Journal of Injury and Violence Research最新文献

{"title":"Secondary overtriage of trauma patients in a trauma center: frequency and associated factors","authors":"S. Moslehi, Z. Haghdoust, G. Masoumi, Enayatollah Homaie Rad, F. Nouri, L. Kouchakinejad-Eramsadati, Sakineh-Khatoun Ranjkesh Ziabari, Alireza Azizpour","doi":"10.5249/jivr.v15i1.1701","DOIUrl":"https://doi.org/10.5249/jivr.v15i1.1701","url":null,"abstract":"Abstract: Background: Secondary overtriage (SO) is the unnecessary transfer of traumatic patients between facilities, which causes the waste of the resources of the trauma centers and imposes extra costs on patients and caregivers. This study aimed to determine the frequency of secondary overtriage and patient-level, clinical, and hospital factors leading to secondary overtriage. Methods: This cross-sectional study evaluated the data of all trauma patients who were transferred to a high-level trauma center in Guilan between 2016 and 2020. The patients with SO were characterized as those transported to a trauma center with an injury severity score ≤15 and discharged alive within 48 hours without undergoing surgical procedure. Secondary overtriage and appropriate transmissions were analyzed using descriptive statistics. Multivariate logistic regression was used to identify the relationship between SO and patient-level, clinical, and hospital factors. Results: Out of 3342 transferred trauma patients, 3091(92.49%) had the inclusion criteria. The rate of SO was 25.68 % (794). These patients were younger (median 34 versus 36), with 253 women and 541 men. The highest SO belonged to spine injuries (109, 38.2%) (P less than 0.05). In both secondary overtriaged and appropriately triaged patients, the main cause of transmission was the shortage of neurosurgeons (741, 93.3% and 1780, 77.5%) (P less than 0.05). At the patient level, sex (OR 0.632, 95%CI 0.480-0.832) and at the clinical level, injured body region (specifically spine injury (OR 2.233, 95%CI 1.472-3.388), the reason for transfer (OR 2.158, 95%CI 1.185-3.927), injury severity score (OR 0.655, 95%CI 0.0615-0.697) and length of stay (OR 0.368, 95%CI 0.317-0.428) had a significant relationship with secondary overtriage. Conclusions: About a quarter of transferred traumatic patients were identified as secondary overtriage. Continuous medical education, recruiting trained staff, improving the transfer protocols, extending collaborations between low-level/non-trauma and high-level trauma centers and using telemedicine can provide medical staff with more efficient guidance on transfer decision.","PeriodicalId":32422,"journal":{"name":"Journal of Injury and Violence Research","volume":"15 1","pages":"45 - 54"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41578794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting youth intention to help a road accident victim in fast urbanizing district of India: a PLS-SEM approach based on the Theory of Planned Behavior","authors":"N. Rustagi, A. Jaiswal, N. Dutt, A. Sinha, P. Raghav, V. Rajpurohit","doi":"10.5249/jivr.v15i1.1770","DOIUrl":"https://doi.org/10.5249/jivr.v15i1.1770","url":null,"abstract":"Abstract: Background: In countries with evolving prehospital trauma care systems, it is recommended that volunteers es-pecially youth can be trained to perform as first responders to render basic emergency care until care by formally trained health-care personnel’s is available. Based on the theory of planned behavior (TBP), the present study aims to predict intention to help road accident victim among young adults in a fast-urbanizing Indian city. Methods: A cross sectional survey was conducted among 695 college students of Jodhpur, Rajasthan by self-administered questionnaire based on theory of planned behavior (TPB). Predictor of behavioral intention to help an accident victim was assessed through partial least square structural equation model (PLS-SEM). Results: Theory of planned behavior provided a reliable and valid framework for predicting intention of college students towards helping an accident victim. Perceived confidence (β = 0.344, p less than 0.001); attitude (β = 0.323, p less than 0.001) and social norm (β = 0.251, p less than 0.001), all emerged as the significant direct predictor of intention. Perceived confi-dence also significantly predicted social norm (β = 0.370, p less than 0.001) and attitude (β = 0.281, p less than 0.001). Further, attitude towards helping an accident victim was also influenced by social norm (β = 0.366, p less than 0.001). Conclusions: Based on framework of TPB, role of perceived confidence, social norm and attitude is found to significantly predict intention among college youth towards helping an accident victim. Public health interventions designed towards engaging and training youth as first responders in countries with fragmented pre-hospital trauma care systems need to encompass these aspects by establish-ing community based training programs for potential first responders and recognition of good Samaritans.","PeriodicalId":32422,"journal":{"name":"Journal of Injury and Violence Research","volume":"15 1","pages":"33 - 43"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42170092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of suicide among Iranian ex-prisoners of war in Iraq detention camps (1980-90)","authors":"Saadat Soheil, A. Khaji","doi":"10.5249/jivr.v15i1.1783","DOIUrl":"https://doi.org/10.5249/jivr.v15i1.1783","url":null,"abstract":"Abstract: Background: Prisoners of war (POWs) are usually at risk of suicide due to problems such as torture, social and emotional deprivation, etc. The present study aimed to investigate suicide cases among Iranian prisoners of war (POWs) over ten years of their presence in the camps in Iraq (1980-1990). Methods: Data required in this study were collected in two ways: 1- Iranian ex-POWs' death certificate by the Iraqi army clinic setting; 2- we interviewed 19 Iranian ex-POWs with sufficient information from detention camps and their events. The collected data were age, sex, duration of captivity, date of death, the suicide, and places of suicide (camp name). Results: During eight years of the Iraq-Iran war, about 40000 Iranian soldiers captured by Iraqi sol-diers. Of them, at least 11 persons (0.0275%) lost their lives due to suicide. The rate of suicide among Iranian ex-POWs in Iraq was variable from zero to 28 per 100000 people. Nine (82%) of deceased were among registered prisoners of war, and three (%27.3) were civilians. The highest rate was among prisoners that spent seven years of captivity. The most common method of suicide was hanging and burning, with 45.5% (5/11) and 18.2% (2/11), respectively. Conclusions: Social support and providing suitable treatment for chronic and incurable diseases or creating situations for returning such patients to their home could be essential for suicide prevention. Transferring them to a third country (under the supervision of international groups such as International Committee of the Red Cross (ICRC) could be another way to reduce the amount of psychological stress and will also be helpful in their treatment.","PeriodicalId":32422,"journal":{"name":"Journal of Injury and Violence Research","volume":"15 1","pages":"55 - 62"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48517894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and correlates of domestic violence against ever married women of reproductive age in India: changes during 2005-2015","authors":"Masuma Yasmin, K. Gillander Gådin, E. Viitasara, K. Dalal","doi":"10.5249/jivr.v14i3.1697","DOIUrl":"https://doi.org/10.5249/jivr.v14i3.1697","url":null,"abstract":"Abstract: Background: The present study was conducted to estimate the prevalence rate of domestic violence against women and examine the socio-demographic status of the victims of domestic violence in India. The study also examined the differences in the prevalence of emotional, physical, and sexual violence against ever-married women over ten years (2005 - 2015) in all member states in India. Methods: The study used secondary data from NFHS-3 (2005-06) and NFHS-4 (2015-16). Cross-tabulation and multivariate analyses were performed. IBM SPSS V25 was used for data analysis. Results: The prevalence of domestic violence against married women in India in 2015 was as follows: emotional violence, 13%; physical violence, 28%; and sexual violence, 7%. Rajasthan achieved the highest decline in the prevalence of domestic violence against women over the last ten years since 2005. In addition, younger age, urban residence, lower level of education and lower socioeconomic status were essential predictors of domestic violence. Conclusions: There should be an improvement in female education, awareness generation regarding their rights, and better social support to reduce the prevalence of violence against women. In addition, engaging men in the fight against domestic violence could bring positive results.","PeriodicalId":32422,"journal":{"name":"Journal of Injury and Violence Research","volume":"14 1","pages":"153 - 164"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49344726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of swimming pool supervision for caregivers of toddlers","authors":"Molly B. Johnson, E. Boriack, Carlee M. McConnell, Stewart R Williams, J. Naiditch, Karla A. Lawson","doi":"10.5249/jivr.vo113i2.1661","DOIUrl":"https://doi.org/10.5249/jivr.vo113i2.1661","url":null,"abstract":"Abstract: Background: In the U.S., drowning is a leading cause of death for toddlers. One important layer of protection against submersion injuries and fatalities is parent or caregiver supervision. The aims of this study are to explore current supervisory behavior of caregivers, determine how caregivers view com-mon supervision distractions, like cell phones and grilling, and identify what factors shape the quality of supervision that is given when swimming with their toddler at a swimming pool. Methods: This cross-sectional study used the MTurk online platform to survey 650 caregivers of toddlers (1-4 yrs old) about their supervision behavior, their drowning knowledge, their perceptions of arm’s reach supervision, the water competency of their toddler, and other background information. Regression analysis was used to identify factors that predicted report-ed supervision behavior. Results: The average supervision behavior score for caregivers indicated an attitude between neutral and disagreement with allowing distractions for themselves while supervising their toddler in a swimming pool. High water safety knowledge and positive perceptions of arm’s reach supervision were the biggest predictors of attentive supervision behavior. Having a home pool, higher education level, and believing their toddler had greater water competency were predictive of less attentive supervision behavior. Conclusions: Results suggest that supervision behavior while toddlers are in a swimming