Thoracic Trauma in Children

PEDIATRICS ◽  
1984 ◽  
Vol 74 (5) ◽  
pp. 813-819
Author(s):  
Janet L. Meller ◽  
Alex G. Little ◽  
Dennis W. Shermeta
Keyword(s):  
Thoracic Trauma ◽  
Adult Population ◽  
Age Groups ◽  
Tube Placement ◽  
Diagnostic Measures ◽  
City Environment ◽  
Chest Injuries ◽  
Younger Age ◽  
The University ◽  
Time Of Presentation

A 20-year experience at The University of Chicago in dealing with chest injuries in pediatric patients has been reviewed. The clinical presentation, including results of diagnostic measures, and the initial and definitive management of thoracic trauma in children are discussed. The condition of the majority of patients was stable at time of presentation. The most frequent surgical intervention performed was intercostal tube placement. Thoracotomy was infrequently required and laparotomy for associated injuries was more common. Trends in the causes and epidemiology of thoracic trauma in an inner city environment over this 20-year period were noted: Blunt trauma, which is increasing in frequency, most commonly involves the younger age group and is usually related to automobile accidents. Penetrating injuries are generally seen in older patients within the pediatric age groups and are similar to those seen in the adult population.

scholarly journals Sport and exercise in times of self-quarantine: How Germans changed their behaviour at the beginning of the Covid-19 pandemic

2020 ◽  
pp. 101269022093433 ◽  
Author(s):  
Michael Mutz ◽  
Markus Gerke
Keyword(s):  
Social Interactions ◽  
Adult Population ◽  
Age Groups ◽  
Population Level ◽  
Sports Clubs ◽  
Federal States ◽  
Home Based ◽  
Younger Age ◽  
Community Sports ◽  
Sport And Exercise

Due to the massive spread of a new Coronavirus (SARS-CoV-2), many European governments enacted rules and legislations in order to reduce social interactions and contain the spread of the virus. German authorities put in force a lockdown of all non-essential infrastructure, starting on 22 March 2020. These policies included the closing of sports clubs, fitness centres and community sports grounds. Most federal states prohibited social gatherings of more than two people, thereby further restricting opportunities to play sport and exercise together. The paper addresses how Germans adapted their leisure time sport and exercise (LTSE) activities in this unprecedented situation. Based on survey data representing the adult population (⩾ 14 years, N=1001, data collection 27 March to 6 April 2020), the paper shows a significant decline in LTSE activities at population level. Overall, 31% of Germans reduced their LTSE, while 27% maintained and 6% intensified their LTSE level. A share of 36% was not engaged in LTSE, either before or at the beginning of the lockdown. Younger age groups were more likely to maintain LTSE levels compared with older ones. Comparisons of ‘reducers’ and ‘maintainers/ intensifiers’ indicate that the latter group increased home-based workouts and outdoor endurance sports, while ‘reducers’ did not find adequate substitutes for their sporting routines.

scholarly journals Prevalence of diabetes in the adult population of Novosibirsk

2017 ◽  
Vol 20 (5) ◽  
pp. 329-334 ◽  
Author(s):  
Svetlana V. Mustafina ◽  
Oksana D. Rymar ◽  
Sofiya K. Malyutina ◽  
Diana V. Denisova ◽  
Liliya V. Shcherbakova ◽  
...  
Keyword(s):  
Adult Population ◽  
Population Sample ◽  
Age Groups ◽  
Epidemiological Studies ◽  
High Rate ◽  
Age Group ◽  
Men And Women ◽  
Younger Age ◽  
Significant Difference ◽  
High Prevalence

Aims. To estimate the prevalence of type 2 diabetes mellitus (T2DM) in different age groups of the adult population of Novosibirsk, according to epidemiological studies in 20032005 and 20132016. Methods. We examined a representative population sample (assessed in 20032005) of men and women aged 4569 years in two administrative districts of Novosibirsk, as a part of the international HAPIEE project. According to the tables of random numbers, representative samples of men and women aged 4569 years were formed, to which letters were sent, inviting them to pass for examination. During 20132016, a second population survey was conducted on a random representative sample of a population of 2544-year-olds of both sexes. Participants were residents of one of the districts of Novosibirsk. T2DM and impaired fasting glucose (IFG) were diagnosed using fasting plasma glucose (FPG) levels (diabetes: FPG 7.0 mmol/l; IFG: FPG 6.16.9 mmol/l). Results. The prevalence of T2DM among residents aged 4569 years was 11.3%, and overall, no significant difference in prevalence was found between females and males (11.3% vs. 11.0%). However, the overall prevalence of T2DM among residents aged 2544 years was 2.2%, and prevalence was higher in men (3.5%) than in women (1.1%), p 0.05. High prevalence of IFG was found in the 4569 age group (18.2%, in 20032005), and in the younger age group of 2544 years (21.6%, in 20132016). The high rate among young individuals is particularly alarming. Less than one half (4.8 out of 11.3%) of participants aged 4569 tested positive for T2DM, and only one in the age group 2544 years knew he/she had diabetes. This indicates a lack of knowledge among Siberians about their problem with diabetes. Conclusion. Approximately one in five adults had IFG. Among the adult population aged 4569 (in 20032005), 18.2% had IFG and 11.3% had T2DM. In individuals aged 2544 years in 20132016, IFG was observed in 21.6%, and 2.2% had T2DM (p0.05).

