,a /)܋( daKnW>'IR2 0x1ͽ{0 Z4= 4M޶mY}'IĖ2 0ָML}GQ48Iy>i("u>s6ne0 YfB;S}b 5ba,ZP՚ћuFڶ= 0{ǤbA!>m{wwW׵ApssDZdU,K:fs_׿___qykQbfMii{$̂>}JdB um{Lh'پy2c\ifZypE|,Uݝ,h4ڶ],R*\U-rQ9l PUUQ#G80aef_-mI*gߋlil-d:5ec]RUa0\ͼ$ ֌8jE%4BH\m=ϣfY )!vDL^)4axt=3*E<' _?>>.7DYt]׆0gqwр,ajmۢ(HMB$ [ U5;gfw`2R]u]GQD0g[Tt:a1J#,AU}0hwb>&8V~*ȀIH fuiah aMl7\:\>|,L5w(YqOFsoBy|<3^=6.ym۾%)~`XHnݰ‹IDs'oZ7In}wV|C%H{lDsDQ6]4jcЊͭ;*ٶv&A.09e(ji2btXɄy4?!ZEI"+Yɲy%'hZch@C+q,U1TA+FEe_R18;z.􃰢c ( H| $I.hy {ss&` 26:#(RuGQmZtJӅ˲csоj$}3#rl& j }>  ]x] ъ|G[1lfu ϛIaVz0-mvy2h܉ေA^XD`b"W#ֵU{(Y BAaDL]z_ex6 (nMOÈ%֐m`04Ԝ0aℓ.*"^=KeY~-'iM``v,Z꺞fRf1c+! 85BX,HeEљ @N^ԚG`5p |!L]U).?"l5eFQŞu]ɍK'eW/o҆&(i VM_ = E/J,;sqq0 W>rM=gdќ陞qѼ:2X;.˲j#Ņ뺮fbi\ו.u݋1mgXEQꋋ q@P%~VL0%b`eF4M}'@Sp8v;FߊdY]@u[5 (96 V0~1Gj Ňg֏= >\'ͪ$yX`!dhq%I0fF5x]t,hRˮb"3鈰@'5ؽE2>GI@ KȲLrÿ*1ȰT5ffܱYjuqqC3v(uEsI'c^چ#X,hAk"ZH6`XPW,>}fY6t^C8,Fi#nica Jzlf0 >سX,)m_Bs' c oN c>TT'%x&ߘ fi$W܇g[@ mDZ7]:RQjƘ.ğ$:؝, s{HzxqZKmF|Ϗ~p7@ {1$Xu}p(ĉzZaJ%i&0L@#\}GaT~tTQ,asEOxhy.?,aC9oqE=MS9I%8~WmdG:agO\\$,yHg^Ab%Ĩ7Z}џd2!YmN0X-#*ڈ/&W4MAYT?3;f udJ 6%ag9IxINlȦ|[+ ٘{R0' uT?NP%A wD&1=4L&ĵg-G)+0*V} 62T75yiۣrѰڳ>$'?B'IeY0K1WH]NkiR m<˭XF.xaijT==}~&;ہHA7| \( s\? ~_{ޒ{ O?^AVtї~g~~mVfS XtU6wMUv8|xxG-ü[A܆m!g۾勜*N5,sP=0 cibCub=2xa? 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/Type /Action >> endobj 54 0 obj << /Type /Annot /Subtype /Link /A 55 0 R /Border [0 0 0] /H /I /Rect [ 157.3973 59.6492 162.2159 68.4675 ] >> endobj 55 0 obj << /Type /Action >> endobj 56 0 obj << /Type /Page /Parent 3 0 R /Annots [ 58 0 R 60 0 R 62 0 R 64 0 R 66 0 R 68 0 R 70 0 R 72 0 R 74 0 R 76 0 R 78 0 R 80 0 R 82 0 R 84 0 R 86 0 R 88 0 R 90 0 R 92 0 R 94 0 R 96 0 R 98 0 R 100 0 R 102 0 R 104 0 R 106 0 R 108 0 R 110 0 R 112 0 R 114 0 R 116 0 R 118 0 R 120 0 R 122 0 R 124 0 R 126 0 R 128 0 R 130 0 R 132 0 R 134 0 R 136 0 R 138 0 R 140 0 R 142 0 R 144 0 R 146 0 R ] /Contents 57 0 R >> endobj 57 0 obj << /Length 32326 >> stream 0.271 0.267 0.267 rg q 15.000 32.587 577.500 744.413 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(boundaries and challenge this quickly changing complex space. What results is an ecosystem of health professionals and a )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(growing number of cross-breeding experts that are defining the multidisciplinary and transdisciplinary nature of disaster and )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(global health in crisis fields with their research and writings.)] TJ ET 0.267 0.267 0.267 rg BT 282.002 745.174 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 286.821 743.667 Td /F1 9.8 Tf [( The peer-reviewed literature has reflected this change with a )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(massive explosion of information across many journals. The demand to access and use the literature for policymaking, program )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(decisions, and research continues to grow. Whereas the sheer volume and growth of peer-reviewed literature in disasters and )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(global health in crisis can be viewed as a testament to the value and relevance of the field, what results is a deluge of )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(knowledge which for practitioners, policy makers and researchers alike may prove unmanageable to access.)] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(Many disaster and global health in crisis research studies describe searching databases by event types or a specific disaster or )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(crisis. Studies by Kelen and Smith both search the literature to determine which journals frequently publish disaster health and )] TJ ET BT 26.250 652.833 Td /F1 9.8 Tf [(event-specific literature respectively.)] TJ ET 0.267 0.267 0.267 rg BT 183.381 654.341 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 188.200 656.722 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 190.609 654.341 Td /F4 8.7 Tf [(5)] TJ ET 0.271 0.267 0.267 rg BT 195.428 652.833 Td /F1 9.8 Tf [( A recent study showed that practitioners seek evidence-based information, but view the )] TJ ET BT 26.250 640.929 Td /F1 9.8 Tf [(evidence within the context of usefulness.)] TJ ET 0.267 0.267 0.267 rg BT 212.670 642.436 Td /F4 8.7 Tf [(20)] TJ ET 0.271 0.267 0.267 rg BT 222.307 640.929 Td /F1 9.8 Tf [( This was cited as relevant to specific disaster contexts and health systems )] TJ ET BT 26.250 629.024 Td /F1 9.8 Tf [(research in addition to clinical trials. The United States Department of Health and Human Services Department of Information )] TJ ET BT 26.250 617.119 Td /F1 9.8 Tf [(Management Research Center has made efforts to improve the access to health information during all phases of the disaster )] TJ ET BT 26.250 605.214 Td /F1 9.8 Tf [(management cycle including an )] TJ ET 0.267 0.267 0.267 rg BT 165.519 605.214 Td /F1 9.8 Tf [(online glossary)] TJ ET 0.271 0.267 0.267 rg BT 230.542 605.214 Td /F1 9.8 Tf [( of disaster terms.)] TJ ET 0.267 0.267 0.267 rg BT 308.025 606.722 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 312.844 605.214 Td /F1 9.8 Tf [( The Evidence Aid Project, an initiative of the Cochrane )] TJ ET BT 26.250 593.310 Td /F1 9.8 Tf [(Collaboration, aims to collect and freely share reliable, up-to-date evidence on interventions that might be considered in the )] TJ ET BT 26.250 581.405 Td /F1 9.8 Tf [(context of natural disasters and other major healthcare emergencies.)] TJ ET 0.267 0.267 0.267 rg BT 326.462 582.912 Td /F4 8.7 Tf [(21)] TJ ET 0.271 0.267 0.267 rg BT 26.250 562.000 Td /F1 9.8 Tf [(PubMed, a free online database from the National Library of Medicine is recognized as one of the major English language )] TJ ET BT 26.250 550.095 Td /F1 9.8 Tf [(health and medicine databases. With over 22 million citations PubMed is a hierarchical search engine that uses keywords and )] TJ ET BT 26.250 538.191 Td /F1 9.8 Tf [(medical search terms \(MeSH\). To date, PubMed still serves as one of the primary databases for which to search the peer-)] TJ ET BT 26.250 526.286 Td /F1 9.8 Tf [(reviewed literature for health and medicine. It is also the database used for published literature reviews such as the annual )] TJ ET BT 26.250 514.381 Td /F1 9.8 Tf [(Global Emergency Medicine Literature Review and many published papers on disaster medicine, public health crises and global )] TJ ET BT 26.250 502.476 Td /F1 9.8 Tf [(health. )] TJ ET 0.267 0.267 0.267 rg BT 58.230 503.984 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 63.049 506.365 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 65.458 503.984 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 70.277 506.365 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 72.686 503.984 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 26.250 483.072 Td /F1 9.8 Tf [(In 2004 Google launched Google Scholar, a web-crawling free and online search engine. Strong in the health, science and )] TJ ET BT 26.250 471.167 Td /F1 9.8 Tf [(engineering disciplines, Google Scholar searches have the potential to expand the search environment for users interested in )] TJ ET BT 26.250 459.262 Td /F1 9.8 Tf [(global health and crisis literature.)] TJ ET 0.267 0.267 0.267 rg BT 168.766 460.769 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 173.584 459.262 Td /F1 9.8 Tf [( Google Scholar provides added value to users interested in searching multidisciplinary and )] TJ ET BT 26.250 447.357 Td /F1 9.8 Tf [(transdisciplinary topics and accessing the grey literature \(e.g., governmental documents, United Nations agency reports, )] TJ ET BT 26.250 435.453 Td /F1 9.8 Tf [(conference proceedings, consensus reports and books.\))] TJ ET 0.267 0.267 0.267 rg BT 269.035 436.960 Td /F4 8.7 Tf [(10)] TJ ET 0.271 0.267 0.267 rg BT 278.672 435.453 Td /F1 9.8 Tf [( It has also been described as a search engine that serves as a quick )] TJ ET BT 26.250 423.548 Td /F1 9.8 Tf [(and easy starting point for literature exploration and provides search returns of core documents in that topic domain.)] TJ ET 0.267 0.267 0.267 rg BT 525.899 425.055 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 26.250 404.143 Td /F1 9.8 Tf [(These powerful online search engines and databases open doors to accessing thousands of articles. However, there has yet to )] TJ ET BT 26.250 392.238 Td /F1 9.8 Tf [(be an article that creates a roadmap or process for users to approach the peer-reviewed literature from different angles or a )] TJ ET BT 26.250 380.334 Td /F1 9.8 Tf [(definition of disaster and global health in crisis that is equally inclusive. While a researcher may seek to perform a systematic )] TJ ET BT 26.250 368.429 Td /F1 9.8 Tf [(review of national preparedness plans for emergency vaccination programs, a health practitioner from a non-governmental )] TJ ET BT 26.250 356.524 Td /F1 9.8 Tf [(organization may search the literature for the impact of community-based vaccination programs to help guide their programs. It )] TJ ET BT 26.250 344.619 Td /F1 9.8 Tf [(is known that clinicians often face obstacles when searching the literature, including challenges in determining search order, )] TJ ET BT 26.250 332.715 Td /F1 9.8 Tf [(and filtering and determining the adequacy of a search.)] TJ ET 0.267 0.267 0.267 rg BT 264.169 334.222 Td /F4 8.7 Tf [(11)] TJ ET 0.271 0.267 0.267 rg BT 273.807 332.715 Td /F1 9.8 Tf [( It is likely that these diverse stakeholders in the global health and )] TJ ET BT 26.250 320.810 Td /F1 9.8 Tf [(disaster community face similar, if not greater, challenges.)] TJ ET BT 26.250 301.405 Td /F1 9.8 Tf [(A flexible framework and practical process for navigating disaster and global health in crisis literature is needed. It should be )] TJ ET BT 26.250 289.500 Td /F1 9.8 Tf [(approachable by different stakeholders for different purposes. While academics may search the literature to investigate )] TJ ET BT 26.250 277.596 Td /F1 9.8 Tf [(emerging areas of research, policy makers may seek literature that spans two disciplines to inform legislation. Practitioners may )] TJ ET BT 26.250 265.691 Td /F1 9.8 Tf [(look for evidence-based practices to guide programming or clinical practice. The framework and process should aim to prevent )] TJ ET BT 26.250 253.786 Td /F1 9.8 Tf [(the silo-ing of information and push forward or reconfigure knowledge sharing. This framework falls in line with published )] TJ ET BT 26.250 241.881 Td /F1 9.8 Tf [(literature that promotes interdisciplinary engagement and an integrative expertise.)] TJ ET 0.267 0.267 0.267 rg BT 384.982 243.389 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 26.250 222.477 Td /F1 9.8 Tf [(This manuscript presents a framework, process, and methodology for searching, collating, and navigating the broad base of )] TJ ET BT 26.250 210.572 Td /F1 9.8 Tf [(growing disaster and global health in crises literature with a primary focus on peer-reviewed literature. It presents the rationale )] TJ ET BT 26.250 198.667 Td /F1 9.8 Tf [(for a framework that acts as a roadmap to search disaster and global health in crisis literature. A hierarchical classification )] TJ ET BT 26.250 186.762 Td /F1 9.8 Tf [(scheme of structured clusters and nodes \(italics\), MeSH terms \(brackets\), and free text terms \(single quotes\) creates a )] TJ ET BT 26.250 174.858 Td /F1 9.8 Tf [(taxonomy that is specific to PubMed. Google Scholar is also used to transition from a hierarchical search process to a network )] TJ ET BT 26.250 162.953 Td /F1 9.8 Tf [(search structure that allows for a comparative and complementary approach to searching the literature. Examples of how to use )] TJ ET BT 26.250 151.048 Td /F1 9.8 Tf [(this framework is presented in tabular and matrix format exemplifying the process with which researchers, policy makers and )] TJ ET BT 26.250 139.143 Td /F1 9.8 Tf [(practitioners can navigate a database of thousands of disaster and global crisis articles. Lastly, future opportunities, current )] TJ ET BT 26.250 127.239 Td /F1 9.8 Tf [(challenges, and next steps are discussed for the proposed framework and search process.)] TJ ET BT 26.250 90.636 Td /F4 12.0 Tf [(METHODOLOGY)] TJ ET BT 26.250 70.682 Td /F1 9.8 Tf [(Frameworks can provide a plan and strategy for organizing large volumes of information. In this context we include disaster and )] TJ ET BT 26.250 58.777 Td /F1 9.8 Tf [(global health in crisis literature. Within this organized search structure is a taxonomy of layered terms. For global health, )] TJ ET BT 26.250 46.872 Td /F1 9.8 Tf [(disasters and crisis, the taxonomy should reflect health issues, health systems, disaster and crisis event types, and study )] TJ ET Q q 15.000 32.587 577.500 744.413 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(boundaries and challenge this quickly changing complex space. What results is an ecosystem of health professionals and a )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(growing number of cross-breeding experts that are defining the multidisciplinary and transdisciplinary nature of disaster and )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(global health in crisis fields with their research and writings.)] TJ ET 0.267 0.267 0.267 rg BT 282.002 745.174 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 286.821 743.667 Td /F1 9.8 Tf [( The peer-reviewed literature has reflected this change with a )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(massive explosion of information across many journals. The demand to access and use the literature for policymaking, program )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(decisions, and research continues to grow. Whereas the sheer volume and growth of peer-reviewed literature in disasters and )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(global health in crisis can be viewed as a testament to the value and relevance of the field, what results is a deluge of )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(knowledge which for practitioners, policy makers and researchers alike may prove unmanageable to access.)] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(Many disaster and global health in crisis research studies describe searching databases by event types or a specific disaster or )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(crisis. Studies by Kelen and Smith both search the literature to determine which journals frequently publish disaster health and )] TJ ET BT 26.250 652.833 Td /F1 9.8 Tf [(event-specific literature respectively.)] TJ ET 0.267 0.267 0.267 rg BT 183.381 654.341 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 188.200 656.722 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 190.609 654.341 Td /F4 8.7 Tf [(5)] TJ ET 0.271 0.267 0.267 rg BT 195.428 652.833 Td /F1 9.8 Tf [( A recent study showed that practitioners seek evidence-based information, but view the )] TJ ET BT 26.250 640.929 Td /F1 9.8 Tf [(evidence within the context of usefulness.)] TJ ET 0.267 0.267 0.267 rg BT 212.670 642.436 Td /F4 8.7 Tf [(20)] TJ ET 0.271 0.267 0.267 rg BT 222.307 640.929 Td /F1 9.8 Tf [( This was cited as relevant to specific disaster contexts and health systems )] TJ ET BT 26.250 629.024 Td /F1 9.8 Tf [(research in addition to clinical trials. The United States Department of Health and Human Services Department of Information )] TJ ET BT 26.250 617.119 Td /F1 9.8 Tf [(Management Research Center has made efforts to improve the access to health information during all phases of the disaster )] TJ ET BT 26.250 605.214 Td /F1 9.8 Tf [(management cycle including an )] TJ ET 0.267 0.267 0.267 rg BT 165.519 605.214 Td /F1 9.8 Tf [(online glossary)] TJ ET 0.271 0.267 0.267 rg BT 230.542 605.214 Td /F1 9.8 Tf [( of disaster terms.)] TJ ET 0.267 0.267 0.267 rg BT 308.025 606.722 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 312.844 605.214 Td /F1 9.8 Tf [( The Evidence Aid Project, an initiative of the Cochrane )] TJ ET BT 26.250 593.310 Td /F1 9.8 Tf [(Collaboration, aims to collect and freely share reliable, up-to-date evidence on interventions that might be considered in the )] TJ ET BT 26.250 581.405 Td /F1 9.8 Tf [(context of natural disasters and other major healthcare emergencies.)] TJ ET 0.267 0.267 0.267 rg BT 326.462 582.912 Td /F4 8.7 Tf [(21)] TJ ET 0.271 0.267 0.267 rg BT 26.250 562.000 Td /F1 9.8 Tf [(PubMed, a free online database from the National Library of Medicine is recognized as one of the major English language )] TJ ET BT 26.250 550.095 Td /F1 9.8 Tf [(health and medicine databases. With over 22 million citations PubMed is a hierarchical search engine that uses keywords and )] TJ ET BT 26.250 538.191 Td /F1 9.8 Tf [(medical search terms \(MeSH\). To date, PubMed still serves as one of the primary databases for which to search the peer-)] TJ ET BT 26.250 526.286 Td /F1 9.8 Tf [(reviewed literature for health and medicine. It is also the database used for published literature reviews such as the annual )] TJ ET BT 26.250 514.381 Td /F1 9.8 Tf [(Global Emergency Medicine Literature Review and many published papers on disaster medicine, public health crises and global )] TJ ET BT 26.250 502.476 Td /F1 9.8 Tf [(health. )] TJ ET 0.267 0.267 0.267 rg BT 58.230 503.984 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 63.049 506.365 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 65.458 503.984 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 70.277 506.365 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 72.686 503.984 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 26.250 483.072 Td /F1 9.8 Tf [(In 2004 Google launched Google Scholar, a web-crawling free and online search engine. Strong in the health, science and )] TJ ET BT 26.250 471.167 Td /F1 9.8 Tf [(engineering disciplines, Google Scholar searches have the potential to expand the search environment for users interested in )] TJ ET BT 26.250 459.262 Td /F1 9.8 Tf [(global health and crisis literature.)] TJ ET 0.267 0.267 0.267 rg BT 168.766 460.769 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 173.584 459.262 Td /F1 9.8 Tf [( Google Scholar provides added value to users interested in searching multidisciplinary and )] TJ ET BT 26.250 447.357 Td /F1 9.8 Tf [(transdisciplinary topics and accessing the grey literature \(e.g., governmental documents, United Nations agency reports, )] TJ ET BT 26.250 435.453 Td /F1 9.8 Tf [(conference proceedings, consensus reports and books.\))] TJ ET 0.267 0.267 0.267 rg BT 269.035 436.960 Td /F4 8.7 Tf [(10)] TJ ET 0.271 0.267 0.267 rg BT 278.672 435.453 Td /F1 9.8 Tf [( It has also been described as a search engine that serves as a quick )] TJ ET BT 26.250 423.548 Td /F1 9.8 Tf [(and easy starting point for literature exploration and provides search returns of core documents in that topic domain.)] TJ ET 0.267 0.267 0.267 rg BT 525.899 425.055 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 26.250 404.143 Td /F1 9.8 Tf [(These powerful online search engines and databases open doors to accessing thousands of articles. However, there has yet to )] TJ ET BT 26.250 392.238 Td /F1 9.8 Tf [(be an article that creates a roadmap or process for users to approach the peer-reviewed literature from different angles or a )] TJ ET BT 26.250 380.334 Td /F1 9.8 Tf [(definition of disaster and global health in crisis that is equally inclusive. While a researcher may seek to perform a systematic )] TJ ET BT 26.250 368.429 Td /F1 9.8 Tf [(review of national preparedness plans for emergency vaccination programs, a health practitioner from a non-governmental )] TJ ET BT 26.250 356.524 Td /F1 9.8 Tf [(organization may search the literature for the impact of community-based vaccination programs to help guide their programs. It )] TJ ET BT 26.250 344.619 Td /F1 9.8 Tf [(is known that clinicians often face obstacles when searching the literature, including challenges in determining search order, )] TJ ET BT 26.250 332.715 Td /F1 9.8 Tf [(and filtering and determining the adequacy of a search.)] TJ ET 0.267 0.267 0.267 rg BT 264.169 334.222 Td /F4 8.7 Tf [(11)] TJ ET 0.271 0.267 0.267 rg BT 273.807 332.715 Td /F1 9.8 Tf [( It is likely that these diverse stakeholders in the global health and )] TJ ET BT 26.250 320.810 Td /F1 9.8 Tf [(disaster community face similar, if not greater, challenges.)] TJ ET BT 26.250 301.405 Td /F1 9.8 Tf [(A flexible framework and practical process for navigating disaster and global health in crisis literature is needed. It should be )] TJ ET BT 26.250 289.500 Td /F1 9.8 Tf [(approachable by different stakeholders for different purposes. While academics may search the literature to investigate )] TJ ET BT 26.250 277.596 Td /F1 9.8 Tf [(emerging areas of research, policy makers may seek literature that spans two disciplines to inform legislation. Practitioners may )] TJ ET BT 26.250 265.691 Td /F1 9.8 Tf [(look for evidence-based practices to guide programming or clinical practice. The framework and process should aim to prevent )] TJ ET BT 26.250 253.786 Td /F1 9.8 Tf [(the silo-ing of information and push forward or reconfigure knowledge sharing. This framework falls in line with published )] TJ ET BT 26.250 241.881 Td /F1 9.8 Tf [(literature that promotes interdisciplinary engagement and an integrative expertise.)] TJ ET 0.267 0.267 0.267 rg BT 384.982 243.389 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 26.250 222.477 Td /F1 9.8 Tf [(This manuscript presents a framework, process, and methodology for searching, collating, and navigating the broad base of )] TJ ET BT 26.250 210.572 Td /F1 9.8 Tf [(growing disaster and global health in crises literature with a primary focus on peer-reviewed literature. It presents the rationale )] TJ ET BT 26.250 198.667 Td /F1 9.8 Tf [(for a framework that acts as a roadmap to search disaster and global health in crisis literature. A hierarchical classification )] TJ ET BT 26.250 186.762 Td /F1 9.8 Tf [(scheme of structured clusters and nodes \(italics\), MeSH terms \(brackets\), and free text terms \(single quotes\) creates a )] TJ ET BT 26.250 174.858 Td /F1 9.8 Tf [(taxonomy that is specific to PubMed. Google Scholar is also used to transition from a hierarchical search process to a network )] TJ ET BT 26.250 162.953 Td /F1 9.8 Tf [(search structure that allows for a comparative and complementary approach to searching the literature. Examples of how to use )] TJ ET BT 26.250 151.048 Td /F1 9.8 Tf [(this framework is presented in tabular and matrix format exemplifying the process with which researchers, policy makers and )] TJ ET BT 26.250 139.143 Td /F1 9.8 Tf [(practitioners can navigate a database of thousands of disaster and global crisis articles. Lastly, future opportunities, current )] TJ ET BT 26.250 127.239 Td /F1 9.8 Tf [(challenges, and next steps are discussed for the proposed framework and search process.)] TJ ET BT 26.250 90.636 Td /F4 12.0 Tf [(METHODOLOGY)] TJ ET BT 26.250 70.682 Td /F1 9.8 Tf [(Frameworks can provide a plan and strategy for organizing large volumes of information. In this context we include disaster and )] TJ ET BT 26.250 58.777 Td /F1 9.8 Tf [(global health in crisis literature. Within this organized search structure is a taxonomy of layered terms. For global health, )] TJ ET BT 26.250 46.872 Td /F1 9.8 Tf [(disasters and crisis, the taxonomy should reflect health issues, health systems, disaster and crisis event types, and study )] TJ ET Q q 15.000 32.587 577.500 744.413 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(boundaries and challenge this quickly changing complex space. What results is an ecosystem of health professionals and a )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(growing number of cross-breeding experts that are defining the multidisciplinary and transdisciplinary nature of disaster and )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(global health in crisis fields with their research and writings.)] TJ ET 0.267 0.267 0.267 rg BT 282.002 745.174 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 286.821 743.667 Td /F1 9.8 Tf [( The peer-reviewed literature has reflected this change with a )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(massive explosion of information across many journals. The demand to access and use the literature for policymaking, program )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(decisions, and research continues to grow. Whereas the sheer volume and growth of peer-reviewed literature in disasters and )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(global health in crisis can be viewed as a testament to the value and relevance of the field, what results is a deluge of )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(knowledge which for practitioners, policy makers and researchers alike may prove unmanageable to access.)] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(Many disaster and global health in crisis research studies describe searching databases by event types or a specific disaster or )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(crisis. Studies by Kelen and Smith both search the literature to determine which journals frequently publish disaster health and )] TJ ET BT 26.250 652.833 Td /F1 9.8 Tf [(event-specific literature respectively.)] TJ ET 0.267 0.267 0.267 rg BT 183.381 654.341 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 188.200 656.722 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 190.609 654.341 Td /F4 8.7 Tf [(5)] TJ ET 0.271 0.267 0.267 rg BT 195.428 652.833 Td /F1 9.8 Tf [( A recent study showed that practitioners seek evidence-based information, but view the )] TJ ET BT 26.250 640.929 Td /F1 9.8 Tf [(evidence within the context of usefulness.)] TJ ET 0.267 0.267 0.267 rg BT 212.670 642.436 Td /F4 8.7 Tf [(20)] TJ ET 0.271 0.267 0.267 rg BT 222.307 640.929 Td /F1 9.8 Tf [( This was cited as relevant to specific disaster contexts and health systems )] TJ ET BT 26.250 629.024 Td /F1 9.8 Tf [(research in addition to clinical trials. The United States Department of Health and Human Services Department of Information )] TJ ET BT 26.250 617.119 Td /F1 9.8 Tf [(Management Research Center has made efforts to improve the access to health information during all phases of the disaster )] TJ ET BT 26.250 605.214 Td /F1 9.8 Tf [(management cycle including an )] TJ ET 0.267 0.267 0.267 rg BT 165.519 605.214 Td /F1 9.8 Tf [(online glossary)] TJ ET 0.271 0.267 0.267 rg BT 230.542 605.214 Td /F1 9.8 Tf [( of disaster terms.)] TJ ET 0.267 0.267 0.267 rg BT 308.025 606.722 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 312.844 605.214 Td /F1 9.8 Tf [( The Evidence Aid Project, an initiative of the Cochrane )] TJ ET BT 26.250 593.310 Td /F1 9.8 Tf [(Collaboration, aims to collect and freely share reliable, up-to-date evidence on interventions that might be considered in the )] TJ ET BT 26.250 581.405 Td /F1 9.8 Tf [(context of natural disasters and other major healthcare emergencies.)] TJ ET 0.267 0.267 0.267 rg BT 326.462 582.912 Td /F4 8.7 Tf [(21)] TJ ET 0.271 0.267 0.267 rg BT 26.250 562.000 Td /F1 9.8 Tf [(PubMed, a free online database from the National Library of Medicine is recognized as one of the major English language )] TJ ET BT 26.250 550.095 Td /F1 9.8 Tf [(health and medicine databases. With over 22 million citations PubMed is a hierarchical search engine that uses keywords and )] TJ ET BT 26.250 538.191 Td /F1 9.8 Tf [(medical search terms \(MeSH\). To date, PubMed still serves as one of the primary databases for which to search the peer-)] TJ ET BT 26.250 526.286 Td /F1 9.8 Tf [(reviewed literature for health and medicine. It is also the database used for published literature reviews such as the annual )] TJ ET BT 26.250 514.381 Td /F1 9.8 Tf [(Global Emergency Medicine Literature Review and many published papers on disaster medicine, public health crises and global )] TJ ET BT 26.250 502.476 Td /F1 9.8 Tf [(health. )] TJ ET 0.267 0.267 0.267 rg BT 58.230 503.984 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 63.049 506.365 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 65.458 503.984 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 70.277 506.365 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 72.686 503.984 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 26.250 483.072 Td /F1 9.8 Tf [(In 2004 Google launched Google Scholar, a web-crawling free and online search engine. Strong in the health, science and )] TJ ET BT 26.250 471.167 Td /F1 9.8 Tf [(engineering disciplines, Google Scholar searches have the potential to expand the search environment for users interested in )] TJ ET BT 26.250 459.262 Td /F1 9.8 Tf [(global health and crisis literature.)] TJ ET 0.267 0.267 0.267 rg BT 168.766 460.769 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 173.584 459.262 Td /F1 9.8 Tf [( Google Scholar provides added value to users interested in searching multidisciplinary and )] TJ ET BT 26.250 447.357 Td /F1 9.8 Tf [(transdisciplinary topics and accessing the grey literature \(e.g., governmental documents, United Nations agency reports, )] TJ ET BT 26.250 435.453 Td /F1 9.8 Tf [(conference proceedings, consensus reports and books.