MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Injury Prevention' source. Thu, 09 Feb 2012 08:40:38 +0100 http://www.medworm.com/index.php?rid=5615342&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F72%3Frss%3D1 Traffic crashes are the leading cause of injury death in most parts of the world and this issue's column focuses on a number of studies related to traffic injuries. In the USA, unintentional overdose deaths from prescription medications is on the verge of overtaking traffic crashes as the number one injury death. In several states, this change in injury mortality has already occurred. Overdose deaths due to prescription painkillers have tripled from 1999 to 2008. Sales of these products and related admissions for treatment have risen at similar rates. The Centers for Disease Control issued several products to draw attention to the increase in overdoses, including findings in Morbidity and Mortality Weekly Report, a ‘Vital Signs’ newsletter that includes policy action steps, and... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615342 Thu, 19 Jan 2012 05:00:00 +0100 5615342 http://www.medworm.com/index.php?rid=5615341&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F71-b%3Frss%3D1 May 1–3, 2012. Atlanta, GA. Safe States Alliance annual meeting "Shaping the Path to Safety" is a joint meeting of the Alliance and of CDC's Core Injury and Violence Prevention Program. See: https://m360.safestates.org/event.aspx?eventID=38812 May 13–15, 2012. Prague, Czech Republic. 10th Global Conference on Violence, Probing the Boundaries See: http://www.inter-disciplinary.net/probing-the-boundaries/hostility-and-violence/violence/details/ October 1–4, 2012. Wellington, New Zealand. 11th World Conference on Injury Prevention and Safety Promotion (Safety 2012) Co-sponsored by WHO, Safety 2012 will bring together many of the world's leading injury prevention and safety researchers, practitioners, policy makers and advocates to debate, discuss and share information and ex... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615341 Thu, 19 Jan 2012 05:00:00 +0100 5615341 http://www.medworm.com/index.php?rid=5615340&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F71-a%3Frss%3D1 In this issue of Injury Prevention, Ackery et al1 show that a cyclist's risk in collisions with motor vehicles increases with the size of the motor vehicle (see page 22). This evidence may be generalised to other types of collisions: consistent with Ackery et al are studies concerning different sizes of automobiles in collision with pedestrians2 3 and collisions concerning different sizes of automobiles in general.4 One can infer that a smaller entity—in terms of linear dimensions and mass—will likely come off worse than a larger entity. I use the term ‘entity’ to refer to the road user in conjunction, where appropriate, with his/her means of conveyance. Thus, the smallest entities are pedestrians and cyclists; larger entities refer to automobiles, pickup trucks and... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615340 Thu, 19 Jan 2012 05:00:00 +0100 5615340 http://www.medworm.com/index.php?rid=5615339&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F70%3Frss%3D1 The National Center for Health Statistics (NCHS) recently announced that poisoning had passed motor vehicle (MV) crashes as the leading cause of injury death in the USA in 2008.1 The NCHS also noted that nearly 90% of poisoning deaths were due to drugs, which have driven the overall poisoning mortality increase since at least 1980. Much of the increase in drug poisoning mortality was due to prescription drugs, especially opioid painkillers. Similar trends related to prescription opioids have been noted in other developed countries.2 3 Preliminary mortality data from 2009 suggest an additional large decline in MV crash deaths,4 5 while emergency department data suggest a continued increase in prescription drug overdoses in 2009.6 It is likely that drug poisoning alone now causes more deaths... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615339 Thu, 19 Jan 2012 05:00:00 +0100 5615339 http://www.medworm.com/index.php?rid=5615338&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F69%3Frss%3D1 Many people are working hard, often in the face of considerable difficulties, to create innovative solutions for improving trauma care in their countries. Their efforts received notable support in 2007 when the World Health Assembly (WHA) adopted WHA Resolution 60.22 on trauma and emergency care services.1 2 The Resolution, which calls for increased attention to the issue by Member States and the WHO, recommends several concrete steps that could be taken to strengthen trauma care globally. During the debate of this WHA Resolution 60.22, 27 governments spoke in support of its adoption, underlining the importance of the issue for their countries. Many highlighted the growing burden of injuries and violence and the challenge to develop adequate responses in low-resource settings. Others drew ... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615338 Thu, 19 Jan 2012 05:00:00 +0100 5615338 http://www.medworm.com/index.php?rid=5615337&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F67%3Frss%3D1 Indians still waiting for anticollision devices on trains Twelve years ago, a railway in India developed an anticollision device (ACD) to help prevent train crashes. These devices have still not been installed in all trains in spite of successful trials. An ACD is designed to prevent head-on, side and rear-end collisions. It is believed that ‘more than 50% of railway collisions are caused by driver lapses’ who require this technical aid to preventing collisions. In the Railway Budget 2010, the then railway minister Mamata Banerjee announced these measures. ‘To make railways safer, anti-collision devices (ACD) and Train Protection Warning Systems (TPWS) are ... to be installed. Also, automatic fire and smoke detection systems were to be placed in long-distance trains.&rsqu... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615337 Thu, 19 Jan 2012 05:00:00 +0100 5615337 http://www.medworm.com/index.php?rid=5615336&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F62%3Frss%3D1 This paper presents the effect of first aid training on the first aid knowledge and skills of university drivers. The intervention group (n=98) received training on first aid and controls (n=78) received training on HIV/AIDS. First aid knowledge and skills were measured at baseline, immediately after the training and 4 months post-intervention. Changes in knowledge and skills were assessed using repeated measures analysis of variance. Knowledge scores were 51.2±14.8%, 59.6±12.8% and 57.6±12.8% (p>0.05) for intervention drivers versus 51.6±11.6%, 53.2±12.0% and 56.4±12.4% (p>0.05) in controls. The skill scores for intervention drivers were 49.2±14.2%, 78.3±12.9% and 77.5±11.7% (p<0.05) versus 37.7±12.4%, 40.... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615336 Thu, 19 Jan 2012 05:00:00 +0100 5615336 http://www.medworm.com/index.php?rid=5615335&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F58%3Frss%3D1 Closed circuit television (CCTV) systems which incorporate real-time communication links between camera room operators and on-the-ground security may limit injuries resulting from alcohol-related assault. This pilot study examined CCTV footage and operator records of security responses for two periods totalling 22 days in 2010–2011 when 30 alcohol-related assaults were recorded. Semistructured discussions were conducted with camera room operators during 18 h of observation. Camera operators were proactive, efficiently directing street security to assault incidents. The system intervened in 40% (n=12) of alcohol-related assaults, limiting possible injury. This included three incidents judged as potentially preventable. A further five (17%) assault incidents were also judged ... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615335 Thu, 19 Jan 2012 05:00:00 +0100 5615335 http://www.medworm.com/index.php?rid=5615334&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F50%3Frss%3D1 Conclusions The system for referring maltreatment cases to the CPS is generally efficient, although up to 1 in 15 children had codes for maltreatment but could not be linked to CPS data. The high proportion of children with unintentional injury codes who linked to CPS suggests that clinicians and hospital-based child protection staff should be supported by further education and training to ensure children at risk are being detected by the child protection system. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615334 Thu, 19 Jan 2012 05:00:00 +0100 5615334 http://www.medworm.com/index.php?rid=5615333&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F44%3Frss%3D1 Conclusions Memory blackouts are a significant predictor of future alcohol-related injury among college drinkers after adjusting for heavy drinking episodes. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615333 Thu, 19 Jan 2012 05:00:00 +0100 5615333 http://www.medworm.com/index.php?rid=5615332&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F38%3Frss%3D1 Conclusions Journalists who frame injury events as freak accidents may be an appropriate focus for advocacy efforts. Effective prevention messages should be developed and disseminated to accompany injury reporting in order to educate and protect the public. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615332 Thu, 19 Jan 2012 05:00:00 +0100 5615332 http://www.medworm.com/index.php?rid=5615331&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F33%3Frss%3D1 Conclusion Injury incidence estimated through self-report is not representative of the population burden and experience of paediatric injury for Ontario children, and may produce biased estimates of risk when analysed as independent sources of data. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615331 Thu, 19 Jan 2012 05:00:00 +0100 5615331 http://www.medworm.com/index.php?rid=5615330&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F27%3Frss%3D1 Conclusion This study confirms the protective effect for head and facial injuries, even though soft-shell helmets have now become more common. The reduction of risk is greater for serious head injuries. The study is inconclusive about the risk for neck injuries. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615330 Thu, 19 Jan 2012 05:00:00 +0100 5615330 http://www.medworm.com/index.php?rid=5615329&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F22%3Frss%3D1 Conclusions Large expensive motor vehicles account for a disproportionate share of bicyclist deaths. Bicyclists, motorists, policy-makers and vehicle manufacturers need to consider more imaginative solutions to help prevent future deaths. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615329 Thu, 19 Jan 2012 05:00:00 +0100 5615329 http://www.medworm.com/index.php?rid=5615328&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F16%3Frss%3D1 Conclusions Using the weighted averages method, a small subset of counties contributing to the majority of statewide driver fatalities was identified. Regionalised interventions on specific risk factors in these counties may have the greatest impact on reducing driver-related MVC fatalities. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615328 Thu, 19 Jan 2012 05:00:00 +0100 5615328 http://www.medworm.com/index.php?rid=5615327&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F10%3Frss%3D1 Conclusions Paediatricians in the USA support counselling on teen driving during routine office visits, but omit many important risk factors. Few recommend parent–teen driver agreements. Methods that help clinicians efficiently and effectively counsel families about teen driving should be developed. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615327 Thu, 19 Jan 2012 05:00:00 +0100 5615327 http://www.medworm.com/index.php?rid=5615326&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F3%3Frss%3D1 Conclusion The different SEP patterns for road traffic deaths across gender and motor vehicle crash type illustrate that heterogeneity of social inequalities in health can be found even within narrow age bands and for similar causes of death. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615326 Thu, 19 Jan 2012 05:00:00 +0100 5615326 http://www.medworm.com/index.php?rid=5615325&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F2%3Frss%3D1 In the last 12 months the journal has, once again, seen a record number of submissions. Those papers that go to peer review are read by an associate editor, a member of our editorial board and by two or three external referees. This represents an incredible amount of (typically thankless) effort that is nevertheless crucial to the quality and success of the journal. It is humbling to see the depth and thoughtfulness of many of the reviews we receive. In a field that is as diverse and eclectic as our own, this is an invaluable service to the editors. Of course, our editorial board does a disproportionate share of the work. We are deeply grateful to them for their ongoing advice and support. But, as always, there are some non-board members who have happily pitched in on multiple occasio... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615325 Thu, 19 Jan 2012 05:00:00 +0100 5615325 http://www.medworm.com/index.php?rid=5615324&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2Fe1%3Frss%3D1 This study protocol describes the prospective cohort study developed to assess near misses, crashes and injuries among cyclists by time and distance travelled and by type of infrastructure used, with recruited participants entering data remotely using the internet. We expect to be able to calculate event rates according to exposure overall and for different infrastructure types and to report in-depth information about event causation. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615324 Thu, 19 Jan 2012 05:00:00 +0100 5615324 http://www.medworm.com/index.php?rid=5615323&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F18%2F1%2F1%3Frss%3D1 There is consensus among scientists, government officials and the general public that the energy transferred at the time of a motor vehicle crash (namely kinetic energy) results in the trauma that we observe presenting to our hospitals. We also know that the greater the speed at impact, the greater the kinetic energy and hence severity of injury. Clearly, anything that reduces the kinetic energy ipso facto reduces the level of trauma. In fact, we know from research in Scandinavia that even a 10% reduction in speed across the road network equates to 30–40% reduction in road fatalities.1 It is not surprising therefore that managing or containing travel speeds so that they reflect the road environment is merely ensuring that we can contain the kinetic energy in the unlikely event of a c... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5615323 Thu, 19 Jan 2012 05:00:00 +0100 5615323 http://www.medworm.com/index.php?rid=5435889&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2F432%3Frss%3D1 This article describes ways in which other funding agencies could apply these lessons to their own efforts with tribal groups. The authors reviewed four pilot motor vehicle injury prevention projects with a careful look at successes and challenges in administration, partnerships, data collection, evaluation, and tailoring effective strategies to the community. It isn't often that such rich analyses are produced to improve relations between funder and funded, and I encourage anyone interested in... (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435889 Tue, 22 Nov 2011 05:00:00 +0100 5435889 http://www.medworm.com/index.php?rid=5435888&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2F431%3Frss%3D1 Although injury remains a costly and deadly problem worldwide, the science and practice of injury prevention continues to produce effective interventions. Seat belts reduce the risk of death and injury, and primary enforcement is an effective strategy for implementing these laws. Child safety seats protect children from crash forces, and combining legislation, education and product distribution strategies increases their use. Specific multi-component exercise programmes reduce falls in older adults. These and many other examples are the result of decades of research to identify risk factors and develop and test interventions in real world settings. It is not surprising then that implementation and dissemination of proven effective policies and programmes are high priorities for the field, ... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435888 Tue, 22 Nov 2011 05:00:00 +0100 5435888 http://www.medworm.com/index.php?rid=5435887&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2F429%3Frss%3D1 September 11 anniversary: lessons learnt? This is being written on the 10th anniversary of the September 11 attack on the World Trade Center in New York. I feel certain everyone at the journal shares my sorry and sad recollections of this event. At the time, as editor, I wrote: ‘No one needs a reminder of the grisly, almost unbelievable images. But as editor of a journal called Injury Prevention I feel compelled to ask how this might have been prevented? It is all too easy to blame lax airport security, or the policies of countries such as my own that allegedly permit terrorist organisations to raise money on their soil. We need to better understand what drives the terrorists, and somehow this seems to go beyond politics, the inequities of history, or perceived threats to religion. N... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435887 Tue, 22 Nov 2011 05:00:00 +0100 5435887 http://www.medworm.com/index.php?rid=5435886&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2F427%3Frss%3D1 ESSSB14 2012—14th European Symposium of Suicide and Suicidal Behaviour 3–6 September 2012, Tel Aviv-Jaffa, Israel. Co-chaired by Professor Alan Apter and Dr Gil Zalsman, the Symposium will focus on suicide and suicidal behaviour, including suicide prevention and postvention. ESSSB14 represents a unique collaboration between Israeli and Palestinian psychiatry professionals. 21st International Course on Transportation Planning and Safety 5–12 December 2011, New Delhi, India. The Transportation Research Board (TRB): 91st Annual Meeting 22–26 January 2012, Washington, DC. 11th World Conference on Injury Prevention and Safety Promotion 1–4 October 2012, Wellington, New Zealand. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435886 Tue, 22 Nov 2011 05:00:00 +0100 5435886 http://www.medworm.com/index.php?rid=5435885&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2F422%3Frss%3D1 Alcohol use and firearm ownership are risk factors for violent injury and death. To determine whether firearm ownership and specific firearm-related behaviours are associated with alcohol-related risk behaviours, the author conducted a cross-sectional study using Behavioral Risk Factor Surveillance System data for eight states in the USA from 1996 to 1997 (the most recent data available). Altogether, 15 474 respondents provided information on firearm exposure. After adjustment for demographics and state of residence, firearm owners were more likely than those with no firearms at home to have ≥5 drinks on one occasion (OR 1.32; 95% CI 1.16 to 1.50), to drink and drive (OR 1.79; 95% CI 1.34 to 2.39) and to have ≥60 drinks per month (OR 1.45; 95% CI 1.14 to 1.83). Heavy alcohol use was ... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435885 Tue, 22 Nov 2011 05:00:00 +0100 5435885 http://www.medworm.com/index.php?rid=5435884&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2F419%3Frss%3D1 Injuries are a major source of mortality and morbidity in China with approximately 66 million citizens requiring emergency medical care. Trauma registries provide the basis for quality assurance processes and inform the treatment of the injured patient. Against the backdrop of the recently established Chinese National Injury Surveillance System, the feasibility of establishing a multicentre trauma registry in a limited number of hospitals was examined. Seven hospital directors reported on a range of hospital characteristics including patient volume information and the types of patient information routinely collected. The findings indicate significant numbers of patients presenting due to injury, though little comparability in the type of information collected both between hospitals and wit... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435884 Tue, 22 Nov 2011 05:00:00 +0100 5435884 http://www.medworm.com/index.php?rid=5435883&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2F415%3Frss%3D1 This report describes changes to intended Prospective Outcomes of Injury Study methods and key characteristics of the cohort, with an emphasis on general health and disability before injury and soon afterwards. There were 2856 injured participants in the first interview, which occurred 3.2 months (median) after injury. The recruitment period was extended to enable inclusion of sufficient Maori participants. At the first interview, most participants were experiencing worse health status and increased disability compared to before injury, despite less than one-third reporting admission to hospital because of their injury. Analysis of outcome predictors related to post-injury function, disability and return-to-work soon after injury and 1 year later is now under way. (Source: Injury... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435883 Tue, 22 Nov 2011 05:00:00 +0100 5435883 http://www.medworm.com/index.php?rid=5435882&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2F407%3Frss%3D1 Conclusions A combined Naïve-Fuzzy Bayesian approach can classify some narratives with high accuracy and identify others most beneficial for manual review, reducing the burden on human coders. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435882 Tue, 22 Nov 2011 05:00:00 +0100 5435882 http://www.medworm.com/index.php?rid=5435881&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2F401%3Frss%3D1 Conclusion This research supports the literature that indicates that physical fights are positively related to both individual and social capital variables. Social capital had a detrimental effect on physical fights. This may be related to bonding in a gang-like way. While high levels of social capital are good for other health outcomes and thus should not be reduced, interventions that channel youth energy in positive ways are needed. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435881 Tue, 22 Nov 2011 05:00:00 +0100 5435881 http://www.medworm.com/index.php?rid=5435880&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2F394%3Frss%3D1 Conclusion Evidence from this study suggests that community-based rather than provincial-based injury reporting is less likely to over-generalise the burden of injury among Aboriginal communities. Community-based surveillance enables researchers to identify why severe unintentional and intentional injury continues to burden some communities but not others and avoids the potentially demoralising and stigmatising effects of current surveillance practices. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435880 Tue, 22 Nov 2011 05:00:00 +0100 5435880 http://www.medworm.com/index.php?rid=5435879&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2F388%3Frss%3D1 Conclusions Existing detection tools target patient safety domains differently, and consequently capture different occurrences, necessitating the integration of data from a combination of tools to fully estimate the total burden. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435879 Tue, 22 Nov 2011 05:00:00 +0100 5435879 http://www.medworm.com/index.php?rid=5435878&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2F381%3Frss%3D1 Conclusion British infantry injury rates were lower than those reported for US infantry (range 101–223 injuries/100 soldier-years), and younger age and previous injury were identified as independent risk factors. Future efforts should target reducing the incidence of traumatic injuries, especially those related to physical training and/or sports. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435878 Tue, 22 Nov 2011 05:00:00 +0100 5435878 http://www.medworm.com/index.php?rid=5435877&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2F375%3Frss%3D1 Discussion Case–control methodology can be used to study risk factors for paediatric falls from windows. Recruitment of community controls is challenging but essential, because in-home controls tend to be over-matched on important variables. A home visit allows direct measurement of window type, height, sill depth, and screen performance. These variables should all be investigated in subsequent, larger studies covering major housing markets. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435877 Tue, 22 Nov 2011 05:00:00 +0100 5435877 http://www.medworm.com/index.php?rid=5435876&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2F371%3Frss%3D1 Conclusions Despite LATCH education campaigns and the increased availability of tether anchors, observed tether use was less than 50%. Tether use was even lower in older vehicles, yet many children continue to travel in these vehicles. If tether anchors are unavailable, parents should be encouraged to retrofit vehicle seating positions. Because many child restraints are still installed with vehicle seat belts, efforts to educate parents on the importance of tether use regardless of installation method may be warranted. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435876 Tue, 22 Nov 2011 05:00:00 +0100 5435876 http://www.medworm.com/index.php?rid=5435875&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2F365%3Frss%3D1 Conclusions The original assumptions used in burden of disease studies grossly underestimate the long-term disability from hip fractures. The long-term consequences of other injuries may similarly have been underestimated and need to be re-examined. This has important implications for modelling the cost-effectiveness of preventive interventions where disability-adjusted life years are used as a measure of health outcome. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435875 Tue, 22 Nov 2011 05:00:00 +0100 5435875 http://www.medworm.com/index.php?rid=5435874&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2F361%3Frss%3D1 A massive tsunami following an earthquake of magnitude 9.0 hit the northeastern part of Japan on 11 March 2011, causing catastrophic damage in coastal areas of the country. The death toll may have exceeded 20 000, with most deaths having been caused by drowning. As of 4 September, the National Police Agency has confirmed 15 763 deaths and has reported 4282 persons as missing.1–3 This tragedy implies a partial failure of Japan's long-term efforts on preparation and emergency response plans for its frequent earthquakes and tsunamis. Having frequently sustained devastating tsunami damage in the past, the severely damaged areas, particularly the Sanriku coast in the northern part of the affected region, were well equipped with extensive coastal defences and sophisticated tsunami warning ... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435874 Tue, 22 Nov 2011 05:00:00 +0100 5435874 http://www.medworm.com/index.php?rid=5435873&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F6%2Fe7%3Frss%3D1 This study uses mixed methods: a pilot cluster randomised controlled trial, observation via mechanical testing and interviews. Eight participating wards (clusters) are randomised using a computer-generated list. No blinding is incorporated into the study. Each site has a baseline period of approximately 6 months. Then, four sites receive the intervention floor, while four continue using standard floors. Sites are then followed up for approximately 1 year. Participants Any person admitted to a bed in the ‘study area’ of a participating ward can be entered into the trial. Orientated patients, visitors and any hospital staff who use the floor in a study area are eligible for inclusion in an interview. Intervention An 8.3 mm thick vinyl floor covering with polyvinyl chl... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5435873 Tue, 22 Nov 2011 05:00:00 +0100 5435873 http://www.medworm.com/index.php?rid=5244497&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F359-b%3Frss%3D1 The objective of our paper was to demonstrate that calculating the rate of drowning using the total population as a denominator underestimates the risk of drowning, as it assumes equal exposure to water for the whole population. Five estimates of incidence rates of drowning morbidity and mortality were provided in the paper, four of which were adjusted for different levels of self-reported risk. One rate was estimated using the total population as the denominator; three used various levels of reported exposure for the denominator (ie, population risk) and one used a person-time risk measure for reported hours spent swimming. Mr Morgan's questions only related... (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244497 Thu, 22 Sep 2011 04:00:00 +0100 5244497 http://www.medworm.com/index.php?rid=5244496&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F359-a%3Frss%3D1 Mitchell, Williamson and Olivier's1 study estimated drowning rates for the Australian state of New South Wales (NSW) in 2005 based on resident population person-time exposure to swimming. The authors state (p. 261) that ‘failure to adjust injury rates for exposure to a hazard necessarily results in poor estimates of risk’ and, based on their findings, conclude (p. 264) drowning mortality rates to be ‘more than 200 times higher than equivalent exposure-adjusted rates for road traffic fatalities.’ This fact is cited in the Royal Life Saving Society's 2010 National Drowning Report2 (p. 3). However, comparison data detailed below suggest that the reported time exposure drowning rate presents a gross overestimation of swimming risk. This is due to deficiencies in reporte... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244496 Thu, 22 Sep 2011 04:00:00 +0100 5244496 http://www.medworm.com/index.php?rid=5244495&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F358%3Frss%3D1 5th National Occupational Injury Research Symposium (NOIRS), Waterfront Place Hotel, Morgantown, West Virginia, USA 18–20 October 2011. The National Institute for Occupational Safety and Health, in partnership with the Liberty Mutual Research Institute for Safety and the National Safety Council, is hosting NOIRS 2011 to provide a forum for researchers to share their findings and methods related to traumatic occupational injuries with others. http://www.cdc.gov/niosh/noirs/2011/default.html 5th Milestones in a Global Campaign for Violence Prevention Meeting, Cape Town, South Africa 6–7 September 2011. For further information, visit http://www.who.int/violence_injury_prevention/violence/5th_milestones_meeting/en/index.html or contact Dr Alexander Butchart (butcharta@who.int). Can... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244495 Thu, 22 Sep 2011 04:00:00 +0100 5244495 http://www.medworm.com/index.php?rid=5244494&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F357%3Frss%3D1 In 1985 the Institute of Medicine report Injury in America recommended that a centre for injury control be established at the Centers for Disease Control and that funding for research on injury should be commensurate with its public health burden.1 In 1992 the National Center for Injury Prevention and Control (NCIPC) was created at the Centers for Disease Control and Prevention (CDC), setting up a federal organisation whose sole focus is on injury—preventing injury and mitigating the consequences of injuries, using a public health approach to research and practice. Since then the USA has made significant progress in decreasing injury-related death and disability while continuing to develop a national infrastructure to support these efforts. Much of this progress has been done with li... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244494 Thu, 22 Sep 2011 04:00:00 +0100 5244494 http://www.medworm.com/index.php?rid=5244493&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F355%3Frss%3D1 From China: new approaches to bad driving In China, road crashes are now the leading cause of death in the 15–44 age group. This prompted Dr Jin Huiqing to study ‘accident proneness’ and to develop a road safety program that he sells to Chinese municipalities. Huiqing used driving records, neurological tests and blood samples in research designed to identify the physical or psychological traits of poor drivers, such as risk-taking or poor response time under stress. His company's three-pronged safety program involves this battery of tests to screen drivers, training with simulators and surveillance cameras. Based on these measures, Huiqing estimates that about 7% of Chinese motorists are ‘accident prone’. When compared with safe drivers, they have worse scores... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244493 Thu, 22 Sep 2011 04:00:00 +0100 5244493 http://www.medworm.com/index.php?rid=5244492&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F348%3Frss%3D1 The objective of this study was to characterise the behavioural circumstances of dog bites by interviewing children ≤17 years (or parent proxies for children ≤6 years) presenting with dog bite injuries to The Children's Hospital of Philadelphia about the bite incident, its setting and associated interactions. Of 203 children enrolled, 51% were <7 years old and 55% were male. 72% of children knew the biting dog. Most bites to younger children occurred during positive interactions, initiated by the child, with stationary, familiar dogs, indoors. Most older bitten children had been active (eg, outdoors), unfamiliar with the dog and not interacting. Whereas face bites predominated (70%) in the younger group (<7 years), bites to extremities predominated (72%) in the older group. Rec... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244492 Thu, 22 Sep 2011 04:00:00 +0100 5244492 http://www.medworm.com/index.php?rid=5244491&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F343%3Frss%3D1 The purpose of this study was to examine prevalence and potential risk factors for post-deployment injury among Iraq and Afghanistan combat veterans enrolled in Veterans Affairs (VA) healthcare. A national, stratified sample of Iraq/Afghanistan combat Veteran VA users was surveyed in 2008. Mental and physical health, including medically-treated injuries sustained since deployment, were self-reported. Injury risk was estimated using survey logistic regression. Stratified ORs and 95% CIs were adjusted for potential confounders and non-response bias and weighted to represent the target population. Nearly half the population reported post-deployment injuries. In multivariate models, veterans with probable post-traumatic stress disorder (OR=2.1; 95% CI 1.3 to 3.5), self-reported diagnosed depre... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244491 Thu, 22 Sep 2011 04:00:00 +0100 5244491 http://www.medworm.com/index.php?rid=5244490&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F338%3Frss%3D1 Conclusions Any country with electronic HDD could readily identify readmissions and, thus, accurately estimate injury incidence from HDD, providing that a unique person identifier and the date of injury were included in addition to the obligatory dates of admission and discharge. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244490 Thu, 22 Sep 2011 04:00:00 +0100 5244490 http://www.medworm.com/index.php?rid=5244489&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F332%3Frss%3D1 Conclusions The increase in unintentional poisoning hospitalisations among women aged 15–44 years and the changing profile of poisoning agents should inform the healthcare community's poisoning prevention strategies. Poisoning prevention strategies should include a component to address substance abuse and mental health disorders among reproductive-age women. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244489 Thu, 22 Sep 2011 04:00:00 +0100 5244489 http://www.medworm.com/index.php?rid=5244488&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F326%3Frss%3D1 Conclusions Substantial numbers of civilians, including women and children, were injured and killed following implementation of the Comprehensive Peace Agreement in 2006. The government of Nepal and humanitarian organisations should continue their efforts to reach communities at highest risk through targeted interventions and nationwide media campaigns to convey the risks of tampering with explosive devices or suspicious objects. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244488 Thu, 22 Sep 2011 04:00:00 +0100 5244488 http://www.medworm.com/index.php?rid=5244487&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F319%3Frss%3D1 Conclusions Analyses identify four lifetime periods for violence: up to 10 years (prepubescent), 11–20 years (adolescence), 21–45 years (younger adults), and over 45 years (older adults). While violence is most common in adolescence, its concentration in poorer areas during prepubescence and in younger adulthood (parenting age) suggests that poorer children are exposed to much more aggressive communities. This is likely to contribute to the disproportionate escalation in violence they experience during adolescence. Effective interventions to prevent such escalations are available and need to be implemented particularly in poor communities. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244487 Thu, 22 Sep 2011 04:00:00 +0100 5244487 http://www.medworm.com/index.php?rid=5244486&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F313%3Frss%3D1 Conclusion Messages that address the benefit to the child in preventing injury could be beneficial if spread more diversely, establishing a social norm. Legislation, enforcement and local policy could positively influence the perceived culture that supports and expects booster seat use for school-aged children. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244486 Thu, 22 Sep 2011 04:00:00 +0100 5244486 http://www.medworm.com/index.php?rid=5244485&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F309%3Frss%3D1 Conclusion Childhood RTI in this urban west African setting are a major source of disability. Specific injury circumstances are reviewed in detail. This study provides baseline incidence data that may be used to measure injury prevention efforts and to validate secondary data sources. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244485 Thu, 22 Sep 2011 04:00:00 +0100 5244485 http://www.medworm.com/index.php?rid=5244484&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F304%3Frss%3D1 Conclusions Alcohol involvement in fatal motor vehicle crashes in the USA is similarly prevalent in US and Mexican drivers, but is substantially less common in Canadian drivers. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244484 Thu, 22 Sep 2011 04:00:00 +0100 5244484 http://www.medworm.com/index.php?rid=5244483&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F297%3Frss%3D1 Conclusions This estimation shows the high cost (both, direct and indirect) RTI impose in households affecting their economy and leading families to lose wealth assets, get in debt or impoverished. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244483 Thu, 22 Sep 2011 04:00:00 +0100 5244483 http://www.medworm.com/index.php?rid=5244482&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F291%3Frss%3D1 Conclusions The estimates were considerably understated because they did not include losses in household production and quality of life. Nevertheless, the size and main components of the injury burden were identified; this information should aid decision-making about research priorities and improve monitoring of the effects of policy initiatives. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244482 Thu, 22 Sep 2011 04:00:00 +0100 5244482 http://www.medworm.com/index.php?rid=5244481&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2F289%3Frss%3D1 The Centers for Disease Control and Prevention (CDC) website (http://wisqars.cdc.gov:8080/costT/) provides precise estimates of the cost of injuries. For example, one can quickly find the cost in 2005 for unintentional poisoning deaths ($22.018239 billion) and homicides ($20.002002 billion). The CDC cost estimates come from adding the medical costs to the productivity losses, with productivity costs for these deaths accounting for well over 99% of the total estimated cost. A prime reason for making these cost estimates is to inform policy decisions concerning the proper allocation of scarce resources. Unfortunately, if the relative estimates are misleading, they can lead to inefficient decisions.1 The CDC relative cost estimates are particularly misleading for homicides. The cost burden of... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244481 Thu, 22 Sep 2011 04:00:00 +0100 5244481 http://www.medworm.com/index.php?rid=5244480&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F5%2Fe6%3Frss%3D1 This study presents a novel application of the case-crossover design to the evaluation of relationships between infrastructure and cycling safety while controlling confounders and exposure to risk. It is hoped that the value of this method and the efficiency of the recruitment process will encourage replication in other locations, to expand the range of cycling infrastructure compared and to facilitate evidence-based cycling infrastructure choices that can make cycling safer and more appealing. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5244480 Thu, 22 Sep 2011 04:00:00 +0100 5244480 http://www.medworm.com/index.php?rid=5060805&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F288%3Frss%3D1 Traumatic brain injury (TBI) is no laughing matter, but sometimes, taking a whimsical view can get the reader's attention in ways that nothing else can. I was delighted to find an article analysing 704 TBI cases as portrayed in 34 Asterix comic books. The Asterix series (written by Rene Goscinny) has been popular throughout Europe since it first appeared in 1959, and the books have been translated into more than 100 languages. Not surprisingly, the hapless Romans suffered the most injuries, primarily at the hands of the heroic Gauls. No deaths or permanent deficits seemed to result from the TBIs. An accompanying commentary wonders how these results would compare with, say, the Pink Panther and then reminds us to wear our helmets appropriately. If you enjoyed Asterix and Obelix, you will ap... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060805 Sun, 24 Jul 2011 23:00:00 +0100 5060805 http://www.medworm.com/index.php?rid=5060804&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F287-b%3Frss%3D1 3rd European Injury Prevention Conference 16–17 June 2011, Budapest. 20th International Safe Communities Conference 6–9 September 2011, Falun, Sweden. 19th World Congress on Safety and Health at Work 11–15 September 2011, Istanbul, Turkey. 55th Annual Conference of Association for the Advancement of Automotive Medicine (AAAM) 2–5 October 2011, Paris, France. 5th National Occupational Injury Research Symposium (NOIRS) 18–20 October 2011, Morgantown, West Virginia, USA. Canadian Conference on Injury Prevention and Safety Promotion 16–18 November 2011, Vancouver, Canada. Australasian Road Safety Research, Policing and Education Conference 2011 6–9 November 2011, Perth, WA, Australia. 11th World Conference on Injury Prevention and Safety Promoti... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060804 Sun, 24 Jul 2011 23:00:00 +0100 5060804 http://www.medworm.com/index.php?rid=5060803&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F287-a%3Frss%3D1 Discussion section). Intentional injuries among youth constitute 7.2% of total injury burden in the five regions, not one fifth of injury burden as indicated in the Discussion section. The journal apologises for these errors. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060803 Sun, 24 Jul 2011 23:00:00 +0100 5060803 http://www.medworm.com/index.php?rid=5060802&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F286-c%3Frss%3D1 We read with great interest the impressive article in the October 2010 issue by Day and colleagues,1 who found that tai chi can have a large effect on falls and fall-related hospitalisation rates. Tai chi is a traditional Chinese health-promoting exercise. However, when the training method is not correct or the training intensity is too high, it can lead to knee joint injury. The symbol movement of tai chi is the squat, which is called ‘Ma Bu Dun Dang’ in Chinese. Tai chi practice requires the knee to often be in a semi-flexed position. Wu and Millon2 found that tai chi gait causes increased shear force and frontal plane torque at the ankle, knee, and hip joints compared with normal gait. A heavy burden on the knee joint for a long time will cause aching or damage. Knee pain or... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060802 Sun, 24 Jul 2011 23:00:00 +0100 5060802 http://www.medworm.com/index.php?rid=5060801&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F286-b%3Frss%3D1 I read with interest Caroline Finch's editorial1 describing her recent experience of attending and giving a key note address at the third World Conference on Prevention of Injury and Illness in Sport (this issue, see page 217). As someone who also frequently straddles the fields of sports medicine, injury prevention and, more broadly, health promotion, I would like to whole heartedly support Professor Finch's call for greater integration and collaboration across these areas. With sports injury prevention and falls prevention research now on the trail of the holy grail of translational and implementation research, both have so much they can learn from each other and from other fields of health and behavioural science research. Tobacco control is probably the most mature and sophisticated ar... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060801 Sun, 24 Jul 2011 23:00:00 +0100 5060801 http://www.medworm.com/index.php?rid=5060800&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F286-a%3Frss%3D1 ‘The formulation of a problem already contains half its solution.’ In 1920, the city street was a place where children played, pedestrians walked, and streetcars and horse-drawn vehicles shared the roadway. City streets, like city parks, were for public use. Automobiles were new, moved few people, clogged traffic, and endangered pedestrians. It was unquestioned that automobiles were the source of both the danger and the congestion. Yet by 1930, despite efforts by local police, chambers of commerce, and traffic engineers, the automotive coalition—self-described as ‘motordom’—had managed to redefine the city street as a place for motor vehicles only. For readers interested in urban issues, automotive safety, or social change, historian Peter Norton provide... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060800 Sun, 24 Jul 2011 23:00:00 +0100 5060800 http://www.medworm.com/index.php?rid=5060799&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F285%3Frss%3D1 With advancing technology, the distractions to which drivers are exposed continue to increase. Seventy-two percent of individuals 18 years or older in the USA who own a cellphone admitted to using it while driving.1 Of particular concern, only 28% of adolescents in the 9th through 11th grades in the USA responded that cellphone use while driving ‘made a lot of difference’ in driving safety.2 Distracted driving involves, however, more than cellphones and is defined as any activity that detracts from the primary task of driving; it falls under the broader category of driver inattention, encompassing other factors such as fatigue and heightened emotional states. The three main types of distraction include visual (taking one's eyes off the road), manual (taking one's hands off... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060799 Sun, 24 Jul 2011 23:00:00 +0100 5060799 http://www.medworm.com/index.php?rid=5060798&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F281%3Frss%3D1 Conclusion The ICE has reached a consensus on what injury mortality indicators should be used for comparison between countries. Specifications for each of these have been applied successfully to the mortality data of seven countries. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060798 Sun, 24 Jul 2011 23:00:00 +0100 5060798 http://www.medworm.com/index.php?rid=5060797&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F279%3Frss%3D1 WHO resolves to prevent child injuries In response to the WHO/UNICEF World report, in May the WHO adopted its first resolution on child injury prevention. The World report noted that injuries are the leading cause of child death, killing more than 830 000 each year. The resolution ‘urges member states to prioritise the prevention of child injuries; implement the recommendations of the World report on child injury prevention; and develop and put into practice a multisectoral policy and plan of action with realistic targets’. It calls upon the WHO Director-General to collaborate with member states in establishing science-based policies; to encourage research; build capacity; mobilise resources; and to continue providing technical support to countries that require it. The resoluti... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060797 Sun, 24 Jul 2011 23:00:00 +0100 5060797 http://www.medworm.com/index.php?rid=5060796&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F275%3Frss%3D1 The objective of the research was to explore the role of psychological distress in the self-reported risky driving of young novice drivers. A cross-sectional online survey incorporating Kessler's Psychological Distress Scale and the Behaviour of Young Novice Drivers Scale was completed by 761 tertiary students aged 17-25 years with an intermediate (Provisional) driving licence in Queensland, Australia, between August and October 2009. Regression analyses revealed that psychological distress uniquely explained 8.5% of the variance in young novices' risky driving, with adolescents experiencing psychological distress also reporting higher levels of risky driving. Psychological distress uniquely explained a significant 6.7% and 9.5% of variance in risky driving for males and females respective... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060796 Sun, 24 Jul 2011 23:00:00 +0100 5060796 http://www.medworm.com/index.php?rid=5060795&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F271%3Frss%3D1 The objective of this study was to describe the nature and mechanisms of a case series of Australian work-related non-crash heavy vehicle driver fatalities. The study used existing population-based mortality data on non-crash work-related heavy vehicle (gross vehicle mass >4.5 t) driver fatalities reported to Australian coroners between 2000 and 2009. There were 47 fatalities with a mean age of 46.5 years. Available toxicology detected that six of 16 drivers consumed illegal drugs or alcohol. The most frequent task was attending to cargo (n=22, 47%); 31 (66%) fatalities occurred when the driver was working alone. Brake issues (n=21, 45%) were the most frequent contributing factor, and crushing the most common mechanism (n=33, 70%), particularly between the vehicle and another object (n=... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060795 Sun, 24 Jul 2011 23:00:00 +0100 5060795 http://www.medworm.com/index.php?rid=5060794&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F266%3Frss%3D1 Conclusions Falls count data consisting of a considerable number of zeros can be appropriately modelled by the NB-based regression models, with the HNB model offering the best fit. The evaluation procedure presented in this paper provides a defensible guideline to appropriately model falls or similar count data with excess zeros. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060794 Sun, 24 Jul 2011 23:00:00 +0100 5060794 http://www.medworm.com/index.php?rid=5060793&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F260%3Frss%3D1 Conclusions Librarians bring expertise to searching, but irregular or incomplete indexing can limit the product of even well-constructed searches for articles on IPSP topics. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060793 Sun, 24 Jul 2011 23:00:00 +0100 5060793 http://www.medworm.com/index.php?rid=5060792&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F254%3Frss%3D1 Conclusions The substantial increase in the number of deaths involving oxycodone is strongly and significantly associated with the increase in supply. Most drug toxicity deaths involving oxycodone were unintentional. This newly identified trend in fatalities in Victoria supports concerns that a pattern of increasing deaths involving oxycodone is emerging globally. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060792 Sun, 24 Jul 2011 23:00:00 +0100 5060792 http://www.medworm.com/index.php?rid=5060791&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F250%3Frss%3D1 Conclusions Deaths in pools with lifeguards are uncommon, but do occur. Groups most affected include children, males, and African Americans. While lifeguards provide an important layer of protection at swimming pools, they alone cannot prevent all drownings. Additional safety measures are needed. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060791 Sun, 24 Jul 2011 23:00:00 +0100 5060791 http://www.medworm.com/index.php?rid=5060790&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F244%3Frss%3D1 Conclusion This study provides new knowledge about underlying factors associated with the level of caregiver supervision in beach settings. Future studies should continue to explore independent predictors of supervision so that effective programmes, which focus on caregiver supervision, can be targeted to address poor supervision practices. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060790 Sun, 24 Jul 2011 23:00:00 +0100 5060790 http://www.medworm.com/index.php?rid=5060789&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F238%3Frss%3D1 Conclusion It is very likely that installing TMVs as standard in social housing in new buildings and major refurbishments accompanied by educational information represents value for money. Trial registration number ISRCTN:21179067. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060789 Sun, 24 Jul 2011 23:00:00 +0100 5060789 http://www.medworm.com/index.php?rid=5060788&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F233%3Frss%3D1 Conclusions Racial/ethnic minority groups and those of lower socioeconomic status have significantly lower use and proper use of booster seats. Legislation may increase the total use of booster seats but not necessarily the correct use of the restraint, particularly in racial/ethnic minorities. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060788 Sun, 24 Jul 2011 23:00:00 +0100 5060788 http://www.medworm.com/index.php?rid=5060787&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F228%3Frss%3D1 Conclusions While the risk of serious spinal injury in motor vehicle crashes is low, these injuries are more common in crashes of higher severity or into fixed objects, and in the presence of intrusion. There are elevated risks of spinal injury for older occupants compared with younger adults, which may reflect changes in biomechanical tolerances with age. Children appear to be at lower risk of serious spinal injury than adults except in frontal crashes. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060787 Sun, 24 Jul 2011 23:00:00 +0100 5060787 http://www.medworm.com/index.php?rid=5060786&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F222%3Frss%3D1 Conclusions The injury recovery experience was difficult for all subjects, but it was particularly stressful for those claiming compensation. Based on this study, the claims process, particularly medico-legal examinations, and other factors that could impact on injury recovery, are targets for further research, possible policy review, or legislative change. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060786 Sun, 24 Jul 2011 23:00:00 +0100 5060786 http://www.medworm.com/index.php?rid=5060785&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F219%3Frss%3D1 Underlying cause of death (UCoD) and injury prevention Most countries (eg, Australia,1 USA2) have used UCoD to identify cases of injury death. Volume 1 of the WHO's International Classification of Diseases, 10th Revision (ICD10) manual3 describes the UCoD as: ‘(a) the disease or injury which initiated the train of events leading directly to death, or (b) the circumstances of the accident or violence which produced the fatal injury’. As injury prevention researchers and practitioners, we are interested in preventing death by preventing injury. This leads to an interest in all cases where injury lies on a causal pathway that leads to death, even if the external cause that resulted in the injury is not the UCoD, according to WHO coding rules.3 Intervening anywhere on the causal pa... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060785 Sun, 24 Jul 2011 23:00:00 +0100 5060785 http://www.medworm.com/index.php?rid=5060784&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2F217%3Frss%3D1 The International Olympic Committee's World Conference on Prevention of Injury and Illness in Sport, the third in a series of triennial international conferences, was held in Monaco in April 2011. This conference is now the leading research event for many sports injury prevention and sports medicine researchers, and was well attended by over 940 delegates from 85 countries. A particularly pleasing part of the programme was the large emphasis of a number of sessions (including a keynote, several symposia and proffered papers) on the primary prevention of sports injuries, particularly issues relating to the delivery, implementation and uptake of preventive measures in this important context of injury. Abstracts from this meeting have been published in the April Injury Prevention and Health P... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060784 Sun, 24 Jul 2011 23:00:00 +0100 5060784 http://www.medworm.com/index.php?rid=5060783&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F4%2Fe5%3Frss%3D1 This study will involve approximately 16 000 patients, and as such is planned to be the largest hospital fall prevention RCT to be undertaken and the first to be powered for the important outcome of fall-related injuries. If effective, there is potential to implement the programme widely as part of daily patient care in acute hospital wards where fall-related injuries are a problem. Trial registration The protocol for this study is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12611000332921). (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=5060783 Sun, 24 Jul 2011 23:00:00 +0100 5060783 http://www.medworm.com/index.php?rid=4890019&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F216-b%3Frss%3D1 Lusk et al's paper1 indicates an important subtext regarding travel. Governments wish to make personal mobility as widely available as possible; this inevitably entails promotion of the private automobile, which can provide convenient and comfortable travel for the widest range of individuals, including those for whom disability would otherwise pose severe limitations in participating in society. However, there is a competing agenda concerning congestion, sustainability, pollution and health, along with the risk posed by automobiles for vulnerable road users such as pedestrians and cyclists. Authorities must strike a balance. In the USA, the balance generally favours the automobile: the insistence that cyclists be treated as ‘operators of vehicles’2 underlines that assertion. C... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890019 Mon, 30 May 2011 23:00:00 +0100 4890019 http://www.medworm.com/index.php?rid=4890018&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F216-a%3Frss%3D1 20th International Safe Community Conference Falun, Dalarna, Sweden, 6–9 September 2011. Abstract submission deadline was 15 April 2011. Conference web page:_www.falun.se/safecom2011. Contact:safecom2011@falun.se Fifth National Occupational Injury Research Symposium Waterfront Place Hotel, Morgantown, West Virginia, 18–20 October 2011. Further information: http://www.cdc.gov/niosh/noirs/2011/default.html Canadian Injury Prevention and Safety Promotion Conference Westin Bayshore Hotel Vancouver, British Columbia, Canada, 16–18 November 2011. Further information: www.injurypreventionconference.ca 6th Asian Regional Conference on Safe Communities Tokyo, Japan, 11–13 May 2012. The 3rd European Safe Community Conference The future role of the Fire and Rescue Service in t... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890018 Mon, 30 May 2011 23:00:00 +0100 4890018 http://www.medworm.com/index.php?rid=4890017&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F215%3Frss%3D1 With the remarkable increase in the prevalence of obesity in the USA and most high-income countries of the world over the last 20 years, there is an urgent need to promote an increase in physical activity by persons of all ages. One of the methods to do so is the use of bicycling for both commuting and recreation. Bicycles were introduced in the 19th century and now number about 1 billion worldwide, twice as many as automobiles.1 It is the sharing of the road that can be problematic. About 900 deaths occur annually for cyclists, and most deaths from bicycle-related injuries are caused by collisions with motor vehicles.2 3 Head injury is by far the greatest risk posed to bicyclists, comprising one-third of emergency department visits, two-thirds of hospital admissions, and three-q... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890017 Mon, 30 May 2011 23:00:00 +0100 4890017 http://www.medworm.com/index.php?rid=4890016&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F214%3Frss%3D1 This month, three journal issues are available online for free, each with articles of interest. World Medical & Health Policy includes a paper on how to improve emergency planning for frail and vulnerable people. Nearly half of those who died in Louisiana during Hurricane Katrina were older than 75 years. McCann, David GC. A review of hurricane disaster planning for the elderly. World Med Health Pol 2011;3. http://www.psocommons.org/wmhp. Journal of Consumer Affairs has a special issue on Public Health Issues Influenced by Consumer Choice. Although injury is not mentioned, the principles of framing, message development, and communication styles are relevant for any public health topic. http://onlinelibrary.wiley.com/doi/10.1111/joca.2011.45.issue-1/issuetoc. A recent issue of the ... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890016 Mon, 30 May 2011 23:00:00 +0100 4890016 http://www.medworm.com/index.php?rid=4890015&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F212%3Frss%3D1 From Japan: the earthquake and tsunami This is being written 2 weeks after the earthquake and tsunami in Japan that has taken over 10 000 lives. Our hearts go out to our Japanese colleagues, their families and countrymen. This is only the latest of the many ‘natural disasters’ that have occurred since Injury Prevention was first published. None were preventable, but all prompt us to ask if there were measures that could have been taken to reduce the horrendous consequences. If so, these are lessons to be learnt, especially with respect to nuclear power plant safety. It now appears there may have been violations of safety regulations including, perhaps, construction specifications for buildings in earthquake areas. The placement of the backup generators has also been questi... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890015 Mon, 30 May 2011 23:00:00 +0100 4890015 http://www.medworm.com/index.php?rid=4890014&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F211%3Frss%3D1 A systematic review of randomised controlled trials of the effectiveness of tranexamic acid (TXA), which reduces clot breakdown, in patients with bleeding after severe injury shows that this inexpensive drug could save tens of thousands of lives a year.1 The review found that TXA reduces the risk of death in injured patients with severe bleeding by about 10% compared with giving no treatment. This would equate to more than 70 000 lives a year if treatment were rolled out world wide (see table 1). On the basis of these new findings, the British military have already started using TXA to treat soldiers wounded in battle in Afghanistan,2 and TXA is now being incorporated into civilian trauma treatment protocols around the world.3 Table 1Deaths that could be avoided by the administration of tr... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890014 Mon, 30 May 2011 23:00:00 +0100 4890014 http://www.medworm.com/index.php?rid=4890013&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F209%3Frss%3D1 Through their products and behaviours, corporations greatly influence the health of populations.1 2 Some corporations, such as pharmaceutical manufacturers, develop vaccines and life-saving medications, which are essential for protecting the public's health. Other corporations manufacture products that confer benefits to society but are also associated with hundreds of thousands of injuries and deaths each year. For example, despite certain required safety features, motor vehicles are associated with approximately 34 000 US deaths each year and over 1.2 million deaths globally.3 4 Firearms are associated with approximately 30 000 US deaths annually and over 200 000 deaths worldwide.5 6 Participation by injury prevention professionals in the policy-making process is an important strategy to... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890013 Mon, 30 May 2011 23:00:00 +0100 4890013 http://www.medworm.com/index.php?rid=4890012&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F204%3Frss%3D1 This study used an array of traffic death rates to determine whether comparable urban regions in Sweden and California—Stockholm and San Francisco—have similar road safety performance for various types of road users. The study found that the Stockholm region is far safer than the San Francisco Bay area for pedestrians and bicyclists, even when comparing the regions' core cities, but may not be any safer for motor vehicle occupants. In addition, comparing traffic safety with traditional measures of exposure such as population and motor vehicle travel produced different results than measures that account for mode-specific exposure. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890012 Mon, 30 May 2011 23:00:00 +0100 4890012 http://www.medworm.com/index.php?rid=4890011&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F201%3Frss%3D1 The objective of the study was to compare national and state-level estimates of self-reported and observed seatbelt use for 2008. Self-reported seatbelt use from the 2008 Behavioral Risk Factor Surveillance System was compared with 2008 observed seatbelt use published by the National Highway Traffic Safety Administration. The ratio of self-reported belt use to observed use was calculated for each state, and the correlation between the two seatbelt measures was examined using the Pearson correlation coefficient. The median state ratio of self-reported to observed belt use was 0.97. Self-reported use was lower than observed use in 38 states. A moderate association was revealed between the self-reported and observed use (r=0.71, p<0.01). The findings suggest that, as seatbelt use has incre... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890011 Mon, 30 May 2011 23:00:00 +0100 4890011 http://www.medworm.com/index.php?rid=4890010&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F195%3Frss%3D1 Conclusion Caution is needed when interpreting results from studies using hospital samples, especially when wording of consent for follow-up requires direct affirmation. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890010 Mon, 30 May 2011 23:00:00 +0100 4890010 http://www.medworm.com/index.php?rid=4890009&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F189%3Frss%3D1 Conclusion Results from this initial test of the SARTQ suggest that it holds promise as a measure that is relevant to understanding injury risk for elementary school children. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890009 Mon, 30 May 2011 23:00:00 +0100 4890009 http://www.medworm.com/index.php?rid=4890008&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F182%3Frss%3D1 Conclusions Media coverage of high-profile crashes, and subsequent publicity campaigns and debates might have altered social norms and driver behaviour, reducing the proportion of alcohol-related crashes before the introduction of more severe penalties for drink-driving. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890008 Mon, 30 May 2011 23:00:00 +0100 4890008 http://www.medworm.com/index.php?rid=4890007&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F176%3Frss%3D1 Conclusion A strong association exists between previous hospitalisation for injury of any intent and youth suicide. The association is robust and unaltered by family socioeconomic circumstances. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890007 Mon, 30 May 2011 23:00:00 +0100 4890007 http://www.medworm.com/index.php?rid=4890006&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F171%3Frss%3D1 Conclusions After injuring, unintentional injurers are likely to experience depression, anxiety, PTSD and drug or alcohol abuse/dependence compared with non-injurers. Those diagnosed with depression, anxiety, PTSD, alcohol or drug or alcohol abuse/dependence are more likely to cause serious injuries to others. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890006 Mon, 30 May 2011 23:00:00 +0100 4890006 http://www.medworm.com/index.php?rid=4890005&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F166%3Frss%3D1 Conclusion Paediatric hospitalisation rates for burns have decreased over the past 14 years. The study also provides national estimates of paediatric burn hospitalisations that can be used as benchmarks to further injury prevention effectiveness through targeting of effective strategies. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890005 Mon, 30 May 2011 23:00:00 +0100 4890005 http://www.medworm.com/index.php?rid=4890004&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F160%3Frss%3D1 Conclusions Alarm type is an important consideration for certain locations. Photoelectric alarms may be more appropriate for installation nearest to the kitchen despite their increased cost. These findings can help guide consumer choices to increase protection against home fire-related injuries and deaths. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890004 Mon, 30 May 2011 23:00:00 +0100 4890004 http://www.medworm.com/index.php?rid=4890003&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F156%3Frss%3D1 Conclusions If the estimated association is causal, wearing a PFD may potentially prevent one in two drowning deaths among recreational boaters. However, this estimate may be biased because many vessels had to be excluded from the analysis. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890003 Mon, 30 May 2011 23:00:00 +0100 4890003 http://www.medworm.com/index.php?rid=4890002&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F151%3Frss%3D1 Conclusion Unintentional injuries, specifically drowning and falls, lead to substantial mortality in children younger than 5 years of age in India. There is a need for continued monitoring of the injury burden and investigation of risk factors for evidence-based effective injury prevention programmes. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890002 Mon, 30 May 2011 23:00:00 +0100 4890002 http://www.medworm.com/index.php?rid=4890001&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F149%3Frss%3D1 I agree with many of the points that Molcho and Pickett1 make in their commentary published in Injury Prevention (see page 147); I like their table outlining acceptable and non-acceptable injuries to children. I have long ignored injuries that do not make it to medical attention. Injuries requiring a band-aid and a mother's kiss are a part of growing up. Severity It is important that we are very careful what we call ‘non-severe’, to use the author's terminology. What was not viewed as severe last year may, in fact, carry the risk of significant disability, especially if recurrent. Concussion is an important case in point. Youth playing American-style football, ice hockey, rugby, soccer and basketball can and do sustain concussions during practice and play.2 In the past, getting... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890001 Mon, 30 May 2011 23:00:00 +0100 4890001 http://www.medworm.com/index.php?rid=4890000&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F147%3Frss%3D1 Professionals involved in efforts to promote health in child populations are faced with a growing challenge. Children in many societies are burdened with the disease consequences of overweight and obesity, in part related to physical inactivity.1–3 Prevalence rates of childhood obesity have been increasing since the 1980s,4 5 and their known consequences include reduced quality of life, increased rates of chronic disease and associated healthcare costs, and early mortality.6–10 Obvious solutions to this problem include the promotion of physical activity via sports and active recreational opportunities. Such strategies can lead to reductions in risk for chronic disease which in turn lead to gains in health status that carry forward from childhood into the adult years.11–15... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4890000 Mon, 30 May 2011 23:00:00 +0100 4890000 http://www.medworm.com/index.php?rid=4889999&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F145%3Frss%3D1 One of the most commonly used public health measures of progress in child survival is the under-5 mortality rate. This rate conveys some useful information provided that it has been calculated appropriately and accounted for threats to internal and external validity. However, the under-5 mortality rate lumps together the contribution of neonatal and post-neonatal mortality with deaths in the 1–4 year period. The significant drawback of this is that it obscures our understanding of the most appropriate child survival strategies as children move beyond their first year of life. Death in childhood is heavily skewed towards the first days of life. A recent appraisal of under-5 deaths in 187 countries estimated that over 40% of the 7.7 million under-5 deaths in 2010 occurred in the f... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4889999 Mon, 30 May 2011 23:00:00 +0100 4889999 http://www.medworm.com/index.php?rid=4889998&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F3%2F1%3Frss%3D1 Background Limited information exists about how best to conduct intervention implementation studies in community sport settings. Research should be directed towards understanding the context within which evidence-based injury prevention interventions are to be implemented, while continuing to build the evidence-base for the effectiveness of sports injury interventions. Objectives To identify factors that influence the translation of evidence-based injury prevention interventions into practice in community sport, and to provide specific evidence for the effectiveness of an evidence-based exercise training programme for lower limb injury prevention in community Australian football. Setting Community-level Australian football clubs, teams and players. Methods An exercise-based lower limb i... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4889998 Mon, 30 May 2011 23:00:00 +0100 4889998 http://www.medworm.com/index.php?rid=4635181&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F144%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635181 Fri, 25 Mar 2011 00:00:00 +0100 4635181 http://www.medworm.com/index.php?rid=4635180&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F143-b%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635180 Fri, 25 Mar 2011 00:00:00 +0100 4635180 http://www.medworm.com/index.php?rid=4635179&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F143-a%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635179 Fri, 25 Mar 2011 00:00:00 +0100 4635179 http://www.medworm.com/index.php?rid=4635178&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F141%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635178 Fri, 25 Mar 2011 00:00:00 +0100 4635178 http://www.medworm.com/index.php?rid=4635177&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F139%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635177 Fri, 25 Mar 2011 00:00:00 +0100 4635177 http://www.medworm.com/index.php?rid=4635176&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F138%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635176 Fri, 25 Mar 2011 00:00:00 +0100 4635176 http://www.medworm.com/index.php?rid=4635175&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F137%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635175 Fri, 25 Mar 2011 00:00:00 +0100 4635175 http://www.medworm.com/index.php?rid=4635174&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F136%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635174 Fri, 25 Mar 2011 00:00:00 +0100 4635174 http://www.medworm.com/index.php?rid=4635173&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F131%3Frss%3D1 The objective of this study conducted in Montreal (with a longstanding network of cycle tracks) was to compare bicyclist injury rates on cycle tracks versus in the street. For six cycle tracks and comparable reference streets, vehicle/bicycle crashes and health record injury counts were obtained and use counts conducted. The relative risk (RR) of injury on cycle tracks, compared with reference streets, was determined. Overall, 2.5 times as many cyclists rode on cycle tracks compared with reference streets and there were 8.5 injuries and 10.5 crashes per million bicycle-kilometres. The RR of injury on cycle tracks was 0.72 (95% CI 0.60 to 0.85) compared with bicycling in reference streets. These data suggest that the injury risk of bicycling on cycle tracks is less than bicycling in streets... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635173 Fri, 25 Mar 2011 00:00:00 +0100 4635173 http://www.medworm.com/index.php?rid=4635172&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F127%3Frss%3D1 This paper provides the first US estimates and rates of non-fatal conductive energy device (CED)-related (eg, Taser) injuries relative to other types of legal intervention injuries treated in hospital emergency departments (EDs). The data used for this study were from the National Electronic Injury Surveillance System (NEISS), including the Firearm Injury Surveillance Study (NEISS–FISS) and the All Injury Program (NEISS–AIP). Of an average annual 75 000 suspects treated for non-fatal legal intervention injuries, 11% had injuries that were associated with the use of a CED or Taser. Of the suspects with non-fatal CED-related injuries, 90.1% were males, 72.6% were 20–44 years of age, and 55.2% were injured to the trunk. Most suspects with CED-related injuries (93.6%) were tr... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635172 Fri, 25 Mar 2011 00:00:00 +0100 4635172 http://www.medworm.com/index.php?rid=4635171&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F119%3Frss%3D1 Conclusions The review highlights ways in which health inequalities affect the take up and success of home safety interventions, and how health workers can use this knowledge to facilitate future interventions. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635171 Fri, 25 Mar 2011 00:00:00 +0100 4635171 http://www.medworm.com/index.php?rid=4635170&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F114%3Frss%3D1 Conclusion Application of the two-stage case–control study design to ED injury surveillance data has the potential to dramatically reduce study time and resource costs with acceptable losses in statistical efficiency. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635170 Fri, 25 Mar 2011 00:00:00 +0100 4635170 http://www.medworm.com/index.php?rid=4635169&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F108%3Frss%3D1 Conclusion Errors in ICD-10-coded injuries in hospital discharge data were common, but the consequences for injury categorisation were moderate and the consequences for injury severity estimates were in most cases minor. The error rate for detailed levels of cause-of-injury codes was high and may be detrimental for identifying specific targets for prevention. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635169 Fri, 25 Mar 2011 00:00:00 +0100 4635169 http://www.medworm.com/index.php?rid=4635168&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F102%3Frss%3D1 Conclusion The anomaly and the mortality peak persist, with notable attribution to homicide and crashes. Without homicide, the mortality peak would not exist. Mortality disparities for Latino adolescent males from these two causes of death in California appear to be growing. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635168 Fri, 25 Mar 2011 00:00:00 +0100 4635168 http://www.medworm.com/index.php?rid=4635167&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F97%3Frss%3D1 This study reports on statistical methods for managing high rates of non-response and compared estimates of correct use using three different criteria. Results and conclusions Results revealed that high non-participation rates introduced bias into the raw estimates of correct safety seat use. Correct use estimates also varied substantially depending on which criterion (more stringent or less stringent) for correct use was applied in the analysis. When child age was the only criterion for correct use, estimates were higher than when more stringent criteria of child height and weight were applied to estimate rates of correct use. This study identifies the importance of managing high rates of non-response in safety seat observation studies using statistical techniques. Stringent criteria for... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635167 Fri, 25 Mar 2011 00:00:00 +0100 4635167 http://www.medworm.com/index.php?rid=4635166&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F91%3Frss%3D1 Conclusions There is a need to reduce incorrect restraint use by both education and improved restraint design. Education aimed at reducing incorrect use may need to be targeted differently to appropriate use programmes, as the predictive factors differ. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635166 Fri, 25 Mar 2011 00:00:00 +0100 4635166 http://www.medworm.com/index.php?rid=4635165&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F84%3Frss%3D1 Conclusions The increased mortality rate from traffic injury in rural areas can be attributed to the increased probability of death given that a person has been injured, possibly due to challenges faced by emergency medical response systems. In southern areas, there is an increased probability of injury given that a person has crashed, possibly due to differences in vehicle, road, or driving conditions. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635165 Fri, 25 Mar 2011 00:00:00 +0100 4635165 http://www.medworm.com/index.php?rid=4635164&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F79%3Frss%3D1 Conclusion These results support the introduction of prevention measures such as strict traffic enforcement, traffic separation, improving pedestrian visibility, and hazard signage at HWZs in Pakistan. The feasibility and effectiveness of these measures remains to be evaluated. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635164 Fri, 25 Mar 2011 00:00:00 +0100 4635164 http://www.medworm.com/index.php?rid=4635163&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F74%3Frss%3D1 Conclusion Surveillance through the primary healthcare system in Beijing was useful in child injury prevention as data collected allowed managers to design targeted interventions that resulted in decreased injury. In comparison with hospital based surveillance, PHC based surveillance demonstrated an advantage in wide access to children and allowed calculation of injury incidence rates to monitor trends over time. PHC based surveillance can serve as a useful venue to collect child injury data. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635163 Fri, 25 Mar 2011 00:00:00 +0100 4635163 http://www.medworm.com/index.php?rid=4635162&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2F73%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635162 Fri, 25 Mar 2011 00:00:00 +0100 4635162 http://www.medworm.com/index.php?rid=4635161&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F2%2Fe3%3Frss%3D1 Background Falls are a significant threat to the safety, health and independence of older citizens. Despite the now substantial evidence about effective falls prevention interventions, translation into falls reductions has not yet been fully realised. While the hip fracture rate is decreasing, the number and rate of fall-related hospital admissions among older people is increasing. The challenge now is to deliver the most effective interventions efficiently at a population level, and for these interventions to be taken up by older people. Objective To support the development, and evaluation of, effective falls prevention policy and practice in the state of Victoria, Australia. Methods The RE-AIM model (Reach, Efficacy, Adoption, Implementation, Maintenance) was used to identify strategie... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4635161 Fri, 25 Mar 2011 00:00:00 +0100 4635161 http://www.medworm.com/index.php?rid=4410386&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F72%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410386 Thu, 27 Jan 2011 00:00:00 +0100 4410386 http://www.medworm.com/index.php?rid=4410385&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F71%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410385 Thu, 27 Jan 2011 00:00:00 +0100 4410385 http://www.medworm.com/index.php?rid=4410384&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F69%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410384 Thu, 27 Jan 2011 00:00:00 +0100 4410384 http://www.medworm.com/index.php?rid=4410383&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F67%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410383 Thu, 27 Jan 2011 00:00:00 +0100 4410383 http://www.medworm.com/index.php?rid=4410382&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F66%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410382 Thu, 27 Jan 2011 00:00:00 +0100 4410382 http://www.medworm.com/index.php?rid=4410381&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F63%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410381 Thu, 27 Jan 2011 00:00:00 +0100 4410381 http://www.medworm.com/index.php?rid=4410380&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F58%3Frss%3D1 Outside-the-boot parachute ankle braces (PABs) worn during US Army paratrooper training have been shown to reduce the risk of severe ankle injuries. In spite of evidence to the contrary, anecdotal reports continue to suggest increases in risk of other types of injury, and the cost of obtaining and periodically replacing the PAB has been used to justify its discontinued use. The authors identified inpatient and outpatient treatment for injuries during US Army paratrooper training. Those undergoing training during two periods when PAB use was mandated had 40% lower risks of ankle injury (brace I, RR=0.60 (95% CI 0.47 to 0.75); brace II, RR=0.62 (95% CI 0.49 to 0.78)), with no difference in risks of other types of injury. There were no differences in risk of ankle injury during periods when b... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410380 Thu, 27 Jan 2011 00:00:00 +0100 4410380 http://www.medworm.com/index.php?rid=4410379&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F55%3Frss%3D1 This study aimed to investigate the perceptions and experiences of New Zealand horse riding schools with regard to horse-related facial injuries. All the riding schools listed in the New Zealand electronic phonebook directory were surveyed by post. The survey questions covered riding schools' perceptions of rider profile, general and facial injury patterns and safety equipment used. The face was perceived to be the most common injury site by only 4% of respondents. Helmets were enforced in only 35% of the schools during unmounted activities. Nearly half the schools did not enforce any safety equipment for unmounted equestrians. Falls were perceived to be the most common cause of facial injury (41%), ahead of horse kicks (9%). Poor handling was cited as the most likely cause for horse kick-... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410379 Thu, 27 Jan 2011 00:00:00 +0100 4410379 http://www.medworm.com/index.php?rid=4410378&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F50%3Frss%3D1 In adolescence, there is a complex interaction among physical, cognitive, and psychosocial developmental processes, culminating in greater risk-taking and novelty-seeking. Concurrently, adolescents face an increasingly demanding environment, which results in heightened vulnerability to injury. In this paper, we provide an overview of developmental considerations for adolescent injury interventions based on developmental science, including findings from behavioural neuroscience and psychology. We examine the role that typical developmental processes play in the way adolescents perceive and respond to risk and how this integrated body of developmental research adds to our understanding of how to do injury prevention with adolescents. We then highlight strategies to improve the translation of... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410378 Thu, 27 Jan 2011 00:00:00 +0100 4410378 http://www.medworm.com/index.php?rid=4410377&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F43%3Frss%3D1 Conclusion Although evidence exists that school-based programmes to prevent suicide among adolescents improve knowledge, attitudes, and help-seeking behaviours, no evidence yet exists that these prevention programmes reduce suicide rates. Further well designed, controlled research is required before such programmes are instituted broadly to populations at risk. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410377 Thu, 27 Jan 2011 00:00:00 +0100 4410377 http://www.medworm.com/index.php?rid=4410376&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F37%3Frss%3D1 Conclusions This population-based study documents the injury-burden created by IPV, to individuals, healthcare systems, and the population. Implications include supporting healthcare providers to respond to victims of violence and the need for prevention strategies at the population level (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410376 Thu, 27 Jan 2011 00:00:00 +0100 4410376 http://www.medworm.com/index.php?rid=4410375&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F33%3Frss%3D1 Conclusions The study indicates marked gender differences in unintentional fall related forearm and/or wrist fractures among adults aged ≥50 years treated in US hospital emergency departments. Interventions aimed at preventing falls might be effective in reducing the incidence of this injury, particularly in those women who already have diminished bone mineral. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410375 Thu, 27 Jan 2011 00:00:00 +0100 4410375 http://www.medworm.com/index.php?rid=4410374&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F27%3Frss%3D1 Conclusion The practice of storing kerosene and petroleum in soft drink bottles and the easy accessibility of chemicals and medicines are potentially modifiable. Health messages focusing on the safe storage of chemicals and medicines and the use of child resistant containers may play a key role in decreasing the burden of childhood poisoning in Karachi, Pakistan. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410374 Thu, 27 Jan 2011 00:00:00 +0100 4410374 http://www.medworm.com/index.php?rid=4410373&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F21%3Frss%3D1 Conclusions Ignoring PTSD in burden-of-injury studies results in a considerable underestimation of the burden of injury. This may affect resource allocation and the identification of important prevention priorities. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410373 Thu, 27 Jan 2011 00:00:00 +0100 4410373 http://www.medworm.com/index.php?rid=4410372&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F15%3Frss%3D1 Conclusion Better road safety knowledge and the avoidance of walking or cycling-related risk behaviours are protective factors for road traffic injuries among Chinese school children. More injury prevention programmes are needed to improve road safety knowledge and reduce risk behaviours. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410372 Thu, 27 Jan 2011 00:00:00 +0100 4410372 http://www.medworm.com/index.php?rid=4410371&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F9%3Frss%3D1 Conclusion While suburban areas have a lower incidence of child pedestrian injury, residential development in poorer areas is associated with a higher child pedestrian injury risk. Child pedestrians may be less able to adapt to changes in the urban environment due to rapid growth and increasing income, and as a result, may be at greater risk of injury. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410371 Thu, 27 Jan 2011 00:00:00 +0100 4410371 http://www.medworm.com/index.php?rid=4410370&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F3%3Frss%3D1 Conclusions The Safe Communities approach was successful in promoting the use of child restraints in motor vehicles through a multifaceted intervention that included efforts in various community settings, instructional classes and child safety seat distribution. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410370 Thu, 27 Jan 2011 00:00:00 +0100 4410370 http://www.medworm.com/index.php?rid=4410369&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2Fe2%3Frss%3D1 Discussion Our hypothesis is that integrating the The11 exercises in the warm-up for each practice session is effective in terms of injury incidence, injury severity, healthcare use, and its associated costs and/or absenteeism. Prevention of soccer injuries is expected to be beneficial to adult soccer players, soccer clubs, the Royal Dutch Football Association (KNVB), health insurance companies and society. (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410369 Thu, 27 Jan 2011 00:00:00 +0100 4410369 http://www.medworm.com/index.php?rid=4410368&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F2%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410368 Thu, 27 Jan 2011 00:00:00 +0100 4410368 http://www.medworm.com/index.php?rid=4410367&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2Fe1%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410367 Thu, 27 Jan 2011 00:00:00 +0100 4410367 http://www.medworm.com/index.php?rid=4410366&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F17%2F1%2F1%3Frss%3D1 (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4410366 Thu, 27 Jan 2011 00:00:00 +0100 4410366 http://www.medworm.com/index.php?rid=4211781&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F434%3Frss%3D1 (No abstract is available for this citation) (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4211781 Mon, 29 Nov 2010 00:00:00 +0100 4211781 http://www.medworm.com/index.php?rid=4211780&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F433%3Frss%3D1 (No abstract is available for this citation) (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4211780 Mon, 29 Nov 2010 00:00:00 +0100 4211780 http://www.medworm.com/index.php?rid=4211779&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F432%3Frss%3D1 (No abstract is available for this citation) (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4211779 Mon, 29 Nov 2010 00:00:00 +0100 4211779 http://www.medworm.com/index.php?rid=4211778&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F431%3Frss%3D1 (No abstract is available for this citation) (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4211778 Mon, 29 Nov 2010 00:00:00 +0100 4211778 http://www.medworm.com/index.php?rid=4211777&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F429%3Frss%3D1 (No abstract is available for this citation) (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4211777 Mon, 29 Nov 2010 00:00:00 +0100 4211777 http://www.medworm.com/index.php?rid=4211776&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F428%3Frss%3D1 (No abstract is available for this citation) (Source: Injury Prevention) Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4211776 Mon, 29 Nov 2010 00:00:00 +0100 4211776 http://www.medworm.com/index.php?rid=4211775&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F423%3Frss%3D1 To describe the presence of alcohol, cannabis and amphetamines in work-related injury deaths in Victoria, 2001–6, an observational study of work-related deaths reported to the State Coroner's Office, Victoria, Australia was conducted. Case and postmortem forensic toxicology data were obtained from the National Coroner's Information System for work-related injury deaths with positive toxicology screens. Over 6 years there were 43 worker deaths in a total of 355 unintentional work-related injury deaths. The coroner mentioned the presence of alcohol/drugs in 22 of the 43 worker deaths with positive toxicology screens. Toxicology screens were positive for alcohol and/or drugs in 79 work-related deaths overall. Overall, alcohol was present in 26 (7%) work-related deaths and cannabis ... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4211775 Mon, 29 Nov 2010 00:00:00 +0100 4211775 http://www.medworm.com/index.php?rid=4211774&cid=s_30996_48_f&fid=30996&url=http%3A%2F%2Finjuryprevention.bmj.com%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F420%3Frss%3D1 This study examined the degree to which legislation intended to reduce the incidence of cigarette-caused fires influenced the behaviours of a cohort of smokers in Ontario. A random digit dialled telephone survey of adult smokers residing in Ontario was conducted in 2005, ending 1 month prior to the reduced ignition propensity (RIP) regulation's implementation date. A follow-up survey was conducted one year later. Of the baseline participants, 73.0% (n=435) completed the follow-up survey. The frequency of fire risk behaviours was similar across both surveys. At baseline, only 3.7% of smokers interviewed reported that their cigarettes went out on their own ‘often’ while smoking. Following the implementation of the reduced ignition propensity legislation, this increased signi... Injury Prevention journals http://www.medworm.com/rss/comments.php?id=4211774 Mon, 29 Nov 2010 00:00:00 +0100 4211774