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Motorcyclist risky riding behaviors and its predictors in an Iranian population. 伊朗人口中摩托车手的危险骑行行为及其预测因素。
Pub Date : 2020-07-03 DOI: 10.5249/jivr.v12i2.936
Kamal Hassanzadeh, Shaker Salarilak, Homayoun Sadeghi-Bazargani, Mina Golestani

Background: Motorcyclist's behavior plays an important role in increasing the mortality rate caused by traffic crash. Identifying the risky behaviors of motorcycle riders is essential to maintain and improve the health of motorcycle riders and other community members. The aim of this study was to determine the riding patterns and risky riding behaviors of motorcycle riders in Bukan as a marginal small-sized Kurdish populated district in North-West of Iran and investigating some predictors of it.

Methods: In this cross-sectional, 340 motorcycle riders of Bukan were studied. By referring to city health center and preparing the city map, the entire city was divided into 14 clusters based on the areas covered by the health centers. Then, 7 clusters were randomly selected out of these 14 clusters. Motorcycle riding behavior questionnaire (MRBQ) was used to study the risky behaviors of motorcycle riders while riding. Both bivariate and multivariate regression analysis methods were used to study the associations.

Results: All participants were male. Their mean age was 30.2 (SD=9.1). The most common risky behaviors possessed by at least 23% of motorcycle riders included 1) inappropriate control of motorcycle when turning, 2) taking another person without helmet by motorcycle, 3) riding without helmet, 4) taking more than one person by motorcycle, 5) exceeding the permissible speed outer city, 6) exceeding the permissible speed inside the city and 7) carrying heavy load by motorcycle. Mean normalized MRBQ score was 30.5 (SD=11.2). Based on multivariate analysis, age, lacking a riding license, riding experience and average amount of riding were the independent predictors of risky riding score.

Conclusions: Among the predictive factors that led to high risk behaviors in the studied motorcyclists were low age, marital status, low driving experience, low education, non-use of safety equipment lack of certification. This can be done by increasing drivers' awareness of laws and regulations and promoting the culture of traffic safety to prevent high-risk behaviors in motorcyclists in order to prevent possible injuries.

背景:摩托车手的行为在增加交通事故死亡率方面起着重要作用。识别摩托车骑手的危险行为对于维护和改善摩托车骑手及其他社区成员的健康至关重要。本研究旨在确定伊朗西北部库尔德人聚居区布坎(Bukan)的摩托车骑行者的骑行模式和危险骑行行为,并调查一些预测因素:在这项横断面研究中,对布坎的 340 名摩托车手进行了调查。通过参考市卫生中心并绘制城市地图,根据卫生中心覆盖的区域将整个城市划分为 14 个群组。然后,从这 14 个群组中随机抽取 7 个群组。采用摩托车骑乘行为调查问卷(MRBQ)研究摩托车骑乘者在骑乘时的危险行为。研究采用了二元和多元回归分析方法:所有参与者均为男性。他们的平均年龄为 30.2 岁(SD=9.1)。至少 23% 的摩托车骑行者最常见的危险行为包括:1)转弯时对摩托车的控制不当;2)骑摩托车载人时未戴头盔;3)骑摩托车时未戴头盔;4)骑摩托车载多人;5)城市外超过允许速度;6)城市内超过允许速度;7)骑摩托车载重。平均归一化 MRBQ 得分为 30.5(SD=11.2)。根据多变量分析,年龄、无驾照、骑行经验和平均骑行量是风险骑行得分的独立预测因素:在所研究的摩托车驾驶员中,导致高风险行为的预测因素包括低年龄、婚姻状况、低驾驶经验、低教育程度、不使用安全设备、缺乏证书。因此,要预防摩托车驾驶员的高危行为,就必须提高驾驶员的法律法规意识,宣传交通安全文化,从而避免可能发生的伤害事故。
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引用次数: 0
Teen-dating violence: conception of adolescents in a Brazilian metropolis. 青少年约会暴力:巴西大都市青少年的观念。
Pub Date : 2020-06-29 DOI: 10.5249/jivr.v12i2.1528
Stella R Taquette, Claudia Leite Moraes, Luciana Borges, Simoni Furtado

Background: Teen-dating violence (TDV) can lead to health problems for those involved, especially females, including homicides and is predictive of intimate partner violence in adulthood.

