Age-Specific Analysis of Injury; In Between Youth and Old, Late Middle Ages Increases Injury Vulnerability (Preprint)

2020 ◽  
Author(s):  
Hansol Chang ◽  
Ji Young Min ◽  
Dajeong Yoo ◽  
Sung Yeon Hwang ◽  
Hee Yoon ◽  
...  

BACKGROUND Injury is a leading cause of both mortality and moderate and severe disability. Injury is preventable, and there had been many injury prevention strategies in the past. Age is one factor that affects injury characteristics. OBJECTIVE This study aimed to investigate the national prevalence of injury by age groups to probe new injury prevention strategies. METHODS This data was collected retrospectively from the Emergency Department-based Injury In-depth Surveillance (EDIIS) in South Korea, including patient data who visit 25 emergency departments between January 2011 and December 2017. Patients were divided into four groups by age: 18 to 34 years as group 1; 35 to 49 years, group 2; 50 to 64 years, group 3; 65 years and over, group 4. RESULTS A total of 1,221,746 patients were included, and each age group had a different injury pattern. Group 3 injury outcomes and injured body parts are similar to Group 4. This is why old age injury prevention strategies should be devised right from middle age and not after old age. Interestingly, in our study, Group 4 and Group 1 both were unlikely to have worn seatbelt when traffic injury occurred, which is different compared to other country studies. CONCLUSIONS In our study, each age group shows diverse characteristics in the mode of injury, place, time, and outcome and Group3, which represents late middle age, shows increased vulnerability. Therefore, it is imperative that all age groups have their own injury prevention method and more caution is needed in late middle age injury. CLINICALTRIAL This data was collected retrospectively from the Emergency Department-based Injury In-depth Surveillance (EDIIS) in South Korea.This study was approved by the Institutional Review Board (IRB) of Samsung Medical Center, IRB No. 2020-05-042.


Author(s):  
Hansol Chang ◽  
Ji Young Min ◽  
Dajeong Yoo ◽  
Se Uk Lee ◽  
Sung Yeon Hwang ◽  
...  

Surveillance of injury patterns and comparisons among different age groups help develop a better understanding of recent injury trends and early prevention. This study conducted a national surveillance of injury by age group. Data were collected retrospectively from Emergency Department-Based Injury In-Depth Surveillance (EDIIS) in South Korea, between January 2011 and December 2017. Patients were divided into the following four groups by age: Group 1–18 to 34 years, Group 2–35 to 49 years, Group 3–50 to 64 years, and Group 4—≥65 years. A total of 1,221,746 patients were included in the study. Findings revealed that, each year, the injury rate increased in the population aged ≥65 years. The place and mechanism of injury in Group 3 were similar to those in younger age groups, while injury outcomes and injured body parts were similar to those in Group 4. Further, hospital admission rate, ICU admission rate, hospital death, traumatic brain injury, and injury severity increased with an increase in age. In our study, each age group showed diverse characteristics pertaining to the mechanism, place, time, and outcomes of injuries. Interestingly, Group 3, which represented the late middle age, exhibited increased vulnerability to injury, and emerged as a gray zone between the young and old age groups. Therefore, different injury prevention methods are needed for each age group. Specifically, early prevention methods need to be implemented from the late middle age to improve the old age group’s injury outcomes.



Author(s):  
Soo Hyun Park ◽  
Ji Young Min ◽  
Won Cul Cha ◽  
Ik Joon Jo ◽  
Taerim Kim

Understanding age-specific injury patterns allows the continued improvement of prevention strategies. This is a retrospective study analyzing the Korea Emergency Department-Based Injury In-depth Surveillance data, including those aged ≤19 years old between January 2011 and December 2017. In this study, we focused on changes in the modes of injury and severity, and prevention potential by dividing the patients into four age groups: group 1 (0–4 years), group 2 (5–9 years), group 3 (10–14 years), and group 4 (15–19 years). The most common mode of injury in younger age groups 1 and 2 was a fall or slip. Most injuries in older age groups 3 and 4 were unintentional and intentional collisions combined. Traumatic brain injuries (2.1%), intensive care unit admissions (1.8%), and overall death (0.4%) were the highest in group 4. The proportions of severe and critical injury (EMR-ISS ≥ 25) were 7.5% in group 4, 3.2% in group 3, 2.5% in group 1, and 1% in group 2. This study presents a comprehensive trend of injuries in the pediatric population in South Korea. Our results suggest the importance of designing specific injury-prevention strategies for targeted groups, circumstances, and situations.



