scholarly journals MP29: Did the Canadian Pediatric Society policy statement in 2007 impact trampoline-related injuries in Halifax, Nova Scotia?

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S75
Author(s):  
G.C. Wilson ◽  
C. Sameoto ◽  
E. Fitzpatrick ◽  
K.F. Hurley
Keyword(s):  
Nova Scotia ◽  
Health Centre ◽  
Policy Statement ◽  
Pediatric Society ◽  
Injury Data ◽  
Significant Difference ◽  
Canadian Pediatric Society ◽  
The Impact ◽  
Recreational Use ◽  
At Home

Introduction: The Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) found a significant rise in trampoline-related injuries from 1999-2005, many of which required hospitalization. In 2007 and again in 2013, the Canadian Pediatric Society (CPS) recommended against the recreational use of trampolines at home. The purpose of this study was to evaluate the impact of this policy statement on trampoline-related injuries in Halifax, Nova Scotia. Methods: Trampoline injury data was obtained from the CHIRPP database at the IWK Health Centre, the paediatric referral hospital for the Maritimes. The data was stratified according to the timing of the CPS policy statement (before: 2001-2006, after: 2008-2013 and after reaffirmation 2013-2015). Data variables included mechanism, site, nature and context of injury. The data were evaluated using SPSS and chi-squared tests. Results: Since the 2007 CPS policy statement, an average of 162 per 10,000 ED visits at the IWK Health Centre were the result of trampoline-related injuries compared to 95 per 10,000 pre-policy. The majority of injuries (76-80%) occurred in children 5-14 years of age. Recreational use at home in the yard was the most common location of the accident (78-88%), with most injuries occurring on the trampoline mat itself (83-85%) due to incorrect landing (32-35%), falls (21-27%), or being struck by a person or object (24-25%). Soft tissue injuries (15-17%), sprains (19-22%) or fractures (40-46%) to the elbow (11-12%), forearm (5-9%) or ankle (19-21%) continued to be the most common nature and sites of injuries. The injury data before compared to after the CPS policy statement did not differ significantly in gender, the mechanism of injury, the type of injury, or body part involved (p-value >0.05). There was a significant difference in the number of injuries between age groups post-policy, with more occurring in children less than 4 and between the age of 10-14 (p<0.009). Moreover, where the trampoline injury was located was also significantly different post-policy with more injuries occurring in sports/recreational facilities (p<0.001). Conclusion: Trampolining is a high-risk activity with injuries occurring predominantly in children and youth. Despite the recommendations brought forth by the CPS, trampoline-related injuries remain an important source of pediatric injuries at the IWK Health Centre in Halifax, Nova Scotia.

scholarly journals Impact of COVID-19 pandemic on athletes with disabilities preparing for the Paralympic Games in Tokyo

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Piotr Urbański ◽  
Łukasz Szeliga ◽  
Tomasz Tasiemski
Keyword(s):  
Persons With Disabilities ◽  
Training Time ◽  
Weekly Training ◽  
Significant Difference ◽  
Athletes With Disabilities ◽  
Sport Facilities ◽  
The Impact ◽  
Paralympic Games ◽  
At Home

Abstract Objective The main aim of the study was to assess the impact of COVID-19 pandemic on athletes preparing for the Tokyo 2021 Paralympic Games during 1 month of lockdown in Poland. The study involved 166 athletes (106 male, 66 female), members of either the Polish Paralympic Committee or the Polish Sports Association for the Disabled’Start’, two organizations responsible for managing and regulating sports played by persons with disabilities in Poland. Results Athletes with disabilities have been strongly affected by the pandemic and the resultant lockdown. The majority of respondents reported that they trained at home (88.6%), whereas 60.2% of athletes trained outdoors, and 12% suspended their training regimens altogether. Only 5.4% of athletes had some access to sport facilities. The athletes reduced their weekly training time by almost half (9.4 h/week vs. 5.3 h/week), a statistically significant difference (t = 16.261, p < 0.001).

The Impact of Marijuana Policies on Youth: Clinical, Research, and Legal Update

2017 ◽  
pp. 39-55
Author(s):  
Seth Ammerman ◽  
Sheryl Ryan ◽  
William P. Adelman
Keyword(s):  
Marijuana Use ◽  
The United States ◽  
Criminal Prosecution ◽  
Policy Statement ◽  
American Academy Of Pediatrics ◽  
Technical Report ◽  
The Impact ◽  
Recreational Use ◽  
Adolescent Marijuana Use ◽  
Adolescent Brain Development

