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https://www.readbyqxmd.com/read/29145253/anterior-endoscopically-assisted-bone-grafting-for-iatrogenic-distraction-of-odontoid-fracture-after-percutaneous-anterior-screw-fixation-a-case-report
#1
Ze-Xin Chen, Hui Zhang, Nai-Feng Tian, Xiang-Yang Wang, Yan Lin, Yao-Sen Wu
RATIONALE: The complication of iatrogenic distraction of odontoid fracture after anterior screw fixation has not been reported in the literature. We treated the patient with endoscopically assisted bone grafting with good results. The new technique was not reported in the management of odontoid fracture or nonunion before. PATIENT CONCERNS: A 22-year-old man presented with neck pain after a motorcycle crash. The cervical spine radiograph and computed tomographic scan demonstrated the base of dens displaced 2 mm anteriorly...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29127439/trauma-patients-centralization-for-the-mechanism-of-trauma-old-questions-without-answers
#2
S Magnone, A Ghirardi, M Ceresoli, L Ansaloni
INTRODUCTION: Centralization of trauma patients has become the standard of care. Unfortunately, overtriage can overcome the capability of Trauma Centres. This study aims to analyse the association of different mechanisms of injury with severe or major trauma defined as Injury Severity Score (ISS) greater than 15 and an estimation of overtriage upon our Trauma Centre. METHODS: A retrospective review of our prospective database was undertaken from March 2014 to August 2016...
November 10, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29126600/effect-of-treatment-delay-on-the-effectiveness-and-safety-of-antifibrinolytics-in-acute-severe-haemorrhage-a-meta-analysis-of-individual-patient-level-data-from-40%C3%A2-138-bleeding-patients
#3
Angèle Gayet-Ageron, David Prieto-Merino, Katharine Ker, Haleema Shakur, François-Xavier Ageron, Ian Roberts
BACKGROUND: Antifibrinolytics reduce death from bleeding in trauma and post-partum haemorrhage. We examined the effect of treatment delay on the effectiveness of antifibrinolytics. METHODS: We did an individual patient-level data meta-analysis of randomised trials done with more than 1000 patients that assessed antifibrinolytics in acute severe bleeding. We identified trials done between Jan 1, 1946, and April 7, 2017, from MEDLINE, Embase, the Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, PubMed, Popline, and the WHO International Clinical Trials Registry Platform...
November 7, 2017: Lancet
https://www.readbyqxmd.com/read/29123604/factors-behind-not-using-child-restrain-t-among-hospital-employees-and-general-population-a-case-control-study
#4
Emad Siddiqui, Badar Afzal, Ghazala Kazi, Asher Feroz, Rubaba Naeem, Tarab Mansoor, Ahreen Allana, Saif Siddiqui, Zain Siddiqui
BACKGROUND: Motor vehicle crash (MVC) related injury has been identified as a major public health concern. Child restrain (CR) seat belts can minimize the mortality and morbidity from MVC. The use for seat belts is substantially low in developing countries like Pakistan even though its use has been shown to decrease morbidity and mortality by a significant extent. METHODS: This was a case control study with cases from the general population (GP) and controls from the Aga Khan University (AKU) employees in a 3:1 ratio...
2017: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29090361/long-term-disabilities-after-traumatic-head-injury-thi-a-retrospective-analysis-from-a-large-level-i-trauma-center-in-saudi-arabia
#5
Suliman Alghnam, Alaa AlSayyari, Ibrahim Albabtain, Bader Aldebasi, Mohamed Alkelya
BACKGROUND: Traumatic head injuries (THI) are a critical public health problem worldwide, with more than 10 million individuals affected every year. In Saudi Arabia (SA), the burden of THI is unknown even though injury is the leading cause of death and a major cause of disability. Therefore, we aim to estimate the prevalence of long-term of disabilities among survivors of THI treated at a large level-I trauma center in Riyadh. METHODS: The study included 258 patients, who were hospitalized due to a non-fatal THI between years 2005-2014...
November 1, 2017: Injury Epidemiology
https://www.readbyqxmd.com/read/29082907/self-discharge-against-medical-advice-from-tertiary-health-institution-a-call-for-concern
#6
Moruf Babatunde Yusuf, Johnson Dare Ogunlusi, Sunday Ogunsuyi Popoola, Sheriff Olawale Ogunlayi, Waheed Olaide Babalola, Kehinde Sunday Oluwadiya
BACKGROUND: Self-discharge by patients without completing their treatment is a problematic issue in healthcare and is strongly associated with readmission and poor treatment outcome. PATIENTS AND METHODS: A descriptive study of the rate and reasons why patients with limb injuries took self-discharge against medical advice (DAMA) from our facility, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria, a tertiary health institution between May 2011 and April 2014...