Methods: To analyze the adolescents' perception of definitions, justifications and consequences of TDV, a qualitative study through 13 focus groups with 132 high school students from public and private schools of Rio de Janeiro city, including 70 girls and 62 boys was conducted. We followed a guide with questions about interpersonal violence and participants completed a self-administered questionnaire on socio-demographic data. The data analysis included reading and comprehension of the textual data; coding of the reports according to the emerged categories; identification of the meanings attributed by the subjects to the questions raised; comparative dialogue with literature; and elaboration of interpretative synthesis.

Results: Most adolescents affirmed that TDV is not justifiable. However, in practice, they found it acceptable in certain situations. The narratives of the boys were based on the role of the perpetrator and the girls on that of the victim. Violence occurs when the man feels his power challenged and is influenced by situations of violence experienced in his own family as victims or witnesses. The TDV consequences are for the women and include, in addition to physical and psychological damage, relational problems in other spheres such as family, friends and school. The experience of violence was more common among public school students.

Conclusions: The adolescents' narratives reflect the gender patterns of society in which violence results from inequality of power. The data of this study offer subsidies to policies on TDV prevention and its consequences. They can contribute to training primary care professionals to identify on clinical consultations signs and symptoms of violence and to develop interventions to reduce the health problems of victims.

背景:青少年约会暴力(TDV)可导致参与者(尤其是女性)的健康问题,包括杀人,并可预测成年后的亲密伴侣暴力:为了分析青少年对 TDV 的定义、理由和后果的看法,我们通过 13 个焦点小组对里约热内卢市公立和私立学校的 132 名高中生(包括 70 名女生和 62 名男生)进行了定性研究。我们根据指南提出了有关人际暴力的问题,参与者填写了一份有关社会人口数据的自填问卷。数据分析包括阅读和理解文本数据;根据出现的类别对报告进行编码;确定受试者对所提问题的含义;与文献进行比较对话;以及进行解释性综合阐述:结果:大多数青少年都认为家庭暴力是没有道理的。然而,在实践中,他们认为在某些情况下是可以接受的。男孩的叙述以施暴者的角色为基础,女孩则以受害者的角色为基础。当男人感到自己的权力受到挑战,并受到自己家庭中作为受害者或目击者的暴力事件的影响时,暴力就会发生。家庭暴力的后果是对妇女造成的,除身体和心理伤害外,还包括家庭、朋友和学校等其他领域的关系问题。暴力经历在公立学校学生中更为常见:青少年的叙述反映了社会的性别模式,其中暴力是权力不平等的结果。这项研究的数据为预防家庭暴力及其后果的政策提供了依据。这些数据有助于对初级保健专业人员进行培训,以在临床咨询中识别暴力的迹象和症状,并制定干预措施,减少受害者的健康问题。
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引用次数: 0
Home injury prevention attitude and performance: a community-based study in a designated safe community. 预防家庭伤害的态度和表现:在指定安全社区开展的一项社区研究。
Pub Date : 2020-06-14 DOI: 10.5249/jivr.v12i2.1506
Mohammad Saadati, Jafar Sadegh Tabrizi, Ramin Rezapour, Riaz Alaei Kalajahi

Background: Unintentional injuries in the home are one of the threats to childhood quality of life which is considered as a social determinant of health. Regarding mother's leading role in taking care of the children in Iranian families, the present study was conducted to investigate mothers' home-injury prevention attitude and performance and its contributing factors in Sahand safe community, East-Azerbaijan, Iran.

Methods: This was a cross-sectional study conducted in 2017. Sampling was done using "Random Sampling method" among all mothers having at least one U-5 child and attended the health centers to receive childcare services. A valid attitude questionnaire and safety performance checklist were used for data collection. Data were analyzed by SPSS-24, using descriptive (frequency, mean, etc.) and inferential statistics (chi-square, Kruskal-Wallis).

Results: The mean age of mothers was 30.58 (±5.01). About 65% of the mothers had primary or secondary school education. The mean score of mothers' attitude was 72.12(±6.79). More than 58% of the mothers had an appropriate level of attitude. The mothers' injury prevention performance mean score was 66.59 (±12.85). Family's socioeconomic status, mother's age, educational level, and job, father's job, age, and gender of the child were the contributing factors (p less than 0.05).

