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https://www.readbyqxmd.com/read/28183742/preventable-injury-deaths-identifying-opportunities-to-improve-timeliness-and-reach-of-emergency-healthcare-services-in-new-zealand
#1
Rebbecca Lilley, Bridget Kool, Gabrielle Davie, Brandon de Graaf, Shanthi N Ameratunga, Pararangi Reid, Ian Civil, Bridget Dicker, Charles C Branas
BACKGROUND: Traumatic injury is a leading cause of premature death and health loss in New Zealand. Outcomes following injury are very time sensitive, and timely access of critically injured patients to advanced hospital trauma care services can improve injury survival. OBJECTIVE: This cross-sectional study will investigate the epidemiology and geographic location of prehospital fatal injury deaths in relation to access to prehospital emergency services for the first time in New Zealand...
February 9, 2017: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/28171803/reforming-the-road-freight-transportation-system-using-systems-thinking-an-investigation-of-coronial-inquests-in-australia
#2
Sharon Newnam, Natassia Goode, Paul Salmon, Mark Stevenson
Road freight transport is considered to be one of the most dangerous industries in Australia, accounting for over 30% of all work fatalities. Whilst system reform (i.e., change to policy and practice) is needed, it is not clear what this reform should be, or what approaches should be used to drive it. This article argues that road freight transportation reform should be underpinned by a systems thinking approach. Efforts to understand crash causation should be focused beyond the driver and identify contributing factors at other levels with the road freight system...
February 4, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28166461/factors-associated-with-suicide-in-four-age-groups-a-population-based-study
#3
S O'Neill, E Ennis, C Corry, B Bunting
: Background; Life events and circumstances leading to death change throughout the life course. Aims; Four age groups within those who have died by suicide are compared in terms method of suicide, sex, occupation, mental disorders, prior suicide attempts and life events prior to death. Methods; Analyses were based on a database of deaths by suicide and undetermined intent based on data in the NI coronial files from 2005-2011 (N = 1667). Results; Hanging is very prominent as a method of death within the under 20 age group...
February 6, 2017: Archives of Suicide Research: Official Journal of the International Academy for Suicide Research
https://www.readbyqxmd.com/read/28091985/frequency-of-forensic-toxicological-analysis-in-external-cause-deaths-among-nursing-home-residents-an-analysis-of-trends
#4
Georgia Aitken, Briony Murphy, Jennifer Pilgrim, Lyndal Bugeja, David Ranson, Joseph Elias Ibrahim
There is a paucity of research examining the utility of forensic toxicology in the investigation of premature external cause deaths of residents in nursing homes. The aim of this study is to describe the frequency and characteristics of toxicological analysis conducted in external cause (injury-related) deaths amongst nursing home residents in Victoria, Australia. This study was a retrospective cohort study examining external cause deaths among nursing home residents during the period July 1, 2000 to December 31, 2012 in Victoria, Australia, using the National Coronial Information System (NCIS)...
March 2017: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/27876026/spatial-suicide-clusters-in-australia-between-2010-and-2012-a-comparison-of-cluster-and-non-cluster-among-young-people-and-adults
#5
Jo Robinson, Lay San Too, Jane Pirkis, Matthew J Spittal
BACKGROUND: A suicide cluster has been defined as a group of suicides that occur closer together in time and space than would normally be expected. We aimed to examine the extent to which suicide clusters exist among young people and adults in Australia and to determine whether differences exist between cluster and non-cluster suicides. METHODS: Suicide data were obtained from the National Coronial Information System for the period 2010 and 2012. Data on date of death, postcode, age at the time of death, sex, suicide method, ICD-10 code for cause of death, marital status, employment status, and aboriginality were retrieved...
November 22, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27866392/drug-caused-deaths-in-australian-medical-practitioners-and-health-care-professionals
#6
Jennifer L Pilgrim, Rhyse Dorward, Olaf H Drummer
BACKGROUND AND AIMS: There are numerous factors putting health-care professionals (HCP) at a higher risk of substance abuse and premature death, including high-stress jobs, access to controlled substances, long hours of practice and constant contact with the critically ill. This study aimed to examine fatal drug toxicity in this high-risk cohort, in order to: (1) estimate the rate of drug-caused deaths of Australian HCPs; (2) describe the key characteristics of the cohort; and (3) examine the relationship between HCP occupation and drug type, or intent...
