Characteristics of Work Accident to Tobacco Farmers in Indonesia

Tobacco farmers are individuals who are members of farming groups engaged in the cultivation of the agricultural sector in the form of tobacco. When carrying out tobacco cultivation activities, farmers are vulnerable to work accidents. The purpose of this research was to describe the characteristics of work accidents on tobacco farmers in Kalisat District, Jember Regency. The research design used descriptive quantitative. This research employed a purposive sampling technique, with a total of 97 tobacco farmers as respondents. The research data were collected through a demographic questionnaire and a work accident accident questionnaire. In the type indicator, it was found that 43.3% farmers often experienced incidents of being hit by immovable objects. In the object indicator, 36.1% farmers often experience accidents due to work equipment. In the indicator of the nature of the wound 26.8% farmers often experienced minor injuries and 9.3% stated that they always experienced these incidents. In the indicator of the location of the wound, farmers often experienced injuries on the hands, namely 36.1%. In the cause indicator, 66.0% farmers stated that they rarely use Personal Protective Equipment (PPE). According to the results of this study, work accidents among tobacco farmers in Kalisat District are still highly prevalent. This research will be utilized as a preventative and assessment tool for public health center in the application of UKK and for PPL to develop outreach activities in order to reduce the number of work accidents. Keywords: agricultural; tobacco farmer; work accidents; descriptive

Socially dangerous consequences of persistent failure to perform duties related to the care of a child or a person under guardianship or in the custody (Art. 166 of the Criminal Code of Ukraine)

The article is devoted to the study of socially dangerous consequences persistent failure to perform duties related to the care of a child or a person under guardianship or in the custody. Тhey are formulated as serious consequences іn Art. 166 of the Criminal Code of Ukraine. The article analyzes and reveals this concept, which is evaluative and needs to be established in each case. The types of consequences covered by this concept are clarified. In particular, the material consequences include physical (personal) harm, namely: impaired spiritual, social, intellectual or emotional development of the child, impaired physical or mental development of the child, severe, moderate or minor injuries that caused short-term health disorders or insignificant loss of ability to work of a child or a person with limited capacity (incapacity), their death, suicide or attempted suicide, unknown absence. Intangible consequences include violation of the right of a child and a person declared incapable or partially incapable to housing and sexual integrity. The case law on the application of Art. 166 of the Criminal Code of Ukraine (2010-2021). It has been found that the concept of «serious consequences» covers a wide range of types of socially dangerous consequences. It is established that as a result of commission of this crime damage is caused to public relations which are various on degree of significance. It is proposed to improve the responsibility for commission of the crime under Art. 166 of the Criminal Code of Ukraine, namely to clarify the types of consequences and to differentiate such responsibilities.

Virtual Fracture Clinic: A pandemic-ready tool for improving the efficiency of fracture clinic

Background: The traditional model of care of the Orthopaedic Fracture Clinic (OFC) is labour intensive, expensive, has poor satisfaction rates, and often has minimal impact on management and outcomes of patients with minor injuries. Our aim was to implement a Virtual Fracture Clinic (VFC) for the management of minor injuries that is safe, reduces OFC clinic workload and reduces the OFC failure to attend (FTA) rate. Methods: This study was a retrospective longitudinal audit of OFC workload before (January 2012 -February 2017) and after (March 2017 – December 2019) implementation of the VFC. It was performed in an urban district general hospital in South East Queensland, Australia. The primary outcome measures included attendances per timepoint (month). Results: Overall, we observed a significant reduction in total number of patients from 1,055 (IQR 104.5) to 831 (IQR: 103) per month) coming through the OFC following the introduction of the VFC (F = 21.9; df=1; p <0.0001). The failure to attend rate was reduced by 44% from 271 (IQR: 127.3) to 151 (IQR: 72.8) (F=4.0; df=1; p = 0.047). Conclusion: The VFC implementation was successful in improving efficiency and reducing the current OFC workload, as well as reducing FTA rate. Reduction in clinic workload allows more time to be spent with complex patients, prevents clinic backlogs and overbooking, and crowding of waiting rooms. In the midst of a global pandemic that is spread by close contact, virtual clinics seem the way of the future to treat patients whilst minimising risk of COVID-19 spread.

