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https://www.readbyqxmd.com/read/29333874/road-traffic-injuries-among-riders-of-electric-bike-electric-moped-in-southern-china
#1
Xujun Zhang, Yaming Yang, Jie Yang, Jie Hu, Yang Li, Ming Wu, Lorann Stallones, Henry Xiang
Objective Electric bike/moped-related road traffic injuries have become a burgeoning public health problem in China. The objective of this study was to identify the prevalence and potential risk factors of electric bike/moped -related road traffic injuries among electric bike/moped riders in southern China. Methods A cross-sectional study was used to interview 3,151 electric bike/moped riders in southern China. Electric bike/moped-related road traffic injuries that occurred from July 2014 to June 2015 were investigated...
January 15, 2018: Traffic Injury Prevention
https://www.readbyqxmd.com/read/29324264/driver-education-enhancing-knowledge-of-sleep-fatigue-and-risky-behaviour-to-improve-decision-making-in-young-drivers
#2
Pasquale K Alvaro, Nicole M Burnett, Gerard A Kennedy, William Yu Xun Min, Marcus McMahon, Maree Barnes, Melinda Jackson, Mark E Howard
This study assessed the impact of an education program on knowledge of sleepiness and driving behaviour in young adult drivers and their performance and behaviour during simulated night driving. Thirty-four participants (18-26 years old) were randomized to receive either a four-week education program about sleep and driving or a control condition. A series of questionnaires were administered to assess knowledge of factors affecting sleep and driving before and after the four-week education program. Participants also completed a two hour driving simulator task at 1am after 17 h of extended wakefulness to assess the impact on driving behaviour...
January 8, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29322103/a-national-survey-of-mri-safety-practices-in-ghana
#3
Albert Dayor Piersson, Philip Nii Gorleku
Objective: The aim of the present study was to assess current MRI safety practices among MRI facilities in Ghana, and their compliance with the 2013 American College of Radiology (ACR) guidance document on MR safe practices. Material and methods: A questionnaire developed from the 2013 ACR Guidance Document was used to collect information on magnetic field strengths, MR safety policy and compliance, patient screening, emergency preparedness, infection control, MRI safety accessories, equipment safety, signage and barriers, report of adverse incidents, and access and communication...
December 2017: Heliyon
https://www.readbyqxmd.com/read/29310628/a-decade-of-road-traffic-fatalities-among-the-elderly-in-north-west-iran
#4
Homayoun Sadeghi-Bazargani, Bahram Samadirad, Farnaz Moslemi
BACKGROUND: Iran has a uniquely catastrophic status for road traffic injury incidence and fatality. The elderly account for a substantial number of the hospitalizations and fatalities due to traffic injuries. The aim of this study was to investigate the crash mechanisms and medical outcomes of traffic fatalities among the elderly in East Azerbaijan province of Iran during the period 2006-2016. METHODS: A total of 9435 fatalities registered in East Azerbaijan forensic medicine database, Iran, during 2006-2016, were investigated...
January 8, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29304820/degloving-injuries-with-versus-without-underlying-fracture-in-a-sub-saharan-african-tertiary-hospital-a-prospective-observational-study
#5
Hervé Monka Lekuya, Rose Alenyo, Isaac Kajja, Alexander Bangirana, Ronald Mbiine, Ater Ngoth Deng, Moses Galukande
BACKGROUND: Degloving injuries are surgical conditions in which an extensive portion of skin and subcutaneous tissue is detached from the underlying fasciae, muscles, or bone surface. Frequently, there is an association of fracture underlying the degloved area. We aimed to compare the short-term outcomes of degloving injuries with and without underlying fracture. METHODS: A prospective cohort study was conducted. We recruited patients with degloving injuries, and followed them up for 30 days to assess the outcomes...
January 5, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29298362/helmets-matter-kentucky-motorcycle-crash-victims-seen-at-a-tennessee-trauma-center
#6
George M Testerman, Daniel C Prior, Tamie D Wells, William C Sumner, Jeffrey T Johnston, Sarah E Rollins, Jeremy M Meyer
OBJECTIVES: Motorcycle helmet laws vary by state, with Kentucky requiring helmets only for younger riders. We hypothesized that motorcyclists injured in Kentucky and seen at a Tennessee trauma center would be more likely to be unhelmeted, have more severe head injuries, and sustain more fatal injuries than those injured in Tennessee or Virginia. METHODS: A Trauma Registry review of 729 injured motorcyclists from January 2005 through June 2015 examined state location of crash, demographics, helmet use, and clinical outcomes...
January 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29298245/emergency-medical-responders-and-adolescents-with-autism-spectrum-disorder
#7
Viola Cheung, Madeline L McCarthy, Mark X Cicero, John M Leventhal, Carol Weitzman
OBJECTIVES: Because of the high prevalence of Autism Spectrum Disorder (ASD) and wandering behavior, emergency medical responders (EMRs) will likely encounter children and adolescents with ASD. The objectives were to describe interactions between EMRs and children and adolescents with ASD, to evaluate EMRs' ability to recognize ASD in a simulated trauma setting, and to determine if EMRs' demographic characteristics affected their interactions with ASD youth. METHODS: A study of 75 videos of a simulated school bus crash was performed...
