Tecnología y competitividad en la economía mundial. Factores e indicadores clave de actuación

Durante los últimos 30 años se han creado una gran cantidad de índices e indicadores para evaluar la práctica totalidad de los países bajo distintas premisas. La tesis parte de un análisis detallado de más de un centenar de estos índices diferenciados entre los enfocados al desarrollo y los enfocados a la competitividad económica (véase Módulo I anexo) y tras esto, dentro del estudio teórico nos hemos centrado en 35 indicadores relacionados con la tecnología (capítulo 3, apartado 3.3.). La justificación, el objetivo de la investigación y la estructura de la tesis se presenta en el capítulo 2. Respecto a la metodología, tal y como se plantea en la hipótesis (apartado 2.2.), se presentan los criterios de selección de seis grupos de países (EP, EPC, EC, ECI, EI y EM)1, que se van a evaluar. Posteriormente se plantea el Protocolo de Cálculo para el total de grupos seleccionados dentro de los periodos 2005-2006 y 2007-2008 y se realiza una profunda evaluación estadística como se plantea dentro de la coherencia estadística explicada en el apartado 3.4.4.5. (también se dispone de los cálculos dentro de los Módulos II, III, IV y V anexos). Tras la metodología establecemos la construcción de un índice sintético NRI(A) y, tras esto, estudiamos las relaciones así como la interpretación de los resultados (capítulo 4, apartado 4.1.). Una vez obtenidos los resultados realizamos la validación de los mismos para el periodo 2007-2015 (capítulo 4 - apartado 4.2. – y los Módulos VI y VII anexos). En el capítulo 5, evaluamos el nivel de preparación tecnológico y su relación con la competitividad para los seis grupos de países (véase desde los apartados 5.1.y 5.2.). Dentro de cada uno de los seis grupos de países, sabemos las variables que cualitativamente tienen que priorizarse para mejorar el nivel de preparación tecnológica de los mismos. Estas variables inicialmente son sesenta y ocho – año 2007-08 –, y al final de la implementación del método se reducen notablemente. Estas variables finales, llamadas Indicadores Clave de Actuación (ICA), se agrupan – vía análisis factorial – en Factores Clave de Actuación que nos simplifican lo planteado. Para cada grupo de países se realizan los conglomerados de acuerdo a sus valores dentro de las ICAs en busca de singularidades y se ha llevado a cabo un análisis minucioso en función de los Indicadores Clave de Actuación. La Tesis, plantea científicamente como podemos evaluar el nivel de preparación tecnológica y su relación con la competitividad, desde un índice sintético creado NRI(A), que contempla únicamente Indicadores Clave de Actuación (variables seleccionadas) a partir de las variables originales del Network Readiness Index (NRI(R)) . Por último se plantea dentro de las conclusiones, capítulo 6, diferentes líneas de investigación, desarrollando dos de ellas que se pueden encontrar en el Modulo VIII anexo. Por un lado presentamos una línea de investigación centrada en 29 economías africanas (EA) de las que disponemos información fidedigna y por otro lado una segunda línea en la que nos centramos en la evaluación de España respecto a sus naciones coetáneas. La principal voluntad de la presente tesis doctoral, es simplificar la evaluación del nivel de preparación tecnológica y la relación de esta con la competitividad a partir de la creación de un índice sintético propio NRI(A). ABSTRACT - During the last 30 years, many institutions have been evaluating and endless range of variables in practically all of the world´s economies. This Thesis is the product of a detail analysis of more than one hundred indicators / index, which we have divided into two parts: those focused on development and those focused on economic competitiveness (see module I annex). Secondly, in our theoretical research we have concentrated on those indicators, which are related to technology (chapters 3, section 3.3). The selection criteria of the six economic groups to be evaluated are included in our methodology, as mentioned in the hypothesis (see section 2.2.). Subsequently the calculation procedure is also presented for all of the groups selected between the periods 2005-2006 and 2007-2008. Next, we perform a statistical study, which is presented accordingly in the segment dealing with statistics, section 3.4.4.5. The calculations are provided in modules I, II, III, IV and V annex. After the methods segment of the Thesis, we develop our argument, in which we presented the explanation of the relations as well as the interpretation of the results. Also at the chapter 4 you can find the result validation from 2007 till 2015. Finally in chapters 6, we evaluate the conclusions for the six economic groups (see section 6.2.). The Thesis scientifically explains the way in which we evaluate economic competitiveness in 135 countries from a standpoint of strictly technological variables. Six groups of countries are evaluated, being divided by criteria, which homogenize the economies under review. We recognize that the variables of each economic group should be prioritized in order to better their competitiveness. Initially the group consisted of 68 variables, a number which was considerably reduced after the implementation of our methodology. Likewise, these final variables, dubbed “key performance indicators”, were grouped into factors (key performance factors), which greatly simplify the prioritization process. At the same time, conglomerates have been created for each economic group according to their value concerning the selected variables. A detailed country – by – country analysis of their positioning in each of the six groups was conducted for each of the mathematically selected key performance indicators. Finally, at the Conclusion we introduce new research lines and between them we focus on two research lines in which ones we are working with (see chapter 6). We basically try to apply the multivariable analysis method, the factorial analysis and the conglomerates to designed and implemented our method first in a geographically group of countries (Africa) and secondly to evaluate and develop the public policies for Spain for the development of its competitively, comparing Spain to his coetaneous countries in Europe (see Module VIII). The main objective of this Doctoral Thesis is to noticeably simplify the comparison of the Network Readiness Index and its relation with the economic competitiveness of the countries using a new synthetic index design by us.