July 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29071337/evaluation-of-military-use-of-tranexamic-acid-and-associated-thromboembolic-events
#7
Luke R Johnston, Carlos J Rodriguez, Eric A Elster, Matthew J Bradley
Importance: Since publication of the CRASH-2 and MATTERs studies, the US military has included tranexamic acid (TXA) in clinical practice guidelines. While TXA was shown to decrease mortality in trauma patients requiring massive transfusion, improper administration and increased risk of venous thromboembolism remain a concern. Objective: To determine the appropriateness of TXA administration by US military medical personnel based on current Joint Trauma System clinical practice guidelines and to determine if TXA administration is associated with venous thromboembolism...
October 25, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29068990/aggravation-of-an-injured-dentato-rubro-thalamic-tract-in-a-patient-with-mild-traumatic-brain-injury-a-case-report
#8
Sung Ho Jang, Hyeok Gyu Kwon
RATIONALE: We report on a patient with mild traumatic brain injury (TBI) by follow-up diffusion tensor tractography (DTT), and observed for approximately nine monthsby serial diffusion tensor tractography (DTT). PATIENT CONCERNS: A 66-year-old male patient was injured in a car crash. Approximately four weeks after the crash, he developed a tremor in the right hand and leg. His symptoms worsened over time. DIAGNOSES: Approximately six months after the crash, he developed a mild tremor in the left hand...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29059534/use-of-prescription-opioids-and-motor-vehicle-crashes-a-meta-analysis
#9
Stanford Chihuri, Guohua Li
OBJECTIVES: Opioid analgesics are a major driver of the ongoing opioid epidemic in the United Sates, accounting for about two thirds of drug overdose fatalities. There are conflicting reports regarding the effects of prescription opioids on driving safety. A meta-analysis was performed to assess the epidemiologic evidence for the association between use of prescription opioids and the risk of motor vehicle crashes. METHODS: Studies examining the association between driver prescription opioid use and motor vehicle crash involvement or crash culpability and published in English were identified through a comprehensive search of 15 bibliographic databases...
October 20, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29058629/-i-felt-the-world-crash-down-on-me-women-s-experiences-being-denied-legal-abortion-in-colombia
#10
Teresa DePiñeres, Sarah Raifman, Margoth Mora, Cristina Villarreal, Diana Greene Foster, Caitlin Gerdts
BACKGROUND: In 2006, Colombia's constitutional court overturned a complete ban on abortion, liberalizing the procedure. Despite a relatively liberal new law, women still struggle to access safe and legal abortion services. We aimed to understand why women are denied services in Colombia, and what factors determine if and how they ultimately terminate pregnancies. METHODS: We recruited women denied abortion at a private facility in Bogota. Twenty-one participants completed an initial interview and eight completed a second longer interview...
October 23, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29046181/instrument-failure-stress-and-spatial-disorientation-leading-to-a-fatal-crash-with-a-large-aircraft
#11
Arne Tribukait, Ola Eiken
BACKGROUND: An aircraft's orientation relative to the ground cannot be perceived via the sense of balance or the somatosensory system. When devoid of external visual references, the pilot must rely on instruments. A sudden unexpected instrument indication is a challenge to the pilot, who might have to question the instrument instead of responding with the controls. In this case report we analyze, from a human-factors perspective, how a limited instrument failure led to a fatal accident...
November 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/29045160/taxi-driver-speeding-who-when-where-and-how-a-comparative-study-between-shanghai-and-new-york
#12
Yizhe Huang, Daniel Jian Sun, Juanyu Tang
OBJECTIVE: The three objectives of this study are: 1) To identify the driving style characteristics of taxi drivers in Shanghai and NYC using taxi GPS data and make a comparative analysis; 2) To explore the influence of different driving style characteristics on the frequency of speeding (who and how?) 3) To explore the influence of driving style characteristics, road attributes and environmental factors on the speeding rate (when, where and how?) Methods: This study proposes a Driver-Road-Environment Identification (DREI) method to investigate the determinant factors of taxi speeding violations...
October 18, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/29039889/robot-assisted-single-port-radical-nephrectomy-and-cholecystectomy-description-and-technical-aspects
#13
Francisco Hidelbrando Alves Mota Filho, Luis Felipe Sávio, Rafael Eiji Sakata, Renato Fidelis Ivanovic, Marco Antonio Nunes da Silva, Ronaldo Maia, Carlo Passerotti
INTRODUCTION: Robot-Assisted Single Site Radical Nephrectomy (RASS-RN) has been reported by surgeons in Europe and United States (1-3). To our best knowledge this video presents the first RASS-RN with concomitant cholecystectomy performed in Latin America. CASE: A 66 year-old renal transplant male due to chronic renal failure presented with an incidental 1.3cm nodule in the upper pole of the right kidney. In addition, symptomatic gallbladder stones were detected...
October 17, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29037885/national-trends-and-outcomes-of-cardiac-arrest-in-opioid-overdose
#14
Ankit Sakhuja, Matthew Sztajnkrycer, Saraschandra Vallabhajosyula, Wisit Cheungpasitporn, Richard Patch, Jacob Jentzer
AIM: To investigate the epidemiology and outcomes of cardiac arrests associated with opioid overdoses. Recent data suggest that drug overdoses are responsible for more deaths than motor vehicle crashes or firearms in the United States each year, with opioids being involved in majority of drug overdose deaths. Despite the potential for opioids to cause cardiac arrest, few studies have examined this association. PATIENTS AND METHODS: Using data from National (Nationwide) Inpatient Sample database from years 2000-2013, we identified hospitalizations with drug overdoses using ICD-9-CM codes...
