A 10-year review of child injury hospitalisations, health outcomes and treatment costs in Australia

Background: Childhood injury is a leading cause of hospitalisation, yet there has been no comprehensive examination of child injury and survival over time in Australia. To examine the characteristics, temporal trend and survival for children who were hospitalised as a result of injury in Australia. Method: A retrospective examination of linked hospitalisation and mortality data for injured children aged 16 years or less during 1 July 2001 to 30 June 2012. Negative binomial regression examined change in injury hospitalisation trends. Cox proportional hazard regression examined the association of risk factors on 30-day survival. Results: There were 686409 injury hospitalisations,with an age-standardised rate of 1489 per 100000 population (95%CI 1485.3 to 1492.4) in Australia. Child injury hospitalisation rates did not change over the 10-year period. For every severely injured child, there are at least 13 children hospitalised with minor or moderate injuries. The total cost of child injury hospitalisations was $A2.1billion (annually$A212million). Falls (38.4%) were the most common injury mechanism. Factors associated with a higher risk of 30-day mortality were: child was aged ≤10 years, higher injury severity, head injury, injured in a transport incident or following drowning and submersion or other threats to breathing, during self-harm and usual residence was regional/remote Australia. Conclusions: Childhood injury hospitalisation rates have not reduced in 10 years. Children’s patterns of injury change with age, and priorities for injury prevention alter according to developmental stages. The development of a national multisectorial childhood injury monitoring and prevention strategy in Australia is long overdue

Visual tracking of a GPS target within a FieldLab

The monitoring and videoing of a user’s movement within a “FieldLab” recreational facility is required to study the effectiveness of innovative equipment designed to increase physical activity. A low cost alternative to current tracking systems based around the Global positioning system (GPS) was trialed for use within the Sheffield FieldLab. This low cost tracking system is based around a typical AndroidTM smartphone, which was used as a wearable tracking sensor. The system was combined with a bespoke video surveillance system, which takes positional data and outputs appropriate camera parameters. In pilot work, participants’ GPS positional data was converted in real time to a pan tilt and zoom value. This allowed the targeted participant to be viewed in the centre of the video stream. Positional data was updated every second, allowing the camera to move and track the participant by keeping them at the centre of the video frame as they moved around the site. The effectiveness of the system was gauged and limitations noted. It was found that the Sony Xperia-S gave the most accurate GPS positional data, out of the three smartphones tested in this study. Other potential uses as well as enhancements to the system have also been commented on

Incidence of depression, anxiety and stress following traumatic injury: A longitudinal study

Background: Traumatic injury and mental health disorders are co-associated. Early identification of depression, anxiety and stress following injury, and subsequent preventive intervention, may reduce the long-term symptoms and negative impacts associated with depression and anxiety. The purpose of the study was to determine the incidence, severity and predictors of depression, anxiety and stress in injured patients in the acute phase of care, and at six months following injury, as well as the effectiveness of an in-hospital screening tool. Methods: This descriptive longitudinal study of trauma patients was conducted at a Level 1 Metropolitan Trauma Centre in Australia over 14 months. Participants were interviewed using the Depression Anxiety Stress Scale short-form version (DASS-21) during hospital admission then at 3 and 6 months after injury. Descriptive statistics were performed to evaluate participant characteristics and incidence of depression, anxiety and stress. Correlations and logistic regression were conducted to investigate the ability of the DASS-21 to predict symptoms of depression, anxiety and stress and to investigate factors associated with depression, anxiety and stress 6 months after injury. Results: 201 participants ranging in age (18–94 years) and injury severity participated in the baseline interview and 109 completed all 3 interviews over 6 months. Over half (54%) reported above normal scores for depression, anxiety and/or stress in at least one of the 3 time points. Intensive care unit admission and high levels of depression, anxiety and stress at 3 months post injury were predictors for high levels of depression, anxiety and stress at 6 months. Low scores for depression, anxiety and stress during admission were correlated with low scores for depression, anxiety and stress at 3 and 6 months. Conclusion: Depression, anxiety and stress in patients hospitalised following injury is common and should be anticipated in patients who have had an intensive care admission. Screening at 3 months following injury identifies patients at risk of long-term symptoms of depression, anxiety and stress

The New Economics of Livestock Production Management

The importance of heterogeneity of animal attributes in livestock production is assessed. Preliminary results indicate that variance and skew measures of attributes may be becoming more important over time.livestock economics, herd management, livestock marketing, Livestock Production/Industries, Marketing,