pool may be inade-quate. Low water safety knowledge and attitudes about what constitutes quality supervision are related to pool supervision behavior and changing these may reduce drowning risk. Caregivers should be encouraged to not reduce supervision as their toddlers gain water competency and if they have a home pool.","PeriodicalId":32422,"journal":{"name":"Journal of Injury and Violence Research","volume":"13 1","pages":"141 - 150"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46090211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Faculty members' earthquake preparedness levels and their related factors: a cross-sectional study from a university in a high-risk earthquake zone in Turkey","authors":"R. Ozdemir, C. Demir, B. Çatak","doi":"10.5249/jivr.vo113i2.1513","DOIUrl":"https://doi.org/10.5249/jivr.vo113i2.1513","url":null,"abstract":"Abstract: Background: This cross-sectional study aimed to determine the earthquake preparedness levels and related factors of the faculty members working at a university located in a province in a first-degree earthquake zone in Turkey. Methods: The total number of faculty members at the university is 457, including 314 assistant professors, 63 associate professors, and 80 full professors. The study group included 177 (38.7%) of 457 faculty members. The dependent variable of the study is the attitudes of the faculty members towards earthquake preparedness. The independent variables were age, gender, marital sta-tus, having children, living with or without children, duration of residency in Karabuk. In addition, these were also included as variables, respectively, type of housing, property ownership, work experience, exposure to natural disasters in the past, and the awareness that Karabuk is a first-degree risk earthquake zone. The data were collected using a descriptive questionnaire and Mulilis-Lippa Earthquake Preparedness Scale. Data were analyzed using chi-square tests and binary logistic regression model and SPSS 20.0 software. Results: There was only one (0.6%) faculty member who stated that he meets all of the preparatory criteria of the Mulilis-Lippa Earthquake Preparedness Scale. The probability of low materials preparedness score increased by 2.31 (95% CI 1.1-4.7) and 4.53 (95% CI 1.4-14.4) when the faculty members were renters and working as faculty members for 15 years and over, respectively. Being a renter also increased the probability of common knowledge and skill score by 1.95 (95% CI 1.0-3.8). Conclusions: This study showed that earthquake preparedness levels among the faculty members are insuffi-cient and suggests that motivation of the faculty members’ motivation to be appropriately pre-pared for future earthquake case should be increased.","PeriodicalId":32422,"journal":{"name":"Journal of Injury and Violence Research","volume":"13 1","pages":"151 - 160"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43234803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identification of household dangers by parents from adult versus child visual perspective","authors":"J. Vane, L. Fullerton, R. Sapién","doi":"10.5249/jivr.vo113i2.1654","DOIUrl":"https://doi.org/10.5249/jivr.vo113i2.1654","url":null,"abstract":"Abstract: Background: This study utilized videos from a child’s and an adult’s perspective to determine whether perspective influences the number of hazards identified by parents. Methods: The study measured number of household dangers parents’ identified. Parents (n=106) were randomized to view either the child or adult perspective videos. Groups did not differ with respect to median age (p=0.51), education (p=0.55), or number of children living at home (p=0.64). Results: Median number of hazards identified in the bedroom was 3 for participants watching videos taken at either adult or child perspective (p=0.32). Parents viewing child perspective videos of the kitchen identified significantly more hazards (median=4) than parents viewing adult perspective videos (median=3) (p=0.0001). Conclusions: Although video height (perspective) did not influence the number of hazards identified in the bedroom, parents who observed the kitchen video taken at a child’s height identified more hazards than those viewing a video at adult height.","PeriodicalId":32422,"journal":{"name":"Journal of Injury and Violence Research","volume":"13 1","pages":"121 - 126"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44806668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determining factors on volunteers' presence in hospital response to disasters and emergencies: a qualitative study","authors":"F. Jannat, Davoud Khorasani-Zavareh, Kiyoumars Allahbakhshi, J. Aghazadeh-Attari, S. Nateghinia, I. Mohebbi","doi":"10.5249/jivr.vol13i2.1583","DOIUrl":"https://doi.org/10.5249/jivr.vol13i2.1583","url":null,"abstract":"Abstract: Background: Volunteers' presence, as a critical issue in hospital response to disasters and emergencies, helps to readiness and quick response to the phenomena, preventing deaths caused by such incidences. This study aimed to determine the main factors affecting popular volunteers' presence in hospital response to disasters and emergencies in Iran. Methods: This qualitative study, conducted on 31 semi-structured interviews during the years 2019 and 2020, concerning emergency specialist working in various health organization nationwide between June 2019 and April 2020. The non-structured and semi-structured interviews were adopted to gather