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1.
Medicine (Baltimore) ; 99(4): e18789, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31977870

RESUMO

Clinical features of extremity fractures (EFs) in patients presenting with traumatic spinal fractures (TSFs) and spinal cord injury (SCI) have not been investigated. To investigate the clinical features and risk factors for EFs in patients presenting with TSFs and SCI.Data from 1392 patients presenting with TSFs and SCI in our hospitals between 2001 and 2010 were retrospectively reviewed, among which 165 patients (129 males and 36 females, 37.5 ±â€Š10.6 years old) presented with EFs. The clinical features of EFs have been investigated.The frequencies of upper limb fractures were significantly higher in the motor vehicle collisions (MVCs) group than in the high-fall group (P = .012) and the struck-by-object group (P = .002). The frequencies of lower limb fractures were significantly higher in the struck-by-object group (P = .019) and the high-fall group (P = .011) than the MVCs group. Univariate logistic regression analysis show that being in the 19 to 39 age group (P = .001), having a lumbar spinal fracture (P < .001) and experiencing a high fall (P < .001) were risk factors for EFs. Multivariate logistic regression analysis showed that we should focus on the factors that having a lumbar spinal fracture and experiencing a high fall.High fall and MVCs were the most common aetiologies for EFs. Having a lumbar spinal fracture and experiencing a high fall were significant risk factors for EFs. We should make early diagnoses and initiate timely treatment according to different patterns of extremity fractures in patients with TSFs and SCI.


Assuntos
Fraturas Ósseas/epidemiologia , Extremidade Inferior/lesões , Fraturas da Coluna Vertebral/epidemiologia , Extremidade Superior/lesões , Acidentes/estatística & dados numéricos , Adulto , Fatores Etários , Feminino , Fraturas Ósseas/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Risco , Fraturas da Coluna Vertebral/etiologia
2.
Pan Afr Med J ; 33: 189, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31692788

RESUMO

Introduction: Burn injuries are a major cause of hospitalization and are associated with significant morbidity and mortality, particularly in children aged four years or below. In Cameroon, the mortality rate of pediatric severe burns was estimated at 41.2%. There is need to determine the predictors of such mortality in order to guide appropriate management. Methods: This study is aimed at assessing the predictors of mortality of pediatric patients who sustained a burn injury over a period of 11 years (between 1st of January 2006 and 31st of December 2016) in Douala General Hospital (DGH). The data for this study was entered in an electronic questionnaire and analyzed using Epi info version 7. All variables thought to be associated with mortality were entered in a multiple binary logistic regression model. The magnitude or risk was measured by odds ratio, and the 95% confidence interval was estimated. Results: A total of 125 cases of pediatric burns were recorded over the study period. A total of 69 (55.65%) were males, giving a male to female ratio of 1.25:1. The median age was 4 years. Most pediatric burns resulted from accidents. Most patient 78 (69%) came before 8 hours following injury. Scalding was the predominant mechanism of injury in 56 (45.5%) of patients. Most patients had partial thickness burn and most burns involved 1-9.9% body surface areas (BSA). The mean length of hospital stay in this study was 7 days, more than half of the patients had no complications during admission. Among those that developed complications, 19 (35%) developed sepsis. Conclusion: Mortality rate of pediatric burns obtained in this study was 29%, mostly due to cardiac arrest. Flame burns (p=0.03) and BSA >25% (p=0.001) were statistically significant predictors of mortality.


Assuntos
Acidentes/estatística & dados numéricos , Queimaduras/epidemiologia , Parada Cardíaca/epidemiologia , Hospitalização/estatística & dados numéricos , Adolescente , Queimaduras/complicações , Queimaduras/mortalidade , Camarões , Criança , Pré-Escolar , Estudos Transversais , Feminino , Parada Cardíaca/etiologia , Parada Cardíaca/mortalidade , Hospitais Gerais , Humanos , Lactente , Recém-Nascido , Tempo de Internação , Masculino , Estudos Retrospectivos , Inquéritos e Questionários
3.
Lakartidningen ; 1162019 Nov 14.
Artigo em Sueco | MEDLINE | ID: mdl-31742653

RESUMO

In Sweden equestrian sport activities are the sixth most popular sport and predominantly women and girls are engaged. Horses are prey animals and humans are predators, and the two species therefore act in completely different ways. It is well known that accidents can occur when horses and humans interact. Literature from different countries in the world reveals that most accidents happen to females and also children are at risk. The most common accident is when a rider falls from a horse, but also unmounted humans are at risk for injuries. Most of the injuries are uncomplicated, but there are several reports of serious injuries and death. Prevention of injuries is very important. Education about how horses behave and react in different situations and how to communicate with horses according to Natural Horsemanship strategies make the horses less inclined to escape. The effectiveness of helmets in preventing serious head injury has been well established.


