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Fractures from accidental trauma to the extremities or ribs in young infants are rare. Towards the end of the first year, when infants begin to gain mobility, accident fractures become more common and are quite prevalent in toddlers. All patterns of accidental fractures may also occur due to abuse; however, presentation and clinical and associated physical examination and imaging findings may suggest abuse. Fractures similar to high specificity abusive fractures may rarely occur from accidental mechanisms.
Iatrogenic fractures are rare in infants and young children. Careful review of the purported mechanism and for underlying bone disease is necessary. Radiographic findings may overlap with abusive fractures, suggesting mechanistic similarities.
The Disputationes metaphysicae was doubtlessly an epoch-making book. Through the centuries it was read and praised not only by scholastic authors such as Hurtado de Mendoza and Gilson but also by non-scholastic ones such as Schopenhauer and Heidegger. After briefly describing the systematic framework of the work, I examine its character, arguing that not only does Suárez attempt to construct a rigorous Aristotelian science of being, but that there is also a certain dialectical character to the work that might be seen as an attempt to capture “contrary aspects of reality.” This peculiarity may at least in part explain the fact that its impact is far more difficult to assess than it is usually assumed.
The American War of Independence felt the influence not only of statesmen and generals but also of subordinate officers, enlisted men, women, Native Americans, and African Americans. Red-letter events were triggered by incidents as diverse as grassroots rebellions and epidemics. A crucial mistake might cost a general a battle – but it could also have the ironic effect of leaving him better off than before. Factors such as climate, disease, and geography further complicated commanders’ decisionmaking process, if anything increasing their significance. Various white, enslaved, and Indigenous leaders excelled at everything from manipulating morale to obtain their ends using nothing more than threats. But commanders’ influence was not always positive. For example, it took George Washington most of the Revolutionary War to learn what his British counterparts had known all along – that the war was his to win so long as he stifled his own aggressive instincts and mostly stayed on defense.
In the early fifteenth century it was still the norm for local witnesses to be called to swear to the age of a young person to prove that they were old enough to inherit property. The sworn statements of these witnesses, given orally in ENglish but recorded in Latin translation provide interesting and often amusing details about the lives of ordinary people.
Various miracles were recorded as having taken place around Beverley minster where the body of the saint, John of Beverley (died 721) was buried. One of these records an incident when a boy, keen to watch a drama about Christ’s passion being performed in the churchyard, climbed up high inside the minster to get a good view, but fell to the paving beneath and was apparently dead, but then returned to life. The account is vivid, and ends with an allegorical coda drawing parallels with Christ’s death and resurrection.
One of the miracles associated with king Henry VI (for whom an application for canonisation was unsuccessfully made) is included here from the anonymous collection of miracles made around 1500. This miracle involves the healing of a painful injury to the groin incurred in a country football match, a sport which the writer disparages.
The theme of safe-guarding, accidents and death is demonstrated by reference to the bishops’ advice regarding the protection of babies, and the necessary measures to be taken in case of illness and death, including emergency baptism and Caesarean section. Accidents often occurred, especially to children, and this might lead, in more fortunate cases, to healing and even revival by means of a miracle. Miracle accounts are balanced by coroners’ accounts which record the details of death, often by misadventure, as in the case here of a young woman scalded to death by falling into a brewer’s vat.
This study’s aim is to assess the disaster management and pediatric first aid-related knowledge, emotion, and attitude levels of of kindergarten and elementary school teachers, as the professionals that are first to provide interventions in the case of a disaster to children ages 0-8, who are considered to be among the vulnerable groups in the context of a disaster.
Methods:
A total of 119 teachers working in the kindergarten and elementary schools located in the Gümüşhane province of Turkey were included in the study and were asked to fill in a questionnaire that comprises 3 sections. Data collection tools included a sociodemographic questionnaire, teachers’ disaster management knowledge levels, and teachers’ pediatric first-aid knowledge, emotion, and attitude levels.
Results:
Analysis of the scores obtained by the teachers from the questionnaire revealed that the teachers, who participated in the study, had a high level of disaster management knowledge and a moderate-to-high level of pediatric first aid knowledge.
Conclusions:
It is suggested as a result of this study that the disaster risks and injuries or losses of life associated with disasters that may occur at schools may be reduced with disaster management and first-aid interventions.
Preschool-age children experience many home accidents, and school nurses play a role in preventing these accidents.
Methods:
Accordingly, this study aimed to evaluate the effectiveness of training preschool-age children through an imagined hide-and-seek game using a model home environment, in cases that may pose an accident risk. This pretest–posttest control-group study was conducted between March and June 2019. In total, 72 preschool students were included in the study. The study group’s education through the model home environment and game was assessed using the Determination of Home Environment Risks Form.
