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https://www.readbyqxmd.com/read/28821516/a-retrospective-review-of-paediatric-head-injuries-in-asia-a-pan-asian-trauma-outcomes-study-patos-collaboration
#1
Shu-Ling Chong, Uzma Rahim Khan, Indumathy Santhanam, Jun Seok Seo, Quan Wang, Sabariah Faizah Jamaluddin, Quoc Ai Hoang Trong, Su Yah Chew, Marcus Eng Hock Ong
OBJECTIVE: We aim to examine the mechanisms of head-injured children presenting to participating centres in the Pan Asian Trauma Outcomes Study (PATOS) and to evaluate the association between mechanism of injury and severe outcomes. DESIGN AND SETTING: We performed a retrospective review of medical records among emergency departments (EDs) of eight PATOS centres, from September 2014 - August 2015. PARTICIPANTS: We included children <16 years old who presented within 24 hours of head injury and were admitted for observation or required a computed tomography (CT) of the brain from the ED...
August 18, 2017: BMJ Open
https://www.readbyqxmd.com/read/28821009/evaluating-the-impact-of-connectivity-continuity-and-topography-of-sidewalk-network-on-pedestrian-safety
#2
Ahmed Osama, Tarek Sayed
With the increasing demand for sustainability, walking is being encouraged as one of the main active modes of transportation. However, pedestrians are vulnerable to severe injuries when involved in crashes which can discourage road users from walking. Therefore, studying factors that affect the safety of pedestrians is important. This paper investigates the relationship between pedestrian-motorist crashes and various sidewalk network indicators in the city of Vancouver. The goal is to assess the impact of network connectivity, directness, and topography on pedestrian safety using macro-level collision prediction models...
August 15, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28820342/expected-years-of-life-lost-through-road-traffic-injuries-in-mexico
#3
Efrén Murillo-Zamora, Oliver Mendoza-Cano, Benjamín Trujillo-Hernández, José Guzmán-Esquivel, Alfredo Medina-González, Miguel Huerta, Ramón Alberto Sánchez-Piña, Agustin Lugo-Radillo
BACKGROUND: Road traffic injuries (RTIs) are a leading cause of premature mortality, mainly in low- and middle-income countries Objective: To estimate the 2014 burden of RTIs in Mexico calculating years of life lost (YLL) and age-standardized YLL rates (ASYLL), and to evaluate sex, age, and region-related differences in premature mortality. METHODS: Mortality data were obtained from the National Institute of Statistics and Geography and 14,637 deaths of individuals 15 years of age and older were analyzed...
2017: Global Health Action
https://www.readbyqxmd.com/read/28819590/minimally-invasive-total-hip-replacement-in-an-ipsilateral-post-traumatic-above-knee-amputation-a-case-report
#4
Sanjeev Patnaik, Biswaranjan Nayak, Akshaya Kumar Sahoo, Nabin Kumar Sahu
INTRODUCTION: Total hip replacement (THR) is a highly successful operation in alleviating pain and improving the overall function of the hip, in end-stage arthritis of the hip, in otherwise fit patients. However, THR as a surgical option in post-traumatic hip arthritis with ipsilateral above-knee amputation is rarely reported. CASE REPORT: We are presenting a case report of a 30-year-old male, who had previously underwent an above-knee amputation due to road-traffic accident, presenting 24 h after the injury with segmental fracture femur and popliteal artery laceration, for which the limb could not be salvaged...
March 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28818812/airborne-ultrafine-particles-in-a-pacific-island-country-characteristics-sources-and-implications-for-human-exposure
#5
C F Isley, P F Nelson, M P Taylor, M Mazaheri, L Morawska, A J Atanacio, E Stelcer, D D Cohen, Anthony L Morrison
The Pacific Islands carry a perception of having clean air, yet emissions from transport and burning activities are of concern in regard to air quality and health. Ultrafine particle number concentrations (PNCs), one of the best metrics to demonstrate combustion emissions, have not been measured either in Suva or elsewhere in the Islands. This work provides insight into PNC variation across Suva and its relationship with particle mass (PM) concentration and composition. Measurements over a short monitoring campaign provide a vignette of conditions in Suva...
