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https://www.readbyqxmd.com/read/28210405/titanium-clamps-for-a-simple-low-profile-autologous-osteosynthesis-in-the-reconstruction-of-posttraumatic-craniofacial-convexital-skeletal-disruption
#1
Amos Olufemi Adeleye, Toluyemi Adefolarin Malomo
Attempts at reconstruction of posttraumatic craniofacial defects (PTCDs) can be a challenge in low-resource practice areas of the world where the needed biomaterials are logistically beyond reach. A simple low-profile technique of autologous osteosynthesis for PTCD using the titanium clamps is presented in this report. In addition, a 6-year prospective database on a consecutive cohort of patients who underwent this procedure was analyzed for clinical, functional, and aesthetic outcomes, both in-hospital and at midterm follow-up...
March 2017: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/28193714/contributors-to-pedestrian-distraction-and-risky-behaviours-during-road-crossings-in-romania
#2
Cara Hamann, Diana Dulf, Erika Baragan-Andrada, Morgan Price, Corinne Peek-Asa
OBJECTIVE: Pedestrian fatalities due to collisions with motor vehicles are a large public health problem in Romania, ranking them among the highest in Eastern Europe. The purpose of this study was to gain a better understanding of crash factors by examining how roadway and environmental characteristics contribute to pedestrian distraction and risky behaviours at pedestrian MVC (PMVC) locations in Cluj County, Romania. METHODS: A sample of PMVC locations was selected from the 2010 Cluj County police reported crash database for on-site examination...
February 13, 2017: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/28188235/cannabis-edibles-blood-and-oral-fluid-cannabinoid-pharmacokinetics-and-evaluation-of-oral-fluid-screening-devices-for-predicting-%C3%AE-9-tetrahydrocannabinol-in-blood-and-oral-fluid-following-cannabis-brownie-administration
#3
Matthew N Newmeyer, Madeleine J Swortwood, Maria Andersson, Osama A Abulseoud, Karl B Scheidweiler, Marilyn A Huestis
BACKGROUND: Roadside oral fluid (OF) Δ(9)-tetrahydro-cannabinol (THC) detection indicates recent cannabis intake. OF and blood THC pharmacokinetic data are limited and there are no on-site OF screening performance evaluations after controlled edible cannabis. CONTENT: We reviewed OF and blood cannabinoid pharmacokinetics and performance evaluations of the Draeger DrugTest®5000 (DT5000) and Alere™ DDS®2 (DDS2) on-site OF screening devices. We also present data from a controlled oral cannabis administration session...
February 10, 2017: Clinical Chemistry
https://www.readbyqxmd.com/read/28163573/effect-of-private-versus-emergency-medical-systems-transportation-in-motor-vehicle-accident-victims-trauma-center-experience-in-saudi-arabia
#4
Mohammed S Alshahrani
OBJECTIVE: To assess the effect of the mode of transportation of trauma patients (emergency medical service [EMS] vs. non-EMS) on their final clinical outcome in terms of mortality and length of hospital stay. MATERIALS AND METHODS: A retrospective study included all patients who were involved in motor vehicle crashes, and who were transferred immediately to an emergency department of a trauma care center from December 2008 to December 2012. Patients were classified into two groups: those brought through EMS and those brought by non-EMS (private transport)...
January 2017: Journal of Family & Community Medicine
https://www.readbyqxmd.com/read/28151450/outcomes-of-road-traffic-injuries-before-and-after-the-implementation-of-a-camera-ticketing-system-a-retrospective-study-from-a-large-trauma-center-in-saudi-arabia
#5
Suliman Alghnam, Muhamad Alkelya, Moath Alfraidy, Khalid Al-Bedah, Ibrahim Tawfiq Albabtain, Omar Alshenqeety
BACKGROUND: Road traffic injuries (RTIs) are the third leading cause of death in Saudi Arabia. Because speed is a major risk factor for severe crash-related injuries, a camera ticketing system was implemented countrywide in mid-2010 by the traffic police in an effort to improve traffic safety. There are no published studies on the effects of the system in Saudi Arabia. OBJECTIVE: To examine injury severity and associated mortality at a large trauma center before and after the implementation of the ticketing system...
