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[PMID]: 29206978 [Au] Autor: Galambos C; Starr J; Rantz MJ; Petroski GF [Ad] Endereço: Graduate Certificate in Gerontological Social Work Program, School of Social Work, University of Missouri, Columbia, MO. [Ti] Título: Analysis of Advance Directive Documentation to Support Palliative Care Activities in Nursing Homes. [So] Source: Health Soc Work;41(4):228-234, 2016 Nov 20. [Is] ISSN: 0360-7283 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: As part of an intervention to improve health care in nursing homes with the goal of reducing potentially avoidable hospital admissions, 1,877 resident records were reviewed for advance directive (AD) documentation. At the initial phases of the intervention, 50 percent of the records contained an AD. Of the ADs in the resident records, 55 percent designated a durable power of attorney for health care, most often a child (62 percent), other relative (14 percent), or spouse (13 percent). Financial power of attorney documents were sometimes found within the AD, even though these documents focused on financial decision making rather than health care decision making. Code status was the most prevalent health preference documented in the record at 97 percent of the records reviewed. The intervention used these initial findings and the philosophical framework of respect for autonomy to develop education programs and services on advance care planning. The role of the social worker within an interdisciplinary team is discussed. [Mh] Termos MeSH primário: Diretivas Antecipadas Documentação Casas de Saúde Cuidados Paliativos [Mh] Termos MeSH secundário: Diretivas Antecipadas/ética Tomada de Decisões Documentação/ética Documentação/normas Feminino Seres Humanos Masculino Medicaid Medicare Missouri Casas de Saúde/ética Casas de Saúde/normas Cuidados Paliativos/ética Cuidados Paliativos/normas Melhoria de Qualidade Estados Unidos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180227 [Lr] Data última revisão: 180227 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171206 [St] Status: MEDLINE [do] DOI: 10.1093/hsw/hlw042

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[PMID]: 29197686 [Au] Autor: Yoshida Y; Schmaltz CL; Jackson-Thompson J; Simoes EJ [Ad] Endereço: Department of Health Management and Informatics, School of Medicine, University of Missouri-Columbia, Columbia, MO, USA; Missouri Cancer Registry and Research Center, University of Missouri-Columbia, Columbia, MO, USA. Electronic address: yoshiday@health.missouri.edu. [Ti] Título: The impact of screening on cancer incidence and mortality in Missouri, USA, 2004-2013. [So] Source: Public Health;154:51-58, 2018 Jan. [Is] ISSN: 1476-5616 [Cp] País de publicação: Netherlands [La] Idioma: eng [Ab] Resumo: OBJECTIVES: Population-based evidence regarding impact of cancer screenings and cancer rates in Missouri is lacking. This study examined whether screenings of breast cancer, cervical cancer, and colorectal cancer impact early-stage cancer incidence and mortality in Missouri. STUDY DESIGN: This is an ecological study based on county-specific estimates of selected cancer screening prevalence and early-stage cancer incidence and cancer mortality. METHODS: County-specific prevalence of clinical breast examination, mammography, Pap test, sigmoidoscopy or colonoscopy, and fecal occult blood test (FOBT) were generated from Missouri County-Level Study (2003, 2007, and 2011). County-specific crude incidence and mortality were calculated (2004-2013). Pearson's correlation and Poisson regression were used to test association between cancer rate and screening prevalence. Covariates included county-level mean age, percentage of whites, percentage with low income, percentage with less than high school education high school, percentage with no insurance, and percentage having difficulties accessing care. RESULTS: In the adjusted model, 'ever had Pap test' was significantly associated with an increase of 8% in early-stage cervical cancer incidence. Having clinical breast examination or Pap test in the past was also associated with decreases in mortality by 3% and 4%, respectively, although the association was not significant for Pap test. In addition, having mammography was statistically significantly associated with early-stage breast cancer incidence, and having FOBT or sigmoidoscopy or colonoscopy was associated with decreased colorectal cancer mortality; however, magnitude for these associations was only around 1%. CONCLUSIONS: This study provides ecological evidence of the effectiveness of screening services in predicting early stage cancer incidence and in reducing mortality across Missouri counties. Further incentive to promote these screenings in Missouri is needed. [Mh] Termos MeSH primário: Detecção Precoce de Câncer/utilização Neoplasias/epidemiologia [Mh] Termos MeSH secundário: Adulto Idoso Neoplasias da Mama/epidemiologia Neoplasias da Mama/mortalidade Neoplasias Colorretais/epidemiologia Neoplasias Colorretais/mortalidade Feminino Pesquisas sobre Serviços de Saúde Seres Humanos Incidência Masculino Meia-Idade Missouri/epidemiologia Neoplasias/mortalidade Neoplasias do Colo do Útero/epidemiologia Neoplasias do Colo do Útero/mortalidade Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180212 [Lr] Data última revisão: 180212 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171204 [St] Status: MEDLINE

