scholarly journals Experience of Living and Coping with Spinal Cord Disability due to Road Traffic Injuries: A Phenomenological Study Running title: Living and Coping with Spinal Cord Disability

2021 ◽  
Author(s):  
Mina Hashemiparast ◽  
Hajieh Sheydaei ◽  
Maryam Gharacheh ◽  
Vijay Kumar Chattu
Keyword(s):  
Spinal Cord ◽  
Social Life ◽  
Cultural Context ◽  
Phenomenological Study ◽  
Road Traffic ◽  
Adaptation Strategies ◽  
Main Theme ◽  
Disabled People ◽  
Road Traffic Injuries ◽  
And Coping

Abstract Background: Globally, people living with spinal cord disability experience more limitations in an individual and social life. In many cases, this leads to complex psychological and social problems that may also affect the adaptation to the conditions. The aim of the study was to explore the experience of living and coping with disability in people with spinal cord disability due to road traffic accidents in Iran's cultural context.Methods: This is a qualitative study with a phenomenological approach on ten Iranian people with spinal cord disability due to road traffic injuries. Data collection and analysis were performed from September to March 2019. Data were collected by individual, face-to-face in-depth interviews, and the experience of living with disability and adaptation strategies were explored. Van Manen’s methodical activities were used to guide the study's process.Results: ‘victim of destiny’ was the main theme extracted from three themes and nine sub-themes. The disabled people viewed life as a prison that destiny had ordained for them and trapped them in the fences of isolation, anger, regret, anxiety, sorrow, pity, and futility such that they require assistance from others as dependent individuals. Religious recourse, satisfaction with God's expediency, and change of life values were the participants' coping strategies to adjust to their difficulties.Conclusions: The study clarified the permanent constraints, needs, barriers and adaptation strategies of disabled people.

Contemporary Trends in the Epidemiology of Traumatic Spinal Cord Injury: Changes in Age and Etiology

2015 ◽  
Vol 44 (2) ◽  
pp. 85-90 ◽  
Author(s):  
Carlos Henrique Suzuki Bellucci ◽  
Jose Everton de Castro Filho ◽  
Cristiano Mendes Gomes ◽  
José de Bessa Jr. ◽  
Linamara Rizzo Battistella ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Injury Severity ◽  
Road Traffic ◽  
Gunshot Wounds ◽  
Cross Sectional Study ◽  
Consecutive Series ◽  
Cross Sectional ◽  
Road Traffic Injuries ◽  
Cord Injury

Background: Epidemiological features of spinal cord injury (SCI) have been changing over the last decades. We evaluated the contemporary trends in the epidemiology of traumatic SCI patients from a rehabilitation center. Methods: In a cross-sectional study, a consecutive series of 348 patients with traumatic SCI were evaluated. Variables were collected through an epidemiological form, which included gender, age at injury, duration and cause of SCI. We investigated SCI epidemiological trends over time including the association between gender and age at injury with SCI features such as etiology, injury severity and level. Results: The mean age at SCI has increased from 26.0 ± 11.8 in patients with SCI before 2003 to 37.9 ± 15.7 in those with SCI after 2009 (p < 0.001). Gunshot wounds were the main cause of injury in patients with SCI before 2003, dropping from 40.6 to 16.9% after 2009 and being surpassed by road traffic injuries (38.6%) and falls (31.4%) after 2009 (p < 0.001). Gender, SCI severity and level have not changed significantly over the time. Conclusions: There was a major increase in the average age of patients as well as changes in the etiology of SCI over the past fifteen years, including a significant decrease in gunshot wounds and an increase in the frequency of road traffic injuries and falls. These changes and accompanying risk factors must be taken into consideration when planning measures to prevent SCI.

