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https://www.readbyqxmd.com/read/28728061/qualifying-information-on-deaths-and-serious-injuries-caused-by-road-traffic-in-five-brazilian-capitals-using-record-linkage
#1
Polyana Maria Pimenta Mandacaru, Ana Lucia Andrade, Marli Souza Rocha, Fernanda Pinheiro Aguiar, Maria Sueli M Nogueira, Anne Marielle Girodo, Ana Amélia Galas Pedrosa, Vera Lídia Alves de Oliveira, Marta Maria Malheiros Alves, Lúcia Maria Miana M Paixão, Deborah Carvalho Malta, Marta Maria Alves Silva, Otaliba Libanio de Morais Neto
INTRODUCTION: Road traffic crashes (RTC) are an important public health problem, accounting for 1.2 million deaths per year worldwide. In Brazil, approximately 40,000 deaths caused by RTC occur every year, with different trends in the Federal Units. However, these figures may be even greater if health databases are linked to police records. In addition, the linkage procedure would make it possible to qualify information from the health and police databases, improving the quality of the data regarding underlying cause of death, cause of injury in hospital records, and injury severity...
July 17, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28719606/prescription-medicine-use-by-pedestrians-and-the-risk-of-injurious-road-traffic-crashes-a-case-crossover-study
#2
Mélanie Née, Marta Avalos, Audrey Luxcey, Benjamin Contrand, Louis-Rachid Salmi, Annie Fourrier-Réglat, Blandine Gadegbeku, Emmanuel Lagarde, Ludivine Orriols
BACKGROUND: While some medicinal drugs have been found to affect driving ability, no study has investigated whether a relationship exists between these medicines and crashes involving pedestrians. The aim of this study was to explore the association between the use of medicinal drugs and the risk of being involved in a road traffic crash as a pedestrian. METHODS AND FINDINGS: Data from 3 French nationwide databases were matched. We used the case-crossover design to control for time-invariant factors by using each case as its own control...
July 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28716291/similarities-between-large-animal-related-and-motor-vehicle-crash-related-injuries
#3
Abigail M Tremelling, Robert A Marley, Mackenzie B Marley, Christina M Woofter, Courtney Docherty, Ann E Salvator, Farid F Muakkassa
OBJECTIVE: Many Americans sustain large animal-related injuries (LARIs) from blunt trauma. We compare the injuries and management of LARI in our region of the United States with those of motor vehicle crashes (MVCs). METHODS: A 15-year retrospective study of trauma patients with LARI matched to MVC controls by Injury Severity Score (ISS), age, and sex was conducted. Values were statistically compared, and differences were considered statistically significant at P < ...
July 14, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28716153/a-nested-mechanistic-sub-study-into-the-effect-of-tranexamic-acid-versus-placebo-on-intracranial-haemorrhage-and-cerebral-ischaemia-in-isolated-traumatic-brain-injury-study-protocol-for-a-randomised-controlled-trial-crash-3-trial-intracranial-bleeding-mechanistic
#4
Abda Mahmood, Ian Roberts, Haleema Shakur
BACKGROUND: Tranexamic acid prevents blood clots from breaking down and reduces bleeding. However, it is uncertain whether tranexamic acid is effective in traumatic brain injury. The CRASH-3 trial is a randomised controlled trial that will examine the effect of tranexamic acid (versus placebo) on death and disability in 13,000 patients with traumatic brain injury. The CRASH-3 trial hypothesizes that tranexamic acid will reduce intracranial haemorrhage, which will reduce the risk of death...
July 17, 2017: Trials
https://www.readbyqxmd.com/read/28705513/pediatric-all-terrain-vehicle-atv-injuries-an-epidemic-of-cost-and-grief
#5
Kent A Strohecker, Christian J Gaffney, Jove Graham, Kaan Irgit, Wade R Smith, Thomas R Bowen
OBJECTIVE: Evaluate cost of care of all-terrain vehicle (ATV) related injuries sustained by riders 16 years and younger in Pennsylvania. METHODS: Population-based retrospective cohort design reviewing costs of care of 78 patients (≤16 years), admitted (01/01/2007-12/31/2009) to our institution for injuries sustained during an ATV accident. RESULTS: Cost of care varied from $322 to $310,435. Mean and median costs for all patients were $25,760 and $8,066, respectively...