Assuntos
Traumatismos em Atletas , Cavalos , Ferimentos e Lesões , Prevenção de Acidentes , Acidentes/estatística & dados numéricos , Adolescente , Adulto , Animais , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/prevenção & controle , Criança , Humanos , Equipamentos de Proteção , Suécia/epidemiologia , Ferimentos e Lesões/epidemiologia , Ferimentos e Lesões/prevenção & controle , Adulto Jovem
4.
Medicine (Baltimore) ; 98(39): e17330, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31574869

RESUMO

The aim of this study was to investigate the experiences of medical transportation of Korean travelers who suffered accidents abroad and then transferred home by our aeromedical team.We collected demographic and clinical data on patients injured while traveling abroad from January 2013 to July 2017. Descriptive analyses based on 4 different transportation methods and transport time since hospitalization were performed.A total of 33 patients were repatriated during the study period. Of these, 28 (84.8%) were trauma cases with pedestrian injuries being the most common (11 cases; 39.3%). Twenty patients were repatriated by flight-stretchers, 6 by flight-prestige, 2 by ship, and 5 by air ambulance. The air ambulance was the most expensive (average 61,124 US Dollars) mode of transportation (P = .001) and the ship took the longest time (14 hours) to transport patients back to Korea from regions with similar distance (P = .0023).We experienced medical repatriation of 33 seriously injured Korean travelers back to South Korea. Transfer time should be an important considering factor and directly contacting and communicating with the specialized staff of foreign hospitals could also be very important to reduce unnecessary overseas hospital stay and cost incidence.


Assuntos
Transporte de Pacientes , Viagem/estatística & dados numéricos , Ferimentos e Lesões , Acidentes/economia , Acidentes/estatística & dados numéricos , Adulto , Resgate Aéreo , Feminino , Humanos , Incidência , Seguro Saúde , Internacionalidade , Masculino , República da Coreia , Macas (Leitos) , Transporte de Pacientes/economia , Transporte de Pacientes/métodos , Transporte de Pacientes/estatística & dados numéricos , Ferimentos e Lesões/economia , Ferimentos e Lesões/epidemiologia
5.
Accid Anal Prev ; 133: 105262, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31561116

RESUMO

The paper describes a study aiming to assess the human error contribution in ship accidents in different weather conditions and the contribution that high significant wave heights have in the occurrence of certain accident typologies. To this aim, a Bayesian Belief Network model is developed, which includes variables related to the maritime accident but also to the different wave conditions. For the quantification of the conditional probability tables the maritime accident database of the Portuguese Maritime Authority is used, which includes 857 validated accidents registered in the period 1997-2006. Similarly, several significant wave height databases are used to populate the node correspondent to this variable. The importance of accurate estimation of the significant wave height is also discussed. To substantiate this discussion a comparison between hard evidence (ε) and a soft one (µ,σ) is performed for the significant wave height node of the BBN model. The application of different combinations of evidence in the model allows the identification of patterns of influence of the human error cause in comparison with others, namely with the sea and weather one. The results show one apparent high-risk acceptance within the crews of the fishing vessels and low risk perception in the recreational vessels. Based on the results, are provided recommendations to decrease the risk associated to specific probable causes.


