Longitudinal cohort study of injury type, settings, treatment and costs in British Columbia youth, 2003–2013

2021 ◽  
pp. injuryprev-2021-044168
Author(s):  
Bonnie Leadbeater ◽  
Alejandra Contreras ◽  
Fahra Rajabali ◽  
Alex Zheng ◽  
Emilie Beaulieu ◽  
...  
Keyword(s):  
British Columbia ◽  
Total Direct Cost ◽  
Age Group ◽  
Prevention Strategies ◽  
Cost Of Treatment ◽  
Broken Bones ◽  
Youth And Young Adults ◽  
Awareness Raising ◽  
Animal Bites ◽  
Serious Injuries

BackgroundIn 2010 in British Columbia (BC), Canada, total injury costs per capita were higher among youth aged 15–24 years than in any other age group. Injury prevention efforts have targeted injuries with high mortality (transportation injuries) or morbidity (concussions). However, the profile and health costs of common youth injuries (types, locations, treatment choices and prevention strategies) and how these change from adolescence to young adulthood is not known.MethodsParticipants (n=662) were a randomly recruited cohort of BC youth, aged 12–18, in 2003. They were followed biennially across a decade (six assessments).ResultsSerious injuries (defined as serious enough to limit normal daily activities) in the last year were reported by 27%–41% of participants at each assessment. Most common injuries were sprains or strains, broken bones, cuts, punctures or animal bites, and severe bruises. Most occurred when playing a sport or from falling. Estimated total direct cost of treatment per injury was approximately $2500. In addition, 25% experienced serious injuries at three or more assessments, indicating possible differences that warrents further investigation.ConclusionsThe occurence and health cost of common injuries to youth and young adults are underestimated in this study but are nevertheless substantial. Ongoing surveillence, awareness raising, and prevention efforts may be needed to reduce these costs.

CHARACTERISTICS OF PATIENTS WITH BRAIN INJURY DUE TO LAND TRAFFIC ACCIDENTS TREATED AT NINH BINH PROVINCIAL GENERAL HOSPITAL IN 2018

2021 ◽  
Vol 62 (5) ◽  
Author(s):  
Luong Xuan Hien ◽  
Nguyen Quoc Tien ◽  
Tran Thi Phuong
Keyword(s):  
Brain Injury ◽  
General Hospital ◽  
Medical Records ◽  
Traffic Accidents ◽  
Brain Injuries ◽  
First Aid ◽  
Temporal Region ◽  
Age Group ◽  
Research Subjects ◽  
Broken Bones

This was an epidemiological study through a retrospective review of 215 medical records of patients with brain injury due to land traffic accidents treated at Ninh Binh Provincial General Hospital. Theresults showed that the majority of research subjects were male, accounting for 80.5%; The age group with higher prevalence of accidents was under 30 years old, accounting for 31.2%; The agegroup of 50-59 years old was at lower prevalence of accidents accounting for 15.8%. The time of the higher chance of occurring accident was between 4p.m and 11p.m daily. The majorityof traffic accidents occurred when riding motorbikes and electric bicycles (82.3%). About 75.0% of the victims received first aid with a gauze bandage; 5.4% of them had broken bones fixed. Amongthe brain injuries, 34.4% of the victims suffered from frontal trauma; 29.3% had unilateral cerebral hemisphere injury, 24.2% had temporal region injury, 15.8% had occipital region injury, and 8.4% ofvictims had parietal injury. More than half of the study subjects (53.5%) were hospitalized for 7-10 days. The rate of patients who have been discharged from the hospital with improved symptoms was81.4%; and 14.9% of patients were transferred to higher level hospitals.