scholarly journals Epidemiology of ophthalmooncology among the adult population of the Nizhny Novgorod Region

2020 ◽  
Vol 9 (4) ◽  
pp. 43-48
Author(s):  
M. A. Golovanova ◽  
S. V. Saakyan ◽  
A. N. Denisenko
Keyword(s):  
Adult Population ◽  
Age Groups ◽  
Benign Tumors ◽  
Malignant Neoplasms ◽  
Benign Diseases ◽  
Study Objective ◽  
Diagnostic Measures ◽  
Uveal Tract ◽  
Medical Documents ◽  
Nizhny Novgorod Region

The study objective is to estimate the prevalence of different tumors of the visual organ among the adult population of the Nizhny Novgorod Region.Materials and methods. Epidemiological study was conducted on the basis of a retrospective analysis of medical documents of 1601 patients over 18 years of age, both sexes and different age groups receiving treatment and diagnostic measures in the period from 2008 to 2017.Results. It was found that the share of benign tumors accounted for 64.08 %, and malignant – 35.92 %. The most common tumors of the eyelids, epithelial benign diseases account for 25.23 %. Among tumors of the uveal tract (21.17 %) malignant neoplasms in the choroid are 10.68 %.Conclusion. In the structure of oncopathology of the population of the Nizhny Novgorod Region, eyelid tumors are common, most of which are of epithelial origin. Among the neoplasms of the uveal tract malignant neoplasms of the choroid prevail.

scholarly journals Who Consult an Adult Psychiatric Emergency Department? Pertinence of Admissions and Opportunities for Telepsychiatry

Medicina ◽  
2020 ◽  
Vol 56 (6) ◽  
pp. 295 ◽  
Author(s):  
Alessandra Costanza ◽  
Viridiana Mazzola ◽  
Michalina Radomska ◽  
Andrea Amerio ◽  
Andrea Aguglia ◽  
...  
Keyword(s):  
Emergency Department ◽  
Age Groups ◽  
Primary Diagnosis ◽  
University Hospital ◽  
Psychotic Episode ◽  
Medical Evaluation ◽  
Younger Age ◽  
Diagnostic Characteristics ◽  
The University ◽  
Hypomanic Episode

Background and Objectives: Psychiatric disorders constitute frequent causes of emergency department (ED) admissions and these rates are increasing. However, referring to ED a whole range of conditions that could or should be dealt with elsewhere is imposing itself as a problematic situation. We aimed: (1) to provide a descriptive picture of the socio-demographic and diagnostic characteristics of the visits among adults at the psychiatric ED; (2) to estimate the clinical pertinence of these visits. Materials and Methods: Retrospective analysis of diagnostic/socio-demographic characteristics and clinical trajectories of patients admitted for a psychiatric condition at the adult psychiatric ED of the University Hospital of Geneva (HUG), Switzerland, during a 6-week timespan. Results: In our sample (n = 763 total admissions for psychiatric conditions; n = 702 for inclusion of patients having received a medical evaluation), depression/anxiety, suicidal behavior (SB), psychotic episode, and substance use disorder (SUD), in descending order, were the most common diagnoses for referral. Patients belonged to younger age groups (≤65 years), had a familial status other than married/in couple, and did not present an unfavorable socio-demographic profile. Concerning the pertinence for a psychiatric ED, primary diagnosis of depression/anxiety is the only variable significantly associated with different grade of degree. By the examination of the patients’ trajectory from admission to discharge, the clinical pertinence for a psychiatric ED admission existed for cases assigned to the Echelle Suisse du Tri (EST®) scale degree 1 (corresponding to most urgent and severe conditions), particularly for diagnoses of depression/anxiety associated with SB, SB as primary or comorbid diagnosis, and psychotic and manic/hypomanic episode. However, diagnoses of depression/anxiety without urgent and severe features (degrees 2, 3, 4) constituted the most frequent mode of presentation. Conclusions: Ambulatory and community-integrated settings could be more appropriate for the majority of patients admitted to adult psychiatric EDs. Moreover, the implementation of telepsychiatry strategies represents a very promising opportunity to offer these patients care continuity, reduce costs and filter the demand for psychiatric ED.

