Journal of injury & violence research最新文献

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The mitigating effect of low firearm background check requirements on firearm homicides in border states. 低枪支背景调查要求对边境州枪支杀人案的缓解作用。
Journal of injury & violence research Pub Date : 2021-07-01 Epub Date: 2021-05-03 DOI: 10.5249/jivr.v13i2.1555
Todd R Ashworth, Claudia A Kozinetz
{"title":"The mitigating effect of low firearm background check requirements on firearm homicides in border states.","authors":"Todd R Ashworth,&nbsp;Claudia A Kozinetz","doi":"10.5249/jivr.v13i2.1555","DOIUrl":"https://doi.org/10.5249/jivr.v13i2.1555","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"13 2","pages":"111-116"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8435077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38942021","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: 0
Barriers to using a helmet among motorcyclist students: a qualitative study. 摩托车学生使用头盔的障碍:一项定性研究。
Journal of injury & violence research Pub Date : 2021-07-01 Epub Date: 2021-04-07 DOI: 10.5249/jivr.v13i2.1543
Vahid Ranaei, Zahra Hosseini, Sakineh Dadipoor
{"title":"Barriers to using a helmet among motorcyclist students: a qualitative study.","authors":"Vahid Ranaei,&nbsp;Zahra Hosseini,&nbsp;Sakineh Dadipoor","doi":"10.5249/jivr.v13i2.1543","DOIUrl":"https://doi.org/10.5249/jivr.v13i2.1543","url":null,"abstract":"<p><strong>Background: </strong>Helmet use rates among motorcyclists are low and various factors are involved. Therefore, the present study aimed to investigate the factors affecting the use of helmet in motorcycle students in Iran (Bandar Abbas city) in 2019.</p><p><strong>Methods: </strong>The research was qualitative and data were collected through individual interviews and observations and were interpreted by content analysis method. Participants were 15 motorcyclist students studying in public health (6), nursing (4), dentistry (2), medicine (1), health education (1) and biochemistry (1). They were purposefully included in the study and sampling continued until data saturation. The main tool for data collection was deep semi-structured interviews with open answers which lasted for 20 to 60 minutes. Finally, 15 interviews were collected in this study.</p><p><strong>Results: </strong>The five main categories (economic, family, socio-cultural, individual, and riding rules) were extracted from the data that each had a subclass.</p><p><strong>Conclusions: </strong>Different factors in micro and macro dimensions play a role in the use of helmets among motorcyclists. Consideration of these factors by the relevant organizations in the field of traffic can increase the use of helmets.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"13 2","pages":"81-86"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8435078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25577539","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: 0
Determining factors on volunteers' presence in hospital response to disasters and emergencies: a qualitative study. 决定志愿者在医院应对灾害和紧急情况的因素:一项定性研究。
Journal of injury & violence research Pub Date : 2021-07-01 Epub Date: 2021-07-10 DOI: 10.5249/jivr.v13i2.1583
Forouzandeh Jannat, Davoud Khorasani-Zavareh, Kiyoumars Allahbakhshi, Javad Aghazadeh-Attari, Saeedeh Nateghinia, Iraj Mohebbi
{"title":"Determining factors on volunteers' presence in hospital response to disasters and emergencies: a qualitative study.","authors":"Forouzandeh Jannat,&nbsp;Davoud Khorasani-Zavareh,&nbsp;Kiyoumars Allahbakhshi,&nbsp;Javad Aghazadeh-Attari,&nbsp;Saeedeh Nateghinia,&nbsp;Iraj Mohebbi","doi":"10.5249/jivr.v13i2.1583","DOIUrl":"https://doi.org/10.5249/jivr.v13i2.1583","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"13 2","pages":"127-140"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8435082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39171337","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: 0
Identifying indicators and evaluation steps with suggestions for improving trauma care in Iran: experts' perspective. 确定指标和评估步骤,并提出改善伊朗创伤护理的建议:专家的观点。
Journal of injury & violence research Pub Date : 2021-07-01 Epub Date: 2021-04-24 DOI: 10.5249/jivr.v13i2.1589
Yalda Mousazadeh, Ali Janati, Mahboub Pouraghaei, Homayoun Sadeghi Bazargani