January 2, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29282994/hierarchical-clustering-analysis-framework-of-mutually-exclusive-crash-causation-parameters-for-regional-road-safety-strategies
#8
Avijit Maji, Nagendra R Velaga, Yohan Urie
Hierarchical clustering analysis framework is developed to identify benchmark and critical regions for effective road safety strategies. The regions are grouped based on agglomeration coefficient of mutually exclusive crash causation parameters. Subsequently, regions from groups with lower than a threshold index value are selected as benchmark for the poorly performing critical counterparts. Euclidean distance-based Ward's, median and centroid clustering techniques are explored through a case study of Indian states and Union Territories...
December 28, 2017: International Journal of Injury Control and Safety Promotion
https://www.readbyqxmd.com/read/29280907/a-quality-improvement-initiative-to-reduce-out-of-icu-cardiopulmonary-arrests-in-a-tertiary-care-hospital-in-india-a-2-year-learning-experience
#9
Vidya P Menon, Preetha Prasanna, Fabia Edathadathil, Sabarish Balachandran, Merlin Moni, Dipu Sathyapalan, Rajesh D Pai, Sanjeev Singh
QUALITY PROBLEM OR ISSUE: To assess impact of medical emergency team (MET) in reducing "out-of-ICU" cardiopulmonary arrests and identify barriers to its optimal utilization. INITIAL ASSESSMENT: Frequently observed critical clinical signs and laboratory values of "out-of-ICU" crashes were used to develop Amrita Early Warning Criteria. CHOICE OF SOLUTION: A physician-led MET was established to respond to code MET, activated by a primary nurse...
January 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29276978/identification-of-significant-factors-in-fatal-injury-highway-crashes-using-genetic-algorithm-and-neural-network
#10
Yunjie Li, Dongfang Ma, Mengtao Zhu, Ziqiang Zeng, Yinhai Wang
Identification of the significant factors of traffic crashes has been a primary concern of the transportation safety research community for many years. A fatal-injury crash is a comprehensive result influenced by multiple variables involved at the moment of the crash scenario, the main idea of this paper is to explore the process of significant factors identification from a multi-objective optimization (MOP) standpoint. It proposes a data-driven model which combines the Non-dominated Sorting Genetic Algorithm (NSGA-II) with the Neural Network (NN) architecture to efficiently search for optimal solutions...
December 22, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29274569/risk-factors-for-adverse-driving-outcomes-in-dutch-adults-with-adhd-and-controls
#11
Tannetje I Bron, Denise Bijlenga, Minda Breuk, Marieke Michielsen, Aartjan T F Beekman, J J Sandra Kooij
OBJECTIVE: To identify risk factors for adverse driving outcomes and unsafe driving among adults with and without ADHD in a Dutch sample. METHODS: In this cross-sectional study, validated self-report questionnaires were used to compare driving history and current driving behavior between 330 adults diagnosed with ADHD and 330 controls. RESULTS: Adults with ADHD had significantly more adverse driving outcomes when compared to controls. Having an ADHD diagnosis significantly increased the odds for having had 3 or more vehicular crashes (OR = 2...
December 20, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29274185/estimating-the-drink-driving-attributable-fraction-of-road-traffic-deaths-in-mexico
#12
Dzoara Santoyo-Castillo, Ricardo Pérez-Núñez, Guilherme Borges, Martha Híjar
AIM: To estimate the Drink Driving Attributable Fraction (DDAF) of road traffic injury mortality in car occupants in Mexico during 2010-2013. DESIGN: A case-control study was conducted to examine the presence of alcohol in analysed body fluids of car occupants killed in fatal crashes (cases) compared with car drivers tested in alcohol-testing checkpoints who were not involved in a fatal collision (controls). Two datasets were used for the period 2010-2013: The Forensic module of the Epidemiological Surveillance System on Addictions that included car occupants killed in a collision (cases) and a dataset from alcohol-testing at police checkpoints available for matching municipalities (controls)...
December 23, 2017: Addiction
https://www.readbyqxmd.com/read/29260112/persistent-pseudomyopia-following-a-whiplash-injury-in-a-previously-emmetropic-woman
#13
Fintan E Hughes, Maxwell P Treacy, Emma S Duignan, Paul B Mullaney
Purpose: Accommodative spasm, which manifests as ciliary muscle spasm, convergent strabismus or miosis, is a recognised consequence of head trauma. In whiplash cases, cervical spine hyperextension poses a risk of contra-coup injury and brainstem trauma, and is known to affect the visual system. However, to date, no cases of accommodative spasm due to whiplash injury have been reported. Observations: We present the case of a 34-year-old female who developed sudden onset blurred distance vision after a rear impact car crash, having previously been emmetropic...