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[PMID]: 29304036 [Au] Autor: Oren E; Klingeman W; Gazis R; Moulton J; Lambdin P; Coggeshall M; Hulcr J; Seybold SJ; Hadziabdic D [Ad] Endereço: Department of Entomology and Plant Pathology, University of Tennessee, Knoxville, TN, United States of America. [Ti] Título: A novel molecular toolkit for rapid detection of the pathogen and primary vector of thousand cankers disease. [So] Source: PLoS One;13(1):e0185087, 2018. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Thousand Cankers Disease (TCD) of Juglans and Pterocarya (Juglandaceae) involves a fungal pathogen, Geosmithia morbida, and a primary insect vector, Pityophthorus juglandis. TCD was described originally from dying Juglans nigra trees in the western United States (USA), but it was reported subsequently from the eastern USA and northern Italy. The disease is often difficult to diagnose due to the absence of symptoms or signs on the bark surface of the host. Furthermore, disease symptoms can be confused with those caused by other biotic and abiotic agents. Thus, there is a critical need for a method for rapid detection of the pathogen and vector of TCD. Using species-specific microsatellite DNA markers, we developed a molecular protocol for the detection of G. morbida and P. juglandis. To demonstrate the utility of the method for delineating TCD quarantine zones, we tested whether geographical occurrence of symptoms and signs of TCD was correlated with molecular evidence for the presence of the cryptic TCD organisms. A total of 1600 drill cores were taken from branch sections collected from three regions (n = 40 trees for each location): California-J. hindsii (heavy disease incidence); Tennessee-J. nigra (mild disease incidence); and outside the known TCD zone (Missouri-J. nigra, no record of the disease). California samples had the highest incidence of the TCD organisms (85%, 34/40). Tennessee had intermediate incidence (42.5%, 17/40), whereas neither organism was detected in samples from Missouri. The low cost molecular protocol developed here has a high degree of sensitivity and specificity, and it significantly reduces sample-processing time, making the protocol a powerful tool for rapid detection of TCD. [Mh] Termos MeSH primário: Hypocreales/genética Hypocreales/patogenicidade Insetos Vetores/genética Insetos Vetores/microbiologia Juglans/microbiologia Doenças das Plantas/microbiologia Gorgulhos/genética Gorgulhos/microbiologia [Mh] Termos MeSH secundário: Animais California DNA Fúngico/genética Técnicas Genéticas Hypocreales/isolamento & purificação Repetições de Microssatélites Missouri Especificidade da Espécie Tennessee [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Nm] Nome de substância: 0 (DNA, Fungal) [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180129 [Lr] Data última revisão: 180129 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180106 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0185087

