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https://www.readbyqxmd.com/read/29349374/utilization-of-arterial-grafts-in-foot-replantation
#1
Selami S Sirvan, Daghan Dagdelen, Isil Akgun Demir, Mecd Atif Cezairlioglu, Hasan Basri Sezer, Semra Karsidag
Our subject is a 36-year-old man who presented to the emergency department with bilateral lower extremity amputation at the level of the distal third of the tibia after a car accident. Surgery was planned for below-knee amputation of the right lower extremity and replantation of the left foot. The arteries dissected from the iatrogenically amputated segment were used as grafts to repair vascular gaps during the replantation. The patient's follow-up had been problem free. We concluded that whenever possible, amputated parts unsuitable for replantation should be examined thoroughly and neurovascular structures that might be used as grafts should be preserved...
March 2017: Journal of Vascular Surgery Cases and Innovative Techniques
https://www.readbyqxmd.com/read/29320406/a-police-and-insurance-joint-management-system-based-on-high-precision-bds-gps-positioning
#2
Wenwei Zuo, Chi Guo, Jingnan Liu, Xuan Peng, Min Yang
Car ownership in China reached 194 million vehicles at the end of 2016. The traffic congestion index (TCI) exceeds 2.0 during rush hour in some cities. Inefficient processing for minor traffic accidents is considered to be one of the leading causes for road traffic jams. Meanwhile, the process after an accident is quite troublesome. The main reason is that it is almost always impossible to get the complete chain of evidence when the accident happens. Accordingly, a police and insurance joint management system is developed which is based on high precision BeiDou Navigation Satellite System (BDS)/Global Positioning System (GPS) positioning to process traffic accidents...
January 10, 2018: Sensors
https://www.readbyqxmd.com/read/29306084/traffic-accident-severity-analysis-with-rain-related-factors-using-structural-equation-modeling-a-case-study-of-seoul-city
#3
Jonghak Lee, Junghyo Chae, Taekwan Yoon, Hojin Yang
Weather conditions are strongly correlated with traffic accident severity. In particular, rain-related factors are an important cause of traffic accidents due to the poor visibility and reduced friction resulting from slippery road conditions. This paper presents a systematic approach to analyze the extent to which the rainfall intensity and level of water depth are responsible for traffic accidents using Seoul City, Korea, as a case study. The rainfall and traffic accident data over a nine-year period (from 2007 to 2015) for Seoul were analyzed through Structural Equation Modeling to identify the relationships among variables by handling endogenous and exogenous variables simultaneously...
January 3, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29290595/the-media-response-to-the-acgme-s-2017-relaxed-resident-duty-hour-restrictions
#4
Zi Zhang, Alan V Krauthamer, Andrew B Rosenkrantz
PURPOSE: In March 2017, the ACGME relaxed resident duty-hour restrictions to allow first-year residents to work 24-hour shifts, affecting the internship experience of incoming radiology residents. The aim of this study was to assess the media response to this duty-hour change, comparing news articles with favorable and unfavorable views. METHODS: Google News was used to identify 36 relevant unique news articles published over a 4-week period after the announcement...
December 28, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29288709/collision-of-the-glass-shards-with-the-eye-a-computational-fluid-structure-interaction-model
#5
Alireza Karimi, Reza Razaghi, Hasan Biglari, Toshihiro Sera, Susumu Kudo
The main stream of blunt trauma injuries has been reported to be related to the automobile crashes, sporting activities, and military operations. Glass shards, which can be induced due to car accident, earthquake, gunshot, etc., might collide with the eye and trigger substantial scarring and, consequently, permanently affect the vision. The complications as a result of the collision with the eye and its following injuries on each component of the eye are difficult to be diagnosed. The objective of this study was to employ a Three-Dimensional (3D) computational Fluid-Structure Interaction (FSI) model of the human eye to assess the results of the glass shards collision with the eye...
December 27, 2017: Journal of Chemical Neuroanatomy
https://www.readbyqxmd.com/read/29283619/five-year-old-historian
#6
Wynne Morrison
In this poem, the author describes a doctor talking with a five-year-old child who has been brought to the hospital after being in a car accident with his/her mother and brother. The child is not able to remember the mother's name, but the doctor continues to talk with the child. (PsycINFO Database Record
December 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29275235/endovascular-treatment-of-renal-arterial-perforation-after-blunt-trauma-case-report
#7
Kyoung Hoon Lim, Hun Kyu Ryeom, Jinyoung Park
INTRODUCTION: Isolated renal arterial perforation is a rare consequence of blunt abdominal trauma. Meticulous surgical control of retroperitoneal active bleeding is difficult due to oozing of soft connective tissue, the deep position of operative field, and the presence of friable vascular tissue. Therefore, endovascular treatment is often preferred. PRESENTATION OF CASE: An 83-year-old man was transferred to our trauma center due to retroperitoneal active bleeding after a car accident, in which his right upper abdomen struck the steering wheel...