2020 ◽  
Vol 25 (2) ◽  
pp. 41
Author(s):  
Marco Antonio Rocha Martins ◽  
Sammy Vieira Carvalho Júnior

Resumo: Seguindo os pressupostos da Teoria da Variação e Mudança linguística, apresentamos neste artigo uma análise de regra variável da expressão do sujeito pronominal em sentenças matrizes na fala de Natal/Rio Grande do Norte/Brasil, com o objetivo de mapear a evolução do preenchimento do sujeito nessa comunidade. Nossa hipótese é de que a fala de Natal evidencia um quadro de mudança gramatical que pode ser observada sob as lentes da mudança em tempo aparente, conforme postulados de Labov (1994). A amostra analisada compõe-se de oito entrevistas realizadas na década de 2010, extraídas do corpus FALA-Natal, com informantes socialmente estratificados. Considerando quatro faixas etárias diferentes dos informantes (Faixa 1 de 8 a 12 anos; Faixa 2 de 15 a 21 anos; Faixa 3 de 25 a 45 anos; e Faixa 4 mais de 50 anos), os resultados mostram que a representação do sujeito pronominal reflete um caso de mudança em tempo aparente, uma vez que construções com sujeitos preenchidos são condicionadas por informantes mais novos, da faixa etária 1, em oposição aos demais informantes das faixas subsequentes.Palavras-chave: preenchimento do sujeito; mudança em tempo aparente; português brasileiro; FALA-Natal.Abstract: In the Theory of Variation and Linguistic Change, we present an analysis of the variable rule of the expression of the pronominal subject in matrix sentences in the speech of Natal/Rio Grande do Norte/Brazil, with the aim of mapping the evolution of the subject’s filling in this community. Our hypothesis is that the speech of Natal shows a grammatical change, which can be observed in light of change in apparent time, as postulated by Labov (1994). The sample analyzed was taken from eight interviews conducted in the decade of 2010, extracted from the FALA-Natal corpus, with socially stratified informants. Considering four different age groups of informants (Group 1 from 8 to 12 years; Group 2 from 15 to 21 years; Group 3 from 25 to 45 years; and Group 4 over 50 years), the results show that the representation of the pronominal subject reflects a case of change in apparent time, since constructions with filled subjects are conditioned by younger informants, in age group 1, as opposed to the other informants in the subsequent groups.Keywords: subject completion; change in apparent time; Brazilian Portuguese; FALA-Natal.



2020 ◽  
Vol 8 (6) ◽  
pp. 232596712092793
Author(s):  
Christopher Antonacci ◽  
Thomas R. Atlee ◽  
Peter N. Chalmers ◽  
Christopher Hadley ◽  
Meghan E. Bishop ◽  
...  

Background: Pitching velocity is one of the most important metrics used to evaluate a baseball pitcher’s effectiveness. The relationship between age and pitching velocity after a lighter ball baseball training program has not been determined. Purpose/Hypothesis: The purpose of this study was to examine the relationship between age and pitching velocity after a lighter ball baseball training program. We hypothesized that pitching velocity would significantly increase in all adolescent age groups after a lighter baseball training program, without a significant difference in magnitude of increase based on age. Study Design: Cohort study; Level of evidence, 2. Methods: Baseball pitchers aged 10 to 17 years who completed a 15-week training program focused on pitching mechanics and velocity improvement were included in this study. Pitchers were split into 3 groups based on age (group 1, 10-12 years; group 2, 13-14 years; group 3, 15-17 years), and each group trained independently. Pitch velocity was assessed at 4 time points (sessions 3, 10, 17, and 25). Mean, maximum, and mean change in pitch velocity between sessions were compared by age group. Results: A total of 32 male baseball pitchers were included in the analysis. Mean/maximum velocity increased in all 3 age groups: 3.4/4.8 mph in group 1, 5.3/5.5 mph in group 2, and 5.3/5.2 mph in group 3. While mean percentage change in pitch velocity increased in all 3 age groups (group 1, 6.5%; group 2, 8.3%; group 3, 7.6%), the magnitude of change was not significantly different among age groups. Program session number had a significant effect on mean and maximum velocity, with higher mean and maximum velocity seen at later sessions in the training program ( P = .018). There was no interaction between age and program session within either mean or maximum velocity ( P = .316 and .572, respectively). Conclusion: Age had no significant effect on the magnitude of increase in maximum or mean baseball pitch velocity during a velocity and mechanics training program in adolescent males.