Results:
The post-education mean accident risk scores of the children in the study group increased in the kitchen (pre-education: 4.89 ± 3.258; post-education: 9.56 ± 3.549), children’s room (pre-education: 6.17 ± 3.776; post-education: 8.56 ± 3.722), and garden (pre-education: 4.39 ± 2.697; post-education: 6.72 ± 2.953). In the study group, the mean scores of children for recognizing the circumstances that pose a risk of accident in the home environment were determined to increase significantly (P < 0.001). The corresponding scores of the children in the control group did not change in the kitchen (pre-education: 3.89 ± 2.025; post-education: 3.44 ± 2.006), children’s room (pre-education: 3.72 ± 1.667; post-education: 3.50 ± 2.158), or garden (pre-education: 2.83 ± 1.813; post-education: 2.17 ± 2.049).
Conclusions:
The new techniques, which will help children learn while having fun, should be integrated into preschool children’s education programs to reduce home accidents.
The manifestation of a new pathogen, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), constitutes a new problem for modern health care systems. Developing updated standards for all emergency services working at an accident site during the pandemic has been a continuous challenge. The principal method of preventing the transmission of the SARS-CoV-2 virus is the use of personal protective equipment, such as protective suits, masks and goggles, or face shields. The study aims to present the recommended on-site procedures during the coronavirus pandemic based on the description of an accident of an ambulance transporting a patient with confirmed SARS-CoV-2 infection, emphasizing the actions taken by the emergency services sent to the accident site.
A second horse racing innovation is riding “acey-deucy.” With this technique, the jockey’s left stirrup iron is commonly placed from 2 to 12 inches lower than the right by separately adjusting the attached leather straps. This acey-deucy style confers important advantages on oval tracks, where only left turns are encountered in counterclockwise American races; it permits the horse and jockey to better lean into the turns and to enjoy better strength and balance, thus harnessing the centripetal force of a tight bend. This sounds so scientific that it must have resulted from careful study and planning, right? But, no it didn’t! The origin of riding acey-deucy was actually accidental. Bad fortune became good fortune for riding sensation Jack Westrope, who is now credited with beginning and perfecting this racing innovation. Combined with the monkey crouch, acey-deucy allows the jockey to “fold into” the horse instead of squatting over him.
It is argued that Theophanes the Confessor derives his information concerning the name of the baths where Constans II was allegedly assassinated from Theophilus of Edessa. It is further argued that Theophilus’ claim that Andrew deliberately killed Constans by hitting him with a bucket is rather unconvincing and may represent the hypothetical reconstruction of the event by an imperial administration that could not accept that the emperor had died as a result of an unfortunate accident.
Most medical emergencies requiring first-aid occur at home. Little is known about the prevalence of these medical emergencies.
Objective:
The objective of this study is to describe medical emergencies occurring at people’s homes requiring first aid; characteristics, burdens and impact on functional outcome, and to address the national public knowledge and practice of first aid.
Method:
A confidential, cross-sectional survey, primarily based on the 2015 American Heart Association (AHA) and American Red Cross first aid guidelines, was conducted among adults (>18 years) from 12 educational centers, under the Ministry of Awqaf and Islamic affairs, State of Kuwait.
Results:
A total of 3000 self-administered questionnaires were distributed from September 16 2019 to November 30, 2019. The response rate was 34% (n = 1033 participants) of which 1% (n = 11) were partially answered questionnaires leaving 1022 questionnaires for valid statistical analysis. The prevalence of medical emergencies was 118.5 out of 100000 per year and the level of public knowledge was 19%. Medical emergencies were more likely to occur in Hawali province (49%, n = 149), women were more likely to encounter medical emergencies (78%, n = 238). Victims above 18 years of age were more likely to experience hypoglycemia (39%, n = 55) and children were more likely to suffer from hypoglycemia (19%, n = 22) or burns (17%, n = 20). Compliance with First aid guidelines was seen in hypoglycemia (31%, n = 44) but lacking in burn incidents (44%, n = 15). Participants called the ambulance in seizures (50%, n = 13), with 62% of medical emergencies requiring attendance at a health-care facility and 29% requiring hospital admission. Of the victims, 15% missed school or a day of work, and 25% had impaired functional outcomes.
Conclusion:
Medical emergencies occurring at home are relatively common in Kuwait, and public training on first aid is low. Kuwait has unique medical emergencies, with hypoglycemia, seizures and burns being the most frequent emergencies that occur at home. These emergencies cause a burden on the health-care system with a quarter of them having negative impact on the victim’s functional outcome.
