To quantify and characterize children and adolescent eye injuries treated in trauma department.METHODSA retrospective analysis was conducted of children and adolescent patients （0-19 years of age） with eye injuries ...To quantify and characterize children and adolescent eye injuries treated in trauma department.METHODSA retrospective analysis was conducted of children and adolescent patients （0-19 years of age） with eye injuries using the British Columbia Trauma Registry （BCTR） data. BCTR data was obtained from January 1, 2000 to December 31, 2008. The BCTR provides the most detailed information on severe injuries throughout the province of BC. There are 12 trauma-receiving facilities in BC from which BCTR collects data.RESULTSA total of 162 patients with eye injuries were registered in BCTR during the data collection period. The highest number of injuries occurred in the 15-19 age group, followed by 10-14 and 5-9 age groups. Seventy-one point six percent of all patients were male. The mean age for all patients was 12.9 （SD = 5.8） years. Vehicular crash was by far the most common mechanism of injury among all patients （42.0%） followed by blunt injury （14.2%） and cuts （12.3%）. The child and adolescent eye injury data set we used for our study indicated that there were in total, 50 patients that were tested for alcohol and drug use. The majority of them were 15-19 years of age （ n = 38）. Among the tested eye injury patients in the 15-19 age group, 47% （18/38） tested positive for alcohol. There were approximately 30 cases of physical fighting （assault） and fighting-related injury among adolescents. Some injuries were caused by use of fire arms and knife during the assaults. Out of all patients, 62 （38%） were seen by an Ophthalmologist on admission, whereas 100 （62%） patients were not seen by an eye specialist on admission. The most common injury diagnosis among the patients not consulted by ophthalmologist was conjunctiva injury （53%）, whereas almost 9 out of 10 patients with ophtha-lmological consultation had laceration of cornea injury diagnoses. Using Glasgow Coma Scale （GCS）-basedclassification of brain injury severity, 3.7% of all patients were classified with severe brain injury （GCS ≤ 8）, while more than 64% had diagnosed with a mild brain injury （GCS ≥ 13）.CONCLUSIONThis study suggests that most child and adolescent eye injuries in BC occur at street/highway locations followed by incidents at home. Vehicular crash was by far the most common mechanism of injury among all patients （42%）. Sixty-four point two percent of child and adolescent eyeinjury patients also had mild brain injuries. Further, the child and adolescent eye injury data set we used for our study indicated that there were in total, 50 patients tested for alcohol and drug use. There is an urgent need for a child and adolescent eye injury prevention plan in our province.展开更多
Background : Adherence to therapy is integral to successfully managing asthma, which requires comprehension of what, when, and how to use medication and diligence in following management plan. Asthma patients from eth...Background : Adherence to therapy is integral to successfully managing asthma, which requires comprehension of what, when, and how to use medication and diligence in following management plan. Asthma patients from ethnic minority groups have more morbidity and reported filling their prescriptions less often. Limited information is available in Canadian literature on ethnic differences in their perceptions of asthma management. We aimed to document patient perceived adherence to asthma therapy among targeted ethno-cultural groups. Methods : We evaluated perceived barriers to therapy adherence, including: cultural beliefs and practices, patient/care-provider communication, self-management knowledge, and medication costs. We conducted a cross sectional study and interviewed 85 Chinese or Punjabispeaking adult asthma patients. Results : Lack of sufficient instructions from physicians, language/communication barriers, lack of skills on how to use inhalers, and high medication costs and medication side effects were most reported barriers to proper self-management practices. Most participants lived with others in the same household and reported high social support from home caregivers. The influence of family on self-management practices was obvious. Conclusion: Better understanding of patient needs, provision of culturally and linguistically appropriate education, and inclusion of home caregivers into the management practices are necessary to improve asthma outcomes in Chinese and Punjabi communities.展开更多
文摘To quantify and characterize children and adolescent eye injuries treated in trauma department.METHODSA retrospective analysis was conducted of children and adolescent patients （0-19 years of age） with eye injuries using the British Columbia Trauma Registry （BCTR） data. BCTR data was obtained from January 1, 2000 to December 31, 2008. The BCTR provides the most detailed information on severe injuries throughout the province of BC. There are 12 trauma-receiving facilities in BC from which BCTR collects data.RESULTSA total of 162 patients with eye injuries were registered in BCTR during the data collection period. The highest number of injuries occurred in the 15-19 age group, followed by 10-14 and 5-9 age groups. Seventy-one point six percent of all patients were male. The mean age for all patients was 12.9 （SD = 5.8） years. Vehicular crash was by far the most common mechanism of injury among all patients （42.0%） followed by blunt injury （14.2%） and cuts （12.3%）. The child and adolescent eye injury data set we used for our study indicated that there were in total, 50 patients that were tested for alcohol and drug use. The majority of them were 15-19 years of age （ n = 38）. Among the tested eye injury patients in the 15-19 age group, 47% （18/38） tested positive for alcohol. There were approximately 30 cases of physical fighting （assault） and fighting-related injury among adolescents. Some injuries were caused by use of fire arms and knife during the assaults. Out of all patients, 62 （38%） were seen by an Ophthalmologist on admission, whereas 100 （62%） patients were not seen by an eye specialist on admission. The most common injury diagnosis among the patients not consulted by ophthalmologist was conjunctiva injury （53%）, whereas almost 9 out of 10 patients with ophtha-lmological consultation had laceration of cornea injury diagnoses. Using Glasgow Coma Scale （GCS）-basedclassification of brain injury severity, 3.7% of all patients were classified with severe brain injury （GCS ≤ 8）, while more than 64% had diagnosed with a mild brain injury （GCS ≥ 13）.CONCLUSIONThis study suggests that most child and adolescent eye injuries in BC occur at street/highway locations followed by incidents at home. Vehicular crash was by far the most common mechanism of injury among all patients （42%）. Sixty-four point two percent of child and adolescent eyeinjury patients also had mild brain injuries. Further, the child and adolescent eye injury data set we used for our study indicated that there were in total, 50 patients tested for alcohol and drug use. There is an urgent need for a child and adolescent eye injury prevention plan in our province.
文摘Background : Adherence to therapy is integral to successfully managing asthma, which requires comprehension of what, when, and how to use medication and diligence in following management plan. Asthma patients from ethnic minority groups have more morbidity and reported filling their prescriptions less often. Limited information is available in Canadian literature on ethnic differences in their perceptions of asthma management. We aimed to document patient perceived adherence to asthma therapy among targeted ethno-cultural groups. Methods : We evaluated perceived barriers to therapy adherence, including: cultural beliefs and practices, patient/care-provider communication, self-management knowledge, and medication costs. We conducted a cross sectional study and interviewed 85 Chinese or Punjabispeaking adult asthma patients. Results : Lack of sufficient instructions from physicians, language/communication barriers, lack of skills on how to use inhalers, and high medication costs and medication side effects were most reported barriers to proper self-management practices. Most participants lived with others in the same household and reported high social support from home caregivers. The influence of family on self-management practices was obvious. Conclusion: Better understanding of patient needs, provision of culturally and linguistically appropriate education, and inclusion of home caregivers into the management practices are necessary to improve asthma outcomes in Chinese and Punjabi communities.
