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Abstract: Pediatric deaths that occur because of environmental neglect often involve 4 common scenarios: (1) hyperthermia due to environmental exposure, (2) ingestion of an accessible drug or poison, (3) unwitnessed/unsupervised drownings, and (4) unsafe sleep practices. Given the same fact pattern, the manner of death will vary from accident to homicide to undetermined based on local custom and/or the certifier's training and experience. Medical examiner/coroner death certifications are administrative public health determinations made for vital statistical purposes. Because the manner of death is an opinion, it is understandable that manner determinations may vary among practitioners. No prosecutor, judge, or jury is bound by the opinions expressed on the death certificate. This position paper does not dictate how these deaths should be certified. Rather, it describes the challenges of the investigations and manner determinations in these deaths. It provides specific criteria that may improve consistency of certification. Because pediatric deaths often are of public interest, this paper provides the medical examiner/coroner with a professional overview of such manner determination issues to assist various stakeholders in understanding these challenges and variations., Competing Interests: The authors report no conflict of interest or funding., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

Recovery is a part of disaster management cycle during which repair and reconstruction takes place, and individuals, groups, and communities retake what they have lost and ideally the risk of future incidents reduces. Life recovery is a subjective and multidimensional issue influenced by various factors, whereas valid measurable indicators in evaluating the recovery after disasters are helpful. This article considers the related texts with the aim of reviewing the indicators of recovery after disasters. The examined issues are basics of recovery, recovery in the form of process, as well as components and dimensions of recovery.

Background: Road traffic accidents in Iran are a critical issue that hinders economic development and one of the main threats to the health and safety of people in the community. The statistics indicate that after cardiovascular diseases, traffic accidents are the second leading cause of death in different age groups, which reflects the necessity of prediction in this area. Materials and Methods: The present study investigated the data of the traffic-accident injured people between April 2009 and March 2012 in Golestan, Mazandaran, Guilan, and Ardebil provinces, presented to forensic medicine. We used the Box-Jenkins method as one of the most advanced methods in prediction and future studies in the field of health systems, to estimate the number of injuries by province, for the years 2016 to 2019. Results: The obtained results suggested the appropriate time series patterns for predicting injured people in Golestan Province with Autoregressive Integrated Moving Average (ARIMA) (4, 2, 4), Mazandaran Province with ARIMA (3, 1, 5), Guilan Province with ARIMA (3, 1, 4), and Ardabil Province with ARIMA (5, 1, 2). Furthermore, the mean percentages of absolute error for different provinces were as follows: Golestan Province, 0.114; Mazandaran Province, 0.064; Guilan Province, 0.078; and Ardabil Province, 0.1250. These data demonstrate the high precision of the Box-Jenkins method in predicting the number of traffic-accident injured people, especially in Mazandaran and Guilan provinces. Estimated values for 2016 to 2019 indicate that the road traffic injuries are increasing in Golestan Province and decreasing in Mazandaran, Guilan, and Ardebil provinces. Conclusion: The high precision of the Box--Jenkins method makes it an appropriate way for experts and authorities to predict traffic accident injuries in Golestan, Guilan, Mazandaran, and Ardebil provinces. The reduced number of casualties in Mazandaran, Guilan, and Ardebil indicate a progressive improvement in the transportation system conduct in these provinces. Moreover, Golestan Province is moving towards an increase in traffic accidents, requiring replanning to reduce accidents there. [ABSTRACT FROM AUTHOR]

In this paper, we discuss challenges associated with implementing a policy for Ancillary Care (AC) for related and unrelated (serious) adverse events during an Ebola vaccine trial conducted in a remote area of the Democratic Republic of the Congo. Conducting clinical trials in resource-constrained settings can raise context-related challenges that have implications for study participants' health and wellbeing. During the Ebola vaccine study, three participants were injured in road traffic accidents, but there were unexpected difficulties when trying to apply the AC policy. First, because of the nature of the adverse events, the insurer refused to cover the costs. Second, the AC policy did not address treatments by traditional medicine, even though traditional medicines are frequently used and highly trusted in the study community. This highlighted a contrast between the researchers' well-intentioned AC approach and the participants' legitimate preferences. The way in which researchers should address their responsibility to provide AC is not straightforward; it requires contextualization. Our experience highlights the importance of involving community representatives and the local ethics committee to ensure development of an AC policy that is culturally and ethically appropriate. Additionally, the insurance contract should clearly stipulate which adverse events are linked to the trial participation, and thus eligible for coverage, to avoid controversies when claims are made.

