Trauma Surgeon-Led and Funded Injury Prevention Program Decreases Number of All-Terrain Vehicle-Related Admissions

2022 ◽  
pp. 000313482110508
Author(s):  
Matthew F. Holt ◽  
Joshua Fortmann ◽  
George M. Testerman

Background All-terrain vehicle (ATV) laws regarding helmet use, alcohol involvement, and roadway riding are poorly enforced or largely ignored. We hypothesized that direct surgeon funding and leadership in injury prevention would decrease ATV crashes. To focus prevention efforts, we reviewed a rural level 1 trauma center 11-year experience with ATV crashes comparing helmeted and unhelmeted rider outcomes. Methods For the latter 6 years of the study period, a trauma surgeon sponsored an injury prevention fund promoting ATV safety using simulators and discussions for area high school students. Helmet use, alcohol avoidance, and safe ATV operating were emphasized. A trauma registry review of ATV admissions from 2009 through 2020 examined demographics, helmet use, and clinical outcomes using chi-square, t-test, and regression analysis. Results Unhelmeted ATV riders suffered more severe head and neck injuries (OR 19, CI 1.5-1.8, P < .001), worse overall Injury Severity Score (ISS), (OR 25, CI 12.1-14.2, P < .001), and higher mortality rates (OR 4.0, CI .02-.05, P < .001). Helmet use corresponded with an average decrease in AIS and increase in GCS status. Although only 15% of riders were helmeted, ATV crash admissions have decreased in the last 5 years ( P < .001). Discussion All-terrain vehicle trauma and mortality is still frequent, especially in unhelmeted riders. The recent decrease in area ATV crashes is encouraging. Trauma surgeons have an opportunity to make a difference in public awareness and education through comprehensive physician-funded and directed injury prevention and research efforts.

2021 ◽  
pp. 000313482110508
Author(s):  
Matthew F. Holt ◽  
George M. Testerman

Background Unhelmeted motorcyclists injured in states with lax or poorly enforced helmet safety laws are frequently seen in rural trauma centers. A trauma surgeon started a comprehensive injury prevention and research fund with outreach to a three-state trauma center catchment area promoting injury prevention at area high schools and local communities. We hypothesized that unhelmeted riders would have more severe head injuries and fatalities than helmeted riders. Methods A trauma registry review of 708 injured motorcycle riders over an 11-year period examined demographics, helmet use, and clinical outcomes of helmeted and unhelmeted riders. A full-time injury prevention coordinator collaborating with law enforcement provided electronic and mechanical simulations with discussions regarding helmet use, alcohol avoidance, and responsible motorcycle riding for area high school students. This program coincided with the second half of our 11-year study. Multiple regression analysis evaluated predictors for head injury and death. Results Unhelmeted motorcyclists suffered worse head injuries, (OR 8.8, CI 1.6-2.4, P < .001), more severe overall injury (OR 10, CI 12.7-18.6, P < .001), and higher mortality (OR 2.7, CI .02-.15, P < .001). Local motorcycle-related trauma center admissions and deaths have stabilized in recent years while statewide motorcycle crashes have increased ( P < .05). Discussion Unhelmeted motorcyclists suffer worse head injuries and mortality rates. Physician-led outreach efforts for injury prevention may be effective. Trauma surgeons have ongoing opportunities to promote responsible motorcycle riding for schools and local communities.


2012 ◽  
Vol 9 (5) ◽  
pp. 562-568 ◽  
Author(s):  
Asdrubal Falavigna ◽  
Alisson Roberto Teles ◽  
Maíra Cristina Velho ◽  
Gregory Saraiva Medeiros ◽  
Carolina Travi Canabarro ◽  
...  

Object Trauma is the leading cause of mortality and morbidity in children, young people, and working-age adults. Because of the high incidence of intentional and unintentional injuries in young people, it is necessary to implement injury-prevention programs and measure the efficacy of these initiatives. The authors evaluated the effectiveness of an injury-prevention program in high school students in a city in southern Brazil. Methods In a randomized controlled study, 1049 high school students were divided into a control group and intervention group. The study was conducted in the following 3 stages: a questionnaire was applied 1 week before the educational intervention (P0), shortly after the intervention (P1), and 5 months later (P3). In the control group, a questionnaire based on the Pense Bem Project was applied at the 3 time stages, without any intervention between the stages. Results The postintervention analysis evidenced a slight change in knowledge about unintentional spinal cord and brain injuries. Regarding attitudes, the only significant improvement after the intervention lecture was in the use of helmets, which remained high 5 months later. A substantial number of students only partially agreed with using safety behaviors. The only significant postintervention change was the major agreement to check swimming pool depth before entering the water (P0 89% and P1 97.8%, p < 0.001; P2 92.8%, p = 0.005). Conclusions An educational intervention based on a single lecture improved students' knowledge of traumatic brain and spinal cord injuries, but this type of intervention did not modify most attitudes toward injury prevention. Clinical trial registration no.: U1111-1121-0192.


