Designing national systems to support the analysis and prevention of occupational fatal injuries: Evidence from Italy

2022 ◽  
Vol 147 ◽  
pp. 105615
Author(s):  
D. De Merich ◽  
M.G. Gnoni ◽  
A. Guglielmi ◽  
G.J. Micheli ◽  
G. Sala ◽  
...  
Keyword(s):  
National Systems ◽  
Fatal Injuries

ECONOMIC BUDERN AND TREATMENT COST OF FALLS, BURNS, AND TRAFFIC INJURIES IN CHILDREN

2017 ◽  
pp. 100-106
Author(s):  
Thuan Huynh ◽  
Minh Tam Nguyen
Keyword(s):  
Treatment Cost ◽  
Cross Sectional Study ◽  
Pediatric Hospital ◽  
Child Injury ◽  
Total Treatment Cost ◽  
Cross Sectional ◽  
Cost Treatment ◽  
Significant Burden ◽  
Total Treatment ◽  
Fatal Injuries

Introduction: Child injury is a significant burden for community health care in Vietnam. Besides the fatal injuries, millions of children need hospital care for non-fatal injuries. Investigation on treatment cost and economic burden of the most common non-fatal injuries such as falls, burns, and traffic injuries is very necessary. Objectives: (1) Describe the patterns of falls, burns, and traffic injuries among children admitted with injuries to the Quang Nam Pediatric Hospital; (2) Analyze the treatment cost for falls, burns, and traffic injuries of these patients. Methods: A cross-sectional study on 424 pediatric patients under 16 year old admitted with falls, burns, and traffic injuries to the Quang Nam Pediatric Hospital from 01/6/2014 to 31/3/2015. Results: Most of participants admitted to the hospital for falls (66%), traffic injuries (22,4%). Mild injuries was dominated, burns and traffic injuries were more serious in almost cases and the average of PTS index was 9.4 points. Average total treatment cost was 1,259,200 VN dong, direct cost accounted for 68.4% of total treatment cost. Treatment costs of burns and traffic injuries were higher than that of falls. Key words: burden of disease, treatment cost, injury, children

Alcohol and Fatal Injuries: Temporal Patterns

1989 ◽  
Vol 5 (5) ◽  
pp. 296-302 ◽  
Author(s):  
Suzanne M. Smith ◽  
Richard A. Goodman ◽  
Stephen B. Thacker ◽  
Anthony H. Burton ◽  
John E. Parsons ◽  
...  
Keyword(s):  
Temporal Patterns ◽  
Fatal Injuries

scholarly journals Cerebrospinal Fluid Shunt-Associated Surgical Site Infection With Three- Versus Twelve-Month Follow-Up in Canadian Hospitals

2020 ◽  
Vol 41 (S1) ◽  
pp. s157-s157
Author(s):  
Kelly Baekyung Choi ◽  
John Conly ◽  
Blanda Chow ◽  
Joanne Embree ◽  
Bonita Lee ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Age Distribution ◽  
Patient Characteristics ◽  
Csf Shunt ◽  
Surveillance Program ◽  
Site Infection ◽  
Infection Surveillance ◽  
Surgical Manipulation ◽  
National Systems