This technical report updates the 2004 American Academy of Pediatrics technical report on the legalization of marijuana. Current epidemiology of marijuana use is presented, as are definitions and biology of marijuana compounds, side effects of marijuana use, and effects of use on adolescent brain development. Issues concerning medical marijuana specifically are also addressed. Concerning legalization of marijuana, 4 different approaches in the United States are discussed: legalization of marijuana solely for medical purposes, decriminalization of recreational use of marijuana, legalization of recreational use of marijuana, and criminal prosecution of recreational (and medical) use of marijuana. These approaches are compared, and the latest available data are presented to aid in forming public policy. The effects on youth of criminal penalties for marijuana use and possession are also addressed, as are the effects or potential effects of the other 3 policy approaches on adolescent marijuana use. Recommendations are included in the accompanying policy statement.

scholarly journals Effects of salt labelling and repeated in-home consumption on long-term liking of reduced-salt soups

2013 ◽  
Vol 17 (5) ◽  
pp. 1130-1137 ◽  
Author(s):  
Astrid A Willems ◽  
Danielle HA van Hout ◽  
Nicolien Zijlstra ◽  
Elizabeth H Zandstra
Keyword(s):  
Choice Behaviour ◽  
Salt Reduction ◽  
Central Location ◽  
Significant Difference ◽  
Reduced Salt ◽  
The Impact ◽  
Home Consumption ◽  
Location Test ◽  
At Home

AbstractObjectiveThe present study investigated the impact of salt labelling and repeated in-home consumption on liking of reduced-salt soups.DesignParticipants received a chicken noodle soup to be consumed twice weekly at home for 5 weeks. Three soups were included: (i) regular-salt soup as available on the market; (ii) 22 %-reduced-salt soup; and (iii) 32 %-reduced-salt soup. The soups were tasted blind or with the label: ‘same great taste, less salt and more herbs’. In total, there were six experimental groups. All groups received the same soup over the whole period. Desire and liking were measured at each time of consumption.SettingIn-home and central location test.SubjectsFrench consumers (n 646).ResultsThere was no significant difference in liking between the three soups when consumed at home, whereas the reduced-salt soups were less liked than the regular-salt soup in the central location test. Labelling did not boost liking scores, which is probably explained by the fact that all soups were similarly liked when eaten at home.ConclusionsThe surprising results of the present study in France suggest that a salt reduction of up to 32 % in a chicken noodle soup did not affect long-term liking score as assessed by consumers at home. In addition, initial liking measured at the central location was not predictive of liking after repeated in-home consumption. How far we can go in reducing salt in other products without compromising product quality, and how this impacts consumers’ choice behaviour and in turn table salt use at home, are still unanswered questions.

scholarly journals 512 - The impact of the Health Crisis on the psychological feeling of patients during the second wave of Covid-19 in Geriatric wards.

2021 ◽  
Vol 33 (S1) ◽  
pp. 63-63
Author(s):  
S. Higuet ◽  
L. Berte ◽  
F. Kromar ◽  
C. Lelubre ◽  
JP. Praet ◽  
...  
Keyword(s):  
Nursing Home ◽  
Mental State ◽  
High Stress ◽  
Depression Scale ◽  
Psychological State ◽  
Multicentric Study ◽  
Health Crisis ◽  
Significant Difference ◽  
The Impact ◽  
At Home

ObjectivesDuring the Covid Health crisis, Belgium is one of the countries that currently counts a very high rate mortality among the elderly population.With more than 24,000 deaths, including more than 10 000 nursing home patients (for a total population of 11 million); this vulnerable population paid a heavy price during this pandemic. During the 2nd wave, we wanted to focus on the level of stress, anxiety, depression and loneliness among the Geriatric hospitalized population.MethodsThis prospective observational and multicentric study (CHU St Pierre and Hospital of Nivelles-Tubize) evaluated the psychological state of our patients hospitalized in Geriatrics from 16/11/2020 to 16/03/2021 (with a Minimal Mental State > 20/30) according to the Hospital Anxiety and Depression Scale (HAD) and to the Perceived Stress Scale(PSS).We also estimated their feeling of loneliness. We analysed their biographical, social and medical data as well as their Global Geriatric Evaluation. We will also observe if there are difference between patient living in Nursing Home (NH) or at home.ResultsThe sample (n=81) has an average age of 85 years and is predominantly female. The majority were widows with an average of 2 children living at homeAmong the 81 geriatric inpatients, 30% scored positive for anxiety, rising to 57% with questionable cases. The depression scale was found to be certain for 17%, rising to 39% if doubtful cases are taken into account.We did not observe a significant difference between the two categories for the patients living at home or in Nursing Home. For the Perceived Stressed Scale, 65% had a high stress score, 15% a moderate score and 20% a low score. It can be noted that nursing home residents also suffer more from loneliness (56%) than people living at home (35%).ConclusionThis study confirms that the pandemic has had a deleterious effect on the mental state of our elderly during the 2nd wave despite some efforts to reduce isolation. The high mortality rate could be explained by government mismanagement, a delay in action in NH, but also by a latent ageism in Belgium which it would be good to analyze after the pandemic.