Author(s):  
Ryohei Terao ◽  
Noriyo Kaneko

AbstractObjectiveTo ascertain the prevalence and correlated factors of providing consultation on sexual orientation and the characteristics of school nurses in high schools in Japan.MethodsParticipants were school nurses working in high schools in Aichi prefecture. Items investigated included background, experiences in providing counselling on sexual orientation, the availability of materials and resources for students, and learning experiences concerning how to handle sexual orientation concerns. We divided the respondents into two groups: one group who have provided counselling on sexual orientation before and one group with no such experience. Chi square tests were utilized to compare the responses between groups.ResultsAmong the respondents, 38.9% (n = 140) had previous experience of providing counselling to students on sexual orientation. The group with experience of providing counselling is more likely to have 10–29 years of experience, to work at a senior high school, to be informed on notifications from the Ministry of Education, to have experience of learning how to provide counselling on sexual orientation, and to be aware of effective resources.ConclusionIn Japan, it is expected that the support needs related to LGBTI will become more obvious in the future and efforts to create an environment in which it is easy for young people to consult with school nurses or other support figures are necessary.


Author(s):  
Ibrahim Ibrahim ◽  
Sukma Sahreni

Various factors causing premarital sexual behavior are loosening of supervision from parents and schools, lack of faith in God, low education in religious values, social influences, easy to absorb western cultures that are currently rife in Indonesia, mass media as well as the internet that provides a variety of positive and negative information. This type of research is a descriptive-analytic study with a cross-sectional approach, which was conducted in February 2017. The population of this study was students of class XII Natural Sciences and Social Sciences of Kartini High School in Batam City, totaling 111 people. Sampling with random sampling technique, as many as 84 people. Data obtained from filling out the questionnaire to respondents, then the data were analyzed univariately and bivariate by computer using the Chi-Square Statistical Test. The results showed that students who had good knowledge about premarital sex were 32 students (38.1%), students who had sufficient knowledge about premarital sex were 24 students (28.6d%) and students who had less knowledge about premarital sex as many as 28 students (33.3%). The results showed that students who had good attitudes about premarital sex were 44 students (52.4%), students who had sufficient attitudes about premarital sex were 21 (25.0%) and students who had fewer attitudes about premarital sex were 19 students (22.6%). Statistical test results show (P = 0,000) meaning that there is a relationship between knowledge and attitudes of adolescents about premarital sex in Batam City Kartini High School in 2018. From the results of the study it can be concluded that there is a significant relationship between Premarital Sex Knowledge and Premarital Sexual Attitudes in Kartini High School students in Batam City in 2018.


2011 ◽  
Vol 4 (2) ◽  
pp. 198 ◽  
Author(s):  
Sara Hashemi Shahraki ◽  
Abbass Eslami Rasekh

Slang usage in modern age Iran is a popular phenomenon among most male and female teenagers. How pervasive this variation of language use is among various age and sex groups in Iran has been a question of debate given the significance of religion in a theological system of social structure. The work presented in this study aims to investigate the effect of age and sex on variability of slang usage. Sixty Iranian participants were selected, and then were divided into three age groups (i.e. primary school, high school, and senior university students) each group consisting of ten males and ten females. A self-made questionnaire in the form of Discourse Completion Test (DCT) describing nine situations of friendly conversations was given to the participants. They were asked to make their choice on the responses, which ranged from formal to very informal style (common teenage slang expressions), or to write down what they wish to say under each circumstance. The results of the chi–square tests indicated that slang usage among high school students is more frequent as compared with other age groups. Unlike the popular belief suggesting that slang is used by boys rather than girls, the findings suggested that young Iranians both male and female use slang as a badge of identity showing their attachment to the social group they wish to be identified with.


2016 ◽  
Vol 29 (1) ◽  
pp. 137-146 ◽  
Author(s):  
Cíntia Detsch Fonseca ◽  
Cláudia Tarragô Candotti ◽  
Matias Noll ◽  
Anna Maria Hecker Luz ◽  
Antônio Cardoso dos Santos ◽  
...  

