فهرست مطالب

Journal of Injury and Violence Research
Volume:13 Issue: 2, Jul 2021

  • تاریخ انتشار: 1400/06/13
  • تعداد عناوین: 10
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  • VahidRanaeia, Zahra Hosseinib*, Sakineh Dadipoor Pages 81-86
    Background

    Helmet use rates among motorcyclists are low and various factors are involved. Therefore, the present study aimed to investigate the factors affecting the use of helmet in motorcycle students in Iran (Bandar Abbas city) in 2019.

    Methods

    The research was qualitative and data were collected through individual interviews and observations and were interpreted by content analysis method. Participants were 15 motorcyclist students studying in public health (6), nursing (4), dentistry (2), medicine (1), health education (1) and biochemistry (1). Theywere purposefully included in the study and sampling continued until data saturation. The main tool for data collection was deep semi-structured interviews with open answers which lasted for 20 to 60 minutes. Finally, 15 interviews were collected in this study.

    Results

    The five main categories (economic, family, socio-cultural, individual, and riding rules) were extracted from the data that each had a subclass.

    Conclusion

    Different factors in microand macro dimensions play a role in the use of helmets among motorcyclists. Consideration of these factors by the relevant organizations in the field of traffic can increase the use of helmets.

    Keywords: Road accidents, Motorcyclists, Helmet use, Effective factors, Qualitative -research
  • Sakineh Sharifian, Reza Khani Jazani, Davoud Khorasani Zavareh, Homayou Sadeghi-Bazargani, MohammadHossein Vaziri, Reza Mohammadi Pages 87-98
    Background

    Sufficient data should be gathered and analyzed to increase awareness and attention of the community and policymakers in the field of road traffic injury (RTI) prevention. While various organizations and stakeholders are involved in road traffic crashes, there is no clear lead agency for data collection system in RTIs. Exploring stakeholders' perspective is one of the key sources for understanding this system. The purpose of this study is to identify the process of RTI data collection system based on stakeholders’ experience.

    Method

    This qualitative study was conducted employing grounded theory approach since September 2017 to December 2018 in Iran. Participantsin this study were the authorities of the Emergency organizations, police, Ministry of Health and Medical Education, faculty members, as well as executive staff and road users who were involved in collecting and recording data(n=15). Data collection was carried out through face-to-face interviews using purposeful and theoretical sampling. Data analysis was performed based on Strauss and Corbin 2008.

    Results

    The core category was identified as “separated registration” explaining the process of collectingand recording road traffic injury data. Other variables obtained using the Strauss and Corbin Paradigm model were categorized as context, casual, intervening, strategies, and outcomes factors. The findings were classified into five groups including lack of trust in road safety promotion, process factors, management and organizational factors, failure of quality assurance, and administrative and organizational culture.

    Conclusion

    The most important theory is “separated registration” and non-systematic registry system of road traffic injury data which is shown in a conceptual model. The findings of this study will help policymakers for better understanding the collecting and recording of RTI information.

    Keywords: Registry system, Road traffic injury, Grounded theory, Qualitative study
  • Yalda Mousazadeh, Ali Janati, Mahboub Pouraghaei, Homayoun Sadeghi Bazargani Pages 99-110
    Background

    Trauma is one of the major causes of mortality across the world. Trauma patients have critical status and need timely, adequate, and organized care. The different consequences of trauma care among service centers around the world and even within a country revealed the need for careful evaluation. This study was designed and executed to collect experts’ opinions on the evaluation steps, related indicators, and improvement strategies in trauma care.

    Methods

    This qualitative study was based on a conventional content analysis approach. 2 focus group discussions (FGD) with 6 participants per FGD and 16 face-to-face in-depth interviews were conducted to collect the required information (from September 2018 to early 2019). Participants were selected through the purposive sampling method. The experts’ viewpoints were classified by the main and sub themes.

    Results

    Four basic themes extracted from the interviews and focus group discussions including, trauma care importance (sub-themes: the involved individuals’ being young and productive and the effectiveness of trauma care); trauma care indicators (sub-themes: pre-hospital indicators, in-hospital indicators, and post-hospital indicators); stages of trauma care evaluation (sub-themes: evaluation prerequisites, finalization of indicators before the evaluation, determining evaluation time scope, determining evaluation dimensions, external and internal evaluation and use of evaluation results); trauma care improvement (sub-themes: balancing workload in trauma centers, enhancement of information system, considering extra-organizational dimensions in trauma care and empowerment of trauma care providers).