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[PMID]: 29176826 [Au] Autor: Boutwell BB; Nelson EJ; Qian Z; Vaughn MG; Wright JP; Beaver KM; Barnes JC; Petkovsek M; Lewis R; Schootman M; Rosenfeld R [Ad] Endereço: School of Social Work, Saint Louis University, St. Louis, Missouri, United States of America. [Ti] Título: Aggregate-level lead exposure, gun violence, homicide, and rape. [So] Source: PLoS One;12(11):e0187953, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: CONTEXT: An increasing body of research has linked the geographic distribution of lead with various indicators of criminal and antisocial behavior. OBJECTIVE: The current study, using data from an ongoing project related to lead exposure in St. Louis City, MO, analyzed the association between aggregate blood lead levels and specific indicators violent crime within the city. DESIGN: Ecological study. SETTING: St. Louis, Missouri. EXPOSURE MEASURE: Blood lead levels. MAIN OUTCOME MEASURE: Official reports of violent crimes were categorized as 1) crimes involving a firearm (yes/no), 2) assault crimes (with or without a firearm), 3) robbery crimes (with or without a firearm), 4) homicides and 5) rape. RESULTS: With the exception of rape, aggregate blood-lead levels were statistically significant predictors of violent crime at the census tract level. The risk ratios for each of the outcome measures were as follows: firearm crimes 1.03 (1.03-1.04), assault crimes 1.03 (1.02-1.03), robbery crimes 1.03 (1.02-1.04), homicide 1.03 (1.01, 1.04), and rape 1.01 (0.99-1.03). CONCLUSIONS: Extending prior research in St. Louis, results suggest that aggregated lead exposure at the census tract level predicted crime outcomes, even after accounting for important sociological variables. Moving forward, a more developed understanding of aggregate level crime may necessitate a shift toward studying the synergy between sociological and biological risk factors such as lead exposure. [Mh] Termos MeSH primário: Armas de Fogo Homicídio/estatística & dados numéricos Chumbo/sangue Estupro/estatística & dados numéricos Violência/estatística & dados numéricos [Mh] Termos MeSH secundário: Geografia Seres Humanos Incidência Missouri/epidemiologia [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 2P299V784P (Lead) [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171219 [Lr] Data última revisão: 171219 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171128 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0187953

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[PMID]: 28742450 [Au] Autor: Mott R; Keller K; Funkenbusch K [Ad] Endereço: a Department of Human Environmental Sciences Extension , University of Missouri , Columbia , Missouri , USA. [Ti] Título: "Keep Me Doing What I Love": A Photovoice Evaluation of the Missouri AgrAbility Project. [So] Source: J Agromedicine;22(4):425-431, 2017. [Is] ISSN: 1545-0813 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: The Missouri AgrAbility program links the Cooperative Extension Service at a land-grant university with a nonprofit disability organization to provide practical education and assistance that promotes rural independence. This project utilized Photovoice to describe how Missouri AgrAbility clients perceived how the program impacts their lives. This article relates clients' perceptions of the impact of the AgrAbility program on their lives to the socio-ecologic model framework. Although the primary focus of AgrAbility is to help individuals who have disabilities maintain their independence, all levels of the socio-ecological model are integral in meeting the needs of program participants. [Mh] Termos MeSH primário: Agricultura/recursos humanos Pessoas com Deficiência/psicologia [Mh] Termos MeSH secundário: Agricultura/economia Agricultura/organização & administração Seres Humanos Vida Independente Missouri Organizações sem Fins Lucrativos Avaliação de Programas e Projetos de Saúde Qualidade de Vida População Rural Fatores Socioeconômicos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171214 [Lr] Data última revisão: 171214 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170726 [St] Status: MEDLINE [do] DOI: 10.1080/1059924X.2017.1356778