Organização e dinâmica psíquica na obesidade infantil

Instrumentos de avaliação psicológica constituem-se em métodos sistemáticos de investigação e de compreensão de componentes estruturais e funcionais do comportamento humano, com diversificados objetivos e estratégias técnicas, respeitando-se especificidades das etapas do desenvolvimento. Em processos de avaliação psicológica de características da personalidade, os métodos projetivos, como o Método de Rorschach e o Desenho da Figura Humana, são recursos amplamente utilizados, contribuindo para a compreensão e elaboração de intervenções terapêuticas em variados campos de aplicação, como na área da obesidade infantil. Nesse contexto, este trabalho teve por objetivo identificar e comparar características psicológicas de crianças com obesidade em relação a eutróficas, a partir de métodos projetivos de investigação da personalidade. Foram examinadas 60 crianças de sete a 11 anos de idade, sendo 30 crianças diagnosticadas como obesas e em tratamento específico para o transtorno (Grupo 1 - G1) e 30 crianças com peso normal (Grupo 2 - G2), sem atraso acadêmico, sem limites cognitivos e sem histórico de outras doenças físicas. Os participantes de G1 foram recrutados em instituições de saúde voltadas ao tratamento da obesidade infantil e G2 foi constituído a partir de parceria estabelecida com instituição de ensino bem como a partir de contatos informais da pesquisadora e de seu grupo de pesquisa (técnica da \"bola de neve\"), buscando-se balanceamento dos grupos por sexo e idade. Os seguintes instrumentos de avaliação psicológica foram aplicados individualmente nas crianças: Teste das Matrizes Progressivas Coloridas de Raven (critério de seleção de participantes, incluindo-se na amostra apenas crianças com resultados intelectuais médios ou superiores), o Desenho da Figura Humana e o Método de Rorschach (Escola Francesa). Os pais das crianças participantes responderam ao Questionário de Capacidades e Dificuldades (SDQ) para caracterização da amostra. Os resultados foram examinados conforme padronização específica dos respectivos manuais técnicos dos instrumentos, realizando-se análises descritivas e inferenciais, a fim de examinar possíveis associações entre variáveis clínicas e demográficas e indicadores de características de personalidade das crianças. Foram efetuadas análises correlacionais entre resultados no DFH e no Rorschach, considerando também a classificação nutricional da criança. Os achados permitem compreender características do funcionamento psíquico envolvidas na obesidade infantil, de modo a favorecer estratégias futuras de intervenção terapêutica com crianças. (CAPES)

The XMM deep survey in the CDF-S. VI. Obscured AGN selected as infrared power-law galaxies