To explore the relations between the number of accident deaths (NCD) and various factors in construction safety, a multiple linear regression model was established, based on the panel data of economy, construction labor, and the number of accident deaths in 31 provinces (regions) of China from 2009 to 2018. The results show that the average total profits and taxes (TPAT), and the death rate of ten thousand people (DR) are positively correlated with NCD, while the labor productivity (LP) is negatively correlated with it. Under the condition that other factors remain unchanged, NCD increases by 0.02 per a hundred million CNY. However, if DR increases by one ten thousand, NCD will increase by 8.66 on average. On the contrary, when LP increases by a hundred million CNY per ten thousand people, NCD decreases by 0.19. The model also predicts NCD in different provinces and cities from 2019 to 2020 with the method of quadratic exponential smoothing. As well, practice results show that the model is effective and practical., (© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Background: The present study aimed to evaluate the surge capability of Shahid Rajaee Trauma Hospital in Shiraz City, Iran, in response to a mass causality incident. Materials and Methods: This descriptive study was conducted in Shahid Rajaee Hospital in Shiraz in 2017. The Delphi technique was used in this study. Three checklists were used for the Emergency Department, Operating Room, and Intensive Care Unit. The surge capacity was calculated for each unit based on the formulas derived from different studies. Results: The surge capacities of the Emergency Department, Intensive Care Unit, and Operating Room were obtained 36%, 20%, and 17.5%, respectively. Shahid Rajaee Hospital of Shiraz can quickly increase its capacity by 27% based on the scenario defined in this study. However, if an accident leads to more causalities, it will likely face several limiting factors for increasing the surge capacity. Conclusion: Due to the critical role of hospitals in the crisis, it seems that the studied hospital should look for ways to increase its surge capacity to cope with unexpected accidents as soon as possible. [ABSTRACT FROM AUTHOR]

The majority of deaths for contemporary young people are related to injuries sustained in motor vehicle accidents. Most prevention efforts targeted at addressing the issue are less than effective and do not address youth driving as a culture. This article presents findings from an ethnographic study that attempts to understand the ways in which youth driving culture is organized in regulatory texts and practices. A brief historical review of youth studies provides a context for how we have come to frame the problem through public health and psychology. The study is based on close observation of youth driving lessons, examination of curricular and policy documents, and public health literatures. Results show that prevention efforts are most often attempted by assigning individual blame to risky young people and provide paradoxical messages that simultaneously pathologize and normalize youth and driving. Theoretical and practical implications for young drivers and the sociological study of youth are discussed. (Contains 1 figure.)

By using the methods of document literature, induction and synthesis, this paper makes a literature review and comparative study on the relevant research of school physical education laws and regulations in China and Japan. Japan is a developed country of school physical education in the world. In the process of building school physical education laws and regulations, there are some methods and ideas to solve school physical education problems. Therefore, it is of great practical significance to analyze the relevant research on Japanese school physical education laws and regulations and to sum up their experience and lessons. This paper quotes the viewpoints of Chinese and Japanese experts and scholars, and makes a literature review on the research of school physical education laws and regulations in Japan from the aspects of the course of construction of school physical education laws and regulations, the system of laws and regulations, legislation, justice, law enforcement, law abiding, content and problems, and comparative study.

Background: Nowadays, industrialization, using cars and consequently traffic jams are part of human life which grows every day. Along with the expansion of communication and transportation speed, the number and severity of traffic accidents increases. According to the World Health Organization, traffic accidents are now recognized as the ninth cause of death worldwide. In Iran, traffic accidents after cardiovascular diseases are the second leading cause of death. Materials and Methods: This qualitative study was designed and implemented to determine driver's views and opinions in two cities of Warsaw, Poland, and Tabriz, Iran, about driver's high-risk behaviors. This study was conducted using in-depth interviews with 27 drivers. The study results were divided into four main questions about driving behaviors, reasons for driving abnormal behaviors, the prevalence and causes of abnormal behaviors, and suggested measures to correct these behaviors. Results: The study results were divided into six main themes of driving norms, individual factors, social factors, external factors, driving skills, and driving laws. Our findings indicate that drivers are more likely to rely on individual skills in driving in unacceptable conditions. In other words, they ignore the rules and regulations. But, when driving in high standards conditions and good facilities, drivers accept the rules and prioritize them. Conclusion: Internal control should be considered a helpful complement to external control, and that external control provides the highest efficiency when it comes with internal control. To internalize norms and observe driving laws and regulations, the authors suggest removing obstacles such as distrust among drivers regarding the effectiveness of driving laws, unawareness of breaking the laws, lack of job satisfaction, low level of participation, and structural barriers. Also, roads and vehicle safety must be improved along with a better track of the drivers' behavior. [ABSTRACT FROM AUTHOR]