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https://www.readbyqxmd.com/read/27922270/examining-motor-vehicle-crash-involvement-and-readiness-to-change-on-drinking-and-driving-behaviors-among-injured-emergency-department-patients
#1
Janette Baird, Eunice Yang, Valerie Strezsak, Michael J Mello
OBJECTIVE: To measure the effect of motor vehicle crash (MVC) involvement and readiness to change drinking and driving behaviors on subsequent driving and drinking behaviors among injured emergency department (ED) patients who use alcohol at harmful levels. METHODS: A secondary analyses of a randomized controlled trial of injured ED patients who screened positive for harmful alcohol use, who at recruitment reported driving in the past 12 months and received at least one of the intended intervention sessions (brief behavioral intervention versus attention placebo control [N = 407])...
December 6, 2016: Traffic Injury Prevention
https://www.readbyqxmd.com/read/27918937/methods-to-rank-traffic-rule-violations-resulting-in-crashes-for-allocation-of-funds
#2
Praveena Penmetsa, Srinivas S Pulugurtha
Education, enforcement and engineering countermeasures are implemented to make road users comply with the traffic rules. Not all the traffic rule violations can be addressed nor countermeasures be implemented at all unsafe locations, at once, due to limited funds. Therefore, this study aims at ranking the traffic rule violations resulting in crashes based on individual ranks, such as 1) frequency (expressed as a function of the number of drivers violating a traffic rule and involved in crashes), 2) crash severity, 3) total crash cost, and, 4) cost severity index, to assist transportation system managers in prioritizing the allocation of funds and improving safety on roads...
December 2, 2016: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/27894501/tranexamic-acid-update-in-trauma
#3
REVIEW
Ricardo J Ramirez, Philip C Spinella, Grant V Bochicchio
Following results from the CRASH-2 trial, tranexamic acid (TXA) gained considerable interest for the treatment of hemorrhage in trauma patients. Although TXA is effective at reducing mortality in patients presenting within 3 hours of injury, optimal dosing, timing of administration, mechanism, and pharmacokinetics require further elucidation. The concept of fibrinolysis shutdown in hemorrhagic trauma patients has prompted discussion of real-time viscoelastic testing and its potential role for appropriate patient selection...
January 2017: Critical Care Clinics
https://www.readbyqxmd.com/read/27890031/a-national-assessment-of-the-health-and-safety-of-emergency-medical-services-professionals
#4
Melissa A Bentley, Roger Levine
OBJECTIVES: The objectives were to assess changes in (1) health and physical fitness, (2) the prevalence of selected health problems, (3) risk behaviors, (4) ambulance safety issues, and (5) the preparedness of Emergency Medical Services (EMS) professionals. In addition, the incidence of patient-initiated violence directed toward EMS personnel and associated factors were assessed. METHODS: Data were obtained from a sample of nationally certified EMS professionals via annual questionnaires between 1999 and 2008...
November 28, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27889110/psychological-distress-and-physical-disability-in-patients-sustaining-severe-injuries-in-road-traffic-crashes-results-from-a-one-year-cohort-study-from-three-european-countries
#5
Maria Papadakaki, Ottavia Eleonora Ferraro, Chiara Orsi, Dietmar Otte, Georgia Tzamalouka, Marco von-der-Geest, Timo Lajunen, Türker Özkan, Anna Morandi, Markos Sarris, George Pierrakos, Joannes Chliaoutakis
The current study aimed to follow-up a group of road crash survivors for one year and assesses the impact of injury on their psychological and physical condition. All crash survivors that were admitted to the intensive or sub-intensive care units of selected hospitals in Greece, Germany and Italy over one year period (2013-2014), were invited to participate in the study and were interviewed at three different time-points as follows: (a) at one month (baseline data), (b) at six months, and (c) at twelve months...