Predicting mortality and readmission based on chief complaint in emergency department patients: a cohort study

BackgroundEmergency department (ED) patients present with complaints and not diagnoses. Characterization and risk stratification based on chief complaint can therefore help clinicians improve ED workflow and clinical outcome. In this study we investigated the 30-day mortality and readmission among ED patients based on chief complaint.MethodsIn this cohort study we retrieved routinely collected data from electronic medical records and the Danish Civil Registration System of all ED contacts from July 1, 2016 through June 30, 2017. All patients triaged with one chief complaint using the Danish Emergency Process Triage system were included. Patients with minor injuries were excluded. The chief complaint assigned by the triaging nurse was used as exposure, and 30-day mortality and 30-day readmission were the primary outcomes. Logistic regression was used to determine crude and adjusted ORs with reference to the remaining study population.ResultsA total of 41 470 patients were eligible. After exclusion of minor injuries and patients not triaged, 19 325 patients were included. The 30-day mortality and 30-day readmission differed significantly among the chief complaints. The highest 30-day mortality was observed among patients presenting with altered level of conscousness (ALOC) (8.4%, OR=2.0, 95% CI 1.3 to 3.1) and dyspnea (8.0%, OR=2.1, 95% CI 1.6 to 2.6). 30-day readmission was highest among patients presenting with fever/infection (11.7%, OR=1.9, 95% CI 1.4 to 2.4) and dyspnea (11.2%, OR=1.7, 95% CI 1.4 to 2.0).DiscussionChief complaint is associated with 30-day mortality and readmission in a mixed ED population. ALOC and dyspnea had the highest mortality; fever/infection and dyspnea had the highest readmission rate. This knowledge may assist in improving and optimizing symptom-based initial diagnostic workup and treatment, and ultimately improve workflow and clinical outcome.Level of evidenceLevel III.

Surveillance of Injury Types, Locations, and Intensities in Male and Female Tennis Players: A Content Analysis of Online Newspaper Reports

The popularity of modern tennis has contributed to the increasing number of participants at both recreational and competitive levels. The influx of numerous tennis participants has resulted in a wave of injury occurrences of different types and magnitudes across both male and female players. Since tennis injury harms both players’ economic and career development, a better understanding of its epidemiology could potentially curtail its prevalence and occurrences. We used online-based tennis-related injury reports to study the prevalence, location types, and injury intensities in both male and female tennis players for the past five years. It is demonstrated from the chi-square analysis that injury occurrences are significantly associated with a specific gender (χ2(18) = 50.773; p = 0.001), with male players having a higher risk of injury manifestation (68.10%) as compared with female players (31.90%). Nonetheless, knee, hip, ankle, and shoulder injuries are highly prevalent in both male and female players. Moreover, the injury intensities are distributed across gender (χ2(2) = 0.398; p = 0.820), with major injuries being dominant, followed by minor injuries, whilst a few cases of career-threatening injuries were also reported. It was similarly observed that male players recorded a higher degree of both major, minor, and career-threatening injuries than female players. In addition, male players sustained more elbow, hip, knee, shoulder, and thigh injuries than female players. Whereas, female players mostly suffered from Achilles and back injuries, ankle and hamstring injuries affected both genders. The usage of online newspaper reports is pivotal in characterizing the epidemiology of tennis-related injuries based on locations and gender to better understand the pattern and localization of injuries, which could be used to address the problem of modern tennis-related injuries.

Cemented Bipolar Hemiarthroplasty for Fracture Neck of Femur and Unstable Intertrochanteric Fractures - Prospective and Retrospective Study

Hip fractures in elderly patients are becoming a major social problem from various perspectives, including the progressive aging of global societies. The elderly have a high risk of hip fracture, even with minor injuries because of osteoporosis, while early surgical treatment may be difficult due to comorbidities and medication. In this study, significant risk factors were identified. Patients over age 70 had three times the mortality of younger patients. Greater than three pre-existing medical conditions is associated with a 25 percent mortality rate, more than twice that of healthier patients. Surgery performed on the first day of admission and beyond the fifth day was associated with a 34 percent mortality rate. Those patients operated in during days 2 through 5 had a 5.8 percent mortality rate. There was no failures related to inadequate stem or mechanical loosening. The tendency to dislocation can be clinically identifiable by major discrepancy in length, there was no failures related to inadequate stem or mechanical loosening. The tendency to dislocation can be clinically identifiable by major discrepancy in length and only 1 patient had shortening of about 2 cms post operatively which was slightly better than that of James et al (11%).

Peningkatan Keselamatan Lalu Lintas Pada Ruas Jalan Hayam Wuruk Dikabupaten Jember

The number of accidents that occurred in Jember Regency during the last 5 (five) years has decreased, although in some years there has been an increase and caused the number of fatalities (death, serious injuries, minor injuries) to increase every year. From the data obtained, it can be seen that one of the roads that often has accidents is the Hayam Wuruk road. Traffic flow and speed conditions on the Hayam Wuruk road are quite high due to its function as arterial roads and national roads, but the land use around these roads which includes shops, shopping centers, offices, and schools causes frequent conflicts and traffic problems. especially in the field of road safety, both driver safety and pedestrian safety. This study aims to increase the level of safety in traffic for both drivers and pedestrians on the Hayam Wuruk road, Jember Regency. This is carried out by observing and identifying the existing conditions along the Hayam Wuruk road including road performance conditions, traffic safety conditions and behavioral conditions for road users on these roads, so that handling proposals are obtained based on the results of data analysis that has been collected both primary and secondary data. secondary data. The results showed that the high number of accidents on the Hayam Wuruk road in Jember district was mostly caused by errors from human factors. Therefore, there is a need for a social approach in the form of increasing awareness and safety for drivers in the form of applying canalization on the leftmost lane to limit two-wheeled vehicles that interfere with traffic flow on the main road lane, making noise tape and installing speed limit signs to protect the safety and comfort of users.