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[PMID]: 27771840 [Au] Autor: Madubata CC; Liu Y; Goodman MS; Yun S; Yu J; Lian M; Colditz GA [Ad] Endereço: Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8100, St. Louis, MO, 63110, USA. [Ti] Título: Comparing treatment and outcomes of ductal carcinoma in situ among women in Missouri by race. [So] Source: Breast Cancer Res Treat;160(3):563-572, 2016 12. [Is] ISSN: 1573-7217 [Cp] País de publicação: Netherlands [La] Idioma: eng [Ab] Resumo: PURPOSE: To investigate whether treatment (surgery, radiation therapy, and endocrine therapy) contributes to racial disparities in outcomes of ductal carcinoma in situ (DCIS). PATIENTS AND METHODS: The analysis included 8184 non-Hispanic White and 954 non-Hispanic Black women diagnosed with DCIS between 1996 and 2011 and identified in the Missouri Cancer Registry. Logistic regression models were used to estimate odds ratios (ORs) of treatment for race. We used Cox proportional hazards regression models to estimate hazard ratios (HRs) of ipsilateral breast tumor (IBT) and contralateral breast tumor (CBT) for race. RESULTS: There was no significant difference between Black and White women in utilization of mastectomy (OR 1.16; 95 % CI 0.99-1.35) or endocrine therapy (OR 1.19; 95 % CI 0.94-1.51). Despite no significant difference in underutilization of radiation therapy (OR 1.14; 95 % CI 0.92-1.42), Black women had higher odds of radiation delay, defined as at least 8 weeks between surgery and radiation (OR 1.92; 95 % CI 1.55-2.37). Among 9138 patients, 184 had IBTs and 326 had CBTs. Black women had a higher risk of IBTs (HR 1.69; 95 % CI 1.15-2.50) and a comparable risk of CBTs (HR 1.19; 95 % CI 0.84-1.68), which were independent of pathological features and treatment. CONCLUSION: Racial differences in DCIS treatment and outcomes exist in Missouri. This study could not completely explain the higher risk of IBTs in Black women. Future studies should identify differences in timely initiation and completion of treatment, which may contribute to the racial difference in IBTs after DCIS. [Mh] Termos MeSH primário: Adenocarcinoma in Situ/mortalidade Adenocarcinoma in Situ/terapia Neoplasias da Mama/mortalidade Neoplasias da Mama/terapia Carcinoma Ductal de Mama/mortalidade Carcinoma Ductal de Mama/terapia Grupos Étnicos [Mh] Termos MeSH secundário: Adenocarcinoma in Situ/diagnóstico Adenocarcinoma in Situ/epidemiologia Adulto Idoso Idoso de 80 Anos ou mais Biomarcadores Tumorais Neoplasias da Mama/diagnóstico Neoplasias da Mama/epidemiologia Carcinoma Ductal de Mama/diagnóstico Carcinoma Ductal de Mama/epidemiologia Terapia Combinada Feminino Seguimentos Disparidades em Assistência à Saúde Seres Humanos Meia-Idade Missouri/epidemiologia Missouri/etnologia Gradação de Tumores Estadiamento de Neoplasias Modelos de Riscos Proporcionais Sistema de Registros Programa de SEER Resultado do Tratamento Carga Tumoral [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; RESEARCH SUPPORT, N.I.H., EXTRAMURAL [Nm] Nome de substância: 0 (Biomarkers, Tumor) [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171209 [Lr] Data última revisão: 171209 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161103 [St] Status: MEDLINE [do] DOI: 10.1007/s10549-016-4030-6

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[PMID]: 29068945 [Au] Autor: Parikh RP; Snyder-Warwick A; Naidoo S; Skolnick GB; Patel KB [Ad] Endereço: St. Louis, Mo. From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine. [Ti] Título: Impact of an Event Reporting System on Resident Complication Reporting in Plastic Surgery Training: Addressing an ACGME and Plastic Surgery Milestone Project Core Competency. [So] Source: Plast Reconstr Surg;140(5):736e-745e, 2017 Nov. [Is] ISSN: 1529-4242 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: The Accreditation Council for Graduate Medical Education and Plastic Surgery Milestone Project has identified practice-based learning and improvement, which involves systematically analyzing current practices and implementing changes, as a core competency in residency education. In surgical care, complication reporting is an essential component of practice-based learning and improvement as complications are analyzed in morbidity and mortality conference for quality improvement. Unfortunately, current methods for capturing a comprehensive profile of complications may significantly underestimate the true occurrence of complications. Therefore, the objectives of this study are to evaluate an intervention for complication reporting and compare this to current practice, in a plastic surgery training program. METHODS: This is a preintervention and postintervention study evaluating resident reporting of complications on a plastic surgery service. The intervention was an online event reporting system developed by department leadership and patient safety experts. The cohorts consisted of all patients undergoing surgery during two separate 3-month blocks bridged by an implementation period. A trained reviewer recorded complications, and this served as the reference standard. Fisher's exact test was used for binary comparisons. RESULTS: There were 32 complications detected in 219 patients from June to August of 2015 and 35 complications in 202 patients from October to December of 2015. The proportion of complications reported in the preintervention group was nine of 32 (28.1 percent). After the intervention, this significantly increased to 32 of 35 (91.4 percent) (p < 0.001). CONCLUSION: An intervention using an event reporting system, supported by departmental leadership, led to significant improvements in complication reporting by plastic surgery residents. [Mh] Termos MeSH primário: Competência Clínica Coleta de Dados/métodos Internato e Residência/métodos Pediatria/educação Complicações Pós-Operatórias Melhoria de Qualidade Cirurgia Plástica/educação [Mh] Termos MeSH secundário: Competência Clínica/normas Competência Clínica/estatística & dados numéricos Coleta de Dados/normas Coleta de Dados/estatística & dados numéricos Documentação/métodos Documentação/normas Documentação/estatística & dados numéricos Seres Humanos Internet Internato e Residência/organização & administração Internato e Residência/estatística & dados numéricos Sistemas Computadorizados de Registros Médicos Missouri Avaliação de Processos e Resultados (Cuidados de Saúde) Segurança do Paciente Pediatria/normas Complicações Pós-Operatórias/diagnóstico Complicações Pós-Operatórias/epidemiologia Melhoria de Qualidade/organização & administração Melhoria de Qualidade/estatística & dados numéricos Procedimentos Cirúrgicos Reconstrutivos Cirurgia Plástica/normas [Pt] Tipo de publicação: CLINICAL TRIAL; JOURNAL ARTICLE [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171109 [Lr] Data última revisão: 171109 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 171026 [St] Status: MEDLINE [do] DOI: 10.1097/PRS.0000000000003771

