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https://www.readbyqxmd.com/read/28701849/blunt-trauma-neck-with-complete-tracheal-transection-a-diagnostic-and-therapeutic-challenge-to-the-trauma-team
#1
K N J Prakash Raju, D Anandhi, R Surendar, Ashwith Shetty, Vinay R Pandit
Survival following trachea-esophageal transection is uncommon. Establishing a secure airway has the highest priority in trauma management. Airway management is a unique and a defining element to the specialty of emergency medicine. There is no doubt regarding the significance of establishing a patent airway in the critically ill patient in the emergency department. Cannot intubate and cannot ventilate situation is a nightmare to all emergency physicians. The most important take-home message from this case report is that every Emergency physician should have the ability to predict "difficult airway" and recognize "failed airway" very early and be skilled in performing rescue techniques when routine oral-tracheal intubation fails...
June 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28662093/diversity-of-inland-valleys-and-opportunities-for-agricultural-development-in-sierra-leone
#2
Elliott Ronald Dossou-Yovo, Idriss Baggie, Justin Fagnombo Djagba, Sander Jaap Zwart
Inland valleys are becoming increasingly important agricultural production areas for rural households in sub-Saharan Africa due to their relative high and secure water availability and soil fertility. In addition, inland valleys are important as water buffer and biodiversity hot spots and they provide local communities with forest, forage, and fishing resources. As different inland-valley ecosystem functions may conflict with agricultural objectives, indiscriminate development should be avoided. This study aims to analyze the diversity of inland valleys in Sierra Leone and to develop guidelines for more precise interventions...
2017: PloS One
https://www.readbyqxmd.com/read/28658380/road-traffic-accidents-global-burden-of-disease-study-brazil-and-federated-units-1990-and-2015
#3
Roberto Marini Ladeira, Deborah Carvalho Malta, Otaliba Libânio de Morais, Marli de Mesquita Silva Montenegro, Adauto Martins Soares, Cíntia Honório Vasconcelos, Meghan Mooney, Mohsen Naghavi
Objective: To describe the global burden of disease due to road traffic accidents in Brazil and federated units in 1990 and 2015. Methods: This is an analysis of secondary data from the 2015 Global Burden of Disease study estimates. The following estimates were used: standardized mortality rates and years of life lost by death or disability, potential years of life lost due to premature death, and years of unhealthy living conditions. The Mortality Information System was the main source of death data...
May 2017: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
https://www.readbyqxmd.com/read/28652316/the-modified-jo-burg-technique-for-securing-intercostal-chest-drains
#4
Daniel J Ablett, L Navaratne, D Chua, C G Streets, N R M Tai
Insertion of an intercostal chest drain (ICD) is a common intervention in the management of either blunt or penetrating thoracic trauma. It is frequently performed by junior medical personnel as an emergency procedure during the initial resuscitation period and often within a stressful environment. Approximately one-fifth of all ICD insertions are associated with complications. In a retrospective review of over 1000 ICD insertions, 7% of the complications observed were due to inadequate fixation, resulting in dislodgement...
June 26, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28624072/violent-events-on-the-road-risk-perception-of-traffic-related-and-non-traffic-related-situations
#5
Lilian de Oliveira Vilela da Silva, Marilita Gnecco de Camargo Braga
This study aimed at identifying and comparing subjective risk perception regarding two different violent situations in urban roads: traffic accidents (i.e. crashes) and robberies. A robbery consists of subtracting something from someone, while seriously threatening the victim, or using violence. Robberies can be perpetrated either with or without the use of a weapon. This study was carried out in the city of Uberlândia, a medium size city in the state of Minas Gerais, south-east Brazil. A total of 383 people was interviewed at home in two boroughs of Uberlândia, using a questionnaire divided in five parts: a) personal information; b) description of crash involvement; c) description of robbery involvement; d) the chance of being involved in a crash and in a robbery within the next three years; e) willingness to pay for more safety in traffic or for more security against robberies; f) what causes more damage or harm to society, crashes or robberies...