July 10, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/28700591/trends-in-traumatic-brain-injury-mortality-in-china-2006-2013-a-population-based-longitudinal-study
#6
Peixia Cheng, Peng Yin, Peishan Ning, Lijun Wang, Xunjie Cheng, Yunning Liu, David C Schwebel, Jiangmei Liu, Jinlei Qi, Guoqing Hu, Maigeng Zhou
BACKGROUND: Traumatic brain injury (TBI) is a significant global public health problem, but has received minimal attention from researchers and policy-makers in low- and middle-income countries (LMICs). Epidemiological evidence of TBI morbidity and mortality is absent at the national level for most LMICs, including China. Using data from China's Disease Surveillance Points (DSPs) system, we conducted a population-based longitudinal analysis to examine TBI mortality, and mortality differences by sex, age group, location (urban/rural), and external cause of injury, from 1 January 2006 to 31 December 2013 in China...
July 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28700588/years-of-life-lost-due-to-traumatic-brain-injury-in-europe-a-cross-sectional-analysis-of-16-countries
#7
Marek Majdan, Dominika Plancikova, Andrew Maas, Suzanne Polinder, Valery Feigin, Alice Theadom, Martin Rusnak, Alexandra Brazinova, Juanita Haagsma
INTRODUCTION: Traumatic brain injuries (TBIs) are a major public health, medical, and societal challenge globally. They present a substantial burden to victims, their families, and the society as a whole. Although indicators such as incidence or death rates provide insight into the occurrence and outcome of TBIs in various populations, they fail to quantify the full extent of their public health and societal impact. Measures such as years of life lost (YLLs), which quantifies the number of years of life lost because the person dies prematurely due to a disease or injury, should be employed to better quantify the population impact...
July 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28696773/rail-height-effects-on-safety-performance-of-midwest-guardrail-system
#8
Mojdeh Asadollahi Pajouh, Ramen D Julin, Cody S Stolle, John D Reid, Ronald K Faller
OBJECTIVE: Guardrail heights play a crucial role in the way that errant vehicles interact with roadside barriers. Low rail heights increase the propensity of vehicle rollover and override, while excessively-tall rails promote underride. Further, rail mounting heights and post embedment depths may be altered by variations in roadside terrain. An increased guardrail height may be desirable to accommodate construction tolerances, soil erosion, frost heave, and future roadway overlays. This study aimed to investigate and identify a maximum safe installation height for the Midwest Guardrail System, which would be robust and remain crashworthy before and after pavement overlays...
July 11, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28693353/injury-characteristics-of-low-energy-lisfranc-injuries-compared-with-high-energy-injuries
#9
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/28690732/maxillofacial-fractures-in-a-budding-teaching-hospital-a-study-of-pattern-of-presentation-and-care
#10
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/28681567/a-social-media-program-to-increase-adolescent-seat-belt-use
#11
Stacy A Drake, Ni Zhang, Courtney Applewhite, Katherine Fowler, John B Holcomb
In response to motor vehicle crashes remaining the leading cause of death for teenagers in the United States, a nursing clinical group (n = 10) in conjunction with a local hospital injury prevention program created an educational campaign to bolster seat belt use. The nursing students created an Instagram account to serve as an educational tool to promote seat belt use among teenagers aged 14-19, and the program was presented at three high school health fairs. In all, 135 postings were made to the account over a 3-month period...
July 6, 2017: Public Health Nursing
https://www.readbyqxmd.com/read/28641683/a-review-of-general-aviation-safety-1984-2017
#12
Douglas D Boyd
General aviation includes all civilian aviation apart from operations involving paid passenger transport. Unfortunately, this category of aviation holds a lackluster safety record, accounting for 94% of civil aviation fatalities. In 2014, of 1143 general aviation accidents, 20% were fatal compared with 0 of 29 airline mishaps in the United States. Herein, research findings over the past 30 yr will be reviewed. Accident risk factors (e.g., adverse weather, geographical region, post-impact fire, gender differences) will be discussed...
July 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28636489/evaluation-of-countermeasures-for-red-light-running-by-traffic-simulator-based-surrogate-safety-measures
#13
Changju Lee, Jaehyun Jason So, Jiaqi Ma
OBJECTIVE: The conflicts among motorists entering a signalized intersection with the red light indication have become a national safety issue. Because of its sensitivity, efforts have been made to investigate the possible causes and effectiveness of countermeasures by the comparison sites and/or before-and-after studies. Nevertheless, these approaches are ineffective when comparison sites cannot be found, or crash data sets are not readily available or not reliable for statistical analysis...
June 21, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28633356/ridesharing-and-motor-vehicle-crashes-in-four-u-s-cities-an-interrupted-time-series-analysis
#14
Christopher N Morrison, Sara F Jacoby, Beidi Dong, M Kit Delgado, Douglas J Wiebe
Uber, the world's largest ridesharing company, has reportedly provided over two billion journeys globally since operations began in 2010; however, the impact on motor vehicle crashes is unclear. Theoretically, ridesharing could reduce alcohol-involved crashes in locations where other modes of transportation are less attractive than driving one's own vehicle while alcohol-affected. We conducted interrupted time series analyses using weekly counts of injury crashes and the proportion that were alcohol-involved in four US cities (Las Vegas, NV; Portland, OR; Reno, NV; San Antonio, TX)...
