scholarly journals Ambulance Use by International Travelers in Japan: A Retrospective Descriptive Study

2020 ◽  
Vol 8 (1) ◽  
pp. 13-17
Author(s):  
Yusuke Oshita ◽  
Koki Tsuchiya ◽  
Koji Ishikawa ◽  
Kodai Hirabayashi ◽  
Tetsuya Nemoto

Introduction: Reports indicate that 22%–64% of travelers experience some illness when in a foreign country. To date, no prior study has reported the use of ambulances by travelers or the epidemiology of travel-related injury. Methods: In this retrospective study, we aimed to describe ambulance use by international travelers, including the rates of travel-related injury and illness. To do so, ambulance dispatch data from January 1, 2010 to December 31, 2018 was used. Results: Overall, of the 43201 cases of ambulance use during the study period, 524 (1.2%) were international travelers. Ambulance use by international travelers increased from 0.35% in 2010 (15/4311) to 2.54% in 2018 (125/4913), an average annual increase of 0.27%. Of the international travelers, 392 (74.8%) had minor complaints, 110 cases (21.0%) had moderate complaints, 280 (53.4%) had internal disease, and 223 cases (42.6%) had suffered trauma. Regarding location, 253 (48.3%) were from a hotel/lodge, 83 (15.8%) were from a road/parking, and 30 (5.7%) were in the forest/mountain. Conclusion: Most international travelers use ambulances for minor complaints, typically internal disease or trauma, and approximately half access the service from a hotel or lodge.

Author(s):  
Florent Cochez ◽  
Nicolas Thoumy ◽  
Jean-Philippe Cano

Enhancements in the treatment of sexual offenders has been taking place for over four decades. The development of pharmacological therapy has helped to reduce the risk of re-offense and has demonstrated its utility in combination with psychotherapy. However further studies to demonstrate the efficacy of these therapies are required. We conducted a retrospective study in a unit that provides care for sexual offenders (court ordered treatment or voluntary treatment). Among the 224 patients at ERIOS over the past 15 years, we identified 23 patients who had received anti-libidinal treatment (ALM) at some point in their care. The results, obtained from only 22 informative files, indicate that 16 patients presented no notion of deviant fantasy or behavioral relapse under medication. This study also highlights the comorbidities and offers a perspective regarding the improvement in prescribing this type of pharmacological therapy.


Author(s):  
Diarrassouba Moussa ◽  
Soumahin Eric Francis ◽  
Konan Djézou ◽  
N’guessan Kan Pulchérie ◽  
Moro Affia Perpetue ◽  
...  

To find out the effect of cultural techniques on agrophysiological parameters, four combinations ̏planting densities (low density or DF at 350 t/ha, normal density or DN at 510 t/ha) and opening standards (opening at 65cm and opening at 50 cm) ̋ were tested on Hevea brasiliensis clones PB 260, IRCA 111 and RRIM 703. This study was conducted for nine years with a split-plot experimental design of two treatments and two subtreatments repeated three times. The different combinations of treatments and subtreatments tested were low density (DN-50 cm), low density (DN-65 cm), normal density (DF-50 cm), normal density (DF- 65 cm). The parameters evaluated were the production at bleeding and per hectare, the average annual increase in circumference, the rate of tree losses and the rate of trees with dry notches. Production per tree was significantly higher at 350 t/ha and 65 cm opening (DF-65 cm), while per hectare production was higher at 510 t/ha. The girths of the different clones are stronger at DF and at the 65 cm opening. The rate of tree loss and the rate of trees with dry notch were low at the 510 t/ha density and the 65cm opening. The appropriate density and opening standard was "normal density 510 t/ha and opening to circumference 50 cm". The cultivation techniques especially the density and opening standard judiciously applied can participate in the sustainable improvement of rubber productivity of rubber plantations.


2020 ◽  
Vol 23 (3) ◽  
pp. 161-166
Author(s):  
Jozef Bujko ◽  
Juraj Candrák ◽  
Július Žitný ◽  
Radovan Kasarda

The study aimed to examine the analyses of the trend in the numbers of dairy cows, production and reproductive traits in the population the Slovak Spotted cattle for period 2010 to 2019. The number of Slovak Spotted dairy cows is maintained on a relatively stable level in recent years. There was a decrease in the number of animals (12 428 in 2010), but not as strong as after 1990 (85 518). From 2017 number of animals is rising from 14,062, to 14,150 (2018) and 14,627 (2019), respectively. As compared to 2010 an increase of 13.15% in 2017, 13.86% and 17.68%, in 2018 and 2019 respectively was observed. Population size raised from 113.15% (2017) to 117.68% in 2019 respectively. The average annual increase in milk production between the years 2010 to 2019 was + 157.5 kg of milk (total 1,575 kg of milk), + 5.8 kg of fat (total 58 kg of fat) and + 6.1 kg of protein (total 61 kg of protein). Positive growth of milk production in recent years is slightly comparable with the trend of breeding improvement.