November 20, 2016: Addiction
https://www.readbyqxmd.com/read/27864309/railway-suicide-clusters-how-common-are-they-and-what-predicts-them
#7
Lay San Too, Jane Pirkis, Allison Milner, Lyndal Bugeja, Matthew J Spittal
BACKGROUND: A growing number of studies have sought to detect clusters of all suicides, but few have sought to identify clusters of method-specific suicides. METHODS: Data on railway suicides occurring in Victoria, Australia, between 2001 and 2012 were obtained from the National Coronial Information System. We used the Poisson discrete scan statistic to identify railway suicides that occurred close together in space and/or time. We then used a case-control design to compare clustered railway suicides with non-clustered railway suicides on a range of individual and neighbourhood factors...
November 18, 2016: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/27807217/the-comparative-hydrodynamics-of-rapid-rotation-by-predatory-appendages
#8
M J McHenry, P S L Anderson, S Van Wassenbergh, D G Matthews, A P Summers, S N Patek
Countless aquatic animals rotate appendages through the water, yet fluid forces are typically modeled with translational motion. To elucidate the hydrodynamics of rotation, we analyzed the raptorial appendages of mantis shrimp (Stomatopoda) using a combination of flume experiments, mathematical modeling and phylogenetic comparative analyses. We found that computationally efficient blade-element models offered an accurate first-order approximation of drag, when compared with a more elaborate computational fluid-dynamic model...
November 1, 2016: Journal of Experimental Biology
https://www.readbyqxmd.com/read/27773199/can-trends-in-coronial-post-mortem-examinations-be-determined-from-the-ncis-database
#9
Kelly Olds, Michael Rodriguez, Neil Langlois
No abstract text is available yet for this article.
February 2016: Pathology
https://www.readbyqxmd.com/read/27772986/the-coronial-autopsy-where-are-we-heading
#10
Neil Langlois, Helen McKelvie, Philip Beh, Simon Stables, Matthew Lynch, Noel Woodford, David Ranson, John Drayton, Jane Mowll, Chris O'Donnell, Sarah Parsons
No abstract text is available yet for this article.
February 2016: Pathology
https://www.readbyqxmd.com/read/27771578/alcohol-and-its-contributory-role-in-fatal-drowning-in-australian-rivers-2002-2012
#11
Amy E Peden, Richard C Franklin, Peter A Leggat
OBJECTIVE: Examine the prevalence of alcohol and its contributory role in unintentional fatal river drowning in Australia to inform strategies for prevention. METHODS: Cases of unintentional fatal river drowning in Australia, 1-July-2002 to 30-June-2012, were extracted from the National Coronial Information System. Cases with positive alcohol readings found through autopsy or toxicology reports were retained for analysis. Discrete analysis was conducted on cases with a Blood Alcohol Content (BAC) of ≥0...
January 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/27766705/fatal-acute-poisonings-in-australian-children-2003-13
#12
Jennifer L Pilgrim, Elizabeth L Jenkins, Yeliena Baber, David Caldicott, Olaf H Drummer
BACKGROUND AND AIMS: Fatal poisonings in children comprise a small proportion of cases investigated by an Australian coroner; however, they present a major opportunity for death prevention. This study aimed to examine fatal child poisonings in Australia to (1) estimate the rate of acute poisoning deaths in children; (2) describe the key characteristics of the cohort; and (3) describe the outcomes of coronial recommendations made as a death prevention measure. DESIGN: Retrospective case series...
October 21, 2016: Addiction
https://www.readbyqxmd.com/read/27630172/the-long-term-co-occurrence-of-psychiatric-illness-and-behavioral-problems-following-child-sexual-abuse
#13
Nina L Papalia, Stefan Luebbers, James Rp Ogloff, Margaret Cutajar, Paul E Mullen
OBJECTIVES: There is a growing body of research investigating the relationship between child sexual abuse and a range of adverse outcomes. However, very little is known about the long-term co-occurrence of psychiatric disorders and behavioral problems among this vulnerable population, or the interaction between characteristics of the abuse, such as the nature and timing of the child sexual abuse, and the extent of subsequent adversities. This study aimed to determine the rate and co-occurrence of mental health morbidity, criminal justice system contact, and fatal self-harm among medically confirmed victims of child sexual abuse, and to identify abuse variables associated with a greater likelihood of cumulative adverse experiences...
September 14, 2016: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/27627936/suicide-by-health-professionals-a-retrospective-mortality-study-in-australia-2001-2012
#14
Allison J Milner, Humaira Maheen, Marie M Bismark, Matthew J Spittal
OBJECTIVES: To report age-standardised rates and methods of suicide by health professionals, and to compare these with suicide rates for other occupations. STUDY DESIGN: Retrospective mortality study. SETTING, PARTICIPANTS: All intentional self-harm cases recorded by the National Coronial Information System during the period 2001-2012 were initially included. Cases were excluded if the person was unemployed at the time of death, if their employment status was unknown or occupational information was missing, or if they were under 20 years of age at the time of death...
