ACCIDENTAL FALLS FROM ELEVATED SURFACES IN INFANTS FROM BIRTH TO ONE YEAR OF AGE

PEDIATRICS ◽  
1969 ◽  
Vol 44 (5) ◽  
pp. 869-876
Author(s):  
Harvey Kravitz ◽  
Gerald Driessen ◽  
Raymond Gomberg ◽  
Alvin Korach

This work is typical of the efforts of the gifted practitioner concerned with an important problem encountered in pediatric practice. It has all the limitations which time and sampling impose and does not satisfy the more precise investigative criteria for control populations, statistical treatment and other considerations which further studies by this group may encompass. It represents an effort which seeks a practical solution and it enlists allies in a well known safety organization. It is the method of collaboration and the clues that are developed which makes this paper a vital contribution. The practitioner requires supportive workers in this type of investigation, but is in a superb position to give additional information about the child and his family, and to implement findings that might be related to prevention. The "event tree" method of study and action which is proposed and illustrated offers a model for injury control of many types. Community workers who are concerned about the problem of falls as the leading method of childhood injury are hereby offered a useful method of study which does not require extensive or complicated efforts. The leads that the paper offers with respect to cultural differences in types of falls and circumstances should be explored. It is unclear either in this work or in the literature whether the method of control posters, campaigns, etc. are indeed effective or not. All existing methods of fall control should be encouraged as they raise the level of awareness of the hazards to children, but a number of investigators have indicated that it is the mother's attitude and distractions from childbearing which offer a strong current of causation. Approaches with the same population using evaluated techniques suggested by the authors are a next step.

2013 ◽  
Vol 13 (21) ◽  
pp. 4819-4825 ◽  
Author(s):  
Guang-Rong Li ◽  
Chun-He Li ◽  
Xiu-Hong Niu ◽  
Li-Ping Yang

2011 ◽  
Vol 38 (11) ◽  
pp. 2606-2611 ◽  
Author(s):  
Kwan-Seong Jeong ◽  
Kune-Woo Lee ◽  
Seong-Young Jeong ◽  
Hyeon-Kyo Lim

Author(s):  
G.W. Tesila Chandrakanthi Kandamby

Modules relating to engineering disciplines mostly comprise laboratory hands on practical in order to demonstrate the application of theory in practice. Guided sheet is usually followed by the instructor while carrying out the practical and students are allowed to work as a team by following the instructions. Since it is a common practice in almost all engineering laboratories, students’ learning was investigated using two soil experiments in civil engineering technological programme in 2018. Interviews were conducted to search what students learn from the practical by recalling learned materials from sample of students after completion of the practical and the method adopted by the instructors were collected through the questionnaire. Analysis based on recalling learning showed that students remember observable aspects of practical task such as identification of apparatus and the testing procedure within one year but it does not assist them to learn theory and calculations though it has been totally covered during the practical lesson. It is noted that students highly involved in doing practical in laboratory rather than attending theory and calculation. Students’ active involvement in learning before the commencement of practical with the assistance of the instructor, observing physical outcomes while doing and searching additional information at the end through internet have showed better results. Preset process is found partially effective and learning on theory and calculation need to be improved to make the process success. Keywords: Laboratory practical, students’ learning, recalling learning, effectiveness,


Author(s):  
Shyamal K. Majumdar ◽  
Marion Shapiro ◽  
J. Gary Caputi

Ultrastructural studies of gerbil testes after vasectomy have been described (2S3). The present study was undertaken to obtain additional information on the effects of vasectomy in the fine structures of the epididymis of the Mongolian gerbils (Meriones unguiculatus). The animals were subjected to vasectomy or sham operation at intervals up to one year. An incision was made on the ventral side of the animal just above the scrotum, and about one centimeter of each vas deferens was removed and the ends were firmly ligated. The cauda epididymis of vasectomized and sham operated animals was fixed for two hours in Karnovsky's fixative. Following a rinse in buffer, the tissue was post fixed for one hour in osmium tetroxide, dehydrated, and embedded in Epon 812. The sections were stained with uranyl acetate followed by Reynolds' lead citrate, and examined with a Philips 201 transmission electron microscope operating at 60 kV.


