Injury patterns and associated demographics of intimate partner violence in men presenting to U.S. emergency departments.

Research suggests that there are differences between sexes in physical intimate partner violence (IPV) victimization that could lead to different injury patterns. In addition, research shows that men under-report their injuries yet may suffer grave consequences. It is, thus, vital to establish physical injury patterns in male IPV victims. A retrospective review of prospectively collected data was performed using the National Electronic Injury Surveillance System-All Injury Program data from 2005 to 2015 for all IPV-related injuries in both male and female patients. Sex differences by demographics, mechanism, anatomic location, and diagnoses of IPV injuries were analyzed using statistical methods accounting for the weighted stratified nature of the data. IPV accounted for 0.61% of all emergency department visits; 17.2% were in males and 82.8% in females. Male patients were older (36.1% vs. 16.8% over 60 years), more likely to be Black (40.5% vs. 28.8%), sustained more injuries due to cutting (28.1% vs. 3.5%), more lacerations (46.9% vs. 13.0%), more injuries to the upper extremity (25.8% vs. 14.1%), and fewer contusions/abrasions (30.1% vs. 49.0%), compared to female IPV patients (p < .0001). There were also more hospitalizations in men (7.9% vs. 3.7% p = .0002). Knowledge of specific IPV-related injury characteristics in men will enable healthcare providers to counteract underreporting of IPV.

Changes in pediatric fracture patterns presenting to US emergency departments before, during, and after the COVID-19 pandemic.

The purpose of this study was to analyze the demographics of pediatric fracture patients before, during, and after the COVID pandemic using US national emergency department (ED) data. The National Electronic Injury Surveillance System (NEISS) data for the years 2018 through 2021 was extracted for those <16 years of age, and organized into 24 consecutive bimonthly groups. There was a decrease in the number of ED visits for fractures in 2020 and returned to pre-COVID levels by March/April of 2021, except for small hospitals which demonstrated an earlier rebound beginning in late 2020. During the pandemic the incident locale was more frequently the home and less at schools/sporting venues, which returned to pre-COVID levels by March/April 2021. The proportion of those not discharged from the ED increases from March/April 2020 to March/April 2021. The median age was 8.8, 9.0, 8.2, and 8.7 years respectively for the years 2018, 2019, 2020, and 2021. Early in the pandemic there were more radius/ulna and fewer finger fractures and more tibia/fibula and fewer toe fractures; these changes did not return to pre-COVID percentages until the end of 2021. Fractures associated with bicycles and trampolines remained stable throughout the pandemic, those due to skateboards increased, and those due to playground and sporting activities decreased, with varying times of return to pre-COVID levels. In conclusion pediatric fracture patterns during the COVID-19 pandemic demonstrated many changes; most returned to baseline patterns by early/mid 2021 except for small hospital EDs which saw a much quicker rebound by late 2020. This national data gives health care providers/administrators information about what can happen during a modern day pandemic. If another pandemic occurs in the future mandating lockdowns, this data may be useful to guide resource and manpower allocations.

Psychosocial impacts on college students providing mental health peer support.

Objective: To examine psychosocial effects on college student peer support workers of providing mental health peer support as compared to other trained student workers. Participants: From August 2016 through May 2017, undergraduate students trained to provide mental health peer support were compared to trained student workers not providing peer support. Methods: A post-training, post-working survey design was used to assess psychosocial effects using Keyes' Mental Health Continuum Short Form, the Deakin Coping Scale, and the Interpersonal Support Evaluation List. Results: At completion of training, peer supporters had lower flourishing (-9.5%, p = 0.090) than controls. After 6 weeks' work, peer supporters exhibited lowered avoidance coping (-62%, p = 0.023), and more belonging support (+9.5%, p = 0.044). Conclusions: Peer supporters' mental wellness does not decrease over the course of working as a mental health peer support worker; conversely, some aspects of well-being improve.

Tragedy and the meaning of school shootings.

School shootings are traumatic events that cause a community to question itself, its values, and its educational systems. In this article Bryan Warnick, Benjamin Johnson, and Samuel Rocha explore the meanings of school shootings by examining three recent books on school violence. Topics that grow out of these books include (1) how school shootings might be seen as ceremonial rituals, (2) how schools come to be seen as appropriate places for shootings, and (3) how advice to educators relating to school shootings might change the practice of teaching. The authors present various ways of understanding school shootings that may eventually prove helpful, but they also highlight the problems, tensions, and contradictions associated with each position. In the end, the authors argue, the circumstances surrounding school shootings demonstrate the need for the "tragic sense" in education. This need for the tragic sense, while manifest in many different areas of schooling, is exemplified most clearly in targeted school shootings.