Journal of injury & violence research最新文献

Background: Occupational accidents, injuries, and diseases remain critical health concerns. Designing and implementing checklists for occupational risk prevention are key strategies to mitigate these accidents and their adverse effects. However, due to the diverse nature of occupational hazards, these checklists tend to encompass a substantial number of prevention practices, making their full implementation challenging in terms of financial and human resources. Hence, this study aims to propose a prioritization model for these practices. By identifying and prioritizing the most crucial prevention practices, we can optimize resource allocation and enhance the overall effectiveness of occupational risk reduction.

Methods: To develop a model, we initiated with the utilization of the Delphi method and conducted semi-structured interviews to identify the influencing factors in prioritizing occupational risk prevention practices. Through this process, we identified the type of hazard, the nature of prevention practices, cost considerations, and priority rankings as significant influential factors. Subsequently, we introduced a model designed to prioritize prevention practices in alignment with industry needs and the identified factors. This proposed model encompasses a comprehensive integration of the identified factors.

Results: The proposed model was designed and developed based on 146 prevention practices. The initial version of the software based on the developed model has been implemented and tested by users.

Conclusions: The developed model can be used as a decision support system for managers, offering a roadmap delineating the order of prevention practices according to set priorities. Through such strategic alignment, the model holds the potential to wield a profound impact on enhancing occupational safety and health within organizational contexts.

Background: The impact of COVID-19 on personal and social relationships was considerable. Specifically, social distancing, meant to prevent disease spread, may have adversely impacted personal and social relationships. Suicidal ideation has been found to be more likely due to various health factors, including the isolation that was a result of the pandemic itself. While sex and gender minorities are often studied as a group, it is unknown whether the pandemic adversely affected the relationships and connectedness to others among individuals identifying on the asexual spectrum. Further, how might these effects have increased or decreased their risk of suicidality?

Methods: Data from the 2022 Ace Community Survey was analyzed. Questions specifically pertaining to COVID-19 and the effects it had on relationship desire, as well as connectedness to others were assessed, along with suicidality, among adults identifying on the asexual spectrum.

Results: Those with an increased desire for queerplatonic relationships had a greater risk of both thoughts and attempts of suicide. Asexual individuals who felt less connected to parents, other family, and roommates had a greater risk of suicidal thoughts. However, those who felt more connected with mental health workers and healthcare professionals had an increased risk of thoughts and attempts of suicide. The more educated an asexual spectrum adult, the less likely they were to be suicidal.

Conclusions: Relationships and connectivity among asexual spectrum adults were adversely affected by the pandemic, resulting in increased risk of suicidality. Creating ways to foster relationships among this population are important in advance of the next pandemic to ensure greater health and well-being.

Background: Pre-hospital emergency care is a comprehensive system that responds to the medical needs of injured patients outside of health care centers. The right equipment and facilities are necessary to provide proper and satisfactory services. Due to the increase in pre-hospital emergency services and the high prevalence of emergency events, the present study was conducted to investigate the status of medication and equipment in pre-hospital emergency bases and compare it with national standards.

Methods: This descriptive-analytical study was conducted in Iran in 2022-2023. Sampling was done in 46 urban and road bases using the census method. Data collection was done using two checklists. The first checklist, in 17 sections, was based on the latest edition of the instructions for medication and equipment of Iran's pre-hospital emergency organization. The second checklist included the specifications of the base. The collected data were analyzed using descriptive and analytical statistics and SPSS25 software.

Results: Of the 46 bases included in the study, 41.3% were urban bases and the rest were road bases. The mean age for building the bases was 13.76±9.47 years (the minimum was one year and the maximum was 45 years). The mean score of the status of medication and equipment in the bases was 224.34 ± 32.05 (minimum score 155 and maximum 322), which was 56.09% of the total score. The highest score was obtained in the medication section of the patient cabin (81.88%) and the lowest score was in the CBRNe bag equipment section (4.55%).

Conclusions: The results showed that the status of the medication and equipment of the pre-hospital emergency bases is far from the standards. This long distance can affect the quality of pre-hospital emergency services. Resolving deficiencies and reaching standards requires more attention.

Background: This study aimed to investigate the effects of CPT on PTSD, depression, and anxiety symptoms in female victims of domestic violence.

Methods: A two-arm randomized clinical trial was conducted in Bandar-Abbas involving 62 female victims of domestic violence referred from private gynecology and obstetrics clinics. Initial screening for domestic violence was based on the World Health Organization violence questionnaire. Participants were randomly assigned to either a control group (n=32) or an intervention group (n=28) for a study duration of six months in 2022. Twelve group CPT sessions were conducted. The domestic violence questionnaire, Beck's Depression Inventory, Beck's Anxiety Inventory, and the Impact of Event Scale-Revised were completed in three time points: pre-test, post-test, and follow-up.

