Data on demography and injury
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Q1.name, gender,occupation, education
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Q2.injury agent
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Q3.where injury occurred
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Q4.monocular or binocular injury
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Q5.hospitalization or not
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If yes, the accumulative time of hospitalization
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Q6.operation or not
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If yes, monocular or binocular? Single or multiple operations?
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Expense on treatment
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Q7.Total expense on medical treatment
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Q8.The proportions of the expense on drug, examination, operation and hospitalization, and the nutrition and transportation respectively
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Q9.The proportions of expense paid by the employer, insurance and patient himself respectively
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Loss of income
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Q10.The personal income per year of the patient before and after the injury
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If reduced, the main reason?
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Q11.The per capita income of the family per year before and after the injury
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Q12.the time required for care from family members (hours per day)
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The impact of the injury on the socio-economic status of the patients
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Q13.Working or studying capacity
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A:without difficulty, B:doing simple work or study, C: losing working or studying ability (being umployed or dropping out of school)
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Q14.The ability to perform daily activities
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A: without difficulty, B: being able to do simple activity such as eating and clothing, C: entirely losing ability to perform daily acitvity and need care and help from others
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Q15.Emotional anxiety or depression
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A:without anxiety or depression, B: anxious or depressive somewhat, C: extremely anxious or depressive
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Q16.The negative impact on the education of victims' children (if they had)
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A: without negative impact, B: to some extent, C: very serious
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Q17.The impact on the relationship between family members
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A: no change,B: indifference, C: be discriminated, D: be discarded
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Q18.The attitude of whole society towards them after injury |
A: giving care and concern, B: indifferent, C: generally be discriminated, D: other |