Effectiveness of anonymised information sharing and use in health service, police, and local government partnership for preventing violence related injury: experimental study and time series analysis

Objective: To evaluate the effectiveness of anonymised information sharing to prevent injury related to violence. Design: Experimental study and time series analysis of a prototype community partnership between the health service, police, and local government partners designed to prevent violence. Setting: Cardiff, Wales, and 14 comparison cities designated "most similar" by the Home Office in England and Wales. Intervention After a 33 month development period, anonymised data relevant to violence prevention (precise violence location, time, days, and weapons) from patients attending emergency departments in Cardiff and reporting injury from violence were shared over 51 months with police and local authority partners and used to target resources for violence prevention. Main outcome measures: Health service records of hospital admissions related to violence and police records of woundings and less serious assaults in Cardiff and other cities after adjustment for potential confounders. Results: Information sharing and use were associated with a substantial and significant reduction in hospital admissions related to violence. In the intervention city (Cardiff) rates fell from seven to five a month per 100 000 population compared with an increase from five to eight in comparison cities (adjusted incidence rate ratio 0.58, 95% confidence interval 0.49 to 0.69). Average rate of woundings recorded by the police changed from 54 to 82 a month per 100 000 population in Cardiff compared with an increase from 54 to 114 in comparison cities (adjusted incidence rate ratio 0.68, 0.61 to 0.75). There was a significant increase in less serious assaults recorded by the police, from 15 to 20 a month per 100 000 population in Cardiff compared with a decrease from 42 to 33 in comparison cities (adjusted incidence rate ratio 1.38, 1.13 to 1.70). Conclusion: An information sharing partnership between health services, police, and local government in Cardiff, Wales, altered policing and other strategies to prevent violence based on information collected from patients treated in emergency departments after injury sustained in violence. This intervention led to a significant reduction in violent injury and was associated with an increase in police recording of minor assaults in Cardiff compared with similar cities in England and Wales where this intervention was not implemented

Night-time accidents: a scoping study. Report to The AA Motoring Trust and Rees Jeffreys Road Fund

Context: Only a quarter of all travel by car drivers is undertaken between the hours of 19.00 and 08.00, but it is in this period that 40 percent of fatal and serious injuries are sustained by drivers. This indicates that car travel at night carries a greater risk of being killed or seriously injured than does travel during the day. The literature indicates that disproportionate numbers of young drivers, especially young men, are injured at night. But to be able to introduce measures targeted at this group more needs to be known about the purpose of their journeys, the types of roads they travel on, and how far they drive and at what times in the evening and at night. Older drivers tend to have fewer accidents at night, but little is currently known about how much can be accounted for by exposure related to their driving patterns. People over the age of 60 years form about 20 percent of the population, yet they make up over a quarter of traffic fatalities. These two groups of young and older drivers have been selected for study with the following aims: (a) to assess what information exists which relates to night-time exposure by activity and by group (young and older); (b) to assess what is known about exposure and risk to young and older drivers at night, in conjunction with an analysis of relevant accident data to provide a picture of the size of the potential problem areas, and gaps in current knowledge; (c) to identify people’s concerns, attitudes and beliefs with regard to the problems of night-time driving; and (d) to provide the basis for decision on what measures might be brought to bear on the problem, and what further research would be needed in order to point to focused action. This scoping study is in two parts and provides an assessment of the information available and hence the gaps in our knowledge on the nature and extent of night-time driving, and the risks involved at these times. The first part assesses the available data, and the second uses focus groups to gather the views of drivers themselves, together with their concerns, attitudes and beliefs with regard to the problems of night-time driving. The measurement of exposure, or amount of travel by car, of drivers of different age and gender is central to the assessment of the risk of being killed or injured in a road traffic accident. In this study, the measure of exposure used is distance travelled per person per year. This has been combined with casualty data to make preliminary assessments of risk to people of different ages and gender of driving at during the daytime and at night

The Scholar and the Word of God: Reflections on 2 Peter 1:16-21

The Scriptures are at the center of who we are as a people and as a body of scholars. In handling the Word of God, we are faced with choices that seem to pull us in two directions. On the one hand, faith and conviction call for expressions and actions that are loyal to trusted beliefs and traditions. On the other hand, scholarly methodologies demand objective impartiality and unbiased investigation leading to results that may challenge long held positions. I do not have the illusion that in a short presentation such as this I could even begin to resolve the tensions that exist between these standards of practice and belief that define our professional lives. I only hope to shine at least a small bit of light on the topic by means of a thoughtful look at 2 Peter 1:16-21. What I intend to do in this brief study is to outline how this passage presents three steps of relationship to the Word of God. I will set forth this three step pattern in the shifting voices of the text–from “we” to “you” to “they.” Following this I will apply the lessons of this three step pattern to our scholarly work. But first, let me describe the context of the passage