Sources of flavoured e-cigarettes among California youth and young adults: associations with local flavoured tobacco sales restrictions

2021 ◽  
pp. tobaccocontrol-2020-056455
Author(s):  
Shivani Mathur Gaiha ◽  
Lisa Henriksen ◽  
Bonnie Halpern-Felsher ◽  
Todd Rogers ◽  
Ashley L Feld ◽  
...  
Keyword(s):  
Young Adult ◽  
Online Survey ◽  
Multilevel Models ◽  
Individual Characteristics ◽  
Age Group ◽  
The Past ◽  
Tobacco Sales ◽  
Youth And Young Adults ◽  
Local Law ◽  
Online Sources

PurposeThis study compares access to flavoured JUUL and other e-cigarettes from retail, online and social sources among underage and young adult e-cigarette users who live in California jurisdictions that restrict sales of flavoured tobacco with the rest of the state.MethodsAn online survey used social media advertisements to recruit participants (n=3075, ages 15–29) who lived in one of nine jurisdictions that restrict sales (n=1539) or in the rest of state, and oversampled flavoured tobacco users. Focusing on past-month e-cigarette users (n=908), multilevel models tested whether access to flavoured JUUL and other e-cigarettes from retail, online and social sources differed by local law (yes/no) and age group (15–20 or older), controlling for other individual characteristics.ResultsThe percent of underage users who obtained flavoured JUUL and other e-cigarettes in the past month was 33.6% and 31.2% from retail, 11.6% and 12.7% online, and 76.0% and 70.9% from social sources, respectively. Compared with underage and young adult users in the rest of California, those in localities that restrict the sales of flavoured tobacco were less likely to obtain flavoured JUUL from retail sources (Adjusted OR=0.54, 95% CI 0.36 to 0.80), but more likely to obtain it from social sources (Adjusted OR=1.55, 95% CI 1.02 to 2.35). The same pattern was observed for other brands of flavoured e-cigarettes.ConclusionAlthough local laws may reduce access to flavoured e-cigarettes from retail sources, more comprehensive state or federal restrictions are recommended to close the loopholes for online sources. Dedicated efforts to curtail access from social sources are needed.

Prevalence of Alcohol Use in Istanbul

2003 ◽  
Vol 92 (3_suppl) ◽  
pp. 1081-1088 ◽  
Author(s):  
Yildiz Akvardar ◽  
Ahmet Turkcan ◽  
Umit Yazman ◽  
Sema Aytaçlar ◽  
Gul Ergor ◽  
...  
Keyword(s):  
At Risk ◽  
Alcohol Use ◽  
Age Group ◽  
Risky Drinking ◽  
Prevention Strategies ◽  
Problem Drinkers ◽  
Structured Interviews ◽  
Cage Questionnaire ◽  
Alcohol Related Problems ◽  
Current Alcohol

The current research assessed the prevalence of alcohol use in Istanbul, Turkey along with characteristics and severity of related problems. The data were collected from structured interviews including the CAGE Questionnaire to eliminate the severity of alcohol-related problems of 1,550 residents (743 women, 807 men) of Istanbul, ages 12 to 65 years. Current alcohol use was 25.6% (397 persons, 118 women and 279 men), including 15.9% of the women and 34.5% of the men. 67% reported never having used alcohol. The rate of alcohol use was highest in the 40- to 49-yr. age group; the onset of use was reported as most common for the 16- to 19-yr.-olds. Prevalence of risky drinking was 6.8% (106 persons). Men were more likely to have an earlier initiation to alcohol use, to consume more [5.2 standard drinks (SD = 3.4) vs 3.6 standard drinks ( SD = 2.5)] and be problem drinkers (31.5% vs 15.2%) than women. Prevalence of alcohol use seems to be relatively low in Istanbul. Data on characteristics of alcohol use are important in estimating groups at risk for problems and in planning prevention strategies.

scholarly journals PROFILE OF MEDICO-LEGAL DEATHS DUE TO DROWNING – A RETROSPECTIVE STUDY

2019 ◽  
pp. 1-2
Author(s):  
Avinash Kumar* ◽  
Luv Sharma ◽  
Binay Kumar
Keyword(s):  
Retrospective Study ◽  
Cause Of Death ◽  
Age Group ◽  
Forensic Pathologist ◽  
Water Canal ◽  
Male Sex ◽  
Animal Bites ◽  
One Year ◽  
Legal Expertise ◽  
Postmortem Finding