June 14, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28614406/learning-from-the-mistakes-of-others-how-female-elk-cervus-elaphus-adjust-behaviour-with-age-to-avoid-hunters
#6
Henrik Thurfjell, Simone Ciuti, Mark S Boyce
In animal behaviour, there is a dichotomy between innate behaviours (e.g., temperament or personality traits) versus those behaviours shaped by learning. Innate personality traits are supposedly less evident in animals when confounded by learning acquired with experience through time. Learning might play a key role in the development and adoption of successful anti-predator strategies, and the related adaptation has the potential to make animals that are more experienced less vulnerable to predation. We carried out a study in a system involving a large herbivorous mammal, female elk, Cervus elaphus, and their primary predator, i...
2017: PloS One
https://www.readbyqxmd.com/read/28606439/the-epidemiological-analysis-of-maxillofacial-fractures-in-italy-the-experience-of-a-single-tertiary-center-with-1720-patients
#7
Paola Bonavolontà, Giovanni Dell'aversana Orabona, Vincenzo Abbate, Luigi Angelo Vaira, Carmelo Lo Faro, Marzia Petrocelli, Federica Attanasi, Giacomo De Riu, Giorgio Iaconetta, Luigi Califano
PURPOSE: Maxillofacial fractures represent a serious public health problem. Their epidemiology is extremely variable, and its analysis is crucial to establish effective treatment and prevention of these injuries. However only two works have been published about maxillofacial fracture epidemiology in Italy. MATERIALS AND METHODS: The records of 1720 patients diagnosed with maxillofacial fractures in a 15-years period (2001-2015) in our department were retrospectively reviewed...
May 17, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28523103/toward-resolving-the-resveratrol-conundrum-synthesis-and-in-vivo-pharmacokinetic-evaluation-of-bcp-resveratrol
#8
Yi Ling Goh, Yan Ting Cui, Vishal Pendharkar, Vikrant A Adsool
Over the last few decades, resveratrol has gained significance due to its impressive array of biological activities; however, its true potential as a drug has been severely constrained by its poor bioavailability. Indeed, several studies have implicated this bioavailability trait as a major road-block to resveratrol's potential clinical applications. To mitigate this pharmacokinetic issue, we envisioned a tactical bioisosteric modification of resveratrol to bicyclo[1.1.1]pentane (BCP) resveratrol. Relying on the beneficial bioisosteric potential demonstrated by the BCP-scaffold, we hypothesized that BCP-resveratrol would have an inherently better in vivo PK profile as compared to its natural counterpart...
May 11, 2017: ACS Medicinal Chemistry Letters
https://www.readbyqxmd.com/read/28464684/perceptions-and-effects-of-the-acoustic-environment-in-quiet-residential-areas
#9
Guillermo Rey Gozalo, Juan Miguel Barrigón Morillas
Many cities have historical areas clearly distinguished from the rest because of the architecture, urban planning, and functionality. In many cases, these aspects give one the possibility of finding a characteristic acoustic environment and also developing quiet areas. Through an examination of sound levels and surveys, the perception of residents and passers-by concerning the acoustic environment of the old town of Cáceres and its relation with the characteristics of the urban environment were analysed. In addition, the perception and the effects of noise pollution of low intensity were studied...
April 2017: Journal of the Acoustical Society of America
https://www.readbyqxmd.com/read/28333986/building-the-road-to-a-regional-zoonoses-strategy-a-survey-of-zoonoses-programmes-in-the-americas
#10
Melody J Maxwell, Mary H Freire de Carvalho, Armando E Hoet, Marco A N Vigilato, Julio C Pompei, Ottorino Cosivi, Victor J Del Rio Vilas
BACKGROUND: In recent years, global public health security has been threatened by zoonotic disease emergence as exemplified by outbreaks of H5N1 and H1N1 influenza, SARS, and most recently Ebola and Zika. Additionally, endemic zoonoses, such as rabies, burden countries year after year, placing demands on limited finances and personnel. To survey the baseline status of the emerging and endemic zoonoses programmes of the Latin American and the Caribbean (LAC) countries, the Pan American Health Organization (PAHO) conducted a survey of priority emerging and endemic zoonoses, countries´ prioritization criteria and methodologies, and suggestions to strengthen countries capacities and regional approaches to zoonoses control...
