scholarly journals 626Epidemiology of facial injuries in the context of fatal family violence in the Victorian population

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Reena Sarkar ◽  
Joan Ozanne-Smith ◽  
Richard Bassed
Keyword(s):  
Family Violence ◽  
Descriptive Analysis ◽  
Policy Framework ◽  
Facial Injury ◽  
Optimal Intervention ◽  
Significant Downward Trend ◽  
Icd 10 ◽  
Orofacial Region ◽  
Sharp Force ◽  
Injury Analysis

Abstract Background The oral cavity is reported to be a key focus of physical injury in family violence (FV). Our purpose is to explore the potential opportunity for dentists to assist in the prevention of serious injuries in FV. This paper aims to describe the patterns of orofacial injuries in FV homicides. Methods All FV homicides in Victoria, Australia January 2006-December 2018, were identified amongst closed cases of assaults screened for eligible victim-offender relationships. Epidemiologic trends in FV in the Victorian population over the 12-year period were determined. Sociodemographic, interpersonal, incident and injury characteristics including ICD-10 coding were studied and compared across facial and non-facial injury FV subgroups. Results There was a non-significant downward trend in FV homicide over the period. Of 170 adult cases, 150 were included for facial injury analysis. Of these, 117 (78%) showed orofacial injuries in the 12-year period. Two-step cluster analysis revealed blunt force and threat to breathing injury mechanisms to be significantly associated with facial FV and sharp force with nonfacial FV. Among the additional 26 child homicides, descriptive analysis elucidated patterns in 20 cases eligible for facial injury analysis. Coding limitations were found for the FV homicide cases. Conclusions This population study reports significant involvement of the orofacial region in the FV homicide population during the 12-year study period, potentially informing dental practice and the related policy framework in Victoria and internationally. Key messages The significant involvement of the orofacial region in FV homicides may inform optimal intervention outcomes in FV in Victoria.

Impact of crude oil price on the socio-political environment of global countries

2019 ◽  
Vol 118 (3) ◽  
pp. 110-122
Author(s):  
Johnson Clement Madathil ◽  
Velmurugan P. S
Keyword(s):  
Crude Oil ◽  
Descriptive Analysis ◽  
Oil Price ◽  
Policy Framework ◽  
Political Environment ◽  
Policy Reforms ◽  
Crude Oil Price ◽  
Short Term ◽  
Political Impact ◽  
New Energy

Crude oil is known to have an impact on people’s life of both producers and consumers of crude oil countries. A producer country’s socio-political impact will be different from a consumer country’s socio-political impact. This paper aims to show that crude oil price has a socio-political impact on global countries through descriptive analysis. The study found that there were similarities in the movement of crude oil price and change in GDP of both India and United States and further Russia and Venezuela have had crude oil impact on their respective GDP’s, which has made them take policy reforms. The paper identifies changes in the policy framework due to influence of crude oil price and eventual changes in existing socio-political environment. Taking oil producing countries such as Russia and Venezuela as examples, this paper suggests that policy reforms are the key to having a stable socio-political environment. Russia shows us that having a flexible monetary policy can keep the budget dependence on crude oil reduced in the short term. On the other hand, for oil consuming countries, having a stable supply and moving to new energy sources is the key to tackle the influence of crude oil price on the socio-political environment of global countries.

scholarly journals A descriptive analysis of the impact of COVID-19 on Emergency Department attendance and visit characteristics in Singapore

2021 ◽  
Author(s):  
Mei Qiu Lim ◽  
Fahad Javaid Siddiqui ◽  
Seyed Ehsan Saffari ◽  
Andrew Fu Wah Ho ◽  
Johannes Nathaniel Min Hui Liew ◽  
...  
Keyword(s):  
Emergency Department ◽  
Severe Disease ◽  
Descriptive Analysis ◽  
Circuit Breaker ◽  
Historical Period ◽  
Management Planning ◽  
Crowd Management ◽  
Patient Demographics ◽  
Icd 10 ◽  
The Impact