Context. Accretion onto supermassive black holes is believed to occur mostly in obscured active galactic nuclei (AGN). Such objects are proving rather elusive in surveys of distant galaxies, including those at X-ray energies. Aims. Our main goal is to determine whether the revised IRAC criteria of Donley et al. (2012, ApJ, 748, 142; objects with an infrared (IR) power-law spectral shape), are effective at selecting X-ray type-2 AGN (i.e., absorbed N_H > 10^22 cm^-2). Methods. We present the results from the X-ray spectral analysis of 147 AGN selected by cross-correlating the highest spectral quality ultra-deep XMM-Newton and the Spitzer/IRAC catalogues in the Chandra Deep Field South. Consequently it is biased towards sources with high S/N X-ray spectra. In order to measure the amount of intrinsic absorption in these sources, we adopt a simple X-ray spectral model that includes a power-law modified by intrinsic absorption at the redshift of each source and a possible soft X-ray component. Results. We find 21/147 sources to be heavily absorbed but the uncertainties in their obscuring column densities do not allow us to confirm their Compton-Thick nature without resorting to additional criteria. Although IR power-law galaxies are less numerous in our sample than IR non-power-law galaxies (60 versus 87 respectively), we find that the fraction of absorbed (N_H^intr > 10^22 cm^-2) AGN is significantly higher (at about 3 sigma level) for IR-power-law sources (similar to 2/3) than for those sources that do not meet this IR selection criteria (~1/2). This behaviour is particularly notable at low luminosities, but it appears to be present, although with a marginal significance, at all luminosities. Conclusions. We therefore conclude that the IR power-law method is efficient in finding X-ray-absorbed sources. We would then expect that the long-sought dominant population of absorbed AGN is abundant among IR power-law spectral shape sources not detected in X-rays.

Sustainable materials: The business case for green chemistry design practices

Product manufacturers face increasing environmental and human health regulations with certain regulations targeting specific chemicals of concern that must be removed from the supply chain. This study examines a green chemistry approach to choosing between flame retardant alternatives in electronic products during the design phase of product development. An aggregated score based on five criteria was generated for each flame retardant. To address subjectivity and cognitive bias concerns probabilistic sensitivity analysis was applied to the weighting factors used to generate the scores to examine the reliability of the results. The highest scoring flame retardants based on the comprehensive green chemistry approach were different from the flame retardants chosen using cost as the primary selection criteria.

Legislation on violence against women: overview of key components

This study aimed to determine if legislation on violence against women (VAW) worldwide contains key components recommended by the Pan American Health Organization (PAHO) and the United Nations (UN) to help strengthen VAW prevention and provide better integrated victim protection, support, and care. A systematic search for VAW legislation using international legal databases and other electronic sources plus data from previous research identified 124 countries/territories with some type of VAW legislation. Full legal texts were found for legislation from 104 countries/territories. Those available in English, Portuguese, and Spanish were downloaded and compiled and the selection criteria applied (use of any of the common terms related to VAW, including intimate partner violence (IPV), and reference to at least two of six sectors (education, health, judicial system, mass media, police, and social services) with regard to VAW interventions (protection, support, and care). A final sample from 80 countries/territories was selected and analyzed for the presence of key components recommended by PAHO and the UN (reference to the term "violence against women" in the title; definitions of different types of VAW; identification of women as beneficiaries; and promotion of (reference to) the participation of multiple sectors in VAW interventions). Few countries/territories specifically identified women as the beneficiaries of their VAW legislation, including those that labeled their legislation "domestic violence" law ( n = 51), of which only two explicitly mentioned women as complainants/survivors. Only 28 countries/territories defined the main forms of VAW (economic, physical, psychological, and sexual) in their VAW legislation. Most highlighted the role of the judicial system, followed by that of social services and the police. Only 28 mentioned the health sector. Despite considerable efforts worldwide to strengthen VAW legislation, most VAW laws do not incorporate the key recommended components. Significant limitations were found in the legislative content, its application, and the extent to which it provided women with integrated protection, support, and care. In developing new VAW legislation, policymakers should consider the vital role of health services.