Death due to drowning is almost frequent in India, so it is but natural that, medico-legal expertise is called upon for investigations. Determining the cause of death in bodies found in water is quite challenging, which can be done by thorough investigation and complete autopsy by forensic pathologist. The present study was a retrospective, which was conducted for one year during June 2016 to May 2017 considering upon history and postmortem finding of the deceased. The maximum drowning cases were of male sex (74.73%), with commonest affected age group being 21-30 years (30.64%). Most of the drowning cases were accidental (55.91%) in nature and occurred commonly in water canal (55.37%), and rivers (25.26%). The most significant findings noted on autopsy were decomposition and animal bites (gnawing effects) (54.83%) and presence of heavy, voluminous, edematous and congested lungs with c/s showing copious frothy fluid (52.15%).

Estimating future smoking in Danish youth – effects of three prevention strategies

2020 ◽  
pp. 140349482094267
Author(s):  
Caroline Klint Johannesen ◽  
Susan Andersen ◽  
Lotus Sofie Bast
Keyword(s):  
Smoking Prevalence ◽  
Status Quo ◽  
Relative Reduction ◽  
Prevention Strategies ◽  
School Based ◽  
Youth And Young Adults ◽  
Free Generation ◽  
Tiered Interventions ◽  
The Impact ◽  
Old Females

Aims: Preventing smoking and aiding cessation among youth and young adults carries the possibility of reducing future smoking prevalence significantly. This paper estimates the impact on future smoking prevalence of 25 year olds by increasing tobacco prices, securing indoor smoke-free homes and implementing school-based multi-tiered interventions. Methods: Utilizing a multi-state Markov model, a status quo projection of the smoking prevalence from years 2017 to 2030 were compared with projections of the smoking prevalence in 2030 considering the impact of the three prevention strategies. Results: In a status quo projection, 27.0% of Danish 25-year-old females are expected to be smokers in 2030, while 13.2% would be smokers in 2030 were all three prevention strategies in effect from 2019. By itself, increasing tobacco prices by 50% reduced the prevalence of smokers among 25-year-old females to 14.8% in 2030, a relative reduction of 47.5%. For 25-year-old males in 2030 the reductions were similar, with a prevalence of 16.6% when all three prevention strategies were in effect, a relative reduction of 51.5%. Conclusions: Implementing increasing tobacco prices, indoor smoke-free homes and school-based multi-tiered interventions in Denmark is likely to significantly decrease youth smoking prevalence in the future. However, these three strategies will not produce a smoke-free generation without other initiatives.

Which Prevention Strategies for Child Pedestrian Injuries? A Review of the Literature

1996 ◽  
Vol 16 (3) ◽  
pp. 207-217 ◽  
Author(s):  
Mark R. Stevenson ◽  
David A. Sleet
Keyword(s):  
Motor Vehicle ◽  
Environmental Design ◽  
The United States ◽  
Individual Characteristics ◽  
Age Group ◽  
Review Of The Literature ◽  
Prevention Strategies ◽  
Pedestrian Injury ◽  
Analytical Research ◽  
Occupant Injuries

In 1992, motor vehicle-related injury was the leading cause of injury-specific death in the United States for children aged zero to fourteen years. In the five to nine years age group, childhood pedestrian injury was exceeded only by motor vehicle occupant injuries as the leading cause of death. The prevention of these injuries is a multifactorial problem involving individual characteristics of the child, environmental design, and the mutual dependence between the child and his or her environment. This article considers the plethora of descriptive and analytical research and proposes suitable strategies to reduce the rate of child pedestrian injury.

scholarly journals Weekly Training and Competitive Load of Junior Level Community Cricket Players

2015 ◽  
Vol 49 (4) ◽  
pp. 164-167
Author(s):  
Scott William Talpey ◽  
Emma Siesmaa ◽  
Peta White ◽  
Caroline F Finch
Keyword(s):  
Injury Prevention ◽  
Injury Risk ◽  
Age Groups ◽  
Older Age ◽  
Community Level ◽  
Age Group ◽  
Prevention Strategies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Weekly Training

