Predictors of unintentional childhood injuries seen at the Accident and Emergency Units of three tertiary health care centres in Jos

2015 ◽  
Vol 4 (3) ◽  
pp. 127-134
Author(s):  
J Bulus ◽  
N Lar ◽  
L Remon ◽  
B Inyang ◽  
J Shu’aibu ◽  
...  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stéphanie Giezendanner ◽  
Roland Fischer ◽  
Laura Diaz Hernandez ◽  
Andreas Zeller

Abstract Background The distribution of health care resources during a pandemic is challenging. The aim of the study was to describe the use of health care in a representative sample of the Swiss population during the SARS-CoV-2 pandemic in 2020, and to compare it to data from a survey conducted in 2018. Methods We conducted an observational, population-based, nationwide, repeated cross-sectional survey of the adult Swiss general population in 2018 and in March and April 2020 during the first wave of the SARS-CoV-2 pandemic. Recruitment and data acquisition was conducted by the Link Institute in Lucerne in representative samples of Swiss citizens in 2020 and in 2018. Variables of interest were estimates of health problems, health seeking behaviour, medication and health care use in the population. Results In total, we included data of 1980 individuals (in 2018 N = 958 and in 2020 N = 1022). Across both rounds of data collection the median age was 46 years (range = 18–79 years) and 50% were women. Per 1000 adults, half had at least one symptom and a quarter sought medical advice across both surveys. The most frequently consulted health providers in 2020 were general practitioners (GP) (180/1000), specialist physicians (41/1000), pharmacies (38/1000), the internet (26/1000) and accident and emergency units (25/1000). Compared to 2018, we noted a significant increase in the use of health providers during the pandemic, which was independent of demographic variables for the following health care providers: use of internet (OR = 9.8), pharmacy (OR = 2.64), accident and emergency units (OR = 2.54), and a significant decrease in the number of people who consulted specialist physicians (OR = 0.46). Overall, 76/1000 contacted their GP in relation to COVID-19. Conclusions Compared to 2018, GPs remained the most important source of medical advice for the population during the first wave of the COVID-19 pandemic in Switzerland. While the self-appraisal of health problems and of the need for medical advice remained constant, individuals seemed to change their provider choice during the pandemic, with an increased utilisation of accident and emergency units and pharmacies, which represent easily accessible and low-threshold medical services.


1970 ◽  
Vol 7 (2) ◽  
pp. 113-116
Author(s):  
Amimah Fatima Asif

Quality healthcare delivery is the bedrock to exponentially accelerate the development of a country. Unfortunately, in Pakistan healthcare has been neglected since a long time, with the common man bearing the brunt of this acute situation. There are critical challenges in health care, with paucity of trained human resource and deficit of regulated infrastructure and service delivery being the predominant dilemmas. Primary and secondary healthcare are in an unseemly state, to say the least. Maternal and child health care, accident, and emergency departments and mental health are among the most undermined and forsaken areas of healthcare, primarily in the far flung Gilgit Baltistan region of Pakistan. The only way forward is if the political regime, administration and the medical personnel work in concurrence to revise the health infrastructure of the country.


2016 ◽  
Vol 22 (Suppl 2) ◽  
pp. A330.1-A330 ◽  
Author(s):  
Huan He ◽  
Yuen W Hung ◽  
Isaac M Botchey ◽  
Abdul M Bachani ◽  
Hassan Saidi ◽  
...  

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Leeberk Raja Inbaraj ◽  
Kulandaipalayam Natarajan Sindhu ◽  
Lalmalsawmi Ralte ◽  
Basir Ahmed ◽  
Chandni Chandramouli ◽  
...  

Abstract Objective We studied the primary caregivers’ perception, and further, their awareness of unintentional childhood injuries in south India. Methods A cross-sectional study was conducted in the rural block of Kaniyambadi, Vellore, among 300 primary caregivers of children aged between 0 and 14 years. A semi-structured interview was conducted with the primary caregivers using a photo-elicitation method, with a visual depiction of ten injury risky scenarios for a child. Scoring was done to assess the perception of environmental hazards in these scenarios, and further, knowledge on the prevention of these injuries. An independent ‘t’ test was done to elicit differences in mean scores and a multivariate regression analysis was applied to ascertain factors independently associated with the scores. Results Primary caregivers had adequate perception regarding risks posed to children in scenarios such as climbing trees (96.2%), playing near construction sites (96%), firecrackers (96.4%) and crossing unmanned roads with no traffic signals (94%). Knowledge of prevention was poor however, in the following scenarios: a woman riding a bicycle without safety features, with child pillion sitting behind bare foot and legs hanging by one side (72.6%); a child playing near a construction site (85.9%); and a child playing with plastic bags (88.3%). Overall, educational status of the primary caregiver and socioeconomic status were associated with poorer perception of risks and knowledge about unintentional childhood injuries and their prevention. Conclusions Pragmatic community-based childhood interventions incorporated into existing programs, with a special focus on road traffic injuries, burns and suffocation need to be implemented in high-risk settings of rural populations in South India.


2009 ◽  
Vol 40 (1) ◽  
pp. 71-74 ◽  
Author(s):  
Nagesh N. Borse ◽  
Julie Gilchrist ◽  
Ann M. Dellinger ◽  
Rose A. Rudd ◽  
Michael F. Ballesteros ◽  
...  

1992 ◽  
Vol 22 (4) ◽  
pp. 139-143
Author(s):  
Johanna Westbrook ◽  
Jeffrey Braithwaite

Changes in the management and financing of health care are resulting in increased demands for better information about patients who are treated on an ambulatory basis in hospitals. A pilot study was conducted with the aim of determining the profile of patients who utilise accident and emergency services at St. Vincent's Hospital, Sydney. The International Classification of Primary Care (ICPC) was used to classify both the diagnoses and treatments of patients in the study. 50% of patients fell into two diagnostic categories, 40% of patients resided outside the Eastern Sydney area, no significant difference in the morbidity profiles according to area of residence of patients was found and 25% of patients returned to the hospital within a five month period. The application of the ICPC in an accident and emergency setting is discussed.


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