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https://www.readbyqxmd.com/read/28749050/-please-amputate-my-child-s-arms
#1
Mary Devereaux, Dennis John Kuo
Jeremy sustained bilateral complete brachial plexus injuries in an auto collision on an icy road a month before his third birthday. The accident rendered both upper extremities completely flail and insensate: he has no motor or sensory function of his shoulders, elbows, wrists, or digits. Jeremy does, however, have normal function of the lower extremities. Physical therapists have worked with the child for over a year with no noted improvement in arm function. Jeremy falls frequently, causing injury to his face and head, and occasionally, his arms get twisted or caught in his crib and his fingers turn blue...
July 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28718250/qing-qi-rickshaw-a-boon-or-bane-for-public-transportation-a-study-of-road-traffic-injury-patterns-involving-qing-qi-rickshaws-in-karachi-pakistan
#2
Muhammad Muzzammil, Muhammad Saeed Minhas, Jahanzeb Effendi, Syed Jahanzeb, Ayesha Mughal, Abdul Qadir
BACKGROUND: The three-wheeler Qing-qi and Compressed Natural Gas (CNG) auto-rickshaws were introduced in Karachi to meet the transportation demand of the growing population. These vehicles have directly or indirectly been implicated in a number of road traffic violations as well as road accidents. This study aims to describe the crash characteristics and injury patterns for Qing-qi rickshaw occupants and other road users hit by Qing-qi rickshaw in Karachi, Pakistan. METHODS: An Observational/ Descriptive study was conducted at Accident & Emergency and Orthopaedic Surgery Department, Jinnah Post Graduate Medical Centre, Karachi Pakistan from July 2014 to June 2015...
April 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/28573105/atypical-presentation-metastatic-uveal-melanoma-in-a-young-patient-without-visual-complaints
#3
Pedro Grachinski Buiar, Sérgio Jobim de Azevedo
BACKGROUND: Uveal melanoma is a rare and aggressive subtype of melanoma, with singular characteristics that separate it from the most famous cutaneous melanoma. This uncommon condition becomes even rarer if we look at young population. Common chemotherapy regimens does not work with this aggressive disease in its metastatic scenario, and the new armament like targeted and immunotherapies are still looking for more robust evidence. CASE PRESENTATION: We report a rare case of uveal melanoma in a patient younger than 20 years, with abdominal pain as his initial complaint...
2017: Frontiers in Oncology
https://www.readbyqxmd.com/read/28543860/a-unique-case-of-bilateral-ovarian-splenosis-and-review-of-the-literature
#4
Maria Giulia Disanto, Francesca Mercalli, Andrea Palicelli, Alberto Arnulfo, Renzo Boldorini
Splenosis is an acquired anomaly related to heterotopic auto-transplantation of splenic tissue following abdominal trauma or splenectomy. We report the first definitive bilateral ovarian case in a 65-year-old woman who underwent splenectomy following a motor vehicle accident 44 years prior to presentation. We review the literature and discuss the main differential diagnoses. Gross examination revealed a 1-cm well-circumscribed dark nodule on the surface of each ovary. Paraffin-embedded, formalin-fixed blocks were sectioned and stained with hematoxylin-eosin and immunostains (CK5/6, Calretinin, WT1, Vimentin)...
September 2017: APMIS: Acta Pathologica, Microbiologica, et Immunologica Scandinavica
https://www.readbyqxmd.com/read/28420928/road-traffic-crash-related-injured-and-fatal-victims-in-karachi-from-2007-to-2014-a-time-series-analysis
#5
Rashid Jooma, Masood Ali Shaikh
Injuries and deaths due to road traffic crashes (RTC) are major public health concern. The Road Traffic Injury Research and Prevention Center, collects RTC data on injuries and fatalities from five emergency departments in Karachi. Data generating process (DGP) for RTC from 2007 to 2014, for monthly number of fatal and injured victims were analyzed using autoregressive integrated moving average and vector auto regression, time series models. Results provide strong evidence that the DGP for the current levels of the number of fatalities and injured owing to RTCs are significantly influenced by the own past history of the two series...