November 18, 2016: Injury
https://www.readbyqxmd.com/read/27878804/assessment-of-cardiovascular-risk-in-patients-undergoing-total-joint-alloplasty-the-crash-joint-study
#6
Pawel Legosz, Marcin Kotkowski, Anna E Platek, Pawel Maldyk, Bartosz Krzowski, Anna Rys, Karolina Semczuk, Filip M Szymanski, Krzysztof J Filipiak
BACKGROUND: Risk assessment is of particular importance for patients undergoing surgical interventions. Orthopedic procedures, especially total joint alloplasty are major procedure associated with high perioperative risk, as well as one of the highest rates of complications. The aim of the present study was to establish the prevalence of classical and non-classical cardiovascular risk factors in patients undergoing total hip or knee alloplasty. METHODS: The CRASH-JOINT (Cardiovascular Risk Assessment ScHeme in JOINT alloplasty) was a prospective, epidemiological study performed in consecutive patients scheduled for total joint (hip or knee) replacement surgery...
November 23, 2016: Kardiologia Polska
https://www.readbyqxmd.com/read/27878129/an-epidemiological-study-of-road-traffic-accidents-in-guilan-province-northern-iran-in-2012
#7
Zahra Mohtasham-Amiri, Saeed Dastgiri, Ali Davoudi-Kiakalyeh, Ali Imani, Keyvan Mollarahimi
OBJECTIVE: To determine the epidemiological characteristics of the road traffic injuries (RTIs) in Guilan province, northern Iran. METHODS: This study was a cross-sectional study which included all of RTIs admitted to medical centers of Guilan province (northern Iran) during 2012. ICD-10 was used as diagnostic criteria. Demographic variables also injury circumstance and in hospital variables such as length of stay, time of admission, type of surgery, ICU admission, final outcome and mechanism of injury, anatomical part of injury according to Abbreviated Injury Scale (AIS) classification were derives from records by trained research team...
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27871102/new-risk-curves-for-nhtsa-s-brain-injury-criterion-bric-derivations-and-assessments
#8
Tony R Laituri, Scott Henry, Kevin Pline, Guosong Li, Michael Frankstein, Para Weerappuli
The National Highway Traffic Safety Administration (NHTSA) recently published a Request for Comments regarding a potential upgrade to the US New Car Assessment Program (US NCAP) - a star-rating program pertaining to vehicle crashworthiness. Therein, NHTSA (a) cited two metrics for assessing head risk: Head Injury Criterion (HIC15) and Brain Injury Criterion (BrIC), and (b) proposed to conduct risk assessment via its risk curves for those metrics, but did not prescribe a specific method for applying them. Recent studies, however, have indicated that the NHTSA risk curves for BrIC significantly overstate field-based head injury rates...
November 2016: Stapp Car Crash Journal
https://www.readbyqxmd.com/read/27862040/central-extracorporeal-life-support-with-left-ventricular-decompression-to-berlin-heart-excor-a-reliable-bridge-to-bridge-strategy-in-crash-and-burn-patients
#9
Alexander Weymann, Mina Farag, Anton Sabashnikov, Javid Fatullayev, Mohamed Zeriouh, Bastian Schmack, Rawa Arif, Florian Müller, Christina Alt, Philip Raake, Nikhil Prakash Patil, Aron-Frederik Popov, Andre Rüdiger Simon, Matthias Karck, Arjang Ruhparwar
The aim of this study was to compare patients with severe biventricular heart failure who underwent Berlin Heart Excor implantation with (cardiogenic shock [CS] status) or without the need for preoperative extracorporeal life support (ECLS) as a bridge to long-term device. A total of 40 consecutive patients with severe biventricular heart failure underwent Berlin Heart Excor implantation with (CS status, n = 20, 50%) or without (control, n = 20, 50%) the need for preoperative ECLS as a bridge to long-term device from March 2007 to May 2015 at our institution...