Conclusions: Most of the mothers have an appropriate level of home-injury prevention attitude but a low level of performance. Strengthening Primary Health Care system in safe communities would have a leading role in child safety promotion through increasing the mother's knowledge, attitude and performance level.

背景:家庭意外伤害是对儿童生活质量的威胁之一,被视为健康的社会决定因素。在伊朗家庭中,母亲在照顾儿童方面起着主导作用,本研究旨在调查伊朗东阿塞拜疆萨罕德安全社区母亲预防家庭伤害的态度和表现及其诱因:本研究是一项横断面研究,于 2017 年进行。采用 "随机抽样法 "对至少有一名 U-5 岁儿童并到保健中心接受儿童保健服务的所有母亲进行抽样。数据收集采用了有效的态度问卷和安全性能检查表。数据采用 SPSS-24,使用描述性统计(频率、平均值等)和推断性统计(秩和方差、Kruskal-Wallis)进行分析:母亲的平均年龄为 30.58(±5.01)岁。约 65% 的母亲受过小学或中学教育。母亲态度的平均得分为 72.12(±6.79)分。超过 58% 的母亲拥有适当的态度。母亲的伤害预防表现平均分为 66.59(±12.85)分。家庭的社会经济地位、母亲的年龄、教育程度和工作、父亲的工作、孩子的年龄和性别是影响因素(P 小于 0.05):大多数母亲对预防家庭伤害的态度是正确的,但表现却不尽如人意。通过提高母亲的知识、态度和表现水平,加强安全社区的初级卫生保健系统将在促进儿童安全方面发挥主导作用。
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引用次数: 0
Incidence of accidents and injuries in children under 6 years old in southern Iran: a population-based study. 伊朗南部 6 岁以下儿童意外事故和受伤的发生率:一项基于人口的研究。
Pub Date : 2020-05-27 DOI: 10.5249/jivr.v12i2.1280
Alireza Mirahmadizadeh, Abdolrasool Hemmati, Soraya Zahmatkesh, Masoomeh Saffari, Pezhman Bagheri

Background: Accidents and injuries are the leading cause of childhood morbidity and mortality. This study aimed to investigate the incidences of different causes of accidents in children under 6 years old.

Methods: This population-based cross-sectional study was carried out in one year (2016-2017) on a sample of 6000 children in Southern Iran with a multistage sampling method using a standard checklist for comprehensive child health monitoring.

Results: The annual incidence rate of accidents was 16% and the mean age of accident victims was 2.5±1.5 years. Of these, 17.3% and 14.8% were male and female, respectively. 25% of the children suffered from more than one accident. The most common causes of accidents were burns (16%), falls (14%), and accidents involving objects (10%). In multivariate analysis, a higher number of male children in the family and lower child age significantly increased the likelihood of accidents (p less than 0.05).

Conclusions: This study was a direct survey of the population, and showed that the incidence rate of accidents in children in southern Iran was in line with that of other regions of Iran, but less than the world average. There was no significant difference in accident etiology and only trends in etiology were found compared to studies using existing data.

背景:事故和伤害是儿童发病和死亡的主要原因。本研究旨在调查不同原因导致的 6 岁以下儿童意外事故的发生率:这项以人口为基础的横断面研究在一年内(2016-2017 年)对伊朗南部的 6000 名儿童进行了抽样调查,采用多阶段抽样方法,并使用了儿童健康综合监测标准检查表:事故年发生率为16%,事故受害者的平均年龄为2.5±1.5岁。其中,男性和女性分别占 17.3%和 14.8%。25%的儿童发生过不止一次意外事故。最常见的事故原因是烧伤(16%)、坠落(14%)和涉及物体的事故(10%)。在多变量分析中,家庭中男性儿童人数越多、儿童年龄越小,发生意外的可能性就越大(P 小于 0.05):这项研究是对人口的直接调查,结果表明伊朗南部儿童的事故发生率与伊朗其他地区一致,但低于世界平均水平。与使用现有数据进行的研究相比,事故病因没有明显差异,只发现了病因的变化趋势。
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引用次数: 0
Mental health framework: coronavirus pandemic in post-Katrina New Orleans. 心理健康框架:卡特里娜飓风后新奥尔良的冠状病毒大流行。
Pub Date : 2020-05-03 DOI: 10.5249/jivr.v12i2.1538
Denese O Shervington, Lisa Richardson