Abstract Background: The coronavirus disease 2019 (COVID-19) has impacted the utilisation of Emergency Department (ED) services worldwide. This study aims to describe the changes in attendance of a single ED and corresponding patient visit characteristics before and during the COVID-19 period. Methods: In a single-centre retrospective cohort study, we used descriptive statistics to compare ED attendance, patient demographics and visit characteristics during the COVID-19 period (1 January – 28 June 2020) and its corresponding historical period in 2019 (2 January – 30 June 2019). Results: Mean ED attendance decreased from 342 visits/day in the pre-COVID-19 period, to 297 visits/day in the COVID-19 period. This was accompanied by a decline in presentations in nearly every ICD-10-CM diagnosis category except for respiratory-related diseases. Notably, we observed reductions in visits by critically ill patients and severe disease presentations during the COVID-19 period. We also noted a shift in ED patient case-mix from ‘Non-fever’ cases to ‘Fever’ cases, likely giving rise to two distinct trough-to-peak visit patterns during the pre-Circuit Breaker and Circuit Breaker period. Conclusions: This descriptive study revealed distinct ED visit trends across different time periods. The COVID-19 pandemic caused a reduction in ED attendances amongst patients with low-acuity conditions and those with highest priority for emergency care. This raises concern about treatment-seeking delays and possible impact on health outcomes. The downward trend in low-acuity presentations also presents learning opportunities for ED crowd management planning in a post-COVID-19 era.

scholarly journals Rural transformation in the upper Citarum watershed and its implication to soil conservation practices

2021 ◽  
Vol 892 (1) ◽  
pp. 012028
Author(s):  
S H Susilowati ◽  
T Sudaryanto ◽  
H W Perkasa ◽  
Sumaryanto ◽  
H Tarigan
Keyword(s):  
Soil Conservation ◽  
Agricultural Development ◽  
Descriptive Analysis ◽  
Household Survey ◽  
Farming System ◽  
Policy Framework ◽  
Conservation Practices ◽  
Land Utilization ◽  
Rural Transformation ◽  
Conservation Practice

Abstract In response to soil and environmental problems in the Citarum river of West Java, the upper Citarum watershed has focused on government policy intervention. The policy framework primarily focuses on encouraging soil conservation practices and promoting an environmentally friendly farming system. However, most empirical research on this subject failed to acknowledge that the conservation practices varied with the stage of rural transformation. This paper aims to assess rural transformation in the upper Citarum watershed and its relation to soil conservation practices. We use Indogreen Farm Household Survey (IFHS) data collected in 2019 from Bandung and West Bandung districts, covering six sub-watersheds, 22 villages, and 500 farm households. The sub-watersheds are divided into two groups based on the degree of rural transformation. Descriptive analysis using graphs and charts presented the data. The results show that the more dominant non-agriculture job characterizes household employment and income structure in the faster regions. Furthermore, farmers in these regions mostly choose higher-value commodities compared to the slower area. Finally, soil conservation practice is more intensive in the faster region in response to more intensive land utilization. The research implies that agricultural development programs, in particular extension services, should put this issue in perspective.

scholarly journals Mapping Physicians’ Experiences with Medicinal Products from Whole Medical Systems: A Descriptive Analysis of the Vademecum of Anthroposophic Medicines

2020 ◽  
Vol 27 (5) ◽  
pp. 336-347
Author(s):  
Harald Johan Hamre ◽  
Anja Glockmann ◽  
Jakob Marti ◽  
Georg Soldner
Keyword(s):  
Systematic Approach ◽  
Descriptive Analysis ◽  
Medicinal Products ◽  
Medical Systems ◽  
Therapy Recommendations ◽  
Item Questionnaire ◽  
Background Therapy ◽  
Icd 10 ◽  
Structured Information

Background: Therapy in whole medical systems involves a large number of medicinal products. One source of knowledge of clinical properties of such products is the experience of therapy providers. A systematic approach to documentation, assessment, and aggregation of physicians’ experiences with anthroposophic medicinal products (AMPs) has been developed: the Vademecum of Anthroposophic Medicines. Material and Methods: The Vademecum contains structured information on AMPs, including therapeutic rationale, indications, and therapy recommendations. The information is based on a 17-item questionnaire of physicians’ therapy experiences, which is peer-reviewed by an interdisciplinary editorial board. We conducted a descriptive analysis of the Vademecum, 4th edition. Results: The Vademecum comprised 799 different AMPs, used for 1,773 indications, based on 2,543 questionnaires submitted by 274 physicians from 19 countries. The 799 AMPs comprised 52.6% of all AMPs marketed in Germany in 2015–2016. The 1,773 indications corresponded to 544 different ICD-10 three-digit codes, amounting to 29.3% (n = 544/1,854) of all three-digit codes. A total of 30.6% (n = 542/1,773) of indications were supported by ≥2 questionnaires. Conclusions: The current Vade­mecum covers more than half of all AMPs, used for more than one fourth of all ICD-10 three-digit codes. The Vademecum approach may be relevant for medicinal products from other whole medical systems.

