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https://www.readbyqxmd.com/read/28724849/the-ilizarov-mini-external-fixator-for-the-treatment-of-first-metatarsal-fracture-a-case-report
#1
Tatsunori Kataoka, Norie Kodera, Shinro Takai
Forefoot fractures are frequently accompanied by severe soft tissue damage. Therefore, treatment should focus not only on fractures but also on soft tissue damage, for which external fixation can be used as a surgical option. A 63-year-old woman presented to the emergency clinic of our hospital with forefoot pain after a motorcycle accident. Comminuted fracture of the proximal part of the metatarsal was diagnosed. Because of the swollen foot and fracture comminution, an operation using the Ilizarov mini external fixator was performed to prevent further damage to the soft tissue...
2017: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
https://www.readbyqxmd.com/read/28723915/key-findings-from-a-prospective-trauma-registry-at-a-regional-hospital-in-southwest-cameroon
#2
Alain Chichom-Mefire, Obieze C Nwanna-Nzewunwa, Vincent Verla Siysi, Isabelle Feldhaus, Rochelle Dicker, Catherine Juillard
INTRODUCTION: Trauma is a leading cause of morbidity and mortality worldwide. Data characterizing the burden of trauma in Cameroon is limited. Regular, prospective injury surveillance can address the shortcomings of existing hospital administrative logs and medical records. This study aims to characterize trauma as seen at the emergency department (ED) of Limbe Regional Hospital (LRH) and assess the completeness of data obtained by a trauma registry. METHODS AND FINDINGS: From January 2008 to October 2013, we prospectively captured data on injured patients using a strategically designed, context-relevant trauma registry instrument...
2017: PloS One
https://www.readbyqxmd.com/read/28707561/profiling-the-physical-load-on-riders-of-top-level-motorcycle-circuit-racing
#3
Emanuele D'Artibale, Paul B Laursen, John B Cronin
Manoeuvring a motorcycle at high-speed in official competition has been shown to expose riders to substantial and complex physiological and psychological demands, however few studies have analysed the physical load experienced by professional racers. This study aimed to quantify the physical stress experienced by riders and explore relationships between performance related variables (i.e. crashes). Performance and braking data were collected from official race reports from 2013 to 2015 of the top class of the FIM Road Racing Grand Prix World Championship...
July 14, 2017: Journal of Sports Sciences
https://www.readbyqxmd.com/read/28699848/impact-of-helmet-use-on-traumatic-brain-injury-from-road-traffic-accidents-in-cambodia
#4
Saksham Gupta, Katherine Klaric, Nang Sam, Vuthy Din, Tina Juschkewitz, Vycheth Iv, Mark G Shrime, Kee B Park
OBJECTIVE: Rapid urbanization and motorization without corresponding increases in helmet usage have made traumatic brain injury due to road traffic accidents a major public health crisis in Cambodia. This analysis was conducted to quantify the impact of helmets on severity of injury, neurosurgical indication, and functional outcomes at discharge for motorcycle operators who required hospitalization for a traumatic brain injury following a road traffic accident in Cambodia. METHODS: The medical records of 491 motorcycle operators who presented to a major tertiary care center in Cambodia with traumatic brain injury were retrospectively analyzed using multivariate logistic regression...
July 12, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28697022/an-examination-of-traffic-related-traumatic-injuries-among-children-at-a-level-1-pediatric-trauma-center-2005-2014
#5
Ping Ma, Nazia Hussain, Marisa Abbe
BACKGROUND: Traffic-related injuries are the leading fatal injury among children in the US, but no published study compares the different types of traffic-related pediatric injuries to date. Thus, this study aims to examine the10 year trend of traffic-related injury among children at a pediatric hospital and to assess if there were differences in injury mechanism. METHODS: All data were drawn from a Level-1 Pediatric Trauma center in North Texas 2005-2014. Demographic characteristics, length of hospitalization (LOS) and patient type were included...
July 8, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28693353/injury-characteristics-of-low-energy-lisfranc-injuries-compared-with-high-energy-injuries
#6
Christopher H Renninger, Grant Cochran, Trevor Tompane, Joseph Bellamy, Kevin Kuhn
BACKGROUND: Lisfranc injuries result from high- and low-energy mechanisms though the literature has been more focused on high-energy mechanisms. A comparison of high-energy (HE) and low-energy (LE) injury patterns is lacking. The objective of this study was to report injury patterns in LE Lisfranc joint injuries and compare them to HE injury patterns. METHODS: Operative Lisfranc injuries were identified over a 5-year period. Patient demographics, mechanism of injury, injury pattern, associated injuries, missed diagnoses, clinical course, and imaging studies were reviewed and compared...