Author(s):  
Angsuviriya Angsuviriya ◽  
Chanokporn Chanokporn

The objective of this article is to study the attitudes of different age and ethnic groups reflected through the names and the taste of food, that is the southern Thais have a positive attitude towards more tasteful or the taste of hot than the other ethnic groups while the Chinese Thais they have a more positive attitude towards  insipid taste than the other ethnic groups. For the Malaysian Thais they have a more positive attitude towards the taste of sweet than the other two ethnic groups. As for main course dish, the most popular main course dishes in all the 3 groups are “Kangsom” (sour soup made of tamarind paste) and “KangTaipla” or “KangPhungpla”. As for dessert, the most favorite desserts in all the 3 groups are “Klauybuatchee” or Klauybuat (banana in coconut milk) and “Lotchong” or “Singaporean Lotchong”. In addition, it is found that the Chinese Thais and the southern Thais have a negative attitude towards beef, eels, buffalo meat etc, while the Malaysian Thais have a negative attitude towards pork because they are Muslim. When age groups have been taken into account, age group 1 (15-25) does not like spicy foods, compared with the other age group. While age group 2 (35-45) has similarities in the food names of those in age group 1 and age group 3; therefore, there are more food names in age group 2 than those in the other groups. In addition, for age group 3 (55 or more) more local names of foods are found.   Keywords: Attitudes, the names and the tastes of foods, the ethnic



Author(s):  
Ze-Yu Zhao ◽  
Yuan-Zhao Zhu ◽  
Jing-Wen Xu ◽  
Qing-Qing Hu ◽  
Zhao Lei ◽  
...  

AbstractBackgroundA novel coronavirus named as “SARS-CoV-2” has spread widely in many countries since December 2019, especially in China. This study aimed to quantify the age-specific transmissibility by using a mathematical model.MethodsAn age-specific susceptible – exposed – symptomatic – asymptomatic – recovered – seafood market (SEIARW) model was developed based on two suspected transmission routes (from market to person and person to person). The susceptible people from Wuhan City were divided into different age groups. We used the subscript i and j to represent age group 1 to 4 (i ≠ j; 1: ≤ 14 years; 2: 15-44 years; 3: 45-64 years; 4: ≥ 65 years) and 1 to 5 (i ≠ j; 1: ≤ 5 years; 2: 6-14 years; 3: 15-24 years; 4: 25-59 years; 4: ≥ 60 years), respectively. Data of reported COVID-19 cases were collected from one published literature from 26 November to 22 December, 2019 in Wuhan City, China. The age-specific transmissibility of the virus was estimated accordingly secondary attack rate (SAR).ResultsThe age-specific SEIARW model fitted with the reported data well by dividing the population into four age groups (χ2 = 4.99 × 10−6, P > 0.999), and five age groups (χ2 = 4.85 × 10−6, P > 0.999). Based on the four-age-group SEIARW model, the highest transmissibility occurred from age group 2 to 3 (SAR23 = 17.56 per 10 million persons), followed by from age group 3 to 2 (SAR32 = 10.17 per 10 million persons). The lowest transmissibility occurred from age group 1 to 2 (SAR12 = 0.002 per 10 million persons). Based on the five-age-group SEIARW model, the highest transmissibility occurred from age group 4 to 5 (SAR45 = 12.40 per 10 million persons), followed by from age group 5 to 4 (SAR54 = 6.61 per 10 million persons). The lowest transmissibility occurred from age group 3 to 4 (SAR34 = 0.0002 per 10 million persons).ConclusionsSARS-CoV-2 has high transmissibility among adults and elder people but low transmissibility among children and young people.



1986 ◽  
Vol 14 (2) ◽  
pp. 135-139 ◽  
Author(s):  
C. L. Hastings ◽  
T. C. K. Brown ◽  
R. L. Eyres ◽  
R. C. Oppenheim

Eight mongrel puppies were studied at intervals of a few weeks. Lignocaine 4mg/kg was infused over 60 seconds. Frequent samples were taken over 30 minutes for plasma lignocaine assay. Initially the concentrations were significantly higher in the oldest group (178–191 days) but after 10 minutes the youngest group (3–16 days) had significantly higher levels than the other groups. Pharmacokinetic data derived included the rate constants k21, k12 (drug movement between two compartments), k10 (elimination from the central compartment), and the volume of distribution (Vβ). The elimination rate constant k10 was significantly lower in Group 1 (3–16 days) than all other groups and Group 2 (37–57 days) was lower than Group 4 (178–191 days). The calculated β half-life was significantly longer in the youngest group than the others. There was no significant difference in the volume of distribution between these age groups — up to 6 months.