June 14, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/28622934/selection-to-outsmart-the-germs-the-evolution-of-disease-recognition-and-social-cognition
#15
Sharon E Kessler, Tyler R Bonnell, Richard W Byrne, Colin A Chapman
The emergence of providing care to diseased conspecifics must have been a turning point during the evolution of hominin sociality. On a population level, care may have minimized the costs of socially transmitted diseases at a time of increasing social complexity, although individual care-givers probably incurred increased transmission risks. We propose that care-giving likely originated within kin networks, where the costs may have been balanced by fitness increases obtained through caring for ill kin. We test a novel hypothesis of hominin cognitive evolution in which disease may have selected for the cognitive ability to recognize when a conspecific is infected...
July 2017: Journal of Human Evolution
https://www.readbyqxmd.com/read/28618353/another-look-at-the-safety-effects-of-horizontal-curvature-on-rural-two-lane-highways
#16
Taha Saleem, Bhagwant Persaud
Crash Modification Factors (CMFs) are used to represent the effects on crashes of changes to highway design elements and are usually obtained from observational studies based on reported crashes. The design element of interest for this paper is horizontal curvature on rural 2-lane highways. The data for this study came from the Washington State database in the Highway Safety Information System (HSIS). Crash prediction models are developed for curve sections on rural 2-lane highway and the tangent sections up- and down-stream of the curve sections...
June 12, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28615044/comparison-of-transportation-related-injury-mechanisms-and-outcome-of-young-road-users-and-adult-road-users-a-retrospective-analysis-on-24-373-patients-derived-from-the-traumaregister-dgu-%C3%A2
#17
Thomas Brockamp, Uli Schmucker, Rolf Lefering, Manuel Mutschler, Arne Driessen, Christian Probst, Bertil Bouillon, Paola Koenen
BACKGROUND: Most young people killed in road crashes are known as vulnerable road users. A combination of physical and developmental immaturity as well as inexperience increases the risk of road traffic accidents with a high injury severity rate. Understanding injury mechanism and pattern in a group of young road users may reduce morbidity and mortality. This study analyzes injury patterns and outcomes of young road users compared to adult road users. The comparison takes into account different transportation related injury mechanisms...
June 14, 2017: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/28609664/bicycle-vehicle-interactions-at-mid-sections-of-mixed-traffic-streets-examining-passing-distance-and-bicycle-comfort-perception
#18
Peter Apasnore, Karim Ismail, Ali Kassim
This paper studies the relevant factors in mixed urban traffic that may impact the lateral spacing between bicycles and vehicles (passing distance, PD), and their resulting effect on a bicyclists' comfort based on a study of six sites in Ottawa, Canada. The observations are: [i] the average position of bicycles from the curb is 0.57m, and lesser (i.e. 0.35m) in the presence of parking; [ii] 90% of passes exceed 1.23m; [iii] PD is positively correlated with motor vehicle speed, lane width, and bicycle position from adjacent curb edge line, whiles inversely correlated to ambient traffic density and bicycle speed; [iv] motor vehicle speed has the highest prediction of PD variability; [v] PD and ambient traffic density (ATD) are found to be the most important factors to a bicyclists' comfort perception (BCP)...
June 10, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28609379/pediatric-moped-related-injuries-in-the-u-s-from-2002-2014-age-related-comparisons-of-mechanisms-and-outcomes
#19
Nathaniel K Johnson, Brandon M Johnson, Gerene M Denning, Charles A Jennissen
INTRODUCTION: Mopeds are a popular means of transportation, especially in urban areas. However, few studies have investigated moped-related injuries in the United States. This study's goal was to compare the crash mechanisms and injuries suffered in moped-related crashes involving youth versus adults, as well as between younger and older children. METHODS: Descriptive and comparative analyses were performed using National Electronic Injury Surveillance System (NEISS) data and additional variables coded from injury narratives...
June 13, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28604931/motor-vehicle-crash-risk-among-adolescents-and-young-adults-with-attention-deficit-hyperactivity-disorder
#20
Allison E Curry, Kristina B Metzger, Melissa R Pfeiffer, Michael R Elliott, Flaura K Winston, Thomas J Power
Importance: Attention-deficit/hyperactivity disorder (ADHD) often persists into adolescence, when motor vehicle crash risk peaks. We know little about when adolescents with ADHD get licensed and, once they do, the extent to which they have increased crash risk compared with adolescents without ADHD. Objectives: To examine the association between ADHD and both driver licensing and crash involvement and whether it varies by sex, licensing age, and/or being prescribed ADHD medication at licensure...
June 12, 2017: JAMA Pediatrics
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