Ball magnet ingestion in children: a stronger and more dangerous attraction?

2021 ◽  
pp. emermed-2021-211767
Author(s):  
James Price ◽  
Georgina Malakounides ◽  
Sarah Stibbards ◽  
Shruti Agrawal
Keyword(s):  
Abdominal Pain ◽  
Major Trauma ◽  
Public Awareness ◽  
Median Number ◽  
Policy Makers ◽  
Trauma Centres ◽  
Awareness Campaigns ◽  
Life Threatening ◽  
Magnet Ingestion ◽  
The Uk

IntroductionThe ingestion of small, strong, rare-earth magnets, also termed ‘ball magnets’, can rapidly result in life-threatening bowel injuries. The objective of this study was to report the incidence and management of ‘ball magnet’ ingestion in children across the UK and to discuss the potential implications for policy-makers and public awareness campaigns.MethodsIn this multi-centre survey of UK major trauma centres (MTCs), paediatric patients admitted to hospital following ‘ball magnet’ ingestion from 1 January 2020 to 31 December 2020 were included.ResultsResponses were received from 11 MTCs (52%) reporting a total of 53 children admitted with ‘ball magnet’ ingestion over the 1-year study period. Most patients (n=51) presented following unintentional ingestion. 36 (68%) patients presented asymptomatically following witnessed or reported ingestion. In symptomatic patients, abdominal pain and vomiting were the the most common symptoms. The median number of ‘ball magnets’ ingested was 5.0 (IQR 3.0–7.8), range 1 to 63. 27 (51%) patients underwent operative intervention; laparotomy being the the most common (n=24, 89%). There were no deaths reported during the study period.ConclusionThis multi-centre survey from the UK demonstrates the serious impact of ‘ball magnet’ ingestion in children. Clinicians, regulators and caregivers must work symbiotically in order to prevent, recognise and reduce life-threatening bowel injuries.

scholarly journals Public Understanding of Trafficking in Human Beings in Great Britain, Hungary and Ukraine

2019 ◽  
pp. 30-49 ◽  
Author(s):  
Kiril Sharapov
Keyword(s):  
Great Britain ◽  
Human Trafficking ◽  
Public Awareness ◽  
Public Understanding ◽  
Paradigm Shifts ◽  
Human Beings ◽  
Policy Makers ◽  
Awareness Campaigns ◽  
Sources Of Knowledge ◽  
Key Dimensions

This article provides a summary of research undertaken to investigate public awareness and understanding of human trafficking in Great Britain, Hungary and Ukraine. Responding to the lack of reliable empirical data on this issue, the research relies on representative national opinion surveys to assess the extent of public awareness of what constitutes human trafficking, the sources of knowledge underpinning this awareness, and respondents’ attitudes towards key dimensions of human trafficking as embedded in international and respective national legal and policy frameworks and discourses. Conceptually, this article reinforces recent calls for policy and media paradigm shifts from understanding human trafficking as a phenomenon of crime and victimhood, to, above all, a human rights concern linked to the broader issues of sustainable development and social justice. Methodologically, the study highlights the role of opinion surveys as a measure of effectiveness and impact of anti-trafficking awareness campaigns. In practical terms, the article presents a set of data which can be useful for policy-makers, anti-trafficking activists, and national media in designing impactful awareness-raising campaigns and interventions.

scholarly journals Reducing Drink Drive Accidents: A Review

2020 ◽  
Vol 3 (1) ◽  
pp. 01-05
Author(s):  
Peter Marks ◽  
Debi Prasad ◽  
Roger Williams
Keyword(s):  
Binge Drinking ◽  
Strong Evidence ◽  
Public Awareness ◽  
Blood Alcohol Concentration ◽  
Public Support ◽  
Alcohol Concentration ◽  
Evidence Based ◽  
Blood Alcohol ◽  
Awareness Campaigns ◽  
The Uk

A strong evidence-based case is made for a reduction in the drink driving blood alcohol concentration (BAC), currently in the UK 80 mg to 50 mg per 100 ml which worldwide has been shown to decrease the number of drink driving including fatal accidents. An even lower BAC of 20 mg per 100 ml is recommended for the younger novice representing 7% of driving licence holders in the UK but involved in 20% of fatal and serious collisions. The danger of binge drinking and of combining alcohol with other drugs such as cannabis and marijuana is emphasised and the harmful influence of simple energy drinks when combined with alcohol. The review also emphasises the need for enhanced police enforcement and more public awareness campaigns which to date have indicated growing public support for reducing the drink driving limits.