The United Nations Office of Disaster Risk Reduction defines disaster risk as the "likelihood of loss of life, injury or destruction and damage from a disaster in a given period, and a product of the complex interactions that generate conditions of exposure, vulnerability and hazard". Racial and ethnic minorities in the United States have been shown to have increased vulnerability and risk to disasters due to links between racism, vulnerability, and economic power, based on disadvantage related to different disaster stages: 1) reduced perception of personal disaster risk; 2) lack of preparedness; 3) reduced access and response to warning systems; 4) increased physical impacts due to substandard housing; 5) likelihood of poorer psychological outcomes; 6) cultural insensitivity on the part of emergency workers; 7) marginalization, lower socio-economic status, and less familiarity with support resources leading to protracted recovery; and 8) diminished standard of living, job loss, and exacerbated poverty during reconstruction and community rebuilding. Moreover, given that psychiatric morbidity is predictable in populations exposed to disasters, mental health and psychosocial support programs should increasingly become a standard part of a humanitarian response. In the crisis and immediate recovery phase of disasters, the focus should be on making survivors feel safe and giving them assistance in decreasing their anxiety by addressing their basic needs and welfare. So, it is critical that governmental institutions, business, and non-profit organizations proactively find mechanisms to work collaboratively and share resources. Special attention and extra resources must be directed towards vulnerable and marginalized populations. In this editorial we share lessons learned from experiencing disproportionate impact of health crisis and advocate for the notion that recovery efforts must address trauma at individual, interpersonal and community levels, and be based in a healing justice framework.

联合国减少灾害风险办公室将灾害风险定义为 "在一定时期内因灾害造成生命损失、伤害或破坏和损害的可能性,是产生暴露、脆弱性和危害条件的复杂相互作用的产物"。在美国,由于种族主义、脆弱性和经济实力之间的联系,基于与不同灾害阶段相关的劣势,少数种族和少数民族在灾害面前的脆弱性和风险被证明是增加的:1) 对个人灾害风险的感知降低;2) 缺乏准备;3) 对预警系统的使用和响应减少;4) 由于住房条件不达标,对身体的影响增加;5) 可能出现较差的心理结果;6) 紧急救援人员对文化不敏感;7) 边缘化、社会经济地位较低、对支持资源的熟悉程度较低,导致恢复期延长;8) 在重建和社区重建期间,生活水平下降、失业、贫困加剧。此外,鉴于受灾害影响的人群中精神病的发病率是可以预测的,心理健康和社会心理支持项目应越来越多地成为人道主义响应的标准组成部分。在灾难的危机和紧急恢复阶段,重点应该是让幸存者感到安全,并通过满足他们的基本需求和福利来帮助他们减少焦虑。因此,政府机构、企业和非营利组织必须积极主动地找到合作和资源共享的机制。必须特别关注弱势群体和边缘化人群,并为他们提供额外的资源。在这篇社论中,我们分享了从健康危机的过度影响中汲取的经验教训,并倡导这样一种理念,即恢复工作必须从个人、人际和社区层面解决创伤问题,并以愈合正义框架为基础。
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引用次数: 0
Factor's affecting safe emergency evacuation of subways in Iran: findings of a qualitative study. 影响伊朗地铁安全紧急疏散的因素:定性研究的结果。
Pub Date : 2020-04-22 DOI: 10.5249/jivr.v12i2.1259
Fatemeh Nouri, Davoud Khorasani-Zavareh, Reza Mohammadi

Background: Development of construction and operation of subway rail transit system in populated cities of middle- and high-income countries along with the increasing population of its users, have exacerbated the safety problems of the users against incidents and emergencies in subway stations. Although subway emergency evacuation is considered by the governments and subway network organizations as a critical task related to passengers' safety at the time of emergency, the risk of mass evacuation in station is undeniable. The main objective of this study is to identify factors affecting safe evacuation of the population from subway station and to propose the strategies for addressing them based on experiences or opinions of stakeholders in Tehran Subways, Iran.