August 14, 2017: Environmental Pollution
https://www.readbyqxmd.com/read/28814569/the-impact-of-urban-speed-reduction-programmes-on-health-system-cost-and-utilities
#6
Babak Mohit, Zohn Rosen, Peter A Muennig
BACKGROUND: Vehicle speed changes impact the probability of injuring a pedestrian in ways that differ from the way that it impacts the probability of a collision or of death. Therefore, return on investment in speed reduction programmes has complex and unpredictable manifests. The objective of this study is to analyse the impact of motor vehicle speed reduction on the collision-related morbidity and mortality rates of urban pedestrians. METHODS AND FINDINGS: We created a simple way to estimate the public health impacts of traffic speed changes using a Markov model...
August 16, 2017: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/28814345/hospital-characteristics-related-to-the-hospital-length-of-stay-among-inpatients-receiving-invasive-cervical-discectomy-due-to-road-traffic-accidents-under-automobile-insurance-in-south-korea
#7
Kyoung Won Shin, Hyo Jung Lee, Chung Mo Nam, Ki Tae Moon, Eun-Cheol Park
BACKGROUND: In South Korea, people injured in road traffic accidents receive compensation for medical costs through their automobile insurance. However, the automobile insurance system appears to manage health care inefficiently. This study aimed to investigate the factors associated with the hospital length of stay (LOS), which was used as an indicator of healthcare utilization, for inpatients covered by automobile insurance and undergoing invasive cervical discectomy. METHODS: Insurance claims data from 158 hospitals were used...
August 16, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28813586/breast-cancer-and-exposure-to-aircraft-road-and-railway-noise-a-case-control-study-based-on-health-insurance-records
#8
Janice Hegewald, Melanie Schubert, Mandy Wagner, Patrik Dröge, Ursel Prote, Enno Swart, Ulrich Möhler, Hajo Zeeb, Andreas Seidler
Objectives Aircraft, road, and rail traffic noise can cause sleep disturbances. Since night work and shorter sleep durations have been linked to increased risks of breast cancer, we examined if 24-hour, or day- or night-time traffic noise exposure may also increase the risk of breast cancer. Methods To investigate the noise-related risks of breast cancer, the pseudonymized insurance records of three large statutory health companies (2005-2010) for women aged ≥40 years living in the region surrounding the Frankfurt international airport were analyzed with address-specific acoustic data representing aircraft, road, and rail-traffic noise...
August 16, 2017: Scandinavian Journal of Work, Environment & Health
https://www.readbyqxmd.com/read/28812472/modifiable-risk-factors-associated-with-bronchiolitis
#9
Raffaella Nenna, Renato Cutrera, Antonella Frassanito, Claudia Alessandroni, Ambra Nicolai, Giulia Cangiano, Laura Petrarca, Serena Arima, Serena Caggiano, Nicola Ullman, Paola Papoff, Enea Bonci, Corrado Moretti, Fabio Midulla
BACKGROUND: We sought to clarify possibly modifiable risk factors related to pollution responsible for acute bronchiolitis in hospitalized infants. METHODS: For this observational study, we recruited 213 consecutive infants with bronchiolitis (cases: median age: 2 months; age range: 0.5-12 months; boys: 55.4%) and 213 children aged <3 years (controls: median age: 12 months; age range: 0.5-36 months; boys: 54.5%) with a negative medical history for lower respiratory tract diseases hospitalized at 'Sapienza' University Rome and IRCCS Bambino Gesù Hospital...
August 1, 2017: Therapeutic Advances in Respiratory Disease
https://www.readbyqxmd.com/read/28808178/metabolomic-profiles-of-plasma-exhaled-breath-condensate-and-saliva-are-correlated-with-potential-for-air-toxics-detection
#10
Chandresh Nanji Ladva, Rachel Golan, Roby Greenwald, Tianwei Yu, Stefanie Ebelt Sarnat, W Dana Flanders, Karan Uppal, Douglas I Walker, ViLinh Tran, Donghai Liang, Dean P Jones, Jeremy Sarnat
Advances in the development of high-resolution metabolomics (HRM) have provided new opportunities for their use in characterizing exposures to environmental air pollutants and air pollution-related disease etiologies. Exposure assessment studies have considered blood, breath, and saliva as biological matrices suitable for measuring responses to air pollution exposures. The current study examines comparability among these three matrices using HRM and explored their potential for measuring mobile source air toxics...