scholarly journals To What Extent Does Illicit Drug Use Predispose to Facial Injury? An Institutional Investigation for an Emergent Problem

2020 ◽  
pp. 194338752092863
Author(s):  
Anthony Febbo ◽  
Gary R. Hoffman
Keyword(s):  
Drug Use ◽  
Illicit Drugs ◽  
Illicit Drug ◽  
Descriptive Analysis ◽  
Predictor Variable ◽  
Illicit Drug Use ◽  
Secondary Outcome ◽  
Facial Trauma ◽  
Trauma Patients ◽  
Facial Injury

Study Design: There are potential substantive linkages between illicit drug use and the occurrence of injury. Objective: The purpose of our study was to determine the prevalence, class of illicit drugs abused, and demographics in relation to a cohort of patients who sustained facial injury. Methods: The authors undertook a retrospective observational study of a prospectively accessioned cohort of patients who had sustained a facial injury and presented to the John Hunter Hospital (Newcastle, NSW, Australia). The primary predictor variable was the presentation of a facial injury and the secondary outcome variables included illicit drug use, alcohol use, and socioeconomic factors. The study was carried out over a 12-month period. A descriptive analysis was undertaken on the assembled data. Results: Of the 465 patient medical records that were accessed for the study, 348 were male and 117 were female. Their average age was 42.6 years: 5.8% ( n = 27) were under the influence of illicit drugs at the time of their presentation and 13.1% ( n = 61) admitted to an intercurrent illicit drug habit. Those who were under the combined influence of alcohol and drugs comprised of 2.8% ( n = 13). Conclusions: Our study found that illicit drug use plays a small, but nonetheless, demonstrable role in the presentation of maxillofacial trauma patients to an urban level I trauma center. Illicit drug users are an emergent sociodemographic group of patients who can sustain facial trauma and their presentation needs to be appropriately considered, assessed, and managed collectively.

scholarly journals Factors associated with hospital admissions due to hypertension

2018 ◽  
Vol 16 (3) ◽  
Author(s):  
Rosimery Cruz de Oliveira Dantas ◽  
João Paulo Teixeira da Silva ◽  
Davidson Cruz de Oliveira Dantas ◽  
Ângelo Giuseppe Roncalli
Keyword(s):  
Primary Care ◽  
Information System ◽  
Linear Regression ◽  
Arterial Hypertension ◽  
Hospital Admissions ◽  
Descriptive Analysis ◽  
Secondary Data ◽  
Icd 10 ◽  
Essential Arterial Hypertension ◽  
Sensitive Conditions

ABSTRACT Objective: To study the temporality of hospital admissions due to arterial hypertension and its associated factors. Methods: An ecological study with secondary data on hospital admissions due to essential arterial hypertension – ICD 10, from the Hospital Information System, the Mortality Information System and and the Primary Care Information System, between 2010 and 2015. Descriptive analysis using means, proportions and linear regression. Results: We recorded 493,299 hospitalizations due to arterial hypertension from 2010 to 2015, with an average annual progressive cost decrease of −7.76% and −24.21%. Of the patients admitted, 59.2% were women, 60.2% were non-white and 54.7% were older than 60 years. The mean length of stay was 4.2 days, and the hospitalization cost was R$307.60. The multiple linear regression variables that remained significant were the percentage of admissions due to primary care-sensitive conditions, the per capita income and the City Human Development Index. Conclusion: Hospital admissions due to arterial hypertension have an impact on the percentage of admissions due to primary care- sensitive conditions. Intensifying primary care activities, raising-awareness among professionals to the importance of integrated care, and investing in social development are crucial to change the reality of hypertension in terms of its control and complications.

scholarly journals Incidence of mental disorders in the population of municipal areas of the Сhelyabinsk region in the remote period after accidental radioactive contamination

2021 ◽  
pp. 22-30
Author(s):  
E. Y. Burtovaia ◽  
A. V. Akleyev ◽  
L. P. Barkovskaia ◽  
T. E. Kantina ◽  
E. A. Litvinchuk
Keyword(s):  
Mental Disorders ◽  
Behavioral Disorders ◽  
Radioactive Contamination ◽  
Descriptive Analysis ◽  
International Classification Of Diseases ◽  
Incidence Rates ◽  
Wide Range ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Chelyabinsk Region