scholarly journals Addressing Racial/Ethnic Equity in Access to COVID-19 Testing Through Drive-Thru And Walk-In Testing Sites in Chicago

2021 ◽  
Vol 9 (5) ◽  
Author(s):  
Sage Kim ◽  
Karriem Watson ◽  
Nidhi Khare ◽  
Shreyas Shastri ◽  
Carla Da Goia Pintpo ◽  
...  
Keyword(s):  
Age Groups ◽  
Health Centers ◽  
Structural Barriers ◽  
Minority Communities ◽  
University Of Illinois ◽  
Younger Age ◽  
Equity In Access ◽  
The University ◽  
Racial Ethnic ◽  
Disproportionate Burden

Mile Square Health Center (MSHC), a network of Federally Qualified Health Centers (FQHCs) run by the University of Illinois Hospital (UIH) in Chicago, established Drive-Thru and Walk-Up COVID-19 testing sites. The primary aim of the UIH/MSHC testing project was to increase testing capacity in the most affected, racial/ethnic minority communities. More than 7,500 tests were performed over a six-month period. Half of those who were tested were Black and Latinx residents. The majority of those tested at the Walk-Up sites were Black, while “Other” race group tended to get tested in Drive Thru testing sites. Latinx residents had the highest positivity rate, followed by Other race group. Younger age groups were more likely to have higher positivity rates. Overall, UH/MSHC testing results reflected the overall Chicago COVID-19 testing results. Our findings substantiate the need to advocate for equitable resource allocation to counter the disproportionate burden of COVID-19 infection among minority communities. FQHCs were shown to be an effective approach to reduce structural barriers to COVID-19 testing and subsequently reduce disparities. Going forward, FQHCs can be key to ensuring COVID-19 vaccine outreach and dissemination.

Inequalities and Impact of Socioeconomic-Cultural Factors in Suicide Rates Across Italy

Crisis ◽  
2011 ◽  
Vol 32 (4) ◽  
pp. 178-185 ◽  
Author(s):  
Maurizio Pompili ◽  
Marco Innamorati ◽  
Monica Vichi ◽  
Maria Masocco ◽  
Nicola Vanacore ◽  
...  
Keyword(s):  
Suicide Rate ◽  
Age Groups ◽  
Premature Death ◽  
Mortality Rates ◽  
Mortality Data ◽  
Italian Population ◽  
Comprehensive Overview ◽  
Suicide Rates ◽  
Younger Age ◽  
Age And Sex

Background: Suicide is a major cause of premature death in Italy and occurs at different rates in the various regions. Aims: The aim of the present study was to provide a comprehensive overview of suicide in the Italian population aged 15 years and older for the years 1980–2006. Methods: Mortality data were extracted from the Italian Mortality Database. Results: Mortality rates for suicide in Italy reached a peak in 1985 and declined thereafter. The different patterns observed by age and sex indicated that the decrease in the suicide rate in Italy was initially the result of declining rates in those aged 45+ while, from 1997 on, the decrease was attributable principally to a reduction in suicide rates among the younger age groups. It was found that socioeconomic factors underlined major differences in the suicide rate across regions. Conclusions: The present study confirmed that suicide is a multifaceted phenomenon that may be determined by an array of factors. Suicide prevention should, therefore, be targeted to identifiable high-risk sociocultural groups in each country.

MONITORING RESULTS OF SAZAN (CYPRINUS CARPIO CARPIO LINNAEUS, 1758) POPULATION IN THE EASTERN PART OF THE TAGANROG BAY AND THE DON RIVER DELTA

2020 ◽  
Author(s):  
P.A. Balykin ◽  
◽  
A.V. Startsev ◽  
G.E. Guskov ◽  
A.S. Grin ◽  
...  
Keyword(s):  
Age Groups ◽  
Indirect Evidence ◽  
Parasite Fauna ◽  
River Delta ◽  
Weight Growth ◽  
Younger Age ◽  
Cyprinus Carpio Carpio ◽  
Don River ◽  
Taganrog Bay ◽  
Biological State

The materials for 2003-2018 on the biological state of sazan of the eastern part of the Taganrog Bay and the Don River delta were summarized. It has been shown that the catches of sazan in the study area consisted of more than half of the fish of younger age groups, the length of which was less than the commercial measure. The ratio of linear and weight growth of sazan is shifting towards a decrease in the mass of one-dimensional specimen, which is indirect evidence of the deterioration of the natural living conditions of semi-migratory fish. In 2019, the carp parasite fauna was represented by 7 species related to monogenes - 2 species, cestodes - 3 species, nematodes - 1 species, crustaceans - 1. The state of the sazan population needs further research.