Results: There was a statistically significant difference in the mean scores of depression, PTSD, and domestic violence (P less than .001) between the two groups; however, no significant difference was found in anxiety scores (P greater than .050).

Conclusions: CPT is recommended for female victims of domestic violence to reduce symptoms of depression, PTSD, and domestic violence.

Background: Victimization of parents by their children is a widespread phenomenon. However, there is a shortage of literature regarding the abusive behavior of children in Iranian society. The primary focus of this study was to highlight the magnitude and nature of the abusive behavior of a handful of Iranian children toward their parents.

Methods: The sample study comprised 76 cases referred to the Isfahan Forensic Department (IFD) from September 2015 to October 2016. Data were computer analyzed using SPSS-21 by running a couple of descriptive-analytical tests.

Results: Most of the victims were elderly mothers above 60 years old. The victims were mostly injured in the neck and head. The majority of the offenders were between 20 to 30 years old, unemployed, with a family history of substance abuse. Significant differences (p less than 0.05) were observed in some variables: gender (women), age (over 60 years), harassment in the residence, having financial authority, 4 children or more (in victims group) and unemployment, single, age between 21-30 years (in offenders group).

Conclusions: Children's abusive behavior towards their parents is a multifactorial phenomenon. Family constitution and background appeared to play a pivotal role in shaping the offenders' social behavior and reaction to their parents. Nonetheless, there is a need to explore further the possible causes of parental victimization.

Background: International sports events like the Football World Cup affect the collective emotions of the global community. Usually, major sports events like the Football World Cup show beneficial effects on the community. However, many unwanted consequences such as accidents, premature deaths and violent supporter rivalries have been noticed during it. We aimed to report preventable premature deaths and clashes induced by rivalry among fans during the FIFA World Cup 2022 in Bangladesh.

Methods: We monitored local newspaper reports for data collection during the World Cup 2022 event and collected data for age, sex, the possible cause of death, and precipitating events related to the event.

Results: We found 23 World Cup Football-related deaths, 35 hospitalizations, and 45 injuries related to clashes between the rival fans of Argentina and Brazil. The median age of deceased was 20 years. The majority of the deaths happened in young males due to fall while hoisting flags. Deaths in the late age happened due to sudden emotional upsurge during the game day. And, clashes between rival fans mostly happened due to social bullying favoring and disfavoring a team.

Conclusions: This report indicates an important area of potentially preventable death related to World Cup Football and warrants public health attention even in a non-participating country, both locally and internationally.

Background: Every year, natural disasters in many countries lead to the destruction of infrastructure, loss of assets, and harm to the physical, mental, social, and spiritual health of people. The attention of policymakers and the media is mostly focused on the reconstruction of damaged buildings and the physical rehabilitation and recovery of the injured, while the spiritual rehabilitation of the people affected is often neglected. This study aims to identify the factors influencing the spiritual rehabilitation of people affected by natural disasters.

Methods: This study was conducted using a systematic literature review following the PRISMA guidelines. Relevant studies were extracted from data sources, including MEDLINE (PubMed), Web of Science, Google Scholar, Embase, ProQuest, PsycInfo, Scopus, IranMedex, SID, and ISC. Systematic review studies, key journals, and conference proceedings related to the factors affecting the spiritual rehabilitation of individuals after natural disasters from January 1, 2020 to March 31, 2022 were included. Thematic analysis was used to analyze the obtained data.

Results: Initially, 1,753 studies were identified based on the initial search, and eventually, 22 final studies were included in the study. Based on the thematic analysis results, the factors influencing the spiritual rehabilitation of people affected by natural disasters were classified into four main themes and eleven sub-themes. The main themes included communication with God, strengthening religious beliefs, social participation, and meaning-making. The sub-themes included praying, using supplication, reading the holy book, praising God, believing in the afterlife, understanding the position and characteristics of the world, understanding the divine, participating in religious ceremonies, membership in supportive groups, the meaning of suffering and adversity, and the meaning of death.

Conclusions: The results of this study demonstrate that the connection with the divine (God), strengthening religious beliefs, social participation, and meaning-making are influential factors in the spiritual rehabilitation of affected people after natural disasters. Incorporating these factors in the spiritual counseling and care of the affected people can improve their spiritual health after encountering the destructive effects of natural disasters. These findings can provide valuable insights for managing natural disasters through a holistic approach to the health of affected people, and can guide caregivers in implementing spiritual rehabilitation interventions.