Relevance. Both Russian and foreign researchers pay attention to the mental disorders in people with a history of accidental radiation exposure. A wide range of mental pathologies have been observed among the Chernobyl NPP clean-up workers, victims of the accident at the Fukushima Daiichi NPP, etc.Intention – To assess primary incidence of mental disorders and behavioral disorders in residents of the municipal areas of the Chelyabinsk region affected by radioactive contamination.Methodology. Primary incidence rates of mental disorders and behavioral disorders (F00–09, F20–99 ICD-10) were assessed for the period from 2005 to 2018 in residents of municipal areas of the Chelyabinsk regions (Kunashaksky, Krasnoarmeysky, Argayashsky, Kaslinsky, Sosnovsky districts) affected by radioactive contamination in 1949–1951 and 1957 as a result of the activities of the “Mayak” production association. These data were compared to that from non-contaminated Etkulsky district with similar population and economic activity. Mental disorders were classified according to the groups of the chapter V “Mental and behavioral disorders” of the International Classification of Diseases of the 10th revision (ICD-10). Incidence was calculated per 10 thousand population (0/000). Descriptive analysis of the registered primary incidence of mental disorders in residents of these districts of the Chelyabinsk region is presented.Results and discussion. The primary incidence rate of mental disorders in the Chelyabinsk region (49.1 ± 3.6) 0/000 significantly (p < 0.001) exceeds those in the Sverdlovsk (30.3 ± 4.2), Kurgan (30.2 ± 6.9) 0/000 regions and overall estimates for the Russian Federation (32.9 ± 3.8) 0/000 . In the remote period, primary incidence rates of mental disorders in the residents of some radioactively contaminated districts were higher vs Etkulsky district, but significantly lower than overall rates in the Chelyabinsk region (p < 0.001). Taking into account the territorial distribution of the exposed residents and their offspring in the Chelyabinsk region, mental retardation in residents of the Kunashak district should be closely monitored.Conclusion. Mental morbidity in areas accidentally contaminated more than 70 years ago now reflects the general trend of deterioration in the mental health of the population of the Chelyabinsk region. It can be assumed that the incidence of mental disorders in the population of the Chelyabinsk region is determined by a constellation of interacting factors (socio-economic, personal-psychological, radiation, informational and others), among which socially determined mechanisms of the mental pathology prevail.

scholarly journals Common Fisheries Policy and its impact on the fisheries sector in Croatia

2018 ◽  
Vol 76 (1) ◽  
pp. 41-50 ◽  
Author(s):  
Ornella Mikuš ◽  
Magdalena Zrakić ◽  
Tihana Kovačićek ◽  
Mateja Jež Rogelj
Keyword(s):  
Technical Assistance ◽  
Transition Period ◽  
Descriptive Analysis ◽  
Policy Framework ◽  
Member States ◽  
Eu Member States ◽  
Budget Support ◽  
Fisheries Policy ◽  
Environmental Measures ◽  
The Eu

Abstract The aim of the paper is: 1) to determine the key changes in the evolution process of the EU Common Fisheries Policy (CFP) and the Croatia’s fisheries policy and 2) to describe the structure and dynamics of macroeconomic and budget performance related to Croatian fisheries in the period 2007-2016. Two methods were used: the historical method and the descriptive analysis of macroeconomic performance and budget structure. The CFP was officially introduced in 1983, bringing the management of fisheries in all EU member states under one system. Its aims were: to resolve sea conflicts between member states, to provide stability to the fisheries sector, to prevent a total collapse of fish stocks and to provide higher quality of life to the fishermen. However, the CFP has constantly been criticized for poor enforcement of environmental measures and scientific recommendations, and for the lack of a common language between the EU institutions and local stakeholders. Both the European and Croatian fisheries sector faced many problems, especially during the transition period in the 1990s. Some of them included a serious decrease of catches, outdated technology and fisheries fleet, depletion of demersal species, lack of developmental trends in mariculture, absence of measures of rational exploitation and protection of economically significant species. The negotiation period was an opportunity for the fisheries sector in Croatia to adapt its goals, measures and stakeholders in order to achieve a more sustainable and internationally competitive fisheries sector in the future. The membership facilitates trade in the EU area, along with providing significant funding and technical assistance. The budget support structure and the existing policy framework point out an increase in the implementation of structural measures which should assist in an overall improvement of social, economic and environmental aspects of fisheries.

