1,720,985 research outputs found
Foreign bodies inhalation as a research field: What can we learn from a bibliometric perspective over 30 years of literature?
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Naive Bayes classifiers with feature selection to predict hospitalization and complications due to objects swallowing and ingestion among European children
No full textThe inhalation/ingestion of a foreign body in the aerodigestive tract is a serious health problem in paediatric patients. With the increasing availability of large databases with a wide range of information there is a growing need to use methods capable of recognizing classification patterns. Based on a dataset of 356 foreign body injuries located in larynx, pharynx, mouth, esophagus or stomach, which occurred in European children aged up to 14 years in 2000-2002, this study is aimed to predict injury severity applying feature selection procedures for identifying the most influential variables among the consumer product characteristics and the circumstances of the injury that can lead to hospitalization and complications. Selective naïve Bayes classifiers were implemented on a subset of 307 and 303 injuries, for which hospitalization and complications details were given respectively, using filter and wrapper strategies for inducing feature selection. The variables recognized by the selective naïve Bayes were: the injured child age and gender, the foreign body type and its characteristics (volume, consistency, shape), whether the injury occurred in presence or in absence of an adult and the activity the child played before the accident. Filter strategy resulted in the most accurate classification model. Models induced by feature selection approach give an improvement in the comprehensibility of the phenomenon, which is missed when the whole set of variables is considered. The need of fostering the attention of caretakers toward a proper surveillance of children and of the manufactures toward the safety design of the end product emerged. © 2012 Elsevier Ltd
Integrating stress-related ventricular functional and angiographic data in preventive cardiology: a unified approach implementing a Bayesian network
No full textUnderstanding the influence of the snack definition on the association between snacking and obesity: a review
No full textNasal foreign bodies: the experience of the Buenos Aires pediatric otolaryngology clinic
No full textShort-term health service utilization after a paediatric injury: a population-based study
Full text linkBACKGROUND: The aim of the study is to identify which types of injuries are responsible for a major component of the health burden in a population-based children cohort in North-Eastern Italy.
METHODS:
All children (1-13 years) residing in Veneto region, who were hospitalized in 2008 with a International Classification of Diseases, ninth edition, Clinical Modification (ICD-9-CM) code for injury in the first diagnostic field were considered. The outcome was defined as the difference in hospital use in the 12 months following the injury and it was compared to the year preceding the injury occurrence. We computed hospitalization rates by gender, age class and injury type.
RESULTS:
Hospitalization rates for injury are highest in males, especially among school-aged children. Rates for intracranial injury exhibit a more pronounced decline with age in females, whereas a more marked rise in upper limb fracture rates among school-aged males is observed. Overall, 3 days of hospital stay per child are attributable to injury. Burns, skull fracture and a high injury severity are associated with a greater number of additional inpatient days.
CONCLUSIONS:
The impact of specific injury types on health services utilization varies with gender, age and severity. These observed patterns contribute to build a clearer picture of this leading global public health problem and deserve more attention in planning preventive strategies and resource allocation
Seasonal variations in injury rates in children: evidence from a 10-year study in the Veneto Region, Italy
No full textThe objective of this study was to investigate the long term trend of pediatric injuries in Veneto Region (North-East of Italy) over 10 years, evaluating if seasonality in injury hospitalisations exists. Regional data on hospital admissions during the period 2000-2009 were analysed. Injury was defined as any condition identified by the International Classification of Diseases, 9th edition, Clinical Modification (ICD-9-CM) codes 800-999, excluding late effects from injury (ICD-9-CM codes 905-909), and complications of surgical and medical care, not classified elsewhere (ICD-9-CM code 995-999) in the first diagnostic field. Cyclic trends in seasonality of injuries were tested with Nam test. Thirty-five thousand seven hundred and fifty-one hospitalisations due to an injury have been recorded. Significant seasonal variation in hospitalisations for injuries was observed, with a summer to winter ratio ranging from 1.8 for minor injuries to 2.0 for severe injuries (p <0.001). The observed pattern of increased admission in the summer months should guide resource planning and implementation of preventive strategies
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