Methods: This is a qualitative study that was conducted between January 2017 and December 2018, in which a semi-structured interview was conducted for 17 participants among the senior managers, executive managers, subway station operations staff, and subway passengers in Tehran subway stations, in the Capital of Iran. In order to analyze the data of this qualitative study, the Graneheim and Lundman method was used and manifested content analysis approach was employed.

Results: Based on the findings of this study, the factors affecting safe evacuation of the population from subways station were identified in four main categories covering passengers, organization, communications, and environment. Then the main categories of "culture, interaction and cooperation of passengers", "correct and timely decision-making", "notification", and "location of emergency evacuation" were emerged as safe emergency evacuation challenges and the most important findings of this study; and strategies were proposed to improve the safety of passengers at emergency evacuation of subway stations.

Conclusions: In the present study, the lack of safe approach to improving passengers' safety in the development plan of Tehran subway rail transit network is a major concern for managers and operations staff. Therefore, changing the attitude of policy makers from focusing on the quantitative development of passenger transportation services to improving safety and then the quality of passengers' trip is taken into account as an urgent need to improve the safety of subway passengers.

背景:在中高收入国家的人口密集城市中,地铁轨道交通系统的建设和运营的发展,以及地铁用户人口的不断增加,加剧了地铁站内事故和紧急情况下用户的安全问题。虽然地铁紧急疏散被政府和地铁网络组织视为紧急情况下关系到乘客安全的关键任务,但地铁站内大规模疏散的风险是不可否认的。本研究的主要目的是根据伊朗德黑兰地铁利益相关者的经验或意见,找出影响地铁站内人员安全疏散的因素,并提出应对策略:这是一项定性研究,研究时间为 2017 年 1 月至 2018 年 12 月,对伊朗首都德黑兰地铁站的高级经理、执行经理、地铁站运营人员和地铁乘客中的 17 名参与者进行了半结构化访谈。为了分析这项定性研究的数据,采用了格拉内姆和伦德曼法以及显式内容分析法:根据研究结果,确定了影响乘客从地铁站安全疏散的四大因素,包括乘客、组织、通信和环境。然后,"乘客的文化、互动与合作"、"正确及时的决策"、"通知 "和 "紧急疏散的位置 "这几大类因素被认为是安全紧急疏散的挑战,也是本研究最重要的发现,并提出了改善地铁站紧急疏散时乘客安全的策略:在本研究中,德黑兰地铁轨道交通网络的发展规划中缺乏提高乘客安全的安全方法,这是管理人员和运营人员的主要担忧。因此,改变决策者的态度,从注重客运服务的数量发展转向提高安全性,进而提高乘客的出行质量,是改善地铁乘客安全的迫切需要。
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引用次数: 0
Lobectomy in traumatic brain injury patients with intracerebral hemorrhage and delayed contusion. 对脑出血和迟发性挫伤的脑外伤患者进行脑叶切除术。
Pub Date : 2020-04-08 DOI: 10.5249/jivr.v12i2.1180
Shahrokh Yousefzadeh-Chabok, Mohammad Safaei, Ehsan Kazemnejad, Davoud Mahmoudi, Sasan Andalib

Background: TBI, standing for Traumatic Brain Injury, is a leading cause of death worldwide; nonetheless, data on its management has hitherto been sparse. In view of the fact that brain lobectomy is a contentious issue in the management of TBI, we set out the current study to assess the mortality rate and outcomes of TBI with delayed contusion or Intracerebral Hemorrhage (ICH) undergoing lobectomy.

Methods: We evaluated 135 TBI patients with delayed contusion or ICH undergoing brain lobectomy from 2001 to 2013. Withal, the mortality and Glasgow Outcome Scale (GOS) and Glasgow Comma Scale (GCS) rates were assessed in these patients and the association in between was sought.

Results: The TBI patients undergoing brain lobectomy (77% male versus 23 % female) had a mean age of 43.4±20.3 years and experienced a survival rate of 62.2% (71% in females versus 60% in males). Favorable GOS was observed in 53% of male patients, compared with 27% in the females. Age was demonstrated to significantly affect the mortality rate (p=0.0001). Initial GCS score was associated with GOS as 79.1% of the survived patients with a GCS of higher than 9 on admission were discharged with favorable GOS.

Conclusions: The evidence from the present study indicates that lobectomy can be an acceptable surgical procedure in management of TBI patients with delayed contusion or ICH.