Ingesta energética y de macronutrientes en mujeres atletas

Objetivo: determinar la ingesta de macronutrientes adecuada para mejorar el estado nutricional de las mujeres atletas y su rendimiento deportivo. Métodos: se realizó una búsqueda en cuatro bases de datos: EBSCO, Proquest, Pubmed y OvidSP, empleando las palabras clave “protein intake” AND “athletes” y “endurance athletes” AND “nutrition”. Criterios de selección: artículos originales sobre el consumo de proteínas en atletas femeninas (Entre 2009 y 2014), en revistas científicas indexadas. Resultados: se identificaron 722 artículos, de los cuales solo el 1,4% fueron considerados como incluidos. El 100% eran ensayos clínicos finalizados y publicados en el extranjero, el 50% en EE. UU. El 20% eran estudios exclusivos de mujeres atletas y el 80% incluían hombres y mujeres en la muestra. En el 70% de los estudios las mujeres atletas presentaron déficits energéticos; en la ingesta proteica, el 70% cumplieron con las recomendaciones dietéticas; la ingesta de hidratos de carbono fue inadecuada en el 90% de los ensayos clínicos y, en el 50%, las mujeres presentaban una sobreingesta de grasas. Conclusiones: existe una deficiencia de información acerca de la nutrición en mujeres atletas en Europa y a nivel internacional. Las atletas femeninas consumen energía y macronutrientes en menor proporción que los atletas masculinos. No existe consenso en el rango de proteínas recomendado y se encuentran discrepancias en el consumo en función del tipo de ejercicio físico que se realice. Se recomienda llevar a cabo un acuerdo entre instituciones científicas de prestigio sobre la ingesta energética y de macronutrientes en el deporte, especialmente en la mujer.

Percepción de los profesionales de enfermería y auxiliares de enfermería sobre cultura de seguridad del paciente en el área quirúrgica

Objetivos: Evaluar las percepciones, opiniones y conductas que tienen enfermeros y auxiliares de enfermería sobre seguridad del paciente en el servicio quirúrgico de un hospital público del Sistema Nacional de Salud español. Describir fortalezas y debilidades/oportunidades de mejora según criterios de la Agency for Healthcare Research and Quality y conocer el número de incidentes de seguridad notificados. Método: Estudio observacional, transversal, llevado a cabo utilizando la versión española del cuestionario Hospital Survey on Patient Safety Culture. La muestra estuvo constituida por profesionales de enfermería que aceptaron participar en el estudio voluntariamente y cumplían los criterios de selección. Se realizó un análisis descriptivo e inferencial en función de la naturaleza de las variables y las condiciones de aplicación de los test estadísticos. Significación p < 0,05. Resultados: Respondieron 74 profesionales de enfermería (63,2%). No se encontró ninguna fortaleza en el servicio quirúrgico, y las áreas principales que necesitan mejora corresponden a «Dotación de personal» (64,0%) y «Apoyo de la gerencia del hospital en materia de seguridad del paciente» (52,9%). El 52,3% (n = 65) califica el grado de seguridad del paciente entre 7 y 8,99 (en una escala de 10); el 79,7% (n = 72) no notificó ningún incidente durante el último año. La varianza total explicada por el modelo de regresión fue 0,56 para «Frecuencia de eventos notificados» y 0,26 para «Percepción de seguridad». Conclusiones: Percepción más positiva sobre cultura de seguridad del paciente a nivel de unidad/servicio. Las debilidades identificadas pueden servir para diseñar actividades concretas de intervención para mejorar la cultura de seguridad del paciente en otros servicios quirúrgicos del entorno.

Insuficiência hepática aguda provocada por Amanita phalloides

Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014

Hemorragia subaracnoideia (HSA) por rotura de aneurisma cerebral em doentes admitidos no Hospital de Santa Maria (HSM) : análise retrospetiva de 2008 a 2012

Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014

Perceção dos educadores sobre as potencialidades do livro de literatura para a infância

Tese de doutoramento, Educação (Psicologia da Educação), Universidade de Lisboa, Instituto de Educação, 2016

Community-based programmes to prevent pedestrian injuries in children 0-14 years: A systematic review

Community-based models for injury prevention have become an accepted part of the overall injury control strategy. This systematic review of the scientific literature examines the evidence for their effectiveness in reducing pedestrian injury in children 0-14 years of age. A comprehensive search of the literature was performed using the following study selection criteria: community-based intervention study; target population was children under 14 years; outcome measure is either pedestrian injury rates or observed child pedestrian or vehicle driver behaviour; and use of a community control or an historical control in the study design. Quality assessment and data abstraction was guided by a standardized procedure and performed independently by two authors. Data synthesis was in tabular and text form with meta-analysis not being possible due to the discrepancy in methods and measures between the studies.