\))] TJ ET 0.267 0.267 0.267 rg BT 269.035 436.960 Td /F4 8.7 Tf [(10)] TJ ET 0.271 0.267 0.267 rg BT 278.672 435.453 Td /F1 9.8 Tf [( It has also been described as a search engine that serves as a quick )] TJ ET BT 26.250 423.548 Td /F1 9.8 Tf [(and easy starting point for literature exploration and provides search returns of core documents in that topic domain.)] TJ ET 0.267 0.267 0.267 rg BT 525.899 425.055 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 26.250 404.143 Td /F1 9.8 Tf [(These powerful online search engines and databases open doors to accessing thousands of articles. However, there has yet to )] TJ ET BT 26.250 392.238 Td /F1 9.8 Tf [(be an article that creates a roadmap or process for users to approach the peer-reviewed literature from different angles or a )] TJ ET BT 26.250 380.334 Td /F1 9.8 Tf [(definition of disaster and global health in crisis that is equally inclusive. While a researcher may seek to perform a systematic )] TJ ET BT 26.250 368.429 Td /F1 9.8 Tf [(review of national preparedness plans for emergency vaccination programs, a health practitioner from a non-governmental )] TJ ET BT 26.250 356.524 Td /F1 9.8 Tf [(organization may search the literature for the impact of community-based vaccination programs to help guide their programs. It )] TJ ET BT 26.250 344.619 Td /F1 9.8 Tf [(is known that clinicians often face obstacles when searching the literature, including challenges in determining search order, )] TJ ET BT 26.250 332.715 Td /F1 9.8 Tf [(and filtering and determining the adequacy of a search.)] TJ ET 0.267 0.267 0.267 rg BT 264.169 334.222 Td /F4 8.7 Tf [(11)] TJ ET 0.271 0.267 0.267 rg BT 273.807 332.715 Td /F1 9.8 Tf [( It is likely that these diverse stakeholders in the global health and )] TJ ET BT 26.250 320.810 Td /F1 9.8 Tf [(disaster community face similar, if not greater, challenges.)] TJ ET BT 26.250 301.405 Td /F1 9.8 Tf [(A flexible framework and practical process for navigating disaster and global health in crisis literature is needed. It should be )] TJ ET BT 26.250 289.500 Td /F1 9.8 Tf [(approachable by different stakeholders for different purposes. While academics may search the literature to investigate )] TJ ET BT 26.250 277.596 Td /F1 9.8 Tf [(emerging areas of research, policy makers may seek literature that spans two disciplines to inform legislation. Practitioners may )] TJ ET BT 26.250 265.691 Td /F1 9.8 Tf [(look for evidence-based practices to guide programming or clinical practice. The framework and process should aim to prevent )] TJ ET BT 26.250 253.786 Td /F1 9.8 Tf [(the silo-ing of information and push forward or reconfigure knowledge sharing. This framework falls in line with published )] TJ ET BT 26.250 241.881 Td /F1 9.8 Tf [(literature that promotes interdisciplinary engagement and an integrative expertise.)] TJ ET 0.267 0.267 0.267 rg BT 384.982 243.389 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 26.250 222.477 Td /F1 9.8 Tf [(This manuscript presents a framework, process, and methodology for searching, collating, and navigating the broad base of )] TJ ET BT 26.250 210.572 Td /F1 9.8 Tf [(growing disaster and global health in crises literature with a primary focus on peer-reviewed literature. It presents the rationale )] TJ ET BT 26.250 198.667 Td /F1 9.8 Tf [(for a framework that acts as a roadmap to search disaster and global health in crisis literature. A hierarchical classification )] TJ ET BT 26.250 186.762 Td /F1 9.8 Tf [(scheme of structured clusters and nodes \(italics\), MeSH terms \(brackets\), and free text terms \(single quotes\) creates a )] TJ ET BT 26.250 174.858 Td /F1 9.8 Tf [(taxonomy that is specific to PubMed. Google Scholar is also used to transition from a hierarchical search process to a network )] TJ ET BT 26.250 162.953 Td /F1 9.8 Tf [(search structure that allows for a comparative and complementary approach to searching the literature. Examples of how to use )] TJ ET BT 26.250 151.048 Td /F1 9.8 Tf [(this framework is presented in tabular and matrix format exemplifying the process with which researchers, policy makers and )] TJ ET BT 26.250 139.143 Td /F1 9.8 Tf [(practitioners can navigate a database of thousands of disaster and global crisis articles. Lastly, future opportunities, current )] TJ ET BT 26.250 127.239 Td /F1 9.8 Tf [(challenges, and next steps are discussed for the proposed framework and search process.)] TJ ET BT 26.250 90.636 Td /F4 12.0 Tf [(METHODOLOGY)] TJ ET BT 26.250 70.682 Td /F1 9.8 Tf [(Frameworks can provide a plan and strategy for organizing large volumes of information. In this context we include disaster and )] TJ ET BT 26.250 58.777 Td /F1 9.8 Tf [(global health in crisis literature. Within this organized search structure is a taxonomy of layered terms. 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26.625 463.260 26.416 0.750 re f 26.625 439.747 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 453.405 Td /F1 9.8 Tf [(8)] TJ ET 0.267 0.267 0.267 rg 52.291 463.260 211.488 0.750 re f 52.291 439.747 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 453.405 Td /F1 9.8 Tf [(Public Health Management of Disaster )] TJ ET BT 57.541 445.774 Td /F1 9.8 Tf [(Medicine)] TJ ET 0.267 0.267 0.267 rg 263.029 463.260 136.023 0.750 re f 263.029 439.747 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 453.405 Td /F1 9.8 Tf [(Landesman LY)] TJ ET 0.267 0.267 0.267 rg 398.301 463.260 100.672 0.750 re f 398.301 439.747 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 453.405 Td /F1 9.8 Tf [(American Public )] TJ ET BT 403.551 445.774 Td /F1 9.8 Tf [(Health Association)] TJ ET 0.267 0.267 0.267 rg 498.223 463.260 82.652 0.750 re f 498.223 439.747 0.750 24.262 re f 580.125 439.747 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 453.405 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 439.747 26.416 0.750 re f 26.625 416.235 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 429.892 Td /F1 9.8 Tf [(9)] TJ ET 0.267 0.267 0.267 rg 52.291 439.747 211.488 0.750 re f 52.291 416.235 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 429.892 Td /F1 9.8 Tf [(Humanitarian crises: the medical and public )] TJ ET BT 57.541 422.261 Td /F1 9.8 Tf [(health response)] TJ ET 0.267 0.267 0.267 rg 263.029 439.747 136.023 0.750 re f 263.029 416.235 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 429.892 Td /F1 9.8 Tf [(Leaning J, Briggs S, Chen )] TJ ET BT 268.279 422.261 Td /F1 9.8 Tf [(LC)] TJ ET 0.267 0.267 0.267 rg 398.301 439.747 100.672 0.750 re f 398.301 416.235 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 429.892 Td /F1 9.8 Tf [(Harvard University )] TJ ET BT 403.551 422.261 Td /F1 9.8 Tf [(Press)] TJ ET 0.267 0.267 0.267 rg 498.223 439.747 82.652 0.750 re f 498.223 416.235 0.750 24.262 re f 580.125 416.235 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 429.892 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 416.235 26.416 0.750 re f 26.625 392.722 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 406.380 Td /F1 9.8 Tf [(10)] TJ ET 0.267 0.267 0.267 rg 52.291 416.235 211.488 0.750 re f 52.291 392.722 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 406.380 Td /F1 9.8 Tf [(H.E.L.P Public health course in the )] TJ ET BT 57.541 398.749 Td /F1 9.8 Tf [(management of humanitarian aid)] TJ ET 0.267 0.267 0.267 rg 263.029 416.235 136.023 0.750 re f 263.029 392.722 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 406.380 Td /F1 9.8 Tf [(Perrin P)] TJ ET 0.267 0.267 0.267 rg 398.301 416.235 100.672 0.750 re f 398.301 392.722 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 406.380 Td /F1 9.8 Tf [(ICRC)] TJ ET 0.267 0.267 0.267 rg 498.223 416.235 82.652 0.750 re f 498.223 392.722 0.750 24.262 re f 580.125 392.722 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 406.380 Td /F1 9.8 Tf [(Switzerland)] TJ ET 0.267 0.267 0.267 rg 26.625 392.722 26.416 0.750 re f 26.625 361.579 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 382.867 Td /F1 9.8 Tf [(11)] TJ ET 0.267 0.267 0.267 rg 52.291 392.722 211.488 0.750 re f 52.291 361.579 0.750 31.894 re f 0.271 0.267 0.267 rg BT 57.541 382.867 Td /F1 9.8 Tf [(Trend analysis of disaster health articles in )] TJ ET BT 57.541 375.236 Td /F1 9.8 Tf [(peer-reviewed publications pre- and post-)] TJ ET BT 57.541 367.605 Td /F1 9.8 Tf [(9/11. )] TJ ET BT 81.935 367.605 Td /F5 9.8 Tf [(Am J Disaster Med.)] TJ ET BT 166.994 367.605 Td /F1 9.8 Tf [( 3\(6\):369-76)] TJ ET 0.267 0.267 0.267 rg 263.029 392.722 136.023 0.750 re f 263.029 361.579 0.750 31.894 re f 0.271 0.267 0.267 rg BT 268.279 382.867 Td /F1 9.8 Tf [(Kelen G, Sauer LM)] TJ ET 0.267 0.267 0.267 rg 398.301 392.722 100.672 0.750 re f 398.301 361.579 0.750 31.894 re f 0.271 0.267 0.267 rg BT 403.551 382.867 Td /F1 9.8 Tf [(Weston Medical )] TJ ET BT 403.551 375.236 Td /F1 9.8 Tf [(Publishing)] TJ ET 0.267 0.267 0.267 rg 498.223 392.722 82.652 0.750 re f 498.223 361.579 0.750 31.894 re f 580.125 361.579 0.750 31.894 re f 0.271 0.267 0.267 rg BT 503.473 382.867 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 361.579 26.416 0.750 re f 26.625 330.435 26.416 0.750 re f 26.625 330.435 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 351.724 Td /F1 9.8 Tf [(12)] TJ ET 0.267 0.267 0.267 rg 52.291 361.579 211.488 0.750 re f 52.291 330.435 211.488 0.750 re f 52.291 330.435 0.750 31.894 re f 0.271 0.267 0.267 rg BT 57.541 351.724 Td /F1 9.8 Tf [(Three decades of Disasters: A Review of )] TJ ET BT 57.541 344.092 Td /F1 9.8 Tf [(Disaster-Specific Literature from 1977 -2009. )] TJ ET BT 57.541 336.461 Td /F5 9.8 Tf [(Prehosp Disaster Med. )] TJ ET BT 159.409 336.461 Td /F1 9.8 Tf [(2009;24\(4\))] TJ ET 0.267 0.267 0.267 rg 263.029 361.579 136.023 0.750 re f 263.029 330.435 136.023 0.750 re f 263.029 330.435 0.750 31.894 re f 0.271 0.267 0.267 rg BT 268.279 351.724 Td /F1 9.8 Tf [(Smith E, Wasiak J, Sen A, )] TJ ET BT 268.279 344.092 Td /F1 9.8 Tf [(Archer F, Burkle FM)] TJ ET 0.267 0.267 0.267 rg 398.301 361.579 100.672 0.750 re f 398.301 330.435 100.672 0.750 re f 398.301 330.435 0.750 31.894 re f 0.271 0.267 0.267 rg BT 403.551 351.724 Td /F1 9.8 Tf [(Cambridge )] TJ ET BT 403.551 344.092 Td /F1 9.8 Tf [(University Press)] TJ ET 0.267 0.267 0.267 rg 498.223 361.579 82.652 0.750 re f 498.223 330.435 82.652 0.750 re f 498.223 330.435 0.750 31.894 re f 580.125 330.435 0.750 31.894 re f 0.271 0.267 0.267 rg BT 503.473 351.724 Td /F1 9.8 Tf [(USA/UK)] TJ ET BT 26.250 275.536 Td /F1 9.8 Tf [(A total of 143 terms or phrases were curated from documents. Eighty-four terms were selected that occurred in three or more )] TJ ET BT 26.250 263.631 Td /F1 9.8 Tf [(documents and organized into four clusters \(Table 2\). When terms were synonymous with PubMed medical subject headings )] TJ ET BT 26.250 251.727 Td /F1 9.8 Tf [(\(MeSH\), the MeSH term was chosen. The four clusters and nodes were created by the curation process of the authors who )] TJ ET BT 26.250 239.822 Td /F1 9.8 Tf [(reviewed over 200 terms and phrases.)] TJ ET Q q 15.000 208.705 577.500 568.295 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(disciplines that focus on these issues. The proposed goal of this framework is to assist researchers, practitioners, and policy )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(makers to search and explore the literature. In this process one should be enabled to learn more about this interdisciplinary and )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(transdisciplinary field, understand where knowledge gaps exist, and be informed of new frontiers for research, practice, and )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(policymaking. A structured but inclusive and flexible framework is necessary to match the quickly evolving field.)] TJ ET BT 26.250 712.357 Td /F1 9.8 Tf [(Eight textbooks, two peer-reviewed articles, two disaster manuals, and unpublished documents were reviewed from sources )] TJ ET BT 26.250 700.452 Td /F1 9.8 Tf [(considered reflective of expert knowledge. This method of reviewing and retrieving terms from relevant documents has been )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(performed in other published studies.)] TJ ET 0.267 0.267 0.267 rg BT 186.657 690.055 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 196.294 688.548 Td /F1 9.8 Tf [( Terms from tables of contents and glossary of terms from published literature were )] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(collected and collated.)] TJ ET 0.267 0.267 0.267 rg BT 122.716 678.150 Td /F4 8.7 Tf [(13)] TJ ET 0.271 0.267 0.267 rg BT 132.354 680.531 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 134.763 678.150 Td /F4 8.7 Tf [(14)] TJ ET 0.271 0.267 0.267 rg BT 144.401 680.531 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 146.810 678.150 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 156.447 676.643 Td /F1 9.8 Tf [( \(Table 1\) When terms or phrases occurred at least 2-3 times through the curation process the )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(terms were included in the creation of the final 84 search terms.)] TJ ET q 26.250 641.121 555.000 13.736 re W n 0.271 0.267 0.267 rg BT 26.250 643.868 Td /F1 9.8 Tf [(Table 1: Document sources for search terms)] TJ ET Q 1.000 1.000 1.000 rg 26.250 330.060 555.000 303.561 re f 0.965 0.965 0.965 rg 27.000 620.591 25.666 12.280 re f 0.267 0.267 0.267 rg 26.625 632.496 26.041 0.750 re f 26.625 620.216 0.750 13.030 re f 0.965 0.965 0.965 rg 52.666 620.591 210.738 12.280 re f 0.267 0.267 0.267 rg 52.666 632.496 210.738 0.750 re f 0.271 0.267 0.267 rg BT 57.166 623.347 Td /F4 9.8 Tf [(Title)] TJ ET 0.965 0.965 0.965 rg 263.404 620.591 135.273 12.280 re f 0.267 0.267 0.267 rg 263.404 632.496 135.273 0.750 re f 0.271 0.267 0.267 rg BT 267.904 623.347 Td /F4 9.8 Tf [(Authors/Editors)] TJ ET 0.965 0.965 0.965 rg 398.676 620.591 99.922 12.280 re f 0.267 0.267 0.267 rg 398.676 632.496 99.922 0.750 re f 0.271 0.267 0.267 rg BT 403.176 623.347 Td /F4 9.8 Tf [(Publisher)] TJ ET 0.965 0.965 0.965 rg 498.598 620.591 81.902 12.280 re f 0.267 0.267 0.267 rg 498.598 632.496 82.277 0.750 re f 580.125 620.216 0.750 13.030 re f 0.271 0.267 0.267 rg BT 503.098 623.347 Td /F4 9.8 Tf [(Location)] TJ ET 0.267 0.267 0.267 rg 26.625 620.216 26.416 0.750 re f 26.625 596.704 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 610.361 Td /F1 9.8 Tf [(1)] TJ ET 0.267 0.267 0.267 rg 52.291 620.216 211.488 0.750 re f 52.291 596.704 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 610.361 Td /F1 9.8 Tf [(Basic Disaster Life Support Version 3.0 )] TJ ET BT 57.541 602.730 Td /F1 9.8 Tf [(Course Manual)] TJ ET 0.267 0.267 0.267 rg 263.029 620.216 136.023 0.750 re f 263.029 596.704 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 610.361 Td /F1 9.8 Tf [(American Medical )] TJ ET BT 268.279 602.730 Td /F1 9.8 Tf [(Association)] TJ ET 0.267 0.267 0.267 rg 398.301 620.216 100.672 0.750 re f 398.301 596.704 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 610.361 Td /F1 9.8 Tf [(AMA)] TJ ET 0.267 0.267 0.267 rg 498.223 620.216 82.652 0.750 re f 498.223 596.704 0.750 24.262 re f 580.125 596.704 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 610.361 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 596.704 26.416 0.750 re f 26.625 573.191 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 586.849 Td /F1 9.8 Tf [(2)] TJ ET 0.267 0.267 0.267 rg 52.291 596.704 211.488 0.750 re f 52.291 573.191 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 586.849 Td /F1 9.8 Tf [(Core Disaster Life Support Manual, Version )] TJ ET BT 57.541 579.217 Td /F1 9.8 Tf [(3.0)] TJ ET 0.267 0.267 0.267 rg 263.029 596.704 136.023 0.750 re f 263.029 573.191 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 586.849 Td /F1 9.8 Tf [(American Medical )] TJ ET BT 268.279 579.217 Td /F1 9.8 Tf [(Association)] TJ ET 0.267 0.267 0.267 rg 398.301 596.704 100.672 0.750 re f 398.301 573.191 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 586.849 Td /F1 9.8 Tf [(AMA)] TJ ET 0.267 0.267 0.267 rg 498.223 596.704 82.652 0.750 re f 498.223 573.191 0.750 24.262 re f 580.125 573.191 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 586.849 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 573.191 26.416 0.750 re f 26.625 549.679 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 563.336 Td /F1 9.8 Tf [(3)] TJ ET 0.267 0.267 0.267 rg 52.291 573.191 211.488 0.750 re f 52.291 549.679 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 563.336 Td /F1 9.8 Tf [(Emergency Public Health: Preparedness and )] TJ ET BT 57.541 555.705 Td /F1 9.8 Tf [(Response)] TJ ET 0.267 0.267 0.267 rg 263.029 573.191 136.023 0.750 re f 263.029 549.679 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 563.336 Td /F1 9.8 Tf [(Kapur GB, Smith JP)] TJ ET 0.267 0.267 0.267 rg 398.301 573.191 100.672 0.750 re f 398.301 549.679 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 563.336 Td /F1 9.8 Tf [(Jones & Bartlett )] TJ ET BT 403.551 555.705 Td /F1 9.8 Tf [(Learning)] TJ ET 0.267 0.267 0.267 rg 498.223 573.191 82.652 0.750 re f 498.223 549.679 0.750 24.262 re f 580.125 549.679 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 563.336 Td /F1 9.8 Tf [(USA, Canada, )] TJ ET BT 503.473 555.705 Td /F1 9.8 Tf [(UK)] TJ ET 0.267 0.267 0.267 rg 26.625 549.679 26.416 0.750 re f 26.625 526.166 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 539.824 Td /F1 9.8 Tf [(4)] TJ ET 0.267 0.267 0.267 rg 52.291 549.679 211.488 0.750 re f 52.291 526.166 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 539.824 Td /F1 9.8 Tf [(Disaster Medicine)] TJ ET 0.267 0.267 0.267 rg 263.029 549.679 136.023 0.750 re f 263.029 526.166 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 539.824 Td /F1 9.8 Tf [(Hogan DE, Burstein JL)] TJ ET 0.267 0.267 0.267 rg 398.301 549.679 100.672 0.750 re f 398.301 526.166 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 539.824 Td /F1 9.8 Tf [(Lippincott Williams )] TJ ET BT 403.551 532.192 Td /F1 9.8 Tf [(& Wilkins)] TJ ET 0.267 0.267 0.267 rg 498.223 549.679 82.652 0.750 re f 498.223 526.166 0.750 24.262 re f 580.125 526.166 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 539.824 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 526.166 26.416 0.750 re f 26.625 510.285 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 516.311 Td /F1 9.8 Tf [(5)] TJ ET 0.267 0.267 0.267 rg 52.291 526.166 211.488 0.750 re f 52.291 510.285 0.750 16.631 re f 0.271 0.267 0.267 rg BT 57.541 516.311 Td /F1 9.8 Tf [(Disaster Medicine)] TJ ET 0.267 0.267 0.267 rg 263.029 526.166 136.023 0.750 re f 263.029 510.285 0.750 16.631 re f 0.271 0.267 0.267 rg BT 268.279 516.311 Td /F1 9.8 Tf [(Ciottone GR)] TJ ET 0.267 0.267 0.267 rg 398.301 526.166 100.672 0.750 re f 398.301 510.285 0.750 16.631 re f 0.271 0.267 0.267 rg BT 403.551 516.311 Td /F1 9.8 Tf [(Mosby)] TJ ET 0.267 0.267 0.267 rg 498.223 526.166 82.652 0.750 re f 498.223 510.285 0.750 16.631 re f 580.125 510.285 0.750 16.631 re f 0.271 0.267 0.267 rg BT 503.473 516.311 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 510.285 26.416 0.750 re f 26.625 486.772 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 500.430 Td /F1 9.8 Tf [(6)] TJ ET 0.267 0.267 0.267 rg 52.291 510.285 211.488 0.750 re f 52.291 486.772 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 500.430 Td /F1 9.8 Tf [(Oxford American Handbook of Disaster )] TJ ET BT 57.541 492.799 Td /F1 9.8 Tf [(Medicine)] TJ ET 0.267 0.267 0.267 rg 263.029 510.285 136.023 0.750 re f 263.029 486.772 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 500.430 Td /F1 9.8 Tf [(Partridge RA, Lawrence P, )] TJ ET BT 268.279 492.799 Td /F1 9.8 Tf [(Marcozzi D)] TJ ET 0.267 0.267 0.267 rg 398.301 510.285 100.672 0.750 re f 398.301 486.772 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 500.430 Td /F1 9.8 Tf [(Oxford University )] TJ ET BT 403.551 492.799 Td /F1 9.8 Tf [(Press)] TJ ET 0.267 0.267 0.267 rg 498.223 510.285 82.652 0.750 re f 498.223 486.772 0.750 24.262 re f 580.125 486.772 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 500.430 Td /F1 9.8 Tf [(UK)] TJ ET 0.267 0.267 0.267 rg 26.625 486.772 26.416 0.750 re f 26.625 463.260 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 476.917 Td /F1 9.8 Tf [(7)] TJ ET 0.267 0.267 0.267 rg 52.291 486.772 211.488 0.750 re f 52.291 463.260 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 476.917 Td /F1 9.8 Tf [(Koenig and Schultzs Disaster Medicine: )] TJ ET BT 57.541 469.286 Td /F1 9.8 Tf [(Comprehensive Principles and Practices)] TJ ET 0.267 0.267 0.267 rg 263.029 486.772 136.023 0.750 re f 263.029 463.260 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 476.917 Td /F1 9.8 Tf [(Koenig KL, Schultz CH)] TJ ET 0.267 0.267 0.267 rg 398.301 486.772 100.672 0.750 re f 398.301 463.260 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 476.917 Td /F1 9.8 Tf [(Cambridge )] TJ ET BT 403.551 469.286 Td /F1 9.8 Tf [(University Press)] TJ ET 0.267 0.267 0.267 rg 498.223 486.772 82.652 0.750 re f 498.223 463.260 0.750 24.262 re f 580.125 463.260 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 476.917 Td /F1 9.8 Tf [(UK)] TJ ET 0.267 0.267 0.267 rg 26.625 463.260 26.416 0.750 re f 26.625 439.747 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 453.405 Td /F1 9.8 Tf [(8)] TJ ET 0.267 0.267 0.267 rg 52.291 463.260 211.488 0.750 re f 52.291 439.747 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 453.405 Td /F1 9.8 Tf [(Public Health Management of Disaster )] TJ ET BT 57.541 445.774 Td /F1 9.8 Tf [(Medicine)] TJ ET 0.267 0.267 0.267 rg 263.029 463.260 136.023 0.750 re f 263.029 439.747 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 453.405 Td /F1 9.8 Tf [(Landesman LY)] TJ ET 0.267 0.267 0.267 rg 398.301 463.260 100.672 0.750 re f 398.301 439.747 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 453.405 Td /F1 9.8 Tf [(American Public )] TJ ET BT 403.551 445.774 Td /F1 9.8 Tf [(Health Association)] TJ ET 0.267 0.267 0.267 rg 498.223 463.260 82.652 0.750 re f 498.223 439.747 0.750 24.262 re f 580.125 439.747 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 453.405 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 439.747 26.416 0.750 re f 26.625 416.235 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 429.892 Td /F1 9.8 Tf [(9)] TJ ET 0.267 0.267 0.267 rg 52.291 439.747 211.488 0.750 re f 52.291 416.235 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 429.892 Td /F1 9.8 Tf [(Humanitarian crises: the medical and public )] TJ ET BT 57.541 422.261 Td /F1 9.8 Tf [(health response)] TJ ET 0.267 0.267 0.267 rg 263.029 439.747 136.023 0.750 re f 263.029 416.235 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 429.892 Td /F1 9.8 Tf [(Leaning J, Briggs S, Chen )] TJ ET BT 268.279 422.261 Td /F1 9.8 Tf [(LC)] TJ ET 0.267 0.267 0.267 rg 398.301 439.747 100.672 0.750 re f 398.301 416.235 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 429.892 Td /F1 9.8 Tf [(Harvard University )] TJ ET BT 403.551 422.261 Td /F1 9.8 Tf [(Press)] TJ ET 0.267 0.267 0.267 rg 498.223 439.747 82.652 0.750 re f 498.223 416.235 0.750 24.262 re f 580.125 416.235 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 429.892 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 416.235 26.416 0.750 re f 26.625 392.722 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 406.380 Td /F1 9.8 Tf [(10)] TJ ET 0.267 0.267 0.267 rg 52.291 416.235 211.488 0.750 re f 52.291 392.722 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 406.380 Td /F1 9.8 Tf [(H.E.L.P Public health course in the )] TJ ET BT 57.541 398.749 Td /F1 9.8 Tf [(management of humanitarian aid)] TJ ET 0.267 0.267 0.267 rg 263.029 416.235 136.023 0.750 re f 263.029 392.722 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 406.380 Td /F1 9.8 Tf [(Perrin P)] TJ ET 0.267 0.267 0.267 rg 398.301 416.235 100.672 0.750 re f 398.301 392.722 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 406.380 Td /F1 9.8 Tf [(ICRC)] TJ ET 0.267 0.267 0.267 rg 498.223 416.235 82.652 0.750 re f 498.223 392.722 0.750 24.262 re f 580.125 392.722 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 406.380 Td /F1 9.8 Tf [(Switzerland)] TJ ET 0.267 0.267 0.267 rg 26.625 392.722 26.416 0.750 re f 26.625 361.579 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 382.867 Td /F1 9.8 Tf [(11)] TJ ET 0.267 0.267 0.267 rg 52.291 392.722 211.488 0.750 re f 52.291 361.579 0.750 31.894 re f 0.271 0.267 0.267 rg BT 57.541 382.867 Td /F1 9.8 Tf [(Trend analysis of disaster health articles in )] TJ ET BT 57.541 375.236 Td /F1 9.8 Tf [(peer-reviewed publications pre- and post-)] TJ ET BT 57.541 367.605 Td /F1 9.8 Tf [(9/11. )] TJ ET BT 81.935 367.605 Td /F5 9.8 Tf [(Am J Disaster Med.)] TJ ET BT 166.994 367.605 Td /F1 9.8 Tf [( 3\(6\):369-76)] TJ ET 0.267 0.267 0.267 rg 263.029 392.722 136.023 0.750 re f 263.029 361.579 0.750 31.894 re f 0.271 0.267 0.267 rg BT 268.279 382.867 Td /F1 9.8 Tf [(Kelen G, Sauer LM)] TJ ET 0.267 0.267 0.267 rg 398.301 392.722 100.672 0.750 re f 398.301 361.579 0.750 31.894 re f 0.271 0.267 0.267 rg BT 403.551 382.867 Td /F1 9.8 Tf [(Weston Medical )] TJ ET BT 403.551 375.236 Td /F1 9.8 Tf [(Publishing)] TJ ET 0.267 0.267 0.267 rg 498.223 392.722 82.652 0.750 re f 498.223 361.579 0.750 31.894 re f 580.125 361.579 0.750 31.894 re f 0.271 0.267 0.267 rg BT 503.473 382.867 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 361.579 26.416 0.750 re f 26.625 330.435 26.416 0.750 re f 26.625 330.435 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 351.724 Td /F1 9.8 Tf [(12)] TJ ET 0.267 0.267 0.267 rg 52.291 361.579 211.488 0.750 re f 52.291 330.435 211.488 0.750 re f 52.291 330.435 0.750 31.894 re f 0.271 0.267 0.267 rg BT 57.541 351.724 Td /F1 9.8 Tf [(Three decades of Disasters: A Review of )] TJ ET BT 57.541 344.092 Td /F1 9.8 Tf [(Disaster-Specific Literature from 1977 -2009. )] TJ ET BT 57.541 336.461 Td /F5 9.8 Tf [(Prehosp Disaster Med. )] TJ ET BT 159.409 336.461 Td /F1 9.8 Tf [(2009;24\(4\))] TJ ET 0.267 0.267 0.267 rg 263.029 361.579 136.023 0.750 re f 263.029 330.435 136.023 0.750 re f 263.029 330.435 0.750 31.894 re f 0.271 0.267 0.267 rg BT 268.279 351.724 Td /F1 9.8 Tf [(Smith E, Wasiak J, Sen A, )] TJ ET BT 268.279 344.092 Td /F1 9.8 Tf [(Archer F, Burkle FM)] TJ ET 0.267 0.267 0.267 rg 398.301 361.579 100.672 0.750 re f 398.301 330.435 100.672 0.750 re f 398.301 330.435 0.750 31.894 re f 0.271 0.267 0.267 rg BT 403.551 351.724 Td /F1 9.8 Tf [(Cambridge )] TJ ET BT 403.551 344.092 Td /F1 9.8 Tf [(University Press)] TJ ET 0.267 0.267 0.267 rg 498.223 361.579 82.652 0.750 re f 498.223 330.435 82.652 0.750 re f 498.223 330.435 0.750 31.894 re f 580.125 330.435 0.750 31.894 re f 0.271 0.267 0.267 rg BT 503.473 351.724 Td /F1 9.8 Tf [(USA/UK)] TJ ET BT 26.250 275.536 Td /F1 9.8 Tf [(A total of 143 terms or phrases were curated from documents. Eighty-four terms were selected that occurred in three or more )] TJ ET BT 26.250 263.631 Td /F1 9.8 Tf [(documents and organized into four clusters \(Table 2\). When terms were synonymous with PubMed medical subject headings )] TJ ET BT 26.250 251.727 Td /F1 9.8 Tf [(\(MeSH\), the MeSH term was chosen. The four clusters and nodes were created by the curation process of the authors who )] TJ ET BT 26.250 239.822 Td /F1 9.8 Tf [(reviewed over 200 terms and phrases.)] TJ ET Q q 15.000 208.705 577.500 568.295 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(disciplines that focus on these issues. The proposed goal of this framework is to assist researchers, practitioners, and policy )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(makers to search and explore the literature. In this process one should be enabled to learn more about this interdisciplinary and )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(transdisciplinary field, understand where knowledge gaps exist, and be informed of new frontiers for research, practice, and )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(policymaking. A structured but inclusive and flexible framework is necessary to match the quickly evolving field.)] TJ ET BT 26.250 712.357 Td /F1 9.8 Tf [(Eight textbooks, two peer-reviewed articles, two disaster manuals, and unpublished documents were reviewed from sources )] TJ ET BT 26.250 700.452 Td /F1 9.8 Tf [(considered reflective of expert knowledge. This method of reviewing and retrieving terms from relevant documents has been )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(performed in other published studies.)] TJ ET 0.267 0.267 0.267 rg BT 186.657 690.055 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 196.294 688.548 Td /F1 9.8 Tf [( Terms from tables of contents and glossary of terms from published literature were )] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(collected and collated.)] TJ ET 0.267 0.267 0.267 rg BT 122.716 678.150 Td /F4 8.7 Tf [(13)] TJ ET 0.271 0.267 0.267 rg BT 132.354 680.531 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 134.763 678.150 Td /F4 8.7 Tf [(14)] TJ ET 0.271 0.267 0.267 rg BT 144.401 680.531 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 146.810 678.150 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 156.447 676.643 Td /F1 9.8 Tf [( \(Table 1\) When terms or phrases occurred at least 2-3 times through the curation process the )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(terms were included in the creation of the final 84 search terms.)] TJ ET q 26.250 641.121 555.000 13.736 re W n 0.271 0.267 0.267 rg BT 26.250 643.868 Td /F1 9.8 Tf [(Table 1: Document sources for search terms)] TJ ET Q 1.000 1.000 1.000 rg 26.250 330.060 555.000 303.561 re f 0.965 0.965 0.965 rg 27.000 620.591 25.666 12.280 re f 0.267 0.267 0.267 rg 26.625 632.496 26.041 0.750 re f 26.625 620.216 0.750 13.030 re f 0.965 0.965 0.965 rg 52.666 620.591 210.738 12.280 re f 0.267 0.267 0.267 rg 52.666 632.496 210.738 0.750 re f 0.271 0.267 0.267 rg BT 57.166 623.347 Td /F4 9.8 Tf [(Title)] TJ ET 0.965 0.965 0.965 rg 263.404 620.591 135.273 12.280 re f 0.267 0.267 0.267 rg 263.404 632.496 135.273 0.750 re f 0.271 0.267 0.267 rg BT 267.904 623.347 Td /F4 9.8 Tf [(Authors/Editors)] TJ ET 0.965 0.965 0.965 rg 398.676 620.591 99.922 12.280 re f 0.267 0.267 0.267 rg 398.676 632.496 99.922 0.750 re f 0.271 0.267 0.267 rg BT 403.176 623.347 Td /F4 9.8 Tf [(Publisher)] TJ ET 0.965 0.965 0.965 rg 498.598 620.591 81.902 12.280 re f 0.267 0.267 0.267 rg 498.598 632.496 82.277 0.750 re f 580.125 620.216 0.750 13.030 re f 0.271 0.267 0.267 rg BT 503.098 623.347 Td /F4 9.8 Tf [(Location)] TJ ET 0.267 0.267 0.267 rg 26.625 620.216 26.416 0.750 re f 26.625 596.704 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 610.361 Td /F1 9.8 Tf [(1)] TJ ET 0.267 0.267 0.267 rg 52.291 620.216 211.488 0.750 re f 52.291 596.704 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 610.361 Td /F1 9.8 Tf [(Basic Disaster Life Support Version 3.0 )] TJ ET BT 57.541 602.730 Td /F1 9.8 Tf [(Course Manual)] TJ ET 0.267 0.267 0.267 rg 263.029 620.216 136.023 0.750 re f 263.029 596.704 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 610.361 Td /F1 9.8 Tf [(American Medical )] TJ ET BT 268.279 602.730 Td /F1 9.8 Tf [(Association)] TJ ET 0.267 0.267 0.267 rg 398.301 620.216 100.672 0.750 re f 398.301 596.704 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 610.361 Td /F1 9.8 Tf [(AMA)] TJ ET 0.267 0.267 0.267 rg 498.223 620.216 82.652 0.750 re f 498.223 596.704 0.750 24.262 re f 580.125 596.704 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 610.361 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 596.704 26.416 0.750 re f 26.625 573.191 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 586.849 Td /F1 9.8 Tf [(2)] TJ ET 0.267 0.267 0.267 rg 52.291 596.704 211.488 0.750 re f 52.291 573.191 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 586.849 Td /F1 9.8 Tf [(Core Disaster Life Support Manual, Version )] TJ ET BT 57.541 579.217 Td /F1 9.8 Tf [(3.0)] TJ ET 0.267 0.267 0.267 rg 263.029 596.704 136.023 0.750 re f 263.029 573.191 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 586.849 Td /F1 9.8 Tf [(American Medical )] TJ ET BT 268.279 579.217 Td /F1 9.8 Tf [(Association)] TJ ET 0.267 0.267 0.267 rg 398.301 596.704 100.672 0.750 re f 398.301 573.191 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 586.849 Td /F1 9.8 Tf [(AMA)] TJ ET 0.267 0.267 0.267 rg 498.223 596.704 82.652 0.750 re f 498.223 573.191 0.750 24.262 re f 580.125 573.191 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 586.849 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 573.191 26.416 0.750 re f 26.625 549.679 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 563.336 Td /F1 9.8 Tf [(3)] TJ ET 0.267 0.267 0.267 rg 52.291 573.191 211.488 0.750 re f 52.291 549.679 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 563.336 Td /F1 9.8 Tf [(Emergency Public Health: Preparedness and )] TJ ET BT 57.541 555.705 Td /F1 9.8 Tf [(Response)] TJ ET 0.267 0.267 0.267 rg 263.029 573.191 136.023 0.750 re f 263.029 549.679 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 563.336 Td /F1 9.8 Tf [(Kapur GB, Smith JP)] TJ ET 0.267 0.267 0.267 rg 398.301 573.191 100.672 0.750 re f 398.301 549.679 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 563.336 Td /F1 9.8 Tf [(Jones & Bartlett )] TJ ET BT 403.551 555.705 Td /F1 9.8 Tf [(Learning)] TJ ET 0.267 0.267 0.267 rg 498.223 573.191 82.652 0.750 re f 498.223 549.679 0.750 24.262 re f 580.125 549.679 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 563.336 Td /F1 9.8 Tf [(USA, Canada, )] TJ ET BT 503.473 555.705 Td /F1 9.8 Tf [(UK)] TJ ET 0.267 0.267 0.267 rg 26.625 549.679 26.416 0.750 re f 26.625 526.166 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 539.824 Td /F1 9.8 Tf [(4)] TJ ET 0.267 0.267 0.267 rg 52.291 549.679 211.488 0.750 re f 52.291 526.166 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 539.824 Td /F1 9.8 Tf [(Disaster Medicine)] TJ ET 0.267 0.267 0.267 rg 263.029 549.679 136.023 0.750 re f 263.029 526.166 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 539.824 Td /F1 9.8 Tf [(Hogan DE, Burstein JL)] TJ ET 0.267 0.267 0.267 rg 398.301 549.679 100.672 0.750 re f 398.301 526.166 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 539.824 Td /F1 9.8 Tf [(Lippincott Williams )] TJ ET BT 403.551 532.192 Td /F1 9.8 Tf [(& Wilkins)] TJ ET 0.267 0.267 0.267 rg 498.223 549.679 82.652 0.750 re f 498.223 526.166 0.750 24.262 re f 580.125 526.166 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 539.824 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 526.166 26.416 0.750 re f 26.625 510.285 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 516.311 Td /F1 9.8 Tf [(5)] TJ ET 0.267 0.267 0.267 rg 52.291 526.166 211.488 0.750 re f 52.291 510.285 0.750 16.631 re f 0.271 0.267 0.267 rg BT 57.541 516.311 Td /F1 9.8 Tf [(Disaster Medicine)] TJ ET 0.267 0.267 0.267 rg 263.029 526.166 136.023 0.750 re f 263.029 510.285 0.750 16.631 re f 0.271 0.267 0.267 rg BT 268.279 516.311 Td /F1 9.8 Tf [(Ciottone GR)] TJ ET 0.267 0.267 0.267 rg 398.301 526.166 100.672 0.750 re f 398.301 510.285 0.750 16.631 re f 0.271 0.267 0.267 rg BT 403.551 516.311 Td /F1 9.8 Tf [(Mosby)] TJ ET 0.267 0.267 0.267 rg 498.223 526.166 82.652 0.750 re f 498.223 510.285 0.750 16.631 re f 580.125 510.285 0.750 16.631 re f 0.271 0.267 0.267 rg BT 503.473 516.311 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 510.285 26.416 0.750 re f 26.625 486.772 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 500.430 Td /F1 9.8 Tf [(6)] TJ ET 0.267 0.267 0.267 rg 52.291 510.285 211.488 0.750 re f 52.291 486.772 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 500.430 Td /F1 9.8 Tf [(Oxford American Handbook of Disaster )] TJ ET BT 57.541 492.799 Td /F1 9.8 Tf [(Medicine)] TJ ET 0.267 0.267 0.267 rg 263.029 510.285 136.023 0.750 re f 263.029 486.772 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 500.430 Td /F1 9.8 Tf [(Partridge RA, Lawrence P, )] TJ ET BT 268.279 492.799 Td /F1 9.8 Tf [(Marcozzi D)] TJ ET 0.267 0.267 0.267 rg 398.301 510.285 100.672 0.750 re f 398.301 486.772 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 500.430 Td /F1 9.8 Tf [(Oxford University )] TJ ET BT 403.551 492.799 Td /F1 9.8 Tf [(Press)] TJ ET 0.267 0.267 0.267 rg 498.223 510.285 82.652 0.750 re f 498.223 486.772 0.750 24.262 re f 580.125 486.772 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 500.430 Td /F1 9.8 Tf [(UK)] TJ ET 0.267 0.267 0.267 rg 26.625 486.772 26.416 0.750 re f 26.625 463.260 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 476.917 Td /F1 9.8 Tf [(7)] TJ ET 0.267 0.267 0.267 rg 52.291 486.772 211.488 0.750 re f 52.291 463.260 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 476.917 Td /F1 9.8 Tf [(Koenig and Schultzs Disaster Medicine: )] TJ ET BT 57.541 469.286 Td /F1 9.8 Tf [(Comprehensive Principles and Practices)] TJ ET 0.267 0.267 0.267 rg 263.029 486.772 136.023 0.750 re f 263.029 463.260 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 476.917 Td /F1 9.8 Tf [(Koenig KL, Schultz CH)] TJ ET 0.267 0.267 0.267 rg 398.301 486.772 100.672 0.750 re f 398.301 463.260 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 476.917 Td /F1 9.8 Tf [(Cambridge )] TJ ET BT 403.551 469.286 Td /F1 9.8 Tf [(University Press)] TJ ET 0.267 0.267 0.267 rg 498.223 486.772 82.652 0.750 re f 498.223 463.260 0.750 24.262 re f 580.125 463.260 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 476.917 Td /F1 9.8 Tf [(UK)] TJ ET 0.267 0.267 0.267 rg 26.625 463.260 26.416 0.750 re f 26.625 439.747 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 453.405 Td /F1 9.8 Tf [(8)] TJ ET 0.267 0.267 0.267 rg 52.291 463.260 211.488 0.750 re f 52.291 439.747 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 453.405 Td /F1 9.8 Tf [(Public Health Management of Disaster )] TJ ET BT 57.541 445.774 Td /F1 9.8 Tf [(Medicine)] TJ ET 0.267 0.267 0.267 rg 263.029 463.260 136.023 0.750 re f 263.029 439.747 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 453.405 Td /F1 9.8 Tf [(Landesman LY)] TJ ET 0.267 0.267 0.267 rg 398.301 463.260 100.672 0.750 re f 398.301 439.747 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 453.405 Td /F1 9.8 Tf [(American Public )] TJ ET BT 403.551 445.774 Td /F1 9.8 Tf [(Health Association)] TJ ET 0.267 0.267 0.267 rg 498.223 463.260 82.652 0.750 re f 498.223 439.747 0.750 24.262 re f 580.125 439.747 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 453.405 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 439.747 26.416 0.750 re f 26.625 416.235 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 429.892 Td /F1 9.8 Tf [(9)] TJ ET 0.267 0.267 0.267 rg 52.291 439.747 211.488 0.750 re f 52.291 416.235 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 429.892 Td /F1 9.8 Tf [(Humanitarian crises: the medical and public )] TJ ET BT 57.541 422.261 Td /F1 9.8 Tf [(health response)] TJ ET 0.267 0.267 0.267 rg 263.029 439.747 136.023 0.750 re f 263.029 416.235 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 429.892 Td /F1 9.8 Tf [(Leaning J, Briggs S, Chen )] TJ ET BT 268.279 422.261 Td /F1 9.8 Tf [(LC)] TJ ET 0.267 0.267 0.267 rg 398.301 439.747 100.672 0.750 re f 398.301 416.235 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 429.892 Td /F1 9.8 Tf [(Harvard University )] TJ ET BT 403.551 422.261 Td /F1 9.8 Tf [(Press)] TJ ET 0.267 0.267 0.267 rg 498.223 439.747 82.652 0.750 re f 498.223 416.235 0.750 24.262 re f 580.125 416.235 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 429.892 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 416.235 26.416 0.750 re f 26.625 392.722 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 406.380 Td /F1 9.8 Tf [(10)] TJ ET 0.267 0.267 0.267 rg 52.291 416.235 211.488 0.750 re f 52.291 392.722 0.750 24.262 re f 0.271 0.267 0.267 rg BT 57.541 406.380 Td /F1 9.8 Tf [(H.E.L.P Public health course in the )] TJ ET BT 57.541 398.749 Td /F1 9.8 Tf [(management of humanitarian aid)] TJ ET 0.267 0.267 0.267 rg 263.029 416.235 136.023 0.750 re f 263.029 392.722 0.750 24.262 re f 0.271 0.267 0.267 rg BT 268.279 406.380 Td /F1 9.8 Tf [(Perrin P)] TJ ET 0.267 0.267 0.267 rg 398.301 416.235 100.672 0.750 re f 398.301 392.722 0.750 24.262 re f 0.271 0.267 0.267 rg BT 403.551 406.380 Td /F1 9.8 Tf [(ICRC)] TJ ET 0.267 0.267 0.267 rg 498.223 416.235 82.652 0.750 re f 498.223 392.722 0.750 24.262 re f 580.125 392.722 0.750 24.262 re f 0.271 0.267 0.267 rg BT 503.473 406.380 Td /F1 9.8 Tf [(Switzerland)] TJ ET 0.267 0.267 0.267 rg 26.625 392.722 26.416 0.750 re f 26.625 361.579 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 382.867 Td /F1 9.8 Tf [(11)] TJ ET 0.267 0.267 0.267 rg 52.291 392.722 211.488 0.750 re f 52.291 361.579 0.750 31.894 re f 0.271 0.267 0.267 rg BT 57.541 382.867 Td /F1 9.8 Tf [(Trend analysis of disaster health articles in )] TJ ET BT 57.541 375.236 Td /F1 9.8 Tf [(peer-reviewed publications pre- and post-)] TJ ET BT 57.541 367.605 Td /F1 9.8 Tf [(9/11. )] TJ ET BT 81.935 367.605 Td /F5 9.8 Tf [(Am J Disaster Med.)] TJ ET BT 166.994 367.605 Td /F1 9.8 Tf [( 3\(6\):369-76)] TJ ET 0.267 0.267 0.267 rg 263.029 392.722 136.023 0.750 re f 263.029 361.579 0.750 31.894 re f 0.271 0.267 0.267 rg BT 268.279 382.867 Td /F1 9.8 Tf [(Kelen G, Sauer LM)] TJ ET 0.267 0.267 0.267 rg 398.301 392.722 100.672 0.750 re f 398.301 361.579 0.750 31.894 re f 0.271 0.267 0.267 rg BT 403.551 382.867 Td /F1 9.8 Tf [(Weston Medical )] TJ ET BT 403.551 375.236 Td /F1 9.8 Tf [(Publishing)] TJ ET 0.267 0.267 0.267 rg 498.223 392.722 82.652 0.750 re f 498.223 361.579 0.750 31.894 re f 580.125 361.579 0.750 31.894 re f 0.271 0.267 0.267 rg BT 503.473 382.867 Td /F1 9.8 Tf [(USA)] TJ ET 0.267 0.267 0.267 rg 26.625 361.579 26.416 0.750 re f 26.625 330.435 26.416 0.750 re f 26.625 330.435 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 351.724 Td /F1 9.8 Tf [(12)] TJ ET 0.267 0.267 0.267 rg 52.291 361.579 211.488 0.750 re f 52.291 330.435 211.488 0.750 re f 52.291 330.435 0.750 31.894 re f 0.271 0.267 0.267 rg BT 57.541 351.724 Td /F1 9.8 Tf [(Three decades of Disasters: A Review of )] TJ ET BT 57.541 344.092 Td /F1 9.8 Tf [(Disaster-Specific Literature from 1977 -2009. )] TJ ET BT 57.541 336.461 Td /F5 9.8 Tf [(Prehosp Disaster Med. )] TJ ET BT 159.409 336.461 Td /F1 9.8 Tf [(2009;24\(4\))] TJ ET 0.267 0.267 0.267 rg 263.029 361.579 136.023 0.750 re f 263.029 330.435 136.023 0.750 re f 263.029 330.435 0.750 31.894 re f 0.271 0.267 0.267 rg BT 268.279 351.724 Td /F1 9.8 Tf [(Smith E, Wasiak J, Sen A, )] TJ ET BT 268.279 344.092 Td /F1 9.8 Tf [(Archer F, Burkle FM)] TJ ET 0.267 0.267 0.267 rg 398.301 361.579 100.672 0.750 re f 398.301 330.435 100.672 0.750 re f 398.301 330.435 0.750 31.894 re f 0.271 0.267 0.267 rg BT 403.551 351.724 Td /F1 9.8 Tf [(Cambridge )] TJ ET BT 403.551 344.092 Td /F1 9.8 Tf [(University Press)] TJ ET 0.267 0.267 0.267 rg 498.223 361.579 82.652 0.750 re f 498.223 330.435 82.652 0.750 re f 498.223 330.435 0.750 31.894 re f 580.125 330.435 0.750 31.894 re f 0.271 0.267 0.267 rg BT 503.473 351.724 Td /F1 9.8 Tf [(USA/UK)] TJ ET BT 26.250 275.536 Td /F1 9.8 Tf [(A total of 143 terms or phrases were curated from documents. Eighty-four terms were selected that occurred in three or more )] TJ ET BT 26.250 263.631 Td /F1 9.8 Tf [(documents and organized into four clusters \(Table 2\). When terms were synonymous with PubMed medical subject headings )] TJ ET BT 26.250 251.727 Td /F1 9.8 Tf [(\(MeSH\), the MeSH term was chosen. The four clusters and nodes were created by the curation process of the authors who )] TJ ET BT 26.250 239.822 Td /F1 9.8 Tf [(reviewed over 200 terms and phrases.)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(3)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 150 0 obj << /Type /Font /Subtype /Type1 /Name /F5 /BaseFont /Helvetica-Oblique /Encoding /WinAnsiEncoding >> endobj 151 0 obj << /Type /Annot /Subtype /Link /A 152 0 R /Border [0 0 0] /H /I /Rect [ 186.6570 689.2532 196.2943 698.0715 ] >> endobj 152 0 obj << /Type /Action >> endobj 153 0 obj << /Type /Annot /Subtype /Link /A 154 0 R /Border [0 0 0] /H /I /Rect [ 122.7165 677.3484 132.3538 686.1667 ] >> endobj 154 0 obj << /Type /Action >> endobj 155 0 obj << /Type /Annot /Subtype /Link /A 156 0 R /Border [0 0 0] /H /I /Rect [ 134.7632 677.3484 144.4005 686.1667 ] >> endobj 156 0 obj << /Type /Action >> endobj 157 0 obj << /Type /Annot /Subtype /Link /A 158 0 R 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rg 27.000 742.734 108.713 12.280 re f 0.267 0.267 0.267 rg 26.625 754.639 109.088 0.750 re f 26.625 742.359 0.750 13.030 re f 0.965 0.965 0.965 rg 135.713 742.734 104.651 12.280 re f 0.267 0.267 0.267 rg 135.713 754.639 104.651 0.750 re f 0.271 0.267 0.267 rg BT 140.213 745.490 Td /F4 9.8 Tf [(Nodes)] TJ ET 0.965 0.965 0.965 rg 240.364 742.734 340.136 12.280 re f 0.267 0.267 0.267 rg 240.364 754.639 340.511 0.750 re f 580.125 742.359 0.750 13.030 re f 0.271 0.267 0.267 rg BT 244.864 745.490 Td /F4 9.8 Tf [(Example MeSH and Free Text Terms)] TJ ET 0.267 0.267 0.267 rg 26.625 742.359 109.463 0.750 re f 26.625 726.853 0.750 16.256 re f 26.625 710.971 0.750 15.881 re f 26.625 694.715 0.750 16.256 re f 0.271 0.267 0.267 rg BT 31.875 732.504 Td /F1 9.8 Tf [(Cluster 1)] TJ ET BT 31.875 724.873 Td /F1 9.8 Tf [(Meta-topics)] TJ ET 0.267 0.267 0.267 rg 135.338 742.359 105.401 0.750 re f 135.338 726.478 0.750 16.631 re f 0.271 0.267 0.267 rg BT 140.588 732.504 Td /F1 9.8 Tf [(General Terms)] TJ ET 0.267 0.267 0.267 rg 239.989 742.359 340.886 0.750 re f 239.989 726.478 0.750 16.631 re f 580.125 726.478 0.750 16.631 re f 0.271 0.267 0.267 rg BT 245.239 732.504 Td /F1 9.8 Tf [(crisis, emergency, medicine, EMS, relief work, )] TJ ET BT 447.328 732.504 Td /F5 9.8 Tf [(humanitarian)] TJ ET 0.267 0.267 0.267 rg 135.338 726.478 105.401 0.750 re f 135.338 710.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 140.588 716.623 Td /F1 9.8 Tf [(Disciplines)] TJ ET 0.267 0.267 0.267 rg 239.989 726.478 340.886 0.750 re f 239.989 710.596 0.750 16.631 re f 580.125 710.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 245.239 716.623 Td /F1 9.8 Tf [(epidemiology, health system, population, public health, mental health)] TJ ET 0.267 0.267 0.267 rg 135.338 710.596 105.401 0.750 re f 135.338 694.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 140.588 700.741 Td /F1 9.8 Tf [(Adjunct Discipline)] TJ ET 0.267 0.267 0.267 rg 239.989 710.596 340.886 0.750 re f 239.989 694.715 0.750 16.631 re f 580.125 694.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 245.239 700.741 Td /F1 9.8 Tf [(ethics, policy)] TJ ET 0.267 0.267 0.267 rg 26.625 694.715 109.463 0.750 re f 26.625 671.578 0.750 23.887 re f 26.625 655.696 0.750 15.881 re f 26.625 624.178 0.750 31.519 re f 0.271 0.267 0.267 rg BT 31.875 684.860 Td /F1 9.8 Tf [(Cluster 2 )] TJ ET BT 31.875 677.229 Td /F1 9.8 Tf [(Operations)] TJ ET 0.267 0.267 0.267 rg 135.338 694.715 105.401 0.750 re f 135.338 671.203 0.750 24.262 re f 0.271 0.267 0.267 rg BT 140.588 684.860 Td /F1 9.8 Tf [(Communication & )] TJ ET BT 140.588 677.229 Td /F1 9.8 Tf [(Management)] TJ ET 0.267 0.267 0.267 rg 239.989 694.715 340.886 0.750 re f 239.989 671.203 0.750 24.262 re f 580.125 671.203 0.750 24.262 re f 0.271 0.267 0.267 rg BT 245.239 684.860 Td /F1 9.8 Tf [(communication, management, information system, disaster planning, health )] TJ ET BT 245.239 677.229 Td /F1 9.8 Tf [(planning)] TJ ET 0.267 0.267 0.267 rg 135.338 671.203 105.401 0.750 re f 135.338 655.321 0.750 16.631 re f 0.271 0.267 0.267 rg BT 140.588 661.348 Td /F1 9.8 Tf [(Training & Education)] TJ ET 0.267 0.267 0.267 rg 239.989 671.203 340.886 0.750 re f 239.989 655.321 0.750 16.631 re f 580.125 655.321 0.750 16.631 re f 0.271 0.267 0.267 rg BT 245.239 661.348 Td /F1 9.8 Tf [(training support, education, training program)] TJ ET 0.267 0.267 0.267 rg 135.338 655.321 105.401 0.750 re f 135.338 624.178 0.750 31.894 re f 0.271 0.267 0.267 rg BT 140.588 645.466 Td /F1 9.8 Tf [(Learning & )] TJ ET BT 140.588 637.835 Td /F1 9.8 Tf [(Evaluation)] TJ ET 0.267 0.267 0.267 rg 239.989 655.321 340.886 0.750 re f 239.989 624.178 0.750 31.894 re f 580.125 624.178 0.750 31.894 re f 0.271 0.267 0.267 rg BT 245.239 645.466 Td /F1 9.8 Tf [(evaluation studies as a topic, learning, health impact assessment, needs )] TJ ET BT 245.239 637.835 Td /F1 9.8 Tf [(assessment, outcome assessment, standards of care, )] TJ ET BT 480.965 637.835 Td /F5 9.8 Tf [(surveillance, )] TJ ET BT 245.239 630.204 Td /F5 9.8 Tf [(monitoring,)] TJ ET BT 293.463 630.204 Td /F5 9.8 Tf [(evaluation, impact)] TJ ET 0.267 0.267 0.267 rg 26.625 624.178 109.463 0.750 re f 26.625 557.731 0.750 67.197 re f 26.625 490.909 0.750 66.822 re f 26.625 423.712 0.750 67.197 re f 0.271 0.267 0.267 rg BT 31.875 614.323 Td /F1 9.8 Tf [(Cluster 3 )] TJ ET BT 31.875 606.691 Td /F1 9.8 Tf [(Administrative )] TJ ET BT 31.875 599.060 Td /F1 9.8 Tf [(Activities & Systems)] TJ ET 0.267 0.267 0.267 rg 135.338 624.178 105.401 0.750 re f 135.338 557.356 0.750 67.572 re f 0.271 0.267 0.267 rg BT 140.588 614.323 Td /F1 9.8 Tf [(Administrative Levels)] TJ ET 0.267 0.267 0.267 rg 239.989 624.178 340.886 0.750 re f 239.989 557.356 0.750 67.572 re f 580.125 557.356 0.750 67.572 re f 0.271 0.267 0.267 rg BT 245.239 614.323 Td /F1 9.8 Tf [(federal government, state government, state health planning agencies, local )] TJ ET BT 245.239 606.691 Td /F1 9.8 Tf [(government, community health centers, community health planning, )] TJ ET BT 245.239 599.060 Td /F1 9.8 Tf [(community health services, national health program regional health )] TJ ET BT 245.239 591.429 Td /F1 9.8 Tf [(planning, regional medical programs.)] TJ ET 0.267 0.267 0.267 rg 135.338 557.356 105.401 0.750 re f 135.338 490.534 0.750 67.572 re f 0.271 0.267 0.267 rg BT 140.588 547.501 Td /F1 9.8 Tf [(Special Groups)] TJ ET 0.267 0.267 0.267 rg 239.989 557.356 340.886 0.750 re f 239.989 490.534 0.750 67.572 re f 580.125 490.534 0.750 67.572 re f 0.271 0.267 0.267 rg BT 245.239 547.501 Td /F1 9.8 Tf [(elderly/aged, vulnerable populations, refugees, children, )] TJ ET BT 489.652 547.501 Td /F5 9.8 Tf [(special populations)] TJ ET 0.267 0.267 0.267 rg 135.338 490.534 105.401 0.750 re f 135.338 423.712 0.750 67.572 re f 0.271 0.267 0.267 rg BT 140.588 480.679 Td /F1 9.8 Tf [(Sites of Care)] TJ ET 0.267 0.267 0.267 rg 239.989 490.534 340.886 0.750 re f 239.989 423.712 0.750 67.572 re f 580.125 423.712 0.750 67.572 re f 0.271 0.267 0.267 rg BT 245.239 480.679 Td /F1 9.8 Tf [(hospital, health facility, EMS, )] TJ ET BT 372.584 480.679 Td /F5 9.8 Tf [(alternate care)] TJ ET 0.267 0.267 0.267 rg 26.625 423.712 109.463 0.750 re f 26.625 337.912 109.463 0.750 re f 26.625 385.312 0.750 39.150 re f 26.625 361.799 0.750 23.512 re f 26.625 337.912 0.750 23.887 re f 0.271 0.267 0.267 rg BT 31.875 413.857 Td /F1 9.8 Tf [(Cluster 4 Events & )] TJ ET BT 31.875 406.225 Td /F1 9.8 Tf [(Phases)] TJ ET 0.267 0.267 0.267 rg 135.338 423.712 105.401 0.750 re f 135.338 384.937 0.750 39.525 re f 0.271 0.267 0.267 rg BT 140.588 413.857 Td /F1 9.8 Tf [(Events)] TJ ET 0.267 0.267 0.267 rg 239.989 423.712 340.886 0.750 re f 239.989 384.937 0.750 39.525 re f 580.125 384.937 0.750 39.525 re f 0.271 0.267 0.267 rg BT 245.239 413.857 Td /F1 9.8 Tf [(epidemic, pandemic, terrorism, war, mass casualty incidents, earthquakes, )] TJ ET BT 245.239 406.225 Td /F1 9.8 Tf [(floods, hurricanes, tornadoes, tsunamis,)] TJ ET BT 418.107 406.225 Td /F5 9.8 Tf [(chemical disasters, natural )] TJ ET BT 245.239 398.594 Td /F5 9.8 Tf [(disaster, extreme temperature, industrial/technical disaster, nuclear )] TJ ET BT 245.239 390.963 Td /F5 9.8 Tf [(disaster, complex emergency, conflict, biological disaster, wildfires)] TJ ET 0.267 0.267 0.267 rg 135.338 384.937 105.401 0.750 re f 135.338 361.424 0.750 24.262 re f 0.271 0.267 0.267 rg BT 140.588 375.082 Td /F1 9.8 Tf [(Activities)] TJ ET 0.267 0.267 0.267 rg 239.989 384.937 340.886 0.750 re f 239.989 361.424 0.750 24.262 re f 580.125 361.424 0.750 24.262 re f 0.271 0.267 0.267 rg BT 245.239 375.082 Td /F1 9.8 Tf [(triage, surge capacity, decontamination, emergency shelter,)] TJ ET BT 503.185 375.082 Td /F5 9.8 Tf [(evacuation, )] TJ ET BT 245.239 367.450 Td /F5 9.8 Tf [(shelter)] TJ ET 0.267 0.267 0.267 rg 135.338 361.424 105.401 0.750 re f 135.338 337.912 105.401 0.750 re f 135.338 337.912 0.750 24.262 re f 0.271 0.267 0.267 rg BT 140.588 351.569 Td /F1 9.8 Tf [(Phases)] TJ ET 0.267 0.267 0.267 rg 239.989 361.424 340.886 0.750 re f 239.989 337.912 340.886 0.750 re f 239.989 337.912 0.750 24.262 re f 580.125 337.912 0.750 24.262 re f 0.271 0.267 0.267 rg BT 245.239 351.569 Td /F1 9.8 Tf [(emergency preparedness, rehabilitation,prevention, )] TJ ET BT 470.133 351.569 Td /F5 9.8 Tf [(preparedness, )] TJ ET BT 245.239 343.938 Td /F5 9.8 Tf [(mitigation, disaster risk reduction, response, recovery)] TJ ET 0.965 0.965 0.965 rg 26.250 78.882 555.000 213.655 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 292.537 m 581.250 292.537 l 581.250 291.787 l 26.250 291.787 l f 26.250 78.882 m 581.250 78.882 l 581.250 79.632 l 26.250 79.632 l f q 225.000 0 0 168.750 35.250 114.037 cm /I4 Do Q q 35.250 90.132 537.000 17.905 re W n 0.271 0.267 0.267 rg BT 35.250 98.513 Td /F4 9.8 Tf [(Fig. 1: Diagram of four clusters and twelve nodes, and search terms)] TJ ET Q BT 26.250 61.858 Td /F1 9.8 Tf [(Cluster 1, titled )] TJ ET BT 93.983 61.858 Td /F5 9.8 Tf [(meta-topics)] TJ ET BT 144.371 61.858 Td /F1 9.8 Tf [(, includes the most general disaster and crisis terms, academic disciplines most tightly related to the )] TJ ET BT 26.250 49.953 Td /F1 9.8 Tf [(field, and adjunct disciplines. Cluster 2, )] TJ ET BT 197.489 49.953 Td /F5 9.8 Tf [(operations)] TJ ET BT 243.012 49.953 Td /F1 9.8 Tf [(, includes terms related to disaster and crisis operations including )] TJ ET BT 26.250 38.049 Td /F1 9.8 Tf [(communications, management, education, and assessments and evaluation. Cluster 3 reflects )] TJ ET BT 435.389 38.049 Td /F5 9.8 Tf [(administrative activities and )] TJ ET BT 26.250 26.144 Td /F5 9.8 Tf [(systems)] TJ ET Q q 15.000 23.763 577.500 753.237 re W n q 26.250 763.264 555.000 13.736 re W n 0.271 0.267 0.267 rg BT 26.250 766.011 Td /F1 9.8 Tf [(Table 2: Cluster, Nodes and Terms \(*free text terms are )] TJ ET BT 269.542 766.011 Td /F5 9.8 Tf [(italicized )] TJ ET BT 309.634 766.011 Td /F1 9.8 Tf [(for clarity\))] TJ ET Q 1.000 1.000 1.000 rg 26.250 337.537 555.000 418.227 re f 0.965 0.965 0.965 rg 27.000 742.734 108.713 12.280 re f 0.267 0.267 0.267 rg 26.625 754.639 109.088 0.750 re f 26.625 742.359 0.750 13.030 re f 0.965 0.965 0.965 rg 135.713 742.734 104.651 12.280 re f 0.267 0.267 0.267 rg 135.713 754.639 104.651 0.750 re f 0.271 0.267 0.267 rg BT 140.213 745.490 Td /F4 9.8 Tf [(Nodes)] TJ ET 0.965 0.965 0.965 rg 240.364 742.734 340.136 12.280 re f 0.267 0.267 0.267 rg 240.364 754.639 340.511 0.750 re f 580.125 742.359 0.750 13.030 re f 0.271 0.267 0.267 rg BT 244.864 745.490 Td /F4 9.8 Tf [(Example MeSH and Free Text Terms)] TJ ET 0.267 0.267 0.267 rg 26.625 742.359 109.463 0.750 re f 26.625 726.853 0.750 16.256 re f 26.625 710.971 0.750 15.881 re f 26.625 694.715 0.750 16.256 re f 0.271 0.267 0.267 rg BT 31.875 732.504 Td /F1 9.8 Tf [(Cluster 1)] TJ ET BT 31.875 724.873 Td /F1 9.8 Tf [(Meta-topics)] TJ ET 0.267 0.267 0.267 rg 135.338 742.359 105.401 0.750 re f 135.338 726.478 0.750 16.631 re f 0.271 0.267 0.267 rg BT 140.588 732.504 Td /F1 9.8 Tf [(General Terms)] TJ ET 0.267 0.267 0.267 rg 239.989 742.359 340.886 0.750 re f 239.989 726.478 0.750 16.631 re f 580.125 726.478 0.750 16.631 re f 0.271 0.267 0.267 rg BT 245.239 732.504 Td /F1 9.8 Tf [(crisis, emergency, medicine, EMS, relief work, )] TJ ET BT 447.328 732.504 Td /F5 9.8 Tf [(humanitarian)] TJ ET 0.267 0.267 0.267 rg 135.338 726.478 105.401 0.750 re f 135.338 710.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 140.588 716.623 Td /F1 9.8 Tf [(Disciplines)] TJ ET 0.267 0.267 0.267 rg 239.989 726.478 340.886 0.750 re f 239.989 710.596 0.750 16.631 re f 580.125 710.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 245.239 716.623 Td /F1 9.8 Tf [(epidemiology, health system, population, public health, mental health)] TJ ET 0.267 0.267 0.267 rg 135.338 710.596 105.401 0.750 re f 135.338 694.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 140.588 700.741 Td /F1 9.8 Tf [(Adjunct Discipline)] TJ ET 0.267 0.267 0.267 rg 239.989 710.596 340.886 0.750 re f 239.989 694.715 0.750 16.631 re f 580.125 694.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 245.239 700.741 Td /F1 9.8 Tf [(ethics, policy)] TJ ET 0.267 0.267 0.267 rg 26.625 694.715 109.463 0.750 re f 26.625 671.578 0.750 23.887 re f 26.625 655.696 0.750 15.881 re f 26.625 624.178 0.750 31.519 re f 0.271 0.267 0.267 rg BT 31.875 684.860 Td /F1 9.8 Tf [(Cluster 2 )] TJ ET BT 31.875 677.229 Td /F1 9.8 Tf [(Operations)] TJ ET 0.267 0.267 0.267 rg 135.338 694.715 105.401 0.750 re f 135.338 671.203 0.750 24.262 re f 0.271 0.267 0.267 rg BT 140.588 684.860 Td /F1 9.8 Tf [(Communication & )] TJ ET BT 140.588 677.229 Td /F1 9.8 Tf [(Management)] TJ ET 0.267 0.267 0.267 rg 239.989 694.715 340.886 0.750 re f 239.989 671.203 0.750 24.262 re f 580.125 671.203 0.750 24.262 re f 0.271 0.267 0.267 rg BT 245.239 684.860 Td /F1 9.8 Tf [(communication, management, information system, disaster planning, health )] TJ ET BT 245.239 677.229 Td /F1 9.8 Tf [(planning)] TJ ET 0.267 0.267 0.267 rg 135.338 671.203 105.401 0.750 re f 135.338 655.321 0.750 16.631 re f 0.271 0.267 0.267 rg BT 140.588 661.348 Td /F1 9.8 Tf [(Training & Education)] TJ ET 0.267 0.267 0.267 rg 239.989 671.203 340.886 0.750 re f 239.989 655.321 0.750 16.631 re f 580.125 655.321 0.750 16.631 re f 0.271 0.267 0.267 rg BT 245.239 661.348 Td /F1 9.8 Tf [(training support, education, training program)] TJ ET 0.267 0.267 0.267 rg 135.338 655.321 105.401 0.750 re f 135.338 624.178 0.750 31.894 re f 0.271 0.267 0.267 rg BT 140.588 645.466 Td /F1 9.8 Tf [(Learning & )] TJ ET BT 140.588 637.835 Td /F1 9.8 Tf [(Evaluation)] TJ ET 0.267 0.267 0.267 rg 239.989 655.321 340.886 0.750 re f 239.989 624.178 0.750 31.894 re f 580.125 624.178 0.750 31.894 re f 0.271 0.267 0.267 rg BT 245.239 645.466 Td /F1 9.8 Tf [(evaluation studies as a topic, learning, health impact assessment, needs )] TJ ET BT 245.239 637.835 Td /F1 9.8 Tf [(assessment, outcome assessment, standards of care, )] TJ ET BT 480.965 637.835 Td /F5 9.8 Tf [(surveillance, )] TJ ET BT 245.239 630.204 Td /F5 9.8 Tf [(monitoring,)] TJ ET BT 293.463 630.204 Td /F5 9.8 Tf [(evaluation, impact)] TJ ET 0.267 0.267 0.267 rg 26.625 624.178 109.463 0.750 re f 26.625 557.731 0.750 67.197 re f 26.625 490.909 0.750 66.822 re f 26.625 423.712 0.750 67.197 re f 0.271 0.267 0.267 rg BT 31.875 614.323 Td /F1 9.8 Tf [(Cluster 3 )] TJ ET BT 31.875 606.691 Td /F1 9.8 Tf [(Administrative )] TJ ET BT 31.875 599.060 Td /F1 9.8 Tf [(Activities & Systems)] TJ ET 0.267 0.267 0.267 rg 135.338 624.178 105.401 0.750 re f 135.338 557.356 0.750 67.572 re f 0.271 0.267 0.267 rg BT 140.588 614.323 Td /F1 9.8 Tf [(Administrative Levels)] TJ ET 0.267 0.267 0.267 rg 239.989 624.178 340.886 0.750 re f 239.989 557.356 0.750 67.572 re f 580.125 557.356 0.750 67.572 re f 0.271 0.267 0.267 rg BT 245.239 614.323 Td /F1 9.8 Tf [(federal government, state government, state health planning agencies, local )] TJ ET BT 245.239 606.691 Td /F1 9.8 Tf [(government, community health centers, community health planning, )] TJ ET BT 245.239 599.060 Td /F1 9.8 Tf [(community health services, national health program regional health )] TJ ET BT 245.239 591.429 Td /F1 9.8 Tf [(planning, regional medical programs.)] TJ ET 0.267 0.267 0.267 rg 135.338 557.356 105.401 0.750 re f 135.338 490.534 0.750 67.572 re f 0.271 0.267 0.267 rg BT 140.588 547.501 Td /F1 9.8 Tf [(Special Groups)] TJ ET 0.267 0.267 0.267 rg 239.989 557.356 340.886 0.750 re f 239.989 490.534 0.750 67.572 re f 580.125 490.534 0.750 67.572 re f 0.271 0.267 0.267 rg BT 245.239 547.501 Td /F1 9.8 Tf [(elderly/aged, vulnerable populations, refugees, children, )] TJ ET BT 489.652 547.501 Td /F5 9.8 Tf [(special populations)] TJ ET 0.267 0.267 0.267 rg 135.338 490.534 105.401 0.750 re f 135.338 423.712 0.750 67.572 re f 0.271 0.267 0.267 rg BT 140.588 480.679 Td /F1 9.8 Tf [(Sites of Care)] TJ ET 0.267 0.267 0.267 rg 239.989 490.534 340.886 0.750 re f 239.989 423.712 0.750 67.572 re f 580.125 423.712 0.750 67.572 re f 0.271 0.267 0.267 rg BT 245.239 480.679 Td /F1 9.8 Tf [(hospital, health facility, EMS, )] TJ ET BT 372.584 480.679 Td /F5 9.8 Tf [(alternate care)] TJ ET 0.267 0.267 0.267 rg 26.625 423.712 109.463 0.750 re f 26.625 337.912 109.463 0.750 re f 26.625 385.312 0.750 39.150 re f 26.625 361.799 0.750 23.512 re f 26.625 337.912 0.750 23.887 re f 0.271 0.267 0.267 rg BT 31.875 413.857 Td /F1 9.8 Tf [(Cluster 4 Events & )] TJ ET BT 31.875 406.225 Td /F1 9.8 Tf [(Phases)] TJ ET 0.267 0.267 0.267 rg 135.338 423.712 105.401 0.750 re f 135.338 384.937 0.750 39.525 re f 0.271 0.267 0.267 rg BT 140.588 413.857 Td /F1 9.8 Tf [(Events)] TJ ET 0.267 0.267 0.267 rg 239.989 423.712 340.886 0.750 re f 239.989 384.937 0.750 39.525 re f 580.125 384.937 0.750 39.525 re f 0.271 0.267 0.267 rg BT 245.239 413.857 Td /F1 9.8 Tf [(epidemic, pandemic, terrorism, war, mass casualty incidents, earthquakes, )] TJ ET BT 245.239 406.225 Td /F1 9.8 Tf [(floods, hurricanes, tornadoes, tsunamis,)] TJ ET BT 418.107 406.225 Td /F5 9.8 Tf [(chemical disasters, natural )] TJ ET BT 245.239 398.594 Td /F5 9.8 Tf [(disaster, extreme temperature, industrial/technical disaster, nuclear )] TJ ET BT 245.239 390.963 Td /F5 9.8 Tf [(disaster, complex emergency, conflict, biological disaster, wildfires)] TJ ET 0.267 0.267 0.267 rg 135.338 384.937 105.401 0.750 re f 135.338 361.424 0.750 24.262 re f 0.271 0.267 0.267 rg BT 140.588 375.082 Td /F1 9.8 Tf [(Activities)] TJ ET 0.267 0.267 0.267 rg 239.989 384.937 340.886 0.750 re f 239.989 361.424 0.750 24.262 re f 580.125 361.424 0.750 24.262 re f 0.271 0.267 0.267 rg BT 245.239 375.082 Td /F1 9.8 Tf [(triage, surge capacity, decontamination, emergency shelter,)] TJ ET BT 503.185 375.082 Td /F5 9.8 Tf [(evacuation, )] TJ ET BT 245.239 367.450 Td /F5 9.8 Tf [(shelter)] TJ ET 0.267 0.267 0.267 rg 135.338 361.424 105.401 0.750 re f 135.338 337.912 105.401 0.750 re f 135.338 337.912 0.750 24.262 re f 0.271 0.267 0.267 rg BT 140.588 351.569 Td /F1 9.8 Tf [(Phases)] TJ ET 0.267 0.267 0.267 rg 239.989 361.424 340.886 0.750 re f 239.989 337.912 340.886 0.750 re f 239.989 337.912 0.750 24.262 re f 580.125 337.912 0.750 24.262 re f 0.271 0.267 0.267 rg BT 245.239 351.569 Td /F1 9.8 Tf [(emergency preparedness, rehabilitation,prevention, )] TJ ET BT 470.133 351.569 Td /F5 9.8 Tf [(preparedness, )] TJ ET BT 245.239 343.938 Td /F5 9.8 Tf [(mitigation, disaster risk reduction, response, recovery)] TJ ET 0.965 0.965 0.965 rg 26.250 78.882 555.000 213.655 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 292.537 m 581.250 292.537 l 581.250 291.787 l 26.250 291.787 l f 26.250 78.882 m 581.250 78.882 l 581.250 79.632 l 26.250 79.632 l f q 225.000 0 0 168.750 35.250 114.037 cm /I6 Do Q q 35.250 90.132 537.000 17.905 re W n 0.271 0.267 0.267 rg BT 35.250 98.513 Td /F4 9.8 Tf [(Fig. 1: Diagram of four clusters and twelve nodes, and search terms)] TJ ET Q BT 26.250 61.858 Td /F1 9.8 Tf [(Cluster 1, titled )] TJ ET BT 93.983 61.858 Td /F5 9.8 Tf [(meta-topics)] TJ ET BT 144.371 61.858 Td /F1 9.8 Tf [(, includes the most general disaster and crisis terms, academic disciplines most tightly related to the )] TJ ET BT 26.250 49.953 Td /F1 9.8 Tf [(field, and adjunct disciplines. Cluster 2, )] TJ ET BT 197.489 49.953 Td /F5 9.8 Tf [(operations)] TJ ET BT 243.012 49.953 Td /F1 9.8 Tf [(, includes terms related to disaster and crisis operations including )] TJ ET BT 26.250 38.049 Td /F1 9.8 Tf [(communications, management, education, and assessments and evaluation. Cluster 3 reflects )] TJ ET BT 435.389 38.049 Td /F5 9.8 Tf [(administrative activities and )] TJ ET BT 26.250 26.144 Td /F5 9.8 Tf [(systems)] TJ ET Q q 15.000 23.763 577.500 753.237 re W n q 26.250 763.264 555.000 13.736 re W n 0.271 0.267 0.267 rg BT 26.250 766.011 Td /F1 9.8 Tf [(Table 2: Cluster, Nodes and Terms \(*free text terms are )] TJ ET BT 269.542 766.011 Td /F5 9.8 Tf [(italicized )] TJ ET BT 309.634 766.011 Td /F1 9.8 Tf [(for clarity\))] TJ ET Q 1.000 1.000 1.000 rg 26.250 337.537 555.000 418.227 re f 0.965 0.965 0.965 rg 27.000 742.734 108.713 12.280 re f 0.267 0.267 0.267 rg 26.625 754.639 109.088 0.750 re f 26.625 742.359 0.750 13.030 re f 0.965 0.965 0.965 rg 135.713 742.734 104.651 12.280 re f 0.267 0.267 0.267 rg 135.713 754.639 104.651 0.750 re f 0.271 0.267 0.267 rg BT 140.213 745.490 Td /F4 9.8 Tf [(Nodes)] TJ ET 0.965 0.965 0.965 rg 240.364 742.734 340.136 12.280 re f 0.267 0.267 0.267 rg 240.364 754.639 340.511 0.750 re f 580.125 742.359 0.750 13.030 re f 0.271 0.267 0.267 rg BT 244.864 745.490 Td /F4 9.8 Tf [(Example MeSH and Free Text Terms)] TJ ET 0.267 0.267 0.267 rg 26.625 742.359 109.463 0.750 re f 26.625 726.853 0.750 16.256 re f 26.625 710.971 0.750 15.881 re f 26.625 694.715 0.750 16.256 re f 0.271 0.267 0.267 rg BT 31.875 732.504 Td /F1 9.8 Tf [(Cluster 1)] TJ ET BT 31.875 724.873 Td /F1 9.8 Tf [(Meta-topics)] TJ ET 0.267 0.267 0.267 rg 135.338 742.359 105.401 0.750 re f 135.338 726.478 0.750 16.631 re f 0.271 0.267 0.267 rg BT 140.588 732.504 Td /F1 9.8 Tf [(General Terms)] TJ ET 0.267 0.267 0.267 rg 239.989 742.359 340.886 0.750 re f 239.989 726.478 0.750 16.631 re f 580.125 726.478 0.750 16.631 re f 0.271 0.267 0.267 rg BT 245.239 732.504 Td /F1 9.8 Tf [(crisis, emergency, medicine, EMS, relief work, )] TJ ET BT 447.328 732.504 Td /F5 9.8 Tf [(humanitarian)] TJ ET 0.267 0.267 0.267 rg 135.338 726.478 105.401 0.750 re f 135.338 710.