Archives

A Survey of Georgia Adult Protective Service Staff: Implications for Older Adult Injury Prevention and Policy

The aging population is a rapidly growing demographic. Isolation and limited autonomy render many of the elderly vulnerable to abuse, neglect and exploitation. As the population grows, so does the need for Adult Protective Services (APS). This study was conducted to examine current knowledge of older adult protection laws in Georgia among APS staff and to identify training opportunities to better prepare the APS workforce in case detection and intervention.

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Elder Financial Exploitation: Implications for Future Policy and Research in Elder Mistreatment

Recent advances in the understanding of elder mistreatment have demonstrated that financial exploitation tends to be one of the most common forms of mistreatment affecting older populations. Agencies such as the World Bank and World Health Organization show significant concern regarding financial exploitation and its connection to physical and emotional injury to victims. The World Bank uses the term “financial violence” as a means of generally describing the harm caused to an individual as a result of financial exploitation or abuse. The proportion of financial exploitation in relation to other forms of elder mistreatment is defined in our research. We discuss the potential impact of elder financial exploitation on victims as well as explore the implications for future research and policy development focused on financial aspects of elder mistreatment and call for further study in the concept of financial exploitation as a violent act.

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Intimate Partner Violence and Sexual Risk-taking among Men Who Have Sex with Men in South Africa

A growing body of literature suggests that men who have sex with men (MSM) represent a high risk group for human immunodeficiency virus (HIV) infection in Africa, but are often overlooked in the development of HIV interventions and programming. Little attention has been paid to the presence of intimate partner violence (IPV) among MSM in African settings. This paper examines reporting of IPV among a sample of predominantly white, gay internet-recruited MSM in South Africa and examines associations between IPV and sexual risk-taking.

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Rape Victimization and High Risk Sexual Behaviors: Longitudinal Study of African-American Adolescent Females

African-American women are affected by disproportionately high rates of violence and sexually transmitted infections (STI)/human immunodeficiency virus (HIV) infection. It is imperative to address the intersection of these two urgent public health issues, particularly as these affect African-American adolescent girls. This study assessed the prevalence of rape victimization (RV) among a sample of African-American adolescent females and examined the extent to which participants with a history of RV engage in STI/HIV associated risk behaviors over a 12-month time period.

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Dyadic Characteristics and Intimate Partner Violence among Men Who Have Sex with Men

  Author Affiliation Rob Stephenson, PhD Emory University, Rollins School of Public Health, Hubert Department of Global Health, Atlanta, GA Christopher Rentsch Emory University, Rollins School of Public Health, Department of Epidemiology, Atlanta, GA Laura F Salazar, PhD Emory University, Rollins School of Public Health, Department of Behavioral Science and Health Education, Atlanta, GA Patrick […]

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A Case Study with an Identified Bully: Policy and Practice Implications

Bullying is a serious public health problem that may include verbal or physical injury as well as social isolation or exclusion. As a result, research is needed to establish a database for policies and interventions designed to prevent bullying and its negative effects. This paper presents a case study that contributes to the literature by describing an intervention for bullies that has implications for practice and related policies regarding bullying.

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Intentional Ethylene Glycol Poisoning Increase after Media Coverage of Antifreeze Murders

The media can have a profound impact on human behavior. A sensational murder by ethylene glycol (EG) poisoning occurred in our state. The regional media provided extensive coverage of the murder. We undertook this investigation to evaluate our incidence of EG poisoning during the timeframe of before the first report linking a death to ethylene glycol to shortly after the first murder trial.

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Injury Secondary to Antiretroviral Agents: Retrospective Analysis of a Regional Poison Center Database

Poisoning is an increasingly important cause of injury in the United States. In 2009 poison centers received 2,479,355 exposure reports, underscoring the role of poison centers in intentional and unintentional injury prevention. Antiretroviral (ARV) agents are commonly prescribed drugs known to cause toxicity, yet the frequency of these incidents is unknown. The objectives of this study were to quantify the number of reported cases of toxicity secondary to ARV agents at a regional poison center, and to describe the circumstances and clinical manifestations of these poisonings.

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Injury Prevention

Suburban Poverty: Barriers to Services and Injury Prevention among Marginalized Women who Use Methamphetamine

This paper aims to identify the needed healthcare and social services barriers for women living in suburban communities who are using or have used methamphetamine. Drug users are vulnerable to injury, violence and transmission of infectious diseases, and having access to healthcare has been shown to positively influence prevention and intervention among this population. Yet little is known regarding the social context of suburban drug users, their risks behaviors, and their access to healthcare.

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Adoption of the 2006 Field Triage Decision Scheme for Injured Patients

When emergency medical services (EMS) providers respond to the scene of an injury, they must decide where to transport the injured patients for further evaluation and treatment. This is done through a process known as “field triage”, whereby a patient’s injuries are matched to the most appropriate hospital. In 2005–2006 the National Expert Panel on Field Triage, convened by the Centers for Disease Control and Prevention and the National Highway Traffic Safety Administration, revised the 1999 American College of Surgeons Committee on Trauma Field Triage Decision Scheme. This revision, the 2006 Field Triage Decision Scheme, was published in 2006.

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Injury Prevention

Systems Thinking in Injury Prevention: An Innovative Model for Informing State and Local Policies

  Author Affiliation Rachel Ferencik, MPA Georgia State University, Georgia Health Policy Center, Atlanta, GA Karen Minyard, PhD Georgia State University, Georgia Health Policy Center, Atlanta, GA Unintentional and violence-related injuries represent one of the leading causes of morbidity and mortality in the United States and in the state of Georgia. In response to the […]

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Injury Prevention

Using Policy to Strengthen the Reach and Impact of Injury Prevention Efforts

  Author Affiliation Monica H. Swahn, PhD, MPH Georgia State University, Institute of Public Health, Atlanta, GA Abigail Hankin, MD, MPH Emory University, Department of Emergency Medicine, Atlanta, GA Debra Houry, MD, MPH Emory University, Department of Emergency Medicine, Atlanta, GA Injury prevention and control remains a key priority in public health and medicine. Across […]

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Approaching Injury and Violence Prevention through Public Health Policy: A Window of Opportunity to Renew Our Focus

  Author Affiliation Linda C. Degutis, DrPH, MSN Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta, GA As the new leader of the Centers for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control, I am thrilled by the opportunity to comment on the future direction […]

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Contact Information

WestJEM/ Department of Emergency Medicine
UC Irvine Health

333 The City Blvd. West, Rt 128-01
Suite 640
Orange, CA 92868, USA
Phone: 1-714-456-6389
Email: editor@westjem.org

Our Philosophy

Emergency Medicine is a specialty which closely reflects societal challenges and consequences of public policy decisions. The emergency department specifically deals with social injustice, health and economic disparities, violence, substance abuse, and disaster preparedness and response. This journal focuses on how emergency care affects the health of the community and population, and conversely, how these societal challenges affect the composition of the patient population who seek care in the emergency department. The development of better systems to provide emergency care, including technology solutions, is critical to enhancing population health.