December 16, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29260112/persistent-pseudomyopia-following-a-whiplash-injury-in-a-previously-emmetropic-woman
#8
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/29233697/retrospective-analysis-of-471-surgically-treated-zygomaticomaxillary-complex-fractures
#9
Michael Blumer, Sabina Kumalic, Thomas Gander, Martin Lanzer, Claudio Rostetter, Martin Rücker, Heinz-Theo Lübbers
PURPOSE: Zygomaticomaxillary complex (ZMC) fractures are frequent in facial trauma; only fractures of the mandible are more common. Although the frequency of these fractures is geographically consistent, the aetiology differs widely among countries and even regions. Differences in socio-economic status and the ageing population seem to be two causes. This retrospective epidemiological study evaluates patients who were surgically treated for ZMC fractures at a Swiss university clinic. MATERIALS AND METHODS: This study included 471 patients who were surgically treated for ZMC fractures in an oral and maxillofacial surgery clinic at a Swiss university hospital between January 2004 and December 2012...
November 23, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29226458/communicating-risk-in-dementia-care-survey-of-health-and-social-care-professionals
#10
Brian J Taylor, Mabel Stevenson, Michelle McDowell
Supporting people to live at home in line with community care policies requires increasing attention to assessing, communicating and managing risks. There is a challenge in supporting client choices that include risk-taking while demonstrating professional accountability. Risk communication becomes increasingly important with the need to engage clients and families in meaningful shared decision-making. This presents particular challenges in dementia services. This survey of risk communication in dementia care was administered to all health and social care professionals in community dementia services in Northern Ireland: June-September 2016...
December 11, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29226123/open-repair-of-a-12-cm-posttraumatic-aneurysm-of-right-subclavian-artery
#11
Konstantinos Tigkiropoulos, Omiros Chalvatzoulis, Eleftherios Chalvatzoulis, Kyriakos Stavridis, Dimitrios Karamanos, Ioannis Lazaridis, Andreas Efstathiou, Nikolaos Saratzis
Purpose: To present a rare case of a patient with a 12-cm posttraumatic right subclavian artery aneurysm successfully treated with aneurysmectomy and innominate-axillary bypass. Case report: A 54-year-old man presented to the emergency department due to progressive dyspnea and hoarseness of voice. His medical record was unremarkable except that he had right-sided pneumothorax and multiple rib fractures from a car accident 16 years ago. A chest X-ray showed a mass in the upper lobe of the right lung, and the patient was hospitalized for further investigation...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/29214988/anthropometric-characteristics-and-traffic-accident-circumstances-of-patients-with-isolated-whiplash-injury-in-university-clinical-hospital-mostar
#12
Pejana Rastović, Marija Definis Gojanović, Ines Perić, Marko Pavlović, Josip Lesko, Gordan Galić, Marko Ostojić
Aim To investigate anthropometric characteristics and traffic accident circumstances of subjects with isolated whiplash injury. Methods This cross sectional study involved 75 subjects from traffic accidents with isolated whiplash injury classified by Quebec Task Force (QTF). Anthropometric data were collected as well as claims about circumstances of traffic accidents. Results Distribution of 1st (28; 37.3%), 2nd (25; 33.3%) and 3rd (22; 29.3%) grade of whiplash injury was almost equal. Females had smaller anthropometric measurements than males; neck circumference was the most significant difference between males and females in the context of whiplash injury...
February 1, 2018: Medicinski Glasnik
https://www.readbyqxmd.com/read/29204129/-maybe-i-will-just-send-a-quick-text%C3%A2-an-examination-of-drivers-distractions-causes-and-potential-interventions
#13
Ole J Johansson, Aslak Fyhri
Many people use cars all over the world. This is, however, not done without risk, as traffic accidents are one of the most common causes of death for adolescents worldwide. The number of deaths has steadily decreased, both worldwide and in Norway. Many of these accidents involve passenger cars and distracted driving. While there are many campaigns to improve safety in traffic, little research has looked at distractions. A recent report has investigated the occurrence of and damage caused by distraction, and one article has looked at what predicts baseline differences in levels of distracted driving...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29203016/investigate-moped-car-conflicts-in-china-using-a-naturalistic-driving-study-approach
#14
Yi G Glaser, Feng Guo, Youjia Fang, Bing Deng, Jonathan Hankey
PROBLEM: Mopeds are a popular transportation mode in Europe and Asia. Moped-related traffic accidents account for a large proportion of crash fatalities. To develop moped-related crash countermeasures, it is important to understand the characteristics of moped-related conflicts. METHOD: Naturalistic driving study data were collected in Shanghai, China from 36 car drivers. The data included 2,878h and 78,296km driven from 13,149 trips. Moped-car conflicts were identified and examined from the passenger car driver's perspective using kinematic trigger algorithms and manual video reduction...