Role of plastic surgeons in major trauma centres in the UK

2015 ◽  
Vol 97 (10) ◽  
pp. 445-447 ◽  
Author(s):  
TC Wright ◽  
S Chummun ◽  
TWL Chapman ◽  
U Khan
Keyword(s):  
Plastic Surgery ◽  
Major Trauma ◽  
Trauma Centres ◽  
The Uk

Is there a need for plastic surgery intervention in patients admitted to MTCs?

scholarly journals Occurrence of Cryptosporidium Oocysts in Leisure Pools in the UK, 2017, and Modelling of Oocyst Contamination Events

Water ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 1503
Author(s):  
Rachel M. Chalmers ◽  
Lester P. Simmonds ◽  
Martin Wood ◽  
Megan Luxford ◽  
Rob Miller ◽  
...  
Keyword(s):  
Public Awareness ◽  
Monte Carlo Analysis ◽  
Evidence Base ◽  
Operational Parameters ◽  
Awareness Campaigns ◽  
Pool Water ◽  
Cryptosporidium Oocysts ◽  
Current Guidance ◽  
The Uk ◽  
Contamination Events

Cryptosporidium is a major cause of diarrhoea outbreaks linked to swimming pools, but little is known about the frequency of contamination. The primary aim was to investigate the occurrence and concentration, through sampling and modelling, of Cryptosporidium oocysts in leisure pools. Secondary aims were to compare detections with operational parameters, provide the evidence-base for guidance, and improve sampling capacity and interpretation for public health investigations. Up to 1000 L pool water was sampled during swim sessions once weekly for 10 weeks from 8th August 2017 at six volunteer pools. Oocysts were detected by microscopy in 12/59 (20%) pool water samples, at least once in each pool; 8/12 (66%) detections were in August when bather loads were highest. At three pools, 1 L filter backwash was sampled weekly and oocysts were detected in 2/29 (7%) samples, following detections in pool water. The probabilities of a bather contaminating the pool ranged from 1 in 1000 to over 1 in 10,000. Monte Carlo analysis showed that when high bather numbers caused contamination on over 70% of days, multiple events per day were more likely than single events. In these generally well-managed leisure pools, Cryptosporidium risk related to high bather loads. We conclude that public awareness campaigns for bather hygiene, and reminding pool operators of current guidance for managing faecal accidents, should be ahead of peak swim season.

Paediatrics

2013 ◽  
Author(s):  
Victoria Stacey
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Bleeding ◽  
Airway Obstruction ◽  
Major Trauma ◽  
Cardiopulmonary Arrest ◽  
Accidental Poisoning ◽  
Blood Disorders ◽  
The Unconscious ◽  
Life Threatening ◽  
Self Harm

Introduction - Anaphylaxis - Apnoea, stridor, and airway obstruction - Cardiopulmonary arrest - Major trauma - The shocked child - The unconscious child - Abdominal pain - Accidental poisoning, poisoning, and self-harm - Apparent life-threatening events - Blood disorders - Breathing difficulties - Concerning presentations in children - Dehydration secondary to diarrhoea and vomiting - ENT - Fever in children - Floppy child - Gastrointestinal bleeding - Headache - Neonatal presentations - Ophthalmology - Pain in children - Painful limbs in children—atraumatic - Painful limbs in children—traumatic - Rashes in children - Sore throat - SAQs

Managing penetrating renal trauma: experience from two major trauma centres in the UK