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 140.588 716.623 Td /F1 9.8 Tf [(Disciplines)] TJ ET 0.267 0.267 0.267 rg 239.989 726.478 340.886 0.750 re f 239.989 710.596 0.750 16.631 re f 580.125 710.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 245.239 716.623 Td /F1 9.8 Tf [(epidemiology, health system, population, public health, mental health)] TJ ET 0.267 0.267 0.267 rg 135.338 710.596 105.401 0.750 re f 135.338 694.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 140.588 700.741 Td /F1 9.8 Tf [(Adjunct Discipline)] TJ ET 0.267 0.267 0.267 rg 239.989 710.596 340.886 0.750 re f 239.989 694.715 0.750 16.631 re f 580.125 694.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 245.239 700.741 Td /F1 9.8 Tf [(ethics, policy)] TJ ET 0.267 0.267 0.267 rg 26.625 694.715 109.463 0.750 re f 26.625 671.578 0.750 23.887 re f 26.625 655.696 0.750 15.881 re f 26.625 624.178 0.750 31.519 re f 0.271 0.267 0.267 rg BT 31.875 684.860 Td /F1 9.8 Tf [(Cluster 2 )] TJ ET BT 31.875 677.229 Td /F1 9.8 Tf [(Operations)] TJ ET 0.267 0.267 0.267 rg 135.338 694.715 105.401 0.750 re f 135.338 671.203 0.750 24.262 re f 0.271 0.267 0.267 rg BT 140.588 684.860 Td /F1 9.8 Tf [(Communication & )] TJ ET BT 140.588 677.229 Td /F1 9.8 Tf [(Management)] TJ ET 0.267 0.267 0.267 rg 239.989 694.715 340.886 0.750 re f 239.989 671.203 0.750 24.262 re f 580.125 671.203 0.750 24.262 re f 0.271 0.267 0.267 rg BT 245.239 684.860 Td /F1 9.8 Tf [(communication, management, information system, disaster planning, health )] TJ ET BT 245.239 677.229 Td /F1 9.8 Tf [(planning)] TJ ET 0.267 0.267 0.267 rg 135.338 671.203 105.401 0.750 re f 135.338 655.321 0.750 16.631 re f 0.271 0.267 0.267 rg BT 140.588 661.348 Td /F1 9.8 Tf [(Training & Education)] TJ ET 0.267 0.267 0.267 rg 239.989 671.203 340.886 0.750 re f 239.989 655.321 0.750 16.631 re f 580.125 655.321 0.750 16.631 re f 0.271 0.267 0.267 rg BT 245.239 661.348 Td /F1 9.8 Tf [(training support, education, training program)] TJ ET 0.267 0.267 0.267 rg 135.338 655.321 105.401 0.750 re f 135.338 624.178 0.750 31.894 re f 0.271 0.267 0.267 rg BT 140.588 645.466 Td /F1 9.8 Tf [(Learning & )] TJ ET BT 140.588 637.835 Td /F1 9.8 Tf [(Evaluation)] TJ ET 0.267 0.267 0.267 rg 239.989 655.321 340.886 0.750 re f 239.989 624.178 0.750 31.894 re f 580.125 624.178 0.750 31.894 re f 0.271 0.267 0.267 rg BT 245.239 645.466 Td /F1 9.8 Tf [(evaluation studies as a topic, learning, health impact assessment, needs )] TJ ET BT 245.239 637.835 Td /F1 9.8 Tf [(assessment, outcome assessment, standards of care, )] TJ ET BT 480.965 637.835 Td /F5 9.8 Tf [(surveillance, )] TJ ET BT 245.239 630.204 Td /F5 9.8 Tf [(monitoring,)] TJ ET BT 293.463 630.204 Td /F5 9.8 Tf [(evaluation, impact)] TJ ET 0.267 0.267 0.267 rg 26.625 624.178 109.463 0.750 re f 26.625 557.731 0.750 67.197 re f 26.625 490.909 0.750 66.822 re f 26.625 423.712 0.750 67.197 re f 0.271 0.267 0.267 rg BT 31.875 614.323 Td /F1 9.8 Tf [(Cluster 3 )] TJ ET BT 31.875 606.691 Td /F1 9.8 Tf [(Administrative )] TJ ET BT 31.875 599.060 Td /F1 9.8 Tf [(Activities & Systems)] TJ ET 0.267 0.267 0.267 rg 135.338 624.178 105.401 0.750 re f 135.338 557.356 0.750 67.572 re f 0.271 0.267 0.267 rg BT 140.588 614.323 Td /F1 9.8 Tf [(Administrative Levels)] TJ ET 0.267 0.267 0.267 rg 239.989 624.178 340.886 0.750 re f 239.989 557.356 0.750 67.572 re f 580.125 557.356 0.750 67.572 re f 0.271 0.267 0.267 rg BT 245.239 614.323 Td /F1 9.8 Tf [(federal government, state government, state health planning agencies, local )] TJ ET BT 245.239 606.691 Td /F1 9.8 Tf [(government, community health centers, community health planning, )] TJ ET BT 245.239 599.060 Td /F1 9.8 Tf [(community health services, national health program regional health )] TJ ET BT 245.239 591.429 Td /F1 9.8 Tf [(planning, regional medical programs.)] TJ ET 0.267 0.267 0.267 rg 135.338 557.356 105.401 0.750 re f 135.338 490.534 0.750 67.572 re f 0.271 0.267 0.267 rg BT 140.588 547.501 Td /F1 9.8 Tf [(Special Groups)] TJ ET 0.267 0.267 0.267 rg 239.989 557.356 340.886 0.750 re f 239.989 490.534 0.750 67.572 re f 580.125 490.534 0.750 67.572 re f 0.271 0.267 0.267 rg BT 245.239 547.501 Td /F1 9.8 Tf [(elderly/aged, vulnerable populations, refugees, children, )] TJ ET BT 489.652 547.501 Td /F5 9.8 Tf [(special populations)] TJ ET 0.267 0.267 0.267 rg 135.338 490.534 105.401 0.750 re f 135.338 423.712 0.750 67.572 re f 0.271 0.267 0.267 rg BT 140.588 480.679 Td /F1 9.8 Tf [(Sites of Care)] TJ ET 0.267 0.267 0.267 rg 239.989 490.534 340.886 0.750 re f 239.989 423.712 0.750 67.572 re f 580.125 423.712 0.750 67.572 re f 0.271 0.267 0.267 rg BT 245.239 480.679 Td /F1 9.8 Tf [(hospital, health facility, EMS, )] TJ ET BT 372.584 480.679 Td /F5 9.8 Tf [(alternate care)] TJ ET 0.267 0.267 0.267 rg 26.625 423.712 109.463 0.750 re f 26.625 337.912 109.463 0.750 re f 26.625 385.312 0.750 39.150 re f 26.625 361.799 0.750 23.512 re f 26.625 337.912 0.750 23.887 re f 0.271 0.267 0.267 rg BT 31.875 413.857 Td /F1 9.8 Tf [(Cluster 4 Events & )] TJ ET BT 31.875 406.225 Td /F1 9.8 Tf [(Phases)] TJ ET 0.267 0.267 0.267 rg 135.338 423.712 105.401 0.750 re f 135.338 384.937 0.750 39.525 re f 0.271 0.267 0.267 rg BT 140.588 413.857 Td /F1 9.8 Tf [(Events)] TJ ET 0.267 0.267 0.267 rg 239.989 423.712 340.886 0.750 re f 239.989 384.937 0.750 39.525 re f 580.125 384.937 0.750 39.525 re f 0.271 0.267 0.267 rg BT 245.239 413.857 Td /F1 9.8 Tf [(epidemic, pandemic, terrorism, war, mass casualty incidents, earthquakes, )] TJ ET BT 245.239 406.225 Td /F1 9.8 Tf [(floods, hurricanes, tornadoes, tsunamis,)] TJ ET BT 418.107 406.225 Td /F5 9.8 Tf [(chemical disasters, natural )] TJ ET BT 245.239 398.594 Td /F5 9.8 Tf [(disaster, extreme temperature, industrial/technical disaster, nuclear )] TJ ET BT 245.239 390.963 Td /F5 9.8 Tf [(disaster, complex emergency, conflict, biological disaster, wildfires)] TJ ET 0.267 0.267 0.267 rg 135.338 384.937 105.401 0.750 re f 135.338 361.424 0.750 24.262 re f 0.271 0.267 0.267 rg BT 140.588 375.082 Td /F1 9.8 Tf [(Activities)] TJ ET 0.267 0.267 0.267 rg 239.989 384.937 340.886 0.750 re f 239.989 361.424 0.750 24.262 re f 580.125 361.424 0.750 24.262 re f 0.271 0.267 0.267 rg BT 245.239 375.082 Td /F1 9.8 Tf [(triage, surge capacity, decontamination, emergency shelter,)] TJ ET BT 503.185 375.082 Td /F5 9.8 Tf [(evacuation, )] TJ ET BT 245.239 367.450 Td /F5 9.8 Tf [(shelter)] TJ ET 0.267 0.267 0.267 rg 135.338 361.424 105.401 0.750 re f 135.338 337.912 105.401 0.750 re f 135.338 337.912 0.750 24.262 re f 0.271 0.267 0.267 rg BT 140.588 351.569 Td /F1 9.8 Tf [(Phases)] TJ ET 0.267 0.267 0.267 rg 239.989 361.424 340.886 0.750 re f 239.989 337.912 340.886 0.750 re f 239.989 337.912 0.750 24.262 re f 580.125 337.912 0.750 24.262 re f 0.271 0.267 0.267 rg BT 245.239 351.569 Td /F1 9.8 Tf [(emergency preparedness, rehabilitation,prevention, )] TJ ET BT 470.133 351.569 Td /F5 9.8 Tf [(preparedness, )] TJ ET BT 245.239 343.938 Td /F5 9.8 Tf [(mitigation, disaster risk reduction, response, recovery)] TJ ET 0.965 0.965 0.965 rg 26.250 78.882 555.000 213.655 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 292.537 m 581.250 292.537 l 581.250 291.787 l 26.250 291.787 l f 26.250 78.882 m 581.250 78.882 l 581.250 79.632 l 26.250 79.632 l f q 225.000 0 0 168.750 35.250 114.037 cm /I8 Do Q q 35.250 90.132 537.000 17.905 re W n 0.271 0.267 0.267 rg BT 35.250 98.513 Td /F4 9.8 Tf [(Fig. 1: Diagram of four clusters and twelve nodes, and search terms)] TJ ET Q BT 26.250 61.858 Td /F1 9.8 Tf [(Cluster 1, titled )] TJ ET BT 93.983 61.858 Td /F5 9.8 Tf [(meta-topics)] TJ ET BT 144.371 61.858 Td /F1 9.8 Tf [(, includes the most general disaster and crisis terms, academic disciplines most tightly related to the )] TJ ET BT 26.250 49.953 Td /F1 9.8 Tf [(field, and adjunct disciplines. Cluster 2, )] TJ ET BT 197.489 49.953 Td /F5 9.8 Tf [(operations)] TJ ET BT 243.012 49.953 Td /F1 9.8 Tf [(, includes terms related to disaster and crisis operations including )] TJ ET BT 26.250 38.049 Td /F1 9.8 Tf [(communications, management, education, and assessments and evaluation. 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Ao~ܴYѿ̜ns? /M>wҲړc6]Fmt5:7n]޾:[&2O6R广 A^M5wO_|9s/S8ls8qm5/Dk^S?}uԭtb~! ESJQF#N^fkwb{s/!Hwі7#a9્Žj6W$8=[qseR $j)a o11aI&Kzc Eo<~'g`4R.= 󂈷{x X883!</f*"8AvtUBk_*oY QR˄Ϊ2I'-{wr!l ;gcYCFRޟrlFRe6T\r2Niـl6~I]VnJR-'XH8'qݶ%QXfhر3 13g7ggfe*F\*Evg^N۶74զ`Z-<\*x1 Elx(ċe.O.ȴeVP!Ӫ׾/ER 9P {+XMS x RRHfA{z䟧œ$q$EJ㑴DޑYg0/r0'F!mJ_gI@""BnƝ la^BhV׷<7EAnSFƙh`LR04MRm@l\ЪsY|#OZvI/("~u[,h-˲"1Z!6c,@w5p0xj10bע3v^H<n8cp6 endstream endobj 191 0 obj << /Type /Page /Parent 3 0 R /Annots [ 193 0 R 195 0 R 197 0 R 199 0 R 201 0 R 203 0 R 207 0 R 209 0 R 211 0 R 213 0 R 215 0 R 217 0 R 221 0 R 223 0 R 225 0 R 227 0 R 229 0 R 231 0 R ] /Contents 192 0 R >> endobj 192 0 obj << /Length 24612 >> stream 0.271 0.267 0.267 rg q 15.000 49.091 577.500 727.909 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(. Lastly, Cluster 4 includes )] TJ ET BT 142.753 767.476 Td /F5 9.8 Tf [(events/phases)] TJ ET BT 205.621 767.476 Td /F1 9.8 Tf [(. The terms that lie within each cluster are called nodes as they are inter-related to )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(one another within that specific cluster. \(Figure 1\) For example, Cluster 4 has three nodes: )] TJ ET BT 418.580 755.571 Td /F5 9.8 Tf [(events)] TJ ET BT 447.304 755.571 Td /F1 9.8 Tf [(, )] TJ ET BT 452.725 755.571 Td /F5 9.8 Tf [(phases)] TJ ET BT 484.159 755.571 Td /F1 9.8 Tf [(, and )] TJ ET BT 508.553 755.571 Td /F5 9.8 Tf [(activities)] TJ ET BT 545.935 755.571 Td /F1 9.8 Tf [(. )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Events such as hurricanes and bioterrorist events are all disaster types and each event type can span parts of the disaster cycle )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(including mitigation, preparedness, response and recovery.)] TJ ET BT 26.250 712.357 Td /F1 9.8 Tf [(The terms organized within each )] TJ ET BT 169.848 712.357 Td /F5 9.8 Tf [(node)] TJ ET BT 191.532 712.357 Td /F1 9.8 Tf [( and )] TJ ET BT 213.216 712.357 Td /F5 9.8 Tf [(cluster)] TJ ET BT 241.930 712.357 Td /F1 9.8 Tf [( are derived from two sources: 1\) medical subject headings [MeSH] from the )] TJ ET BT 26.250 700.452 Td /F1 9.8 Tf [(National Library of Medicines PubMed database and 2\) free text terms \(Figure 1\). There are 26,853 MeSH terms in the )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(PubMed database and every article is indexed using these terms, which allows articles to be searched by database users. )] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(Using MeSH terms to query the PubMed database has been shown to have higher precision.)] TJ ET 0.267 0.267 0.267 rg BT 426.731 678.150 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 436.369 676.643 Td /F1 9.8 Tf [( The use of free text terms has )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(been shown to improve article retrievals.)] TJ ET 0.267 0.267 0.267 rg BT 200.726 666.245 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 210.364 668.626 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 212.773 667.136 Td /F4 7.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 221.339 668.626 Td /F1 8.7 Tf [( Within the proposed framework using free text and MeSH terms as well as applying the )] TJ ET BT 26.250 656.457 Td /F1 8.7 Tf [(matrix aim to enable the user to determine what level of sensitivity or specificity they would like to pursue for their search based upon their )] TJ ET BT 26.250 645.875 Td /F1 8.7 Tf [(needs. Free text terms were added to this taxonomy to capture new terms, not currently in the MeSH thesaurus, that reflect the quickly )] TJ ET BT 26.250 635.293 Td /F1 8.7 Tf [(evolving field of global health, disasters, and crisis.)] TJ ET 0.267 0.267 0.267 rg BT 220.851 634.067 Td /F4 7.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 26.250 613.587 Td /F1 9.8 Tf [(Crossing search terms MeSH and free text terms using Boolean operators were used to filter thousands of articles into a )] TJ ET BT 26.250 601.683 Td /F1 9.8 Tf [(manageable set of return articles. This approach has been shown in a previous study to increase the sensitivity and specificity )] TJ ET BT 26.250 589.778 Td /F1 9.8 Tf [(of search returns.)] TJ ET 0.267 0.267 0.267 rg BT 102.115 591.285 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 111.752 589.778 Td /F1 9.8 Tf [( Representing search results in a tabular or matrix format allowed PubMed database users a visually )] TJ ET BT 26.250 577.873 Td /F1 9.8 Tf [(practical format for which they may 1\) extract relevant article sets for specific research or educational purposes 2\) understand )] TJ ET BT 26.250 565.968 Td /F1 9.8 Tf [(the current state of published research within this specific node and 3\) identify gaps in research that could be further explored. )] TJ ET BT 26.250 554.064 Td /F1 9.8 Tf [(In a matrix depicting the number of article returns in a row and column format can visually represent an entire cluster.)] TJ ET BT 26.250 517.461 Td /F4 12.0 Tf [(RESULTS)] TJ ET BT 26.250 497.507 Td /F1 9.8 Tf [(The proposed disaster and crises framework for searching the PubMed literature database was used to search for articles from )] TJ ET BT 26.250 485.602 Td /F1 9.8 Tf [(January 1)] TJ ET BT 69.062 489.490 Td /F1 8.7 Tf [(st)] TJ ET BT 75.805 485.602 Td /F1 9.8 Tf [(, 2005 to December 31)] TJ ET BT 174.982 489.490 Td /F1 8.7 Tf [(st)] TJ ET BT 181.725 485.602 Td /F1 9.8 Tf [(, 2011. Before using the framework a basic search for articles with the free text term )] TJ ET BT 26.250 473.697 Td /F1 9.8 Tf [(disaster was searched in PubMed resulting in 18,604 article returns. Restricting articles to human subjects, English language, )] TJ ET BT 26.250 461.793 Td /F1 9.8 Tf [(and the [disaster] MeSH term resulted in 7,736 articles. A standard search of this kind would result in an otherwise restrictive )] TJ ET BT 26.250 449.888 Td /F1 9.8 Tf [(and unmanageable subset of literature.)] TJ ET BT 26.250 430.483 Td /F1 9.8 Tf [(When applying the proposed framework to the 7,736 articles using the cluster, node, and terms framework articles can be )] TJ ET BT 26.250 418.578 Td /F1 9.8 Tf [(reorganized and further filtered. Searching within a cluster can be achieved using a matrix that crosses terms between nodes. )] TJ ET BT 26.250 406.674 Td /F1 9.8 Tf [(Figure 2 depicts an 11 by 11 matrix of two nodes, )] TJ ET BT 241.940 406.674 Td /F5 9.8 Tf [(general terms)] TJ ET BT 301.541 406.674 Td /F1 9.8 Tf [( and )] TJ ET BT 323.225 406.674 Td /F5 9.8 Tf [(disciplines)] TJ ET BT 368.192 406.674 Td /F1 9.8 Tf [( in Cluster 1 )] TJ ET BT 422.919 406.674 Td /F5 9.8 Tf [(meta-topics)] TJ ET BT 473.307 406.674 Td /F1 9.8 Tf [(. If the major term )] TJ ET BT 26.250 394.769 Td /F1 9.8 Tf [([disaster] is crossed with the MeSH term [relief work], 900 articles are returned. Although this restricts the types of articles by )] TJ ET BT 26.250 382.864 Td /F1 9.8 Tf [(approximately 9-fold it remains unmanageable. By further cross searching the literature with terms within each node and across )] TJ ET BT 26.250 370.959 Td /F1 9.8 Tf [(nodes the search returns range from 1 to 3865 articles. The majority of articles exist within [demography], [public health] and )] TJ ET BT 26.250 359.055 Td /F1 9.8 Tf [([health systems]. Fewer articles are returned in the field of [mental health] but predominate with the terms [demography], [health )] TJ ET BT 26.250 347.150 Td /F1 9.8 Tf [(systems] and [public health]. Crossing the search terms [disaster], and free text term humanitarian and MesH keywords [health )] TJ ET BT 26.250 335.245 Td /F1 9.8 Tf [(systems] there are 66 returned articles which can be reasonably reviewed by a user.)] TJ ET 0.965 0.965 0.965 rg 26.250 111.710 555.000 213.655 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 325.364 m 581.250 325.364 l 581.250 324.614 l 26.250 324.614 l f 26.250 111.710 m 581.250 111.710 l 581.250 112.460 l 26.250 112.460 l f q 225.000 0 0 168.750 35.250 146.864 cm /I12 Do Q q 35.250 122.960 537.000 17.905 re W n 0.271 0.267 0.267 rg BT 35.250 131.340 Td /F4 9.8 Tf [(Fig. 2: 11 by 11 Matrix of meta-topic cluster 1, including two nodes)] TJ ET Q BT 26.250 94.686 Td /F1 9.8 Tf [(For users with a more specific area of interest, the tabular format can also show the distribution of terms within each node. )] TJ ET BT 26.250 82.781 Td /F1 9.8 Tf [(When sorted by ascending or descending values it can elucidate which terms or related topics have large or small numbers of )] TJ ET BT 26.250 70.876 Td /F1 9.8 Tf [(published literature. For)] TJ ET BT 128.664 70.876 Td /F5 9.8 Tf [( administrative activities and systems)] TJ ET BT 289.042 70.876 Td /F1 9.8 Tf [( cluster 3, terms within each node can be crossed with [disaster], )] TJ ET BT 26.250 58.971 Td /F1 9.8 Tf [(producing three tables; one for each node in the cluster. The resulting tables are depicted in Figure 3.)] TJ ET Q q 15.000 49.091 577.500 727.909 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(. Lastly, Cluster 4 includes )] TJ ET BT 142.753 767.476 Td /F5 9.8 Tf [(events/phases)] TJ ET BT 205.621 767.476 Td /F1 9.8 Tf [(. The terms that lie within each cluster are called nodes as they are inter-related to )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(one another within that specific cluster. \(Figure 1\) For example, Cluster 4 has three nodes: )] TJ ET BT 418.580 755.571 Td /F5 9.8 Tf [(events)] TJ ET BT 447.304 755.571 Td /F1 9.8 Tf [(, )] TJ ET BT 452.725 755.571 Td /F5 9.8 Tf [(phases)] TJ ET BT 484.159 755.571 Td /F1 9.8 Tf [(, and )] TJ ET BT 508.553 755.571 Td /F5 9.8 Tf [(activities)] TJ ET BT 545.935 755.571 Td /F1 9.8 Tf [(. )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Events such as hurricanes and bioterrorist events are all disaster types and each event type can span parts of the disaster cycle )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(including mitigation, preparedness, response and recovery.)] TJ ET BT 26.250 712.357 Td /F1 9.8 Tf [(The terms organized within each )] TJ ET BT 169.848 712.357 Td /F5 9.8 Tf [(node)] TJ ET BT 191.532 712.357 Td /F1 9.8 Tf [( and )] TJ ET BT 213.216 712.357 Td /F5 9.8 Tf [(cluster)] TJ ET BT 241.930 712.357 Td /F1 9.8 Tf [( are derived from two sources: 1\) medical subject headings [MeSH] from the )] TJ ET BT 26.250 700.452 Td /F1 9.8 Tf [(National Library of Medicines PubMed database and 2\) free text terms \(Figure 1\). There are 26,853 MeSH terms in the )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(PubMed database and every article is indexed using these terms, which allows articles to be searched by database users. )] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(Using MeSH terms to query the PubMed database has been shown to have higher precision.)] TJ ET 0.267 0.267 0.267 rg BT 426.731 678.150 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 436.369 676.643 Td /F1 9.8 Tf [( The use of free text terms has )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(been shown to improve article retrievals.)] TJ ET 0.267 0.267 0.267 rg BT 200.726 666.245 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 210.364 668.626 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 212.773 667.136 Td /F4 7.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 221.339 668.626 Td /F1 8.7 Tf [( Within the proposed framework using free text and MeSH terms as well as applying the )] TJ ET BT 26.250 656.457 Td /F1 8.7 Tf [(matrix aim to enable the user to determine what level of sensitivity or specificity they would like to pursue for their search based upon their )] TJ ET BT 26.250 645.875 Td /F1 8.7 Tf [(needs. Free text terms were added to this taxonomy to capture new terms, not currently in the MeSH thesaurus, that reflect the quickly )] TJ ET BT 26.250 635.293 Td /F1 8.7 Tf [(evolving field of global health, disasters, and crisis.)] TJ ET 0.267 0.267 0.267 rg BT 220.851 634.067 Td /F4 7.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 26.250 613.587 Td /F1 9.8 Tf [(Crossing search terms MeSH and free text terms using Boolean operators were used to filter thousands of articles into a )] TJ ET BT 26.250 601.683 Td /F1 9.8 Tf [(manageable set of return articles. This approach has been shown in a previous study to increase the sensitivity and specificity )] TJ ET BT 26.250 589.778 Td /F1 9.8 Tf [(of search returns.)] TJ ET 0.267 0.267 0.267 rg BT 102.115 591.285 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 111.752 589.778 Td /F1 9.8 Tf [( Representing search results in a tabular or matrix format allowed PubMed database users a visually )] TJ ET BT 26.250 577.873 Td /F1 9.8 Tf [(practical format for which they may 1\) extract relevant article sets for specific research or educational purposes 2\) understand )] TJ ET BT 26.250 565.968 Td /F1 9.8 Tf [(the current state of published research within this specific node and 3\) identify gaps in research that could be further explored. )] TJ ET BT 26.250 554.064 Td /F1 9.8 Tf [(In a matrix depicting the number of article returns in a row and column format can visually represent an entire cluster.)] TJ ET BT 26.250 517.461 Td /F4 12.0 Tf [(RESULTS)] TJ ET BT 26.250 497.507 Td /F1 9.8 Tf [(The proposed disaster and crises framework for searching the PubMed literature database was used to search for articles from )] TJ ET BT 26.250 485.602 Td /F1 9.8 Tf [(January 1)] TJ ET BT 69.062 489.490 Td /F1 8.7 Tf [(st)] TJ ET BT 75.805 485.602 Td /F1 9.8 Tf [(, 2005 to December 31)] TJ ET BT 174.982 489.490 Td /F1 8.7 Tf [(st)] TJ ET BT 181.725 485.602 Td /F1 9.8 Tf [(, 2011. Before using the framework a basic search for articles with the free text term )] TJ ET BT 26.250 473.697 Td /F1 9.8 Tf [(disaster was searched in PubMed resulting in 18,604 article returns. Restricting articles to human subjects, English language, )] TJ ET BT 26.250 461.793 Td /F1 9.8 Tf [(and the [disaster] MeSH term resulted in 7,736 articles. A standard search of this kind would result in an otherwise restrictive )] TJ ET BT 26.250 449.888 Td /F1 9.8 Tf [(and unmanageable subset of literature.)] TJ ET BT 26.250 430.483 Td /F1 9.8 Tf [(When applying the proposed framework to the 7,736 articles using the cluster, node, and terms framework articles can be )] TJ ET BT 26.250 418.578 Td /F1 9.8 Tf [(reorganized and further filtered. Searching within a cluster can be achieved using a matrix that crosses terms between nodes. )] TJ ET BT 26.250 406.674 Td /F1 9.8 Tf [(Figure 2 depicts an 11 by 11 matrix of two nodes, )] TJ ET BT 241.940 406.674 Td /F5 9.8 Tf [(general terms)] TJ ET BT 301.541 406.674 Td /F1 9.8 Tf [( and )] TJ ET BT 323.225 406.674 Td /F5 9.8 Tf [(disciplines)] TJ ET BT 368.192 406.674 Td /F1 9.8 Tf [( in Cluster 1 )] TJ ET BT 422.919 406.674 Td /F5 9.8 Tf [(meta-topics)] TJ ET BT 473.307 406.674 Td /F1 9.8 Tf [(. If the major term )] TJ ET BT 26.250 394.769 Td /F1 9.8 Tf [([disaster] is crossed with the MeSH term [relief work], 900 articles are returned. Although this restricts the types of articles by )] TJ ET BT 26.250 382.864 Td /F1 9.8 Tf [(approximately 9-fold it remains unmanageable. By further cross searching the literature with terms within each node and across )] TJ ET BT 26.250 370.959 Td /F1 9.8 Tf [(nodes the search returns range from 1 to 3865 articles. The majority of articles exist within [demography], [public health] and )] TJ ET BT 26.250 359.055 Td /F1 9.8 Tf [([health systems]. Fewer articles are returned in the field of [mental health] but predominate with the terms [demography], [health )] TJ ET BT 26.250 347.150 Td /F1 9.8 Tf [(systems] and [public health]. Crossing the search terms [disaster], and free text term humanitarian and MesH keywords [health )] TJ ET BT 26.250 335.245 Td /F1 9.8 Tf [(systems] there are 66 returned articles which can be reasonably reviewed by a user.)] TJ ET 0.965 0.965 0.965 rg 26.250 111.710 555.000 213.655 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 325.364 m 581.250 325.364 l 581.250 324.614 l 26.250 324.614 l f 26.250 111.710 m 581.250 111.710 l 581.250 112.460 l 26.250 112.460 l f q 225.000 0 0 168.750 35.250 146.864 cm /I14 Do Q q 35.250 122.960 537.000 17.905 re W n 0.271 0.267 0.267 rg BT 35.250 131.340 Td /F4 9.8 Tf [(Fig. 2: 11 by 11 Matrix of meta-topic cluster 1, including two nodes)] TJ ET Q BT 26.250 94.686 Td /F1 9.8 Tf [(For users with a more specific area of interest, the tabular format can also show the distribution of terms within each node. )] TJ ET BT 26.250 82.781 Td /F1 9.8 Tf [(When sorted by ascending or descending values it can elucidate which terms or related topics have large or small numbers of )] TJ ET BT 26.250 70.876 Td /F1 9.8 Tf [(published literature. For)] TJ ET BT 128.664 70.876 Td /F5 9.8 Tf [( administrative activities and systems)] TJ ET BT 289.042 70.876 Td /F1 9.8 Tf [( cluster 3, terms within each node can be crossed with [disaster], )] TJ ET BT 26.250 58.971 Td /F1 9.8 Tf [(producing three tables; one for each node in the cluster. The resulting tables are depicted in Figure 3.)] TJ ET Q q 15.000 49.091 577.500 727.909 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(. Lastly, Cluster 4 includes )] TJ ET BT 142.753 767.476 Td /F5 9.8 Tf [(events/phases)] TJ ET BT 205.621 767.476 Td /F1 9.8 Tf [(. The terms that lie within each cluster are called nodes as they are inter-related to )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(one another within that specific cluster. \(Figure 1\) For example, Cluster 4 has three nodes: )] TJ ET BT 418.580 755.571 Td /F5 9.8 Tf [(events)] TJ ET BT 447.304 755.571 Td /F1 9.8 Tf [(, )] TJ ET BT 452.725 755.571 Td /F5 9.8 Tf [(phases)] TJ ET BT 484.159 755.571 Td /F1 9.8 Tf [(, and )] TJ ET BT 508.553 755.571 Td /F5 9.8 Tf [(activities)] TJ ET BT 545.935 755.571 Td /F1 9.8 Tf [(. )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Events such as hurricanes and bioterrorist events are all disaster types and each event type can span parts of the disaster cycle )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(including mitigation, preparedness, response and recovery.)] TJ ET BT 26.250 712.357 Td /F1 9.8 Tf [(The terms organized within each )] TJ ET BT 169.848 712.357 Td /F5 9.8 Tf [(node)] TJ ET BT 191.532 712.357 Td /F1 9.8 Tf [( and )] TJ ET BT 213.216 712.357 Td /F5 9.8 Tf [(cluster)] TJ ET BT 241.930 712.357 Td /F1 9.8 Tf [( are derived from two sources: 1\) medical subject headings [MeSH] from the )] TJ ET BT 26.250 700.452 Td /F1 9.8 Tf [(National Library of Medicines PubMed database and 2\) free text terms \(Figure 1\). There are 26,853 MeSH terms in the )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(PubMed database and every article is indexed using these terms, which allows articles to be searched by database users. )] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(Using MeSH terms to query the PubMed database has been shown to have higher precision.)] TJ ET 0.267 0.267 0.267 rg BT 426.731 678.150 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 436.369 676.643 Td /F1 9.8 Tf [( The use of free text terms has )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(been shown to improve article retrievals.)] TJ ET 0.267 0.267 0.267 rg BT 200.726 666.245 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 210.364 668.626 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 212.773 667.136 Td /F4 7.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 221.339 668.626 Td /F1 8.7 Tf [( Within the proposed framework using free text and MeSH terms as well as applying the )] TJ ET BT 26.250 656.457 Td /F1 8.7 Tf [(matrix aim to enable the user to determine what level of sensitivity or specificity they would like to pursue for their search based upon their )] TJ ET BT 26.250 645.875 Td /F1 8.7 Tf [(needs. Free text terms were added to this taxonomy to capture new terms, not currently in the MeSH thesaurus, that reflect the quickly )] TJ ET BT 26.250 635.293 Td /F1 8.7 Tf [(evolving field of global health, disasters, and crisis.)] TJ ET 0.267 0.267 0.267 rg BT 220.851 634.067 Td /F4 7.