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Heo S, Ha J, Jung W, Yoo S, Song Y, Kim T, Cha WC. Decision effect of a deep-learning model to assist a head computed tomography order for pediatric traumatic brain injury. Sci Rep 2022; 12:12454. [PMID: 35864281 PMCID: PMC9304372 DOI: 10.1038/s41598-022-16313-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 07/07/2022] [Indexed: 11/09/2022] Open
Abstract
The study aims to measure the effectiveness of an AI-based traumatic intracranial hemorrhage prediction model in the decisions of emergency physicians regarding ordering head computed tomography (CT) scans. We developed a deep-learning model for predicting traumatic intracranial hemorrhages (DEEPTICH) using a national trauma registry with 1.8 million cases. For simulation, 24 cases were selected from previous emergency department cases. For each case, physicians made decisions on ordering a head CT twice: initially without the DEEPTICH assistance, and subsequently with the DEEPTICH assistance. Of the 528 responses from 22 participants, 201 initial decisions were different from the DEEPTICH recommendations. Of these 201 initial decisions, 94 were changed after DEEPTICH assistance (46.8%). For the cases in which CT was initially not ordered, 71.4% of the decisions were changed (p < 0.001), and for the cases in which CT was initially ordered, 37.2% (p < 0.001) of the decisions were changed after DEEPTICH assistance. When using DEEPTICH, 46 (11.6%) unnecessary CTs were avoided (p < 0.001) and 10 (11.4%) traumatic intracranial hemorrhages (ICHs) that would have been otherwise missed were found (p = 0.039). We found that emergency physicians were likely to accept AI based on how they perceived its safety.
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Affiliation(s)
- Sejin Heo
- Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81, Irwon-ro, Gangnam-gu, Seoul, 06351, Republic of Korea.,Department of Digital Health, Samsung Advanced Institute for Health Sciences and Technology (SAIHST), Sungkyunkwan University, Seoul, Republic of Korea
| | - Juhyung Ha
- Department of Computer Science, Indiana University Bloomington, Bloomington, IN, USA
| | - Weon Jung
- Department of Digital Health, Samsung Advanced Institute for Health Sciences and Technology (SAIHST), Sungkyunkwan University, Seoul, Republic of Korea
| | - Suyoung Yoo
- Department of Digital Health, Samsung Advanced Institute for Health Sciences and Technology (SAIHST), Sungkyunkwan University, Seoul, Republic of Korea
| | - Yeejun Song
- Department of Digital Health, Samsung Advanced Institute for Health Sciences and Technology (SAIHST), Sungkyunkwan University, Seoul, Republic of Korea
| | - Taerim Kim
- Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81, Irwon-ro, Gangnam-gu, Seoul, 06351, Republic of Korea.,Department of Digital Health, Samsung Advanced Institute for Health Sciences and Technology (SAIHST), Sungkyunkwan University, Seoul, Republic of Korea
| | - Won Chul Cha
- Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81, Irwon-ro, Gangnam-gu, Seoul, 06351, Republic of Korea. .,Department of Digital Health, Samsung Advanced Institute for Health Sciences and Technology (SAIHST), Sungkyunkwan University, Seoul, Republic of Korea.
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The Effects of Rural Residents’ Sleep Quality on the Incidence of Agricultural Injuries: A Meta-Analysis. CONTRAST MEDIA & MOLECULAR IMAGING 2022; 2022:3832535. [PMID: 35935329 PMCID: PMC9300269 DOI: 10.1155/2022/3832535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 06/08/2022] [Accepted: 06/09/2022] [Indexed: 11/18/2022]
Abstract
To collect relevant literature on the impact of rural residents' sleep quality on the incidence of agricultural injuries, the search time range is 1990~2019. We use RevMan 5.3 software for statistical processing. A total of 7 articles were included. Meta-analysis showed that sleep quality was closely related to agricultural injury. The combined effect was 1.49, 95%CI [1.31, 1.70], Z = 5.93, P < 0.00001. The difference was statistically significant, so poor sleepers had a higher incidence of agricultural injuries than good sleepers. Sleep disturbances and agricultural injuries are two common and significant health problems. Investigations suggest that sleep might increase the risk of agricultural injuries. The aim of the present study was to systematically review and meta-analyze the predictive effect of sleep on agricultural injuries.
