ABSTRACT
Injury is a leading cause of death and disability in children and adolescents worldwide. The purpose of the current study was to investigate the epidemiologic characteristics of the pediatric unintentional injuries presenting to the Korean emergency department (ED). We included unintentional injuries in patients aged < 20 yr. Data collected from January 2010 to December 2011 was extracted from the National Emergency Department Information System (NEDIS) of Korea. The NEDIS data included information on patient's age and gender, geographic location of the ED visits, mechanism of injuries; and clinical outcomes. Most (94.1%) injuries were unintentional while 5.9% were intentional. The rate of ED visit for pediatric unintentional injury was 6,097 per 100,000 and critical injury was 59.8 per 100,000 (< 20 yr habitants). The mortality rate was 5.4 per 100,000. The mortality rate of pediatric unintentional injuries was 0.1% including the prehospital death and ED death. Unintentional pediatric injuries occurred most commonly in those age 0-4 boys and girls and were predominantly caused by collisions. Male motorcyclists aged 15-19 yr formed a critical injury high-risk group. The rates of critical injury and mortality were highest in Jeju, Gangwon, Gwangju, and Jeonbuk than those in other regions. High-risk groups by age, gender, mechanism and region should be targeted to prevent pediatric injuries in Korea.
Subject(s)
Adolescent , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Young Adult , Accidents, Traffic/mortality , Age Distribution , Emergency Service, Hospital/statistics & numerical data , Regional Medical Programs/statistics & numerical data , Risk Assessment , Risk Factors , Sex Distribution , Survival Rate , Wounds and Injuries/diagnosisSubject(s)
Humans , Male , Female , Infant , Child, Preschool , Adolescent , Adult , Middle Aged , Epilepsy/epidemiology , Regional Medical Programs/statistics & numerical data , Phenobarbital/therapeutic use , Chile , Educational Status , Epilepsy/diagnosis , Epilepsy/drug therapy , Hospitals, State/statistics & numerical data , Age Distribution , Sex Distribution , Phenytoin/therapeutic use , Hospitalization/statistics & numerical dataABSTRACT
A hanseníase, ou doença de Hansen, ainda é interpretada como um grande problema de Saúde Pública, porque o manuseio do paciente requer cuidados contínuos e freqüentes de todos os profissionais envolvidos. Em função deste problema, o município de Petrópolis - através do Laboratório de Saúde Pública Dr. Germano B. Bretz - está desenvolvendo, pesquisando e dando continuidade ao tratamento do paciente portador. Todos estes fatores são apresentados neste artigo.
Leprosy or Hansen's disease is stil interpreted as a big problems in public health, because the handing of patient requires continuous and frequent cares of all professionals involved in function of this problems, the Municipaly of Petrópolis, through Dr. Germano B. Bretz Public Health Laboratory, is developping, researching and giving continuity on treatment of porter patient. All of these aspects are present in the work.
Subject(s)
Humans , Male , Female , Leprosy/etiology , Leprosy/physiopathology , Leprosy/therapy , Leprostatic Agents/therapeutic use , Mycobacterium leprae/pathogenicity , Regional Medical Programs/statistics & numerical dataABSTRACT
El paludismo es una enfermedad existente en México desde las primeras decadas de la Conquista. Ha sido una plaga de predominio rural. Es causado por tres de las cuatro especies conocidas: plasmodium vivax, plasmodium falciparum y plasmodium malariae, mencionadas en orden de frecuencia. En 1985, un año antes del inicio de la campaña para la erradicación del paludismo aparecieron en el país alrededor de 2.5 millones de enfermos, registrando ademas 25 mil defunciones. Se ejemplifica el sistema de transmisión: individuo enfermo-mosquito transmisor-individuo sano. Los climas propicios. Los tratamientos que desde 1903 se implementaron: uso de quinina; 1936 importación de medicamentos antipalúdicos, 1939 se crea la Comisión de Saneamiento Antimalarico; uso del D.D.T.; 1956 inicia la Campaña Nacional para la Erradicación del Paludismo con el objetivo de erradicar el paludismo en un plazo de cinco años, mediante el rociado semestral de las paredes interiores de todas las casas de las áreas palúdicas con D.D.T. suspendido con agua y el tratamiento de enfermos descubiertos. Para 1961 se conocian 3,565 casos, no se logro la meta, hubo fallas de distinta índole y repuntó el mal pues en 1970 se registrarón 57,331 casos, hasta 1989 donde se dan 96,101 casos. Replanteando las prioridades: evitar defunciones, disminuir el número de casos, control epidemiológico 1 X 1000, eliminar la transmisión y lograr la erradicación