concept code and analyzed using Graneheim recommendation method. Results: Four main categories, identified as effective factors on volunteers' presence in hospital response to disasters and emergencies, including nine subcategories: (1) organizing and managing volunteers (with two sub-categories: (a) calling and registering volunteers, and (b) identifying volunteers' ability); (2) organizational structure (with two sub-categories: (a) operational planning and (b) coordination and communication); (3) training (with two sub-categories: (a) training in disasters and (b) volunteer training); and (4) volunteer challenges (with three sub-categories: (a) volunteer interaction with organizations, (b) volunteer logistics, and (c) volunteering culture). Conclusions: Exploring effective factors as regards volunteers' presence in hospital response phase in disasters to adopt a policy based on the experiences of managers and heads of health can help planners to provide effective design and implementation. It can scientifically contribute to disaster risk management and hospital emergency response in Iran.","PeriodicalId":32422,"journal":{"name":"Journal of Injury and Violence Research","volume":"13 1","pages":"127 - 140"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48247943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serum amylase as a prognostic marker of organophosphate poisoning","authors":"M. Zobeiri","doi":"10.5249/jivr.vo113i2.1632","DOIUrl":"https://doi.org/10.5249/jivr.vo113i2.1632","url":null,"abstract":"Abstract: Background: Organophosphate (OP) insecticides are important compounds as the most probable common cause of acute poisonings in developing countries. OP intoxication often presents as medical emergencies, and its related morbidity and mortality have not decreased despite major advances in critical care. This study aims to determine the impact of serum amylase level for estimation of prognosis in patients with acute OP poisoning. Methods: This observational case-control study was done during two years on 332 consecutive patients with acute OP poisoning. Clinical and demographic data, serum amylase level on early admission time, morbidity, and outcome were determined. Data were analyzed in the form of a frequency distribution table by using SPSS 11.0 version software. Results: The mean age of patients with acute OP poisoning was 28.9 ± 23.95 with slightly female dominance. All patients were intoxicated via the gastrointestinal route. The mean amylase level of patients with deterioration of mental status, tachycardia, ICU admission, and death was significantly higher. Conclusions: Among patients with OP poisoning, higher serum amylase than normal was associated with severe clinical course and increased risk for mortality. Determination of serum amylase can be effective in the quick prediction of the outcome.","PeriodicalId":32422,"journal":{"name":"Journal of Injury and Violence Research","volume":"13 1","pages":"117 - 120"},"PeriodicalIF":0.0,"publicationDate":"2021-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49007479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The mitigating effect of low firearm background check requirements on firearm homicides in border states","authors":"Todd R. Ashworth, C. Kozinetz","doi":"10.5249/jivr.vo113i2.1555","DOIUrl":"https://doi.org/10.5249/jivr.vo113i2.1555","url":null,"abstract":"Abstract: Background: Firearm-related violence is a significant public health issue in the US. Research has found an increase in guns used in crimes sourced from low gun law states into high gun law states. The purpose of this study is to evaluate the effect of distance from states without universal background checks (UBC), background checks at shows (BCS), or permit to purchase (PTP) laws on firearm homicide rates in states with them. Methods: States were identified based on their enactment of laws that are designed to prevent the private sale of firearms to criminals. Demographic data for each county were obtained for the years 2014 through 2017. The border distance from a county in a state with the evaluated gun laws to the nearest border state without the gun laws was obtained using Google Maps. Multiple regression analyses were performed to test the relationship between border distance and firearm homicide rates. Results: The regression model evaluating all formats found the border distance was negatively associated with firearm homicides (p=.009). The parameter estimate indicated as border distance increased, the firearm homicide rate decreased. When counties with UBC or PTP on all guns were evaluated separately from all formats model, the statistical significance was lost (p=.62). In counties where all handgun sales either require a background check or a PTP is required, the distance was also not statistically significant (p=.11). Conclusions: This study provides evidence that there may be a mitigating effect on the reduction of firearm homicides in states that require background checks or PTP on private sales when there is a state in close proximity that did not have these laws. Limited counties at certain distances may have contributed to the insignificant findings in other models.","PeriodicalId":32422,"journal":{"name":"Journal of Injury and Violence Research","volume":"13 1","pages":"111 - 116"},"PeriodicalIF":0.0,"publicationDate":"2021-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43986006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}