Assuntos
Acidentes/estatística & dados numéricos , Movimentos da Água , Teorema de Bayes , Bases de Dados Factuais , Humanos , Probabilidade , Competência Profissional , Navios , Tempo (Meteorologia)
6.
Artigo em Inglês | MEDLINE | ID: mdl-31336772

RESUMO

Escalator-related incidents (EIs) have recently resulted in serious injuries and even deaths. Given the frequency and severity of EIs, a systematic exploration of factors influencing EIs is critical in order to identify preventive measures. Twenty-two factors influencing EIs were identified by analyzing 213 EI cases in China and related literatures. A combination of the Interpretive Structural Modeling (ISM) and Decision Making Trial and Evaluation Laboratory (DEMATEL) methods were utilized to establish a hierarchical structure of the influencing factors and to distinguish cause factors and effect factors. The results show: (i) behavior, emergency plan, safety rules, safety supervision, information exchange, safety culture, and safety education are the most important factors influencing EIs; (ii) safety education is the cause factor imposing the greatest influence on other factors while behavior is the effect factor that is the most influenced; and (iii) the structure of influencing factors has five hierarchies, and factors in the root cause layer are settings and components, safety rules, safety supervision, safety culture, and safety education. Management priority should be given according to the hierarchy level, and the interaction of factors should be considered when taking preventive measures. The corresponding five-layer countermeasures are proposed to reduce escalator-related injuries.


Assuntos
Acidentes/estatística & dados numéricos , Elevadores e Escadas Rolantes , Segurança/estatística & dados numéricos , China , Tomada de Decisões , Humanos , Fatores de Risco
7.
BMC Public Health ; 19(1): 1010, 2019 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-31357967

RESUMO

BACKGROUND: Alcohol related homicide, suicide and aggravated assault represent the largest costs for the state of Illinois. Previous research has examined the impact of some alcohol-related policies on youth alcohol use and alcohol-related harm in the United States but findings have been mixed. To our knowledge, no study has provided a detailed epidemiology of the relationship between the impacts of alcohol policies on unintentional injury in Illinois. Therefore, the purpose of this study is to determine whether a legislation that prohibit minors under 21 years old in establishments that serve alcohol is more salient than individual level factors in predicting hospitalization for traumatic unintentional injuries. METHODS: A retrospective observational study of data abstracted from 6,139 patients aged 10 to 19 hospitalized in Illinois Level I and Level II trauma centers. Patient data from 2006 to 2015 was linked with the city-level alcohol-related legislation (n = 514 cities). The response variable was whether a patient tested positive or negative for blood alcohol concentration (BAC) at the time of admission. Mixed-effects logistic regression analyses were conducted to model the patient and city level legislation effect of having a positive BAC test result on hospitalizations after adjusting for the legislation and patient factors. RESULTS: After adjustment, patients aged 15 to 19 and white patients who tested positive for BAC at the time of admission had the greater odds of hospitalization for traumatic alcohol-related unintentional injuries compared to patients who had a negative BAC test result. However, odds of hospitalization decreased for female patients and for those with private insurance, and over time, but a significant decrease in such hospitalizations occurred during 2010, 2014 and 2015. The alcohol-related legislation of interest was not a significant predictor of traumatic alcohol-related unintentional injury hospitalization. CONCLUSIONS: Patient-level covariates were significant predictors of traumatic alcohol-related unintentional injury hospitalization; an alcohol-related legislation may not reduce hospitalizations for young patients aged 10 to 19. Therefore, to prevent underage drinking and consequences, interventions should target sex/gender, race/ethnicity and focus on both individual and environmental strategies.


Assuntos
Acidentes/estatística & dados numéricos , Transtornos Relacionados ao Uso de Álcool/terapia , Comércio/legislação & jurisprudência , Hospitalização/estatística & dados numéricos , Menores de Idade/legislação & jurisprudência , Consumo de Álcool por Menores/legislação & jurisprudência , Ferimentos e Lesões/terapia , Adolescente , Transtornos Relacionados ao Uso de Álcool/epidemiologia , Concentração Alcoólica no Sangue , Criança , Feminino , Humanos , Illinois/epidemiologia , Masculino , Menores de Idade/estatística & dados numéricos , Estudos Retrospectivos , Fatores de Risco , Centros de Traumatologia , Ferimentos e Lesões/epidemiologia , Adulto Jovem
8.
Accid Anal Prev ; 131: 33-44, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31233994

RESUMO

Active transport, including cycling, is promoted as an effective way of increasing children's physical activity and health. Parents can support children's riding by riding with them and it is important to address relevant safety issues. Little is known about parents' experience of safety-relevant aspects of riding with children. Participants in the Safer Cycling Study in New South Wales, Australia, who reported that they had ridden with children in the last 12 months were questioned about how they ride with children, and their experience of safety issues and crashes. Among the 187 respondents who had ridden with children on their bicycle, the most common form of carrier was a rear-mounted seat (48%) followed by a trailer (29%). Many respondents (79%) identified risks specific to riding carrying children, including those linked with specific carrier types and with use of footpaths. Most (92%) indicated that they change their behaviour when carrying a child on their bicycle; for example, riding more slowly, more carefully, and away from roads. Among crashes with a child on the bicycle, most were falls. Among the 345 participants who had ridden to accompany a child on a bicycle, approximately three quarters identified risks specific to accompanying children, such as managing the child's limited skill, awareness and predictability. Ninety-seven percent reported behavioural changes including positioning themselves as a barrier for their child and caution crossing roads. Findings suggest strategies to support parents in riding safely with children.