    Conclusions

    According to experts’ viewpoints, trauma is a very important issue, because it involves young people. They believed that having indicators covering all aspects of care assist health managers and policymakers to understand under-standard performance. These indicators should be used in the form of a specific evaluation program and related to Iran context. Besides, reforming macro policies, planning, development of infrastructures,and education was some recommendations of experts to improve trauma care.

    Keywords: Indicator, Evaluation, Trauma center, Trauma care, Iran
  • Todd R. Ashworth, Claudia A. Kozinetz Pages 111-116
    Background

    Firearm-related violence is a significant public health issue in the US. Research has found an increase in guns used in crimes sourced from low gun law states into high gun law states. The purpose of this study is to evaluate the effect of distance from states without universal background checks (UBC), background checks at shows (BCS), or permit to purchase (PTP) laws on firearm homicide rates in states with them.

    Methods

    States were identified based on their enactment of laws that are designed to prevent the private sale of firearms to criminals. Demographic data for each county were obtained forthe years 2014 through 2017.The border distance from a county in a state with the evaluated gun laws to the nearest border state without the gun laws was obtained using Google Maps. Multiple regression analyses were performed to test the relationship between border distance and firearm homicide rates.

    Results

    The regression model evaluating all formats found the border distance was negatively associated with firearm homicides(p=.009). The parameter estimate indicated as border distance increased, the firearm homicide rate decreased. When counties with UBC or PTP on all guns were evaluated separately from all formats model, the statistical significance was lost (p=.62). In counties where all handgun sales either require a background check or a PTP is required, the distance was also not statistically significant (p=.11).

    Conclusion

    This study provides evidence that there may be a mitigating effect on the reduction of firearm homicides in states that require background checks or PTP on private sales when there is a state in close proximitythat did not have these laws. Limited counties at certain distances may have contributed to the insignificant findings in other models.

    Keywords: Firearm violence, Firearm homicide, Gun laws, Crime guns, Firearm injury
  • Mehdi Zobeiri Pages 117-120
    Background

    Organophosphate (OP) insecticides are important compounds as the most probable common cause of acute poisonings in developing countries. OP intoxication often presents as medical emergencies, and its related morbidity and mortality have not decreased despite major advances in critical care. This study aims to determine the impact of serum amylase level for estimation of prognosis in patients with acute OP poisoning.

    Methods

    This observational case-control study was done during two years on 332 consecutive patients with acute OP poisoning.Clinical and demographic data, serum amylase level on early admission time, morbidity, and outcome were determined. Data were analyzed in the form of a frequency distribution table by using SPSS 11.0 version software.

    Results

    The mean age of patients with acute OP poisoning was 28.9 ± 23.95 with slightly female dominance. All patients were intoxicated via the gastrointestinal route. The mean amylase level of patients with deterioration of mental status, tachycardia, ICU admission, and death was significantly higher.

    Conclusion

    Among patients with OP poisoning, higher serum amylase than normal was associated with severe clinical course and increased risk for mortality. Determination of serum amylase can be effective in the quick prediction of the outcome

    Keywords: Organophosphate, Intoxication, Amylase, Prognosis
  • Jackson Vane, Lynne Fullerton, Robert Sapien Pages 121-126
    Background

    This study utilized videos from a child’s and an adult’s perspective to determine whether perspective influences the number of hazards identified by parents.

    Methods

    The study measured number of household dangers parents’ identified. Parents (n=106) wererandomized to view either the child or adult perspective videos. Groups did not differ with respect to median age (p=0.51), education (p=0.55), or number of children living at home (p=0.64).

    Results

    Median number of hazards identified in the bedroom was3 for participants watching videos taken at either adult or child perspective (p=0.32). Parents viewing child perspective videos of the kitchen identified significantly more hazards (median=4) than parents viewing adult perspective videos (median=3) (p=0.0001).

    Conclusions

    Although video height (perspective) did not influence the number of hazards identified in the bedroom, parents who observed the kitchen video taken at a child’s height identified more hazards than those viewing a video at adult height.

    Keywords: Household safety, Hazard identification, Childproofing
  • Forouzandeh Jannat, Davoud Khorasani-Zavareh, Kiyoumars Allahbakhshi, Javad Aghazadeh Attari, Saeedeh Nateghinia, Iraj Mohebbi Pages 127-140
    Background

    Volunteers' presence, as a critical issue in hospital response to disasters and emergencies, helps to readiness and quick response to the phenomena, preventing deaths caused by such incidences. This study aimed to determine the main factors affecting popular volunteers' presence in hospital response to disasters and emergencies in Iran.