{"title":"Identifying indicators and evaluation steps with suggestions for improving trauma care in Iran: experts' perspective.","authors":"Yalda Mousazadeh,&nbsp;Ali Janati,&nbsp;Mahboub Pouraghaei,&nbsp;Homayoun Sadeghi Bazargani","doi":"10.5249/jivr.v13i2.1589","DOIUrl":"https://doi.org/10.5249/jivr.v13i2.1589","url":null,"abstract":"<p><strong>Background: </strong>Trauma is one of the major causes of mortality across the world. Trauma patients have critical status and need timely, adequate, and organized care. The different consequences of trauma care among service centers around the world and even within a country revealed the need for careful evaluation. This study was designed and executed to collect experts' opinions on the evaluation steps, related indicators, and improvement strategies in trauma care.</p><p><strong>Methods: </strong>This qualitative study was based on a conventional content analysis approach. 2 focus group discussions (FGD) with 6 participants per FGD and 16 face-to-face in-depth interviews were conducted to collect the required information (from September 2018 to early 2019). Participants were selected through the purposive sampling method. The experts' viewpoints were classified by the main and sub themes.</p><p><strong>Results: </strong>Four basic themes extracted from the interviews and focus group discussions including, trauma care importance (sub-themes: the involved individuals' being young and productive and the effectiveness of trauma care); trauma care indicators (sub-themes: pre-hospital indicators, in-hospital indicators, and post-hospital indicators); stages of trauma care evaluation (sub-themes: evaluation prerequisites, finalization of indicators before the evaluation, determining evaluation time scope, determining evaluation dimensions, external and internal evaluation and use of evaluation results); trauma care improvement (sub-themes: balancing workload in trauma centers, enhancement of information system, considering extra-organizational dimensions in trauma care and empowerment of trauma care providers).</p><p><strong>Conclusions: </strong>According to experts' viewpoints, trauma is a very important issue, because it involves young people. They believed that having indicators covering all aspects of care assist health managers and policymakers to understand under-standard performance. These indicators should be used in the form of a specific evaluation program and related to Iran context. Besides, reforming macro policies, planning, development of infrastructures, and education was some recommendations of experts to improve trauma care.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"13 2","pages":"99-110"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8435083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38903650","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: 0
Faculty members' earthquake preparedness levels and their related factors: a cross-sectional study from a university in a high-risk earthquake zone in Turkey. 教师的地震准备水平及其相关因素:来自土耳其地震高风险区的一所大学的横断面研究。
Journal of injury & violence research Pub Date : 2021-07-01 Epub Date: 2021-07-19 DOI: 10.5249/jivr.v13i2.1513
Raziye Ozdemir, Cigdem Demir, Binali Catak
{"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":"Raziye Ozdemir,&nbsp;Cigdem Demir,&nbsp;Binali Catak","doi":"10.5249/jivr.v13i2.1513","DOIUrl":"https://doi.org/10.5249/jivr.v13i2.1513","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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 status, 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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>This study showed that earthquake preparedness levels among the faculty members are insufficient and suggests that motivation of the faculty members' motivation to be appropriately prepared for future earthquake case should be increased.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"13 2","pages":"151-160"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8435085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39198208","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: 0
Supporting the victims of domestic violence in Iran: two decades of effort. 支持伊朗家庭暴力受害者:二十年的努力。
Journal of injury & violence research Pub Date : 2021-07-01 Epub Date: 2021-04-24 DOI: 10.5249/jivr.v13i2.1638
Faraneh Ghaffarihosseini, Amir Hossein Jalali Nadoushan, Kaveh Alavi, Jafar Bolhari
{"title":"Supporting the victims of domestic violence in Iran: two decades of effort.","authors":"Faraneh Ghaffarihosseini,&nbsp;Amir Hossein Jalali Nadoushan,&nbsp;Kaveh Alavi,&nbsp;Jafar Bolhari","doi":"10.5249/jivr.v13i2.1638","DOIUrl":"https://doi.org/10.5249/jivr.v13i2.1638","url":null,"abstract":"<p><p>For years there were no organized supporting system helping victims of domestic violence in Iran. 16 years ago Ministry of Interior started a national survey which led to try legislating bills in order to improve preventive and supporting services. This has inspired many health care professionals, including Ministry of Health, Treatment and Medical Training, to pursue this field for research. Since then, many studies has been done; which were reviewed in this paper. We tried to build a stepping stone for the future researchers and activists, since despite all what has been done, still there is no legislated bill or enough organizations to protect the victims.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"13 2","pages":"161-164"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8435080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38903648","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: 4