January 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28143564/tranexamic-acid-in-bleeding-trauma-patients-an-exploration-of-benefits-and-harms
#6
Ian Roberts, Phil Edwards, David Prieto, Miland Joshi, Abda Mahmood, Katharine Ker, Haleema Shakur
BACKGROUND: The CRASH-2 trial showed that tranexamic acid (TXA) administration reduces mortality in bleeding trauma patients. However, the effect appeared to depend on how soon after injury TXA treatment was started. Treatment within 3 h reduced bleeding deaths whereas treatment after 3 h increased the risk. We examine how patient characteristics vary by time to treatment and explore whether any such variations explain the time-dependent treatment effect. METHODS: Exploratory analysis were carried out, including per-protocol analyses, of data from the CRASH-2 trial, a randomised placebo-controlled trial of the effect of TXA on mortality in 20,211 trauma patients with, or at risk of, significant bleeding...
January 31, 2017: Trials
https://www.readbyqxmd.com/read/28143537/overview-of-findings-from-a-2-year-study-of-claimants-who-had-sustained-a-mild-or-moderate-injury-in-a-road-traffic-crash-prospective-study
#7
Bamini Gopinath, Jagnoor Jagnoor, Nieke Elbers, Ian D Cameron
BACKGROUND: Studies have shown that in people injured in a road traffic crash, persistent symptoms are common and can lead to significant ongoing personal impact. Hence, elucidating factors associated with the human costs are key to reducing the socio-economic burden of road traffic injuries. Therefore, in this study we aimed to track the experience and key outcomes of persons who had sustained mild/moderate injuries as they returned to health (and work, where relevant) following a road traffic crash...
February 1, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28134581/remote-teaching-of-histopathology-using-scanned-slides-via-skype-between-the-united-kingdom-and-nigeria
#8
Olorunda Rotimi, Nnamdi Orah, Abeer Shaaban, Adetola O Daramola, Fatimah B Abdulkareem
CONTEXT: -Web-based learning is a major component of distance education. OBJECTIVE: -To explore Web-based applications for pathology teaching in resource-limited sub-Saharan Africa. DESIGN: -The participants were consultant pathologists and trainees drawn from tertiary institutions in Nigeria. They viewed the digital slides via the Leeds virtual pathology Web site, after which, interactive lectures were given via Skype (Skype Communications, Luxembourg City, Luxembourg)...
February 2017: Archives of Pathology & Laboratory Medicine
https://www.readbyqxmd.com/read/28127711/how-to-manage-tension-gastrothorax-a-case-report-of-tension-gastrothorax-with-multiple-trauma-due-to-traumatic-diaphragmatic-rupture
#9
Naofumi Bunya, Keigo Sawamoto, Shuji Uemura, Takashi Toyohara, Yukino Mori, Ryoko Kyan, Kei Miyata, Hideto Irifune, Keisuke Harada, Eichi Narimatsu
BACKGROUND: Tension gastrothorax is a kind of obstructive shock with prolapse and distention of the stomach into the thoracic cavity. Progressive gastric distension leads to mediastinal shift, reduced venous return, decreased cardiac output, and ultimately cardiac arrest. Therefore, it is crucial to decompress the stomach distension for the initial resuscitation of tension gastrothorax. CASE PRESENTATION: A 75-year-old female was transported to our resuscitation bay due to motor vehicle crash...
December 2017: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28118461/screening-for-obstructive-sleep-apnea-in-adults-us-preventive-services-task-force-recommendation-statement
#10
Kirsten Bibbins-Domingo, David C Grossman, Susan J Curry, Karina W Davidson, John W Epling, Francisco A R García, Jessica Herzstein, Alex R Kemper, Alex H Krist, Ann E Kurth, C Seth Landefeld, Carol M Mangione, William R Phillips, Maureen G Phipps, Michael P Pignone, Michael Silverstein, Chien-Wen Tseng
Importance: Based on data from the 1990s, estimated prevalence of obstructive sleep apnea (OSA) in the United States is 10% for mild OSA and 3.8% to 6.5% for moderate to severe OSA; current prevalence may be higher, given the increasing prevalence of obesity. Severe OSA is associated with increased all-cause mortality, cardiovascular disease and cerebrovascular events, diabetes, cognitive impairment, decreased quality of life, and motor vehicle crashes. Objective: To issue a new US Preventive Services Task Force (USPSTF) recommendation on screening for OSA in asymptomatic adults...