April 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28169155/the-visual-kinetic-depth-effect-is-altered-with-parkinson-s-disease
#6
K D White, F M Skidmore, J Hammond, K M Heilman
BACKGROUND: People with Parkinson's disease (PD) often have visual-perceptual disorders. The goal of this study was to learn if they can develop a three dimensional (3D) percept that depends on the kinetic depth effect; that is, the viewer's ability to spatially integrate over time images that are moving along many trajectories. METHODS: Sixteen patients with PD and 12 healthy matched controls were presented with stimuli that were comprised of a circular region of randomly placed dots that moved as orthographic projections of a sphere...
April 2017: Parkinsonism & related Disorders
https://www.readbyqxmd.com/read/28018984/application-of-the-weps-and-sweep-models-to-non-agricultural-disturbed-lands
#7
J Tatarko, S J van Donk, J C Ascough, D G Walker
Wind erosion not only affects agricultural productivity but also soil, air, and water quality. Dust and specifically particulate matter ≤10 μm (PM-10) has adverse effects on respiratory health and also reduces visibility along roadways, resulting in auto accidents. The Wind Erosion Prediction System (WEPS) was developed by the USDA-Agricultural Research Service to simulate wind erosion and provide for conservation planning on cultivated agricultural lands. A companion product, known as the Single-Event Wind Erosion Evaluation Program (SWEEP), has also been developed which consists of the stand-alone WEPS erosion submodel combined with a graphical interface to simulate soil loss from single (i...
December 2016: Heliyon
https://www.readbyqxmd.com/read/27401028/a-revolution-in-preventing-fatal-craniovertebral-junction-injuries-lessons-learned-from-the-head-and-neck-support-device-in-professional-auto-racing
#8
Anand Kaul, Ahmed Abbas, Gabriel Smith, Sunil Manjila, Jonathan Pace, Michael Steinmetz
Fatal craniovertebral junction (CVJ) injuries were the most common cause of death in high-speed motor sports prior to 2001. Following the death of a mutual friend and race car driver, Patrick Jacquemart (1946-1981), biomechanical engineer Dr. Robert Hubbard, along with race car driver and brother-in-law Jim Downing, developed the concept for the Head and Neck Support (HANS) device to prevent flexion-distraction injuries during high-velocity impact. Biomechanical testing showed that neck shear and loading forces experienced during collisions were 3 times the required amount for a catastrophic injury...
December 2016: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/27399456/177%C3%A2-largest-series-of-mild-moderate-motor-vehicle-accident-associated-thoracolumbar-compression-fractures-prognosis-and-outcome
#9
Hesham M Soliman, Ha Nguyen, Frank A Pintar, Narayan Yoganandan, Shekar N Kurpad, Dennis J Maiman
INTRODUCTION: According to the latest version of the Abbreviated Injury Scale (AIS), all Thoraco-Lumbar Compression Fractures (TLCF) with >20% loss of height, were branded code 3 injuries, reflecting a threat for life or permanent disability. However, clinical observation suggests that that TLCF with <40% loss of height and without neurological deficits, have been noted to have a better clinical prognosis, prompting the need to segregate these injuries differently, revise the classification, and review outcomes...
August 2016: Neurosurgery
https://www.readbyqxmd.com/read/27321849/discrimination-of-side-window-glass-of-korean-autos-by-laser-ablation-inductively-coupled-plasma-mass-spectrometry
#10
Sin-Woo Lee, Jong-Sik Ryu, Ji-Sook Min, Man-Yong Choi, Kwang-Sik Lee, Woo-Jin Shin
RATIONALE: Fragments of glass from cars are often found at crime scenes and can be crucial evidence for solving the crime. The glass fragments are important as trace evidence at crime scenes related to car accidents and burgled homes. By identifying the origin of glass fragments, it is possible to infer the identity of a suspect. Our results represent a promising approach to a thorough forensic investigation of car glass. METHODS: Thirty-five samples from the side windows of cars produced and used in South Korea were collected from the official agencies of five car manufacturers and from two glassmakers...