1995 ◽  
Vol 12 (2) ◽  
pp. 53-56 ◽  
Author(s):  
Jim Barnes ◽  
Noel O'Gorman

AbstractObjective: The aim of this study was to describe the social, physical, intellectual and psychological characteristics of juvenile delinquents in Dublin.Method: One hundred consecutive admissions to the St. Michael's Assessment Centre between March 1,1989 and May 31, 1991 were studied. Information was gathered on a wide range of personal, family and social aspects of the delinquents' lives, together with data on their physical, intellectual and psychological profiles.Results: The majority of subjects came from deprived social and economic backgrounds. 62% of the delinquents were below the 50th percentile for height while 21% were classified as mentally handicapped. The most common psychiatric diagnoses were socialised conduct disorder and mixed disorder of conduct and emotions. Depressive symptoms were endorsed by 12% of the boys and this subgroup tended to engage in more serious offences.Conclusions: This retrospective study demonstrates the high degree of social, physical, intellectual and psychological disadvantage experienced by Dublin juvenile delinquents and underscores the need for further prospective studies in this poorly understood section of our society.


PEDIATRICS ◽  
1996 ◽  
Vol 97 (6) ◽  
pp. 877-885 ◽  
Author(s):  
Alex A. Kane ◽  
Laura E. Mitchell ◽  
Kathleen P. Craven ◽  
Jeffrey L. Marsh

Objective. To verify and determine the cause of an increase in the referral of infants with plagiocephaly without synostosis (PWS) to a single tertiary craniofacial center. Design. A chart review was performed for 269 infants with a diagnosis of PWS who presented to a single tertiary craniofacial center between 1979 and 1994. The pattern of referral for PWS was analyzed using both simple linear regression and time series regression analyses. In addition, the referral pattern for PWS was compared with that for infants seen at the same center who received a diagnosis of synostotic plagiocephaly. Changes in the distribution of several demographic, perinatal, and clinical variables during the study period were also assessed. Finally, in an effort to identify correlates of the risk of PWS developing, characteristics of patients who were Missouri residents and presented between 1992 and 1994 were evaluated and compared with those of the 1993 Missouri live birth cohort. Setting. The Cleft Palate and Craniofacial Deformities Institute, St Louis Children's Hospital, Washington University Medical Center. Results. The average annual number of referrals to our center for PWS in the period 1992 to 1994 was more than sixfold greater than that for the preceding 13 years. There was a statistically significant increase in the annual number of referrals to our center during the 16-year study period. Moreover, there was evidence that the average annual increase in referrals was significantly greater during the last 3 years (1992 through 1994) of the study than in the first 13 years. This shift in the referral patterns is roughly contemporaneous with the American Academy of Pediatrics recommendations regarding infant sleep position. There was no evidence that either the mean number of referrals or the average annual increase in referrals for patients with synostosis changed during the study period. Among patients with PWS, the average age at presentation did not change during the study period. There were also no significant changes in the distribution of other demographic, perinatal, and clinical variables. When compared with the Missouri birth cohort, infants with PWS were significantly more likely to be boys and to have been delivered by forceps. There was also some evidence that patients with PWS were more likely to be born prematurely and to be products of multiple-gestation pregnancies. These associations were, however, of only borderline statistical significance. Conclusion. Referrals to our center for PWS increased markedly in 1992 relative to previous years. The temporal coincidence of this increase with the American Academy of Pediatrics recommendation to avoid the prone sleeping position, to reduce the risk of sudden infant death syndrome, suggests a possible causal relationship. If this association is causal, education regarding the need for head position rotation coupled with that for sudden infant death syndrome should obviate positional PWS.


2017 ◽  
Vol 37 (3) ◽  
pp. 68-76 ◽  
Author(s):  
Colin Steensma ◽  
Lidia Loukine ◽  
Bernard Choi

Introduction The objective of this study was to investigate whether morbidity in Canada, at the national and provincial levels, is compressing or expanding by tracking trends in life expectancy (LE) and health-adjusted life expectancy (HALE) from 1994 to 2010. “Compression” refers to a decrease in the proportion of life spent in an unhealthy state over time. It happens when HALE increases faster than LE. “Expansion” refers to an increase in the proportion of life spent in an unhealthy state that happens when HALE is stable or increases more slowly than LE. Methods We estimated LE using mortality and population data from Statistics Canada. We took health-related quality of life (i.e. morbidity) data used to calculate HALE from the National Population Health Survey (1994–1999) and the Canadian Community Health Survey (2000–2010). We built abridged life tables for seven time intervals, covering the period 1994 to 2010 and corresponding to the year of each available survey cycle, for females and males, and for each of the 10 Canadian provinces. National and provincial trends were assessed at birth, and at ages 20 years and 65 years. Results We observed an overall average annual increase in HALE that was statistically significant in both Canadian females and males at each of the three ages assessed, with the exception of females at birth. At birth, HALE increased an average of 0.2% (p = .08) and 0.3% (p $lt; .001) annually for females and males respectively over the 1994 to 2010 period. At the national level for all three age groups, we observed a statistically nonsignificant average annual increase in the proportion of life spent in an unhealthy state, with the exception of men at age 65, who experienced a non-significant decrease. At the provincial level at birth, we observed a significant increase in proportion of life spent in an unhealthy state for Newfoundland and Labrador (NL) and Prince Edward Island (PEI). Conclusion Our study did not detect a clear overall trend in compression or expansion of morbidity from 1994 to 2010 at the national level in Canada. However, our results suggested an expansion of morbidity in NL and PEI. Our study indicates the importance of continued tracking of the secular trends of life expectancy and HALE in Canada in order to verify the presence of compression or expansion of morbidity. Further study should be undertaken to understand what is driving the observed expansion of morbidity in NL and in PEI.