Assuntos
Ciclismo/psicologia , Pais/psicologia , Acidentes/estatística & dados numéricos , Adulto , Ambiente Construído , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , New South Wales , Estudos Prospectivos , Fatores de Risco , Autorrelato
9.
J Pediatr Surg ; 54(11): 2375-2381, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31072680

RESUMO

BACKGROUND: The purpose of this study was to investigate our institution's experience with pediatric firearm events. We sought to determine the relationship between a community's level of socioeconomic distress and the incidence of youth gun violence. METHODS: We performed a retrospective review of children <18 years involved in firearm events. Using visual cluster analysis, we portrayed all firearm events and violent firearm events (assaults + homicides). Distressed community indices (DCIs) were obtained from an interface that uses US Census Bureau data. Incident rate ratios (IRRs) were calculated for firearm circumstances (i.e. assault, homicide, suicide) using a DCI. Significant IRRs were analyzed to discern which DCI metrics contributed most to gun violence. RESULTS: There were 114 children involved in firearm events; 66 were county residents. The DCI of injury location significantly predicted total firearm events (IRR 1.02, 95% CI 1.01-1.03), assaults (IRR 1.02, 95% CI 1.01-1.05), and violent firearm events (IRR 1.03, 95% CI 1.01-1.05). The proportion of adults without a high school diploma, poverty rate, median income ratio, and housing vacancy rate were highly predictive of gun violence (VIP >1). CONCLUSION: Community distress significantly predicts pediatric firearm violence. Local interventions should target neighborhoods with high levels of distress to prevent further youth gun violence. LEVEL OF EVIDENCE: Retrospective study, IV.


Assuntos
Violência com Arma de Fogo/estatística & dados numéricos , Fatores Socioeconômicos , Ferimentos por Arma de Fogo/epidemiologia , Acidentes/estatística & dados numéricos , Adolescente , Criança , Escolaridade , Feminino , Georgia/epidemiologia , Homicídio/estatística & dados numéricos , Habitação , Humanos , Renda , Masculino , Abuso Físico , Áreas de Pobreza , Estudos Retrospectivos , Tentativa de Suicídio/estatística & dados numéricos , /estatística & dados numéricos
11.
J Occup Health ; 61(5): 358-367, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31050123

RESUMO

OBJECTIVES: Reducing human errors caused by daytime sleepiness among train drivers is important to prevent train accidents. Our purpose of the study was to investigate the association among sleep, workplace sleeping environments, and human errors. METHODS: We recruited 144 South Korean train drivers belongs to the Korean Railroad Corporation. This cross-sectional data was analyzed to investigate the association of insomnia (insomnia severity index), sleep quality (Pittsburgh sleep quality index), obstructive sleep apnea (Berlin questionnaire), and daytime sleepiness (Epworth scale) with human error and near-miss experiences. We examined whether human error and near-miss events were associated with various sleeping environments at work and at home after adjusting for the sleep indices. RESULTS: The experience of human errors was associated with insomnia and daytime sleepiness, and near-miss events were associated with insomnia among South Korean drivers. Sleeping environments including cold temperature and odor were related to both human errors and near-miss events among South Korean train drivers, after adjusted for age, working years, shiftwork, obesity, smoking, binge drinking, regular exercise, caffeine consumption, sleep quality, severity of insomnia, obstructive sleep apnea, and daytime sleepiness. CONCLUSIONS: The train drivers' workplace sleeping environment is significantly associated with human error events and near-miss events after adjusting for sleep quality, insomnia, obstructive sleep apnea, and daytime sleepiness. To prevent train accidents caused by human errors, more attention is necessary for improving workplace sleeping environments.