Is driver education contributing towards road safety? a systematic review of systematic reviews. 驾驶员教育对道路安全有帮助吗?系统回顾的系统回顾。
Journal of injury & violence research Pub Date : 2021-01-01 DOI: 10.5249/jivr.v13i1.1592
Maryam Akbari, Kamran B Lankarani, Seyed Taghi Heydari, Seyed Abbas Motevalian, Reza Tabrizi, Mark J M Sullman
{"title":"Is driver education contributing towards road safety? a systematic review of systematic reviews.","authors":"Maryam Akbari,&nbsp;Kamran B Lankarani,&nbsp;Seyed Taghi Heydari,&nbsp;Seyed Abbas Motevalian,&nbsp;Reza Tabrizi,&nbsp;Mark J M Sullman","doi":"10.5249/jivr.v13i1.1592","DOIUrl":"https://doi.org/10.5249/jivr.v13i1.1592","url":null,"abstract":"<p><strong>Background: </strong>There is a vast amount of literature on the effects of driver education. However, the evidence has become somewhat fragmented, making it challenging to understand driver education's effectiveness for improving road safety. The current study aimed to provide the efficacy of pre-LDE and post-LDE interventions aimed at improving the safety of drivers (includes crashes, injuries, or secondary outcomes).</p><p><strong>Methods: </strong>The following online databases were searched up to the 21st of February 2020: Web of Science (WOS), Scopus, PubMed, Cochrane library, and other relevant databases. Systematic reviews (SR) and meta-analyses were selected to investigate the efficacy of driving education in reducing crashes, injuries, or secondary outcomes. Two investigators independently conducted the data extraction and used the assessment of multiple systematic reviews (AMSTAR) tool to conduct a quality assessment of each SR identified.</p><p><strong>Results: </strong>Out of the 229 potential articles, seven SRs were eligible for the current overview of systematic reviews and meta-analyses. This overview showed that pre-and post-license education by people of all ages led to improvements in secondary outcomes, such as performance, self-perceived driving abilities, behind-the-wheel driving performance, and even a small decrease in traffic offenses. However, education was not effective in reducing crashes or injuries, either at the individual or community level.</p><p><strong>Conclusions: </strong>There was no evidence that driver education is an effective approach to reducing crashes or injuries. This negative result might be due to ineffective teaching methods. To improve road safety, it appears necessary to change the method or content of driving education since the current approaches to driving education do not reduce traffic crashes or injuries.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"13 1","pages":"69-80"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8142340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9890021","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: 6
Comparison of pre-hospital emergency services time intervals in patients with heart attack in Arak, Iran. 伊朗阿拉克地区心脏病发作患者院前急救服务时间间隔的比较
Journal of injury & violence research Pub Date : 2021-01-01 Epub Date: 2021-01-20 DOI: 10.5249/jivr.v13i1.1614
Abed Khanizade, Davoud Khorasani-Zavareh, Soheila Khodakarim, Mohammad Palesh
{"title":"Comparison of pre-hospital emergency services time intervals in patients with heart attack in Arak, Iran.","authors":"Abed Khanizade,&nbsp;Davoud Khorasani-Zavareh,&nbsp;Soheila Khodakarim,&nbsp;Mohammad Palesh","doi":"10.5249/jivr.v13i1.1614","DOIUrl":"https://doi.org/10.5249/jivr.v13i1.1614","url":null,"abstract":"<p><strong>Background: </strong>After cardiac arrest, the possibility of death or irreversible complications will highly increase in the absence of cardiac resuscitation within 4 to 6 minutes. Accordingly, measuring the pre-hospital services time intervals is important for better management of emergency medical services delivery. The purpose of this study then was to investigate pre-hospital time intervals for patients with heart attack in Arak city, based on locations and time variables.</p><p><strong>Methods: </strong>This is a retrospective descriptive cross-sectional study, which was conducted at the Arak Emergency Medical Services (EMS) during 2017-2018. Data were analyzed by SPSS version 13.