December 2017: Journal of Safety Research
https://www.readbyqxmd.com/read/29202348/upper-lip-reconstruction-using-a-pedicel-superficial-temporal-artery-flap
#15
Mohammad M Al-Qattan, Abdullah E Kattan
INTRODUCTION: The hair-bearing superficial temporal artery free flap has been used in men for total upper lip reconstruction. In this paper we present a case of a partial upper lip defect in a man that was reconstructed with a pedicle superficial temporal artery flap. PRESENTATION OF CASE: Following a car accident, a 35-year old man sustained a partial upper defect. The defect included the entire "outer lamella" (i.e. the skin and red lip) of the right hemi-lip as well as the outer part of the muscle (i...
November 24, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29197242/alcohol-and-illicit-drugs-in-drivers-involved-in-road-traffic-crashes-in-the-milan-area-a-comparison-with-normal-traffic-reveals-the-possible-inadequacy-of-current-cut-off-limits
#16
Davide Ferrari, Monica Manca, Giuseppe Banfi, Massimo Locatelli
BACKGROUND: Driving under the influence of alcohol and/or illicit drugs in Italy is regulated by the articles 186 and 187 of the National Street Code. Epidemiological studies on drivers involved in road traffic crashes (RTC) provide useful information about the use/abuse of these substances in the general population. Comparison with case control studies may reveal important information like the cut-off limits adequacy. METHODS: Data from 1587 blood tests for alcohol and 1258 blood tests for illicit drugs on drivers involved in RTC around Milan between 2012 and 2016, were analyzed and compared with a published random survey (DRUID) from the European Community...
November 22, 2017: Forensic Science International
https://www.readbyqxmd.com/read/29192947/-executive-functions-in-frontal-lob-syndrome-a-case-report
#17
Özge Metin, Ali Evren Tufan, Nagihan Cevher Binici, Özge Saraçlı, Adnan Atalay, Ayşegül Yolga Tahiroğlu
Prefrontal cortex in frontal lobe (FL) is the center of executive functions (EF). FL damage can lead to executive dysfunction by influencing frontal-subcortical circuits (dorsolateral, orbitofrontal, ventromedial). Damage to the dorsolateral prefrontal cortex (DLPFC) can lead to deterioration in EF, whereas damage to the orbitofrontal cortex (OFC) can lead to personality changes with the characteristic of disinhibition and irritability. In addition, damage to the anterior cingulate cortex/medial prefrontal cortex (ACC/MPFC) can result in decreased spontaneity...
2017: Türk Psikiyatri Dergisi, Turkish Journal of Psychiatry
https://www.readbyqxmd.com/read/29187916/-epidemiological-clinical-and-therapeutic-aspects-of-blunt-abdominal-trauma-in-patients-undergoing-surgery-at-the-general-hospital-of-national-reference-of-n-djamena-chad-about-49-cases
#18
Ouchemi Choua, Kimassoum Rimtebaye, Ngueidjo Yamingue, Kalli Moussa, Mignagnal Kaboro
Introduction: Blunt abdominal traumas are common. Methods: We retrospectively reviewed the medical records of 49 patients with blunt abdominal trauma who underwent surgery at the General Hospital of National Reference of N'Djamena, Chad over a period of 5 years. Epidemiological, clinical and therapeutic parameters of patients were studied. Results: The study included 42 men and 7 women, mean age 21.3 years. The causes of blunt abdominal traumas were: road traffic accidents in 61...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/29181747/unusual-accidental-decapitation-in-a-road-traffic-incident
#19
Amalia Angelino, Peter Thiis Knudsen, Peter Mygind Leth
Decapitation is an occurrence only rarely encountered in forensic medical practice. This fatality is generally most often described in pedestrians who have been run over by trains accidently or in cases of suicide, or alternatively in occupants of cars involved in high speed vehicle collisions. We report, for the first time, a case of a complete decapitation of a pedestrian as a consequence of a traffic accident. Due to a thorough medico-legal investigation of the body and the involved vehicle, we were able to reconstruct the unique dynamics of the accident and the mechanism of injury...
November 27, 2017: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/29153449/the-changing-epidemiology-of-open-fractures-in-vehicle-occupants-pedestrians-motorcyclists-and-cyclists
#20
Dennis Winkler, Stuart T Goudie, Charles M Court-Brown
AIMS: To investigate the changing epidemiology of open fractures in vehicle occupants, pedestrians, motorcyclists and cyclists. MATERIALS AND METHODS: Data on all non-spinal open fractures admitted to the Royal Infirmary of Edinburgh after a road traffic accident between 1988 and 2010 were collected and analysed to provide information about the changing epidemiology in different patient groups. Demographic information was collected on all patients with the severity of injury being analysed with the Injury Severity Score (ISS), Musculoskeletal Index (MSI) and the number of open fractures...
November 14, 2017: Injury
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