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 26.250 613.587 Td /F1 9.8 Tf [(Crossing search terms MeSH and free text terms using Boolean operators were used to filter thousands of articles into a )] TJ ET BT 26.250 601.683 Td /F1 9.8 Tf [(manageable set of return articles. This approach has been shown in a previous study to increase the sensitivity and specificity )] TJ ET BT 26.250 589.778 Td /F1 9.8 Tf [(of search returns.)] TJ ET 0.267 0.267 0.267 rg BT 102.115 591.285 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 111.752 589.778 Td /F1 9.8 Tf [( Representing search results in a tabular or matrix format allowed PubMed database users a visually )] TJ ET BT 26.250 577.873 Td /F1 9.8 Tf [(practical format for which they may 1\) extract relevant article sets for specific research or educational purposes 2\) understand )] TJ ET BT 26.250 565.968 Td /F1 9.8 Tf [(the current state of published research within this specific node and 3\) identify gaps in research that could be further explored. )] TJ ET BT 26.250 554.064 Td /F1 9.8 Tf [(In a matrix depicting the number of article returns in a row and column format can visually represent an entire cluster.)] TJ ET BT 26.250 517.461 Td /F4 12.0 Tf [(RESULTS)] TJ ET BT 26.250 497.507 Td /F1 9.8 Tf [(The proposed disaster and crises framework for searching the PubMed literature database was used to search for articles from )] TJ ET BT 26.250 485.602 Td /F1 9.8 Tf [(January 1)] TJ ET BT 69.062 489.490 Td /F1 8.7 Tf [(st)] TJ ET BT 75.805 485.602 Td /F1 9.8 Tf [(, 2005 to December 31)] TJ ET BT 174.982 489.490 Td /F1 8.7 Tf [(st)] TJ ET BT 181.725 485.602 Td /F1 9.8 Tf [(, 2011. Before using the framework a basic search for articles with the free text term )] TJ ET BT 26.250 473.697 Td /F1 9.8 Tf [(disaster was searched in PubMed resulting in 18,604 article returns. Restricting articles to human subjects, English language, )] TJ ET BT 26.250 461.793 Td /F1 9.8 Tf [(and the [disaster] MeSH term resulted in 7,736 articles. A standard search of this kind would result in an otherwise restrictive )] TJ ET BT 26.250 449.888 Td /F1 9.8 Tf [(and unmanageable subset of literature.)] TJ ET BT 26.250 430.483 Td /F1 9.8 Tf [(When applying the proposed framework to the 7,736 articles using the cluster, node, and terms framework articles can be )] TJ ET BT 26.250 418.578 Td /F1 9.8 Tf [(reorganized and further filtered. Searching within a cluster can be achieved using a matrix that crosses terms between nodes. )] TJ ET BT 26.250 406.674 Td /F1 9.8 Tf [(Figure 2 depicts an 11 by 11 matrix of two nodes, )] TJ ET BT 241.940 406.674 Td /F5 9.8 Tf [(general terms)] TJ ET BT 301.541 406.674 Td /F1 9.8 Tf [( and )] TJ ET BT 323.225 406.674 Td /F5 9.8 Tf [(disciplines)] TJ ET BT 368.192 406.674 Td /F1 9.8 Tf [( in Cluster 1 )] TJ ET BT 422.919 406.674 Td /F5 9.8 Tf [(meta-topics)] TJ ET BT 473.307 406.674 Td /F1 9.8 Tf [(. If the major term )] TJ ET BT 26.250 394.769 Td /F1 9.8 Tf [([disaster] is crossed with the MeSH term [relief work], 900 articles are returned. Although this restricts the types of articles by )] TJ ET BT 26.250 382.864 Td /F1 9.8 Tf [(approximately 9-fold it remains unmanageable. By further cross searching the literature with terms within each node and across )] TJ ET BT 26.250 370.959 Td /F1 9.8 Tf [(nodes the search returns range from 1 to 3865 articles. The majority of articles exist within [demography], [public health] and )] TJ ET BT 26.250 359.055 Td /F1 9.8 Tf [([health systems]. Fewer articles are returned in the field of [mental health] but predominate with the terms [demography], [health )] TJ ET BT 26.250 347.150 Td /F1 9.8 Tf [(systems] and [public health]. Crossing the search terms [disaster], and free text term humanitarian and MesH keywords [health )] TJ ET BT 26.250 335.245 Td /F1 9.8 Tf [(systems] there are 66 returned articles which can be reasonably reviewed by a user.)] TJ ET 0.965 0.965 0.965 rg 26.250 111.710 555.000 213.655 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 325.364 m 581.250 325.364 l 581.250 324.614 l 26.250 324.614 l f 26.250 111.710 m 581.250 111.710 l 581.250 112.460 l 26.250 112.460 l f q 225.000 0 0 168.750 35.250 146.864 cm /I16 Do Q q 35.250 122.960 537.000 17.905 re W n 0.271 0.267 0.267 rg BT 35.250 131.340 Td /F4 9.8 Tf [(Fig. 2: 11 by 11 Matrix of meta-topic cluster 1, including two nodes)] TJ ET Q BT 26.250 94.686 Td /F1 9.8 Tf [(For users with a more specific area of interest, the tabular format can also show the distribution of terms within each node. )] TJ ET BT 26.250 82.781 Td /F1 9.8 Tf [(When sorted by ascending or descending values it can elucidate which terms or related topics have large or small numbers of )] TJ ET BT 26.250 70.876 Td /F1 9.8 Tf [(published literature. For)] TJ ET BT 128.664 70.876 Td /F5 9.8 Tf [( administrative activities and systems)] TJ ET BT 289.042 70.876 Td /F1 9.8 Tf [( cluster 3, terms within each node can be crossed with [disaster], )] TJ ET BT 26.250 58.971 Td /F1 9.8 Tf [(producing three tables; one for each node in the cluster. The resulting tables are depicted in Figure 3.)] TJ ET Q q 225.000 0 0 168.750 35.250 146.864 cm /I18 Do Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(5)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 193 0 obj << /Type /Annot /Subtype /Link /A 194 0 R /Border [0 0 0] /H /I /Rect [ 426.7312 677.3484 436.3686 686.1667 ] >> endobj 194 0 obj << /Type /Action >> endobj 195 0 obj << /Type /Annot /Subtype /Link /A 196 0 R /Border [0 0 0] /H /I /Rect [ 200.7262 665.4437 210.3636 674.2620 ] >> endobj 196 0 obj << /Type /Action >> endobj 197 0 obj << /Type /Annot /Subtype /Link /A 198 0 R /Border [0 0 0] /H /I /Rect [ 212.7729 666.4235 221.3394 674.2620 ] >> endobj 198 0 obj << /Type /Action >> endobj 199 0 obj << /Type /Annot /Subtype /Link /A 200 0 R /Border [0 0 0] /H /I /Rect [ 220.8513 633.3547 229.4179 641.1933 ] >> endobj 200 0 obj << /Type /Action >> endobj 201 0 obj << /Type /Annot /Subtype /Link /A 202 0 R /Border [0 0 0] /H /I /Rect [ 102.1148 590.4834 111.7521 599.3017 ] >> endobj 202 0 obj << /Type /Action >> endobj 203 0 obj << /Type /Annot /Subtype /Link /A 204 0 R /Border [0 0 0] /H /I /Rect [ 35.2500 146.8643 260.2500 315.6143 ] >> endobj 204 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/files/2012/12/Figure-2a_12072012.0031.png) >> endobj 205 0 obj << /Type /XObject /Subtype /Image /Width 300 /Height 225 /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 1 /Columns 300 /BitsPerComponent 8>> /ColorSpace /DeviceGray /BitsPerComponent 8 /Length 479>> stream xA 0 =fy9뀟\d endstream endobj 206 0 obj << /Type /XObject /Subtype /Image /Width 300 /Height 225 /SMask 205 0 R /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 3 /Columns 300 /BitsPerComponent 8>> /ColorSpace /DeviceRGB /BitsPerComponent 8 /Length 32564>> stream xgǕ&7m [4< H$H(3nfFӎy;g{=F73͑HD" "  plWu>ޏ"" G?dF^7YU K!!C4 APW(FhA"]h.&f6H88D!f$2gpLv !%X}~cĆaFȠgM"1CzP@f'nc+MY|-z%(ITD'mvq+%Ӷm7$rt)ՂLs'ڷ7x3iW8Q8*4X:bN\{ "`cBBn+K );+%4B=@F/& SQx<bmN$Q؊-H8BD$^818TQ8Hgg HyB_+ RIL מy\憧Y3ĭ9}S^ˍ5m5F/I aJ# UcRh VoC>+>]kd!x%DԢ Tz[^#q>女O'(Ltë=Sfv!( HDab4ZT@>OXDˑCYyʃW1$/^ [Uw`6{7$H%nbŠ'-JB0KGuLGƓW, ,` t,BC1X1 b;!^7.-ny6>xwKWRa{RL% *&`j'ki4虎E`aҫ) L[:J,,}+).%׎]vi]wګ߮ *( t@=&>j!qv*W͚bi 2")(d(V92RҶXU~Ow@0Q"L`$pH¡FA)>I8 F*hFAL#n&-/A@3ilt~=mw&$i@ MLn( } gdf1 Lu f&$-WLx 0GEL"V <-JBE ۩q034S G d"բ9O51<[WfP ha(hyz2Td4h LLhkMf A0֘PtyY̙WQ`&-ȏd tkJҾG+ $_QpkTnB$iNҘ 'cbj-4'UĤL:^\mĸxS*A[$3pnNnk{$bͷdo$[+)ր7bBv 1$ۅN[ ]7~,>~ $Ni#MPګ*B[h0155ZLҞ" *,WBjw[aG0$0ĂpP-)M` !PLPK"hp2Fm`غ2qKd,vUB M2 (zVa{0MKp\/mPe$q'i!L-bC:`T*&d َ$l#umkv(18:IԮ.+wT:qD ]L8V"I 2'ޖ^1EٖUm1c bjh| ^>%HЗV0G"I,)i9L!4*pFV$|PŒXǔ@0Vy& r?[+܌"%6LyKGUX:Z 4XtAȔ[t4|) z=O{j`/=$НŊ% 9Liw8`-\eAU6x{oQ(M#15[]c1ۼǖ]oR϶jxS{#$9DtQQ$qQL"DQejh8 Ll!+1bbi^L &*w臌~ݙɔ;?$ fa 4 TU$K+.2b"NqYU#0PlM?$׽FL0"yȌ-)}dC]Lv۹I$ ib `0W̛XBZw@'I8qyP9-ل~^?ZuU.Zwݷ,L&ϕd!Bg8ߚܼ]EViҙ'Mzm(0Ԛ:6m.-Hdf+[Mf&9/YuhhSHW4*a*\++w],WhͰI2.[tR6_y6|k|phX\YYE3y)bұp-z@!Y^Ys}CBbvR 64t./ttnZ_YqՅ7u[<Q?ܢRD, ˔ lxb;خWL&@eAN٠η`bեK'ٷ.^z7ޮ;.X )~Q;ڰ\o^/ jB\oEA~+}'J셋Woozw[~Koxioigzf&gI38%-2=UЭAP3)A)8P-ށֆhF7N]&n}W{\Z=Ɩ&Hi< f/@!TgANsL\\ &,8+M;^z$*fOxs}z⁤ʼʵ{ T*!j>ջ+4ضRjI]='!J#6`.kG-2̪zW+xJ2^&!㠂/ϮKNFo7c QXhv Cz N' NXX5kcmi=>: >x XR)0S2K= }P!XEfIK#O%&%3L g`G^v{fzs`nfuc5j!/L &̎u6]*3?o(;c0O|̢iSWGZ|Ͼ ˮ;vmrpvNo4kTggBpk;~q\ EuߋRwhQs|?y+P~f|T}]6ɨUDFM+SSt|wv-^ՉMFg4莿D]:u<K8VB2-rb͏/3yd2zKgSm]@B:V[mKpɢ̅ L}J=ϼti0[??zͬ[Y^:~׽>p~ǗU:9CǒB&ɛ?'&&fl2Ar?3Hݎ_«<}ds?1x_׉]-PqolZ/Xv9vrJ3 m;q^13.B,1bI533̉+XY: .ݨ# @ M^&6"Hd|姣D@҃ L.!l$րl|48%a*+]b/ rBBN؁5Z!q6"QN$%jM^roUK`j4PB@g>3 ߊ'|WfggX߁q…Z(c`R)Jt;S#ڑL&jִ8^Qwm˼[` ýĤX%2|l>uuu871-To.巔Dɥ;wneC(0dٱ;w6J.4DY&8\oo/N Z8*&ŋvd̦ m"i$Ν;p?JzO]1R7!@-*b9H@|AbJd+A#uHML$LWbj[FT(ekJ,mlͥ x wG| P~K4[zw-EwY'>A5!q\4zZ\BW"yM[3Cju_8]RgGO,@{[9! ՕeBi97nw܊ɬKfn&i04ysKkX_;;=gX:e : ?sǿzk8|Ϩ/ K[ç?=3*)S@cTreWwW:_~>B:_>PB\4pʦWxh ˅}#SNte]-dfcټ|ea™s;HP,-5@R&KZv옟hZ%M9o="e|AvNf5Opż 7ۙw[sn}\Qoм*&.Yu\1SrJb8Ã]O~m.N/~s7bXȦ2)Q(^y\@7-P`.OtR9V=sS's+b_Tib& jx+tZ{g? 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Jf ]3t0IAQ(`d隤{d )4^GњJD4%%W :AAt_@d$ER4*E6ltA~zQh x]9/ٓʪ\˄ Eh+SP4s H"Epk8NUA4DNAba6AFP6E͎z$IT?vGL٧ݨv\VE.K{^v+ڇxzۥeP"Ï>v;Ŀԫ3TUEaS H F51kĪTTN5,Zj(˥dy_4$#DZ#ihW@J/kh6 Jo~ Kt M녒Y6IT0mQI~(l=VI,Z)cj8QbU -aYȅ@P)-L i KB-T,Ls6F1 !%:F'6d)v4p4@ʴGWDOVdv/BtBF@gIQ0E1|qHf)֦aSEF%$ʚ,,,$d=%b| :cˬDMBhh9 ҎR$ѷS> xHD6ZX#De1Q -2d V6Th~jG-g*9Z"rMYM*Dc1YUiOEVFs~<-L}VZB +J,6#.c)ȑR6ë@ TMdǣb20An)Թ"z 7** M7oY#vDXC!t ;ZTbSTh 9FP3h$.l"gR%x9PΚ~Mޟ i @ e-tւdF<SO 2=7f=%L#ʡa`uAE&g4YԂv"i0 fYPJ4R!h1/˅5FuNt /dY)a604!<2{KE<9ED(V%}d4I0%HEY,t0*E>ځRP%Aצ*?ecbY2(,<[񆄨L:EbrGVRe:r*thR&(SMdHj@>>3Jvkb: 4R`b37O8]c;$ rDTj =aOY 퉈~PZz,P&9CP֛Qv3)nL8=#!h3VMl)A9!l ByM4Yt\b/a:PdP:F#E&GuAHFz*eWAM*JA;M̟F0!x/ r kY#i;=:ѫaUS%R1)BU,T=*$@o&-h0>hp^eB߂yv"!Ay9ZZЅD?t)= Y42NSc!BEi#X"*kACPt( 2Je~B1;b`4SU?I(g!jfAϠZSKJ9X0DB͘FΦ"Mja{&E2P`{T6?*E9L1 endstream endobj 237 0 obj << /Type /Page /Parent 3 0 R /Annots [ 239 0 R 243 0 R 247 0 R ] /Contents 238 0 R >> endobj 238 0 obj << /Length 9429 >> stream 0.271 0.267 0.267 rg q 15.000 329.535 577.500 447.465 re W n 0.965 0.965 0.965 rg 26.250 563.345 555.000 213.655 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 777.000 m 581.250 777.000 l 581.250 776.250 l 26.250 776.250 l f 26.250 563.345 m 581.250 563.345 l 581.250 564.095 l 26.250 564.095 l f q 225.000 0 0 168.750 35.250 598.500 cm /I20 Do Q q 35.250 574.595 537.000 17.905 re W n 0.271 0.267 0.267 rg BT 35.250 582.976 Td /F4 9.8 Tf [(Fig. 3: Example Tables from Cluster 3)] TJ ET Q BT 26.250 546.321 Td /F1 9.8 Tf [(The )] TJ ET BT 45.760 546.321 Td /F5 9.8 Tf [(administrative activities and systems)] TJ ET BT 203.427 546.321 Td /F1 9.8 Tf [( node MeSH search terms were crossed with the term [disaster] with a total of 1706 )] TJ ET BT 26.250 534.417 Td /F1 9.8 Tf [(article returns. The top two search returns came from crossing [disaster] with [community health services] \(n=861\) and [Federal )] TJ ET BT 26.250 522.512 Td /F1 9.8 Tf [(Government] \(n=340\). There was only one return for [state health planning agency], but also 60 articles for [state government]. )] TJ ET BT 26.250 510.607 Td /F1 9.8 Tf [(Results from the )] TJ ET BT 99.941 510.607 Td /F5 9.8 Tf [(special groups)] TJ ET BT 162.799 510.607 Td /F1 9.8 Tf [( node show that the largest body of literature within special groups is with the search terms )] TJ ET BT 26.250 498.702 Td /F1 9.8 Tf [([children] \(n=776\) and refugees \(162\). The smallest returns from all 1086 returns for this node were related to [elderly] \(n=16\). )] TJ ET BT 26.250 486.798 Td /F1 9.8 Tf [(The terms within the )] TJ ET BT 116.740 486.798 Td /F5 9.8 Tf [(site of care)] TJ ET BT 164.427 486.798 Td /F1 9.8 Tf [( node resulted in 3345 articles. The majority of articles lie within the [EMS] and [health facilities] )] TJ ET BT 26.250 474.893 Td /F1 9.8 Tf [(terms, and the term [alternate care] only returned four articles.)] TJ ET BT 26.250 455.488 Td /F1 9.8 Tf [(For searches that result in few PubMed returns searching Google Scholar can retrieve peer-reviewed literature in a broader )] TJ ET BT 26.250 443.583 Td /F1 9.8 Tf [(array of journals while also retrieving related grey literature. The framework and above-described search terms can be applied )] TJ ET BT 26.250 431.679 Td /F1 9.8 Tf [(to Google Scholar. According to Figure 3 that depicts a matrix of returns for two nodes within the first cluster, crossing the free )] TJ ET BT 26.250 419.774 Td /F1 9.8 Tf [(text term humanitarian, and MeSH terms [disaster] and [mental health] in PubMed resulted in only three articles. Adding the )] TJ ET BT 26.250 407.869 Td /F1 9.8 Tf [(term [relief] resulted in 25 articles. The same terms used in Google Scholar resulted in 65 total documents including books, peer-)] TJ ET BT 26.250 395.964 Td /F1 9.8 Tf [(reviewed articles in non-health journals and United Nations reports. Nine of the returned articles were unique to the Google )] TJ ET BT 26.250 384.060 Td /F1 9.8 Tf [(Scholar search. \(Table 3\) The remaining 56 articles were duplicative of the PubMed search process.)] TJ ET Q q 15.000 329.535 577.500 447.465 re W n 0.965 0.965 0.965 rg 26.250 563.345 555.000 213.655 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 777.000 m 581.250 777.000 l 581.250 776.250 l 26.250 776.250 l f 26.250 563.345 m 581.250 563.345 l 581.250 564.095 l 26.250 564.095 l f q 225.000 0 0 168.750 35.250 598.500 cm /I22 Do Q q 35.250 574.595 537.000 17.905 re W n 0.271 0.267 0.267 rg BT 35.250 582.976 Td /F4 9.8 Tf [(Fig. 3: Example Tables from Cluster 3)] TJ ET Q BT 26.250 546.321 Td /F1 9.8 Tf [(The )] TJ ET BT 45.760 546.321 Td /F5 9.8 Tf [(administrative activities and systems)] TJ ET BT 203.427 546.321 Td /F1 9.8 Tf [( node MeSH search terms were crossed with the term [disaster] with a total of 1706 )] TJ ET BT 26.250 534.417 Td /F1 9.8 Tf [(article returns. The top two search returns came from crossing [disaster] with [community health services] \(n=861\) and [Federal )] TJ ET BT 26.250 522.512 Td /F1 9.8 Tf [(Government] \(n=340\). There was only one return for [state health planning agency], but also 60 articles for [state government]. )] TJ ET BT 26.250 510.607 Td /F1 9.8 Tf [(Results from the )] TJ ET BT 99.941 510.607 Td /F5 9.8 Tf [(special groups)] TJ ET BT 162.799 510.607 Td /F1 9.8 Tf [( node show that the largest body of literature within special groups is with the search terms )] TJ ET BT 26.250 498.702 Td /F1 9.8 Tf [([children] \(n=776\) and refugees \(162\). The smallest returns from all 1086 returns for this node were related to [elderly] \(n=16\). )] TJ ET BT 26.250 486.798 Td /F1 9.8 Tf [(The terms within the )] TJ ET BT 116.740 486.798 Td /F5 9.8 Tf [(site of care)] TJ ET BT 164.427 486.798 Td /F1 9.8 Tf [( node resulted in 3345 articles. The majority of articles lie within the [EMS] and [health facilities] )] TJ ET BT 26.250 474.893 Td /F1 9.8 Tf [(terms, and the term [alternate care] only returned four articles.)] TJ ET BT 26.250 455.488 Td /F1 9.8 Tf [(For searches that result in few PubMed returns searching Google Scholar can retrieve peer-reviewed literature in a broader )] TJ ET BT 26.250 443.583 Td /F1 9.8 Tf [(array of journals while also retrieving related grey literature. The framework and above-described search terms can be applied )] TJ ET BT 26.250 431.679 Td /F1 9.8 Tf [(to Google Scholar. According to Figure 3 that depicts a matrix of returns for two nodes within the first cluster, crossing the free )] TJ ET BT 26.250 419.774 Td /F1 9.8 Tf [(text term humanitarian, and MeSH terms [disaster] and [mental health] in PubMed resulted in only three articles. Adding the )] TJ ET BT 26.250 407.869 Td /F1 9.8 Tf [(term [relief] resulted in 25 articles. The same terms used in Google Scholar resulted in 65 total documents including books, peer-)] TJ ET BT 26.250 395.964 Td /F1 9.8 Tf [(reviewed articles in non-health journals and United Nations reports. Nine of the returned articles were unique to the Google )] TJ ET BT 26.250 384.060 Td /F1 9.8 Tf [(Scholar search. \(Table 3\) The remaining 56 articles were duplicative of the PubMed search process.)] TJ ET Q q 15.000 329.535 577.500 447.465 re W n 0.965 0.965 0.965 rg 26.250 563.345 555.000 213.655 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 777.000 m 581.250 777.000 l 581.250 776.250 l 26.250 776.250 l f 26.250 563.345 m 581.250 563.345 l 581.250 564.095 l 26.250 564.095 l f q 225.000 0 0 168.750 35.250 598.500 cm /I24 Do Q q 35.250 574.595 537.000 17.905 re W n 0.271 0.267 0.267 rg BT 35.250 582.976 Td /F4 9.8 Tf [(Fig. 3: Example Tables from Cluster 3)] TJ ET Q BT 26.250 546.321 Td /F1 9.8 Tf [(The )] TJ ET BT 45.760 546.321 Td /F5 9.8 Tf [(administrative activities and systems)] TJ ET BT 203.427 546.321 Td /F1 9.8 Tf [( node MeSH search terms were crossed with the term [disaster] with a total of 1706 )] TJ ET BT 26.250 534.417 Td /F1 9.8 Tf [(article returns. The top two search returns came from crossing [disaster] with [community health services] \(n=861\) and [Federal )] TJ ET BT 26.250 522.512 Td /F1 9.8 Tf [(Government] \(n=340\). There was only one return for [state health planning agency], but also 60 articles for [state government]. )] TJ ET BT 26.250 510.607 Td /F1 9.8 Tf [(Results from the )] TJ ET BT 99.941 510.607 Td /F5 9.8 Tf [(special groups)] TJ ET BT 162.799 510.607 Td /F1 9.8 Tf [( node show that the largest body of literature within special groups is with the search terms )] TJ ET BT 26.250 498.702 Td /F1 9.8 Tf [([children] \(n=776\) and refugees \(162\). The smallest returns from all 1086 returns for this node were related to [elderly] \(n=16\). )] TJ ET BT 26.250 486.798 Td /F1 9.8 Tf [(The terms within the )] TJ ET BT 116.740 486.798 Td /F5 9.8 Tf [(site of care)] TJ ET BT 164.427 486.798 Td /F1 9.8 Tf [( node resulted in 3345 articles. The majority of articles lie within the [EMS] and [health facilities] )] TJ ET BT 26.250 474.893 Td /F1 9.8 Tf [(terms, and the term [alternate care] only returned four articles.)] TJ ET BT 26.250 455.488 Td /F1 9.8 Tf [(For searches that result in few PubMed returns searching Google Scholar can retrieve peer-reviewed literature in a broader )] TJ ET BT 26.250 443.583 Td /F1 9.8 Tf [(array of journals while also retrieving related grey literature. The framework and above-described search terms can be applied )] TJ ET BT 26.250 431.679 Td /F1 9.8 Tf [(to Google Scholar. According to Figure 3 that depicts a matrix of returns for two nodes within the first cluster, crossing the free )] TJ ET BT 26.250 419.774 Td /F1 9.8 Tf [(text term humanitarian, and MeSH terms [disaster] and [mental health] in PubMed resulted in only three articles. Adding the )] TJ ET BT 26.250 407.869 Td /F1 9.8 Tf [(term [relief] resulted in 25 articles. The same terms used in Google Scholar resulted in 65 total documents including books, peer-)] TJ ET BT 26.250 395.964 Td /F1 9.8 Tf [(reviewed articles in non-health journals and United Nations reports. Nine of the returned articles were unique to the Google )] TJ ET BT 26.250 384.060 Td /F1 9.8 Tf [(Scholar search. \(Table 3\) The remaining 56 articles were duplicative of the PubMed search process.)] TJ ET Q q 225.000 0 0 168.750 35.250 598.500 cm /I26 Do Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(6)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 239 0 obj << /Type /Annot /Subtype /Link /A 240 0 R /Border [0 0 0] /H /I /Rect [ 35.2500 598.5000 260.2500 767.2500 ] >> endobj 240 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/files/2012/12/Figure-2b_12072012.005.png) >> endobj 241 0 obj << /Type /XObject /Subtype /Image /Width 300 /Height 225 /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 1 /Columns 300 /BitsPerComponent 8>> /ColorSpace /DeviceGray /BitsPerComponent 8 /Length 479>> stream xA 0 =fy9뀟\d endstream endobj 242 0 obj << /Type /XObject /Subtype /Image /Width 300 /Height 225 /SMask 241 0 R /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 3 /Columns 300 /BitsPerComponent 8>> /ColorSpace /DeviceRGB /BitsPerComponent 8 /Length 46562>> stream xw|?|gfvWjջdɒ%Mq7<@ @B ! 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3* LК"KiIʵpOWzR1qZBvTjPjfqM+ 汉8&wy0o ?_zKo{j{#=m&KX\ar\tw>f Z%WiiD@N]_ C%B02AKK7?4QB~|?-sߴL IG v `q;@g&J'oʙ[E0oeGCᎍ1>{|u}ESu:͈:]G!/p[$mb+YWM_*rՌ\.H$ ǯ-?853Q*=Fi۷o^)iOՇbYc?4 $I/DQ\YzDT|3)*ǁ~bAL*nlx "HTf9Kzny+Cdٳ=u͞&NS (B]i]AJ@|2ag&B$@Y`^+iC8:+5|'.?1X{;pqnfv1OfbpUPR[o gRiͷy:wmlˤ^}9:}`S&qBXZZكϞ٣zԥTM_Xp> 1طscTOXV4Sy :sN%4LVۣGɥRlrW>g2kK}&wq^' iVB(sFg^ e@gTftyܮLtŔKB-ŷ{7`sNJD0mOB(poo5"pUޜ 5YKQ%27yj ieW#M9uBV۴iS.5) %"]epW&t%#ƏUVG3XBdeB *}~m[ w2Ä[VI-&!im7 '{>͵C8x.U@X$᜘ȎN|߷v.e>xou+O05Dv TC컳Vm:['f?ˋX-b]Cwo?7}.wYͷJwۗ.l=MN\8p]qq Mt+L:4[4ϙc7;]^=0?=BSP{BȠBz\Ëjc]|uEI+Z 1m!4>Pw["1I#oSx!#< șB]Ly=Wߢgwh]ht1= 1lc {h L)h^~pK<W?>^`x_`_\',Jr:끕H.ӿk( BHEBł뿈Q.l$ { ZMRVQb2o"<YGY,ˬfܤC`fn:J1/ŁwN_ԙe;4N i{xe^QaΤXh32׌mW),i5j5D9SW|̚N&5Fu6: bBu-bMߘtza̔8B~u 7Q> endobj 254 0 obj << /Length 39826 >> stream 0.271 0.267 0.267 rg q 15.000 31.418 577.500 745.582 re W n q 26.250 763.264 555.000 13.736 re W n 0.271 0.267 0.267 rg BT 26.250 766.011 Td /F1 9.8 Tf [(Table 3: Unique Google Scholar Articles Compared to PubMed Search)] TJ ET Q 0.965 0.965 0.965 rg 26.250 732.356 555.000 23.407 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 755.764 m 581.250 755.764 l 580.500 755.014 l 27.000 755.014 l f 581.250 755.764 m 581.250 732.356 l 580.500 732.356 l 580.500 755.014 l f 26.250 755.764 m 26.250 732.356 l 27.000 732.356 l 27.000 755.014 l f 0.271 0.267 0.267 rg BT 33.000 741.688 Td /F1 9.0 Tf [(Search: mental health, disaster, crisis, global health international health, humanitarian relief.)] TJ ET 1.000 1.000 1.000 rg 26.250 100.228 555.000 632.129 re f 0.965 0.965 0.965 rg 27.000 695.517 269.280 36.089 re f 0.267 0.267 0.267 rg 26.625 731.231 269.655 0.750 re f 26.625 695.142 0.750 36.839 re f 0.271 0.267 0.267 rg BT 31.500 722.082 Td /F4 9.8 Tf [(Document Title)] TJ ET 0.965 0.965 0.965 rg 296.280 695.517 77.572 36.089 re f 0.267 0.267 0.267 rg 296.280 731.231 77.572 0.750 re f 0.271 0.267 0.267 rg BT 300.780 722.082 Td /F4 9.8 Tf [(Type)] TJ ET 0.965 0.965 0.965 rg 373.852 695.517 73.124 36.089 re f 0.267 0.267 0.267 rg 373.852 731.231 73.124 0.750 re f 0.271 0.267 0.267 rg BT 378.352 722.082 Td /F4 9.8 Tf [(Exists in )] TJ ET BT 378.352 710.178 Td /F4 9.8 Tf [(PubMed?)] TJ ET 0.965 0.965 0.965 rg 446.976 695.517 75.402 36.089 re f 0.267 0.267 0.267 rg 446.976 731.231 75.402 0.750 re f 0.271 0.267 0.267 rg BT 451.476 722.082 Td /F4 9.8 Tf [(Found in )] TJ ET BT 451.476 710.178 Td /F4 9.8 Tf [(PubMed )] TJ ET BT 451.476 698.273 Td /F4 9.8 Tf [(Search?)] TJ ET 0.965 0.965 0.965 rg 522.378 695.517 58.122 36.089 re f 0.267 0.267 0.267 rg 522.378 731.231 58.497 0.750 re f 580.125 695.142 0.750 36.839 re f 0.271 0.267 0.267 rg BT 526.878 722.082 Td /F4 9.8 Tf [(Open )] TJ ET BT 526.878 710.178 Td /F4 9.8 Tf [(Access)] TJ ET 0.267 0.267 0.267 rg 26.625 695.142 270.030 0.750 re f 26.625 663.998 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 685.287 Td /F1 9.8 Tf [(Betancourt TS, et al. Building an evidence base on mental )] TJ ET BT 31.875 677.656 Td /F1 9.8 Tf [(health interventions for children affected by armed conflict. )] TJ ET BT 31.875 670.024 Td /F5 9.8 Tf [(Intervention.)] TJ ET BT 85.529 670.024 Td /F1 9.8 Tf [( 2008;\(6\):39)] TJ ET 0.267 0.267 0.267 rg 295.905 695.142 78.322 0.750 re f 295.905 663.998 0.750 31.894 re f 0.271 0.267 0.267 rg BT 301.155 685.287 Td /F1 9.8 Tf [(Peer )] TJ ET BT 301.155 677.656 Td /F1 9.8 Tf [(Reviewed )] TJ ET BT 301.155 670.024 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 695.142 73.874 0.750 re f 373.477 663.998 0.750 31.894 re f 0.271 0.267 0.267 rg BT 378.727 685.287 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 446.601 695.142 76.152 0.750 re f 446.601 663.998 0.750 31.894 re f 0.271 0.267 0.267 rg BT 451.851 685.287 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 695.142 58.872 0.750 re f 522.003 663.998 0.750 31.894 re f 580.125 663.998 0.750 31.894 re f 0.271 0.267 0.267 rg BT 527.253 685.287 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 663.998 270.030 0.750 re f 26.625 632.854 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 654.143 Td /F1 9.8 Tf [(Diaz JO, et al. )] TJ ET BT 95.816 654.143 Td /F5 9.8 Tf [(Advances in disaster mental health and )] TJ ET BT 31.875 646.512 Td /F5 9.8 Tf [(psychological support.)] TJ ET BT 128.332 646.512 Td /F1 9.8 Tf [( New Delhi, India: Voluntary Health )] TJ ET BT 31.875 638.881 Td /F1 9.8 Tf [(Association of India Press, 2006.)] TJ ET 0.267 0.267 0.267 rg 295.905 663.998 78.322 0.750 re f 295.905 632.854 0.750 31.894 re f 0.271 0.267 0.267 rg BT 301.155 654.143 Td /F1 9.8 Tf [(Book)] TJ ET 0.267 0.267 0.267 rg 373.477 663.998 73.874 0.750 re f 373.477 632.854 0.750 31.894 re f 0.271 0.267 0.267 rg BT 378.727 654.143 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 663.998 76.152 0.750 re f 446.601 632.854 0.750 31.894 re f 0.271 0.267 0.267 rg BT 451.851 654.143 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 663.998 58.872 0.750 re f 522.003 632.854 0.750 31.894 re f 580.125 632.854 0.750 31.894 re f 0.271 0.267 0.267 rg BT 527.253 654.143 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 632.854 270.030 0.750 re f 26.625 594.079 0.750 39.525 re f 0.271 0.267 0.267 rg BT 31.875 622.999 Td /F1 9.8 Tf [(Budosan B, et al. Evaluation of effectiveness of mental )] TJ ET BT 31.875 615.368 Td /F1 9.8 Tf [(health training program for primary health care staff in )] TJ ET BT 31.875 607.737 Td /F1 9.8 Tf [(Hambantota District, Sri Lanka post-tsunami. )] TJ ET BT 231.272 607.737 Td /F5 9.8 Tf [(The Journal )] TJ ET BT 31.875 600.106 Td /F5 9.8 Tf [(of Humanitarian Assistance.)] TJ ET BT 153.253 600.106 Td /F1 9.8 Tf [( 2009)] TJ ET 0.267 0.267 0.267 rg 295.905 632.854 78.322 0.750 re f 295.905 594.079 0.750 39.525 re f 0.271 0.267 0.267 rg BT 301.155 622.999 Td /F1 9.8 Tf [(Peer )] TJ ET BT 301.155 615.368 Td /F1 9.8 Tf [(Reviewed )] TJ ET BT 301.155 607.737 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 632.854 73.874 0.750 re f 373.477 594.079 0.750 39.525 re f 0.271 0.267 0.267 rg BT 378.727 622.999 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 632.854 76.152 0.750 re f 446.601 594.079 0.750 39.525 re f 0.271 0.267 0.267 rg BT 451.851 622.999 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 632.854 58.872 0.750 re f 522.003 594.079 0.750 39.525 re f 580.125 594.079 0.750 39.525 re f 0.271 0.267 0.267 rg BT 527.253 622.999 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 594.079 270.030 0.750 re f 26.625 562.936 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 584.224 Td /F1 9.8 Tf [(Eriksson CB, et al. Predeployment mental health and )] TJ ET BT 31.875 576.593 Td /F1 9.8 Tf [(trauma exposure of expatriate humanitarian aid workers: )] TJ ET BT 31.875 568.962 Td /F1 9.8 Tf [(Risk and resilience factors. )] TJ ET BT 154.325 568.962 Td /F5 9.8 Tf [(Traumatology )] TJ ET BT 216.637 568.962 Td /F1 9.8 Tf [(\(2012\).)] TJ ET 0.267 0.267 0.267 rg 295.905 594.079 78.322 0.750 re f 295.905 562.936 0.750 31.894 re f 0.271 0.267 0.267 rg BT 301.155 584.224 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 594.079 73.874 0.750 re f 373.477 562.936 0.750 31.894 re f 0.271 0.267 0.267 rg BT 378.727 584.224 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 594.079 76.152 0.750 re f 446.601 562.936 0.750 31.894 re f 0.271 0.267 0.267 rg BT 451.851 584.224 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 594.079 58.872 0.750 re f 522.003 562.936 0.750 31.894 re f 580.125 562.936 0.750 31.894 re f 0.271 0.267 0.267 rg BT 527.253 584.224 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 26.625 562.936 270.030 0.750 re f 26.625 531.792 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 553.081 Td /F1 9.8 Tf [(Budosan B, et al. After the wave: a pilot project to develop )] TJ ET BT 31.875 545.449 Td /F1 9.8 Tf [(mental health services in Ampara district, Sri Lanka post-)] TJ ET BT 31.875 537.818 Td /F1 9.8 Tf [(tsunami. )] TJ ET BT 74.678 537.818 Td /F5 9.8 Tf [(J Human Assist. )] TJ ET BT 147.822 537.818 Td /F1 9.8 Tf [(2007)] TJ ET 0.267 0.267 0.267 rg 295.905 562.936 78.322 0.750 re f 295.905 531.792 0.750 31.894 re f 0.271 0.267 0.267 rg BT 301.155 553.081 Td /F1 9.8 Tf [(Peer )] TJ ET BT 301.155 545.449 Td /F1 9.8 Tf [(Reviewed )] TJ ET BT 301.155 537.818 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 562.936 73.874 0.750 re f 373.477 531.792 0.750 31.894 re f 0.271 0.267 0.267 rg BT 378.727 553.081 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 562.936 76.152 0.750 re f 446.601 531.792 0.750 31.894 re f 0.271 0.267 0.267 rg BT 451.851 553.081 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 562.936 58.872 0.750 re f 522.003 531.792 0.750 31.894 re f 580.125 531.792 0.750 31.894 re f 0.271 0.267 0.267 rg BT 527.253 553.081 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 531.792 270.030 0.750 re f 26.625 493.017 0.750 39.525 re f 0.271 0.267 0.267 rg BT 31.875 521.937 Td /F1 9.8 Tf [(Ventevogel P, et al. An intervention Special Issue )] TJ ET BT 31.875 514.306 Td /F1 9.8 Tf [(Integrating mental health care into existing systems of )] TJ ET BT 31.875 506.674 Td /F1 9.8 Tf [(health care: during and after complex humanitarian )] TJ ET BT 31.875 499.043 Td /F1 9.8 Tf [(emergencies. )] TJ ET BT 96.352 499.043 Td /F5 9.8 Tf [(Intervention. 