ABSTRACT Purpose Understanding the participation habits of junior cricket players is needed to better inform injury prevention strategies in this sporting population. This investigation sought to describe the amount of training and competition undertaken by junior community level cricket players in a typical week. Materials and methods A cross-sectional survey with a 1 week recall was administered to 281 Australian junior community club cricket players aged 9 to 16 years. The number of training and competitive matches in the previous week and the number of contexts competed or trained in during that same week were determined. Results The majority of the surveyed cricketers participated in. 1 match during the previous week, with 10% reporting having participated in. 2 matches. More players from the under 16 years (U16) level others competed in. 2 matches in the previous week. Coinciding with the greater number of weekly participations in the older age group, 49% (CI: 9.60) of the U16 players reported also taking part in. 2 training sessions in the previous week. Overall, more players aged under 12 years (U12) (46%; CI: 31.6.57.6) reported not attending any cricket training in the previous week, than did older age groups (7% each). Moreover, 28% of U16 players reported also competing in an adult competition. Conclusion Older players had greater training and competitive loads than younger players. The number of competitive contexts across which junior players compete also increased with age. There is potential for heightened injury risk when training and match loads get too high, especially across playing contexts. How to cite this article Talpey SW, Siesmaa E, White P, Finch CF. Weekly Training and Competitive Load of Junior Level Community Cricket Players. J Postgrad Med Edu Res 2015;49(4): 164-167.

scholarly journals A Prospective Observational Study on Anti-infective Agents in Adults in A Hospital

2021 ◽  
Vol 68 (2) ◽  
Author(s):  
Gada Yerukala Srawan Kumar ◽  
Dr. Reddy Phani Kumar ◽  
Desireddy Rama Brahma Reddy ◽  
Yathirajam Dedeepya ◽  
Naligala Divya
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Age Group ◽  
Cost Of Treatment ◽  
Total Cost ◽  
Rational Use ◽  
Antiinfective Agents ◽  
Male Patients ◽  
The Right ◽  
Clinical Departments

The main aim of the pharmacist is to provide the right drug in the right quality at the right time to patient. The monitoring studies of such prescription pattern can nourish the relevant use and exploit or misuse of the drug which is monitored. The main goal of the present study is to ease the rational use of drugs and make awareness of the irrational use of the drug which is more prevalent to the drug resistance, economic burden to the patient and failure of the treatment. The present prospective observational study was going on the usage of anti-infective agents in the adults based on the prescription of the physician to the patients. Prescriptions were obtained from various clinical departments was done over the period of 6 months from October 2020 to March 2021 to assess the appropriate use of anti-infective agents in adults. Total 1610 prescriptions data of anti-infective agents were analysed of average range of medication includes antibacterial, antiviral, antifungal, anthelmintic, antiparasitic, antimicrobials. A total of 1610 prescriptions from out patient and in patient department of the hospital were analysed in this study and out of those patients, male patients were 714 (44.34%) and female patients were 896 (55.65%). The most common age group which was prescribed more antiinfective agents was 51-60 years. Among them the antibacterial were about 65.03%, antiviral 1.59%, antifungal 7.04%, anthelmintic 7.09%, antiparasitic 0.89%, antimicrobial 0.51%, antimalarial 0.93%, antitubercular 0.51%, Antibacterial+Antiprotozoal 16.45%. Now a days usage of anti-infective agents was high to improve the rational use of drugs and to avoid the irrational usage of antibiotics in increasing the side effects and resistance towards the drug and total cost of treatment as well.