scholarly journals Self-Measured Blood Pressure Monitoring at Home: A Joint Policy Statement From the American Heart Association and American Medical Association

Circulation ◽  
2020 ◽  
Vol 142 (4) ◽  
Author(s):  
Daichi Shimbo ◽  
Nancy T. Artinian ◽  
Jan N. Basile ◽  
Lawrence R. Krakoff ◽  
Karen L. Margolis ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Risk ◽  
The United States ◽  
White Coat ◽  
Policy Statement ◽  
Masked Hypertension ◽  
Financial Investment ◽  
Diagnosis And Management ◽  
The Impact ◽  
At Home

The diagnosis and management of hypertension, a common cardiovascular risk factor among the general population, have been based primarily on the measurement of blood pressure (BP) in the office. BP may differ considerably when measured in the office and when measured outside of the office setting, and higher out-of-office BP is associated with increased cardiovascular risk independent of office BP. Self-measured BP monitoring, the measurement of BP by an individual outside of the office at home, is a validated approach for out-of-office BP measurement. Several national and international hypertension guidelines endorse self-measured BP monitoring. Indications include the diagnosis of white-coat hypertension and masked hypertension and the identification of white-coat effect and masked uncontrolled hypertension. Other indications include confirming the diagnosis of resistant hypertension and detecting morning hypertension. Validated self-measured BP monitoring devices that use the oscillometric method are preferred, and a standardized BP measurement and monitoring protocol should be followed. Evidence from meta-analyses of randomized trials indicates that self-measured BP monitoring is associated with a reduction in BP and improved BP control, and the benefits of self-measured BP monitoring are greatest when done along with cointerventions. The addition of self-measured BP monitoring to office BP monitoring is cost-effective compared with office BP monitoring alone or usual care among individuals with high office BP. The use of self-measured BP monitoring is commonly reported by both individuals and providers. Therefore, self-measured BP monitoring has high potential for improving the diagnosis and management of hypertension in the United States. Randomized controlled trials examining the impact of self-measured BP monitoring on cardiovascular outcomes are needed. To adequately address barriers to the implementation of self-measured BP monitoring, financial investment is needed in the following areas: improving education and training of individuals and providers, building health information technology capacity, incorporating self-measured BP readings into clinical performance measures, supporting cointerventions, and enhancing reimbursement.

scholarly journals A Simulation Study to Assess the Effect of Analytic Error on Neonatal Glucose Measurements Using the Canadian Pediatric Society Position Statement Action Thresholds

2019 ◽  
Vol 14 (3) ◽  
pp. 519-525 ◽  
Author(s):  
Mark Inman ◽  
Kayla Parker ◽  
Lannae Strueby ◽  
Andrew W. Lyon ◽  
Martha E. Lyon
Keyword(s):  
At Risk ◽  
Neonatal Intensive Care ◽  
Position Statement ◽  
Pediatric Society ◽  
Glucose Meter ◽  
Action Thresholds ◽  
Misclassification Rates ◽  
Measurement Biases ◽  
Canadian Pediatric Society ◽  
The Impact

Background: The Canadian Pediatric Society (CPS) has endorsed an algorithm for the screening and immediate management of babies at risk of neonatal hypoglycemia that provides time-dependent glucose concentration action thresholds. The objective of this study was to evaluate the impact of glucose analytic error (bias and imprecision) on the misclassification of glucose meter results from a neonatal intensive care unit (NICU) using the CPS guidelines. Methods: A simulation dataset of true glucose values ( N = 100 000) was derived by finite mixture model analysis of NICU glucose data ( N = 23 749). Bias and imprecision were added to create measured glucose values. The percentages of measured glucose values that were misclassified at CPS action thresholds were determined by Monte Carlo simulation. Results: Measurement biases ranging from −20 to +20 mg/dL combined with coefficients of variation 0% to 20% were evaluated to predict misclassification rates at 32, 36, and 47 mg/dL. The models demonstrated low risk of false normoglycemia—at 5% CV and +10 mg/dL bias: 0.8% to 5% misclassification at the 32 and 47 mg/dL thresholds due to bias. The models demonstrated risk of false hypoglycemia—at 5% CV and −10 mg/dL bias: 3% to 12.5% misclassification at 32 and 47 mg/dL thresholds due to both bias and imprecision. Conclusion: Using CPS action thresholds, the simulation model predicted the proportion of neonates at risk of inappropriate clinical action—both of omission or “failure to treat” and commission or “overtreatment” in response to NICU glucose meter results at specific bias and imprecision values.