2011;)] TJ ET BT 177.111 499.043 Td /F1 9.8 Tf [(\(9.30\): 195-210.)] TJ ET 0.267 0.267 0.267 rg 295.905 531.792 78.322 0.750 re f 295.905 493.017 0.750 39.525 re f 0.271 0.267 0.267 rg BT 301.155 521.937 Td /F1 9.8 Tf [(Peer )] TJ ET BT 301.155 514.306 Td /F1 9.8 Tf [(Reviewed )] TJ ET BT 301.155 506.674 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 531.792 73.874 0.750 re f 373.477 493.017 0.750 39.525 re f 0.271 0.267 0.267 rg BT 378.727 521.937 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 531.792 76.152 0.750 re f 446.601 493.017 0.750 39.525 re f 0.271 0.267 0.267 rg BT 451.851 521.937 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 531.792 58.872 0.750 re f 522.003 493.017 0.750 39.525 re f 580.125 493.017 0.750 39.525 re f 0.271 0.267 0.267 rg BT 527.253 521.937 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 493.017 270.030 0.750 re f 26.625 162.890 0.750 330.877 re f 0.271 0.267 0.267 rg BT 31.875 483.162 Td /F1 9.8 Tf [(Saxena S et al. Assessing mental health and psychosocial )] TJ ET BT 31.875 475.531 Td /F1 9.8 Tf [(needs and resources: Toolkit for humanitarian settings. )] TJ ET BT 31.875 467.899 Td /F1 9.8 Tf [(UNHCR)] TJ ET 0.267 0.267 0.267 rg 295.905 493.017 78.322 0.750 re f 295.905 162.890 0.750 330.877 re f 0.271 0.267 0.267 rg BT 301.155 483.162 Td /F1 9.8 Tf [(UN Agency )] TJ ET BT 301.155 475.531 Td /F1 9.8 Tf [(Document)] TJ ET 0.267 0.267 0.267 rg 373.477 493.017 73.874 0.750 re f 373.477 162.890 0.750 330.877 re f 0.271 0.267 0.267 rg BT 378.727 483.162 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 493.017 76.152 0.750 re f 446.601 162.890 0.750 330.877 re f 0.271 0.267 0.267 rg BT 451.851 483.162 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 493.017 58.872 0.750 re f 522.003 162.890 0.750 330.877 re f 580.125 162.890 0.750 330.877 re f 0.271 0.267 0.267 rg BT 527.253 483.162 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 162.890 270.030 0.750 re f 26.625 139.378 0.750 24.263 re f 0.271 0.267 0.267 rg BT 31.875 153.035 Td /F1 9.8 Tf [(Jenkins, R. Supporting governments to adopt mental )] TJ ET BT 31.875 145.404 Td /F1 9.8 Tf [(health policies. )] TJ ET BT 102.319 145.404 Td /F5 9.8 Tf [(World Psychiatry. )] TJ ET BT 180.875 145.404 Td /F1 9.8 Tf [(2003; \(2.1\):14.)] TJ ET 0.267 0.267 0.267 rg 295.905 162.890 78.322 0.750 re f 295.905 139.378 0.750 24.263 re f 0.271 0.267 0.267 rg BT 301.155 153.035 Td /F1 9.8 Tf [(Policy Report)] TJ ET 0.267 0.267 0.267 rg 373.477 162.890 73.874 0.750 re f 373.477 139.378 0.750 24.263 re f 0.271 0.267 0.267 rg BT 378.727 153.035 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 446.601 162.890 76.152 0.750 re f 446.601 139.378 0.750 24.263 re f 0.271 0.267 0.267 rg BT 451.851 153.035 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 162.890 58.872 0.750 re f 522.003 139.378 0.750 24.263 re f 580.125 139.378 0.750 24.263 re f 0.271 0.267 0.267 rg BT 527.253 153.035 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 139.378 270.030 0.750 re f 26.625 100.603 270.030 0.750 re f 26.625 100.603 0.750 39.525 re f 0.271 0.267 0.267 rg BT 31.875 129.523 Td /F1 9.8 Tf [(Shah SA. Ethical standards for transnational mental health )] TJ ET BT 31.875 121.891 Td /F1 9.8 Tf [(and psychosocial support \(MHPSS\): Do no harm, )] TJ ET BT 31.875 114.260 Td /F1 9.8 Tf [(preventing cross-cultural errors and inviting pushback. )] TJ ET BT 31.875 106.629 Td /F5 9.8 Tf [(Clinical Social Work Journal. )] TJ ET BT 158.108 106.629 Td /F1 9.8 Tf [(2011: 1-12.)] TJ ET 0.267 0.267 0.267 rg 295.905 139.378 78.322 0.750 re f 295.905 100.603 78.322 0.750 re f 295.905 100.603 0.750 39.525 re f 0.271 0.267 0.267 rg BT 301.155 129.523 Td /F1 9.8 Tf [(Peer )] TJ ET BT 301.155 121.891 Td /F1 9.8 Tf [(Reviewed )] TJ ET BT 301.155 114.260 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 139.378 73.874 0.750 re f 373.477 100.603 73.874 0.750 re f 373.477 100.603 0.750 39.525 re f 0.271 0.267 0.267 rg BT 378.727 129.523 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 139.378 76.152 0.750 re f 446.601 100.603 76.152 0.750 re f 446.601 100.603 0.750 39.525 re f 0.271 0.267 0.267 rg BT 451.851 129.523 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 139.378 58.872 0.750 re f 522.003 100.603 58.872 0.750 re f 522.003 100.603 0.750 39.525 re f 580.125 100.603 0.750 39.525 re f 0.271 0.267 0.267 rg BT 527.253 129.523 Td /F1 9.8 Tf [(no)] TJ ET BT 26.250 45.704 Td /F1 9.8 Tf [(When using PubMed to search for articles related to [alternate care] sites \(or alternate sites of care\) and [disasters] only four )] TJ ET Q q 15.000 31.418 577.500 745.582 re W n q 26.250 763.264 555.000 13.736 re W n 0.271 0.267 0.267 rg BT 26.250 766.011 Td /F1 9.8 Tf [(Table 3: Unique Google Scholar Articles Compared to PubMed Search)] TJ ET Q 0.965 0.965 0.965 rg 26.250 732.356 555.000 23.407 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 755.764 m 581.250 755.764 l 580.500 755.014 l 27.000 755.014 l f 581.250 755.764 m 581.250 732.356 l 580.500 732.356 l 580.500 755.014 l f 26.250 755.764 m 26.250 732.356 l 27.000 732.356 l 27.000 755.014 l f 0.271 0.267 0.267 rg BT 33.000 741.688 Td /F1 9.0 Tf [(Search: mental health, disaster, crisis, global health international health, humanitarian relief.)] TJ ET 1.000 1.000 1.000 rg 26.250 100.228 555.000 632.129 re f 0.965 0.965 0.965 rg 27.000 695.517 269.280 36.089 re f 0.267 0.267 0.267 rg 26.625 731.231 269.655 0.750 re f 26.625 695.142 0.750 36.839 re f 0.271 0.267 0.267 rg BT 31.500 722.082 Td /F4 9.8 Tf [(Document Title)] TJ ET 0.965 0.965 0.965 rg 296.280 695.517 77.572 36.089 re f 0.267 0.267 0.267 rg 296.280 731.231 77.572 0.750 re f 0.271 0.267 0.267 rg BT 300.780 722.082 Td /F4 9.8 Tf [(Type)] TJ ET 0.965 0.965 0.965 rg 373.852 695.517 73.124 36.089 re f 0.267 0.267 0.267 rg 373.852 731.231 73.124 0.750 re f 0.271 0.267 0.267 rg BT 378.352 722.082 Td /F4 9.8 Tf [(Exists in )] TJ ET BT 378.352 710.178 Td /F4 9.8 Tf [(PubMed?)] TJ ET 0.965 0.965 0.965 rg 446.976 695.517 75.402 36.089 re f 0.267 0.267 0.267 rg 446.976 731.231 75.402 0.750 re f 0.271 0.267 0.267 rg BT 451.476 722.082 Td /F4 9.8 Tf [(Found in )] TJ ET BT 451.476 710.178 Td /F4 9.8 Tf [(PubMed )] TJ ET BT 451.476 698.273 Td /F4 9.8 Tf [(Search?)] TJ ET 0.965 0.965 0.965 rg 522.378 695.517 58.122 36.089 re f 0.267 0.267 0.267 rg 522.378 731.231 58.497 0.750 re f 580.125 695.142 0.750 36.839 re f 0.271 0.267 0.267 rg BT 526.878 722.082 Td /F4 9.8 Tf [(Open )] TJ ET BT 526.878 710.178 Td /F4 9.8 Tf [(Access)] TJ ET 0.267 0.267 0.267 rg 26.625 695.142 270.030 0.750 re f 26.625 663.998 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 685.287 Td /F1 9.8 Tf [(Betancourt TS, et al. Building an evidence base on mental )] TJ ET BT 31.875 677.656 Td /F1 9.8 Tf [(health interventions for children affected by armed conflict. )] TJ ET BT 31.875 670.024 Td /F5 9.8 Tf [(Intervention.)] TJ ET BT 85.529 670.024 Td /F1 9.8 Tf [( 2008;\(6\):39)] TJ ET 0.267 0.267 0.267 rg 295.905 695.142 78.322 0.750 re f 295.905 663.998 0.750 31.894 re f 0.271 0.267 0.267 rg BT 301.155 685.287 Td /F1 9.8 Tf [(Peer )] TJ ET BT 301.155 677.656 Td /F1 9.8 Tf [(Reviewed )] TJ ET BT 301.155 670.024 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 695.142 73.874 0.750 re f 373.477 663.998 0.750 31.894 re f 0.271 0.267 0.267 rg BT 378.727 685.287 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 446.601 695.142 76.152 0.750 re f 446.601 663.998 0.750 31.894 re f 0.271 0.267 0.267 rg BT 451.851 685.287 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 695.142 58.872 0.750 re f 522.003 663.998 0.750 31.894 re f 580.125 663.998 0.750 31.894 re f 0.271 0.267 0.267 rg BT 527.253 685.287 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 663.998 270.030 0.750 re f 26.625 632.854 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 654.143 Td /F1 9.8 Tf [(Diaz JO, et al. )] TJ ET BT 95.816 654.143 Td /F5 9.8 Tf [(Advances in disaster mental health and )] TJ ET BT 31.875 646.512 Td /F5 9.8 Tf [(psychological support.)] TJ ET BT 128.332 646.512 Td /F1 9.8 Tf [( New Delhi, India: Voluntary Health )] TJ ET BT 31.875 638.881 Td /F1 9.8 Tf [(Association of India Press, 2006.)] TJ ET 0.267 0.267 0.267 rg 295.905 663.998 78.322 0.750 re f 295.905 632.854 0.750 31.894 re f 0.271 0.267 0.267 rg BT 301.155 654.143 Td /F1 9.8 Tf [(Book)] TJ ET 0.267 0.267 0.267 rg 373.477 663.998 73.874 0.750 re f 373.477 632.854 0.750 31.894 re f 0.271 0.267 0.267 rg BT 378.727 654.143 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 663.998 76.152 0.750 re f 446.601 632.854 0.750 31.894 re f 0.271 0.267 0.267 rg BT 451.851 654.143 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 663.998 58.872 0.750 re f 522.003 632.854 0.750 31.894 re f 580.125 632.854 0.750 31.894 re f 0.271 0.267 0.267 rg BT 527.253 654.143 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 632.854 270.030 0.750 re f 26.625 594.079 0.750 39.525 re f 0.271 0.267 0.267 rg BT 31.875 622.999 Td /F1 9.8 Tf [(Budosan B, et al. Evaluation of effectiveness of mental )] TJ ET BT 31.875 615.368 Td /F1 9.8 Tf [(health training program for primary health care staff in )] TJ ET BT 31.875 607.737 Td /F1 9.8 Tf [(Hambantota District, Sri Lanka post-tsunami. )] TJ ET BT 231.272 607.737 Td /F5 9.8 Tf [(The Journal )] TJ ET BT 31.875 600.106 Td /F5 9.8 Tf [(of Humanitarian Assistance.)] TJ ET BT 153.253 600.106 Td /F1 9.8 Tf [( 2009)] TJ ET 0.267 0.267 0.267 rg 295.905 632.854 78.322 0.750 re f 295.905 594.079 0.750 39.525 re f 0.271 0.267 0.267 rg BT 301.155 622.999 Td /F1 9.8 Tf [(Peer )] TJ ET BT 301.155 615.368 Td /F1 9.8 Tf [(Reviewed )] TJ ET BT 301.155 607.737 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 632.854 73.874 0.750 re f 373.477 594.079 0.750 39.525 re f 0.271 0.267 0.267 rg BT 378.727 622.999 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 632.854 76.152 0.750 re f 446.601 594.079 0.750 39.525 re f 0.271 0.267 0.267 rg BT 451.851 622.999 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 632.854 58.872 0.750 re f 522.003 594.079 0.750 39.525 re f 580.125 594.079 0.750 39.525 re f 0.271 0.267 0.267 rg BT 527.253 622.999 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 594.079 270.030 0.750 re f 26.625 562.936 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 584.224 Td /F1 9.8 Tf [(Eriksson CB, et al. Predeployment mental health and )] TJ ET BT 31.875 576.593 Td /F1 9.8 Tf [(trauma exposure of expatriate humanitarian aid workers: )] TJ ET BT 31.875 568.962 Td /F1 9.8 Tf [(Risk and resilience factors. )] TJ ET BT 154.325 568.962 Td /F5 9.8 Tf [(Traumatology )] TJ ET BT 216.637 568.962 Td /F1 9.8 Tf [(\(2012\).)] TJ ET 0.267 0.267 0.267 rg 295.905 594.079 78.322 0.750 re f 295.905 562.936 0.750 31.894 re f 0.271 0.267 0.267 rg BT 301.155 584.224 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 594.079 73.874 0.750 re f 373.477 562.936 0.750 31.894 re f 0.271 0.267 0.267 rg BT 378.727 584.224 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 594.079 76.152 0.750 re f 446.601 562.936 0.750 31.894 re f 0.271 0.267 0.267 rg BT 451.851 584.224 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 594.079 58.872 0.750 re f 522.003 562.936 0.750 31.894 re f 580.125 562.936 0.750 31.894 re f 0.271 0.267 0.267 rg BT 527.253 584.224 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 26.625 562.936 270.030 0.750 re f 26.625 531.792 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 553.081 Td /F1 9.8 Tf [(Budosan B, et al. After the wave: a pilot project to develop )] TJ ET BT 31.875 545.449 Td /F1 9.8 Tf [(mental health services in Ampara district, Sri Lanka post-)] TJ ET BT 31.875 537.818 Td /F1 9.8 Tf [(tsunami. )] TJ ET BT 74.678 537.818 Td /F5 9.8 Tf [(J Human Assist. )] TJ ET BT 147.822 537.818 Td /F1 9.8 Tf [(2007)] TJ ET 0.267 0.267 0.267 rg 295.905 562.936 78.322 0.750 re f 295.905 531.792 0.750 31.894 re f 0.271 0.267 0.267 rg BT 301.155 553.081 Td /F1 9.8 Tf [(Peer )] TJ ET BT 301.155 545.449 Td /F1 9.8 Tf [(Reviewed )] TJ ET BT 301.155 537.818 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 562.936 73.874 0.750 re f 373.477 531.792 0.750 31.894 re f 0.271 0.267 0.267 rg BT 378.727 553.081 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 562.936 76.152 0.750 re f 446.601 531.792 0.750 31.894 re f 0.271 0.267 0.267 rg BT 451.851 553.081 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 562.936 58.872 0.750 re f 522.003 531.792 0.750 31.894 re f 580.125 531.792 0.750 31.894 re f 0.271 0.267 0.267 rg BT 527.253 553.081 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 531.792 270.030 0.750 re f 26.625 493.017 0.750 39.525 re f 0.271 0.267 0.267 rg BT 31.875 521.937 Td /F1 9.8 Tf [(Ventevogel P, et al. An intervention Special Issue )] TJ ET BT 31.875 514.306 Td /F1 9.8 Tf [(Integrating mental health care into existing systems of )] TJ ET BT 31.875 506.674 Td /F1 9.8 Tf [(health care: during and after complex humanitarian )] TJ ET BT 31.875 499.043 Td /F1 9.8 Tf [(emergencies. )] TJ ET BT 96.352 499.043 Td /F5 9.8 Tf [(Intervention. 2011;)] TJ ET BT 177.111 499.043 Td /F1 9.8 Tf [(\(9.30\): 195-210.)] TJ ET 0.267 0.267 0.267 rg 295.905 531.792 78.322 0.750 re f 295.905 493.017 0.750 39.525 re f 0.271 0.267 0.267 rg BT 301.155 521.937 Td /F1 9.8 Tf [(Peer )] TJ ET BT 301.155 514.306 Td /F1 9.8 Tf [(Reviewed )] TJ ET BT 301.155 506.674 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 531.792 73.874 0.750 re f 373.477 493.017 0.750 39.525 re f 0.271 0.267 0.267 rg BT 378.727 521.937 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 531.792 76.152 0.750 re f 446.601 493.017 0.750 39.525 re f 0.271 0.267 0.267 rg BT 451.851 521.937 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 531.792 58.872 0.750 re f 522.003 493.017 0.750 39.525 re f 580.125 493.017 0.750 39.525 re f 0.271 0.267 0.267 rg BT 527.253 521.937 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 493.017 270.030 0.750 re f 26.625 162.890 0.750 330.877 re f 0.271 0.267 0.267 rg BT 31.875 483.162 Td /F1 9.8 Tf [(Saxena S et al. Assessing mental health and psychosocial )] TJ ET BT 31.875 475.531 Td /F1 9.8 Tf [(needs and resources: Toolkit for humanitarian settings. )] TJ ET BT 31.875 467.899 Td /F1 9.8 Tf [(UNHCR)] TJ ET 0.267 0.267 0.267 rg 295.905 493.017 78.322 0.750 re f 295.905 162.890 0.750 330.877 re f 0.271 0.267 0.267 rg BT 301.155 483.162 Td /F1 9.8 Tf [(UN Agency )] TJ ET BT 301.155 475.531 Td /F1 9.8 Tf [(Document)] TJ ET 0.267 0.267 0.267 rg 373.477 493.017 73.874 0.750 re f 373.477 162.890 0.750 330.877 re f 0.271 0.267 0.267 rg BT 378.727 483.162 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 493.017 76.152 0.750 re f 446.601 162.890 0.750 330.877 re f 0.271 0.267 0.267 rg BT 451.851 483.162 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 493.017 58.872 0.750 re f 522.003 162.890 0.750 330.877 re f 580.125 162.890 0.750 330.877 re f 0.271 0.267 0.267 rg BT 527.253 483.162 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 162.890 270.030 0.750 re f 26.625 139.378 0.750 24.263 re f 0.271 0.267 0.267 rg BT 31.875 153.035 Td /F1 9.8 Tf [(Jenkins, R. Supporting governments to adopt mental )] TJ ET BT 31.875 145.404 Td /F1 9.8 Tf [(health policies. )] TJ ET BT 102.319 145.404 Td /F5 9.8 Tf [(World Psychiatry. )] TJ ET BT 180.875 145.404 Td /F1 9.8 Tf [(2003; \(2.1\):14.)] TJ ET 0.267 0.267 0.267 rg 295.905 162.890 78.322 0.750 re f 295.905 139.378 0.750 24.263 re f 0.271 0.267 0.267 rg BT 301.155 153.035 Td /F1 9.8 Tf [(Policy Report)] TJ ET 0.267 0.267 0.267 rg 373.477 162.890 73.874 0.750 re f 373.477 139.378 0.750 24.263 re f 0.271 0.267 0.267 rg BT 378.727 153.035 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 446.601 162.890 76.152 0.750 re f 446.601 139.378 0.750 24.263 re f 0.271 0.267 0.267 rg BT 451.851 153.035 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 162.890 58.872 0.750 re f 522.003 139.378 0.750 24.263 re f 580.125 139.378 0.750 24.263 re f 0.271 0.267 0.267 rg BT 527.253 153.035 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 139.378 270.030 0.750 re f 26.625 100.603 270.030 0.750 re f 26.625 100.603 0.750 39.525 re f 0.271 0.267 0.267 rg BT 31.875 129.523 Td /F1 9.8 Tf [(Shah SA. Ethical standards for transnational mental health )] TJ ET BT 31.875 121.891 Td /F1 9.8 Tf [(and psychosocial support \(MHPSS\): Do no harm, )] TJ ET BT 31.875 114.260 Td /F1 9.8 Tf [(preventing cross-cultural errors and inviting pushback. )] TJ ET BT 31.875 106.629 Td /F5 9.8 Tf [(Clinical Social Work Journal. )] TJ ET BT 158.108 106.629 Td /F1 9.8 Tf [(2011: 1-12.)] TJ ET 0.267 0.267 0.267 rg 295.905 139.378 78.322 0.750 re f 295.905 100.603 78.322 0.750 re f 295.905 100.603 0.750 39.525 re f 0.271 0.267 0.267 rg BT 301.155 129.523 Td /F1 9.8 Tf [(Peer )] TJ ET BT 301.155 121.891 Td /F1 9.8 Tf [(Reviewed )] TJ ET BT 301.155 114.260 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 139.378 73.874 0.750 re f 373.477 100.603 73.874 0.750 re f 373.477 100.603 0.750 39.525 re f 0.271 0.267 0.267 rg BT 378.727 129.523 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 139.378 76.152 0.750 re f 446.601 100.603 76.152 0.750 re f 446.601 100.603 0.750 39.525 re f 0.271 0.267 0.267 rg BT 451.851 129.523 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 139.378 58.872 0.750 re f 522.003 100.603 58.872 0.750 re f 522.003 100.603 0.750 39.525 re f 580.125 100.603 0.750 39.525 re f 0.271 0.267 0.267 rg BT 527.253 129.523 Td /F1 9.8 Tf [(no)] TJ ET BT 26.250 45.704 Td /F1 9.8 Tf [(When using PubMed to search for articles related to [alternate care] sites \(or alternate sites of care\) and [disasters] only four )] TJ ET Q q 15.000 31.418 577.500 745.582 re W n q 26.250 763.264 555.000 13.736 re W n 0.271 0.267 0.267 rg BT 26.250 766.011 Td /F1 9.8 Tf [(Table 3: Unique Google Scholar Articles Compared to PubMed Search)] TJ ET Q 0.965 0.965 0.965 rg 26.250 732.356 555.000 23.407 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 755.764 m 581.250 755.764 l 580.500 755.014 l 27.000 755.014 l f 581.250 755.764 m 581.250 732.356 l 580.500 732.356 l 580.500 755.014 l f 26.250 755.764 m 26.250 732.356 l 27.000 732.356 l 27.000 755.014 l f 0.271 0.267 0.267 rg BT 33.000 741.688 Td /F1 9.0 Tf [(Search: mental health, disaster, crisis, global health international health, humanitarian relief.)] TJ ET 1.000 1.000 1.000 rg 26.250 100.228 555.000 632.129 re f 0.965 0.965 0.965 rg 27.000 695.517 269.280 36.089 re f 0.267 0.267 0.267 rg 26.625 731.231 269.655 0.750 re f 26.625 695.142 0.750 36.839 re f 0.271 0.267 0.267 rg BT 31.500 722.082 Td /F4 9.8 Tf [(Document Title)] TJ ET 0.965 0.965 0.965 rg 296.280 695.517 77.572 36.089 re f 0.267 0.267 0.267 rg 296.280 731.231 77.572 0.750 re f 0.271 0.267 0.267 rg BT 300.780 722.082 Td /F4 9.8 Tf [(Type)] TJ ET 0.965 0.965 0.965 rg 373.852 695.517 73.124 36.089 re f 0.267 0.267 0.267 rg 373.852 731.231 73.124 0.750 re f 0.271 0.267 0.267 rg BT 378.352 722.082 Td /F4 9.8 Tf [(Exists in )] TJ ET BT 378.352 710.178 Td /F4 9.8 Tf [(PubMed?)] TJ ET 0.965 0.965 0.965 rg 446.976 695.517 75.402 36.089 re f 0.267 0.267 0.267 rg 446.976 731.231 75.402 0.750 re f 0.271 0.267 0.267 rg BT 451.476 722.082 Td /F4 9.8 Tf [(Found in )] TJ ET BT 451.476 710.178 Td /F4 9.8 Tf [(PubMed )] TJ ET BT 451.476 698.273 Td /F4 9.8 Tf [(Search?)] TJ ET 0.965 0.965 0.965 rg 522.378 695.517 58.122 36.089 re f 0.267 0.267 0.267 rg 522.378 731.231 58.497 0.750 re f 580.125 695.142 0.750 36.839 re f 0.271 0.267 0.267 rg BT 526.878 722.082 Td /F4 9.8 Tf [(Open )] TJ ET BT 526.878 710.178 Td /F4 9.8 Tf [(Access)] TJ ET 0.267 0.267 0.267 rg 26.625 695.142 270.030 0.750 re f 26.625 663.998 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 685.287 Td /F1 9.8 Tf [(Betancourt TS, et al. Building an evidence base on mental )] TJ ET BT 31.875 677.656 Td /F1 9.8 Tf [(health interventions for children affected by armed conflict. )] TJ ET BT 31.875 670.024 Td /F5 9.8 Tf [(Intervention.)] TJ ET BT 85.529 670.024 Td /F1 9.8 Tf [( 2008;\(6\):39)] TJ ET 0.267 0.267 0.267 rg 295.905 695.142 78.322 0.750 re f 295.905 663.998 0.750 31.894 re f 0.271 0.267 0.267 rg BT 301.155 685.287 Td /F1 9.8 Tf [(Peer )] TJ ET BT 301.155 677.656 Td /F1 9.8 Tf [(Reviewed )] TJ ET BT 301.155 670.024 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 695.142 73.874 0.750 re f 373.477 663.998 0.750 31.894 re f 0.271 0.267 0.267 rg BT 378.727 685.287 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 446.601 695.142 76.152 0.750 re f 446.601 663.998 0.750 31.894 re f 0.271 0.267 0.267 rg BT 451.851 685.287 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 695.142 58.872 0.750 re f 522.003 663.998 0.750 31.894 re f 580.125 663.998 0.750 31.894 re f 0.271 0.267 0.267 rg BT 527.253 685.287 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 663.998 270.030 0.750 re f 26.625 632.854 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 654.143 Td /F1 9.8 Tf [(Diaz JO, et al. )] TJ ET BT 95.816 654.143 Td /F5 9.8 Tf [(Advances in disaster mental health and )] TJ ET BT 31.875 646.512 Td /F5 9.8 Tf [(psychological support.)] TJ ET BT 128.332 646.512 Td /F1 9.8 Tf [( New Delhi, India: Voluntary Health )] TJ ET BT 31.875 638.881 Td /F1 9.8 Tf [(Association of India Press, 2006.)] TJ ET 0.267 0.267 0.267 rg 295.905 663.998 78.322 0.750 re f 295.905 632.854 0.750 31.894 re f 0.271 0.267 0.267 rg BT 301.155 654.143 Td /F1 9.8 Tf [(Book)] TJ ET 0.267 0.267 0.267 rg 373.477 663.998 73.874 0.750 re f 373.477 632.854 0.750 31.894 re f 0.271 0.267 0.267 rg BT 378.727 654.143 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 663.998 76.152 0.750 re f 446.601 632.854 0.750 31.894 re f 0.271 0.267 0.267 rg BT 451.851 654.143 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 663.998 58.872 0.750 re f 522.003 632.854 0.750 31.894 re f 580.125 632.854 0.750 31.894 re f 0.271 0.267 0.267 rg BT 527.253 654.143 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 632.854 270.030 0.750 re f 26.625 594.079 0.750 39.525 re f 0.271 0.267 0.267 rg BT 31.875 622.999 Td /F1 9.8 Tf [(Budosan B, et al. Evaluation of effectiveness of mental )] TJ ET BT 31.875 615.368 Td /F1 9.8 Tf [(health training program for primary health care staff in )] TJ ET BT 31.875 607.737 Td /F1 9.8 Tf [(Hambantota District, Sri Lanka post-tsunami. )] TJ ET BT 231.272 607.737 Td /F5 9.8 Tf [(The Journal )] TJ ET BT 31.875 600.106 Td /F5 9.8 Tf [(of Humanitarian Assistance.)] TJ ET BT 153.253 600.106 Td /F1 9.8 Tf [( 2009)] TJ ET 0.267 0.267 0.267 rg 295.905 632.854 78.322 0.750 re f 295.905 594.079 0.750 39.525 re f 0.271 0.267 0.267 rg BT 301.155 622.999 Td /F1 9.8 Tf [(Peer )] TJ ET BT 301.155 615.368 Td /F1 9.8 Tf [(Reviewed )] TJ ET BT 301.155 607.737 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 632.854 73.874 0.750 re f 373.477 594.079 0.750 39.525 re f 0.271 0.267 0.267 rg BT 378.727 622.999 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 632.854 76.152 0.750 re f 446.601 594.079 0.750 39.525 re f 0.271 0.267 0.267 rg BT 451.851 622.999 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 632.854 58.872 0.750 re f 522.003 594.079 0.750 39.525 re f 580.125 594.079 0.750 39.525 re f 0.271 0.267 0.267 rg BT 527.253 622.999 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 594.079 270.030 0.750 re f 26.625 562.936 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 584.224 Td /F1 9.8 Tf [(Eriksson CB, et al. Predeployment mental health and )] TJ ET BT 31.875 576.593 Td /F1 9.8 Tf [(trauma exposure of expatriate humanitarian aid workers: )] TJ ET BT 31.875 568.962 Td /F1 9.8 Tf [(Risk and resilience factors. )] TJ ET BT 154.325 568.962 Td /F5 9.8 Tf [(Traumatology )] TJ ET BT 216.637 568.962 Td /F1 9.8 Tf [(\(2012\).)] TJ ET 0.267 0.267 0.267 rg 295.905 594.079 78.322 0.750 re f 295.905 562.936 0.750 31.894 re f 0.271 0.267 0.267 rg BT 301.155 584.224 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 594.079 73.874 0.750 re f 373.477 562.936 0.750 31.894 re f 0.271 0.267 0.267 rg BT 378.727 584.224 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 594.079 76.152 0.750 re f 446.601 562.936 0.750 31.894 re f 0.271 0.267 0.267 rg BT 451.851 584.224 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 594.079 58.872 0.750 re f 522.003 562.936 0.750 31.894 re f 580.125 562.936 0.750 31.894 re f 0.271 0.267 0.267 rg BT 527.253 584.224 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 26.625 562.936 270.030 0.750 re f 26.625 531.792 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 553.081 Td /F1 9.8 Tf [(Budosan B, et al. After the wave: a pilot project to develop )] TJ ET BT 31.875 545.449 Td /F1 9.8 Tf [(mental health services in Ampara district, Sri Lanka post-)] TJ ET BT 31.875 537.818 Td /F1 9.8 Tf [(tsunami. )] TJ ET BT 74.678 537.818 Td /F5 9.8 Tf [(J Human Assist. )] TJ ET BT 147.822 537.818 Td /F1 9.8 Tf [(2007)] TJ ET 0.267 0.267 0.267 rg 295.905 562.936 78.322 0.750 re f 295.905 531.792 0.750 31.894 re f 0.271 0.267 0.267 rg BT 301.155 553.081 Td /F1 9.8 Tf [(Peer )] TJ ET BT 301.155 545.449 Td /F1 9.8 Tf [(Reviewed )] TJ ET BT 301.155 537.818 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 562.936 73.874 0.750 re f 373.477 531.792 0.750 31.894 re f 0.271 0.267 0.267 rg BT 378.727 553.081 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 562.936 76.152 0.750 re f 446.601 531.792 0.750 31.894 re f 0.271 0.267 0.267 rg BT 451.851 553.081 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 562.936 58.872 0.750 re f 522.003 531.792 0.750 31.894 re f 580.125 531.792 0.750 31.894 re f 0.271 0.267 0.267 rg BT 527.253 553.081 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 531.792 270.030 0.750 re f 26.625 493.017 0.750 39.525 re f 0.271 0.267 0.267 rg BT 31.875 521.937 Td /F1 9.8 Tf [(Ventevogel P, et al. An intervention Special Issue )] TJ ET BT 31.875 514.306 Td /F1 9.8 Tf [(Integrating mental health care into existing systems of )] TJ ET BT 31.875 506.674 Td /F1 9.8 Tf [(health care: during and after complex humanitarian )] TJ ET BT 31.875 499.043 Td /F1 9.8 Tf [(emergencies. )] TJ ET BT 96.352 499.043 Td /F5 9.8 Tf [(Intervention. 2011;)] TJ ET BT 177.111 499.043 Td /F1 9.8 Tf [(\(9.30\): 195-210.)] TJ ET 0.267 0.267 0.267 rg 295.905 531.792 78.322 0.750 re f 295.905 493.017 0.750 39.525 re f 0.271 0.267 0.267 rg BT 301.155 521.937 Td /F1 9.8 Tf [(Peer )] TJ ET BT 301.155 514.306 Td /F1 9.8 Tf [(Reviewed )] TJ ET BT 301.155 506.674 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 531.792 73.874 0.750 re f 373.477 493.017 0.750 39.525 re f 0.271 0.267 0.267 rg BT 378.727 521.937 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 531.792 76.152 0.750 re f 446.601 493.017 0.750 39.525 re f 0.271 0.267 0.267 rg BT 451.851 521.937 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 531.792 58.872 0.750 re f 522.003 493.017 0.750 39.525 re f 580.125 493.017 0.750 39.525 re f 0.271 0.267 0.267 rg BT 527.253 521.937 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 493.017 270.030 0.750 re f 26.625 162.890 0.750 330.877 re f 0.271 0.267 0.267 rg BT 31.875 483.162 Td /F1 9.8 Tf [(Saxena S et al. Assessing mental health and psychosocial )] TJ ET BT 31.875 475.531 Td /F1 9.8 Tf [(needs and resources: Toolkit for humanitarian settings. )] TJ ET BT 31.875 467.899 Td /F1 9.8 Tf [(UNHCR)] TJ ET 0.267 0.267 0.267 rg 295.905 493.017 78.322 0.750 re f 295.905 162.890 0.750 330.877 re f 0.271 0.267 0.267 rg BT 301.155 483.162 Td /F1 9.8 Tf [(UN Agency )] TJ ET BT 301.155 475.531 Td /F1 9.8 Tf [(Document)] TJ ET 0.267 0.267 0.267 rg 373.477 493.017 73.874 0.750 re f 373.477 162.890 0.750 330.877 re f 0.271 0.267 0.267 rg BT 378.727 483.162 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 493.017 76.152 0.750 re f 446.601 162.890 0.750 330.877 re f 0.271 0.267 0.267 rg BT 451.851 483.162 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 493.017 58.872 0.750 re f 522.003 162.890 0.750 330.877 re f 580.125 162.890 0.750 330.877 re f 0.271 0.267 0.267 rg BT 527.253 483.162 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 162.890 270.030 0.750 re f 26.625 139.378 0.750 24.263 re f 0.271 0.267 0.267 rg BT 31.875 153.035 Td /F1 9.8 Tf [(Jenkins, R. Supporting governments to adopt mental )] TJ ET BT 31.875 145.404 Td /F1 9.8 Tf [(health policies. )] TJ ET BT 102.319 145.404 Td /F5 9.8 Tf [(World Psychiatry. )] TJ ET BT 180.875 145.404 Td /F1 9.8 Tf [(2003; \(2.1\):14.)] TJ ET 0.267 0.267 0.267 rg 295.905 162.890 78.322 0.750 re f 295.905 139.378 0.750 24.263 re f 0.271 0.267 0.267 rg BT 301.155 153.035 Td /F1 9.8 Tf [(Policy Report)] TJ ET 0.267 0.267 0.267 rg 373.477 162.890 73.874 0.750 re f 373.477 139.378 0.750 24.263 re f 0.271 0.267 0.267 rg BT 378.727 153.035 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 446.601 162.890 76.152 0.750 re f 446.601 139.378 0.750 24.263 re f 0.271 0.267 0.267 rg BT 451.851 153.035 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 162.890 58.872 0.750 re f 522.003 139.378 0.750 24.263 re f 580.125 139.378 0.750 24.263 re f 0.271 0.267 0.267 rg BT 527.253 153.035 Td /F1 9.8 Tf [(yes)] TJ ET 0.267 0.267 0.267 rg 26.625 139.378 270.030 0.750 re f 26.625 100.603 270.030 0.750 re f 26.625 100.603 0.750 39.525 re f 0.271 0.267 0.267 rg BT 31.875 129.523 Td /F1 9.8 Tf [(Shah SA. Ethical standards for transnational mental health )] TJ ET BT 31.875 121.891 Td /F1 9.8 Tf [(and psychosocial support \(MHPSS\): Do no harm, )] TJ ET BT 31.875 114.260 Td /F1 9.8 Tf [(preventing cross-cultural errors and inviting pushback. )] TJ ET BT 31.875 106.629 Td /F5 9.8 Tf [(Clinical Social Work Journal. )] TJ ET BT 158.108 106.629 Td /F1 9.8 Tf [(2011: 1-12.)] TJ ET 0.267 0.267 0.267 rg 295.905 139.378 78.322 0.750 re f 295.905 100.603 78.322 0.750 re f 295.905 100.603 0.750 39.525 re f 0.271 0.267 0.267 rg BT 301.155 129.523 Td /F1 9.8 Tf [(Peer )] TJ ET BT 301.155 121.891 Td /F1 9.8 Tf [(Reviewed )] TJ ET BT 301.155 114.260 Td /F1 9.8 Tf [(Journal)] TJ ET 0.267 0.267 0.267 rg 373.477 139.378 73.874 0.750 re f 373.477 100.603 73.874 0.750 re f 373.477 100.603 0.750 39.525 re f 0.271 0.267 0.267 rg BT 378.727 129.523 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 446.601 139.378 76.152 0.750 re f 446.601 100.603 76.152 0.750 re f 446.601 100.603 0.750 39.525 re f 0.271 0.267 0.267 rg BT 451.851 129.523 Td /F1 9.8 Tf [(no)] TJ ET 0.267 0.267 0.267 rg 522.003 139.378 58.872 0.750 re f 522.003 100.603 58.872 0.750 re f 522.003 100.603 0.750 39.525 re f 580.125 100.603 0.750 39.525 re f 0.271 0.267 0.267 rg BT 527.253 129.523 Td /F1 9.8 Tf [(no)] TJ ET BT 26.250 45.704 Td /F1 9.8 Tf [(When using PubMed to search for articles related to [alternate care] sites \(or alternate sites of care\) and [disasters] only four )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(7)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 255 0 obj << /Type /Page /Parent 3 0 R /Contents 256 0 R >> endobj 256 0 obj << /Length 33577 >> stream 0.271 0.267 0.267 rg 0.267 0.267 0.267 RG q 15.000 23.863 577.500 753.137 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(articles were returned. When using Google Scholar to search a similar set of terms it also returned articles with the following )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(phrases alternate care systems and the acronym ASC expanding the search return. Applying the same framework to Google )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Scholar resulted in nine documents, the majority of which were neither archived in PubMed nor identified with PubMed search )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(functions. \(Table 4\) There were two articles that existed in PubMed that were not retrieved by the PubMed search string but )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(retrieved by Google Scholar. Boolean searches through Google Scholar may be better fit for variations in terminology.)] TJ ET q 26.250 696.240 555.000 13.736 re W n 0.271 0.267 0.267 rg BT 26.250 698.987 Td /F1 9.8 Tf [(Table 4: PubMed vs. Google Scholar search return comparison for disasters and alternate \(sites of\) care)] TJ ET Q 0.965 0.965 0.965 rg 26.250 665.332 555.000 23.407 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 688.740 m 581.250 688.740 l 580.500 687.990 l 27.000 687.990 l f 581.250 688.740 m 581.250 665.332 l 580.500 665.332 l 580.500 687.990 l f 26.250 688.740 m 26.250 665.332 l 27.000 665.332 l 27.000 687.990 l f 0.271 0.267 0.267 rg BT 33.000 674.664 Td /F1 9.0 Tf [(* Article found in GoogleScholar but not returned on the PubMed search, although they exist in PubMed)] TJ ET 1.000 1.000 1.000 rg 26.250 366.610 555.000 298.722 re f 0.965 0.965 0.965 rg 27.000 652.303 288.469 12.280 re f 0.267 0.267 0.267 rg 26.625 664.207 288.844 0.750 re f 26.625 651.928 0.750 13.030 re f 0.271 0.267 0.267 rg BT 31.500 655.059 Td /F4 9.8 Tf [(PubMed Search Results)] TJ ET 0.965 0.965 0.965 rg 315.469 652.303 265.031 12.280 re f 0.267 0.267 0.267 rg 315.469 664.207 265.406 0.750 re f 580.125 651.928 0.750 13.030 re f 0.271 0.267 0.267 rg BT 319.969 655.059 Td /F4 9.8 Tf [(Google Scholar Search Results *)] TJ ET 0.965 0.965 0.965 rg 27.000 640.023 288.469 12.280 re f 0.267 0.267 0.267 rg 26.625 651.928 288.844 0.750 re f 26.625 639.648 0.750 13.030 re f 0.271 0.267 0.267 rg BT 31.500 642.779 Td /F4 9.8 Tf [(search string- [disaster] and alternate sites of care)] TJ ET 0.965 0.965 0.965 rg 315.469 640.023 265.031 12.280 re f 0.267 0.267 0.267 rg 315.469 651.928 265.406 0.750 re f 580.125 639.648 0.750 13.030 re f 0.271 0.267 0.267 rg BT 319.969 642.779 Td /F4 9.8 Tf [(search string- intitle: alternate care AND disaster)] TJ ET 0.267 0.267 0.267 rg 26.625 639.648 288.844 0.750 re f 315.469 639.648 265.406 0.750 re f 26.625 616.135 0.750 24.262 re f 580.125 616.135 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 629.793 Td /F1 9.8 Tf [(Roszak AR, et al. Implications of the Emergency Medical Treatment and Labor Act \(EMTALA\) During Public Health )] TJ ET BT 31.875 622.162 Td /F1 9.8 Tf [(Emergencies and on Alternate Sites of Care. Disaster Med Public Health Prep. 2009 Dec;3 Suppl 2:S172-5.)] TJ ET 0.267 0.267 0.267 rg 26.625 616.135 289.219 0.750 re f 26.625 584.992 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 606.280 Td /F1 9.8 Tf [(Kost GJ, et al. Enhancing crisis standards of care using )] TJ ET BT 31.875 598.649 Td /F1 9.8 Tf [(innovative point-of-care testing. Am J Disaster Med. 2011 Nov-)] TJ ET BT 31.875 591.018 Td /F1 9.8 Tf [(Dec; 6\(6\):351-68.)] TJ ET 0.267 0.267 0.267 rg 315.094 616.135 265.781 0.750 re f 315.094 584.992 0.750 31.894 re f 580.125 584.992 0.750 31.894 re f 0.271 0.267 0.267 rg BT 320.344 606.280 Td /F1 9.8 Tf [(* Chung S, et al. Pediatric Alternate Site of Care During )] TJ ET BT 320.344 598.649 Td /F1 9.8 Tf [(the 2009 H1N1 Pandemic. Pediatric emergency care 27.6 )] TJ ET BT 320.344 591.018 Td /F1 9.8 Tf [(\(2011\): 519-526.)] TJ ET 0.267 0.267 0.267 rg 26.625 584.992 289.219 0.750 re f 26.625 553.848 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 575.137 Td /F1 9.8 Tf [(Reilly MJ, et al. Utilizing paramedics for in-patient critical care )] TJ ET BT 31.875 567.505 Td /F1 9.8 Tf [(surge capacity. Am J Disaster Med. 2010 May-Jun;5\(3\):163-8.)] TJ ET 0.267 0.267 0.267 rg 315.094 584.992 265.781 0.750 re f 315.094 553.848 0.750 31.894 re f 580.125 553.848 0.750 31.894 re f 0.271 0.267 0.267 rg BT 320.344 575.137 Td /F1 9.8 Tf [(Cantrill SV, et al. Disaster alternate care facilities: )] TJ ET BT 320.344 567.505 Td /F1 9.8 Tf [(Selection and operation. Rockville, MD: Agency for )] TJ ET BT 320.344 559.874 Td /F1 9.8 Tf [(Healthcare Research and Quality. 