Evaluation and management of wilderness injuries and acute illness in Iceland during the years 2017-2018

INTRODUCTION: In Iceland, wilderness search and rescue services are provided by volunteer members of the Icelandic association for search and rescue (ICE-SAR). The rescue teams respond to about 1200 calls every year, with a significant proportion of them involving injured and sick individuals. No previous studies have been done on the service provided by ICE-SAR teams. The aim of this study was to obtain information about the health services provided by ICE-SAR in Iceland. MATERIAL AND METHODS: Data was obtained from the ICE-SAR‘s and the National emergency call service‘s (112) databases. Cases that occurred during the years 2017 and 2018 that required transfer and treatment at a health clinic or hospital were included in the study. All cases with no involvement of sick or injured and minor injuries managed on scene without tranport were excluded. Treatment on scene and during transport and preliminary diagnosis made by ICE-SAR teams was reviewed. The medical report at each treating medical facility in Iceland was reviewed for treatment provided and final diagnosis. RESULTS: A total of 189 operations with 239 individuals were included in the study. A majority of the operations were recorded in the South region of Iceland. The average age of individuals was 44,4 years, just over half of cases involving men. Accidents accounted for 86% of all cases where the most common incident was a fall resulting in lower extremity injury. Cardiac disease was the most common cause for acute medical illness. On-scene treatment and use of equipment was not recorded in over 70% of cases. CONCLUSION: The ICE-SAR teams provide health care on regular basis, most commonly after accidents involving the lower extremities. Illness treated by the ICE-SAR volunteers most commonly involves cardiac symptoms. Documentation of on-site treatment and equipment use is incomplete.

Comparison of Satisfaction Levels between Conventional and Silicone-Adhesive Polyurethane Foam Materials in Patients with Skin Wounds

Background: Polyurethane (PU) foam dressing materials have been widely used in commercial wound dressing applications. However, the repeated application of adhesive tapes to keep the foam dressings in place can result in minor injuries to the peri-wound skin. Silicone-adhesive PU foam dressing materials have been developed to prevent such injuries. In this study, the satisfaction levels between conventional and silicone-adhesive PU foams were assessed through a survey of patients and physicians.Methods: A survey study of 140 patients with skin wounds was conducted in a single institution between July 2019 and May 2020. The patients were first treated with either conventional PU foam or silicone-adhesive PU foam, after which they were asked to record their levels of pain, adhesiveness, waterproofness, and satisfaction. At the next visit, dressings of the other material were applied to their wounds, and the same assessment process was repeated at the next dressing change.Results: The silicone-adhesive PU foam dressings demonstrably reduced the levels of dressing-related trauma and pain, compared to that of patients treated with conventional PU foam dressings. The silicone-adhesive PU foam dressings were also associated with substantially higher scores of satisfaction and waterproofness. In comparison, the mean adhesiveness score was superior in the group treated with conventional PU foam dressings, compared to that of the group treated with silicone-adhesive PU foam dressings.Conclusion: Silicone-adhesive PU foam contributed to minimizing pain during dressing change and increasing patient’s comfort. As a result, patients preferred dressing with silicone-adhesive PU foam over conventional PU foam.

Changing Admission Patterns in Pediatric Emergency Departments during the COVID-19 Pandemic in Italy Were Due to Reductions in Inappropriate Accesses

During the initial phase of the national lockdown, we found that there were sharp decreases in admissions to two pediatric emergency departments (EDs) in northern Italy (Cremona and Novara). Here we present a detailed analysis of these admission patterns and types of admissions over a longer timeframe. ED admissions data were anonymously extracted from the departmental management software. Admissions data from 2019 and 2020 were analyzed and compared separately for each ED and combined. There was a 73.2% decrease in total admissions compared with the same period in 2019. With respect to admission diagnoses, there was a significant (p < 0.001) drop in infectious (−51%), respiratory (−25.5%), and nervous systems diseases (−50%) and injuries and poisoning (−17%) but not endocrine, metabolic, neoplastic, circulatory, or musculoskeletal diseases. White codes (patients with minor injuries for whom ED medical care is not required) significantly decreased by 56.3% (p < 0.001). Even if the COVID-19 pandemic represented an enormous healthcare burden in Italy, especially during the first months of the pandemic (late February to May), the workload of pediatric EDs was significantly reduced, especially for unnecessary accesses (white codes).