Background: Surgical site infection (SSI) after cerebrospinal fluids (CSF) shunt surgery is thought to be acquired intraoperatively. Biomaterial-associated infection can present up to 1 year after surgery, but many national systems have shortened follow-up to 90 days. We compared 3- versus 12-month follow-up periods to determine the nature of case ascertainment in the 2 periods. Methods: Participants of any age with placement of an internal CSF shunt or revision surgical manipulation of an existing internal shunt identified in the Canadian Nosocomial Infection Surveillance Program (CNISP) participating hospitals between 2006 and 2018 were eligible. We excluded patients with external shunting devices or culture-positive CSF at the time of surgery. Patients were followed for 12 months after surgery for the primary outcome of a CSF infection with a positive CSF culture by review of laboratory and health records. Patients were categorized as adult (aged ≥18 years) or pediatric (aged < 18 years). The infection rate was expressed as the number of CSF shunt-associated infections divided by the number of shunt surgeries per 100 procedures. Results: In total, 325 patients (53% female) met inclusion criteria in 14 hospitals from 7 provinces were identified. Overall, 46.1% of surgeries were shunt revisions and 90.3% of shunts were ventriculoperitoneal. For pediatric patients, the median age was 0.7 years (IQR, 0.2–7.0). For adult patients, the median age was 47.9 years (IQR, 29.6–64.6). The SSI rates per 100 procedures were 3.69 for adults and 3.65 for pediatrics. The overall SSI rates per 100 procedures at 3 and 12 months were 2.74 (n = 265) and 3.48 (n = 323), respectively. By 3 months (90 days), 82% of infection cases were identified (Fig. 1). The median time from procedure to SSI detection was 30 days (IQR, 10–65). No difference was found in the microbiology of the shunt infections at 3- and 12-month follow-ups. The most common pathogens were coagulase-negative Staphylococcus (43.6 %), followed by S. aureus (24.8 %) and Propionibacterium spp (6.5 %). No differences in age distribution, gender, surgery type (new or revision), shunt type, or infecting organisms were observed when 3- and 12-month periods were compared. Conclusions: CSF-SSI surveillance for 3 versus 12 months would capture 82.0% (95% CI, 77.5–86.0) of cases, with no significant differences in the patient characteristics, surgery types, or pathogens. A 3-month follow-up can reduce resources and allow for more timely reporting of infection rates.Funding: NoneDisclosures: None

Terrorism-Related Chemical, Biological, Radiation, and Nuclear Attacks: A Historical Global Comparison Influencing the Emergence of Counter-Terrorism Medicine

2021 ◽  
pp. 1-4
Author(s):  
Derrick Tin ◽  
Fredrik Granholm ◽  
Alexander Hart ◽  
Gregory R. Ciottone
Keyword(s):  
Health Care ◽  
Grey Literature ◽  
Low Frequency ◽  
Disaster Medicine ◽  
Terrorist Attacks ◽  
Fecal Matter ◽  
Counter Terrorism ◽  
Global Comparison ◽  
State Terrorism ◽  
Fatal Injuries

Abstract Background: Terrorist attacks are growing in complexity, increasing concerns around the use of chemical, biological, radiation, and nuclear (CBRN) agents. This has led to increasing interest in Counter-Terrorism Medicine (CTM) as a Disaster Medicine (DM) sub-specialty. This study aims to provide the epidemiology of CBRN use in terrorism, to detail specific agents used, and to develop training programs for responders. Methods: The open-source Global Terrorism Database (GTD) was searched for all CBRN attacks from January 1, 1970 through December 31, 2018. Attacks were included if they fulfilled the terrorism-related criteria as set by the GTD’s Codebook. Ambiguous events or those meeting only partial criteria were excluded. The database does not include acts of state terrorism. Results: There were 390 total CBRN incidents, causing 930 total fatal injuries (FI) and 14,167 total non-fatal injuries (NFI). A total of 347 chemical attacks (88.9% of total) caused 921 FI (99.0%) and 13,361 NFI (94.3%). Thirty-one biological attacks (8.0%) caused nine FI (1.0%) and 806 NFI (5.7%). Twelve radiation attacks (3.1%) caused zero FI and zero NFI. There were no nuclear attacks. The use of CBRN accounted for less than 0.3% of all terrorist attacks and is a high-risk, low-frequency attack methodology. The Taliban was implicated in 40 of the 347 chemical events, utilizing a mixture of agents including unconfirmed chemical gases (grey literature suggests white phosphorous and chlorine), contaminating water sources with pesticides, and the use of corrosive acid. The Sarin gas attack in Tokyo contributed to 5,500 NFI. Biological attacks accounted for 8.0% of CBRN attacks. Anthrax was used or suspected in 20 of the 31 events, followed by salmonella (5), ricin (3), fecal matter (1), botulinum toxin (1), and HIV (1). Radiation attacks accounted for 3.1% of CBRN attacks. Monazite was used in 10 of the 12 events, followed by iodine 131 (1) and undetermined irradiated plates (1). Conclusion: Currently, CBRN are low-frequency, high-impact attack modalities and remain a concern given the rising rate of terrorist events. Counter-Terrorism Medicine is a developing DM sub-specialty focusing on the mitigation of health care risks from such events. First responders and health care workers should be aware of historic use of CBRN weapons regionally and globally, and should train and prepare to respond appropriately.