January 24, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28118460/screening-for-obstructive-sleep-apnea-in-adults-evidence-report-and-systematic-review-for-the-us-preventive-services-task-force
#11
REVIEW
Daniel E Jonas, Halle R Amick, Cynthia Feltner, Rachel Palmieri Weber, Marina Arvanitis, Alexander Stine, Linda Lux, Russell P Harris
Importance: Many adverse health outcomes are associated with obstructive sleep apnea (OSA). Objective: To review primary care-relevant evidence on screening adults for OSA, test accuracy, and treatment of OSA, to inform the US Preventive Services Task Force. Data Sources: MEDLINE, Cochrane Library, EMBASE, and trial registries through October 2015, references, and experts, with surveillance of the literature through October 5, 2016. Study Selection: English-language randomized clinical trials (RCTs); studies evaluating accuracy of screening questionnaires or prediction tools, diagnostic accuracy of portable monitors, or association between apnea-hypopnea index (AHI) and health outcomes among community-based participants...
24, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28112983/head-injuries-tbi-to-adults-and-children-in-motor-vehicle-crashes
#12
David C Viano, Chantal S Parenteau, Likang Xu, Mark Faul
PURPOSE: This is a descriptive study. It determined the annual, national incidence of head injuries (TBI) to adults and children in motor-vehicle crashes. It evaluated NASS-CDS (National Automotive Sampling System-Crashworthiness Data System) for exposure and incidence of various head injuries in towaway crashes. It evaluated three health databases for emergency department (ED) visits, hospitalizations and deaths due to TBI in motor-vehicle occupants. METHODS: Four databases were evaluated using 1997-2010 data on adult (15+ years old) and child (0-14 years old) occupants in motor-vehicle crashes: 1) NASS-CDS estimated the annual incidence of various head injuries and outcomes in towaway crashes, 2) NHAMCS (National Hospital Ambulatory Medical Care Survey) estimated ED visits for TBI, 3) NHDS (National Hospital Discharge Survey) estimated hospitalizations for TBI and 4) NVSS (National Vital Statistics System) estimated TBI deaths...
January 23, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28103303/driving-with-intuition-a-preregistered-study-about-the-eeg-anticipation-of-simulated-random-car-accidents
#13
Gian Marco Duma, Giovanni Mento, Tommaso Manari, Massimiliano Martinelli, Patrizio Tressoldi
The study of neural pre-stimulus or "anticipatory" activity opened a new window for understanding how the brain actively constructs the forthcoming reality. Usually, experimental paradigms designed to study anticipatory activity make use of stimuli. The purpose of the present study is to expand the study of neural anticipatory activity upon the temporal occurrence of dichotomic, statistically unpredictable (random) stimuli within an ecological experimental paradigm. To this purpose, we used a simplified driving simulation including two possible, randomly-presented trial types: a car crash end trial and a no car crash end trial...
2017: PloS One
https://www.readbyqxmd.com/read/28102701/the-effect-of-pre-crash-velocity-reduction-on-occupant-response-using-a-human-body-finite-element-model
#14
B Guleyupoglu, J Schap, K D Kusano, F S Gayzik
OBJECTIVE: The objective of this study is to use a validated finite element model of the human body and a certified model of an ATD to evaluate the effect of simulated pre-crash braking on driver kinematics, restraint loads, body loads and computed injury criteria in four commonly-injured body regions. METHODS: The Global Human Body Models Consortium (GHBMC) 50th percentile male occupant (M50-O) and the Humanetics Hybrid-III 50(th) percentile models were gravity settled in the driver position of a generic interior equipped with an advanced three point belt and driver airbag...
January 19, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28099505/evaluation-of-6-and-10-year-old-child-human-body-models-in-emergency-events
#15
Laure-Lise Gras, Isabelle Stockman, Karin Brolin
Emergency events can influence a child's kinematics prior to a car-crash, and thus its interaction with the restraint system. Numerical Human Body Models (HBMs) can help understand the behaviour of children in emergency events. The kinematic responses of two child HBMs-MADYMO 6 and 10 year-old models-were evaluated and compared with child volunteers' data during emergency events-braking and steering-with a focus on the forehead and sternum displacements. The response of the 6 year-old HBM was similar to the response of the 10 year-old HBM, however both models had a different response compared with the volunteers...