Background: Mass shootings represent a persistent public health crisis. Prior studies have linked social determinants of health (SDOH) to the phenomenon of gun violence, but there remain limited analyses on mass shooting events specifically.

Methods: Mass shooting events from 2014-2019 were recorded from the Gun Violence Archive. State-level data regarding population, ATF registered weapons, federal firearm licensees and several SDOHs (poverty, unemployment and educational attainment) were collected from publicly-available US governmental databases. Giffords Law Center rankings were used to assess the relative strictness of each state's gun laws. Gun ownership rates were obtained from the RAND Corporation. Bivariate analyses compared each SDOH, as well as ATF registered weapons, Giffords Center ranking and gun ownership rates, to the death rate, injury rate, and combined injury/death rate from mass shootings in each state. All associations were evaluated via Pearson's Rho. Slope and p-values were analyzed, with a threshold significance value of p less than 0.05.

Results: Unadjusted analysis revealed poor mental health, decreased educational attainment and increased unemployment to all be associated with an increased risk of mass shooting-related injury or death. Adjusted analysis revealed fewer firearm regulations, higher gun ownership, lack of handgun magazine restrictions and lack of long-gun registration requirements were associated with an increased risk of mass-shooting death. Similarly, adjusted analysis revealed lack of handgun permit requirements to be associated with both an increased risk of mass shooting-related injury and combined risk of injury/death.

Conclusions: This study revealed associations between multiple SDOH and firearm restrictions with morbidity due to mass shooting events.

Background: Soccer is known to be a sport that carries a high risk of injuries due to its physical nature, involving intense contact and rapid movements like acceleration, deceleration, jumping, and sudden changes in direction. Compared to other sports, soccer is considered a contact sport with a heightened injury risk. The primary objective of this study was to assess the prevalence of sports injuries among professional soccer players.

Methods: In this cross-sectional study, 56 male professional footballers participated to assess their injuries. The Pre-Competition Medical Assessment (PCMA) was utilized as the standard protocol for evaluating the athletes. The study examined variables such as injury type, player position on the field, and body mass index (BMI) in accordance with the FIFA-recommended PCMA guidelines. Student t-test was used to compare demographic characteristics injured and healthy athlete. Chi square and fisher exact tests were used to assess the association between player position, injury type and BMI classification.

Results: In this study, the mean age of the soccer players was 19.38 ± 1.30 years, with a history of participating in 3 to 60 matches. The highest incidence of injuries was recorded in the knee (48.21%) and ankle (30.36%), respectively. A significant relationship was found between the players' positions on the field and knee pain, with strikers experiencing more knee pain compared to players in other positions (p less than 0.04). However, no significant association was observed between the players' BMI and the occurrence of sports injuries (p greater than 0.05).

Conclusions: Given the widespread occurrence of knee injuries among footballers, particularly in attacking players, proper planning and appropriate training protocols would be useful to prevent knee injuries and reduce treatment costs.

Background: Epidural hematoma (EDH) is a type of intracranial hematoma commonly observed in trauma patients. This research aims to evaluate the factors contributing to the expansion of traumatic epidural hematoma (EDH).

Methods: This retrospective cohort study examined traumatic patients with EDH admitted to Taleqani Hospital, a prominent Western Trauma Center in Iran, from 2018 to 2023. Patients underwent an initial CT scan, and non-surgical patients received a delayed CT scan approximately 5 hours after the initial scan. Data analysis was performed using SPSS version 25 software.

Results: The study included 274 brain trauma patients with epidural hematoma. Among these patients, 142 (51.8%) did not undergo surgery, and 121 (85.2%) of the non-surgical patients were male. Motor vehicle accidents (MVAs) were the primary cause of EDH in 127 (46.4%) patients. The mean (±standard deviation) initial hematoma size was 8.86 (±9.71), and the mean (±standard deviation) delayed CT scan size was 8.12 (±8.10). In crude linear regression Two variables, namely Hematoma volume in the initial CT scan (P less than 0.001) and Mixed Density (P=0.007), were found to significantly impact the increase in hematoma size in delayed CT scans of non-surgical patients. But in the adjusted linear regression model, only the Hematoma volume in primary CT scan, was significant (P less 0.001). The R Square values were 0.72.

Conclusions: The identification of key variables influencing hematoma volume in delayed CT scans has the potential to guide more effective interventions, thereby improving patient outcomes and reducing trauma-related mortality.