The essay explores the ways in which Edith Wharton’s early work, written as facts were emerging about corrupt insurance industry practices, inspired questions that Wharton would raise throughout her oeuvre about the monetization of life and death, the evaluation of pain and suffering, and the larger consequences of a managed and insured society. By the early twentieth century, insurance was a central institution in the organization and management of modern life, although it is rarely recognized as a cultural force or context in Wharton’s work. This essay corrects this neglect by asking how an early twentieth-century insurance scandal inspired Wharton’s exploration of a growing wound culture intent on regulating and managing pain and suffering, life and death, and by examining Wharton’s representations of a managerial society rather than the society of manners for which she is still best known.
The impact of compensable injury on moods was investigated in 106 individuals using the Visual Analog Mood Scales. Results indicated markedly negatively skewed distributions of ratings on being Sad, Energetic, Tired, Happy, or Tense. A contrasting pattern of positive and negative mood responses was evident. There were notable differences in mood conditions between different types of injuries: (a) anger and tiredness featured in brain injury; (b) sadness and tiredness characterized psychological injuries; and (c) most moods were moderate across musculoskeletal injuries with the possible exception of being energetic. The extent of psychological problems was related to mood levels.
School-aged children are a risk group in terms of accidents and injuries, and these factors may be the primary causes of death in children. Teachers have important roles in preventing accidents and injuries and giving first aid. The purpose of this research was to identify situations in which teachers most frequently encounter the need to administer first aid to children and whether the teachers performed the correct application in these events.
Methods
This descriptive study was conducted with 331 teachers in a city in the Central Anatolia Region. The study was approved by the local ethics committee and the participants.
Results
Of the 45.3% teachers educating children ages 6 to 15 years, 81.0% of the teachers were familiar with first aid, but only 23.0% claimed to have an adequate knowledge. In the previous year, situations that had required first aid included epistaxis (75.2%), abdominal pain (49.2%), and vomiting (39.2%). The study also investigated any accidents and injuries occurring, their causes, and the teachers’ interventions following the accidents and injuries. It was found that teachers had information about first aid, but they did not trust themselves enough to practice it.
Conclusion
Understanding the causes of accidents and injuries, finding preventive measures, and updating teachers’ knowledge about this subject are important to provide a safe educational environment. (Disaster Med Public Health Preparedness. 2019;13:456-462)
Emergency medical technicians (EMTs) and paramedics are at serious risk for work-related injuries (WRIs) during work hours. Both EMTs and paramedics have higher WRI rates, according to the literature data. This study was designed to investigate causes and characteristics of WRIs involving EMTs and paramedics staffed in Western Turkey.
Methods
All health care personnel staffed in Emergency Medical Services (EMS) in the city were interviewed face-to-face in their off-duty hours to inform them about the study. Excluded from the study were those who declined to participate in the study, those who were not on duty during the two-month study period, and those who had been working in the EMS for less than one year. The subjects were asked to answer multiple-choice questions.
Results
A total of 163 personnel (117 EMTs and 46 paramedics) comprised the study sample. Eighty-three personnel (50.9%) were female and mean age was 29.7 years (SD=8.4 years). The most common mechanisms of WRI, as reported by the personnel, were motor vehicle accidents (MVAs; 31.9%), needlestick injuries (16.0%), ocular exposure to bodily fluids (15.4%), and sharp injuries (9.8%), respectively. Needlestick injuries commonly occurred during intravenous line procedures (59.4%) and inside the cruising ambulance (n=20; 62.5%). Working inside the cruising ambulance was the most commonly accused cause of the WRI (41.3%).
Conclusion
Paramedic personnel and EMTs are under high risk of WRI. Motor vehicle accidents and needlestick injuries were the most common causes of WRI. Strict measures need to be taken to restructure the interior design to protect personnel from all kinds of WRIs.
YilmazA, SerinkenM, DalO, YaylacıS, KarciogluO. Work-related Injuries Among Emergency Medical Technicians in Western Turkey. Prehosp Disaster Med. 2016;31(5):505–508.
The gamma-ray exposure build-up factors of raw materialsof bricks (soils and fly-ashes) in the state of Punjab were investigatedfor the photon energy range 0.015 to 15 MeV up to 40 mfp penetrationdepth by the geometrical progression (GP) method. Appreciable variationsin the exposure build-up factor (EBF) are noted for the raw materials.The EBFs of the raw materials of bricks change depending on thephoton energy, penetration depth and chemical composition. The build-up factorsare low at low and high photon energies, whereas they are very highin the medium-energy region. The peak energy of the EBF for soilsis 0.3 MeV and 0.2 MeV for fly ashes. The EBFs of the raw materialsof bricks are also compared with those of bricks of red mud andcommon brick materials. Common bricks were found to have the lowestgamma-ray EBF. This study should be useful for emergency preparednessplanning and emergency dose estimation for future planned nuclearpower plants in the state of Punjab.