Marshall University Music Department Presents Music from the Age of Invention, The Maelzel Woodwind Quintet

https://mds.marshall.edu/music_perf/1311/thumbnail.jp

Resilient, recovering, distressed: A longitudinal qualitative study of parent psychosocial trajectories following child critical injury

Introduction The psychological distress and risk of mental health problems for parents of children with critical injury is well-established. There has been little exploration, however, of parent experiences and psychosocial trajectories over time following child critical injury. To address this knowledge gap, a longitudinal qualitative study was conducted to explore parent experiences and support needs and identify parent psychosocial trajectories in the 12 months following child critical injury. Methods Semi- structured in-depth interviews were conducted with 27 parents at three time points over a 12 month period: the immediate hospital period post-child injury, and 6 and 12 months following injury, resulting in a total of 81 interviews. Data were analysed using a longitudinal within and across-case thematic analysis of patterns emerging over time. Findings Three parent trajectory patterns were identified: resilient trajectory where parents were temporarily disrupted by the child’s injury and hospitalisation, but recovered their mental and emotional wellbeing quickly, which was maintained over time; recovering trajectory where parents were initially disrupted at the time of injury but their mental and emotional wellbeing fluctuated over time and had not been fully restored by 12 months; and distressed trajectory where parents experienced significant psychosocial disruption due to their child’s injury and struggled to adapt and regain their wellbeing over time, remaining emotionally distressed about the circumstances and impacts of the injury on their child and family. Illustrative narratives that represent each trajectory are presented. Conclusions This is the first qualitative study to report the psychosocial trajectories of parents of critically injured children. Clinical application of insights provided by these trajectories can assist clinicians to use targeted strategies to help strengthen parental adaptation and prevent adverse mental health outcomes, and address families’ psychosocial support needs following child injury. Screening for parent psychological distress and post-traumatic stress disorder is needed from the time of the child’s admission, and a dedicated trauma support role can facilitate an integrated care approach for children and families with complex needs across the care continuum

Psychometric Analysis of a Postulated Set of Evolved Human Motives

Many different general systems of human motives have been postulated in the psychological literature. However, as yet, no consensus on which motives should be nominated, nor how many there are, has emerged. Recently, we deduced the existence of a number of motives using a logical argument derived from evolutionary theory; that humans have evolved an independent psychological "engine" to respond to each kind of evolutionary problem set by a dimension of the human niche, or life-way. Here, we confirm the existence of 14 out of 15 of these postulated motives using factor analysis on a web-based sample of 500 respondents from the UK: Lust, Hunger, Fear, Disgust, Attract, Love, Nurture, Hoard, Create, Affiliate, Status, Justice, Curiosity, and Play. The items which loaded most strongly for each factor confirmed the expected core value of each motive. Comfort did not emerge, perhaps because it is more about satisfying specific physiological requirements than a cluster of activities linked semantically by the concept of attaining "comfort." We believe this analysis can form the foundation of a scale for use in applied psychological work ranging from personality testing to personnel selection to public health program design

The thing about replicas - why historic replicas matter

Reproduction of archaeological material was a significant and serious enterprise for antiquarians and museums in the long nineteenth century. Embedding many stories and embodying considerable past human energy, behind their creation, circulation, use and after-life lies a series of specific social networks and relationships that determined why, when and in what circumstances they were valued, or not. Summarising the context of their production, circulation and changing fortunes, this paper introduces the ways in which they are important and the specific benefits and aspects of a biographical approach to their study. Beyond the evidential, the study of existing replicas provides a historical and contemporary laboratory in which to explore the concepts of value and authenticity, and their application in cultural heritage and collections management, offering us a richer insight into the history of ourselves as archaeologists and curators

Tiling by rectangles and alternating current

This paper is on tilings of polygons by rectangles. A celebrated physical interpretation of such tilings due to R.L. Brooks, C.A.B. Smith, A.H. Stone and W.T. Tutte uses direct-current circuits. The new approach of the paper is an application of alternating-current circuits. The following results are obtained: - a necessary condition for a rectangle to be tilable by rectangles of given shapes; - a criterion for a rectangle to be tilable by rectangles similar to it but not all homothetic to it; - a criterion for a generic polygon to be tilable by squares. These results generalize the ones of C. Freiling, R. Kenyon, M. Laczkovich, D. Rinne and G. Szekeres.Comment: In English and in Russian; 21 pages; 6 figures; minor improvement of exposition, Russian translation adde