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Increased labor losses and decreased adaptation potential in a warmer world. Nat Commun 2021; 12:7286. [PMID: 34907184 PMCID: PMC8671389 DOI: 10.1038/s41467-021-27328-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Accepted: 11/08/2021] [Indexed: 02/06/2023] Open
Abstract
Working in hot and potentially humid conditions creates health and well-being risks that will increase as the planet warms. It has been proposed that workers could adapt to increasing temperatures by moving labor from midday to cooler hours. Here, we use reanalysis data to show that in the current climate approximately 30% of global heavy labor losses in the workday could be recovered by moving labor from the hottest hours of the day. However, we show that this particular workshift adaptation potential is lost at a rate of about 2% per degree of global warming as early morning heat exposure rises to unsafe levels for continuous work, with worker productivity losses accelerating under higher warming levels. These findings emphasize the importance of finding alternative adaptation mechanisms to keep workers safe, as well as the importance of limiting global warming. Outdoor workers may need to adapt to warming by moving labor from midday to cooler hours. Here the authors find this adaptation strategy loses efficacy under additional climate change due to increased heat exposure in the coolest hours of the day.
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A systematic review of factors leading to occupational injuries and fatalities. J Public Health (Oxf) 2021. [DOI: 10.1007/s10389-020-01427-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Deliberate self-harm among children with disabilities in China: a matched case-control study. Pediatr Res 2019; 85:275-282. [PMID: 30568186 DOI: 10.1038/s41390-018-0258-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2018] [Accepted: 11/28/2018] [Indexed: 11/08/2022]
Abstract
BACKGROUND Study about deliberate self-harm (DSH) in children with different types of disabilities was scarce. This study compared the incidence and patterns of DSH between children with and without disabilities aged 6-17 years using a matched case-control study in Beijing. METHODS A total of 650 pairs of children with and without disabilities were surveyed. Characteristics of latest episode of self-harm within the 12 months were compared. Associations between disability status, sociodemographic factors, smoking, drinking, sleep problems, and self-harm were examined. RESULTS Children with disabilities showed significant higher incidence of DSH than children without disabilities. Two groups differed significantly in terms of self-harm methods, body parts injured, premeditation, wishing to be known by others and help-seeking behavior. The adjusted OR for self-harm was 4.76 (2.99-7.55) for children with disabilities compared with children without disabilities. Children who slept fewer than 6 h per night, had difficulty falling asleep at night sometimes/often, and went to sleep after midnight 1 to 3 nights per month or at least once a week were at elevated risk of self-harm. CONCLUSION This study highlights a strong relationship between disability, sleep problems, and DSH. Interventions to reduce self-harm should target disability and sleep problems as important risk factors.
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Stankevitz K, Staton C, Schoenfisch A, de Silva V, Tharindra H, Stroo M, Ostbye T. Prevalence of occupational injury and its contributing factors among rubber tappers in Galle, Sri Lanka. INTERNATIONAL JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH 2016; 22:333-340. [PMID: 27784205 DOI: 10.1080/10773525.2016.1247026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND Rubber tapping involves carrying heavy loads, navigating rough terrain, and using sharp tools. However, little is known about occupational injury among this vulnerable working population. OBJECTIVE To assesses the prevalence, severity, and contributing factors associated with occupational injury among Sri Lankan rubber tappers and to identify possible interventions to improve occupational safety. METHODS A questionnaire was administered to 300 Sri Lankan rubber tappers. The associations between tapper characteristics and injury within the last year were examined using log-binomial regression models. Short response answers were analyzed using qualitative content analysis. RESULTS 300 tappers reported 594 injuries in the previous 12 months, and missed 1,080 days of work. The prevalence of one or more injuries was 49%. Factors associated with injury were being female, working an additional job, tapping with a two-handed approach, and depressive symptomology. Qualitative findings suggest three interventions to address injuries: (1) landscaping, (2) personal protective equipment, and (3) provision of eyeglasses. CONCLUSIONS Work-related injuries are common among Sri Lankan rubber tappers. These results highlight the importance of working with and including informal workers in the creation of Sri Lankan occupational health and safety regulations. We believe that the three interventions identified by respondents could help to reduce the risk of occupational injury among rubber tappers.