Age-Specific Analysis of Injury; In Between Youth and Old, Late Middle Ages Increases Injury Vulnerability (Preprint)

2020 ◽  
Author(s):  
Hansol Chang ◽  
Ji Young Min ◽  
Dajeong Yoo ◽  
Sung Yeon Hwang ◽  
Hee Yoon ◽  
...  
Keyword(s):  
Emergency Department ◽  
Injury Prevention ◽  
Old Age ◽  
Middle Age ◽  
Age Groups ◽  
Age Group ◽  
Prevention Strategies ◽  
Group 4 ◽  
Group 3 ◽  
Group 1

BACKGROUND Injury is a leading cause of both mortality and moderate and severe disability. Injury is preventable, and there had been many injury prevention strategies in the past. Age is one factor that affects injury characteristics. OBJECTIVE This study aimed to investigate the national prevalence of injury by age groups to probe new injury prevention strategies. METHODS This data was collected retrospectively from the Emergency Department-based Injury In-depth Surveillance (EDIIS) in South Korea, including patient data who visit 25 emergency departments between January 2011 and December 2017. Patients were divided into four groups by age: 18 to 34 years as group 1; 35 to 49 years, group 2; 50 to 64 years, group 3; 65 years and over, group 4. RESULTS A total of 1,221,746 patients were included, and each age group had a different injury pattern. Group 3 injury outcomes and injured body parts are similar to Group 4. This is why old age injury prevention strategies should be devised right from middle age and not after old age. Interestingly, in our study, Group 4 and Group 1 both were unlikely to have worn seatbelt when traffic injury occurred, which is different compared to other country studies. CONCLUSIONS In our study, each age group shows diverse characteristics in the mode of injury, place, time, and outcome and Group3, which represents late middle age, shows increased vulnerability. Therefore, it is imperative that all age groups have their own injury prevention method and more caution is needed in late middle age injury. CLINICALTRIAL This data was collected retrospectively from the Emergency Department-based Injury In-depth Surveillance (EDIIS) in South Korea.This study was approved by the Institutional Review Board (IRB) of Samsung Medical Center, IRB No. 2020-05-042.

scholarly journals Impact of changing from annual to biennial mammographic screening on breast cancer outcomes in women aged 50–79 in British Columbia

2008 ◽  
Vol 15 (4) ◽  
pp. 182-187 ◽  
Author(s):  
Andrew J Coldman ◽  
Norm Phillips ◽  
Ivo A Olivotto ◽  
Paula Gordon ◽  
Linda Warren ◽  
...  
Keyword(s):  
Breast Cancer ◽  
British Columbia ◽  
Cancer Mortality ◽  
Breast Cancer Mortality ◽  
Mortality Rates ◽  
Screening Mammography ◽  
Axillary Node ◽  
Age Group ◽  
Cancer Outcomes ◽  
Breast Cancer Outcomes

Objectives The objective of this study was to compare breast cancer outcomes among women subject to different policies on mammography screening frequency. Setting Data were obtained for women participating in the Screening Mammography Programme of British Columbia (SMPBC) for 1988–2005. The SMPBC changed its policy for women aged 50–79 years from annual to biennial mammography in 1997, but retained an annual recommendation for women aged 40–49 years. Methods Breast cancer outcomes were compared for women participating in the programme before and after 1997 for two groups: ages 40–49 and 50–79 years. Results There were data on 658,151 women. Comparing pre-1997 and post-1997, the median interscreen interval increased by 11.1 months in women 50–79 but by only 0.3 months in women aged 40–49. Excluding those detected at initial screen, 6291 breast cancers were identified. Comparing pre-1997 and post-1997: the relative rates (RR) of screen detected cancer increased in women aged 40–49 (RR = 1.32) and the rate of invasive cancers ≥20 mm at diagnosis decreased (RR = 0.83); the rate of cancers with axillary node involvement increased in women aged 50–79 (RR = 1.23). Cancer survival improved after 1997 for women diagnosed at ages 40–49 (hazard ratio = 0.62), but was unchanged for women aged 50–79. Breast cancer mortality rates did not change between the periods in either age group. Conclusion The proximal cancer outcomes considered (staging and survival) improved in women aged 40–49 but this was offset in women aged 50–79 associated with the change in screen frequency. These changes did not result in alterations in breast cancer mortality rates in either age group.

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