Community-based interventions for the prevention of burns and scalds in children

Background Burns and scalds are a significant cause of morbidity and mortality in children. Successful counter-measures to prevent burn and scald-related injury have been identified. However, evidence indicating the successful roll-out of these counter-measures into the wider community is lacking. Community-based interventions in the form of multi-strategy, multi-focused programmes are hypothesised to result in a reduction in population-wide injury rates. This review tests this hypothesis with regards to burn and scald injury in children. Objectives To assess the effects of community-based interventions, defined as coordinated, multi-strategy initiatives, for reducing burns and scalds in children aged 14 years and under. Search strategy We searched the Cochrane Injuries Group's specialised register, CENTRAL, MEDLINE, EMBASE, CINAHL, PsycINFO, National Research Register and the Web of Knowledge. We also handsearched selected journals and checked the reference lists of selected publications. The searches were last updated in May 2007. Selection criteria Included studies were those that reported changes in medically attended burn and scald-related injury rates in a paediatric population (aged 14 years and under), following the implementation of a controlled community-based intervention. Data collection and analysis Two authors independently assess studies for eligibility and extracted data. Due to heterogeneity between the included studies, a pooled analysis was not appropriate. Main results Of 39 identified studies, four met the criteria for inclusion. Two of the included studies reported a significant decrease in paediatric burn and scald injury in the intervention compared with the control communities. The failure of the other two studies to show a positive result may have been due to limited time-frame for the intervention and/or failure to adequately implement the counter-measures in the communities. Authors' conclusions There are a very limited number of research studies allowing conclusions to be drawn about the effectiveness of community-based injury prevention programmes to prevent burns and scalds in children. There is a pressing need to evaluate high-quality community-based intervention programmes based on efficacious counter-measures to reduce burns and scalds in children. It is important that a framework for considering the problem of burns and scalds in children from a prevention perspective be articulated, and that an evidence-based suite of interventions be combined to create programme guidelines suitable for implementation in communities throughout the world.

Viscosupplementation for the treatment of osteoarthritis of the knee (Review)

Background Osteoarthritis (OA) is the most prevalent chronic joint disorder worldwide and is associated with significant pain and disability. Objectives To assess the effects of viscosupplementation in the treatment of OA of the knee. The products were hyaluronan and hylan derivatives (Adant, Arthrum H, Artz (Artzal, Supartz), BioHy (Arthrease, Euflexxa, Nuflexxa), Durolane, Fermathron, Go-On, Hyalgan, Hylan G-F 20 (Synvisc Hylan G-F 20), Hyruan, NRD-101 (Suvenyl), Orthovisc, Ostenil, Replasyn, SLM-10, Suplasyn, Synject and Zeel compositum). Search strategy MEDLINE (up to January (week 1) 2006 for update), EMBASE, PREMEDLINE, Current Contents up to July 2003, and the Cochrane Central Register of Controlled Trials (CENTRAL) were searched. Specialised journals and reference lists of identified randomised controlled trials (RCTs) and pertinent review articles up to December 2005 were handsearched. Selection criteria RCTs of viscosupplementation for the treatment of people with a diagnosis of OA of the knee were eligible. Single and double-blinded studies, placebo-based and comparative studies were eligible. At least one of the four OMERACT III core set outcome measures had to be reported (Bellamy 1997). Data collection and analysis Each trial was assessed independently by two reviewers for its methodological quality using a validated tool. All data were extracted by one reviewer and verified by a second reviewer. Continuous outcome measures were analysed as weighted mean differences (WMD) with 95% confidence intervals (CI). However, where different scales were used to measure the same outcome, standardized mean differences (SMD) were used. Dichotomous outcomes were analyzed by relative risk (RR). Main results Seventy-six trials with a median quality score of 3 (range 1 to 5) were identified. Follow-up periods varied between day of last injection and eighteen months. Forty trials included comparisons of hyaluronan/hylan and placebo (saline or arthrocentesis), ten trials included comparisons of intra-articular (IA) corticosteroids, six trials included comparisons of nonsteroidal anti-inflammatory drugs (NSAIDs), three trials included comparisons of physical therapy, two trials included comparisons of exercise, two trials included comparisons of arthroscopy, two trials included comparisons of conventional treatment, and fifteen trials included comparisons of other hyaluronans/hylan. The pooled analyses of the effects of viscosupplements against 'placebo' controls generally supported the efficacy of this class of intervention. In these same analyses, differential efficacy effects were observed for different products on different variables and at different timepoints. Of note is the 5 to 13 week post injection period which showed a percent improvement from baseline of 28 to 54% for pain and 9 to 32% for function. In general, comparable efficacy was noted against NSAIDs and longer-term benefits were noted in comparisons against IA corticosteroids. In general, few adverse events were reported in the hyaluronan/hylan trials included in these analyses. Authors' conclusions Based on the aforementioned analyses, viscosupplementation is an effective treatment for OA of the knee with beneficial effects: on pain, function and patient global assessment; and at different post injection periods but especially at the 5 to 13 week post injection period. It is of note that the magnitude of the clinical effect, as expressed by the WMD and standardised mean difference (SMD) from the RevMan 4.2 output, is different for different products, comparisons, timepoints, variables and trial designs. However, there are few randomised head-to-head comparisons of different viscosupplements and readers should be cautious, therefore, in drawing conclusions regarding the relative value of different products. The clinical effect for some products, against placebo, on some variables at some timepoints is in the moderate to large effect-size range. Readers should refer to relevant tables to review specific detail given the heterogeneity in effects across the product class and some discrepancies observed between the RevMan 4.2 analyses and the original publications. Overall, the analyses performed are positive for the HA class and particularly positive for some products with respect to certain variables and timepoints, such as pain on weight bearing at 5 to 13 weeks postinjection. In general, sample-size restrictions preclude any definitive comment on the safety of the HA class of products; however, within the constraints of the trial designs employed no major safety issues were detected. In some analyses viscosupplements were comparable in efficacy to systemic forms of active intervention, with more local reactions but fewer systemic adverse events. In other analyses HA products had more prolonged effects than IA corticosteroids. Overall, the aforementioned analyses support the use of the HA class of products in the treatment of knee OA.