August 15, 2017: Journal of Breath Research
https://www.readbyqxmd.com/read/28806617/possible-doubling-of-road-traffic-injury-burden-in-pakistan-findings-from-a-population-based-survey-in-2013-2014
#11
J A Bhatti, I Rafique, A Azad, M A Hamid, M A N Saqib, H Qureshi
No abstract text is available yet for this article.
August 11, 2017: Public Health
https://www.readbyqxmd.com/read/28806405/characterizing-the-influence-of-transportation-infrastructure-on-emergency-medical-services-ems-in-urban-area-a-case-study-of-seoul-south-korea
#12
Jungwoo Cho, Myoungsoon You, Yoonjin Yoon
In highly urbanized area where traffic condition fluctuates constantly, transportation infrastructure is one of the major contributing factors to Emergency Medical Service (EMS) availability and patient outcome. In this paper, we assess the impact of traffic fluctuation to the EMS first response availability in urban area, by evaluating the k-minute coverage under 21 traffic scenarios. The set of traffic scenarios represents the time-of-day and day-of-week effects, and is generated by combining road link speed information from multiple historical speed databases...
2017: PloS One
https://www.readbyqxmd.com/read/28800595/elderly-road-collision-injury-outcomes-associated-with-seat-positions-and-seatbelt-use-in-a-rapidly-aging-society-a-case-study-in-south-korea
#13
Yuna Noh, Yoonjin Yoon
INTRODUCTION: Aging has long been regarded as one of the most critical factors affecting crash injury outcomes. In South Korea, where the elderly population is projected to reach 35.9% by 2050, the implications of an increasing number of elderly vehicle users on road safety are evident. In this research, the confounding effect of occupant age in a vehicle in terms of seat position and seatbelt use was investigated. In addition, elderly occupants were divided into a younger-old group aged between 65 and 74 years and an older-old group aged 75 years and older in an effort to assess whether the conventional elderly age standard of 65 years should be reconsidered...
2017: PloS One
https://www.readbyqxmd.com/read/28799617/long-range-transport-clusters-and-positive-matrix-factorization-source-apportionment-for-investigating-transboundary-pm2-5-in-gothenburg-sweden
#14
Peter Molnár, Lin Tang, Karin Sjöberg, Janine Wichmann
Source apportionment studies of particulate matter are common and have been performed either as source region analyses using air mass back trajectories or by source type using source apportionment techniques. By combining the two approaches, it is possible to estimate the relative importance of emitters in different regions. PM2.5 samples were collected in Gothenburg between September 2008 and September 2009. The mean daily PM2.5 level was 6.1 μg m(-3) (range 0.79-30.91 μg m(-3)). Elemental analyses were done using Energy dispersive X-ray fluorescence (EDXRF) spectroscopy...
August 11, 2017: Environmental Science. Processes & Impacts
https://www.readbyqxmd.com/read/28797317/where-there-is-no-ems-lay-providers-in-emergency-medical-services-care-ems-as-a-public-health-priority
#15
Sierra Debenham, Matthew Fuller, Matthew Stewart, Raymond R Price
By 2030, road traffic accidents are projected to be the fifth leading cause of death worldwide, with 90% of these deaths occurring in low- and middle-income countries (LMICs). While high-quality, prehospital trauma care is crucial to reduce the number of trauma-related deaths, effective Emergency Medical Systems (EMS) are limited or absent in many LMICs. Although lay providers have long been recognized as the front lines of informal trauma care in countries without formal EMS, few efforts have been made to capitalize on these networks...
