Background:?Home related accidents have emerged as an important public health issue in pediatrics. However, very few studies have been conducted in sub-saharan countries on domestic accidents among children. The purpo...Background:?Home related accidents have emerged as an important public health issue in pediatrics. However, very few studies have been conducted in sub-saharan countries on domestic accidents among children. The purpose of this study was to determine the hospital frequency of domestic accidents in Brazzaville children, the type of accident, establish etiological factors and mortality.?Methods:?A total of 173 cases of domestic accidents were collected through a prospective study conducted from 1 January to 31 December 2017 in the pediatric intensive care unit of the University Hospital of Brazzaville. Medical records of children victims of unintentional trauma at home or in its immediate surroundings were collected. The following variables were recorded: the age and sex of the child, the hour, day and month of occurrence of the accident, parental attitudes in the management, and the prognosis (mortality).?Results:?Domestic accidents accounted for 9.2% of all admissions. The average age was 28.8 ± 10.5 months, a male predominance was noted (sex ratio equal to 1.6). Domestic accidents were found in 57.5% of children under two years (p??0.05). These children belong with more than 3 children in 63% of the cases. Accidents were dominated by ingestions (56.1% of cases), followed by falls (16.2%), burns (10.9%) and drug poisoning (9.2%). They often occurred between 12?pm and 8?pm, most often in the yard, the kitchen and the surroundings of the home. Three cases of death (1.53%) were enrolled including 2 cases of burns.?Conclusion:?domestic accidents are common in Brazzaville but their frequency is underestimated. Accidental ingestion remains the most frequent type of accident and mortality is high. Control of the causative factors is necessary to undertake effective preventive actions.展开更多
为更清楚地展现事故致因因素间的相互关系,并考虑因素间关联关系对于节点重要性的影响,本研究根据2018—2023年国内526份高处坠落事故报告,利用BOW(Bag of Words)方法结合人工分析提取涵盖人、物、环境、管理四方面的高处坠落事故致因...为更清楚地展现事故致因因素间的相互关系,并考虑因素间关联关系对于节点重要性的影响,本研究根据2018—2023年国内526份高处坠落事故报告,利用BOW(Bag of Words)方法结合人工分析提取涵盖人、物、环境、管理四方面的高处坠落事故致因因素集,以共现频次为权重,应用复杂网络理论构建高处坠落事故致因模型,并分析加权前后网络的度中心性、介数中心性、接近中心性、聚类系数的特征特性。最后,结合灰色关联分析理论,定量分析高处坠落事故致因因素的重要程度。研究结果表明:高处坠落的致因因素为,未正确佩戴防护用具,安全教育培训不到位,发包不规范,现场安全管理不到位,安全意识淡薄;应高度重视和管控这些致因因素,减少施工高处坠落事故的发生。展开更多
文摘Background:?Home related accidents have emerged as an important public health issue in pediatrics. However, very few studies have been conducted in sub-saharan countries on domestic accidents among children. The purpose of this study was to determine the hospital frequency of domestic accidents in Brazzaville children, the type of accident, establish etiological factors and mortality.?Methods:?A total of 173 cases of domestic accidents were collected through a prospective study conducted from 1 January to 31 December 2017 in the pediatric intensive care unit of the University Hospital of Brazzaville. Medical records of children victims of unintentional trauma at home or in its immediate surroundings were collected. The following variables were recorded: the age and sex of the child, the hour, day and month of occurrence of the accident, parental attitudes in the management, and the prognosis (mortality).?Results:?Domestic accidents accounted for 9.2% of all admissions. The average age was 28.8 ± 10.5 months, a male predominance was noted (sex ratio equal to 1.6). Domestic accidents were found in 57.5% of children under two years (p??0.05). These children belong with more than 3 children in 63% of the cases. Accidents were dominated by ingestions (56.1% of cases), followed by falls (16.2%), burns (10.9%) and drug poisoning (9.2%). They often occurred between 12?pm and 8?pm, most often in the yard, the kitchen and the surroundings of the home. Three cases of death (1.53%) were enrolled including 2 cases of burns.?Conclusion:?domestic accidents are common in Brazzaville but their frequency is underestimated. Accidental ingestion remains the most frequent type of accident and mortality is high. Control of the causative factors is necessary to undertake effective preventive actions.
文摘为更清楚地展现事故致因因素间的相互关系,并考虑因素间关联关系对于节点重要性的影响,本研究根据2018—2023年国内526份高处坠落事故报告,利用BOW(Bag of Words)方法结合人工分析提取涵盖人、物、环境、管理四方面的高处坠落事故致因因素集,以共现频次为权重,应用复杂网络理论构建高处坠落事故致因模型,并分析加权前后网络的度中心性、介数中心性、接近中心性、聚类系数的特征特性。最后,结合灰色关联分析理论,定量分析高处坠落事故致因因素的重要程度。研究结果表明:高处坠落的致因因素为,未正确佩戴防护用具,安全教育培训不到位,发包不规范,现场安全管理不到位,安全意识淡薄;应高度重视和管控这些致因因素,减少施工高处坠落事故的发生。