2021 ◽  
Vol 28 (1) ◽  
pp. 76-85
Author(s):  
Agus Wahyudi ◽  
Jusa Junaedi

This study aims to analyze Perpusnas librarian’s productivity in producing scientific paper published in Visi Pustaka and Media Pustakawan from 2010-2019. The results of this research are expected to provide information to Perpusnas to be used as one of the references in the development of Perpusnas librarian’s expertise, especially in scientific writing. This research is a descriptive study with a quantitative approach. The sampling technique used was saturated samples. The collected data were processed using Microsoft Office Excel. The productivity picture is obtained by comparing the number of articles written by Perpusnas librarians with the total number of articles. The search results of articles in the journal Visi Pustaka and Media Pustakawan published on 2010-2019 obtained data of 450 articles written by 316 different authors with details 48 writers from Perpusnas librarian, 7 writers from non-librarian Perpusnas employees, and 261 other writers from outside Perpusnas. There is 1 National Library librarian who is the most productive in producing articles with a total of 9 articles. Meanwhile, the most productive non-librarian Perpusnas employee produced 7 articles. If measured by comparing the number of articles published in the journal Media Pustakawan and Visi Pustaka during the 2010-2019 published period, the Perpusnas librarian’s productivity are around 16.44% of the total articles. The annual increase or decrease of Perpusnas librarians is not always followed by an increase or decrease of articles written by Perpusnas librarians.


2015 ◽  
Vol 20 (37) ◽  
Author(s):  
Jesper Larsen ◽  
Andreas Petersen ◽  
Marit Sørum ◽  
Marc Stegger ◽  
Lieke van Alphen ◽  
...  

Livestock constitutes a potential reservoir of meticillin-resistant Staphylococcus aureus isolates belonging to a recently derived lineage within clonal complex 398 (MRSA CC398-IIa). Since its discovery in the early 2000s, this lineage has become a major cause of human disease in Europe, posing a serious public health challenge in countries with intensive livestock production. To retrace the history of human colonisation and infection with MRSA CC398-IIa in Denmark, we conducted a nationwide, retrospective study of MRSA isolates collected from 1999 to 2011. Among 7,429 MRSA isolates screened, we identified 416 MRSA CC398-IIa isolates. Of these, 148 were from people with infections, including 51 from patients reporting no livestock exposure. The first cases of MRSA CC398-IIa infection in Denmark occurred in 2004. Subsequently, the incidence of MRSA CC398-IIa infection showed a linear annual increase of 66% from 2004 to 2011 (from 0.09 to 1.1 per 100,000 person-years). There were clear temporal and spatial relationships between MRSA CC398-IIa-infected patients with and without livestock exposure. These findings suggest substantial dissemination of MRSA CC398-IIa from livestock or livestock workers into the Danish community and underscore the need for strategies to control its spread both on and off the farm.


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Keshni Naidu ◽  
Ilisapeci Nabose ◽  
Sharan Ram ◽  
Kerri Viney ◽  
Stephen M. Graham ◽  
...  

Nosocomial infections in an intensive care unit (ICU) are common and associated with a high mortality but there are no published data from the Oceania region. A retrospective study in Fiji’s largest ICU (2011-12) reported that 114 of a total 663 adult ICU admissions had bacteriological culture-confirmed nosocomial infection. The commonest sites of infection were respiratory and bloodstream. Gram negative bacteria were the commonest pathogens isolated, especiallyKlebsiella pneumoniae(extended-spectrumβ-Lactamase-producing),Acinetobacter,andPseudomonasspecies. Mortality for those with a known outcome was 33%. Improved surveillance and implementation of effective preventive interventions are needed.


1961 ◽  
Vol 57 (3) ◽  
pp. 387-392 ◽  
Author(s):  
D. K. Dutta Roy ◽  
A. Y. Kordofani

The exhausting effect of dura for a single year in a rotation was shown. Rotations including dura consistently yielded less than those including lubia or fallow. With 2 successive years of dura the reduction in yields of cotton was extremely large.Substantial increases in yields of cotton were obtained when the first fallow of the CFF rotation was replaced by lubia. The superiority of the rotation CLF appeared to be firmly established in the Gezira, where the soil was known to be deficient in nitrogen. By growing lubia, instead of leaving a fallow 2 years preceding cotton, an average annual increase of 0·65 k.p.f. of cotton was obtained. Itwas interesting to note that fertility of rotation CLF over CFF was still increasing.


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