July 15, 2016: Rapid Communications in Mass Spectrometry: RCM
https://www.readbyqxmd.com/read/27227997/fragmentation-auto-modification-and-post-ionisation-proton-bound-dimer-ion-formation-the-differential-mobility-spectrometry-of-low-molecular-weight-alcohols
#11
D M Ruszkiewicz, C L P Thomas, G A Eiceman
Differential mobility spectrometry (DMS) is currently being used for environmental monitoring of space craft atmospheres and has been proposed for the rapid assessment of patients at accident and emergency receptions. Three studies investigated hitherto undescribed complexity in the DMS spectra of methanol, ethanol, propan-1-ol and butan-1-ol product ions formed from a (63)Ni ionisation source. 54 000 DMS spectra obtained over a concentration range of 0.01 mg m(-3)(g) to 1.80 g m(-3)(g) revealed the phenomenon of auto-modification of the product ions...
August 7, 2016: Analyst
https://www.readbyqxmd.com/read/26813056/-protecting-safety-during-dust-fires-and-dust-explosions-the-example-of-the-formosa-fun-coast-water-park-accident
#12
Ming-Hong Hsieh, Jia-Wun Wu, Ya-Cing Li, Jia-Suei Tang, Chun-Chien Hsieh
This paper will explore the fire and explosion characteristics of cornstarch powder as well as strategies for protecting the safety of people who are involved a dust fire or dust explosion. We discuss the 5 elements of dust explosions and conduct tests to analyze the fire and explosion characteristics of differently colored powders (yellow, golden yellow, pink, purple, orange and green). The results show that, while all of the tested powders were difficult to ignite, low moisture content was associated with significantly greater risks of ignition and flame spread...
February 2016: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/26674062/skip-and-save-utility-of-pelvic-x-rays-in-the-initial-evaluation-of-blunt-trauma-patients
#13
Jose Raul Soto, Cathy Zhou, David Hu, Antonio C Arazoza, Ernest Dunn, Phillip Sladek
BACKGROUND: The cost of medical care is an area of major emphasis in the current healthcare environment. Medical providers have a significant role in reducing costs. One way to achieve this goal is to eliminate practices that add little value to patient care. The pelvic x-ray (PXR) obtained during the initial evaluation of blunt trauma may be an example. The objective of this study was to explore the utility of the pelvic x-ray in the initial evaluation of blunt trauma patients. METHODS: Blunt trauma patients with pelvic fractures of any type admitted to our urban trauma center from January 2012 to December 2013 were reviewed...
December 2015: American Journal of Surgery
https://www.readbyqxmd.com/read/26581395/successful-bilateral-pudendal-neuromodulation-to-treat-male-detrusor-areflexia-following-severe-pubic-symphysis-fracture-a-case-report
#14
Serge P Marinkovic, Brandi Miller, Scott Hughes, Christina Marinkovic, Lisa Gillen
BACKGROUND: A Drum Dock Manager in an auto manufacturing company suffers a pelvic fracture, severing the bulbar urethra and completely fracturing the right side of his pelvis. He is unable to void without catheterization but has a complete sensation to void. Can neuromodulation help him achieve spontaneous voiding? CASE PRESENTATION: We reviewed the electronic medical record of Mr. M.E. from Detroit Medical Center following his 2012 forklift accident and subsequent orthopedic surgeries...
2015: BMC Urology
https://www.readbyqxmd.com/read/26430681/investigating-selected-patient-safety-indicators-using-medical-records-data
#15
Hedayatalah Asgari, Sakineh Saghaeiannejad Esfahani, Maryam Yaghoubi, Marzieh Javadi, Saeed Karimi
INTRODUCTION: Medical errors in hospitals kill more people every year than AIDS, breast cancer and auto accidents combined. Widespread consensus exists that health care organizations can reduce patient injuries by improving the environment for safety from implementing different alternatives from technical and managerial improvements to considering medical record data. Considering the preventability of medical errors, the Agency for Healthcare Quality and Research (AHRQ) developed patient safety indicators (PSIs)...