July 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28692920/the-effect-of-motorcycle-helmet-fit-on-estimating-head-impact-kinematics-from-residual-liner-crush
#7
Stephanie J Bonin, John C Gardiner, Arzu Onar-Thomas, Shihab S Asfour, Gunter P Siegmund
Proper helmet fit is important for optimizing head protection during an impact, yet many motorcyclists wear helmets that do not properly fit their heads. The goals of this study are i) to quantify how a mismatch in headform size and motorcycle helmet size affects headform peak acceleration and head injury criteria (HIC), and ii) to determine if peak acceleration, HIC, and impact speed can be estimated from the foam liner's maximum residual crush depth or residual crush volume. Shorty-style helmets (4 sizes of a single model) were tested on instrumented headforms (4 sizes) during linear impacts between 2...
July 7, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28692627/emotional-intelligence-and-the-occurrence-of-accidents-in-motorcycle-drivers-in-kashan-iran
#8
Fatemeh Sadat Asgarian, Mohammad Aghajani, Negin Masoudi Alavi
There is an inherent risk of death and injury for motorcyclists. Some factors such as personality and psychological characteristics may be contributors of motor vehicle accidents/crashes. This study aimed to determine the relationship between emotional intelligence and its related components and the occurrence of accidents/crashes in motorcycle drivers. In this case-control study, 280 motorcycle drivers with and without a history of motorcycle-related accidents or crashes in Kashan, Iran, were selected for convenience sampling...
July 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/28690732/maxillofacial-fractures-in-a-budding-teaching-hospital-a-study-of-pattern-of-presentation-and-care
#9
Obitade Sunday Obimakinde, Kolawole Olubunmi Ogundipe, Taopheeq Bamidele Rabiu, Victoria Nwebuni Okoje
INTRODUCTION: Previous reports indicated that there is geographic and sociodemographic variation in the epidemiology of maxillofacial fractures. Audit of maxillofacial injuries managed at any institution is therefore necessary to understand the trends and proffer strategies for prevention. We therefore embarked on this study to determine the pattern of maxillofacial fractures and concomitant injuries in our institution. METHODS: We carried out a retrospective review of information on demography, aetiology and type of maxillofacial fracture, patients' status, type of crash, level of consciousness and concomitant injuries...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28689461/factors-associated-with-child-passenger-motorcycle-helmet-use-in-cambodia
#10
Hasan S Merali, Abdulgafoor M Bachani
This study examines factors associated with child passenger helmet use in five Cambodian provinces. We performed an analysis of periodic roadside observations of helmet use over a four-year period. A total of 62,039 child passengers 12 years of age and younger met inclusion criteria and were included in the analysis. Overall, 1369 (2.1%) of child passengers were observed to be wearing a helmet. Most significantly, children were six times more likely to wear a helmet if the driver was wearing a helmet (OR 6...
July 10, 2017: International Journal of Injury Control and Safety Promotion
https://www.readbyqxmd.com/read/28682804/autopsy-cases-of-motorcyclists-dying-of-trauma-or-disease
#11
Arisa Takeda, Masahito Hitosugi, Satoshi Furukawa
We aimed to provide a better estimation of health-related motorcycle fatalities by comparing the backgrounds, mechanisms of injuries, and injury severity of victims who died of collision versus those who died of disease. We retrospectively analyzed autopsy records of 29 motorcyclists (mean age, 61.0 ± 21.0 years), none of whom had been driving under the influence of alcohol. Altogether, 22 (75.9%) had died of trauma, and 7 had died of disease. The disease-death victims were significantly older and had a significantly higher prevalence of a medical history compared with those with trauma-related death (100% vs 45...
July 6, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28681324/how-do-people-gain-access-to-water-resources-in-the-brazilian-semiarid-caatinga-in-times-of-climate-change
#12
Evaldo de Lira Azevêdo, Rômulo Romeu Nóbrega Alves, Thelma Lúcia Pereira Dias, Joseline Molozzi
Climate change is becoming an imminent reality, especially in arid and semiarid regions. Therefore, it is essential to understand the relationships between humans and aquatic ecosystems in order to devise efficient management and conservation strategies. We conducted 126 interviews using a semi-structured form to record water sources, transport strategies, and the use and treatment of water by communities surrounding four reservoirs within two drainage basins in the semiarid region of Brazil. These factors were then compared to the mean water volumes of the respective reservoirs from 2013 to 2015, a period of severe drought in that area...
August 2017: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/28671152/effect-of-analgesia-on-the-changes-in-respiratory-parameters-in-blunt-chest-injury-with-multiple-rib-fractures
#13
Eyo Effiong Ekpe, Catherine Eyo
BACKGROUND: Blunt chest injury with multiple rib fractures can result in such complications as pneumonia, atelectasis, bronchiectasis, empyema thoracis, acute respiratory distress syndrome, and prolonged Intensive Care Unit and hospital stay, with its concomitant mortality. These may be prevented or reduced by good analgesic therapy which is the subject of this study. METHODS: This was a prospective study of effects of analgesia on changes in pulmonary functions of patients with traumatic multiple rib fractures resulting from blunt chest injury...