Assuntos
Acidentes/estatística & dados numéricos , Ferrovias/estatística & dados numéricos , Apneia Obstrutiva do Sono/epidemiologia , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Sonolência , Adulto , Estudos Transversais , Meio Ambiente , Humanos , Masculino , Pessoa de Meia-Idade , República da Coreia , Inquéritos e Questionários
12.
Rev Col Bras Cir ; 46(2): e2104, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31017178

RESUMO

OBJECTIVE: to investigate the main causes and most common risk situations related to childhood accidents, in our local reality. METHODS: an observational, cross-sectional, retrospective, descriptive, and analytical study from the medical records of patients attended in the pediatric emergency services of the hospital complex of Hospital das Clínicas, Botucatu Medical School - UNESP, in 2016. We included patients from zero to 15 years old who had received medical care related to accidents, determining age, gender, type of accident, period of the day, accident place, and history of previous accidents. RESULTS: considering all consultations with appropriate medical records, 936 (27.5%) were related to accidents: 588 (62.8%) in male patients and 348 (37.2%) in female patients. As to age, 490 (52.3%) happened with children from zero to five years, 245 (26.2%) with children from six to ten years, and 201 (21.5%) with children over ten years. Falls and local traumas were the most common types of accidents in all analyzed age groups. Most accidents occurred in the afternoon (46.1%), at home (60.7%), and 26.6% of the patients had a history of previous accidents. CONCLUSION: accidents were responsible for a large portion of urgent care. The high rate of patients with previous accident records indicated the repeated exposure of these children to risk situations.


Assuntos
Acidentes/estatística & dados numéricos , Ferimentos e Lesões/epidemiologia , Adolescente , Distribuição por Idade , Brasil/epidemiologia , Criança , Maus-Tratos Infantis/estatística & dados numéricos , Pré-Escolar , Estudos Transversais , Serviços Médicos de Emergência/estatística & dados numéricos , Feminino , Humanos , Lactente , Masculino , Registros Médicos , Estudos Retrospectivos , Fatores de Risco , Distribuição por Sexo , Estatísticas não Paramétricas , Centros de Atenção Terciária/estatística & dados numéricos
13.
J Forensic Leg Med ; 64: 49-51, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31003064

RESUMO

Tattoos have been previously linked to high-risk behaviours involving drug use, sexual promiscuity, mental health disorders such as depression and subsequent suicidality, aberrant personality traits including lack of sociability and reduced inhibition, psychopathy and schizophrenia. All of these have been associated with violent and early deaths. Given the recent increase in numbers of individuals being tattooed in Western communities, a retrospective study was undertaken of 100 consecutive autopsy cases with tattoos over a 5-year period from 2013 to 2017, with age and sex-matched controls. Although those with ≥5 tattoo regions were slightly younger than those with <5, 47.4 compared to 49.7 years, this did not reach statistical significance (p = 0.35). Similarly, there were no significant differences in the cause and manner of death among the groups (p = 0.09). This study has, therefore, shown no significant association between the number of tattoos and premature mortality, or between the cause and manner of death and the presence or absence of tattoos. Previous stereotypes regarding tattooed individuals may no longer apply.


Assuntos
Causas de Morte , Tatuagem/estatística & dados numéricos , Acidentes/estatística & dados numéricos , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Feminino , Homicídio/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Distribuição por Sexo , Suicídio/estatística & dados numéricos , Adulto Jovem
14.
Injury ; 50(4): 883-889, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30935746