2015: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/26309425/method-of-transportation-and-drinking-among-club-patrons
#16
Beth Bourdeau, Brenda A Miller, Mark B Johnson, Robert B Voas
OBJECTIVE: The current study examines the variation in alcohol use among nightclub patrons under three transportation conditions: those who departed from a club using modes of transportation other than cars or motorcycles (e.g., pedestrians, bicyclists, subway riders); those who were passengers of drivers (auto/taxi passenger patrons); and those who drove from the club (driving patrons). We seek to determine whether patrons' choice for how to leave the club contributes to their risk, as assessed by blood alcohol concentrations (BAC), after controlling for other factors that may contribute to their BAC including demographic characteristics and social drinking group influences...
July 1, 2015: Transportation Research. Part F, Traffic Psychology and Behaviour
https://www.readbyqxmd.com/read/26065186/right-care-right-place-right-time-regional-systems-of-care-are-the-best-way-to-ensure-patients-with-emergent-conditions-have-the-best-outcomes
#17
John L Hick
A bystander calls 911 after witnessing an auto accident in rural Minnesota in which a passenger has been seriously injured. The dispatcher provides the caller with instructions on how to care for the person until the ambulance arrives. When emergency medical services personnel get to the scene, they find that the patient meets the criteria for trauma and activate a "trauma code" at the local hospital. Upon receiving that radio notification, the hospital calls in additional staff and also calls for a helicopter to transfer the patient to a tertiary care trauma center...
May 2015: Minnesota Medicine
https://www.readbyqxmd.com/read/25969524/deterministic-effect-of-lens-at-leukergy-of-patients-who-received-low-doses-of-ionising-radiation
#18
COMPARATIVE STUDY
M Yeltokova, D Zharliganova, M Shaidarov, M Bakhtin, P Kazymbet, L Tel, A Dossakhanov, M Kozhakbayeva, M Hoshi
To explore the possibility to use the lens extract as an in vitro stimulator to conduct a test of stimulated leukergy in liquidators of the accident consequences (LAC) on Chernobyl Nuclear Power Plant (CNPP) with a cataract in the long-term period. The study sample included 72 men-LAC on CNPP, at the age from 42 to 65 y, who have a cataract. The comparison group consisted of 60 men, with a cataract, of the same age, and who were not exposed to radiation. The control group was composed of 60 men, at the age of 42-58 y without lens pathology...
September 2015: Radiation Protection Dosimetry
https://www.readbyqxmd.com/read/25830915/a-stochastic-delay-differential-model-of-cerebral-autoregulation
#19
Simona Panunzi, Laura D'Orsi, Daniela Iacoviello, Andrea De Gaetano
Mathematical models of the cardiovascular system and of cerebral autoregulation (CAR) have been employed for several years in order to describe the time course of pressures and flows changes subsequent to postural changes. The assessment of the degree of efficiency of cerebral auto regulation has indeed importance in the prognosis of such conditions as cerebro-vascular accidents or Alzheimer. In the quest for a simple but realistic mathematical description of cardiovascular control, which may be fitted onto non-invasive experimental observations after postural changes, the present work proposes a first version of an empirical Stochastic Delay Differential Equations (SDDEs) model...
2015: PloS One
https://www.readbyqxmd.com/read/25813516/innovation-of-a-syringe-needle-auto-detaching-device-for-clinicians
#20
C-C Chen, S-C Chen, Y-Y Shih, Y-L Chen
BACKGROUND: Needle-stick injuries accounts for a great proportion of all medical accidents in developing and undeveloped countries. The main cause of needle-stick accident injuries is the medical personnel's ``recovering'' the needle action after injection. OBJECTIVE: This study applies an electronic technique to the needling instrument for the purpose of automatically detaching the needle. The proposed method can effectively avoid needle-stick accident injury when ``recovering'' the needle...
2015: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
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