背景:TBI 是创伤性脑损伤的简称,是导致全球死亡的主要原因之一;然而,迄今为止,有关其治疗的数据却很少。鉴于脑叶切除术是治疗创伤性脑损伤的一个有争议的问题,我们开展了本研究,以评估接受脑叶切除术的延迟挫伤或脑内出血(ICH)创伤性脑损伤患者的死亡率和预后:我们对2001年至2013年期间接受脑叶切除术的135例延迟性挫伤或ICH TBI患者进行了评估。我们评估了这些患者的死亡率、格拉斯哥结果量表(GOS)和格拉斯哥逗号量表(GCS)的使用率,并寻找两者之间的关联:接受脑叶切除术的创伤性脑损伤患者(77%为男性,23%为女性)的平均年龄为(43.4±20.3)岁,存活率为 62.2%(女性为 71%,男性为 60%)。53%的男性患者观察到了良好的GOS,而女性患者仅为27%。年龄对死亡率有明显影响(P=0.0001)。入院时 GCS 评分高于 9 分的存活患者中,79.1% 的患者出院时 GOS 良好:本研究的证据表明,脑叶切除术是治疗迟发性挫伤或 ICH 的创伤性脑损伤患者的一种可接受的手术方法。
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引用次数: 0
A three source capture-recapture study of fatal injuries in Iran. 伊朗致命伤的三源捕获-再捕获研究。
Pub Date : 2020-03-28 DOI: 10.5249/jivr.v12i2.1170
Zahra Ghodsi, Soheil Saadat, Abdolrazagh Barzegar, Vali Baigi, Vafa Rahimi-Movaghar, Mohammadreza Zafarghandi, Ardeshir Sheikhazadi, Payman Salamati

Background: Well-functioning health systems and effective preventive measures require registering the exact number and valid data of fatal injuries. The present study aimed to determine the completeness of fatal injuries reported by LMO with the use of the capture-recapture method and finding the reasons for those unregistered fatal injuries in Hamedan County.

Methods: This cross-sectional study was conducted in Hamadan County from 22 August 2015 to 21 August 2016. The completeness of fatal injuries reported by LMO, as the main source of fatal injuries was estimated with the employ of the capture-recapture method including Health Department and Police. Log-linear modeling was used for statistical analysis. The number of fatal injuries that probably had not been detected in any three sources was estimated by using the GENLOG command.

Results: A total of 451 fatal injuries were registered in LMO for one year. The registries were included different amounts of detailed information from at least five variables in the Emergency Medical System (EMS) up to all detailed information in the LMO and Health Department. More fatal injuries occurred in males than females at all ages and the two-sex difference spectrum was wider between about 20 to 45 years old. Among cases of LMO, we found 29 unreported deaths. Therefore, the completeness of reported fatal injuries by LMO was estimated to be 86.9%.

Conclusions: Fatal injuries are under-reported by the main source of this type of death in Iran. Identification of fundamental causes, integrated death registry system, and using a standard cause of death classification are needed to promote the registration of fatal injuries.

背景:要使卫生系统运转良好并采取有效的预防措施,就必须登记死亡伤害的准确数字和有效数据。本研究旨在通过使用捕获-再捕获法确定 LMO 报告的致命伤的完整性,并找出哈马丹县未登记的致命伤的原因:这项横断面研究于 2015 年 8 月 22 日至 2016 年 8 月 21 日在哈马丹县进行。采用捕获-再捕获法(包括卫生部门和警方)对作为致命伤主要来源的 LMO 报告的致命伤的完整性进行了估计。统计分析采用了对数线性模型。使用 GENLOG 命令估算了可能未在任何三个来源中发现的致命伤数量:结果:LMO 在一年内共登记了 451 起致命伤害事故。登记簿中包含不同数量的详细信息,从紧急医疗系统(EMS)中的至少五个变量到 LMO 和卫生局中的所有详细信息。在所有年龄段中,男性的致命伤发生率均高于女性,而在约 20 至 45 岁之间,男女之间的差异范围更大。在 LMO 案例中,我们发现了 29 例未报告的死亡案例。因此,按《肺结核组织》报告的致命伤的完整率估计为 86.9%:结论:在伊朗,死亡伤害的主要死因未得到充分报告。要促进死亡伤害的登记工作,就必须查明根本原因,建立综合死亡登记系统,并使用标准死因分类法。
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引用次数: 0
The relationship between weight indices and injuries and mortalities caused by the motor vehicle accidents: a systematic review and meta-analysis. 体重指标与机动车事故伤害死亡率的关系:系统综述与meta分析。
Pub Date : 2020-01-01 Epub Date: 2019-12-21 DOI: 10.5249/jivr.v12i1.1198
Enayatollah Homaie Rad, Naema Khodadady-Hasankiadeh, Leila Kouchakinejad-Eramsadati, Fatemeh Javadi, Zahra Haghdoost, Marieh Hosseinpour, Maryam Tavakoli, Ali Davoudi-Kiakalayeh, Zahra Mohtasham-Amiri, Shahrokh Yousefzadeh-Chabok