August 11, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28793405/a-comprehensive-analysis-of-heavy-metals-in-urban-road-dust-of-xi-an-china-contamination-source-apportionment-and-spatial-distribution
#16
Huiyun Pan, Xinwei Lu, Kai Lei
A detailed investigation was conducted to study heavy metal contamination in road dust from four regions of Xi'an, Northwest China. The concentrations of eight heavy metals Co, Cr, Cu, Mn, Ni, Pb, Zn and V were determined by X-Ray Fluorescence. The mean concentrations of these elements were: 30.9mgkg(-1) Co, 145.0mgkg(-1) Cr, 54.7mgkg(-1) Cu, 510.5mgkg(-1) Mn, 30.8mgkg(-1) Ni, 124.5mgkg(-1) Pb, 69.6mgkg(-1) V and 268.6mgkg(-1) Zn. There was significant enrichment of Pb, Zn, Co, Cu and Cr based on geo-accumulation index value...
August 5, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28792513/cooperative-vehicles-for-robust-traffic-congestion-reduction-an-analysis-based-on-algorithmic-environmental-and-agent-behavioral-factors
#17
Prajakta Desai, Seng W Loke, Aniruddha Desai
Traffic congestion continues to be a persistent problem throughout the world. As vehicle-to-vehicle communication develops, there is an opportunity of using cooperation among close proximity vehicles to tackle the congestion problem. The intuition is that if vehicles could cooperate opportunistically when they come close enough to each other, they could, in effect, spread themselves out among alternative routes so that vehicles do not all jam up on the same roads. Our previous work proposed a decentralized multiagent based vehicular congestion management algorithm entitled Congestion Avoidance and Route Allocation using Virtual Agent Negotiation (CARAVAN), wherein the vehicles acting as intelligent agents perform cooperative route allocation using inter-vehicular communication...
2017: PloS One
https://www.readbyqxmd.com/read/28790778/determinants-of-injuries-and-road-traffic-accidents-amongst-service-personnel-in-a-large-defence-station
#18
Anand Neelakantan, Brig Atul Kotwal, Mookkiah Ilankumaran
BACKGROUND: Injuries are assuming epidemic proportions globally; and in India. Also, previous decade witnessed carnage on Indian roads, with nearly 12 lakh people killed and 55 lakhs disabled in road crashes. The trend in Armed Forces is reflective of the aforesaid patterns. Behaviour and socio-demographic background of the victims are significant determinants of injuries and road accidents. Community-based epidemiological information on these aspects is envisaged to contribute in their preventive strategy...
July 2017: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/28789668/two-years-retrospective-study-of-maxillofacial-trauma-at-a-tertiary-center-in-north-west-ethiopia
#19
Amare Teshome, Getaneh Andualem, Rediet Tsegie, Samuel Seifu
BACKGROUND: Maxillofacial injury poses a challenge to oral and maxillofacial surgeons working in developing countries with limited resource and human power. The present study aimed to determine the etiology, pattern, and management of maxillofacial trauma in Gondar university of Gondar hospital. METHODS: A retrospective descriptive study design was used. Medical registration retrieving of patients with maxillofacial trauma visited dental center of University of Gondar Hospital from September 2013 to August 2015 was done...
August 8, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28783544/the-effects-of-licence-disqualification-on-drink-drivers-is-it-the-same-for-everyone
#20
A Watson, J Freeman, K Imberger, A J Filtness, H Wilson, D Healy, A Cavallo
Drink-driving remains a major road safety concern that creates a significant social burden. Licence disqualification continues to play a key role in drink driving deterrence and sanctions together with police enforcement to address the problem in most motorised countries. However, on-going questions remain regarding the differing effect of licence disqualification periods between first time and repeat offenders, and between other sub-groups of offenders. As a result, this study aimed to determine whether: (a) differences exist in re-offence rates of convicted drink-drivers between: the period between committing the drink-driving offence and licence disqualification (pre-licence disqualification), during the period of licence disqualification, and after being re-licensed (post-licence restoration); and (b) differential effects of offence rates are evident based on Blood Alcohol Content (BAC), gender, age, repeat offender status and crash involvement at the time of offence...
August 4, 2017: Accident; Analysis and Prevention
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