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[PMID]: 28985841 [Au] Autor: Quick JA; Kudav V; Doty J; Crane M; Bukoski AD; Bennett BJ; Barnes SL [Ad] Endereço: Department of Surgery, University of Missouri, School of Medicine, Columbia, Missouri. Electronic address: quickja@health.missouri.edu. [Ti] Título: Surgical resident technical skill self-evaluation: increased precision with training progression. [So] Source: J Surg Res;218:144-149, 2017 Oct. [Is] ISSN: 1095-8673 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: Surgical resident ability to accurately evaluate one's own skill level is an important part of educational growth. We aimed to determine if differences exist between self and observer technical skill evaluation of surgical residents performing a single procedure. MATERIALS AND METHODS: We prospectively enrolled 14 categorical general surgery residents (six post-graduate year [PGY] 1-2, three PGY 3, and five PGY 4-5). Over a 6-month period, following each laparoscopic cholecystectomy, residents and seven faculty each completed the Objective Structured Assessment of Technical Skills (OSATS). Spearman's coefficient was calculated for three groups: senior (PGY 4-5), PGY3, and junior (PGY 1-2). Rho (ρ) values greater than 0.8 were considered well correlated. RESULTS: Of the 125 paired assessments (resident-faculty each evaluating the same case), 58 were completed for senior residents, 54 for PGY3 residents, and 13 for junior residents. Using the mean from all OSATS categories, trainee self-evaluations correlated well to faculty (senior ρ 0.97, PGY3 ρ 0.9, junior ρ 0.9). When specific OSATS categories were analyzed, junior residents exhibited poor correlation in categories of respect for tissue (ρ -0.5), instrument handling (ρ 0.71), operative flow (ρ 0.41), use of assistants (ρ 0.05), procedural knowledge (ρ 0.32), and overall comfort with the procedure (ρ 0.73). PGY3 residents lacked correlation in two OSATS categories, operative flow (ρ 0.7) and procedural knowledge (ρ 0.2). Senior resident self-evaluations exhibited strong correlations to observers in all areas. CONCLUSIONS: Surgical residents improve technical skill self-awareness with progressive training. Less-experienced trainees have a tendency to over-or-underestimate technical skill. [Mh] Termos MeSH primário: Colecistectomia Laparoscópica/educação Competência Clínica Cirurgia Geral/educação Internato e Residência Autoavaliação Cirurgiões/psicologia [Mh] Termos MeSH secundário: Adulto Colecistectomia Laparoscópica/normas Docentes de Medicina Feminino Seres Humanos Curva de Aprendizado Masculino Missouri Estudos Prospectivos Cirurgiões/educação Cirurgiões/normas [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171102 [Lr] Data última revisão: 171102 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171008 [St] Status: MEDLINE