2017: PloS One
https://www.readbyqxmd.com/read/28259829/the-role-of-parental-risk-judgements-transport-safety-attitudes-transport-priorities-and-accident-experiences-on-pupils-walking-to-school
#11
Milad Mehdizadeh, Trond Nordfjaern, Amir Reza Mamdoohi, Afshin Shariat Mohaymany
Walking to school could improve pupils' health condition and might also reduce the use of motorized transport modes, which leads to both traffic congestion and air pollution. The current study aims to examine the role of parental risk judgements (i.e. risk perception and worry), transport safety attitudes, transport priorities and accident experiences on pupils' walking and mode choices on school trips in Iran, a country with poor road safety records. A total of 1078 questionnaires were randomly distributed among pupils at nine public and private schools in January 2014 in Rasht, Iran...
May 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28064348/european-academy-of-paediatrics-statement-vision-zero-for-child-deaths-in-traffic-accidents
#12
Jonas F Ludvigsson, Tom Stiris, Stefano Del Torso, Jean-Christophe Mercier, Arunas Valiulis, Adamos Hadjipanayis
Road traffic accidents are the leading cause of death and disability in children throughout Europe. They remain the leading cause of death among children 5--19 years old in Europe. Children may be injured as pedestrians, bicyclists, motorcyclists or passengers in cars. The European Academy of Pediatrics (EAP) strives to prevent morbidity and death in children. We urge policy-makers to actively work for a "vision zero", where no child is killed in traffic. EAP suggests simple measures such as, secure transport for children between home and school, speed limits, road bumps, wearing bike helmets and seat belts, using child-restraints for small children and enforcement of legislation on road safety...
February 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/28058619/cyber-attacks-and-terrorism-a-twenty-first-century-conundrum
#13
Marwan Albahar
In the recent years, an alarming rise in the incidence of cyber attacks has made cyber security a major concern for nations across the globe. Given the current volatile socio-political environment and the massive increase in the incidence of terrorism, it is imperative that government agencies rapidly realize the possibility of cyber space exploitation by terrorist organizations and state players to disrupt the normal way of life. The threat level of cyber terrorism has never been as high as it is today, and this has created a lot of insecurity and fear...
January 5, 2017: Science and Engineering Ethics
https://www.readbyqxmd.com/read/27929443/enabling-sdn-in-vanets-what-is-the-impact-on-security
#14
Antonio Di Maio, Maria Rita Palattella, Ridha Soua, Luca Lamorte, Xavier Vilajosana, Jesus Alonso-Zarate, Thomas Engel
The demand for safe and secure journeys over roads and highways has been growing at a tremendous pace over recent decades. At the same time, the smart city paradigm has emerged to improve citizens' quality of life by developing the smart mobility concept. Vehicular Ad hoc NETworks (VANETs) are widely recognized to be instrumental in realizing such concept, by enabling appealing safety and infotainment services. Such networks come with their own set of challenges, which range from managing high node mobility to securing data and user privacy...
December 6, 2016: Sensors
https://www.readbyqxmd.com/read/27834796/a-harmonized-perspective-on-transportation-management-in-smart-cities-the-novel-iot-driven-environment-for-road-traffic-modeling
#15
Pavel Masek, Jan Masek, Petr Frantik, Radek Fujdiak, Aleksandr Ometov, Jiri Hosek, Sergey Andreev, Petr Mlynek, Jiri Misurec
The unprecedented growth of today's cities together with increased population mobility are fueling the avalanche in the numbers of vehicles on the roads. This development led to the new challenges for the traffic management, including the mitigation of road congestion, accidents, and air pollution. Over the last decade, researchers have been focusing their efforts on leveraging the recent advances in sensing, communications, and dynamic adaptive technologies to prepare the deployed road traffic management systems (TMS) for resolving these important challenges in future smart cities...