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Affiliation(s)
- Kayla Stankevitz
- a Department of Community and Family Medicine , Duke University , Durham , NC , USA
| | - Catherine Staton
- b Duke Global Health Institute, Duke University , Durham , NC , USA.,c Division of Emergency Medicine , Duke University , Durham , NC , USA
| | - Ashley Schoenfisch
- a Department of Community and Family Medicine , Duke University , Durham , NC , USA.,d Duke School of Nursing , Duke University , Durham , NC , USA
| | - Vijitha de Silva
- e Faculty of Medicine, Department of Community Medicine , University of Ruhuna , Galle , Sri Lanka
| | - Hemajith Tharindra
- e Faculty of Medicine, Department of Community Medicine , University of Ruhuna , Galle , Sri Lanka
| | - Marissa Stroo
- a Department of Community and Family Medicine , Duke University , Durham , NC , USA
| | - Truls Ostbye
- a Department of Community and Family Medicine , Duke University , Durham , NC , USA.,b Duke Global Health Institute, Duke University , Durham , NC , USA
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Kim H, Räsänen K, Chae H, Kim K, Kim K, Lee K. Farm Work–Related Injuries and Risk Factors in South Korean Agriculture. J Agromedicine 2016; 21:345-52. [DOI: 10.1080/1059924x.2016.1211573] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Tan Y, Ma D, Chen Y, Cheng F, Liu X, Li L. Relationships between Sleep Behaviors and Unintentional Injury in Southern Chinese School-Aged Children: A Population-Based Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2015; 12:12999-3015. [PMID: 26501305 PMCID: PMC4627013 DOI: 10.3390/ijerph121012999] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/10/2015] [Revised: 09/20/2015] [Accepted: 10/14/2015] [Indexed: 02/05/2023]
Abstract
The purpose of this study is to explore the relationships between sleep behaviors and injury occurrence among Chinese school-aged children. Data were collected with self-administered questionnaires of a cross-sectional survey which covered the school-aged children from southeastern Chinese urban and rural areas in April 2010. Information was collected on unintentional injury in the past year, sleep duration, napping and daytime fatigue, sleeping pill use, and social-demographic variables. Multivariable logistic regression analyses, controlling for confounding factors, were conducted to assess sleep-related variables that were associated with injuries. Students who slept for less than 8 h had a 30% increased risk of injury (OR: 1.30; 95%CI: 1.01-1.69) compared with those who slept for 8-9 h. Lack of napping, snoring and use of sleeping pills were significantly associated with injury. Among different genders, the slight difference in sleep behaviors predicted the occurrence of injury. Rural children displayed more sleep behaviors associated with injury than urban children. The sleep behaviors of primary school students were more negatively correlated with injury occurrence than junior/senior high school children. Consideration should be given to the prevention of problematic sleep behaviors as a potential risk factor in order to decrease injury rates and promote the health of school-aged children.
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Affiliation(s)
- Yafei Tan
- Center for Injury Prevention Research, Shantou University Medical College, Shantou 515041, China.
| | - Di Ma
- Joint Shantou International Eye Center of Shantou University and Chinese University of Hong Kong, Shantou 515041, China.
| | - Ying Chen
- Center for Injury Prevention Research, Shantou University Medical College, Shantou 515041, China.
| | - Fuyuan Cheng
- Center for Injury Prevention Research, Shantou University Medical College, Shantou 515041, China.
| | - Xiangxiang Liu
- Center for Injury Prevention Research, Shantou University Medical College, Shantou 515041, China.
| | - Liping Li
- Center for Injury Prevention Research, Shantou University Medical College, Shantou 515041, China.
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Yu J, Kim J. The Effect of Sleep Duration and Relief of Fatigue after Sleep on the Risk of Injury at School among Korean Adolescents. ACTA ACUST UNITED AC 2015. [DOI: 10.12799/jkachn.2015.26.2.100] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Jungok Yu
- Wolgye Elementary School, Ulsan, Korea
| | - Jungsoon Kim
- College of Nursing, Pusan National University, Yangsan, Korea
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