The epidemiology of injury among adolescents with hearing loss, health beliefs regarding injury and associated factors

Background: Adolescents with hearing loss are more at risk of injury. Their injuries commonly occur at school, in traffic, and other sporting areas and can adversely affect their health. Objective: The study aims were to understand the epidemiology of the injuries that occurred among adolescents with hearing loss and to explore their health beliefs regarding injury and their associated factors. Methods: A cross-sectional study was conducted over the period 2018–2019 with 218 adolescents with hearing loss. A sociodemographic questionnaire, an accident and knowledge questionnaire, the Health Belief Model (HBM)-based Injury Scale and a school accident form were provided by interviewers who were fluent in sign language. Descriptive statistics, the Mann-Whitney U, Kruskal-Wallis tests and regression analysis were used to analyze the responses given to the above instruments. Results: Forty-six percent of the adolescents with hearing loss experienced accidents, with pedestrian (42.9%) and passenger (42.9%) types being the most common traffic-related injuries and bleeding (29.4%) and fracture (23.5%) for school related injuries. Factors that are protective against injuries are higher parental education level (father education: OR 1.08, 95% CI = 0.81–1.44; mother education: OR 0.77, 95% CI = 0.59–1.01), and higher knowledge of traffic signs (right: OR 1.23, 95% CI = 0.62–2.42; green: OR 0.59, 95% CI = 0.28–1.23). Factors that were associated with elevated risk of injuries included worse hearing loss categories (OR 3.39, 95% CI = 1.07–8.99). Conclusions: Adolescents with hearing loss are commonly injured. Schools should consider education on how adolescents with hearing loss can protect themselves through potential tailored HBM-based injury prevention interventions. © 2020 The Author

The epidemiology of injury among adolescents with hearing loss, health beliefs regarding injury and associated factors.

BACKGROUND: Adolescents with hearing loss are more at risk of injury. Their injuries commonly occur at school, in traffic, and other sporting areas and can adversely affect their health. OBJECTIVE: The study aims were to understand the epidemiology of the injuries that occurred among adolescents with hearing loss and to explore their health beliefs regarding injury and their associated factors. METHODS: A cross-sectional study was conducted over the period 2018-2019 with 218 adolescents with hearing loss. A sociodemographic questionnaire, an accident and knowledge questionnaire, the Health Belief Model (HBM)-based Injury Scale and a school accident form were provided by interviewers who were fluent in sign language. Descriptive statistics, the Mann-Whitney U, Kruskal-Wallis tests and regression analysis were used to analyze the responses given to the above instruments. RESULTS: Forty-six percent of the adolescents with hearing loss experienced accidents, with pedestrian (42.9%) and passenger (42.9%) types being the most common traffic-related injuries and bleeding (29.4%) and fracture (23.5%) for school related injuries. Factors that are protective against injuries are higher parental education level (father education: OR 1.08, 95% CIÂ =Â 0.81-1.44; mother education: OR 0.77, 95% CIÂ =Â 0.59-1.01), and higher knowledge of traffic signs (right: OR 1.23, 95% CIÂ =Â 0.62-2.42; green: OR 0.59, 95% CIÂ =Â 0.28-1.23). Factors that were associated with elevated risk of injuries included worse hearing loss categories (OR 3.39, 95% CIÂ =Â 1.07-8.99). CONCLUSIONS: Adolescents with hearing loss are commonly injured. Schools should consider education on how adolescents with hearing loss can protect themselves through potential tailored HBM-based injury prevention interventions

The Comparison of Open and Laparoscopic Appendectomy: Is There any Outcome Difference Between Non-Complicated and Complicated Appendicitis?

Objective: The assessment of laparoscopic appendectomy (LA) and open appendectomy (OA) in patients with noncomplicated (NCA) and complicated appendicitis (CA) was aimed for. Material and Methods: Of 279 patients with appendectomy, 135 had NCA (48.3%) (49 underwent LA) (86M, 49F, median 9 years and144 had CA (51.7%) (23 underwent LA) (98M, 46F, median 11 years). Outcome measures: Wound infection (WI), intraabdominal abscess (IA), postoperative ileus (PI), requirement of reoperation (RO), time of surgery (TOS), length of stay (LOS), duration of postoperative pain (PP), nasogastric tube (NT), intraperitoneal drainage (ID) were recorded.Results: Between OA and LA groups, there was no statistical significance in WI(3/86 vs 0/49), IA(2/86 vs 0/49), RO(2/86 vs 2/49), and PI rate (1/86 vs 2/49) in NCA group (p>0.05). The LOS(3±1.4 vs 4±1.3), NT (1.2±0.9 vs 1.8±0.6 days) and PP(0.9±0.9 vs 2.3±1.1 days) were lower in LA than OA (p0.05). In CA, patients with LA had less WI(0/23 vs 18/121) (p<0.05). NT (2±0.8 vs 2.7±1.5), PP (2.1±1.2 vs 3.2±1.5) and ID (3.1±2.3 vs 4.4±1.4) were lower in LA than OA (p<0.05).Conclusion: Laparoscopic appendectomy decreases wound infection, nasogastric tube duration, intraperitoneal drainage and pain in complicated appendicitis. The Laporoscopic approach is superior in complicated and noncomplicated appendicitis