RESUMO

BACKGROUND: Honduras is one of the most violent countries in the world and it has limited epidemiological data that describes the extent of intentional and unintentional injuries. This research is needed to develop and inform prevention programs in Honduras, as well as to spread international awareness. METHODS: A cross-sectional study was carried out on a paper-based injury surveillance system (InSS) with the help of Honduras' University Medical School Hospital (UMSH), the main referral medical center in Tegucigalpa-Honduras. Descriptive statistics and bivariate analysis were carried out using data from all registered injuries in 2013. RESULTS: Of the 17,971 injuries reported, intentional injuries made up 18.14% of all injuries. Interpersonal violence from gun violence, robberies, and physical altercations accounted for 14.68%. Self-inflicted injuries made up 3.46% of injuries, with suicide falls and poison intoxications being the most frequent (1.9% and 1.2%, respectively). Sexual harassment was minimally reported (0.27%, n = 48). Unintentional injuries made up 81.79% of the total injuries. The most common causes of unintentional injuries were falls (38.01%) and road traffic injuries (16.65%). Motorocyclists made up 35.4% of those injured by road traffic accidents. In general, injuries occured during the weekend and mainly affected men during the ages when they would be most likely to work and maintain jobs. The modified Kampala trauma score (M-KTS) showed that most of the injuries were mild (range 3-11), with 59.59% of the patients with a M-KTS of 9, and an overall mortality rate of 0.65% (n = 117). CONCLUSION: The description of injuries provides the basis for prevention. The disproportionate number of unintentional injuries (4:1) seen in Honduras' referral hospital calls for further research in: 1) trauma care logistics and emergency systems, 2) mortality and lethality of intentional injuries, and 3) analysis of the types of unintentional injuries. Further research is necessary to evaluate interventions and identify the socioeconomic effects of injuries in the region.


Assuntos
Acidentes/estatística & dados numéricos , Serviço Hospitalar de Emergência , Encaminhamento e Consulta/estatística & dados numéricos , Sistema de Registros/estatística & dados numéricos , Suicídio/estatística & dados numéricos , Violência/estatística & dados numéricos , Ferimentos e Lesões/epidemiologia , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Estudos Transversais , Feminino , Promoção da Saúde , Honduras/epidemiologia , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Ferimentos e Lesões/etiologia , Adulto Jovem
15.
Int Marit Health ; 70(1): 1-10, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30931511

RESUMO

BACKGROUND: There is very limited systematic analysis of the causes and consequences of maritime accidents across the whole passenger sector during the twentieth century either in United Kingdom (UK) or in other maritime nations, but some of the larger events have been the subject of detailed investigations that led to improved safety measures. In recent years, there has been increased attention to the analysis of passenger ship accidents, especially in relation to the two now dominant markets: vehicle/passenger ferries and cruise ships. MATERIALS AND METHODS: Long-term trends since 1900 in passenger and crew deaths on UK seagoing pas- senger ships that have sustained a maritime accident, as defined by Lloyds Register, have been collated and analysed. RESULTS: Over the course of the 20th century, there has been a continuous fall in the number of incidents and in their severity. This may be a reflection of improved vessel safety, however the scale and nature of UK passenger shipping has also changed markedly over the period. CONCLUSIONS: In addition to the reducing frequency of deaths it is apparent that the majority of fatalities in both crew and passengers came from a very small number of major events during the study period. Altho- ugh there has been no major disaster involving a UK passenger ship in the last 30 years, major casualties with heavy loss of life continue in the world passenger fleet, in recent years involving flags such as Greece, Indonesia, Italy, Panama and The Philippines.


Assuntos
Acidentes/mortalidade , Navios/estatística & dados numéricos , Acidentes/estatística & dados numéricos , Acidentes de Trabalho/mortalidade , Acidentes de Trabalho/estatística & dados numéricos , História do Século XX , História do Século XXI , Humanos , Medicina Naval/estatística & dados numéricos , Reino Unido/epidemiologia
17.
Tidsskr Nor Laegeforen ; 139(7)2019 Apr 09.
Artigo em Norueguês, Inglês | MEDLINE | ID: mdl-30969063

RESUMO

BACKGROUND: Previous studies have shown a high occurrence of injuries and deaths related to the use of snowmobiles and other off-road vehicles in Northern Norway. No public statistics are available to permit monitoring of these findings over time. The objective of our study was to provide new figures for the prevalence of injuries and deaths from the use of snowmobiles and other off-road vehicles, and assess the consistency between different sources of data. MATERIAL AND METHOD: Information on registered deaths and personal injuries requiring hospitalisation in Northern Norway in the period 1 January 2013-31 December 2014 was collected from the police and hospitals. We also searched through open online sources. RESULTS: We found 7 deaths and 87 personal injuries requiring hospitalisation: 13 incidents with ATVs and 81 involving snowmobiles. Median age was 31.5 years, and 41 (44 %) victims were below 30 years of age. All the fatalities and 66 (76 %) of those injured were men. Altogether 42 (45 %) of the incidents had occurred in Finnmark county. Of the seven fatalities, the police found six in their records and the hospitals found two. In searching through open online sources we found one further ATV-related and three snowmobile-related fatalities in the same region and period. INTERPRETATION: No reliable records of fatalities and personal injuries resulting from the use of snowmobiles and ATVs are available. The findings of this study may serve as a reference point for preventive efforts by the police and health services and for purposes of further study.


