Injury control and safety promotion
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Inj Control Saf Promot · Dec 2004
Using an electronic medical record system to describe injury epidemiology and health care utilization at an inner-city hospital in Indiana.
Injuries are a major public health problem worldwide. In the USA, injuries cause 146, 400 deaths annually, with 31 million non-fatal injury visits to emergency departments (EDs). EDs thus represent an important source of injury data. ⋯ The mean charge per patient treated and discharged was $150 compared to $11,116 for patients admitted. These findings demonstrate the value of computerized medical records in capturing and storing E-coded injury data. The system generates data that can be used for epidemiological surveillance and injury prevention at the local level, and for assessment of impact of specific injuries on health care resources.
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This study examined the type of injury, fall heights and measures of impact attenuation of surfaces on which children fell from horizontal ladders and track rides. ⋯ Modification of the height of horizontal ladders and track rides to 1800mm is preferable to removal of such equipment. The prevalence of fractures on compliant surfaces suggests that the threshold of 200g or 1000 head injury criteria (HIC) needs to be revisited, or additional test criteria added to take account of change in momentum that is not presently accounted for with either g-max on HIC calculations.
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Unintentional injury is gaining attention in the broad Asia-Pacific region, primarily but not solely associated with rapid and disturbing growth in traffic injury. ⋯ The key tasks are to apply what is already known: to test and trial interventions in low- and middle-income countries; to identify the key causes of injury within the broad categories; and to foster and build partnerships.
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Inj Control Saf Promot · Jun 2004
The world studies of abuse in the family environment (WorldSAFE): a model of a multi-national study of family violence.
The World Studies of Abuse in the Family Environment (WorldSAFE) designed and implemented a study of family violence--intimate partner violence and child abuse and neglect--using standardized methods to cover over 12,000 women in eighteen communities within five lesser-developed countries. The rationale, process and methods for developing the population-based survey are described. Standardized methods included common training of investigators and field staff, sampling strategies, eligibility criteria, instruments, data collection methods, operational definitions, analysis strategies and data management. ⋯ Nair (MD) and Rajamohanan Pillai (MD). Vellore (India): Christian Medical College, L. Jeyaseelan (PhD) and Abraham Peedicayil (MD).