July 2017: Annals of African Medicine
https://www.readbyqxmd.com/read/28661293/motorcycle-policy-and-the-public-interest-a-recommendation-for-a-new-type-of-partial-motorcycle-helmet-law
#14
Kurt B Nolte, Colleen Healy, Clifford M Rees, David Sklar
Motorcycle helmet laws are perceived to infringe upon individual rights even though they reduce mortality and health care costs. We describe proposed helmet legislation that protects individual rights and provides incentives for helmet use through a differential motorcycle registration fee that requires higher fees for those who wish to ride without a helmet.
March 2017: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://www.readbyqxmd.com/read/28660164/epidemiology-of-trauma-victims-admitted-to-a-level-2-trauma-center-of-north-india
#15
Vikas Verma, Ajay Singh, Girish Kumar Singh, Santosh Kumar, Vineet Sharma, Ashish Kumar, Vineet Kumar
BACKGROUND: Good quality information on characteristics of victims, types, and frequency of injuries, causes of accidents, vehicles involved in injury and outcome is essential for understanding and planning required for managing the trauma epidemic. The objective of this study was to describe the characteristics of trauma victims admitted to King George's Medical University trauma center. METHODS: This observational study enrolled trauma victims over a 1-year period...
April 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28656387/spontaneous-recovery-of-non-operated-traumatic-brachial-plexus-injury
#16
S H Lim, J S Lee, Y H Kim, T W Kim, K M Kwon
PURPOSE: We investigated the spontaneous recovery of non-operated traumatic brachial plexus injury (BPI). METHODS: A total of 25 cases of non-operated traumatic BPI were analysed by retrospective review of medical records; in all cases, consecutive electrodiagnostic studies (ES) were conducted from 1 to 4 months and 18 to 24 months post-trauma. Injury severity was assessed using a modified version of Dumitru and Wilbourn's scale (DWS) based on ES. Spontaneous recovery of brachial plexus components per subject was analysed using Wilcoxon's signed-rank test...
June 27, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/28655680/open-wounds-of-the-achilles-tendon-in-tropical-settings-36%C3%A2-cases-at-the-donka-university-hospital-in-guinea-conakry
#17
L Lamah, M Diallo, J B D Tékpa, M L Bah, K Keita, S Sidime, M T Soumah, I Diallo
The aim of this study was to analyze the epidemiologic, etiologic, and therapeutic aspects of open wounds of the Achilles tendon managed in the Donka University Hospital. This 3-year prospective included all patients admitted for an Achilles tendon injury. Closed injuries, suppurating wounds, and those that occurred more than 24 hours before admission were excluded. Surgical treatment consisted in debridement and tendon repair, with plaster cast protection for 6 weeks. The study included 36 patients with a mean age of 23...
June 1, 2017: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/28655429/a-study-of-the-correlation-between-ultrafine-particle-emissions-in-motorcycle-smoke-and-mice-erythrocyte-damages
#18
Arinto Y P Wardoyo, Unggul P Juswono, Johan A E Noor
Sharply increasing of motor vehicles every year contributes to amounts of ultrafine particles (UFPs) in the air. Besides, the existence of UFPs in the blood may cause erythrocyte damages that subject to shape deformation. This study was aimed to investigate the influence of UFPs in the motorcycle smoke exposed to mice in different concentrations to the erythrocyte damages. The experiments were conducted by injecting the motorcycle smoke with the varied amounts in an experimental chamber (dimension of 30×20×20cm(3)) where the mice were put in advance for exposuring twice a day (100s)...
June 24, 2017: Experimental and Toxicologic Pathology: Official Journal of the Gesellschaft Für Toxikologische Pathologie
https://www.readbyqxmd.com/read/28642650/epidemiological-study-on-lisfranc-injuries
#19
Marcel Faraco Sobrado, Guilherme Honda Saito, Marcos Hideyo Sakaki, Pedro Augusto Pontin, Alexandre Leme Godoy Dos Santos, Túlio Diniz Fernandes
OBJECTIVE: To analyze the characteristics of patients with Lisfranc injuries and their associated fractures . METHODS: This is a retrospective analysis on 42 patients with Lisfranc injuries hospitalized at Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, between 2006 and 2010. Parameters on patient profile, risk factors, fracture characteristics, data on treatment and acute complications were analyzed ...
January 2017: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/28637553/more-helmets-fewer-deaths-motorcycle-helmet-legislation-impacts-traumatic-brain-injury-related-mortality-in-young-adults
#20
Ahmed Hassan, Tahereh Orouji Jokar, Peter Rhee, Kareem Ibraheem, Narong Kulvatunyou, Kathryn Tinsley Anderson, Lynn Gries, Zachary Thomas Roward, Bellal Joseph
The aim of our study was to assess the impact of helmet legislations on the incidence and the mortality rate of motorcycle collision (MCC)-related traumatic brain injury (TBI) in young adult trauma patients. A 1-year (2011) retrospective analysis was performed of all patients under 21 years old with trauma-related hospitalization using the Nationwide Inpatient Sample database (representing 20% of all in-patient admissions). Patients with MCC were identified using E-codes. States were classified into three groups based on helmet legislations: universal age helmet legislation, <18 years helmet legislation, and <21 years helmet legislation...
June 1, 2017: American Surgeon
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