Fatal Injuries in Finnish Agriculture, 1988–2000

2003 ◽  
Vol 9 (4) ◽  
pp. 319-326 ◽  
Author(s):  
P. Rissanen ◽  
K. Taattola
Keyword(s):  
Fatal Injuries

Severe to Fatal Injuries to Lap-Shoulder Belted Car Occupants

1977 ◽  
Author(s):  
D. F. Huelke ◽  
H. W. Sherman ◽  
M. J. Murphy
Keyword(s):  
Fatal Injuries

Multiscale accessibility and urban performance

2021 ◽  
pp. 239980832110246
Author(s):  
Nir Kaplan ◽  
David Burg ◽  
Itzhak Omer
Keyword(s):  
Performance Indicators ◽  
Spatial Planning ◽  
Spatial Scales ◽  
Urban System ◽  
Spatial Accessibility ◽  
Spatial Systems ◽  
Urban Scaling ◽  
National Road ◽  
National Systems ◽  
Specific Scale

Accessibility is fundamentally thought to be related to functional, economic, and social performances of cities and geographical systems and, therefore, constitutes an essential aspect for spatial planning. Previous studies focused on cities or metropolitan scales, often disregarding their position within regional and national systems, which can greatly affect their performance. Although accessibility at various spatial scales has been examined, the studies focused on accessibility patterns at different scales, with no reference to the level of accessibility of cities over local, regional, and national scales simultaneously, i.e. multiscale accessibility. This study aims to elucidate the multiscale accessibility level of individual cities and examine its relationship to urban performance in the urban system of Israel. Spatial accessibility was analyzed using the space syntax methodology for the entire national road network across multiple geographic scales—from the local to the national scale. Based on three distinct spatial accessibility systems identified, a unique multiscale accessibility profile was created for individual cities in Israel. Subsequently, each city’s multiscale accessibility profiles were examined against urban performance indicators determined from urban scaling theory. We found that the superiority of cities characterized by high accessibility level plays a role not only for a specific scale but also over scales and spatial systems. Moreover, most urban performance indicators related to the multiscale accessibility profiles of cities, while some multiscale accessibility profiles can be related to over- or under-performance of cities. The findings suggest that pervasive accessibility across spatial scales is inherently connected to urban performance and may indicate on the implementation and interpretation of accessibility. These findings may assist in various aspects of spatial planning at various scales.

Underground Built Heritage (UBH) as Valuable Resource in China, Japan and Italy

Heritage ◽  
2021 ◽  
Vol 4 (4) ◽  
pp. 3208-3237
Author(s):  
Roberta Varriale ◽  
Laura Genovese
Keyword(s):  
Research Council ◽  
Methodological Approach ◽  
National Research Council ◽  
Functional Classification ◽  
Static And Dynamic Analysis ◽  
Built Heritage ◽  
Living Space ◽  
Definition Of ◽  
The Given ◽  
National Systems

Recent research about the theoretical approach to elements of cultural heritage that can be included in the newly born class Underground Built Heritage (UBH), has provided several instruments for the functional classification and the static and dynamic analysis of all artefacts coherent with the given definition, while introducing several criteria for their reuse and the evaluation of connected enhancement processes as well. These guidelines can be adopted to analyze single artefacts, groups of homogenous or heterogeneous elements, and also selected territorial assets or national systems, even at a comparative level. With reference to this potential, research results from the application of this new methodological approach to the outputs of three ongoing projects by the National Research Council of Italy, all focusing on UBH, in three countries: China, Japan and Italy, are presented. With reference to the above-mentioned geographical contests, the research introduces a comparative study focusing on selected examples of artefacts that have been historically built underground to manage three functions: living space, religion and economy. This study, carried out based on data collected during onsite visits by the authors, consists in three steps: selection and analysis of case studies, definition of level of reuses on the basis of a given scale, and analysis of the different tools adopted for their conservation and enhancement. In the conclusions, possible future implementations of reuses of the analyzed elements are pointed out.

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