Assuntos
Acidentes , Veículos Off-Road , Ferimentos e Lesões , Acidentes/mortalidade , Acidentes/estatística & dados numéricos , Adulto , Feminino , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Noruega/epidemiologia , Polícia , Estatística como Assunto/normas , Ferimentos e Lesões/epidemiologia , Ferimentos e Lesões/etiologia , Ferimentos e Lesões/mortalidade , Adulto Jovem
18.
Medicine (Baltimore) ; 98(14): e15135, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30946385

RESUMO

The purpose of this study was to determine the need of repeat follow-up computed tomography imaging in patients with renal trauma.All patients who were admitted in the trauma center of the Military Institute of Medicine with a diagnosis of kidney injury from January 2008 to December 2017 were identified. A retrospective review of all patients' medical records and radiologic imaging was conducted.Data on the following factors were collected - patients' demographics, mechanism of trauma, American Association for the Surgery of Trauma renal injury scale, injury severity score, laboratory examinations, multiorgan injuries, transfusion of fresh frozen plasma and packed red blood cells, time of surgical procedure in multiorgan injuries, length of hospital stay, and acute kidney injury.This group consisted of 37 patients with left renal injuries, 32 with right renal injuries, and 5 with bilateral renal injuries. Renal trauma due to blunt injury secondary to a motor vehicle accident was noted in 45 patients, falling from a height in 14 patients, injury from battery in 4 patients, sports-related activities in 1 patient, and other factors in 10 patients.Of the 63 patients treated conservatively due to multiorgan trauma or isolated trauma, values of morphology, serum creatinine and blood urea nitrogen, and ultrasonography in all patients did not reveal any pathological changes within earlier kidney damage.The conservative treatment of grade I-IV renal injury in the American Association for the Surgery of Trauma scale provided good outcome and only involved noninvasive ultrasonography.This study confirms that routine follow-up computed tomography imaging can be safely omitted in renal injuries graded I-IV providing that the patient remains in good clinical state.


Assuntos
Tratamento Conservador/métodos , Rim/lesões , Ferimentos não Penetrantes/diagnóstico por imagem , Acidentes/estatística & dados numéricos , Adulto , Idoso , Feminino , Humanos , Escala de Gravidade do Ferimento , Rim/diagnóstico por imagem , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Tomografia Computadorizada por Raios X , Centros de Traumatologia/estatística & dados numéricos , Resultado do Tratamento , Ultrassonografia , Ferimentos não Penetrantes/terapia , Adulto Jovem
20.
Public Health ; 170: 10-16, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30897384

RESUMO

OBJECTIVE: Existing research on recurrent unintentional injury (UI) focuses on the individual child rather than family risks. This study developed a statistical model for identifying families at highest risk, for potential use in targeting public health interventions. STUDY DESIGN: A retrospective birth cohort study of hospital and emergency room (ER) medical records of children born in Ziv hospital between 2005 and 2012, attending ER for UI between 2005 and 2015, was conducted. METHODS: Using national IDs, we assigned children to mothers and created the family entity. Data were divided into two time periods. Negative binomial regression was used to examine predictive factors in the first period for recurrent child UI in the second period. Sensitivity analyses were conducted to examine the model's robustness. RESULTS: Eight predictive factors for child injury (P < 0.05) were found: male gender, the number of UI visits, the number of illness visits, age 36-59 months, birth weight <1500 g, maternal ER visits, siblings' UI visits, and the number of younger siblings. Some predictive factors are documented in the literature; others are novel. Five were significant in all sensitivity analyses. CONCLUSIONS: These factors can assist in predicting risk for a child's repeat UI and family's cumulative UI risk. The model may offer a valuable and novel approach to targeting interventions for families at highest risk.


Assuntos
Acidentes/estatística & dados numéricos , Modelos Estatísticos , Ferimentos e Lesões/epidemiologia , Criança , Pré-Escolar , Serviço Hospitalar de Emergência/estatística & dados numéricos , Família , Feminino , Humanos , Lactente , Masculino , Recidiva , Estudos Retrospectivos , Medição de Risco , Fatores de Risco
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