A report of a national mutation testing service for the MEN1 gene: clinical presentations and implications for mutation testing

Introduction: Mutation testing for the MEN1 gene is a useful method to diagnose and predict individuals who either have or will develop multiple endocrine neoplasia type 1 ( MEN 1). Clinical selection criteria to identify patients who should be tested are needed, as mutation analysis is costly and time consuming. This study is a report of an Australian national mutation testing service for the MEN1 gene from referred patients with classical MEN 1 and various MEN 1- like conditions. Results: All 55 MEN1 mutation positive patients had a family history of hyperparathyroidism, had hyperparathyroidism with one other MEN1 related tumour, or had hyperparathyroidism with multiglandular hyperplasia at a young age. We found 42 separate mutations and six recurring mutations from unrelated families, and evidence for a founder effect in five families with the same mutation. Discussion: Our results indicate that mutations in genes other than MEN1 may cause familial isolated hyperparathyroidism and familial isolated pituitary tumours. Conclusions: We therefore suggest that routine germline MEN1 mutation testing of all cases of classical'' MEN1, familial hyperparathyroidism, and sporadic hyperparathyroidism with one other MEN1 related condition is justified by national testing services. We do not recommend routine sequencing of the promoter region between nucleotides 1234 and 1758 ( Genbank accession no. U93237) as we could not detect any sequence variations within this region in any familial or sporadic cases of MEN1 related conditions lacking a MEN1 mutation. We also suggest that testing be considered for patients < 30 years old with sporadic hyperparathyroidism and multigland hyperplasia

Community-based programmes to prevent falls in children: A systematic review

Objective: We systematically reviewed the literature to examine the evidence for the effectiveness of community-based interventions to reduce fall-related injury in children aged 0-16 years. Methods: We performed a comprehensive search of the literature using the following study selection criteria: community-based intervention study; target population was children aged 0-16 years; outcome measure was fall-related injury rates; and either a community control or historical control was used in the study design. Quality assessment and data abstraction were guided by a standardized procedure and performed independently by two authors. Results: Only six studies fitting the inclusion criteria were identified in our search and only two of these used a trial design with a contemporary community control. Neither of the high quality evaluation studies showed an effect from the intervention and while authors of the remaining studies reported effective falls prevention programmes, the pre- and post-intervention design, uncontrolled for background secular trends, makes causal inferences from these studies difficult. Conclusion: There is a paucity of research studies from which evidence regarding the effectiveness of community-based intervention programmes for the prevention of fall-related injury in children could be based.