Abstract Objective: To estimate the prevalence of back pain in adolescent girls, and determine whether this pain is associated with socioeconomic, demographic, anthropometric, and behavioral factors. Methods: This was an epidemiological survey with a representative sample of 495 female high school students, aged 14 to 18 years, in the municipality of São Leopoldo in the southern Brazilian state of Rio Grande do Sul. Data were collected through a self-administered questionnaire with closed, standardized, coded, and tested questions. Bivariate analysis included the chi-square test (x2) and calculation of prevalence ratios (α<0.05). Results: The prevalence of back pain was 75.2%. The thoracic-lumbar (30.4%) and lumbar (27.7%) regions of the spine were most affected. Among the students with pain, 60.5% reported the severity of their pain to be moderate to severe, and 21.2% reported that the pain prevented them from performing activities of daily living. Regarding associated factors, the pain was more prevalent in overweight/obese students (RP = 1.246, 95% CI: 1.137 to 1.366), who reported carrying a heavy school backpack/bag (PR = 1.187, 95% CI: 1.073 to 1.314) and those who had incorrect posture when picking up objects from the floor (PR = 1.138, 95% CI: 1.031 to 1.256). Conclusions: There was a high prevalence of back pain associated with body mass index, reported weight of the student's school backpack/bag, and posture when picking up objects from the floor.


2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Ratna Indriati ◽  
Dwi Rindu Rusyati

Background. Reproductive health needs to be understood by teens because adolescence is a period where there is a rapid growth including reproductive function. The impact of not maintaining reproductive health that can arise various diseases of the reproductive organs. From the survey results the researchers did on 10 students of class XI IPA SMAN Jumapolo Karanganyar, obtained a yield of 7 students do not understand clearly about reproductive health and are still puzzled how care productive health.Research purposes. To determine the relationship of the level of knowledge about reproductive  health  to  maintain  a healthy  reproductive behavior of female students in high school students science class XI at SMAN Jumapolo Karanganyar.Methods. The research design correlation with the approach of cross sectional method. Subjects were 40 grader XI IPA SMAN Jumapolo Karanganyar with saturated sampling technique in which the entire population is used as a sample. Data obtained by questionnaire to determine the level of student knowledge about reproductive health and behavior of students in maintaining the health of the reproductive organs. The data obtained and analyzed by chi square test with P = 0.05. Results showed the level of student knowledge about reproductive health with high category as many as 29 people (72.5%) and medium category  11 people (27.5%) whereas students with behavioral maintain reproductive health as many as 25 children (62.5%) and students who do not take action maintain reproductive health as many as 15 people (37.5%).Results of analysis using the chi-square test was obtained p equal to 0.035 so that the value of p <0.05, which means that Ho is rejected and Ha accepted. The conclusion from this research is there is correlation between knowledge about reproductive health students with behavioral maintain reproductive health of female students in high school students science class XI  at SMAN Jumapolo Karanganyar.Keywords: Level of Knowledge, Reproductive Health, Behavioral Health 


2021 ◽  
Vol 8 (9) ◽  
Author(s):  
Arzu Önel ◽  
Şule Fırat Durdukoca

<p>The aim of this study is to examine whether reading habits have any effects on the academic achievement of the biology course of high school students in Turkey. In the research, the relational screening model was preferred from the quantitative research models and the phenomenological approach was preferred from the qualitative research models, so the mixed method was used. The study group consists of 266 students studying in the final year of various high schools and who took biology courses before in the province of Kars in Turkey. Data were collected by the questionnaire form prepared by the researchers. In the questionnaire, the participants were asked 12 questions in total; 4 questions to determine the variables of the type of school, education fields, gender, school report marks, 5 close-ended questions to be thought to be able to determine their reading habits, 2 open-ended questions and 1 metaphor question. Frequency and percentage values were calculated for descriptive analysis of the answers given to the questionnaire items. Chi-square analysis was used to examine the relationship between demographic characteristics and the reading habits of the students, and the content analysis technique was used to analyze metaphors. </p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0882/a.php" alt="Hit counter" /></p>


2019 ◽  
Vol 32 (1) ◽  
pp. 105
Author(s):  
Ira Nurmala ◽  
Muthmainnah Muthmainnah ◽  
Riris Diana R ◽  
Elisa Dwi P

Nowadays, drugs (narcotics, psychotropic, and addictive substances) abuse gradually increases in the adolescent group, especially High School students. Environmental impact, especially social interaction, gives a high effect on building the character in adolescents. The existence of peer-education activity is one of the promotive and preventive strategies in mitigating drug abuse. This research was done in 10 high schools in Surabaya spread over five regions (Central, North, South, West, and East). This research was quantitative with the cross-sectional design while the data analysis used was a Chi-Square test with a p-value of <0.05 that was based on the significance level. The research finding showed that the intention of student participation was quite high, i.e. 83.1%; from the statistical test, it had been taught that gender had a significant relationship with intention by a p-value of 0.00. Additionally, it had also a relationship with subjective norm by a p-value of 0.00.  Conclusion: the student’s norm has supported their intention to participate in the program. Meanwhile, the research finding that is based on the gender in this research showed that females had a higher intention to participate in the activity than the males had.  Therefore, a conducive environment should be maintained continuously so that the positive norm can motivate the students to participate in the activity held by the peer-educator.


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