November 8, 2016: Artificial Organs
https://www.readbyqxmd.com/read/27854530/the-impact-of-michigan-s-partial-repeal-of-the-universal-motorcycle-helmet-law-on-helmet-use-fatalities-and-head-injuries
#10
Patrick M Carter, Lisa Buckley, Carol A C Flannagan, Jessica B Cicchino, Mark Hemmila, Patrick J Bowman, Farideh Almani, C Raymond Bingham
OBJECTIVES: To evaluate the impact of the partial repeal of Michigan's universal motorcycle helmet law on helmet use, fatalities, and head injuries. METHODS: We compared helmet use rates and motorcycle crash fatality risk for the 12 months before and after the April 13, 2012, repeal with a statewide police-reported crash data set. We linked police-reported crashes to injured riders in a statewide trauma registry. We compared head injury before and after the repeal...
January 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/27853417/a-mouse-model-for-binge-level-methamphetamine-use
#11
Shkelzen Shabani, Sydney K Houlton, Laura Hellmuth, Erika Mojica, John R K Mootz, Zhen Zhu, Cheryl Reed, Tamara J Phillips
Binge/crash cycles of methamphetamine (MA) use are frequently reported by individuals suffering from MA use disorders. A MA binge is self-reported as multiple daily doses that commonly accumulate to 800 mg/day (~10 mg/kg/day for a 170 pound human). A genetic animal model with a similar vulnerability to binge-level MA intake is missing. We used selectively bred MA high drinking (MAHDR) and low drinking (MALDR) mouse lines to determine whether several procedural variations would result in binge-level MA intake...
2016: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/27846996/understanding-risk-factor-patterns-in-atv-fatalities-a-recursive-partitioning-approach
#12
Elise Lagerstrom, Sheryl Magzamen, Lorann Stallones, David Gilkey, John Rosecrance
INTRODUCTION: Although there are hundreds of ATV-related deaths each year in the United States, contributing factors have not been clearly identified. The purpose of this study was to investigate associations between factors contributing to ATV fatalities using the agent-host-environment epidemiological triangle. METHOD: Incident reports of ATV fatalities occurring between 2011 and 2013 were obtained from the United States Consumer Product Safety Commission (CPSC)...
December 2016: Journal of Safety Research
https://www.readbyqxmd.com/read/27825043/pedestrian-self-reported-use-of-smart-phones-positive-attitudes-and-high-exposure-influence-intentions-to-cross-the-road-while-distracted
#13
Alexia Lennon, Oscar Oviedo-Trespalacios, Sarah Matthews
Pedestrian crashes are an important issue globally as pedestrians are a highly vulnerable road user group, accounting for approximately 35% of road deaths worldwide each year. In highly motorised countries, pedestrian distraction by hand held technological devices appears to be an increasing factor in such crashes. An online survey (N=363) was conducted to 1) obtain prevalence information regarding the extent to which people cross the road while simultaneously using mobile phones for potentially distracting activities; 2) identify whether younger adult pedestrians are more exposed to/at risk of injury due to this cause than older adults; and 3) explore whether the Theory of Planned Behaviour (TPB) might provide insight into the factors influencing the target behaviours...
November 5, 2016: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/27800459/effectiveness-of-bicycle-safety-helmets-in-preventing-facial-injuries-in-road-accidents
#14
Rebecca Stier, Dietmar Otte, Christian Müller, Maximilian Petri, Ralph Gaulke, Christian Krettek, Stephan Brand
BACKGROUND: The effectiveness of bicycle safety helmets in preventing head injuries is well- documented. Recent studies differ regarding the effectiveness of bicycle helmets in preventing facial injuries, especially those of the mid-face and the mandible. OBJECTIVES: The present study was conducted to determine the protective effect of a bicycle helmet in preventing mid-face and mandibular fractures. PATIENTS AND METHODS: Data from an accident research unit were analyzed to collect technical collision details (relative collision speed, type of collision, collision partner, and use of a helmet) and clinical data (type of fracture)...