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[PMID]: 28954532 [Au] Autor: Karimnejad K; Nelson EJ; Rohde RL; Costa DJ [Ad] Endereço: 1 Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, St. Louis Missouri, USA. [Ti] Título: External Auditory Canal Foreign Body Extraction Outcomes. [So] Source: Ann Otol Rhinol Laryngol;126(11):755-761, 2017 Nov. [Is] ISSN: 1943-572X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVES: To compare pediatric external auditory canal (EAC) foreign body extraction outcomes by clinical setting and identify factors predictive of successful removal. METHODS: Retrospective review of pediatric patients with EAC foreign bodies to a single institution emergency department (ED) and otolaryngology clinic (OTO) between January 2010 and April 2015. Patient characteristics, foreign body type, removal attempts, instrumentation utilized, and complications were evaluated with respect to clinical setting and patient outcome. RESULTS: In all, 1197 patients with EAC foreign bodies were identified, 759 (63%) of whom presented primarily to the ED. Successful removal was achieved in OTO in 92.9% of cases and the ED in 67.9% of cases. Beads and spherical objects had the overall lowest rates of successful removal. Likelihood of removal decreased significantly after one unsuccessful attempt. Complications were reported in 35.7% of patients undergoing removal in the ED and 5.0% of patients undergoing removal in the otolaryngology clinic. CONCLUSIONS: Patients commonly present to the ED for removal of EAC foreign bodies. Referral to an otolaryngologist is recommended if the object is spherical or after one unsuccessful attempt at removal. [Mh] Termos MeSH primário: Instituições de Assistência Ambulatorial Meato Acústico Externo Serviço Hospitalar de Emergência Corpos Estranhos/terapia Otolaringologia Avaliação de Resultados (Cuidados de Saúde) [Mh] Termos MeSH secundário: Criança Feminino Corpos Estranhos/complicações Seres Humanos Masculino Missouri Encaminhamento e Consulta Estudos Retrospectivos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171031 [Lr] Data última revisão: 171031 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170929 [St] Status: MEDLINE [do] DOI: 10.1177/0003489417731578

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[PMID]: 28922307 [Au] Autor: Schaeffer M; Cioni C; Kozma N; Rains C; Todd G [Ad] Endereço: From the St. Louis Children's Hospital (M.S., C.C., N.K., C.R., G.T.), St. Louis, Missouri. [Ti] Título: Safe summers: Adapting evidence-based injury prevention into a summer curriculum. [So] Source: J Trauma Acute Care Surg;83(5S Suppl 2):S197-S200, 2017 Nov. [Is] ISSN: 2163-0763 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: Unintentional injury is the leading cause of death for those aged 0 years to 19 years. St. Louis Children's Hospital created Safety Land, a comprehensive injury prevention intervention which is provided during summer months. This program uses a life-size board game to teach safety education to children in ages 5 years to 11 years. The purpose of this study was to evaluate the effect of Safety Land on safety knowledge in children that participated in the intervention. METHODS: St. Louis Children's Hospital identified ZIP codes with the highest use of the emergency room for injury. Daycares and summer camps within these ZIP codes were targeted for the Safety Land intervention. A multiple choice pretest and posttest survey was designed to measure knowledge change within program participants. Students were selected for testing based on site availably. Within these sites, a convenience sample of children was selected for pretesting and posttesting. Safety Land staff conducted the pretest a week before the intervention, and the posttest was administered the week after the intervention. A total knowledge score was calculated to determine overall knowledge change. Descriptive statistics and independent-samples t tests were conducted to determine statistical significance of change in knowledge (p < 0.05) for each question. RESULTS: Between May 2014 and August 2016, 3,866 children participated in Safety Land. A total of 310 children completed the pretest and 274 completed the posttest. Mean test scores increased from 66.7% to 85.1% and independent-samples t test of the total knowledge score was significant (p < 0.05) between pretest and posttest values. CONCLUSION: Findings suggest that this intervention is effective in increasing the knowledge of safety behaviors for children receiving the curriculum during the summer months. Further research should focus on long-term behavior changes in these youth. [Mh] Termos MeSH primário: Prevenção de Acidentes/métodos Educação em Saúde/organização & administração Ferimentos e Lesões/prevenção & controle [Mh] Termos MeSH secundário: Criança Pré-Escolar Currículo Avaliação Educacional Feminino Conhecimentos, Atitudes e Prática em Saúde Hospitais Pediátricos Seres Humanos Masculino Missouri/epidemiologia Estações do Ano Ferimentos e Lesões/mortalidade [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171030 [Lr] Data última revisão: 171030 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170919 [St] Status: MEDLINE [do] DOI: 10.1097/TA.0000000000001702

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1			PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
2	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
3	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2

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