2009: 152.)] TJ ET 0.267 0.267 0.267 rg 26.625 553.848 289.219 0.750 re f 26.625 515.073 0.750 39.525 re f 0.271 0.267 0.267 rg BT 31.875 543.993 Td /F1 9.8 Tf [(Hrdina CM, et al. The RTR medical response system for )] TJ ET BT 31.875 536.362 Td /F1 9.8 Tf [(nuclear and radiological mass-casualty incidents: a functional )] TJ ET BT 31.875 528.730 Td /F1 9.8 Tf [(TRiage-TReatment-TRansport medical response model. )] TJ ET BT 31.875 521.099 Td /F1 9.8 Tf [(Prehosp Disaster Med. 2009 May-Jun;24\(3\):167-78.)] TJ ET 0.267 0.267 0.267 rg 315.094 553.848 265.781 0.750 re f 315.094 515.073 0.750 39.525 re f 580.125 515.073 0.750 39.525 re f 0.271 0.267 0.267 rg BT 320.344 543.993 Td /F1 9.8 Tf [(Cantrill SV, et al. Disaster Alternate Care Facilities: Report )] TJ ET BT 320.344 536.362 Td /F1 9.8 Tf [(and Interactive Tools. Rockville, MD: Agency for )] TJ ET BT 320.344 528.730 Td /F1 9.8 Tf [(Healthcare Research and Quality. 2011 Publication No. )] TJ ET BT 320.344 521.099 Td /F1 9.8 Tf [(09-0062.)] TJ ET 0.267 0.267 0.267 rg 26.625 515.073 289.219 0.750 re f 26.625 483.929 0.750 31.894 re f 315.094 515.073 265.781 0.750 re f 315.094 483.929 0.750 31.894 re f 580.125 483.929 0.750 31.894 re f 0.271 0.267 0.267 rg BT 320.344 505.218 Td /F1 9.8 Tf [(* Kim CS, et al. Role of hospitalists in an offsite alternate )] TJ ET BT 320.344 497.587 Td /F1 9.8 Tf [(care center \(ACC\) for pandemic flu. J Hosp Med. 2009 )] TJ ET BT 320.344 489.955 Td /F1 9.8 Tf [(Nov;4\(9\):546-9.)] TJ ET 0.267 0.267 0.267 rg 26.625 483.929 289.219 0.750 re f 26.625 460.417 0.750 24.262 re f 315.094 483.929 265.781 0.750 re f 315.094 460.417 0.750 24.262 re f 580.125 460.417 0.750 24.262 re f 0.271 0.267 0.267 rg BT 320.344 474.074 Td /F1 9.8 Tf [(Hanfling D. Alternate Care Systems: Stratification of )] TJ ET BT 320.344 466.443 Td /F1 9.8 Tf [(Care. Institute of Medicine. 2009)] TJ ET 0.267 0.267 0.267 rg 26.625 460.417 289.219 0.750 re f 26.625 421.642 0.750 39.525 re f 315.094 460.417 265.781 0.750 re f 315.094 421.642 0.750 39.525 re f 580.125 421.642 0.750 39.525 re f 0.271 0.267 0.267 rg BT 320.344 450.562 Td /F1 9.8 Tf [(Reilly M. Creating Alternate Care Sites and Community-)] TJ ET BT 320.344 442.930 Td /F1 9.8 Tf [(Based Care Centers for the Delivery of Medical Care )] TJ ET BT 320.344 435.299 Td /F1 9.8 Tf [(During Public Health Emergencies. Prehosp Disaster Med )] TJ ET BT 320.344 427.668 Td /F1 9.8 Tf [(26.S1 \(2011\): s161-s161. \(Abstract\))] TJ ET 0.267 0.267 0.267 rg 26.625 421.642 289.219 0.750 re f 26.625 390.498 0.750 31.894 re f 315.094 421.642 265.781 0.750 re f 315.094 390.498 0.750 31.894 re f 580.125 390.498 0.750 31.894 re f 0.271 0.267 0.267 rg BT 320.344 411.787 Td /F1 9.8 Tf [(Qureshi K. \(A139\) Profile of Likely Needs in a Disaster )] TJ ET BT 320.344 404.155 Td /F1 9.8 Tf [(Alternate Site Care in Honolulu, Hawaii. Prehosp Disaster )] TJ ET BT 320.344 396.524 Td /F1 9.8 Tf [(Med 26.S1 \(2011\): s39-s40. \(Abstract\))] TJ ET 0.267 0.267 0.267 rg 26.625 390.498 289.219 0.750 re f 26.625 366.985 289.219 0.750 re f 26.625 366.985 0.750 24.262 re f 315.094 390.498 265.781 0.750 re f 315.094 366.985 265.781 0.750 re f 315.094 366.985 0.750 24.262 re f 580.125 366.985 0.750 24.262 re f 0.271 0.267 0.267 rg BT 320.344 380.643 Td /F1 9.8 Tf [(Fierro JM. Alternate care sites. California State University. )] TJ ET BT 320.344 373.012 Td /F1 9.8 Tf [(2010 \(Dissertation\).)] TJ ET BT 26.250 312.087 Td /F1 9.8 Tf [(Attempting to use Google Scholar for crossed search terms with larger PubMed returns results in an unmanageable number of )] TJ ET BT 26.250 300.182 Td /F1 9.8 Tf [(returns. For example within Cluster 1, crossing the terms [disaster], [relief work] and [crisis] in PubMed, 59 articles are returned. )] TJ ET BT 26.250 288.277 Td /F1 9.8 Tf [(Searching with the same terms in Google Scholar results in 2,210 returns. Searching a term within a node such as [federal )] TJ ET BT 26.250 276.372 Td /F1 9.8 Tf [(government] and crossing it with [disaster] results in 340 articles in PubMed and 20,100 articles in Google Scholar.)] TJ ET BT 26.250 239.770 Td /F4 12.0 Tf [(DISCUSSION)] TJ ET BT 26.250 219.816 Td /F1 9.8 Tf [(The multidisciplinary field of disaster and global health in crisis is a rapidly growing field of research and practice. And with this, )] TJ ET BT 26.250 207.911 Td /F1 9.8 Tf [(there has been an explosion of literature creating an unmanageable body of information to search, retrieve and use. The )] TJ ET BT 26.250 196.006 Td /F1 9.8 Tf [(proposed framework incorporates over 84 selected terms organizing them into clusters and nodes. The framework creates a )] TJ ET BT 26.250 184.101 Td /F1 9.8 Tf [(structure with which to search the literature. The matrix and tabular formats enable a feasible process with which to retrieve a )] TJ ET BT 26.250 172.197 Td /F1 9.8 Tf [(set of content-specific literature for review. When search returns yield a small number of articles, expanding the search to )] TJ ET BT 26.250 160.292 Td /F1 9.8 Tf [(Google Scholar can provide added value by searching academic journals beyond PubMed database and also by including the )] TJ ET BT 26.250 148.387 Td /F1 9.8 Tf [(grey literature.)] TJ ET BT 26.250 128.982 Td /F4 9.8 Tf [(Limitations)] TJ ET BT 26.250 109.578 Td /F1 9.8 Tf [(The proposed framework and process is not without limitations. The disaster and global health in crisis fields are rapidly )] TJ ET BT 26.250 97.673 Td /F1 9.8 Tf [(changing and the cluster, nodes and terms may change over time. The current framework allows for interchangeable MeSH )] TJ ET BT 26.250 85.768 Td /F1 9.8 Tf [(terms and the addition or replacement of free text terms. In addition, expert panels or additional research methods including the )] TJ ET BT 26.250 73.863 Td /F1 9.8 Tf [(Delphi method or even natural language processing of documents could be employed to improve the selection of search terms )] TJ ET BT 26.250 61.959 Td /F1 9.8 Tf [(and structuring of clusters and nodes. It is also possible for future iterations to include additional clusters and nodes when )] TJ ET BT 26.250 50.054 Td /F1 9.8 Tf [(appropriate. For example, as seen in Figure 4, adding the MeSH search terms [disabled], [chronic disease] and free text term )] TJ ET BT 26.250 38.149 Td /F1 9.8 Tf [([Internally displaced population \(IDPs\)] result in a total of 137 articles. The search terms in the proposed framework )] TJ ET Q q 15.000 23.863 577.500 753.137 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(articles were returned. When using Google Scholar to search a similar set of terms it also returned articles with the following )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(phrases alternate care systems and the acronym ASC expanding the search return. Applying the same framework to Google )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Scholar resulted in nine documents, the majority of which were neither archived in PubMed nor identified with PubMed search )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(functions. \(Table 4\) There were two articles that existed in PubMed that were not retrieved by the PubMed search string but )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(retrieved by Google Scholar. Boolean searches through Google Scholar may be better fit for variations in terminology.)] TJ ET q 26.250 696.240 555.000 13.736 re W n 0.271 0.267 0.267 rg BT 26.250 698.987 Td /F1 9.8 Tf [(Table 4: PubMed vs. Google Scholar search return comparison for disasters and alternate \(sites of\) care)] TJ ET Q 0.965 0.965 0.965 rg 26.250 665.332 555.000 23.407 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 688.740 m 581.250 688.740 l 580.500 687.990 l 27.000 687.990 l f 581.250 688.740 m 581.250 665.332 l 580.500 665.332 l 580.500 687.990 l f 26.250 688.740 m 26.250 665.332 l 27.000 665.332 l 27.000 687.990 l f 0.271 0.267 0.267 rg BT 33.000 674.664 Td /F1 9.0 Tf [(* Article found in GoogleScholar but not returned on the PubMed search, although they exist in PubMed)] TJ ET 1.000 1.000 1.000 rg 26.250 366.610 555.000 298.722 re f 0.965 0.965 0.965 rg 27.000 652.303 288.469 12.280 re f 0.267 0.267 0.267 rg 26.625 664.207 288.844 0.750 re f 26.625 651.928 0.750 13.030 re f 0.271 0.267 0.267 rg BT 31.500 655.059 Td /F4 9.8 Tf [(PubMed Search Results)] TJ ET 0.965 0.965 0.965 rg 315.469 652.303 265.031 12.280 re f 0.267 0.267 0.267 rg 315.469 664.207 265.406 0.750 re f 580.125 651.928 0.750 13.030 re f 0.271 0.267 0.267 rg BT 319.969 655.059 Td /F4 9.8 Tf [(Google Scholar Search Results *)] TJ ET 0.965 0.965 0.965 rg 27.000 640.023 288.469 12.280 re f 0.267 0.267 0.267 rg 26.625 651.928 288.844 0.750 re f 26.625 639.648 0.750 13.030 re f 0.271 0.267 0.267 rg BT 31.500 642.779 Td /F4 9.8 Tf [(search string- [disaster] and alternate sites of care)] TJ ET 0.965 0.965 0.965 rg 315.469 640.023 265.031 12.280 re f 0.267 0.267 0.267 rg 315.469 651.928 265.406 0.750 re f 580.125 639.648 0.750 13.030 re f 0.271 0.267 0.267 rg BT 319.969 642.779 Td /F4 9.8 Tf [(search string- intitle: alternate care AND disaster)] TJ ET 0.267 0.267 0.267 rg 26.625 639.648 288.844 0.750 re f 315.469 639.648 265.406 0.750 re f 26.625 616.135 0.750 24.262 re f 580.125 616.135 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 629.793 Td /F1 9.8 Tf [(Roszak AR, et al. Implications of the Emergency Medical Treatment and Labor Act \(EMTALA\) During Public Health )] TJ ET BT 31.875 622.162 Td /F1 9.8 Tf [(Emergencies and on Alternate Sites of Care. Disaster Med Public Health Prep. 2009 Dec;3 Suppl 2:S172-5.)] TJ ET 0.267 0.267 0.267 rg 26.625 616.135 289.219 0.750 re f 26.625 584.992 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 606.280 Td /F1 9.8 Tf [(Kost GJ, et al. Enhancing crisis standards of care using )] TJ ET BT 31.875 598.649 Td /F1 9.8 Tf [(innovative point-of-care testing. Am J Disaster Med. 2011 Nov-)] TJ ET BT 31.875 591.018 Td /F1 9.8 Tf [(Dec; 6\(6\):351-68.)] TJ ET 0.267 0.267 0.267 rg 315.094 616.135 265.781 0.750 re f 315.094 584.992 0.750 31.894 re f 580.125 584.992 0.750 31.894 re f 0.271 0.267 0.267 rg BT 320.344 606.280 Td /F1 9.8 Tf [(* Chung S, et al. Pediatric Alternate Site of Care During )] TJ ET BT 320.344 598.649 Td /F1 9.8 Tf [(the 2009 H1N1 Pandemic. Pediatric emergency care 27.6 )] TJ ET BT 320.344 591.018 Td /F1 9.8 Tf [(\(2011\): 519-526.)] TJ ET 0.267 0.267 0.267 rg 26.625 584.992 289.219 0.750 re f 26.625 553.848 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 575.137 Td /F1 9.8 Tf [(Reilly MJ, et al. Utilizing paramedics for in-patient critical care )] TJ ET BT 31.875 567.505 Td /F1 9.8 Tf [(surge capacity. Am J Disaster Med. 2010 May-Jun;5\(3\):163-8.)] TJ ET 0.267 0.267 0.267 rg 315.094 584.992 265.781 0.750 re f 315.094 553.848 0.750 31.894 re f 580.125 553.848 0.750 31.894 re f 0.271 0.267 0.267 rg BT 320.344 575.137 Td /F1 9.8 Tf [(Cantrill SV, et al. Disaster alternate care facilities: )] TJ ET BT 320.344 567.505 Td /F1 9.8 Tf [(Selection and operation. Rockville, MD: Agency for )] TJ ET BT 320.344 559.874 Td /F1 9.8 Tf [(Healthcare Research and Quality. 2009: 152.)] TJ ET 0.267 0.267 0.267 rg 26.625 553.848 289.219 0.750 re f 26.625 515.073 0.750 39.525 re f 0.271 0.267 0.267 rg BT 31.875 543.993 Td /F1 9.8 Tf [(Hrdina CM, et al. The RTR medical response system for )] TJ ET BT 31.875 536.362 Td /F1 9.8 Tf [(nuclear and radiological mass-casualty incidents: a functional )] TJ ET BT 31.875 528.730 Td /F1 9.8 Tf [(TRiage-TReatment-TRansport medical response model. )] TJ ET BT 31.875 521.099 Td /F1 9.8 Tf [(Prehosp Disaster Med. 2009 May-Jun;24\(3\):167-78.)] TJ ET 0.267 0.267 0.267 rg 315.094 553.848 265.781 0.750 re f 315.094 515.073 0.750 39.525 re f 580.125 515.073 0.750 39.525 re f 0.271 0.267 0.267 rg BT 320.344 543.993 Td /F1 9.8 Tf [(Cantrill SV, et al. Disaster Alternate Care Facilities: Report )] TJ ET BT 320.344 536.362 Td /F1 9.8 Tf [(and Interactive Tools. Rockville, MD: Agency for )] TJ ET BT 320.344 528.730 Td /F1 9.8 Tf [(Healthcare Research and Quality. 2011 Publication No. )] TJ ET BT 320.344 521.099 Td /F1 9.8 Tf [(09-0062.)] TJ ET 0.267 0.267 0.267 rg 26.625 515.073 289.219 0.750 re f 26.625 483.929 0.750 31.894 re f 315.094 515.073 265.781 0.750 re f 315.094 483.929 0.750 31.894 re f 580.125 483.929 0.750 31.894 re f 0.271 0.267 0.267 rg BT 320.344 505.218 Td /F1 9.8 Tf [(* Kim CS, et al. Role of hospitalists in an offsite alternate )] TJ ET BT 320.344 497.587 Td /F1 9.8 Tf [(care center \(ACC\) for pandemic flu. J Hosp Med. 2009 )] TJ ET BT 320.344 489.955 Td /F1 9.8 Tf [(Nov;4\(9\):546-9.)] TJ ET 0.267 0.267 0.267 rg 26.625 483.929 289.219 0.750 re f 26.625 460.417 0.750 24.262 re f 315.094 483.929 265.781 0.750 re f 315.094 460.417 0.750 24.262 re f 580.125 460.417 0.750 24.262 re f 0.271 0.267 0.267 rg BT 320.344 474.074 Td /F1 9.8 Tf [(Hanfling D. Alternate Care Systems: Stratification of )] TJ ET BT 320.344 466.443 Td /F1 9.8 Tf [(Care. Institute of Medicine. 2009)] TJ ET 0.267 0.267 0.267 rg 26.625 460.417 289.219 0.750 re f 26.625 421.642 0.750 39.525 re f 315.094 460.417 265.781 0.750 re f 315.094 421.642 0.750 39.525 re f 580.125 421.642 0.750 39.525 re f 0.271 0.267 0.267 rg BT 320.344 450.562 Td /F1 9.8 Tf [(Reilly M. Creating Alternate Care Sites and Community-)] TJ ET BT 320.344 442.930 Td /F1 9.8 Tf [(Based Care Centers for the Delivery of Medical Care )] TJ ET BT 320.344 435.299 Td /F1 9.8 Tf [(During Public Health Emergencies. Prehosp Disaster Med )] TJ ET BT 320.344 427.668 Td /F1 9.8 Tf [(26.S1 \(2011\): s161-s161. \(Abstract\))] TJ ET 0.267 0.267 0.267 rg 26.625 421.642 289.219 0.750 re f 26.625 390.498 0.750 31.894 re f 315.094 421.642 265.781 0.750 re f 315.094 390.498 0.750 31.894 re f 580.125 390.498 0.750 31.894 re f 0.271 0.267 0.267 rg BT 320.344 411.787 Td /F1 9.8 Tf [(Qureshi K. \(A139\) Profile of Likely Needs in a Disaster )] TJ ET BT 320.344 404.155 Td /F1 9.8 Tf [(Alternate Site Care in Honolulu, Hawaii. Prehosp Disaster )] TJ ET BT 320.344 396.524 Td /F1 9.8 Tf [(Med 26.S1 \(2011\): s39-s40. \(Abstract\))] TJ ET 0.267 0.267 0.267 rg 26.625 390.498 289.219 0.750 re f 26.625 366.985 289.219 0.750 re f 26.625 366.985 0.750 24.262 re f 315.094 390.498 265.781 0.750 re f 315.094 366.985 265.781 0.750 re f 315.094 366.985 0.750 24.262 re f 580.125 366.985 0.750 24.262 re f 0.271 0.267 0.267 rg BT 320.344 380.643 Td /F1 9.8 Tf [(Fierro JM. Alternate care sites. California State University. )] TJ ET BT 320.344 373.012 Td /F1 9.8 Tf [(2010 \(Dissertation\).)] TJ ET BT 26.250 312.087 Td /F1 9.8 Tf [(Attempting to use Google Scholar for crossed search terms with larger PubMed returns results in an unmanageable number of )] TJ ET BT 26.250 300.182 Td /F1 9.8 Tf [(returns. For example within Cluster 1, crossing the terms [disaster], [relief work] and [crisis] in PubMed, 59 articles are returned. )] TJ ET BT 26.250 288.277 Td /F1 9.8 Tf [(Searching with the same terms in Google Scholar results in 2,210 returns. Searching a term within a node such as [federal )] TJ ET BT 26.250 276.372 Td /F1 9.8 Tf [(government] and crossing it with [disaster] results in 340 articles in PubMed and 20,100 articles in Google Scholar.)] TJ ET BT 26.250 239.770 Td /F4 12.0 Tf [(DISCUSSION)] TJ ET BT 26.250 219.816 Td /F1 9.8 Tf [(The multidisciplinary field of disaster and global health in crisis is a rapidly growing field of research and practice. And with this, )] TJ ET BT 26.250 207.911 Td /F1 9.8 Tf [(there has been an explosion of literature creating an unmanageable body of information to search, retrieve and use. The )] TJ ET BT 26.250 196.006 Td /F1 9.8 Tf [(proposed framework incorporates over 84 selected terms organizing them into clusters and nodes. The framework creates a )] TJ ET BT 26.250 184.101 Td /F1 9.8 Tf [(structure with which to search the literature. The matrix and tabular formats enable a feasible process with which to retrieve a )] TJ ET BT 26.250 172.197 Td /F1 9.8 Tf [(set of content-specific literature for review. When search returns yield a small number of articles, expanding the search to )] TJ ET BT 26.250 160.292 Td /F1 9.8 Tf [(Google Scholar can provide added value by searching academic journals beyond PubMed database and also by including the )] TJ ET BT 26.250 148.387 Td /F1 9.8 Tf [(grey literature.)] TJ ET BT 26.250 128.982 Td /F4 9.8 Tf [(Limitations)] TJ ET BT 26.250 109.578 Td /F1 9.8 Tf [(The proposed framework and process is not without limitations. The disaster and global health in crisis fields are rapidly )] TJ ET BT 26.250 97.673 Td /F1 9.8 Tf [(changing and the cluster, nodes and terms may change over time. The current framework allows for interchangeable MeSH )] TJ ET BT 26.250 85.768 Td /F1 9.8 Tf [(terms and the addition or replacement of free text terms. In addition, expert panels or additional research methods including the )] TJ ET BT 26.250 73.863 Td /F1 9.8 Tf [(Delphi method or even natural language processing of documents could be employed to improve the selection of search terms )] TJ ET BT 26.250 61.959 Td /F1 9.8 Tf [(and structuring of clusters and nodes. It is also possible for future iterations to include additional clusters and nodes when )] TJ ET BT 26.250 50.054 Td /F1 9.8 Tf [(appropriate. For example, as seen in Figure 4, adding the MeSH search terms [disabled], [chronic disease] and free text term )] TJ ET BT 26.250 38.149 Td /F1 9.8 Tf [([Internally displaced population \(IDPs\)] result in a total of 137 articles. The search terms in the proposed framework )] TJ ET Q q 15.000 23.863 577.500 753.137 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(articles were returned. When using Google Scholar to search a similar set of terms it also returned articles with the following )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(phrases alternate care systems and the acronym ASC expanding the search return. Applying the same framework to Google )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Scholar resulted in nine documents, the majority of which were neither archived in PubMed nor identified with PubMed search )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(functions. \(Table 4\) There were two articles that existed in PubMed that were not retrieved by the PubMed search string but )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(retrieved by Google Scholar. Boolean searches through Google Scholar may be better fit for variations in terminology.)] TJ ET q 26.250 696.240 555.000 13.736 re W n 0.271 0.267 0.267 rg BT 26.250 698.987 Td /F1 9.8 Tf [(Table 4: PubMed vs. Google Scholar search return comparison for disasters and alternate \(sites of\) care)] TJ ET Q 0.965 0.965 0.965 rg 26.250 665.332 555.000 23.407 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 688.740 m 581.250 688.740 l 580.500 687.990 l 27.000 687.990 l f 581.250 688.740 m 581.250 665.332 l 580.500 665.332 l 580.500 687.990 l f 26.250 688.740 m 26.250 665.332 l 27.000 665.332 l 27.000 687.990 l f 0.271 0.267 0.267 rg BT 33.000 674.664 Td /F1 9.0 Tf [(* Article found in GoogleScholar but not returned on the PubMed search, although they exist in PubMed)] TJ ET 1.000 1.000 1.000 rg 26.250 366.610 555.000 298.722 re f 0.965 0.965 0.965 rg 27.000 652.303 288.469 12.280 re f 0.267 0.267 0.267 rg 26.625 664.207 288.844 0.750 re f 26.625 651.928 0.750 13.030 re f 0.271 0.267 0.267 rg BT 31.500 655.059 Td /F4 9.8 Tf [(PubMed Search Results)] TJ ET 0.965 0.965 0.965 rg 315.469 652.303 265.031 12.280 re f 0.267 0.267 0.267 rg 315.469 664.207 265.406 0.750 re f 580.125 651.928 0.750 13.030 re f 0.271 0.267 0.267 rg BT 319.969 655.059 Td /F4 9.8 Tf [(Google Scholar Search Results *)] TJ ET 0.965 0.965 0.965 rg 27.000 640.023 288.469 12.280 re f 0.267 0.267 0.267 rg 26.625 651.928 288.844 0.750 re f 26.625 639.648 0.750 13.030 re f 0.271 0.267 0.267 rg BT 31.500 642.779 Td /F4 9.8 Tf [(search string- [disaster] and alternate sites of care)] TJ ET 0.965 0.965 0.965 rg 315.469 640.023 265.031 12.280 re f 0.267 0.267 0.267 rg 315.469 651.928 265.406 0.750 re f 580.125 639.648 0.750 13.030 re f 0.271 0.267 0.267 rg BT 319.969 642.779 Td /F4 9.8 Tf [(search string- intitle: alternate care AND disaster)] TJ ET 0.267 0.267 0.267 rg 26.625 639.648 288.844 0.750 re f 315.469 639.648 265.406 0.750 re f 26.625 616.135 0.750 24.262 re f 580.125 616.135 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 629.793 Td /F1 9.8 Tf [(Roszak AR, et al. Implications of the Emergency Medical Treatment and Labor Act \(EMTALA\) During Public Health )] TJ ET BT 31.875 622.162 Td /F1 9.8 Tf [(Emergencies and on Alternate Sites of Care. Disaster Med Public Health Prep. 2009 Dec;3 Suppl 2:S172-5.)] TJ ET 0.267 0.267 0.267 rg 26.625 616.135 289.219 0.750 re f 26.625 584.992 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 606.280 Td /F1 9.8 Tf [(Kost GJ, et al. Enhancing crisis standards of care using )] TJ ET BT 31.875 598.649 Td /F1 9.8 Tf [(innovative point-of-care testing. Am J Disaster Med. 2011 Nov-)] TJ ET BT 31.875 591.018 Td /F1 9.8 Tf [(Dec; 6\(6\):351-68.)] TJ ET 0.267 0.267 0.267 rg 315.094 616.135 265.781 0.750 re f 315.094 584.992 0.750 31.894 re f 580.125 584.992 0.750 31.894 re f 0.271 0.267 0.267 rg BT 320.344 606.280 Td /F1 9.8 Tf [(* Chung S, et al. Pediatric Alternate Site of Care During )] TJ ET BT 320.344 598.649 Td /F1 9.8 Tf [(the 2009 H1N1 Pandemic. Pediatric emergency care 27.6 )] TJ ET BT 320.344 591.018 Td /F1 9.8 Tf [(\(2011\): 519-526.)] TJ ET 0.267 0.267 0.267 rg 26.625 584.992 289.219 0.750 re f 26.625 553.848 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 575.137 Td /F1 9.8 Tf [(Reilly MJ, et al. Utilizing paramedics for in-patient critical care )] TJ ET BT 31.875 567.505 Td /F1 9.8 Tf [(surge capacity. Am J Disaster Med. 2010 May-Jun;5\(3\):163-8.)] TJ ET 0.267 0.267 0.267 rg 315.094 584.992 265.781 0.750 re f 315.094 553.848 0.750 31.894 re f 580.125 553.848 0.750 31.894 re f 0.271 0.267 0.267 rg BT 320.344 575.137 Td /F1 9.8 Tf [(Cantrill SV, et al. Disaster alternate care facilities: )] TJ ET BT 320.344 567.505 Td /F1 9.8 Tf [(Selection and operation. Rockville, MD: Agency for )] TJ ET BT 320.344 559.874 Td /F1 9.8 Tf [(Healthcare Research and Quality. 2009: 152.)] TJ ET 0.267 0.267 0.267 rg 26.625 553.848 289.219 0.750 re f 26.625 515.073 0.750 39.525 re f 0.271 0.267 0.267 rg BT 31.875 543.993 Td /F1 9.8 Tf [(Hrdina CM, et al. The RTR medical response system for )] TJ ET BT 31.875 536.362 Td /F1 9.8 Tf [(nuclear and radiological mass-casualty incidents: a functional )] TJ ET BT 31.875 528.730 Td /F1 9.8 Tf [(TRiage-TReatment-TRansport medical response model. )] TJ ET BT 31.875 521.099 Td /F1 9.8 Tf [(Prehosp Disaster Med. 2009 May-Jun;24\(3\):167-78.)] TJ ET 0.267 0.267 0.267 rg 315.094 553.848 265.781 0.750 re f 315.094 515.073 0.750 39.525 re f 580.125 515.073 0.750 39.525 re f 0.271 0.267 0.267 rg BT 320.344 543.993 Td /F1 9.8 Tf [(Cantrill SV, et al. Disaster Alternate Care Facilities: Report )] TJ ET BT 320.344 536.362 Td /F1 9.8 Tf [(and Interactive Tools. Rockville, MD: Agency for )] TJ ET BT 320.344 528.730 Td /F1 9.8 Tf [(Healthcare Research and Quality. 2011 Publication No. )] TJ ET BT 320.344 521.099 Td /F1 9.8 Tf [(09-0062.)] TJ ET 0.267 0.267 0.267 rg 26.625 515.073 289.219 0.750 re f 26.625 483.929 0.750 31.894 re f 315.094 515.073 265.781 0.750 re f 315.094 483.929 0.750 31.894 re f 580.125 483.929 0.750 31.894 re f 0.271 0.267 0.267 rg BT 320.344 505.218 Td /F1 9.8 Tf [(* Kim CS, et al. Role of hospitalists in an offsite alternate )] TJ ET BT 320.344 497.587 Td /F1 9.8 Tf [(care center \(ACC\) for pandemic flu. J Hosp Med. 2009 )] TJ ET BT 320.344 489.955 Td /F1 9.8 Tf [(Nov;4\(9\):546-9.)] TJ ET 0.267 0.267 0.267 rg 26.625 483.929 289.219 0.750 re f 26.625 460.417 0.750 24.262 re f 315.094 483.929 265.781 0.750 re f 315.094 460.417 0.750 24.262 re f 580.125 460.417 0.750 24.262 re f 0.271 0.267 0.267 rg BT 320.344 474.074 Td /F1 9.8 Tf [(Hanfling D. Alternate Care Systems: Stratification of )] TJ ET BT 320.344 466.443 Td /F1 9.8 Tf [(Care. Institute of Medicine. 2009)] TJ ET 0.267 0.267 0.267 rg 26.625 460.417 289.219 0.750 re f 26.625 421.642 0.750 39.525 re f 315.094 460.417 265.781 0.750 re f 315.094 421.642 0.750 39.525 re f 580.125 421.642 0.750 39.525 re f 0.271 0.267 0.267 rg BT 320.344 450.562 Td /F1 9.8 Tf [(Reilly M. Creating Alternate Care Sites and Community-)] TJ ET BT 320.344 442.930 Td /F1 9.8 Tf [(Based Care Centers for the Delivery of Medical Care )] TJ ET BT 320.344 435.299 Td /F1 9.8 Tf [(During Public Health Emergencies. Prehosp Disaster Med )] TJ ET BT 320.344 427.668 Td /F1 9.8 Tf [(26.S1 \(2011\): s161-s161. \(Abstract\))] TJ ET 0.267 0.267 0.267 rg 26.625 421.642 289.219 0.750 re f 26.625 390.498 0.750 31.894 re f 315.094 421.642 265.781 0.750 re f 315.094 390.498 0.750 31.894 re f 580.125 390.498 0.750 31.894 re f 0.271 0.267 0.267 rg BT 320.344 411.787 Td /F1 9.8 Tf [(Qureshi K. \(A139\) Profile of Likely Needs in a Disaster )] TJ ET BT 320.344 404.155 Td /F1 9.8 Tf [(Alternate Site Care in Honolulu, Hawaii. Prehosp Disaster )] TJ ET BT 320.344 396.524 Td /F1 9.8 Tf [(Med 26.S1 \(2011\): s39-s40. \(Abstract\))] TJ ET 0.267 0.267 0.267 rg 26.625 390.498 289.219 0.750 re f 26.625 366.985 289.219 0.750 re f 26.625 366.985 0.750 24.262 re f 315.094 390.498 265.781 0.750 re f 315.094 366.985 265.781 0.750 re f 315.094 366.985 0.750 24.262 re f 580.125 366.985 0.750 24.262 re f 0.271 0.267 0.267 rg BT 320.344 380.643 Td /F1 9.8 Tf [(Fierro JM. Alternate care sites. California State University. )] TJ ET BT 320.344 373.012 Td /F1 9.8 Tf [(2010 \(Dissertation\).)] TJ ET BT 26.250 312.087 Td /F1 9.8 Tf [(Attempting to use Google Scholar for crossed search terms with larger PubMed returns results in an unmanageable number of )] TJ ET BT 26.250 300.182 Td /F1 9.8 Tf [(returns. For example within Cluster 1, crossing the terms [disaster], [relief work] and [crisis] in PubMed, 59 articles are returned. )] TJ ET BT 26.250 288.277 Td /F1 9.8 Tf [(Searching with the same terms in Google Scholar results in 2,210 returns. Searching a term within a node such as [federal )] TJ ET BT 26.250 276.372 Td /F1 9.8 Tf [(government] and crossing it with [disaster] results in 340 articles in PubMed and 20,100 articles in Google Scholar.)] TJ ET BT 26.250 239.770 Td /F4 12.0 Tf [(DISCUSSION)] TJ ET BT 26.250 219.816 Td /F1 9.8 Tf [(The multidisciplinary field of disaster and global health in crisis is a rapidly growing field of research and practice. And with this, )] TJ ET BT 26.250 207.911 Td /F1 9.8 Tf [(there has been an explosion of literature creating an unmanageable body of information to search, retrieve and use. The )] TJ ET BT 26.250 196.006 Td /F1 9.8 Tf [(proposed framework incorporates over 84 selected terms organizing them into clusters and nodes. The framework creates a )] TJ ET BT 26.250 184.101 Td /F1 9.8 Tf [(structure with which to search the literature. The matrix and tabular formats enable a feasible process with which to retrieve a )] TJ ET BT 26.250 172.197 Td /F1 9.8 Tf [(set of content-specific literature for review. When search returns yield a small number of articles, expanding the search to )] TJ ET BT 26.250 160.292 Td /F1 9.8 Tf [(Google Scholar can provide added value by searching academic journals beyond PubMed database and also by including the )] TJ ET BT 26.250 148.387 Td /F1 9.8 Tf [(grey literature.)] TJ ET BT 26.250 128.982 Td /F4 9.8 Tf [(Limitations)] TJ ET BT 26.250 109.578 Td /F1 9.8 Tf [(The proposed framework and process is not without limitations. The disaster and global health in crisis fields are rapidly )] TJ ET BT 26.250 97.673 Td /F1 9.8 Tf [(changing and the cluster, nodes and terms may change over time. The current framework allows for interchangeable MeSH )] TJ ET BT 26.250 85.768 Td /F1 9.8 Tf [(terms and the addition or replacement of free text terms. In addition, expert panels or additional research methods including the )] TJ ET BT 26.250 73.863 Td /F1 9.8 Tf [(Delphi method or even natural language processing of documents could be employed to improve the selection of search terms )] TJ ET BT 26.250 61.959 Td /F1 9.8 Tf [(and structuring of clusters and nodes. It is also possible for future iterations to include additional clusters and nodes when )] TJ ET BT 26.250 50.054 Td /F1 9.8 Tf [(appropriate. For example, as seen in Figure 4, adding the MeSH search terms [disabled], [chronic disease] and free text term )] TJ ET BT 26.250 38.149 Td /F1 9.8 Tf [([Internally displaced population \(IDPs\)] result in a total of 137 articles. The search terms in the proposed framework )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(8)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 257 0 obj << /Type /Page /Parent 3 0 R /Annots [ 259 0 R 261 0 R 263 0 R 265 0 R 267 0 R 269 0 R 271 0 R 273 0 R 275 0 R 277 0 R 279 0 R 281 0 R 283 0 R 285 0 R 287 0 R 289 0 R 291 0 R 293 0 R ] /Contents 258 0 R >> endobj 258 0 obj << /Length 24226 >> stream 0.271 0.267 0.267 rg 0.267 0.267 0.267 RG q 15.000 32.068 577.500 744.932 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(preferentially use MeSH terms and assume that the MeSH terms are appropriately assigned and updated to best reflect terms in )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(disaster and global health in crisis. While the majority of terms fit this assumption, examples such as the MeSH terms )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [([demography] and [epidemiology] in cluster 1, Figure 2 appears to have a paucity of disaster and epidemiology literature and )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(more demography literature. Two articles from humanitarian crisis and mortality literature were chosen and the indexing was )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(checked revealing that there are variations in MeSH assignments.)] TJ ET 0.267 0.267 0.267 rg BT 310.199 721.364 Td /F4 8.7 Tf [(18)] TJ ET 0.271 0.267 0.267 rg BT 319.837 723.745 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 322.246 721.364 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 331.883 719.857 Td /F1 9.8 Tf [(One article had the MeSH term [epidemiology] assigned )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(and neither had the free text terms humanitarian or MeSH term [relief]. This classification variation was also found with natural )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(disaster articles using epidemiological methods where the term [epidemiology] was not listed as one of the primary MeSH )] TJ ET BT 26.250 684.143 Td /F1 9.8 Tf [(terms. Future research is necessary to better