September 2016: Archives of Trauma Research
https://www.readbyqxmd.com/read/27784226/evidence-of-2-populations-of-mephedrone-abusers-by-hair-testing-application-to-4-forensic-expertises
#15
Pascal Kintz
New psychoactive substances are conquering the drug scene. Among these substances, cathinone derivatives have been observed since late in the year 2000. At that time, an increasing use of the synthetic cathinone mephedrone (4-methylmethcathinone) started to be observed, particularly among night clubbers. Although these new psychoactive drugs showed an appearance of safety, a growing amount of experiences on their secondary effects has been reported. Mephedrone for example is known to induce psychosis. Given the potential negative effects of mephedrone, the laboratory was asked to test for the drug in hair, a cumulative matrix that can document single, occasional or repetitive abuse of xenobiotics...
October 26, 2016: Current Neuropharmacology
https://www.readbyqxmd.com/read/27770688/the-effect-of-zonal-factors-in-estimating-crash-risks-by-transportation-modes-motor-vehicle-bicycle-and-pedestrian
#16
Jie Wang, Helai Huang, Qiang Zeng
OBJECTIVES: This paper aimed to (i) differentiate the effects of contributory factors on crash risks related to different transportation modes, i.e., motor vehicle, bicycle and pedestrian; (ii) explore the potential contribution of zone-level factors which are traditionally excluded or omitted, so as to track the source of heterogeneous effects of certain risk factors in crash-frequency models by different modes. METHODS: Two analytical methods, i.e. negative binomial models (NB) and random parameters negative binomial models (RPNB), were employed to relate crash frequencies of different transportation modes to a variety of risk factors at intersections...
October 19, 2016: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/27763774/modelling-faults-among-e-bike-related-fatal-crashes-in-china
#17
Chen Wang, Chengcheng Xu, Jinxin Xia, Zhendong Qian
OBJECTIVES: This paper aims to model fault in e-bike fatal crashes in a county-level city in China. METHOD: Three-year crash data are retrieved from the crash reports (2012-2014) from the Taixing Police Department. A mixed logit models is introduced to explore significant factors associated with fault assignment, as well as accounting for similarity among fault assignment and heterogeneity within unobserved variables. RESULTS: The modeling results indicate some interesting new findings...
October 20, 2016: Traffic Injury Prevention
https://www.readbyqxmd.com/read/27757716/simedis-a-discrete-event-simulation-model-for-testing-responses-to-mass-casualty-incidents
#18
Michel Debacker, Filip Van Utterbeeck, Christophe Ullrich, Erwin Dhondt, Ives Hubloue
It is recognized that the study of the disaster medical response (DMR) is a relatively new field. To date, there is no evidence-based literature that clearly defines the best medical response principles, concepts, structures and processes in a disaster setting. Much of what is known about the DMR results from descriptive studies and expert opinion. No experimental studies regarding the effects of DMR interventions on the health outcomes of disaster survivors have been carried out. Traditional analytic methods cannot fully capture the flow of disaster victims through a complex disaster medical response system (DMRS)...
December 2016: Journal of Medical Systems
https://www.readbyqxmd.com/read/27753712/child-passenger-restraint-system-misuse-in-rural-versus-urban-children-a-multisite-case-control-study
#19
John W Hafner, Stephanie J Kok, Huaping Wang, Dale L Wren, Mary E Aitken, Beverly K Miller, Byron L Anderson, Kathy W Monroe
OBJECTIVES: Motor vehicle crashes are the leading cause of childhood fatality, making use of properly installed child passenger restraint system (CRS) a public health priority. Motor vehicle crashes in rural environments are associated with increased injuries and fatalities, and overall CRS use tends to be lower compared with urban populations. However, it remains unclear if proper installation of car seats is lower in a rural population compared with a similar matched urban population...
October 8, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27749628/cervical-spine-injuries-in-children-associated-with-sports-and-recreational-activities
#20
Lynn Babcock, Cody S Olsen, David M Jaffe, Julie C Leonard
OBJECTIVE: The aim of this study was to ascertain potential factors associated with cervical spine injuries in children injured during sports and recreational activities. METHODS: This is a secondary analysis of a multicenter retrospective case-control study involving children younger than 16 years who presented to emergency departments after blunt trauma and underwent cervical spine radiography. Cases had cervical spine injury from sports or recreational activities (n = 179)...
September 30, 2016: Pediatric Emergency Care
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