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51.
Objective
In order to be reimbursed for the care they provide, hospitals in the United States are required to use a standard system to code all discharge diagnoses: the International Classification of Disease, 9th Revision, Clinical Modification (ICD-9). Although ICD-9 codes specific for child maltreatment exist, they do not identify all maltreatment-related hospital and emergency department discharges. To increase the usefulness of medical data for public health surveillance of child maltreatment, this project sought to identify ICD-9 codes that are suggestive of child maltreatment.Methods
After review of the literature and discussions with experts, injuries and conditions that should raise suspicion of child maltreatment (physical or sexual abuse or neglect) were identified and a list of corresponding ICD codes was compiled. Using a statewide electronic database of hospital discharges and emergency department (ED) visits for the year 2000, visits by children assigned these ICD codes were identified, a sample of visits was selected, and medical records were reviewed to assess the circumstances of the injury or illness that led to the visit. Based on information in the medical record, the injury or illness was classified as maltreatment-related, or not.Results
There were 3,684 visits selected for review. Of these, 2,826 records were reviewed and classified; 1,200 (43%) records met the criteria for being maltreatment-related, 1,419 (50%) contained adequate information indicating the injury/condition was not likely maltreatment-related, and 207 (7%) records did not contain enough information to classify. Sixty-eight ICD codes had >66% of visits classified as maltreatment-related, the a priori criteria for a code to be considered suggestive of maltreatment. Codes suggestive of maltreatment include specific fractures, burns, and injuries of undetermined intent, among others.Conclusion
Several ICD codes were found that, when used with age restrictions and other specific exclusion criteria, are suggestive of maltreatment. This information may increase the usefulness of hospital discharge data for public health surveillance of child maltreatment.Practice implications
Use of these suggestive codes facilitates identifying conditions and injuries that are likely maltreatment-related in hospital discharge and ED visit data. When used in conjunction with ICD maltreatment-specific codes, these suggestive codes may enhance the use of medical data for monitoring child maltreatment trends. 相似文献52.
王宇 《四川教育学院学报》2011,27(1):41-44
在大众文化研究视野下,通过运用Fiske"电视编码"理论解读美国好莱坞科幻片《异种Ⅳ:唤醒》,揭示潜藏在其中的种族主义、男权社会及基督教伦理道德等思想意识形态编码,并说明这些编码如何体现了美国社会的主流意识形态并为其服务。 相似文献
53.
本文旨在对社团文化之兴趣、意象、情感、人际关系、理性典范、代偿、升华等非智力性因素对中职生行为规范养成的影响进行实践探索和研究. 相似文献
54.
双护盾掘进机是一种高速、安全、自动化的隧洞工程施工机械,在实际工程中得到了广泛的应用。通过对其循环施工过程的深入研究,建立了双护盾掘进机循环运行网络模拟模型。采用循环运行网络理论,结合计算机模拟技术,开发了双护盾掘进机施工模拟程序。对一个工程实例进行了模拟分析,得到了此施工方案的施工净工期、净成本、掘进机掘进效率。 相似文献
55.
Motivated by the work in [1] of Abualrub and Siap (2009), we investigate (1+λu)-constacyclic codes over Fp[u]/〈um〉 of an arbitrary length, where λ is a nonzero element of Fp. We find the generator polynomials of (1+λu)-constacyclic codes over Fp[u]/〈um〉, and determine the number of (1+λu)-constacyclic codes over Fp[u]/〈um〉 for a given length, as well as the number of codewords in each such code. Some optimal linear codes over F3 and F5 are constructed from (1+λu)-constacyclic codes over Fp+uFp under a Gray map. 相似文献
56.
三弦定理和Ptolemy定理等价 总被引:1,自引:0,他引:1
李海龙 《鞍山师范学院学报》2000,2(3):3-5
利用正弦定理极为简单地证明三弦定理和Ptolemy定理等价,为完整起 见,提供了Ptolemy定理的一个简单的几何证明。 相似文献
57.
58.
吴明忠 《内江师范学院学报》2014,(2):1-4
通过Galois环上的循环码给出Galois环上RS码的定义,并讨论了RS码的对偶码.另外,对Galois环上RS码的一个简单的推广,并对广义RS码给出详细的叙述. 相似文献
59.
新旧竞技健美操竞赛规则对比分析 总被引:1,自引:0,他引:1
在2004版竞技健美操竞赛规则出台不久,国际体联又于2004年9月底颁布了2005-2008年新竞赛规则(以下简称新规则),新规则在原有规则的基础上作了较大的修改与补充.通过对新旧规则详细的对比分析,从而预测竞技健美操项目的发展趋势,把握其发展脉搏,为我国竞技健美操的训练与编排提供一定的理论参考. 相似文献
60.
本文通过对国有企业的经营行为在两种体制下的比较分析,依据集体主义的社会主义道德原则,探讨国有企业经营行为在不同体制下的道德含义,着重分析了不同体制下的国有企业经营行为和集体主义原则的结合,以及国有企业道德失范的原因。 相似文献