scholarly journals Telephone Consultations by Medical Scheme Patients Consulting General Medical Practitioners, South Africa

2021 ◽  
Author(s):  
Michael Mncedisi Willie ◽  
Neo Nonyana ◽  
Sipho Kabane
Keyword(s):  
Claims Data ◽  
Descriptive Analysis ◽  
Care Facility ◽  
Medical Practitioner ◽  
Telephone Consultation ◽  
Medical Practitioners ◽  
Icd 10 ◽  
Upper Respiratory ◽  
General Medical Practitioners ◽  
Suspected Diagnosis

Background: The COVID-19 climate has seen a shift in the manner that patients seek care. Lockdown measures and COVID-19 regulations, and the fear of contracting the virus at a health care facility has also changed health seeing behaviour among patients. The COVID-19 climate has seen a significant increase in the utilisation of virtual platforms to consult with providers. Objectives: The objective of this chapter was to conduct the descriptive analysis of telephonic consultations by members of medical schemes who consulted general medical practitioners. Methods: The study entailed a descriptive analysis of medical scheme claims data for the 2020 review period. The inclusion criteria were all National Pharmaceutical Product Interface (NAPPI) codes associated with a telephonic consultation consulting general medical practitioners. The ICD-10 code primary diagnosis was used to describe the diagnosis. The study mainly focused on outpatient patients with service dates between March and December 2020. Results: The analysis covered claims data from a total of 12 medical schemes. The schemes analysed accounted for 1,6 million lives. The total number of telephonic consultations was 17 237. The mean (SD) claimed amount for telephone consultation for a general medical practice consult was R2821 (SD = 20). This was slightly lower than the scheme tariff of R2872 (SD = 19). The study found that most telephonic consults were for Acute bronchitis, unspecified; Acute upper respiratory; Emergency use of U07.1 (Confirmed diagnosis); Emergency use of U07.2 (Suspected Diagnosis); Follow-up examination; Special screening. Conclusion: The study found evidence of patients utilising telephonic consultations for general medical practitioner services. The effect of COVID-19 in this respect was seen in the three main primary diagnoses that were associated with the consult, Acute upper respiratory, Emergency use of U07.1 (confirmed diagnosis) and Emergency use of U07.2 (suspected diagnosis). Even though the average telephonic consult was claimed at just under R3003, few general medical practitioners claimed between R4004 and R5005 which were higher than the industry average. There is a need to develop telephone consult guidelines at industry level, these should also address reimbursement rate differentials.

scholarly journals URBANIZATION IN BANGLADESH: EMERGING CHALLENGES AND THE WAY FORWARD

2021 ◽  
Vol 3 (1) ◽  
pp. 33-44
Author(s):  
Afroza Islam Lipi ◽  
Nazmul Hasan
Keyword(s):  
Rapid Growth ◽  
Urban Areas ◽  
Urban Poverty ◽  
Descriptive Analysis ◽  
Secondary Data ◽  
Major Change ◽  
Policy Framework ◽  
Secondary Source ◽  
Growth Trend ◽  
The Way

Urbanization is a natural process of the population shift from rural to urban territories. More specifically, urbanization is a process of migration of population from rural to urban areas as well as the transformation of society where the rural agricultural economy is being transformed to advance the industrial economy.  A major change to be witnessed in Bangladesh over the last few decades is the rapid spread of urbanization. Multiple driving factors paved the way for spreading the rapid growth of urbanization in Bangladesh. If this spread is not effectively managed, emerging challenges like spatial imbalance, environmental challenges, weak policy framework, challenges of sustainable cities, urban poverty, urban health issues, etc are likely to grow. This study aims at exploring the emerging challenges of urbanization in Bangladesh. It also explores the way forward to face the emerging challenges. This study has been conducted depending on qualitative and descriptive analysis. It is mainly based on secondary data. Available books, journals, documents, newspapers, data, reports, and magazine articles are reviewed in detail as a secondary source. In the findings of the study, the rapid growth trend has been critically examined. Besides emerging challenges of urbanization in Bangladesh have been identified. Finally, some recommendations have been put forward to overcome the emerging challenges of urbanization in Bangladesh.  JEL Classification Codes: D8, O15, O18.

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