2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 183-183
Author(s):  
Suzanne Tamang ◽  
Manali I. Patel ◽  
Sam Finlayson ◽  
Xuemei Chen ◽  
Julie Lawrence Kuznetsov ◽  
...  

183 Background: Unplanned care can result in poor outcomes that are potentially preventable. The design of effective interventions to improve outcomes for cancer patients requires a better understanding of the true nature of unplanned care. Although cancer care teams document each patient’s care trajectory in detailed free-text notes, care outcomes are typically measured from structured patient record data and do not contain key information necessary for quality improvement efforts, such as the etiology of emergent events, or events that occur at outside facilities. To inform clinical effectiveness work at Stanford’s Cancer Institute, we describe our application of text-mining to improve the assessment of post-diagnosis morbidity outcomes. Methods: We conducted a retrospective study of unplanned care among 3,318 patients with a new diagnosis of breast, gastrointestinal, or thoracic cancer during 2010-13. Using a validated framework for clinical text-mining, we analyzed 308,000 notes for two tasks. First, we extract information on external unplanned events that are documented by providers. Second, we profile symptom mentions in Emergency Department (ED) notes. Results: For all cancer patients, text-mining detected over 400 unplanned events (93% PPV) at outside facilities, resulting in patient rates of 5% in the first 30 days, and 11% up to one year post-diagnosis. Among breast cancer patients, the top three symptoms reported in ED notes are pain (89%), nausea (37%) and fever (18%). Pain is consistently the most prevalent symptom up to one year after diagnosis, other symptoms exhibit more dynamic trends; wound related disorders and nausea are more prevalent among ED admissions in the first three months, whereas fever, cognitive impairment and mental health issues become more prevalent among admissions after the first three months of cancer care. Conclusions: The application of text-mining methods can improve the quantification of morbidity outcomes by improving the estimation of unplanned care rates and by providing continued learning for symptom-driven interventions to mitigate preventable emergent care. Although additional information gaps in care trajectories may continue to exist, text-mining can aid in assessing the true nature of unplanned care.


2008 ◽  
Vol 57 (7) ◽  
pp. 1023-1030 ◽  
Author(s):  
S. Winkler ◽  
M. Zessner ◽  
E. Saracevic ◽  
K. Ruzicka ◽  
N. Fleischmann ◽  
...  

In the context of an investigative monitoring programme a monitoring system comprising of a water quality monitoring station and a camera station has been installed and operated for more than one year. The monitoring target was to investigate changes of water quality which can be related to a repeated occurrence of foam, observed at a river stretch downstream the monitoring station. The extent and frequency of foam buildup was recorded by means of the camera station. The analysis of the online data clearly showed that some of the measured parameters can be used as indicators for specific discharges, which from additional targeted investigations could be identified as contributors to the foaming problems. The continuous ammonium measurement could be used to detect nitrification problems of WWTPs discharging upstream of the monitoring station. By combining different data sources (emission data, operative and investigative monitoring data) additional information can be gained, which can be used for a comprehensive data assessment as well as a detailed system analysis.


2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Masceline Jenipher Mutsaka-Makuvaza ◽  
Xiao-Nong Zhou ◽  
Cremance Tshuma ◽  
Eniola Abe ◽  
Justen Manasa ◽  
...  