Background: The relationship between weight indices and injuries and mortality in motor vehicle accidents is unknown. Systematic review studies addressing the collection and analysis of the relationship in investigations are very limited. The purpose of this systematic review is to determine the relationship between BMI, obesity and overweight with mortality and injuries and their severity and vulnerable organs after the motor vehicle accident.

Methods: The databases (MEDLINE/PUBMED, EMBASE, Web of Science, etc) were searched for relevant abstracts using certain keywords. Of all the articles, similar ones were removed considering different filters. The collected data were entered into the STATA SE v 13.1. The heterogeneity of the data was analyzed using i2 statistics. In addition, the estimates of the study were done based on the age group (children and adults) and the impact of obesity on different regions of the body.

Results: A direct relationship was observed between the overall BMI and the degrees of injuries (CI=0.503-1.139), and mortality due to motor vehicle accident (CI=1.267-1.471). A positive relationship was found between obesity and AIS+2 (CI=0.653-1.426), and AIS+3 (CI=1.184-1.741), and ISS (CI=1.086-1.589). Also, a negative relationship between overweight and injuries rates, and a direct relationship between overweight and mortality (CI=0.979-1.167), and injuries with index of AIS+2 (CI=1.178-0.768) and AIS+3 (CI=0.48-2.186) were found.

Conclusions: The prediction of injury, mortality and severity of injuries in the motor vehicle accident by the variable of obesity and overweight determines the need to design prevention programs for this vulnerable group at all levels.

背景:机动车事故中体重指数与伤害和死亡率之间的关系尚不清楚。在调查中收集和分析这种关系的系统综述研究非常有限。本系统综述的目的是确定BMI、肥胖和超重与机动车事故后死亡率和损伤及其严重程度和易损器官的关系。方法:采用关键词在MEDLINE/PUBMED、EMBASE、Web of Science等数据库中检索相关摘要。在所有文章中,考虑到不同的过滤,相似的文章被删除了。收集的数据输入STATA SE v 13.1。采用i2统计分析数据的异质性。此外,这项研究的估计是根据年龄组(儿童和成人)以及肥胖对身体不同部位的影响进行的。结果:总体BMI与损伤程度(CI=0.503 ~ 1.139)、机动车事故死亡率(CI=1.267 ~ 1.471)有直接关系。肥胖与AIS+2 (CI=0.653-1.426)、AIS+3 (CI=1.184-1.741)、ISS (CI=1.086-1.589)呈正相关。超重与损伤率呈负相关,与死亡率呈直接相关(CI=0.979 ~ 1.167),损伤指数为AIS+2 (CI=1.178 ~ 0.768)和AIS+3 (CI=0.48 ~ 2.186)。结论:通过肥胖和超重变量预测机动车事故的伤害、死亡率和伤害严重程度,决定了需要在各级为这一弱势群体设计预防方案。
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引用次数: 5
Potential predictors of hospital length of stay and hospital charges among patients with all-terrain vehicle injuries in rural Northeast Texas. 德克萨斯州东北部农村地区全地形车辆损伤患者住院时间和住院费用的潜在预测因素
Pub Date : 2020-01-01 Epub Date: 2019-12-10 DOI: 10.5249/jivr.v12i1.1219
Anastasia Miller, Jeanie D Gallegly, Gabriela Orsak, Sharon D Huff, Jo Ann Peters, Jason Murry, Harrison Ndetan, Karan P Singh

Background: All-Terrain Vehicles (ATVs) have become popular for recreation use in recent years. Texas has had more ATV related fatalities than any other state in the nation, with rural Northeast Texas having even higher rates of injuries. There is limited data examining the relationship between ATV injuries and the length of hospital stay, as well as hospital costs. This paper examines both issues in children as well as adults.