November 8, 2016: Sensors
https://www.readbyqxmd.com/read/27593357/mandibular-fracture-in-a-neonate
#16
V Gopalakrishnan, N K Sahoo, I D Roy
Mandibular fractures in the neonate are rare. The aetiological factors are traumatic delivery, accidental fall, road traffic accidents, and attempted infanticide. The diagnosis is difficult due to facial oedema masking the clinical features and the absence of dentition. The treatment of fractures in the newborn represents a unique problem in terms of investigations, diagnosis, selection of anaesthesia, and method of fixation. The case of a 1-day-old infant referred for the management of a mandibular fracture sustained in an accidental fall is presented herein...
January 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27575522/an-educational-intervention-in-road-safety-among-children-and-teenagers-in-mexico
#17
S Treviño-Siller, L E Pacheco-Magaña, P Bonilla-Fernández, C Rueda-Neria, L Arenas-Monreal
OBJECTIVE: The purpose of this article is to describe a public school-based educational intervention (EI) designed to increase knowledge, improve attitudes, and change practices related to road safety. METHODS: We used a mixed-methods evaluation of a road traffic safety baseline diagnosis conducted in 4 public schools, 2 primary and 2 secondary. Research was organized into 4 phases: (1) diagnosis, (2) EI design, (3) implementation, and (4) evaluation. We used convenience sampling (n = 219 students) across schools and applied a pre-/posttest design based on quantitative and qualitative data...
February 17, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/27557023/school-meals-defined-from-the-perspective-of-students-catered-for-under-the-national-school-feeding-program-brazil
#18
Janaína Braga de Paiva, Maria do Carmo Soares de Freitas, Ligia Amparo da Silva Santos
Based on socio-anthropological studies into food and in connection with guidance from the Public Policy on Food and Nutrition Security in Brazil, this paper sought to objectively analyze students' views of the school meals given to them as part of the National School Feeding Program (PNAE). The data was produced through ethnographic exercises that were developed where the above Program (hereafter Program) had been implemented in a semi-arid municipality in the state of Bahia. The exercises also involved the production of written material and the use of focus groups with teenagers in primary school education...
August 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27552266/one-outcome-many-trends-understanding-national-data-sources-for-road-traffic-fatalities-in-china
#19
Qingfeng Li, Huan He, Hailun Liang, David M Bishai, Adnan A Hyder
OBJECTIVES: To better understand national data sources and evaluate time trends in road traffic fatalities (RTF) in China. METHODS: We reviewed national sources on RTF data. These included population-based report from the Ministry of Public Security (MPS), sample-based estimates from the Ministry of Health (MOH) and the Disease Surveillance Points System (DSP), as well as model-based estimates from the World Health Organization (WHO), and the Global Burden of Disease Study (GBD)...
October 2016: American Journal of Public Health
https://www.readbyqxmd.com/read/27543168/what-is-the-impact-of-flexicurity-on-the-chances-of-entry-into-employment-for-people-with-low-education-and-activity-limitations-due-to-health-problems-a-comparison-of-21-european-countries-using-qualitative-comparative-analysis-qca
#20
COMPARATIVE STUDY
Mona C Backhans, Sarah Mosedale, Daniel Bruce, Margaret Whitehead, Bo Burström
BACKGROUND: Employment and unemployment are key determinants of health inequalities and should be a priority when discussing policies to reduce such inequalities. Our aim is to investigate how flexicurity policies across European countries impact on the employment chances for people with low education and activity limitations. METHODS: The longitudinal EU-SILC dataset, pooled 2005-2010, was used to calculate labour market outcomes. The sample consisted of 25 countries and 19,881 individuals...
August 19, 2016: BMC Public Health
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