2017: PloS One
https://www.readbyqxmd.com/read/28095031/the-role-of-drug-and-alcohol-use-and-the-risk-of-motor-vehicle-crashes-in-shiraz-iran-2014-a-case-crossover-study
#16
Narges Khanjani, Masoomeh Mousavi, Amirreza Dehghanian, Yunes Jahani, Hamid Souri
BACKGROUND: Traffic accidents and traffic-related injuries and mortality have become a major public health concern over the current years in Iran. This study aimed to examine the role of drug and alcohol use in motor vehicle accidents in Iran. METHODS: This case-crossover study was conducted on 441 drivers who survived from a road traffic crash and were taken to the emergency department of Shahid Rajaee trauma hospital in Shiraz, southern Iran. Data were collected using checklists which included demographic characteristics and drug and alcohol use prior to driving...
January 17, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28095025/the-influence-of-personal-protection-equipment-occupant-body-size-and-restraint-system-on-the-frontal-impact-responses-of-hybrid-iii-atds-in-tactical-vehicles
#17
Lauren Wood Zaseck, Nichole Ritchie Orton, Rebekah Gruber, Jonathan Rupp, Risa Scherer, Matthew Reed, Jingwen Hu
OBJECTIVE: Although advanced restraint systems, such as seatbelt pretensioners, and load limiters, can provide improved occupant protection in crashes, such technologies are currently not utilized in military vehicles. The design and use of military vehicles presents unique challenges to occupant safety - including differences in compartment geometry and occupant clothing and gear - that make direct application of optimal civilian restraint systems to military vehicles inappropriate. For military vehicle environments, finite element (FE) modeling can be used to assess various configurations of restraint systems and determine the optimal configuration that minimizes injury risk to the occupant...
January 17, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28079676/multiple-conditions-increase-preventable-crash-risks-among-truck-drivers-in-a-cohort-study
#18
Matthew S Thiese, Richard J Hanowski, Stefanos N Kales, Richard J Porter, Gary Moffitt, Nan Hu, Kurt T Hegmann
OBJECTIVE: This study aims to quantify the crash risk for truck drivers with multiple comorbid medical conditions, after adjusting for confounders. METHODS: This retrospective cohort of 38,184 drivers evaluated concomitant medical conditions and subsequent crash data between January 1, 2005, and October 31, 2012. Hazard ratios (HRs) and 95% confidence intervals (95% CIs) were calculated for any cause and preventable crashes of varying severity. RESULTS: Drivers with three or more medical conditions had a significantly increased risk of preventable Department of Transportation (DOT) reportable crashes (HR = 2...
February 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28070214/youth-traffic-related-injuries-a-prospective-study
#19
Michal Grivna, Hani O Eid, Fikri M Abu-Zidan
BACKGROUND: Traffic-related injuries are the most common cause of morbidity and mortality of the youth. Our aim was to study epidemiology, risk factors and outcome of hospitalized youth patients injured in road traffic collisions in order to give recommendations for prevention. METHODS: We prospectively studied all youth (15-24 years) patients having traffic-related injuries who were admitted to Al Ain or Tawam Hospitals, Al Ain City, or who died after arrival to these hospitals during an 18 months period...
2017: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/28064100/evaluating-the-effects-of-supplemental-rest-areas-on-freeway-crashes-caused-by-drowsy-driving
#20
Soyoung Jung, Shinhye Joo, Cheol Oh
To prevent crashes caused by drowsy driving, supplemental rest areas have been installed in the South Korean freeway system to allow road users to rest. These supplemental rest areas are very small-sized resting facilities located between the larger regular rest areas, which is a unique design. This study aimed to evaluate the effects of the supplemental rest areas on reducing crashes caused by drowsy driving. Between 2011 and 2012, supplemental rest areas were first installed in the Gyeongbu Freeway, which was selected as the study area for this study...
February 2017: Accident; Analysis and Prevention
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