Abstract Background Bulinus species are freshwater snails that transmit the parasitic trematode Schistosoma haematobium. Despite their importance, the diversity of these intermediate host snails and their evolutionary history is still unclear in Zimbabwe. Bulinus globosus and B. truncatus collected from a urogenital schistosomiasis endemic region in the Madziwa area of Zimbabwe were characterized using molecular methods. Methods Malacological survey sites were mapped and snails were collected from water contact sites in four communities in the Madziwa area, Shamva district for a period of one year, at three-month intervals. Schistosoma haematobium infections in snails were determined by cercarial shedding and the partial mitochondrial cytochrome c oxidase subunit 1 gene (cox1) was used to investigate the phylogeny and genetic variability of the Bulinus spp. collected. Results Among the 1570 Bulinus spp. snails collected, 30 (1.9%) B. globosus were shedding morphologically identified schistosomes. None of the B. truncatus snails were shedding. The mitochondrial cox1 data from 166 and 16 samples for B. globosus and B. truncatus, respectively, showed genetically diverse populations within the two species. Twelve cox1 haplotypes were found from the 166 B. globosus samples and three from the 16 B. truncatus samples with phylogenetic analysis showing that the haplotypes fall into well-supported clusters within their species groups. Both B. truncatus and B. globosus clustered into two distinct lineages. Overall, significant negative values for both Tajima’s D statistic and the Fu’s Fs statistic were observed for B. globosus and B. truncatus. Conclusions The study provided new insights into the levels of genetic diversity within B. globosus and additional information on B. truncatus collected from a small geographical area in Zimbabwe. Low prevalence levels of infection observed in the snails may reflect the low transmission level of urogenital schistosomiasis in the area. Our results contribute towards the understanding of the distribution and population genetic structure of Bulinus spp. supporting the mapping of the transmission or risk of transmission of urogenital schistosomiasis, particularly in Zimbabwe.


2017 ◽  
Vol 97 ◽  
pp. 10-19 ◽  
Author(s):  
Nassim Alileche ◽  
Damien Olivier ◽  
Lionel Estel ◽  
Valerio Cozzani

2007 ◽  
Vol 35 (8) ◽  
pp. 1354-1360 ◽  
Author(s):  
Andrew McHardy ◽  
Henry Pollard ◽  
Kehui Luo

Background Considering its popularity, little epidemiologic literature exists on golf injuries. Hypothesis The low back is the most common injury location for golf-related injury. Most golf injuries occur as a result of the golf swing, and occur mostly at impact. The variables age, handicap, practice habits, and warm-up habits are associated with injury. Methods A prospective survey over 1 year was used to study golf injuries among 588 golfers at 8 Australian golf clubs. Information collected included golfers’ injuries sustained during the year, location of injury, onset, mechanism of injury, and whether injury occurred during the golf swing or at another time. Additional information was sought on the type of treatment received after injury. Logistic regression was used to examine the epidemiologic patterns of golf-related injury and any possible risk factors for the injury. Results The overall 1-year incidence rate of golf injury was 15.8 injuries per 100 golfers, which equates to a range of 0.36 to 0.60 injuries/1000 hours/person. Recurrent injuries were most common, while injuries were more likely to occur over time as opposed to an acute onset. The lower back was the most common injury site (18.3%), closely followed by the elbow/forearm (17.2%), foot/ankle (12.9%), and shoulder/upper arm (11.8%). A total of 46.2% of all injuries were reportedly sustained during the golf swing, and injury was most likely to occur at the point of ball impact (23.7%), followed by the follow-through (21.5%). Multivariate analysis revealed that the amount of game play (odds ratio [OR] = 3.73, 95% confidence interval [CI] 1.29-10.75) and the last time clubs were changed (OR = 0.32, 95% CI 0.12-0.86) were significantly associated with the risk of golf injury (P < .05). Other factors such as age, gender, handicap, practice habits, and warm-up habits were not significantly associated with golf injury. Conclusions Nearly 16% of Australian amateur golfers may expect to sustain a golf-related injury per year. The injuries in golf are most likely sustained in the lower back region as a result of the golf swing. Based on statistical analysis, only game play and a changing of clubs seem to be significantly associated with risk of injury after adjusting for other risk factors (P < .05). Other factors such as age, gender, handicap, practice habits, and warm-up habits were not significant.


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