“AmeriKenyan”: Lived Acculturation and Ethnic Identification of Kenyan Natives During Their Youth

2021 ◽  
pp. 009579842110398
Author(s):  
Jana R. Onwong’a ◽  
Christopher D. Slaten ◽  
Shannon McClain
Keyword(s):  
Emerging Adults ◽  
Social Life ◽  
Cultural Context ◽  
The United States ◽  
Family Values ◽  
Ethnic Identification ◽  
Multicultural Psychology ◽  
Acculturation Process ◽  
Individualistic Culture ◽  
And Coping

This qualitative study investigated the immigration, acculturation process, and ethnic identity experiences of six Kenyan emerging adults who immigrated to the United States during their adolescent years. Themes emerged from the data to describe their (a) immigration experience, (b) acculturation process into an individualistic culture with more of a Western worldview, (c) ethnic and racial identity, and (d) emotional response and coping. Subthemes and additional factors illustrated their experience as it relates to social life, academics, cultural context, family values, and more. Implications for multicultural psychology research and practice are addressed.

scholarly journals Trends in mortality from external causes in the Republic of Seychelles between 1989 and 2018

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Anne Abio ◽  
Pascal Bovet ◽  
Joachim Didon ◽  
Till Bärnighausen ◽  
Masood Ali Shaikh ◽  
...  
Keyword(s):  
Causes Of Death ◽  
Road Traffic ◽  
Marked Change ◽  
Total Mortality ◽  
Mortality Rates ◽  
Vital Statistics ◽  
African Region ◽  
Road Traffic Injuries ◽  
External Causes ◽  
Over Time

AbstractData on injury-related mortality are scarce in the African region. Mortality from external causes in the Seychelles was assessed, where all deaths are medically certified and the population is regularly enumerated. The four fields for underlying causes of death recorded were reviewed in the national vital statistics register. The age-standardised mortality rates were estimated (per 100,000 person-years) from external causes in 1989–1998, 1999–2008, and 2009–2018. Mortality rates per 100,000 person-years from external causes were 4–5 times higher among males than females, and decreased among males over the three 10-year periods (127.5, 101.4, 97.1) but not among females (26.9, 23.1, 26.9). The contribution of external causes to total mortality did not change markedly over time (males 11.6%, females 4.3% in 1989–2018). Apart from external deaths from undetermined causes (males 14.6, females 2.4) and “other unintentional injuries” (males 14.1, females 8.0), the leading external causes of death in 2009–2018 were drowning (25.9), road traffic injuries (18.0) and suicide (10.4) among males; and road traffic injuries (4.6), drowning (3.4) and poisoning (2.6) among females. Mortality from broad categories of external causes did not change consistently over time but rates of road traffic injuries increased among males. External causes contributed approximately 1 in 10 deaths among males and 1 in 20 among females, with no marked change in cause-specific rates over time, except for road traffic injuries. These findings emphasise the need for programs and policies in various sectors to address this large, but mostly avoidable health burden.

scholarly journals ‘Thrown in at the Deep End’: The Experience of Graduates of Transnational Western Medical Education Transitioning into Middle Eastern Clinical Practice

2019 ◽  
Vol 8 (6) ◽  
pp. 36
Author(s):  
Fiza Rashid-Doubell ◽  
Timothy P Doubell
Keyword(s):  
Medical Education ◽  
Clinical Practice ◽  
Cultural Context ◽  
Middle Eastern ◽  
Phenomenological Approach ◽  
Full Time ◽  
Host Countries ◽  
Medical Teams ◽  
The One ◽  
And Coping

Background: Newly qualified doctors educated in their home country usually go on to work in their first hospital job in same country. These graduates are familiar with the socio-cultural context of clinical setting they work in. But, with many Western universities providing cross-border education to host countries in the Middle East and South East Asia in subjects such as medicine. The experiences of those graduating from transnational medical education and working in local hospitals are absent.The aim of the study was to explore the early transitional experiences of newly qualified doctors moving from a European branch campus to practice at hospitals affiliated to the medical school situated in a Middle-Eastern country.Methods: A qualitative study using an interpretive phenomenological approach through interviews to explore experiences of graduates of transnational medical education working in Middle Eastern hospitals. Results: The main findings can be summarised under the three themes generated: the essentials of practice, routine of practice and realities of practice. The results evidenced the transition as a challenging period for new doctors finding dissonance between the skills taught while in transnational education and the workplace. There were three particular areas of discord for the graduates in clinical practice: working in medical teams with a different arrangement to the one prepared for; adapting to a more patient-centred language and coping with differences in ethical norms, values and practices in the hospital.Conclusions: The graduates found transitioning from university to full-time clinical practice difficult and were disappointed by their experience not matching their expectations of work. These findings are valuable for transnational medical educators seeking to improve the experience of graduates who are moving from the clear ideals, norms and values of transnational medical education into the complexity of full-time clinical practice.  