understand and validate the MeSH article indexing process which may potentially )] TJ ET BT 26.250 672.238 Td /F1 9.8 Tf [(guide revisions to the National Library of Medicine PubMed indexing process and MeSH glossary of terms.)] TJ ET BT 26.250 652.833 Td /F1 9.8 Tf [(The framework of clusters, nodes and terms can be applied to other searchable databases with some revisions. The terms in )] TJ ET BT 26.250 640.929 Td /F1 9.8 Tf [(this framework are based off of existing MeSH terms from the National Library of Medicine database. For other databases such )] TJ ET BT 26.250 629.024 Td /F1 9.8 Tf [(as Psycinfo or EMBASE the terms would need to match those specific searchable keywords or have functions to search free )] TJ ET BT 26.250 617.119 Td /F1 9.8 Tf [(text terms.)] TJ ET BT 26.250 597.714 Td /F1 9.8 Tf [(Google Scholar provides a complementary approach to searching the literature but can also pose significant limitations if the )] TJ ET BT 26.250 585.810 Td /F1 9.8 Tf [(search methodology is not restricted.)] TJ ET 0.267 0.267 0.267 rg BT 185.565 587.317 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 190.384 585.810 Td /F1 9.8 Tf [( This is exemplified in the large search returns for general disaster and global health in )] TJ ET BT 26.250 573.905 Td /F1 9.8 Tf [(crisis terms. While potentially helpful in tracking the total number of articles, it proves unmanageable with respect to accessing )] TJ ET BT 26.250 562.000 Td /F1 9.8 Tf [(and reading the articles for decision-making purposes. The proposed framework and process provides a structured and )] TJ ET BT 26.250 550.095 Td /F1 9.8 Tf [(restricted format for search returns. In addition exact comparisons between the search engine and PubMed database poses a )] TJ ET BT 26.250 538.191 Td /F1 9.8 Tf [(challenge because the two systems are inherently different in structure and scope.)] TJ ET 0.267 0.267 0.267 rg BT 381.209 539.698 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 386.027 538.191 Td /F1 9.8 Tf [( Further investigation is needed to )] TJ ET BT 26.250 526.286 Td /F1 9.8 Tf [(determine the best and most accurate methodology for comparing the two systems for rigorous comparison.)] TJ ET BT 26.250 506.881 Td /F1 9.8 Tf [(It is important to recognize that the ability to search a large body of literature using this framework and process does not always )] TJ ET BT 26.250 494.976 Td /F1 9.8 Tf [(ensure that users can access the literature for knowledge, learning, and research. While some journals and grey literature are )] TJ ET BT 26.250 483.072 Td /F1 9.8 Tf [(freely available for download, many peer-review articles are not open access and require institutional or personal subscriptions )] TJ ET BT 26.250 471.167 Td /F1 9.8 Tf [(to access this knowledge-base. This is often a limiting factor for practitioners, some policy makers, and many researchers )] TJ ET BT 26.250 459.262 Td /F1 9.8 Tf [(around the world. While outside the scope of this discussion, it is important to recognize this ongoing limitation and challenge.)] TJ ET BT 26.250 422.660 Td /F4 12.0 Tf [(CONCLUSIONS)] TJ ET BT 26.250 402.705 Td /F1 9.8 Tf [(Despite the limitations discussed above, the framework and process to search the peer-reviewed and grey literature can assist )] TJ ET BT 26.250 390.801 Td /F1 9.8 Tf [(a broad array of researchers, practitioners, and policy makers to advance the fields of disaster and global health in crisis. )] TJ ET BT 26.250 378.896 Td /F1 9.8 Tf [(Specifically, researchers can explore the existing body of literature to identify gaps in scholarship and add to the body of )] TJ ET BT 26.250 366.991 Td /F1 9.8 Tf [(literature on key issues within the field. Practitioners will learn from evidence-based research through reviewing content specific )] TJ ET BT 26.250 355.086 Td /F1 9.8 Tf [(literature and improve decision-making and programming during future disasters. Policy makers can better use evidence-based )] TJ ET BT 26.250 343.182 Td /F1 9.8 Tf [(literature to help inform legislation and future policy. And perhaps most importantly, the framework and process will help bring )] TJ ET BT 26.250 331.277 Td /F1 9.8 Tf [(this multidisciplinary and transdisciplinary group closer together by engaging users in reaching toward content and literature )] TJ ET BT 26.250 319.372 Td /F1 9.8 Tf [(among other disciplines, in health and beyond.)] TJ ET BT 26.250 282.770 Td /F4 12.0 Tf [(COMPETING INTERESTS)] TJ ET BT 26.250 262.815 Td /F1 9.8 Tf [(The authors have declared that no competing interests exist.)] TJ ET BT 26.250 226.213 Td /F4 12.0 Tf [(References)] TJ ET BT 26.250 198.759 Td /F1 9.8 Tf [(1.)] TJ ET BT 38.132 198.759 Td /F1 9.8 Tf [(Guha-Sapir D, Vos F, Below R, et al. Annual Disaster Statistical Review 2011: The numbers and Trends.The Centre for )] TJ ET BT 26.250 186.854 Td /F1 9.8 Tf [(Research on the Epidemiology of Disasters \(CRED\). Brussels, Belgium; 2012:152. https://www.cred.be/publication/annual-)] TJ ET BT 26.250 174.949 Td /F1 9.8 Tf [(disaster-statistical-review-2011. Accessed November 22, 2012.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 166.463 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 147.913 Td /F1 9.8 Tf [(2.)] TJ ET BT 38.132 147.913 Td /F1 9.8 Tf [(A Year of Crises. Chapter VI: Asylum-seekers. UNHCR-The UN Refugee Agency. UNHCR Global Trends 2011. Geneva; )] TJ ET BT 26.250 136.008 Td /F1 9.8 Tf [(2011:25. Available at: https://www.unhcr.org/globaltrends2011/. Ac-cessed November 22, 2012.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 127.522 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 108.972 Td /F1 9.8 Tf [(3.)] TJ ET BT 38.132 108.972 Td /F1 9.8 Tf [(MacLachlan M. Rethinking global health research: towards integrative expertise. Global Health. 2009 Jul 30;5:6. PubMed )] TJ ET BT 26.250 97.068 Td /F1 9.8 Tf [(PMID:19643021.)] TJ ET BT 26.250 77.663 Td /F1 9.8 Tf [(4.)] TJ ET BT 38.132 77.663 Td /F1 9.8 Tf [(Kelen G, Sauer LM. Trend analysis of disaster health articles in peer-reviewed publications pre- and post-9/11. Am J Disaster )] TJ ET BT 26.250 65.758 Td /F1 9.8 Tf [(Med. 2008 Nov-Dec;3\(6\):369-76. PubMed PMID:19202890.)] TJ ET BT 26.250 46.353 Td /F1 9.8 Tf [(5.)] TJ ET BT 38.132 46.353 Td /F1 9.8 Tf [(Smith E, Wasiak J, Sen A, Archer F, Burkle FM Jr. Three decades of disasters: a review of disaster-specific literature from )] TJ ET Q q 15.000 32.068 577.500 744.932 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(preferentially use MeSH terms and assume that the MeSH terms are appropriately assigned and updated to best reflect terms in )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(disaster and global health in crisis. While the majority of terms fit this assumption, examples such as the MeSH terms )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [([demography] and [epidemiology] in cluster 1, Figure 2 appears to have a paucity of disaster and epidemiology literature and )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(more demography literature. Two articles from humanitarian crisis and mortality literature were chosen and the indexing was )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(checked revealing that there are variations in MeSH assignments.)] TJ ET 0.267 0.267 0.267 rg BT 310.199 721.364 Td /F4 8.7 Tf [(18)] TJ ET 0.271 0.267 0.267 rg BT 319.837 723.745 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 322.246 721.364 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 331.883 719.857 Td /F1 9.8 Tf [(One article had the MeSH term [epidemiology] assigned )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(and neither had the free text terms humanitarian or MeSH term [relief]. This classification variation was also found with natural )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(disaster articles using epidemiological methods where the term [epidemiology] was not listed as one of the primary MeSH )] TJ ET BT 26.250 684.143 Td /F1 9.8 Tf [(terms. Future research is necessary to better understand and validate the MeSH article indexing process which may potentially )] TJ ET BT 26.250 672.238 Td /F1 9.8 Tf [(guide revisions to the National Library of Medicine PubMed indexing process and MeSH glossary of terms.)] TJ ET BT 26.250 652.833 Td /F1 9.8 Tf [(The framework of clusters, nodes and terms can be applied to other searchable databases with some revisions. The terms in )] TJ ET BT 26.250 640.929 Td /F1 9.8 Tf [(this framework are based off of existing MeSH terms from the National Library of Medicine database. For other databases such )] TJ ET BT 26.250 629.024 Td /F1 9.8 Tf [(as Psycinfo or EMBASE the terms would need to match those specific searchable keywords or have functions to search free )] TJ ET BT 26.250 617.119 Td /F1 9.8 Tf [(text terms.)] TJ ET BT 26.250 597.714 Td /F1 9.8 Tf [(Google Scholar provides a complementary approach to searching the literature but can also pose significant limitations if the )] TJ ET BT 26.250 585.810 Td /F1 9.8 Tf [(search methodology is not restricted.)] TJ ET 0.267 0.267 0.267 rg BT 185.565 587.317 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 190.384 585.810 Td /F1 9.8 Tf [( This is exemplified in the large search returns for general disaster and global health in )] TJ ET BT 26.250 573.905 Td /F1 9.8 Tf [(crisis terms. While potentially helpful in tracking the total number of articles, it proves unmanageable with respect to accessing )] TJ ET BT 26.250 562.000 Td /F1 9.8 Tf [(and reading the articles for decision-making purposes. The proposed framework and process provides a structured and )] TJ ET BT 26.250 550.095 Td /F1 9.8 Tf [(restricted format for search returns. In addition exact comparisons between the search engine and PubMed database poses a )] TJ ET BT 26.250 538.191 Td /F1 9.8 Tf [(challenge because the two systems are inherently different in structure and scope.)] TJ ET 0.267 0.267 0.267 rg BT 381.209 539.698 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 386.027 538.191 Td /F1 9.8 Tf [( Further investigation is needed to )] TJ ET BT 26.250 526.286 Td /F1 9.8 Tf [(determine the best and most accurate methodology for comparing the two systems for rigorous comparison.)] TJ ET BT 26.250 506.881 Td /F1 9.8 Tf [(It is important to recognize that the ability to search a large body of literature using this framework and process does not always )] TJ ET BT 26.250 494.976 Td /F1 9.8 Tf [(ensure that users can access the literature for knowledge, learning, and research. While some journals and grey literature are )] TJ ET BT 26.250 483.072 Td /F1 9.8 Tf [(freely available for download, many peer-review articles are not open access and require institutional or personal subscriptions )] TJ ET BT 26.250 471.167 Td /F1 9.8 Tf [(to access this knowledge-base. This is often a limiting factor for practitioners, some policy makers, and many researchers )] TJ ET BT 26.250 459.262 Td /F1 9.8 Tf [(around the world. While outside the scope of this discussion, it is important to recognize this ongoing limitation and challenge.)] TJ ET BT 26.250 422.660 Td /F4 12.0 Tf [(CONCLUSIONS)] TJ ET BT 26.250 402.705 Td /F1 9.8 Tf [(Despite the limitations discussed above, the framework and process to search the peer-reviewed and grey literature can assist )] TJ ET BT 26.250 390.801 Td /F1 9.8 Tf [(a broad array of researchers, practitioners, and policy makers to advance the fields of disaster and global health in crisis. )] TJ ET BT 26.250 378.896 Td /F1 9.8 Tf [(Specifically, researchers can explore the existing body of literature to identify gaps in scholarship and add to the body of )] TJ ET BT 26.250 366.991 Td /F1 9.8 Tf [(literature on key issues within the field. Practitioners will learn from evidence-based research through reviewing content specific )] TJ ET BT 26.250 355.086 Td /F1 9.8 Tf [(literature and improve decision-making and programming during future disasters. Policy makers can better use evidence-based )] TJ ET BT 26.250 343.182 Td /F1 9.8 Tf [(literature to help inform legislation and future policy. And perhaps most importantly, the framework and process will help bring )] TJ ET BT 26.250 331.277 Td /F1 9.8 Tf [(this multidisciplinary and transdisciplinary group closer together by engaging users in reaching toward content and literature )] TJ ET BT 26.250 319.372 Td /F1 9.8 Tf [(among other disciplines, in health and beyond.)] TJ ET BT 26.250 282.770 Td /F4 12.0 Tf [(COMPETING INTERESTS)] TJ ET BT 26.250 262.815 Td /F1 9.8 Tf [(The authors have declared that no competing interests exist.)] TJ ET BT 26.250 226.213 Td /F4 12.0 Tf [(References)] TJ ET BT 26.250 198.759 Td /F1 9.8 Tf [(1.)] TJ ET BT 38.132 198.759 Td /F1 9.8 Tf [(Guha-Sapir D, Vos F, Below R, et al. Annual Disaster Statistical Review 2011: The numbers and Trends.The Centre for )] TJ ET BT 26.250 186.854 Td /F1 9.8 Tf [(Research on the Epidemiology of Disasters \(CRED\). Brussels, Belgium; 2012:152. https://www.cred.be/publication/annual-)] TJ ET BT 26.250 174.949 Td /F1 9.8 Tf [(disaster-statistical-review-2011. Accessed November 22, 2012.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 166.463 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 147.913 Td /F1 9.8 Tf [(2.)] TJ ET BT 38.132 147.913 Td /F1 9.8 Tf [(A Year of Crises. Chapter VI: Asylum-seekers. UNHCR-The UN Refugee Agency. UNHCR Global Trends 2011. Geneva; )] TJ ET BT 26.250 136.008 Td /F1 9.8 Tf [(2011:25. Available at: https://www.unhcr.org/globaltrends2011/. Ac-cessed November 22, 2012.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 127.522 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 108.972 Td /F1 9.8 Tf [(3.)] TJ ET BT 38.132 108.972 Td /F1 9.8 Tf [(MacLachlan M. Rethinking global health research: towards integrative expertise. Global Health. 2009 Jul 30;5:6. PubMed )] TJ ET BT 26.250 97.068 Td /F1 9.8 Tf [(PMID:19643021.)] TJ ET BT 26.250 77.663 Td /F1 9.8 Tf [(4.)] TJ ET BT 38.132 77.663 Td /F1 9.8 Tf [(Kelen G, Sauer LM. Trend analysis of disaster health articles in peer-reviewed publications pre- and post-9/11. Am J Disaster )] TJ ET BT 26.250 65.758 Td /F1 9.8 Tf [(Med. 2008 Nov-Dec;3\(6\):369-76. PubMed PMID:19202890.)] TJ ET BT 26.250 46.353 Td /F1 9.8 Tf [(5.)] TJ ET BT 38.132 46.353 Td /F1 9.8 Tf [(Smith E, Wasiak J, Sen A, Archer F, Burkle FM Jr. Three decades of disasters: a review of disaster-specific literature from )] TJ ET Q q 15.000 32.068 577.500 744.932 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(preferentially use MeSH terms and assume that the MeSH terms are appropriately assigned and updated to best reflect terms in )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(disaster and global health in crisis. While the majority of terms fit this assumption, examples such as the MeSH terms )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [([demography] and [epidemiology] in cluster 1, Figure 2 appears to have a paucity of disaster and epidemiology literature and )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(more demography literature. Two articles from humanitarian crisis and mortality literature were chosen and the indexing was )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(checked revealing that there are variations in MeSH assignments.)] TJ ET 0.267 0.267 0.267 rg BT 310.199 721.364 Td /F4 8.7 Tf [(18)] TJ ET 0.271 0.267 0.267 rg BT 319.837 723.745 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 322.246 721.364 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 331.883 719.857 Td /F1 9.8 Tf [(One article had the MeSH term [epidemiology] assigned )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(and neither had the free text terms humanitarian or MeSH term [relief]. This classification variation was also found with natural )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(disaster articles using epidemiological methods where the term [epidemiology] was not listed as one of the primary MeSH )] TJ ET BT 26.250 684.143 Td /F1 9.8 Tf [(terms. Future research is necessary to better understand and validate the MeSH article indexing process which may potentially )] TJ ET BT 26.250 672.238 Td /F1 9.8 Tf [(guide revisions to the National Library of Medicine PubMed indexing process and MeSH glossary of terms.)] TJ ET BT 26.250 652.833 Td /F1 9.8 Tf [(The framework of clusters, nodes and terms can be applied to other searchable databases with some revisions. The terms in )] TJ ET BT 26.250 640.929 Td /F1 9.8 Tf [(this framework are based off of existing MeSH terms from the National Library of Medicine database. For other databases such )] TJ ET BT 26.250 629.024 Td /F1 9.8 Tf [(as Psycinfo or EMBASE the terms would need to match those specific searchable keywords or have functions to search free )] TJ ET BT 26.250 617.119 Td /F1 9.8 Tf [(text terms.)] TJ ET BT 26.250 597.714 Td /F1 9.8 Tf [(Google Scholar provides a complementary approach to searching the literature but can also pose significant limitations if the )] TJ ET BT 26.250 585.810 Td /F1 9.8 Tf [(search methodology is not restricted.)] TJ ET 0.267 0.267 0.267 rg BT 185.565 587.317 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 190.384 585.810 Td /F1 9.8 Tf [( This is exemplified in the large search returns for general disaster and global health in )] TJ ET BT 26.250 573.905 Td /F1 9.8 Tf [(crisis terms. While potentially helpful in tracking the total number of articles, it proves unmanageable with respect to accessing )] TJ ET BT 26.250 562.000 Td /F1 9.8 Tf [(and reading the articles for decision-making purposes. The proposed framework and process provides a structured and )] TJ ET BT 26.250 550.095 Td /F1 9.8 Tf [(restricted format for search returns. In addition exact comparisons between the search engine and PubMed database poses a )] TJ ET BT 26.250 538.191 Td /F1 9.8 Tf [(challenge because the two systems are inherently different in structure and scope.)] TJ ET 0.267 0.267 0.267 rg BT 381.209 539.698 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 386.027 538.191 Td /F1 9.8 Tf [( Further investigation is needed to )] TJ ET BT 26.250 526.286 Td /F1 9.8 Tf [(determine the best and most accurate methodology for comparing the two systems for rigorous comparison.)] TJ ET BT 26.250 506.881 Td /F1 9.8 Tf [(It is important to recognize that the ability to search a large body of literature using this framework and process does not always )] TJ ET BT 26.250 494.976 Td /F1 9.8 Tf [(ensure that users can access the literature for knowledge, learning, and research. While some journals and grey literature are )] TJ ET BT 26.250 483.072 Td /F1 9.8 Tf [(freely available for download, many peer-review articles are not open access and require institutional or personal subscriptions )] TJ ET BT 26.250 471.167 Td /F1 9.8 Tf [(to access this knowledge-base. This is often a limiting factor for practitioners, some policy makers, and many researchers )] TJ ET BT 26.250 459.262 Td /F1 9.8 Tf [(around the world. While outside the scope of this discussion, it is important to recognize this ongoing limitation and challenge.)] TJ ET BT 26.250 422.660 Td /F4 12.0 Tf [(CONCLUSIONS)] TJ ET BT 26.250 402.705 Td /F1 9.8 Tf [(Despite the limitations discussed above, the framework and process to search the peer-reviewed and grey literature can assist )] TJ ET BT 26.250 390.801 Td /F1 9.8 Tf [(a broad array of researchers, practitioners, and policy makers to advance the fields of disaster and global health in crisis. )] TJ ET BT 26.250 378.896 Td /F1 9.8 Tf [(Specifically, researchers can explore the existing body of literature to identify gaps in scholarship and add to the body of )] TJ ET BT 26.250 366.991 Td /F1 9.8 Tf [(literature on key issues within the field. Practitioners will learn from evidence-based research through reviewing content specific )] TJ ET BT 26.250 355.086 Td /F1 9.8 Tf [(literature and improve decision-making and programming during future disasters. Policy makers can better use evidence-based )] TJ ET BT 26.250 343.182 Td /F1 9.8 Tf [(literature to help inform legislation and future policy. And perhaps most importantly, the framework and process will help bring )] TJ ET BT 26.250 331.277 Td /F1 9.8 Tf [(this multidisciplinary and transdisciplinary group closer together by engaging users in reaching toward content and literature )] TJ ET BT 26.250 319.372 Td /F1 9.8 Tf [(among other disciplines, in health and beyond.)] TJ ET BT 26.250 282.770 Td /F4 12.0 Tf [(COMPETING INTERESTS)] TJ ET BT 26.250 262.815 Td /F1 9.8 Tf [(The authors have declared that no competing interests exist.)] TJ ET BT 26.250 226.213 Td /F4 12.0 Tf [(References)] TJ ET BT 26.250 198.759 Td /F1 9.8 Tf [(1.)] TJ ET BT 38.132 198.759 Td /F1 9.8 Tf [(Guha-Sapir D, Vos F, Below R, et al. Annual Disaster Statistical Review 2011: The numbers and Trends.The Centre for )] TJ ET BT 26.250 186.854 Td /F1 9.8 Tf [(Research on the Epidemiology of Disasters \(CRED\). Brussels, Belgium; 2012:152. https://www.cred.be/publication/annual-)] TJ ET BT 26.250 174.949 Td /F1 9.8 Tf [(disaster-statistical-review-2011. Accessed November 22, 2012.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 166.463 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 147.913 Td /F1 9.8 Tf [(2.)] TJ ET BT 38.132 147.913 Td /F1 9.8 Tf [(A Year of Crises. Chapter VI: Asylum-seekers. UNHCR-The UN Refugee Agency. UNHCR Global Trends 2011. Geneva; )] TJ ET BT 26.250 136.008 Td /F1 9.8 Tf [(2011:25. Available at: https://www.unhcr.org/globaltrends2011/. Ac-cessed November 22, 2012.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 127.522 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 108.972 Td /F1 9.8 Tf [(3.)] TJ ET BT 38.132 108.972 Td /F1 9.8 Tf [(MacLachlan M. Rethinking global health research: towards integrative expertise. Global Health. 2009 Jul 30;5:6. PubMed )] TJ ET BT 26.250 97.068 Td /F1 9.8 Tf [(PMID:19643021.)] TJ ET BT 26.250 77.663 Td /F1 9.8 Tf [(4.)] TJ ET BT 38.132 77.663 Td /F1 9.8 Tf [(Kelen G, Sauer LM. Trend analysis of disaster health articles in peer-reviewed publications pre- and post-9/11. Am J Disaster )] TJ ET BT 26.250 65.758 Td /F1 9.8 Tf [(Med. 2008 Nov-Dec;3\(6\):369-76. 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Prehosp Disaster Med. 2009 Jul-Aug;24\(4\):306-11. PubMed PMID:19806554.)] TJ ET BT 26.250 748.071 Td /F1 9.8 Tf [(6.)] TJ ET BT 38.132 748.071 Td /F1 9.8 Tf [(National Library of Medicine Disaster Information Management Research Center Web site. https://disaster.nlm.nih.gov/. )] TJ ET BT 26.250 736.167 Td /F1 9.8 Tf [(Accessed November 22, 2012.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 727.681 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 709.131 Td /F1 9.8 Tf [(7.)] TJ ET BT 38.132 709.131 Td /F1 9.8 Tf [(Schroeder ED, Jacquet G, Becker TK, Foran M, Goldberg E, Aschkenasy M, Bertsch K, Levine AC. Global Emergency )] TJ ET BT 26.250 697.226 Td /F1 9.8 Tf [(Medicine: A Review of the Literature From 2011. Acad Emerg Med. 2012 Oct;19\(10\):1196-1203. PubMed PMID:22994394.)] TJ ET BT 26.250 677.821 Td /F1 9.8 Tf [(8.)] TJ ET BT 38.132 677.821 Td /F1 9.8 Tf [(Williams J, Nocera M, Casteel C. 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The Cochrane Collaboration. https://www.cochrane.org/cochrane-reviews/evidence-aid-project. )] TJ ET BT 26.250 282.702 Td /F1 9.8 Tf [(Accessed February 25, 2013.)] TJ ET Q q 15.000 265.321 577.500 511.679 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(1977-2009. Prehosp Disaster Med. 2009 Jul-Aug;24\(4\):306-11. PubMed PMID:19806554.)] TJ ET BT 26.250 748.071 Td /F1 9.8 Tf [(6.)] TJ ET BT 38.132 748.071 Td /F1 9.8 Tf [(National Library of Medicine Disaster Information Management Research Center Web site. https://disaster.nlm.nih.gov/. )] TJ ET BT 26.250 736.167 Td /F1 9.8 Tf [(Accessed November 22, 2012.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 727.681 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 709.131 Td /F1 9.8 Tf [(7.)] TJ ET BT 38.132 709.131 Td /F1 9.8 Tf [(Schroeder ED, Jacquet G, Becker TK, Foran M, Goldberg E, Aschkenasy M, Bertsch K, Levine AC. Global Emergency )] TJ ET BT 26.250 697.226 Td /F1 9.8 Tf [(Medicine: A Review of the Literature From 2011. Acad Emerg Med. 2012 Oct;19\(10\):1196-1203. PubMed PMID:22994394.)] TJ ET BT 26.250 677.821 Td /F1 9.8 Tf [(8.)] TJ ET BT 38.132 677.821 Td /F1 9.8 Tf [(Williams J, Nocera M, Casteel C. The effectiveness of disaster training for health care workers: a systematic review. Ann )] TJ ET BT 26.250 665.916 Td /F1 9.8 Tf [(Emerg Med. 2008 Sep;52\(3\):211-22, 222.e1-2. PubMed PMID:18069087.)] TJ ET BT 26.250 646.512 Td /F1 9.8 Tf [(9.)] TJ ET BT 38.132 646.512 Td /F1 9.8 Tf [(Shultz M. Comparing test searches in PubMed and Google Scholar. J Med Libr Assoc. 2007 Oct;95\(4\):442-5. PubMed )] TJ ET BT 26.250 634.607 Td /F1 9.8 Tf [(PMID:17971893.)] TJ ET BT 26.250 615.202 Td /F1 9.8 Tf [(10.)] TJ ET BT 43.553 615.202 Td /F1 9.8 Tf [(Kesselman M, Watstein SB. Google ScholarTM and libraries: point/counterpoint. 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Jones & Bartlett Publishers; )] TJ ET BT 26.250 509.369 Td /F1 9.8 Tf [(2010:572.)] TJ ET BT 26.250 489.964 Td /F1 9.8 Tf [(14.)] TJ ET BT 43.553 489.964 Td /F1 9.8 Tf [(Coule PL, Mitas JA eds. Core Disaster Life Support Manual, Version 3.0. 3rd ed. Chicago: American Medical Association; )] TJ ET BT 26.250 478.059 Td /F1 9.8 Tf [(2010.)] TJ ET BT 26.250 458.655 Td /F1 9.8 Tf [(15.)] TJ ET BT 43.553 458.655 Td /F1 9.8 Tf [(Hogan DE, Burstein JL. Disaster Medicine. 2nd ed. Lippincott Williams & Wilkins; 2002:435.)] TJ ET BT 26.250 439.250 Td /F1 9.8 Tf [(16.)] TJ ET BT 43.553 439.250 Td /F1 9.8 Tf [(Booth A. In search of the evidence: informing effective practice. British Journal of Clinical Governance. 1996;1\(1\):2529.)] TJ ET BT 26.250 419.845 Td /F1 9.8 Tf [(17.)] TJ ET BT 43.553 419.845 Td /F1 9.8 Tf [(Lowe HJ, Barnett GO. Understanding and using the medical subject headings \(MeSH\) vocabulary to perform literature )] TJ ET BT 26.250 407.940 Td /F1 9.8 Tf [(searches. 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Disaster Med Public Health Prep. 2011 Mar;5\(1\):69-72. PubMed PMID:21402829.)] TJ ET BT 26.250 294.607 Td /F1 9.8 Tf [(21.)] TJ ET BT 43.553 294.607 Td /F1 9.8 Tf [(Evidence Aid Project. The Cochrane Collaboration. https://www.cochrane.org/cochrane-reviews/evidence-aid-project. )] TJ ET BT 26.250 282.702 Td /F1 9.8 Tf [(Accessed February 25, 2013.)] TJ ET Q q 15.000 265.321 577.500 511.679 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(1977-2009. Prehosp Disaster Med. 2009 Jul-Aug;24\(4\):306-11. PubMed PMID:19806554.)] TJ ET BT 26.250 748.071 Td /F1 9.8 Tf [(6.)] TJ ET BT 38.132 748.071 Td /F1 9.8 Tf [(National Library of Medicine Disaster Information Management Research Center Web site. https://disaster.nlm.nih.gov/. )] TJ ET BT 26.250 736.167 Td /F1 9.8 Tf [(Accessed November 22, 2012.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 727.681 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 709.131 Td /F1 9.8 Tf [(7.)] TJ ET BT 38.132 709.131 Td /F1 9.8 Tf [(Schroeder ED, Jacquet G, Becker TK, Foran M, Goldberg E, Aschkenasy M, Bertsch K, Levine AC. Global Emergency )] TJ ET BT 26.250 697.226 Td /F1 9.8 Tf [(Medicine: A Review of the Literature From 2011. Acad Emerg Med. 2012 Oct;19\(10\):1196-1203. PubMed PMID:22994394.)] TJ ET BT 26.250 677.821 Td /F1 9.8 Tf [(8.)] TJ ET BT 38.132 677.821 Td /F1 9.8 Tf [(Williams J, Nocera M, Casteel C. The effectiveness of disaster training for health care workers: a systematic review. Ann )] TJ ET BT 26.250 665.916 Td /F1 9.8 Tf [(Emerg Med. 2008 Sep;52\(3\):211-22, 222.e1-2. PubMed PMID:18069087.)] TJ ET BT 26.250 646.512 Td /F1 9.8 Tf [(9.)] TJ ET BT 38.132 646.512 Td /F1 9.8 Tf [(Shultz M. Comparing test searches in PubMed and Google Scholar. J Med Libr Assoc. 2007 Oct;95\(4\):442-5. PubMed )] TJ ET BT 26.250 634.607 Td /F1 9.8 Tf [(PMID:17971893.)] TJ ET BT 26.250 615.202 Td /F1 9.8 Tf [(10.)] TJ ET BT 43.553 615.202 Td /F1 9.8 Tf [(Kesselman M, Watstein SB. Google ScholarTM and libraries: point/counterpoint. Reference Services Review. )] TJ ET BT 26.250 603.297 Td /F1 9.8 Tf [(2005;33\(4\):380387.)] TJ ET BT 26.250 583.893 Td /F1 9.8 Tf [(11.)] TJ ET BT 43.553 583.893 Td /F1 9.8 Tf [(Ely JW, Osheroff JA, Ebell MH, Chambliss ML, Vinson DC, Stevermer JJ, Pifer EA. Obstacles to answering doctors' )] TJ ET BT 26.250 571.988 Td /F1 9.8 Tf [(questions about patient care with evidence: qualitative study. BMJ. 2002 Mar 23;324\(7339\):710. PubMed PMID:11909789.)] TJ ET BT 26.250 552.583 Td /F1 9.8 Tf [(12.)] TJ ET BT 43.553 552.583 Td /F1 9.8 Tf [(Harrison J. Designing a search strategy to identify and retrieve articles on evidence-based health care using MEDLINE. )] TJ ET BT 26.250 540.678 Td /F1 9.8 Tf [(Health Libr Rev. 1997 Mar;14\(1\):33-42. PubMed PMID:10173177.)] TJ ET BT 26.250 521.274 Td /F1 9.8 Tf [(13.)] TJ ET BT 43.553 521.274 Td /F1 9.8 Tf [(Kapur GB, Smith JP. Emergency Public Health: Preparedness and Response. 1st ed. Jones & Bartlett Publishers; )] TJ ET BT 26.250 509.369 Td /F1 9.8 Tf [(2010:572.)] TJ ET BT 26.250 489.964 Td /F1 9.8 Tf [(14.)] TJ ET BT 43.553 489.964 Td /F1 9.8 Tf [(Coule PL, Mitas JA eds. Core Disaster Life Support Manual, Version 3.0. 3rd ed. Chicago: American Medical Association; )] TJ ET BT 26.250 478.059 Td /F1 9.8 Tf [(2010.)] TJ ET BT 26.250 458.655 Td /F1 9.8 Tf [(15.)] TJ ET BT 43.553 458.655 Td /F1 9.8 Tf [(Hogan DE, Burstein JL. Disaster Medicine. 2nd ed. Lippincott Williams & Wilkins; 2002:435.)] TJ ET BT 26.250 439.250 Td /F1 9.8 Tf [(16.)] TJ ET BT 43.553 439.250 Td /F1 9.8 Tf [(Booth A. In search of the evidence: informing effective practice. British Journal of Clinical Governance. 1996;1\(1\):2529.)] TJ ET BT 26.250 419.845 Td /F1 9.8 Tf [(17.)] TJ ET BT 43.553 419.845 Td /F1 9.8 Tf [(Lowe HJ, Barnett GO. Understanding and using the medical subject headings \(MeSH\) vocabulary to perform literature )] TJ ET BT 26.250 407.940 Td /F1 9.8 Tf [(searches. JAMA. 1994 Apr 13;271\(14\):1103-8. PubMed PMID:8151853.)] TJ ET BT 26.250 388.536 Td /F1 9.8 Tf [(18.)] TJ ET BT 43.553 388.536 Td /F1 9.8 Tf [(Burnham G, Lafta R, Doocy S, Roberts L. Mortality after the 2003 invasion of Iraq: a cross-sectional cluster sample survey. )] TJ ET BT 26.250 376.631 Td /F1 9.8 Tf [(Lancet. 2006 Oct 21;368\(9545\):1421-8. PubMed PMID:17055943.)] TJ ET BT 26.250 357.226 Td /F1 9.8 Tf [(19.)] TJ ET BT 43.553 357.226 Td /F1 9.8 Tf [(Coghlan B, Brennan RJ, Ngoy P, Dofara D, Otto B, Clements M, Stewart T. Mortality in the Democratic Republic of Congo: )] TJ ET BT 26.250 345.321 Td /F1 9.8 Tf [(a nationwide survey. Lancet. 2006 Jan 7;367\(9504\):44-51. PubMed PMID:16399152.)] TJ ET BT 26.250 325.917 Td /F1 9.8 Tf [(20.)] TJ ET BT 43.553 325.917 Td /F1 9.8 Tf [(Turner T, Green S, Harris C. Supporting evidence-based health care in crises: what information do humanitarian )] TJ ET BT 26.250 314.012 Td /F1 9.8 Tf [(organizations need? Disaster Med Public Health Prep. 2011 Mar;5\(1\):69-72. PubMed PMID:21402829.)] TJ ET BT 26.250 294.607 Td /F1 9.8 Tf [(21.)] TJ ET BT 43.553 294.607 Td /F1 9.8 Tf [(Evidence Aid Project. 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