2015 ◽  
Vol 49 (4) ◽  
pp. 164-167
Author(s):  
Scott William Talpey ◽  
Emma Siesmaa ◽  
Peta White ◽  
Caroline F Finch

ABSTRACT Purpose Understanding the participation habits of junior cricket players is needed to better inform injury prevention strategies in this sporting population. This investigation sought to describe the amount of training and competition undertaken by junior community level cricket players in a typical week. Materials and methods A cross-sectional survey with a 1 week recall was administered to 281 Australian junior community club cricket players aged 9 to 16 years. The number of training and competitive matches in the previous week and the number of contexts competed or trained in during that same week were determined. Results The majority of the surveyed cricketers participated in. 1 match during the previous week, with 10% reporting having participated in. 2 matches. More players from the under 16 years (U16) level others competed in. 2 matches in the previous week. Coinciding with the greater number of weekly participations in the older age group, 49% (CI: 9.60) of the U16 players reported also taking part in. 2 training sessions in the previous week. Overall, more players aged under 12 years (U12) (46%; CI: 31.6.57.6) reported not attending any cricket training in the previous week, than did older age groups (7% each). Moreover, 28% of U16 players reported also competing in an adult competition. Conclusion Older players had greater training and competitive loads than younger players. The number of competitive contexts across which junior players compete also increased with age. There is potential for heightened injury risk when training and match loads get too high, especially across playing contexts. How to cite this article Talpey SW, Siesmaa E, White P, Finch CF. Weekly Training and Competitive Load of Junior Level Community Cricket Players. J Postgrad Med Edu Res 2015;49(4): 164-167.



2018 ◽  
Vol 11 (4) ◽  
pp. 43-48 ◽  
Author(s):  
N. V. Khodzhabekyan ◽  
A. T. Khandzhyan ◽  
E. P. Tarutta

Purpose: to evaluate the results of symmetric binocular hypocorrection of myopia with FemtoLasik surgery in patients with presbyopia of various age groups.Material and methods. 33 patients (66 eyes) with myopic refraction, aged 36 to 50, were operated by FemtoLasik. The intended Femto Flap thickness was 100 μm. The patients were divided into three groups depending on age; group 1 included 16 patients (32 eyes) aged 39–44, group 2 had 12 patients (24 eyes) aged 45–50, and group 3 (controls) was composed of 5 patients (10 eyes) of pre-presbyopic age (36–38 years).Results. The symmetric binocular hypocorrection proved efficient in 35 % of cases in the group 1 and 50 % of cases in group 2. In the control group the intended and obtained values coincided in all 100 % of cases.Conclusion. A possible cause of the discrepancy between the intended and the obtained hypocorrection effect may be a reduced corneal hydration of patients older than 39 years.



2019 ◽  
Vol 30 (5) ◽  
pp. 664-673 ◽  
Author(s):  
Garrett K. Berger ◽  
Peyton L. Nisson ◽  
Whitney S. James ◽  
Kristen N. Kaiser ◽  
R. John Hurlbert

OBJECTIVEEwing sarcoma (ES) is among the most prevalent of bone sarcomas in young people. Less often, it presents as a primary lesion of the spine (5%–15% of patients with ES).METHODSA systematic literature search was performed, querying several scientific databases per PRISMA guidelines. Inclusion criteria specified all studies of patients with surgically treated ES located in the spine. Patient age was categorized into three groups: 0–13 years (age group 1), 14–20 years (age group 2), and > 21 (age group 3).RESULTSEighteen studies were included, yielding 28 patients with ES of the spine. Sixty-seven percent of patients experienced a favorable outcome, with laminectomies representing the most common (46%) of surgical interventions. One-, 2-, and 5-year survival rates were 82% (n = 23), 75% (n = 21), and 57% (n = 16), respectively. Patients in age group 2 experienced the greatest mortality rate (75%) compared to age group 1 (9%) and age group 3 (22%). The calculated relative risk score indicated patients in age group 2 were 7.5 times more likely to die than other age groups combined (p = 0.02).CONCLUSIONSPrimary ES of the spine is a rare, debilitating disease in which the role of surgery and its impact on one’s quality of life and independence status has not been well described. This study found the majority of patients experienced a favorable outcome with respect to independence status following surgery and adjunctive treatment. An increased risk of recurrence and death was also present among the adolescent age group (14–20 years).



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