Methods: The regional trauma registry was analyzed for all ATV related injuries between January 2011- October 2016. Injury Severity Score, Glasgow Coma Scale and if they are seen at a Level I Trauma center are predictive for both hospital length of stay and charges.

Results: Length of Stay was predicted positively by Injury Severity Score, Emergency Department Respiration Rate and facility at which patients were treated and negatively by Glasgow Coma Scale. Hospital charges were predicted positively by age, Injury Severity Score, facility of treatment, means of transportation, and Emergency Department pulse and negatively by Glasgow Coma Scale.

Conclusions: The study found that vital signs can be useful in predicting length of stay and hospital charges. This study not only confirms the findings of other studies regarding what predictors can be used, but expands the research into rural traumatic injuries. It is hoped that this data can help contribute to the development of algorithms to predict which patients will be most likely to require resource intensive treatment.

背景:近年来,全地形车(ATVs)已成为流行的娱乐用途。德克萨斯州与全地形车相关的死亡人数比美国其他任何一个州都多,德克萨斯州东北部农村地区的伤亡率甚至更高。关于ATV伤害与住院时间以及住院费用之间关系的研究数据有限。本文研究了儿童和成人的这两个问题。方法:对2011年1月至2016年10月期间所有全地形车相关损伤的区域创伤登记进行分析。损伤严重程度评分、格拉斯哥昏迷量表以及是否在一级创伤中心就诊,对住院时间和收费都具有预测性。结果:住院时间与损伤严重程度评分、急诊科呼吸率和患者治疗的设施呈正相关,与格拉斯哥昏迷评分呈负相关。住院费用与年龄、损伤严重程度评分、治疗设施、交通工具和急诊科脉搏呈正相关,与格拉斯哥昏迷评分呈负相关。结论:生命体征对预测住院时间和住院费用有一定的参考价值。这项研究不仅证实了其他研究关于预测因素的发现,而且将研究扩展到农村创伤性损伤。希望这些数据能够有助于算法的发展,以预测哪些患者最有可能需要资源密集型治疗。
{"title":"Potential predictors of hospital length of stay and hospital charges among patients with all-terrain vehicle injuries in rural Northeast Texas.","authors":"Anastasia Miller,&nbsp;Jeanie D Gallegly,&nbsp;Gabriela Orsak,&nbsp;Sharon D Huff,&nbsp;Jo Ann Peters,&nbsp;Jason Murry,&nbsp;Harrison Ndetan,&nbsp;Karan P Singh","doi":"10.5249/jivr.v12i1.1219","DOIUrl":"https://doi.org/10.5249/jivr.v12i1.1219","url":null,"abstract":"<p><strong>Background: </strong>All-Terrain Vehicles (ATVs) have become popular for recreation use in recent years. Texas has had more ATV related fatalities than any other state in the nation, with rural Northeast Texas having even higher rates of injuries. There is limited data examining the relationship between ATV injuries and the length of hospital stay, as well as hospital costs. This paper examines both issues in children as well as adults.</p><p><strong>Methods: </strong>The regional trauma registry was analyzed for all ATV related injuries between January 2011- October 2016. Injury Severity Score, Glasgow Coma Scale and if they are seen at a Level I Trauma center are predictive for both hospital length of stay and charges.</p><p><strong>Results: </strong>Length of Stay was predicted positively by Injury Severity Score, Emergency Department Respiration Rate and facility at which patients were treated and negatively by Glasgow Coma Scale. Hospital charges were predicted positively by age, Injury Severity Score, facility of treatment, means of transportation, and Emergency Department pulse and negatively by Glasgow Coma Scale.</p><p><strong>Conclusions: </strong>The study found that vital signs can be useful in predicting length of stay and hospital charges. This study not only confirms the findings of other studies regarding what predictors can be used, but expands the research into rural traumatic injuries. It is hoped that this data can help contribute to the development of algorithms to predict which patients will be most likely to require resource intensive treatment.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"12 1","pages":"55-62"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7001608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37444803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
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Journal of injury & violence research
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