</p><p><strong>Results: </strong>The total number of heart attack patients registered in Arak emergency medical services was 2,659 of which 51% of patients were males. Six percent of patients were under 25 and about 49 percent were between 46 and 65 years old. The average of activation, response, on-scene, transportation, recovery and total time intervals were 3:30, 7:56, 15:15, 13:34, 11:07, 12:11, and 41:25, respectively. In the city area, the shortest and longest average response time intervals were in spring and winter, respectively. In out of the city area, the shortest average response time interval was in summer and the longest one in autumn. The shortest and the longest average response time intervals in the city area were in June and March, respectively, and in out of the city area, the shortest average response time interval was in June and the longest one in April.</p><p><strong>Conclusions: </strong>The shorter response and delivery time interval compared to the other studies may indicate improvement in the provision of EMS. Special attention should be paid to the facilities and equipment of vehicles during cold seasons to be in the shortest possible time. Also, training and informing the staff more about the code of cardiac patients along with general public education can help improve these intervals.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":" ","pages":"31-38"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8142335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38759556","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: 2
Evaluating implementation of WHO Trauma Care Checklist vs. modified WHO checklist in improving trauma patient clinical outcomes and satisfaction. 评估世卫组织创伤护理清单与修改后的世卫组织清单在改善创伤患者临床结果和满意度方面的实施情况。
Journal of injury & violence research Pub Date : 2021-01-01 Epub Date: 2020-08-16 DOI: 10.5249/jivr.v13i1.1579
Shahram Bidhendi, Alireza Ahmadi, Mona Fouladinejad, Shahrzad Bazargan-Hejazi
{"title":"Evaluating implementation of WHO Trauma Care Checklist vs. modified WHO checklist in improving trauma patient clinical outcomes and satisfaction.","authors":"Shahram Bidhendi,&nbsp;Alireza Ahmadi,&nbsp;Mona Fouladinejad,&nbsp;Shahrzad Bazargan-Hejazi","doi":"10.5249/jivr.v13i1.1579","DOIUrl":"https://doi.org/10.5249/jivr.v13i1.1579","url":null,"abstract":"<p><strong>Background: </strong>Use of checklist in evaluation of trauma patients has been a critical component of improving the care process and reducing medical errors and increasing patient's quality of life. We aim to assess the impact of the modified World Health Organization Trauma Care Checklist (WHO TCC) on the management of pain, complications, mortality and patient satisfaction in trauma patients.</p><p><strong>Methods: </strong>This was a randomized control trial (RTC). Trauma patients referred to the trauma center and met the eligibility criteria were randomly assigned into three study groups. Group 1 were patients who received trauma care without using the WHO checklist, and only by the standard of care. Group 2 were patients who received trauma care according to the WHO's checklist, and group 3 were patients received trauma care according to the WHO's modified checklist. We used independent t-test and chi-square tests to assess the association between the study variables with checklist groups. The significance level of tests was set for p-value less than 0.05.</p><p><strong>Results: </strong>We observed patients' level of pain, Injury Severity Score (ISS), Glasgow Coma Criterion (GCS) and patient satisfaction significantly improved across the checklist groups, but more so in the modified checklist group (P less than 0.001). Similarly, findings reveal significant relationships between all clinical characteristics of the patients and checklist groups, except for a CT Scan of the spinal cord. We were unable to establish any significant associations between the checklist groups and the majority of the selected trauma care process measures, except for missed injury (p = 0.001).</p><p><strong>Conclusions: </strong>Both the WHO TCC and the WHO modified checklist, in the initial assessment and during the treatment and care processes, enhance patients' clinical outcomes. However, patients in the modified checklist compared to WHO TCC reported a higher level of satisfaction. Implications and future directions are discussed.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":" ","pages":"5-12"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8142336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38329595","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: 5
Non-communicable diseases in disasters: a protocol for a systematic review. 灾害中的非传染性疾病:系统审查议定书。
Journal of injury & violence research Pub Date : 2021-01-01 Epub Date: 2021-01-18 DOI: 10.5249/jivr.v13i1.1512
Elham Ghazanchaei, Iraj Mohebbi, Fatemeh Nouri, Javad Aghazadeh-Attari, Davoud Khorasani-Zavareh
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