“Caring for the Elderly is Very Difficult”: Challenges and Coping Strategies of Caregivers in Urban Poor Accra, Ghana

2020 ◽  
pp. 105477382098230
Author(s):  
Frank Kyei-Arthur ◽  
Samuel Nii Ardey Codjoe
Keyword(s):  
Coping Strategies ◽  
Family Caregiving ◽  
Urban Poor ◽  
Phenomenological Study ◽  
Negative Impact ◽  
Elderly Care ◽  
The Elderly ◽  
Care Recipients ◽  
Negative Impacts ◽  
And Coping

This study is part of a broader phenomenological study on the experiences of family caregivers and their care recipients. There is a general paucity of research on the experiences of primary and secondary caregivers, and the negative impact of elderly care on caregivers in the urban poor settings in Ghana. This study explored primary and secondary caregivers’ challenges and coping strategies in the urban poor context in Accra, Ghana. This study was conducted in Ga Mashie. Thirty-one caregivers were interviewed. A phenomenological analysis was conducted using NVivo 10. Primary and secondary caregivers experienced economic, physical, social, and psychological burdens. Also, caregivers used spirituality and perseverance to cope with their challenges. The findings demonstrate that caregivers’ challenges varied by type of caregiver. Researchers and policymakers should consider the type of caregiver when designing interventions to mitigate the negative impacts of family caregiving on caregivers.

High rates of psychosocial complications after road traffic injuries

Injury ◽  
1997 ◽  
Vol 28 (8) ◽  
pp. 539-543 ◽  
Author(s):  
Anna-Lena Andersson ◽  
Olle Bunketorp ◽  
Peter Allebeck
Keyword(s):  
Road Traffic ◽  
Road Traffic Injuries ◽  
Psychosocial Complications

Some Aspects of Road Traffic Injuries

2005 ◽  
Vol 29 (S1) ◽  
pp. S105-S107 ◽  
Author(s):  
Zhengguo Wang
Keyword(s):  
Road Traffic ◽  
Road Traffic Injuries

Pattern of major injuries after motorcycle accidents in Egypt: The Mansoura Emergency Hospital experience

Trauma ◽  
2016 ◽  
Vol 19 (1) ◽  
pp. 39-45 ◽  
Author(s):  
El Yamani Fouda ◽  
Mohamed Youssef ◽  
Sameh H Emile ◽  
Hossam Elfeki ◽  
Waleed Thabet ◽  
...  
Keyword(s):  
Road Traffic ◽  
Head Injuries ◽  
Age Groups ◽  
Road Traffic Injuries ◽  
Emergency Hospital ◽  
Chest Injuries ◽  
The Common ◽  
Orthopedic Injuries ◽  
Motorcycle Accidents ◽  
Motorcycle Crashes

Background and aim Motorcycle accidents are one of the leading causes of road traffic injuries and mortality. The aim of this study was to determine the common patterns of major injuries associated with motorcycle accidents in patients attending Mansoura University Emergency Hospital in Egypt, and to measure the magnitude of the problem in our community. Patients and methods Patients involved in motorcycle crashes who were admitted to the hospital during August 2014 to April 2015 were retrospectively reviewed. All age groups and both genders were included. Results Two hundred patients (181 males) with a mean age of 30.7 ± 10.5 years were included with the majority of patients aged 20–40 years. Head injuries were the most frequent fatal injuries (9/61) patients; orthopedic injuries were the most common injuries, occurring in 78.5% of victims. Multisystem injuries occurred in 28% of patients. None of the motorcyclists involved in accidents wore helmets. Conclusion Motorcycle accidents are a common cause of road traffic injuries and mortalities in Egypt, occurring mainly in males aged 20–40 years. The majority of victims had an isolated trauma to single body system. Orthopedic injuries were the most common and least fatal type of injuries. The highest fatalities were among patients with chest injuries then patients with head injuries. None of the victims wore protective clothing or helmets at the time of accident.

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