Impact of self-administration of misoprostol for early medical abortion: a prospective observational cohort study

2019 ◽  
Vol 45 (4) ◽  
pp. 296-301 ◽  
Author(s):  
Rebecca Elizabeth Finch ◽  
Kevin McGeechan ◽  
Anne Johnstone ◽  
Sharon Cameron
Keyword(s):  
Success Rate ◽  
Medical Abortion ◽  
Self Administration ◽  
Significant Difference ◽  
Observational Cohort ◽  
Effective Contraception ◽  
Long Acting ◽  
The Impact ◽  
Home Administration ◽  
At Home

IntroductionIn October 2017, Scotland legalised the home use of misoprostol for the purpose of early medical abortion (EMA). Women up to 9+6 weeks’ gestation can now self-administer the drug at home, 24–48 hours after receiving mifepristone in the clinic.ObjectiveTo evaluate the impact of this change on the uptake and success rate of EMA, and on the provision of effective contraception on discharge.MethodsA prospective observational study was conducted to compare the outcomes of two cohorts of women in the 6 months before and 6 months after the introduction of home administration of misoprostol. The main outcome measures were uptake of EMA, success of EMA and provision of long-acting reversible contraception (LARC) to women undergoing EMA.ResultsThere was a statistically significant increase in the uptake of EMA from 698/1075 (64.9%) women in the first study period to 823/1146 (71.8%) in the second study period. There was no statistically significant difference in the success rate of EMA: 99.3% and 98.9% in clinic and home misoprostol cohorts, respectively. There was also no statistically significant difference in the proportion of women provided with LARC: 37.7% and 33.7% in clinic and home misoprostol cohorts, respectively.ConclusionsSelf-administration of misoprostol at home increased uptake of EMA, with no effect on the high success rate that was previously seen with clinic administration of misoprostol. In addition, the reduced number of visits associated with home use of misoprostol has not affected the provision of effective contraception to women.

scholarly journals A Comparison of the Use of Physical and Mental Health Services by Homeless People With Severe Mental Health Problems in the Moncton Area Through the At Home/Chez Soi Program

2017 ◽  
Vol 36 (2) ◽  
pp. 77-105 ◽  
Author(s):  
Sarah Pakzad ◽  
Paul-Émile Bourque ◽  
Jimmy Bourque ◽  
Tim Aubry ◽  
Lise Gallant ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Mental Health Problems ◽  
Controlled Trial ◽  
Health Problems ◽  
Control Group ◽  
Significant Difference ◽  
The Impact ◽  
Use Of Health Services ◽  
At Home

The At Home / Chez Soi demonstration project was conducted to investigate the effectiveness of the Housing First model in 5 Canadian cities. Using a randomized controlled trial design, this study evaluates the impact of this project on the use of health services by people with severe and persistent mental health problems and a history of homelessness in the greater Moncton area. The sample comprised 193 homeless persons, 95 in the control group and 98 in the treatment group. The results show a significant difference between the 2 groups only in the number of days of hospitalization, particularly in the psychiatric unit. Factors associated with the use of health services by people who are homeless and who have severe mental health problems need to be further investigated.

No surge in illicit cigarettes after implementation of menthol ban in Nova Scotia

2018 ◽  
Vol 28 (6) ◽  
pp. 702-704 ◽  
Author(s):  
Michal Stoklosa
Keyword(s):  
Nova Scotia ◽  
Tobacco Industry ◽  
Canadian Province ◽  
Independent Evidence ◽  
Menthol Cigarette ◽  
Tobacco Control Policies ◽  
Menthol Cigarettes ◽  
Significant Difference ◽  
Before And After ◽  
The Impact

BackgroundIn May 2015, the Canadian province of Nova Scotia became the first jurisdiction in the world to ban menthol cigarettes specifically. The tobacco industry warned that ‘the primary effect of this law will be to increase the illegal tobacco market in Nova Scotia’. This is the first attempt to examine the impact of the menthol ban on trends in illicit cigarettes.Data and methodsData on the number of illicit cigarettes seized in Nova Scotia covering the period from 2007/2008 to 2017/2018 was obtained from the Provincial Tax Commission. Data from before and after the ban are compared.ResultsAccording to the local authorities, while the enforcement efforts in Nova Scotia have not declined, the number of seized illicit cigarettes declined significantly, from >60 000 cartons in 2007/2008 to <10 000 cartons in 2017/2018. Since the menthol ban, the seizure volume remained stable, with no statistically significant difference in the number of cigarettes seized before and after the menthol ban (t=−0.71, p=0.55). There were only a few small seizures of menthol cigarettes in the year following the ban, after which there have been no further seizures of menthol cigarettes.DiscussionContrary to the tobacco industry’s assertions, there was no surge in illicit cigarettes after the 2015 ban on menthol cigarette sales in Nova Scotia. Credible, industry-independent evidence on illicit cigarette trade is desperately needed to support the implementation of tobacco control policies.

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