2018 ◽  
Vol 121 (6) ◽  
pp. 928-934 ◽  
Author(s):  
Marios Hadjipavlou ◽  
Edmund Grouse ◽  
Robert Gray ◽  
Denosshan Sri ◽  
Dean Huang ◽  
...  
Keyword(s):  
Major Trauma ◽  
Renal Trauma ◽  
Trauma Centres ◽  
The Uk

scholarly journals Are first rib fractures a marker for other life-threatening injuries in patients with major trauma? A cohort study of patients on the UK Trauma Audit and Research Network database

2017 ◽  
Vol 34 (4) ◽  
pp. 205-211 ◽  
Author(s):  
Ian Ayenga Sammy ◽  
Hridesh Chatha ◽  
Fiona Lecky ◽  
Omar Bouamra ◽  
Marisol Fragoso-Iñiguez ◽  
...  
Keyword(s):  
Cohort Study ◽  
Major Trauma ◽  
Rib Fractures ◽  
Research Network ◽  
Network Database ◽  
First Rib ◽  
Life Threatening ◽  
The Uk

Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 117-119
Author(s):  
Munir Ahmad Wani ◽  
Mubarak Ahmad Shan ◽  
Syed Muzamil Andrabi ◽  
Ajaz Ahmad Malik
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Bowel Obstruction ◽  
Emergency Surgery ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

Thalassemia and Asian Americans: Living and Coping with Uncertainty

2006 ◽  
Vol 4 (2) ◽  
pp. 111-134
Author(s):  
Deborah Woo
Keyword(s):  
Asian Americans ◽  
Public Awareness ◽  
Population Groups ◽  
Social Interventions ◽  
Blood Disease ◽  
Life Threatening ◽  
And Coping

Thalassemia is a potentially life-threatening genetic blood disease for which Asians in California are at highest risk, compared to other population groups. Mandatory screening at birth is how most cases are discovered. This paper focuses on chronic forms of thalassemia and what it means for patients and their families to live with the illness. The goal is to increase public awareness about thalassemia and to stimulate discussion about social interventions that might enable individuals to lead healthier lives.

Environmental Degradation in the Ikorodu Sub-Urban Lagos - Lagoon Coastal Environment, Nigeria

2018 ◽  
Vol 10 (1) ◽  
pp. 16-33 ◽  
Author(s):  
Shakirudeen Odunuga ◽  
Samuel Udofia ◽  
Opeyemi Esther Osho ◽  
Olubunmi Adegun
Keyword(s):  
Anthropogenic Activities ◽  
Public Awareness ◽  
Biodiversity Loss ◽  
Policy Formulation ◽  
Coastal Environment ◽  
Resource Exploitation ◽  
Average Growth ◽  
Awareness Campaigns ◽  
The Government ◽  
State Of The Environment

Introduction:Human activities exert great pressures on the environment which in turn cause environmental stresses of various intensities depending on the factors involved and the sensitivity of the receiving environment.Objective:This study examines the effects of anthropogenic activities along the sub-urban lagoon fragile coastal ecosystem using DPSIR framework.Results:The results show that the study area has undergone a tremendous change between 1964 and 2015 with the built up area increasing to about 1,080 ha (17.87%) in 2015 from 224 ha (1.32%) in 1964 at an average growth rate of 16.78ha per annum. The nature of the degradation includes an increasing fragility of the ecosystem through the emergence and expansion of wetlands, flooding and erosion as well as a reduction in the benefits from the ecosystem services. Population growth, between 2006 and 2015 for Ikorodu LGA, estimated at 8.84% per annum serves as the most important driving force in reducing the quality of the environment. This is in addition to Pressures emanating from anthropogenic activities. The state of the environment shows continuous resource exploitation (fishing and sand mining) with the impacts of the pressures coming from water pollution, bank erosion, biodiversity loss and flooding. Although there has been a strong policy formulation response from the government, weak implementation is a major challenge.Recommendation:The study recommends public awareness campaigns and the implementation of existing policies to ensure a sustainable sub-urban lagoon coastal environment..

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