September 19, 2016: Medical Journal of Australia
https://www.readbyqxmd.com/read/27623713/mandatory-responses-to-public-health-and-safety-recommendations-issued-by-coroners-a-content-analysis
#15
Georgina Sutherland, Celia Kemp, David M Studdert
OBJECTIVE: This study investigated the extent to which mandatory responses to coronial recommendations in one state of Australia (Victoria) provided a clear picture of action taken by organisations to protect public health and safety. METHOD: Analysis of organisations' responses to recommendations issued by coroners over the first three years of Victoria's newly introduced mandatory response regime was carried out. RESULTS: Most responses were provided to the court within the legislated three-month timeframe and were signed by persons in senior or executive management...
October 2016: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/27580270/low-control-and-high-demands-at-work-as-risk-factors-for-suicide-an-australian-national-population-level-case-control-study
#16
Allison Milner, Matthew J Spittal, Jane Pirkis, Jean-François Chastang, Isabelle Niedhammer, Anthony D LaMontagne
OBJECTIVES: Previous research suggests that psychosocial job stressors may be plausible risk factors for suicide. This study assessed the relationship between psychosocial job stressors and suicide mortality across the Australian population. METHODS: We developed a job exposure matrix to objectively measure job stressors across the working population. Suicide data came from a nationwide coronial register. Living controls were selected from a nationally representative cohort study...
August 31, 2016: Psychosomatic Medicine
https://www.readbyqxmd.com/read/27517313/the-hidden-tragedy-of-rivers-a-decade-of-unintentional-fatal-drowning-in-australia
#17
Amy E Peden, Richard C Franklin, Peter A Leggat
OBJECTIVE(S): Describe unintentional drowning deaths in rivers, creeks and streams (rivers) in Australia and identify risk factors to inform prevention. DESIGN & SETTING: This study is a cross-sectional, total population audit of all unintentional fatal drownings in Australian rivers between 1-July-2002 and 30-June-2012 using Australian coronial data. A modified Bonferroni test has been applied, deeming statistical significance p<0.03 and p<0.04 respectively...
2016: PloS One
https://www.readbyqxmd.com/read/27401356/prospective-audit-to-evaluate-the-potential-of-the-coronial-system-to-increase-solid-organ-donation
#18
Huw Twamley, Andrew Haigh, Claire Williment, Cara Hudson, Julie Whitney, James Neuberger
OBJECTIVES: Anecdotal evidence suggests that organ donation from deceased donors referred to the Coroner/Procurator Fiscal (PF) could be increased if all followed best practice. The aim of this prospective audit was to establish how referrals affected organ donation and to develop evidence-based guidelines to ensure that organ donation can be facilitated safely without interfering in the Coroner/PF's investigative process. DESIGN: Prospective audit. SETTING: All acute National Health Service Hospitals in the UK where deceased organ donation was considered...
2016: BMJ Open
https://www.readbyqxmd.com/read/27323638/the-coronial-investigation-of-suspected-deaths-prevalence-and-outcomes-in-new-south-wales
#19
Stephanie Dartnall, Jane Goodman-Delahunty
In Australia, the investigation of a missing person who remains unlocated may be reported to the coroner as a suspected death. In the first study of its kind in Australia, archival records on suspected deaths investigated by New South Wales coroners from 2000 to 2013 were aggregated to assess the number of inquests, investigation timeframes, findings, recommendations and responses thereto. Of 322 suspected deaths, 96% resulted in an inquest, with the majority (94%) yielding a finding that the missing person was deceased with the cause (81%) and manner (73%) of death predominantly unknown...
March 2016: Journal of Law and Medicine
https://www.readbyqxmd.com/read/27323637/-blowed-off-by-a-side-wind-coronial-inquests-following-criminal-acquittals
#20
John Aberdeen
For three decades, Australian coroners have been moving steadily away from an historical partnership with the criminal law, and have emerged as independent judicial investigators with a dedicated court, and forensic and administrative support structures. Occasionally, however, a situation may arise where the ghosts of coronial law's quasi-criminal past threaten to reappear, to the detriment of the coronial function. One of these situations might develop following an acquittal on a criminal charge which involved the causing of a death...
March 2016: Journal of Law and Medicine
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