    Methods

    This qualitative study, conducted on 31 semi-structured interviews during the years 2019 and 2020, concerningemergency specialist working in various health organization nationwide between June 2019 and April 2020. The non-structured and semi-structured interviews were adopted to gather concept code and analyzed using Graneheim recommendation method.

    Results

    Four main categories, identified as effective factors on volunteers' presence in hospital response to disasters and emergencies, includingnine subcategories: (1) organizing and managing volunteers (with two sub-categories: (a) calling and registering volunteers, and (b) identifying volunteers' ability); (2) organizational structure (with two sub-categories: (a) operational planning and (b) coordination and communication); (3) training (with two sub-categories: (a) training in disasters and (b) volunteer training); and (4) volunteer challenges (with three sub-categories: (a) volunteer interaction with organizations, (b) volunteer logistics, and (c)volunteering culture).

    Conclusion

    Exploring effective factors as regards volunteers' presence in hospital response phase in disasters to adopt a policy based on the experiences of managers and heads of health can help planners to provide effective design and implementation. It can scientifically contribute to disaster risk management and hospital emergency response in Iran.

    Keywords: Disasters, Emergencies, Hospital response, Volunteers
  • Molly B Johnson, Elizabeth D Boriack, Carlee M McConnell, Stewart R Williams, Jessica A Naiditch, Karla A Lawson Pages 141-150
    Background

    In the U.S., drowning is aleading cause of death for toddlers. One important layer of protection against submersion injuries and fatalities is parent or caregiver supervision. The aims of this study are to explore current supervisory behavior of caregivers, determine how caregivers view common supervision distractions, like cell phones and grilling, and identify what factors shape the quality of supervision that is given when swimming with their toddler at a swimming pool.

    Methods

    This cross-sectional study used the MTurk online platform to survey 650 caregivers of toddlers (1-4 yrs old) about their supervision behavior, their drowning knowledge, their perceptions of arm’s reach supervision, the water competency of their toddler, and other background information. Regression analysis was used to identify factors that predicted reported supervision behavior.

    Results

    The average supervision behavior score for caregivers indicated an attitude between neutral and disagreement with allowing distractions for themselves while supervising their toddler in a swimming pool. High water safety knowledge and positive perceptions of arm’s reach supervision were the biggest predictors of attentive supervision behavior. Having a home pool, higher education level, and believing their toddler had greater water competency were predictive of less attentive supervision behavior.

    Conclusion

    Results suggest that supervision behavior while toddlers are in a swimming pool may be inadequate. Low water safety knowledge and attitudes about what constitutes quality supervision arerelated to pool supervision behavior and changing these may reduce drowning risk. Caregivers should be encouraged to not reduce supervision as their toddlers gain water competency and if they have a home pool.

    Keywords: Drowning, Submersion, Water safety, Behavior, Attitudes
  • Raziye Ozdemir, Cigdem Demir, Binali Catak Pages 151-160
    Background

    This cross-sectional study aimed to determine the earthquake preparedness levels and related factors of the faculty members working at a university located in a province in a first-degree earthquake zone in Turkey.

    Methods

    The total number of faculty members at the university is 457, including 314 assistant professors, 63 associate professors, and 80 full professors. The study group included 177 (38.7%) of 457 faculty members. The dependent variable of the study is the attitudes of the faculty members towards earthquake preparedness. The independent variables were age, gender, marital status, having children, living with or without children, duration of residency in Karabuk. In addition, these were also included as variables, respectively, type of housing, property ownership, work experience, exposure to natural disasters in the past, and the awareness that Karabuk is a first-degree risk earthquake zone. The data were collected using a descriptive questionnaire and Mulilis-Lippa Earthquake Preparedness Scale. Data were analyzed using chi-square tests and binary logistic regression model and SPSS 20.0 software.

    Results

    There was only one (0.6%) faculty member who stated that he meets all of the preparatory criteria of the Mulilis-Lippa Earthquake Preparedness Scale. The probability of low materials preparedness score increasedby 2.31 (95% CI 1.1-4.7) and 4.53 (95% CI 1.4-14.4) when the faculty members were renters and working as faculty members for 15 years and over, respectively. Being a renter also increased the probability of common knowledge and skill score by 1.95 (95% CI1.0-3.8).

    Conclusions

    This study showed that earthquake preparedness levels among the faculty members are insufficient and suggests that motivation of the faculty members’ motivation to be appropriately prepared for future earthquake case should be increased.

    Keywords: Earthquake -preparedness, Risk reduction, Safety measures, The attitude of -faculty members, Turkey
  • Faraneh Ghaffarihosseini, AmirHossein Jalali Nadoushan, Kaveh Alavi, Jafar Bolhari Pages 161-164