October 14, 2017: Resuscitation
https://www.readbyqxmd.com/read/29016693/driving-simulator-scenarios-and-measures-to-faithfully-evaluate-risky-driving-behavior-a-comparative-study-of-different-driver-age-groups
#15
COMPARATIVE STUDY
Jesse Michaels, Romain Chaumillon, David Nguyen-Tri, Donald Watanabe, Pierro Hirsch, Francois Bellavance, Guillaume Giraudet, Delphine Bernardin, Jocelyn Faubert
To investigate the links between mental workload, age and risky driving, a cross-sectional study was conducted on a driving simulator using several established and some novel measures of driving ability and scenarios of varying complexity. A sample of 115 drivers was divided into three age and experience groups: young inexperienced (18-21 years old), adult experienced (25-55 years old) and older adult (70-86 years old). Participants were tested on three different scenarios varying in mental workload from low to high...
2017: PloS One
https://www.readbyqxmd.com/read/28994780/a-test-bed-to-examine-helmet-fit-and-retention-and-biomechanical-measures-of-head-and-neck-injury-in-simulated-impact
#16
Henry Y Yu, Brooklynn M Knowles, Christopher R Dennison
Conventional wisdom and the language in international helmet testing and certification standards suggest that appropriate helmet fit and retention during an impact are important factors in protecting the helmet wearer from impact-induced injury. This manuscript aims to investigate impact-induced injury mechanisms in different helmet fit scenarios through analysis of simulated helmeted impacts with an anthropometric test device (ATD), an array of headform acceleration transducers and neck force/moment transducers, a dual high speed camera system, and helmet-fit force sensors developed in our research group based on Bragg gratings in optical fiber...
September 21, 2017: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/28993489/civilian-and-military-doctors-knowledge-of-tranexamic-acid-txa-use-in-major-trauma-a-comparison-study
#17
Jonathan Blair Thomas Herron, R French, A D Gilliam
INTRODUCTION: Tranexamic acid (TXA) administration within the recommended time of 3 hours has been demonstrated to improve outcomes following trauma. The aim of this study was to identify potential knowledge gaps in the administration of TXA in order to target further educational training in those doctors responsible for the management of acute trauma. METHODS: 104 military and 852 civilian doctors were invited to complete a four-item web-based questionnaire pertaining to the indications, dose, side effects and evidence base for TXA administration in trauma...
October 9, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28988836/parental-perceptions-risks-and-incidence-of-pediatric-unintentional-injuries
#18
Catherine M Hogan, Nancy L Weaver, Claire Cioni, Jessica Fry, Alyssa Hamilton, Samantha Thompson
INTRODUCTION: More than 9,000 children die annually from various causes of unintentional injury. Of all the pediatric unintentional injuries occurring in the United States, 8.7 million are treated in emergency departments, and 225,000 require hospitalization annually. Health education programs are available to address these injuries. The objective of this research was to examine the distribution of self-reported high priority injury risks in an urban Midwestern pediatric level 1 trauma center and investigate the relationship between parental perceptions and injury-prevention behaviors...
October 6, 2017: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/28982201/finding-the-signal-in-the-noise-could-social-media-be-utilized-for-early-hospital-notification-of-multiple-casualty-events
#19
Rachael A Callcut, Sara Moore, Glenn Wakam, Alan E Hubbard, Mitchell J Cohen
INTRODUCTION: Delayed notification and lack of early information hinder timely hospital based activations in large scale multiple casualty events. We hypothesized that Twitter real-time data would produce a unique and reproducible signal within minutes of multiple casualty events and we investigated the timing of the signal compared with other hospital disaster notification mechanisms. METHODS: Using disaster specific search terms, all relevant tweets from the event to 7 days post-event were analyzed for 5 recent US based multiple casualty events (Boston Bombing [BB], SF Plane Crash [SF], Napa Earthquake [NE], Sandy Hook [SH], and Marysville Shooting [MV])...
2017: PloS One
https://www.readbyqxmd.com/read/28982011/allocating-attention-to-detect-motorcycles-the-role-of-inattentional-blindness
#20
Kristen Pammer, Stephanie Sabadas, Stephanie Lentern
OBJECTIVE: To determine whether inattentional blindness (IB) can be used to understand the psychological mechanisms around looked-but-failed-to-see (LBFTS) crashes involving motorcycles Background: IB occurs when an observer looks directly at an object yet fails to see it, thus LBFTS crashes may be a real-world example of IB. The study tests a perceptual cycle model in which motorcycles are detected less frequently because they fall lower on the attentional hierarchy for driving. METHOD: A driving-related IB task with photographs of driving situations investigated whether an additional stimulus, a taxi or motorcycle, would be more likely to be missed by participants...
October 1, 2017: Human Factors
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