Students’ Attitudes Towards Starting a Business, on the Example of Students at the University of Information Technology and Management in Rzeszów (Poland)

e-Finanse ◽  
2018 ◽  
Vol 14 (4) ◽  
pp. 90-103
Author(s):  
Karolina Palimąka ◽  
Jacek Rodzinka
Keyword(s):  
Information Technology ◽  
Young People ◽  
Family Member ◽  
Economic Activity ◽  
Age Groups ◽  
The Cross ◽  
Students Attitudes ◽  
The University ◽  
Starting A Business

AbstractEntrepreneurship understood as a manifestation of economic activity is an issue widely discussed in literature, especially in the field of economics. Today, a large part of society is involved in establishing and running a business, hence the shaping of entrepreneurial behaviors gains importance among all age groups, especially young people. The main objective of the conducted research was to examine the interest in starting their own business by students and to verify whether the direction of their studies or role in the group affects the students’ willingness to start a business and whether a family member runs a business influences this interest and moreover, whether capital and the idea are the two main criteria conditioning the decision.. The conclusions were based on a study, i.e. (mainly) the cross-analysis of data collected as part of a survey conducted among students of the University of Information Technology and Management in Rzeszów.

scholarly journals Five reasons COVID-19 is less severe in younger age groups

2020 ◽  
Author(s):  
Paul W Turke
Keyword(s):  
Life History ◽  
Life History Theory ◽  
Age Of Onset ◽  
Age Groups ◽  
Medical Community ◽  
System Function ◽  
The Third ◽  
Immune System Function ◽  
Age Related ◽  
Younger Age

Abstract The severity of COVID-19 is age-related, with the advantage going to younger age groups. Five reasons are presented. The first two are well-known, are being actively researched by the broader medical community, and therefore are discussed only briefly here. The third, fourth, and fifth reasons derive from evolutionary life history theory, and potentially fill gaps in current understanding of why and how young and old age groups respond differently to infection with SARS-CoV-2. Age of onset of generalized somatic aging, and the timing of its progression, are identified as important causes of these disparities, as are specific antagonistic pleiotropic tradeoffs in immune system function.

scholarly journals Religion: Interrelationships and Opinions in Children and Adolescents. Interaction between Age and Beliefs

Religions ◽  
2021 ◽  
Vol 12 (5) ◽  
pp. 357
Author(s):  
Rafael López Cordero ◽  
Francisca Ruiz Garzón ◽  
Lourdes Medina Martínez ◽  
María del Carmen Olmos-Gómez
Keyword(s):  
Children And Adolescents ◽  
Current Trend ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Experimental Methodology ◽  
Cross Sectional ◽  
Younger Age ◽  
Religious Issue ◽  
Quasi Experimental ◽  
Quantitative Descriptive

The current trend of secularization seems to be leading to a gradual withdrawal of religion from public spaces. However, in an increasingly internationalized world, it is becoming more and more important to study the roles of religion and religiosity and their potential in relation to dialogue and social conflicts and tensions. Education is a vital field within which to address this religious issue and create an educational dialogue in order to promote coexistence. By following a quantitative, descriptive, cross-sectional study, based on a quasi-experimental methodology with a social–analytical character, our aim is to assess the existing connections between religion, interrelation and opinion in Spanish children and adolescents. Special attention is paid to the interaction between age and beliefs. We carried out our study with the use of a questionnaire distributed to eleven secondary schools, with students aged between 11 and 16 years old, in three regions of southern Spain (Andalusia, Ceuta, and Melilla) characterized by high religious diversity and multiculturalism. The multivariate analysis carried out in this study identifies the effects of variance on the influence of age and religion, highlighting the interaction between the two. It is observed that the youngest students are those who express their opinions about religion the least, while those belonging to younger age groups and majority religions are those who express a greater religious coexistence, with Muslims externalizing their religious condition the most.

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