December 2017: American Journal of Ophthalmology Case Reports
https://www.readbyqxmd.com/read/29240772/monitoring-of-arrhythmia-and-sudden-death-in-a-hemodialysis-population-the-crash-ilr-study
#14
Paul R Roberts, Donah Zachariah, John M Morgan, Arthur M Yue, Elizabeth F Greenwood, Patrick C Phillips, Philip A Kalra, Darren Green, Robert J Lewis, Paul R Kalra
INTRODUCTION: It has been suggested that sudden cardiac death (SCD) contributes around 50% of cardiovascular and 27% of all-cause mortality in hemodialysis patients. The true burden of arrhythmias and arrhythmic deaths in this population, however, remains poorly characterised. Cardio Renal Arrhythmia Study in Hemodialysis (CRASH-ILR) is a prospective, implantable loop recorder single centre study of 30 established hemodialysis patients and one of the first to provide long-term ambulatory ECG monitoring...
2017: PloS One
https://www.readbyqxmd.com/read/29238428/does-red-cell-distribution-width-predict-outcome-in-traumatic-brain-injury-comparison-to-corticosteroid-randomization-after-significant-head-injury
#15
Farid Sadaka, Nicholas Doctors, Tallia Pearson, Brian Snyders, Jacklyn O'Brien
Background: Traumatic brain injury (TBI) is a leading cause of death and disability. The role of red cell distribution width (RDW) as a prognostic biomarker for outcome in TBI patients is unknown. Based on the corticosteroid randomization after significant head injury (CRASH) trial database, a prognosis calculator (CRASH) has been developed for outcome prediction in TBI. The objectives of this study are to investigate the association between RDW on day 1 of TBI and outcome, and to compare outcome prediction from RDW to that from CRASH...
January 2018: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/29228854/the-design-and-development-of-myt1dhero-a-mobile-app-for-adolescents-with-type-1-diabetes-and-their-parents
#16
Bree E Holtz, Katharine M Murray, Denise D Hershey, Joshua Richman, Julie K Dunneback, Arpita Vyas, Michael A Wood
Introduction Type 1 diabetes impacts approximately 1.25 m Americans, many of them young children. As a child grows, there is a transition towards independence and they must learn to manage their diabetes independently. The objective of this study was to design, develop and conduct a prototype test to assess the satisfaction and feasibility of a mobile app for adolescents with type 1 diabetes and their parents to aid in this transition. Methods Ten parent/adolescent groups used MyT1DHero for four weeks. They were given a pre-test/post-test survey regarding family conflict with three tasks of diabetes management and the general tone of family communication...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29227692/autonomous-emergency-braking-systems-adapted-to-snowy-road-conditions-improve-drivers-perceived-safety-and-trust
#17
Ioana Koglbauer, Jürgen Holzinger, Arno Eichberger, Cornelia Lex
OBJECTIVE: This study investigated drivers' evaluation of a conventional autonomous emergency braking (AEB) system on high and reduced tire-road friction, and compared these results to those of an AEB system adaptive to the reduced tire-road friction by earlier braking. Currently automated systems such as the AEB do not adapt the vehicle control strategy to the road friction, e.g. on snowy roads. Since winter precipitation is associated with a 19% increase in traffic crashes and a 13% increase in injuries compared to dry conditions, the potential of conventional AEB to prevent collisions could be significantly improved by including friction in the control algorithm...
December 11, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/29223562/can-adolescent-drivers-motor-vehicle-crash-risk-be-reduced-by-pre-licensure-intervention
#18
Jessica H Mirman, Allison E Curry, Michael R Elliott, Leann Long, Melissa R Pfeiffer
PURPOSE: Although motor vehicle crashes are the leading cause of death for adolescents, there is a scarcity of research addressing adolescents' lack of pre-licensure practical driving experience, which is theorized to increase their post-licensure crash risk. METHODS: Utilizing police-reported crashes and survey data from a randomized and quasi-randomized trial (n = 458 adolescents, 16 or 17 years of age at enrollment), the impact of a parent-directed supervised practice driving intervention and a comprehensive on-road driving assessment (ODA) with feedback was evaluated on adolescent drivers' motor vehicle crashes involvement...
December 7, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29211499/prevalence-of-alcohol-impairment-and-odds-of-a-driver-injury-or-fatality-in-on-road-farm-equipment-crashes
#19
Karisa K Harland, Ronald Bedford, Hongqian Wu, Marizen Ramirez
OBJECTIVE: To estimate the prevalence of alcohol impairment in crashes involving farm equipment on public roadways and the effect of alcohol impairment on the odds of crash injury or fatality. METHODS: On-road farm equipment crashes were collected from four Great Plains state Departments of Transportation during 2005-2010. Alcohol impairment was defined as an involved driver having blood alcohol content of ≥0.08 g/100 ml or a finding of alcohol-impaired as a driver contributing circumstance recorded on the police crash report...
December 6, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/29206822/analysis-of-accidents-and-injuries-on-motorcycles-in-mexico
#20
Luis David Berrones-Sanz
OBJECTIVE: To analyze the type of injuries and the characteristics and geographical distribution of road accidents where motorcycles were involved in Mexico. METHODS: A descriptive analysis of second-hand information sources was conducted, including the number of accidents (N = 41,881), total number of injured people (N = 13,916) and medical expenses (N = 9,111) associated to motorcycle accidents during 2014. RESULTS: Motorcycles represent 13...
November 2017: Gaceta Médica de México
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