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https://www.readbyqxmd.com/read/29775921/toxicological-investigation-in-blood-samples-from-suspected-impaired-driving-cases-in-the-milan-area-possible-loss-of-evidence-due-to-late-blood-sampling
#1
Davide Ferrari, Monica Manca, Simone Premaschi, Giuseppe Banfi, Massimo Locatelli
Driving under the influence of illicit drugs (DUID) represents a significant menace to public safety and is therefore sanctioned with severe fines and penalties such as driving disqualification or even arrest in case the accident has caused serious injury or death. In Italy, DUID is regulated by the article 187 of the National Street Code, however, the list of the substances to be searched and their threshold concentrations are left to the 20 Italian regional authorities. A further lack of legislative standardization concerns the type of detection methods and moreover the time gap between the car accident and blood sampling...
May 1, 2018: Forensic Science International
https://www.readbyqxmd.com/read/29774197/paraplegia-following-spinal-cord-contusion-from-an-indirect-gunshot-injury
#2
Khuram Khan, Beatrice Dieudonne, Saqib Saeed, Sara Alothman, Yasir Saeed, Sanjiv Gray
Spinal cord injuries are debilitating and life threatening. Paraplegia due to direct traumatic gunshot injury to the spinal cord is common. The most common cause of spinal cord injury is road traffic accidents. This is followed by spinal cord injury due to a fall from a height. Most of the spinal cord injuries due to gunshot wounds occur as a result of direct traumatic effects. We present a rare case of a 49-year-old male with trauma. He developed paraplegia after a gunshot wound injury to the neck and contusion to the spinal cord, with no direct trauma...
April 2018: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/29771827/the-influence-of-socioeconomic-factors-on-the-epidemiology-of-maxillofacial-fractures-in-southern-italy
#3
Carolina Sbordone, Ida Barca, Marzia Petrocelli, Giovanni Dell'Aversana Orabona, Luigi Angelo Vaira, Walter Colangeli, Maria Giulia Cristofaro, Mario Giudice, Amerigo Giudice, Francesco Maria Cassandro, Federica Attanasi, Giorgio Iaconetta, Luigi Califano
Maxillofacial fractures represent a serious public health problem. Their epidemiology is extremely variable and its analysis is crucial to establish effective treatment and prevention of these injuries. The aim of this multicentric retrospective study was to analyze causes, demographics, incidence, characteristics of 987 patients diagnosed with maxillofacial trauma between 2011 and 2015 at Complex Operative Unit of Maxillofacial Surgery of Federico II University of Naples and Magna Graecia University of Catanzaro, Italy; 657 male and 310 female patients were admitted in the study...
May 15, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29752515/epidemiology-and-pathophysiology-of-neurogenic-bladder-after-spinal-cord-injury
#4
Rizwan Hamid, Marcio Augusto Averbeck, Humberto Chiang, Arturo Garcia, Riyad T Al Mousa, Seung-June Oh, Anita Patel, Mauricio Plata, Giulio Del Popolo
Spinal cord injury (SCI) usually affects younger age groups with male preponderance. The most common traumatic cause is road traffic accident followed by sports accidents and gun-shot injuries. Infections and vascular events make up non-traumatic causes. There is regional variance in incidence and prevalence of SCI. Most systematic reviews have been undertaken from USA, Canada, and Australia with only few from Asia with resultant difficulty in estimation of worldwide figures. Overall, the incidence varies from 12 to more than 65 cases/million per year...
May 11, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29746363/lower-extremity-fractures-in-hospitalized-pediatric-patients-following-road-traffic-accidents
#5
Shay Tenenbaum, Jason T Bariteau, Ofir Chechik, Adi Givon, Kobi Peleg, Ran Thein
Lower extremity fractures (LEFs) caused by road traffic accidents (RTAs) can result in significant morbidity and account for a substantial part of nonfatal injuries requiring hospitalization. This study investigated the epidemiology of RTA-associated LEFs in the pediatric population. Based on the National Trauma Registry, data of 28,924 RTA hospitalized pediatric patients were reviewed. Data were analyzed according to LEF mechanism of injury, age distribution, fracture types, associated injuries, surgical treatment, and their interrelations...
May 5, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29744204/comparative-study-of-anxiety-and-depression-following-maxillofacial-and-orthopedic-injuries-study-from-a-nigerian-university-teaching-hospital
#6
Ramat Oyebunmi Braimah, Dominic Ignatius Ukpong, Kizito Chioma Ndukwe, Akinyele Lawrence Akinyoola
This study hopes to compare levels of anxiety and depression in the maxillofacial and orthopedic injured patients over a period of 12 weeks. This was a prospective, repeated measure design. A total of 160 participants (80 with maxillofacial and 80 with long bone fractures) had repeated review follow-ups within 1 week of arrival in the hospital (Time 1), 4-8 weeks after initial contact (Time 2) and 10-12 weeks thereafter (Time 3), using hospital anxiety and depression scale questionnaire. Road traffic accident remained the main cause of injury in both groups of subjects...
December 2017: Clinical and Experimental Dental Research
https://www.readbyqxmd.com/read/29738952/changing-patterns-in-the-prevalence-of-posttraumatic-stress-disorder-major-depressive-episode-and-generalized-anxiety-disorder-over-24-months-following-a-road-traffic-crash-results-from-the-uq-support-study
#7
Justin Kenardy, Shannon L Edmed, Swati Shourie, Jacelle Warren, Anna Crothers, Erin A Brown, Cate M Cameron, Michelle Heron-Delaney
OBJECTIVE: To examine the prevalence and changing patterns of PTSD, major depressive episode (MDE), and generalized anxiety disorder (GAD) in adult claimants who sustained a non-catastrophic injury in a road traffic crash (RTC) in Queensland, Australia. METHOD: Participants (N = 284) were assessed at approximately 6, 12, and 24 months post-RTC using the composite international diagnostic interview (CIDI) modules for PTSD, and CIDI-short form for MDE, and GAD...
April 21, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29736881/awareness-of-vision-zero-among-united-states-road-safety-professionals
#8
Kelly R Evenson, Seth LaJeunesse, Stephen Heiny
BACKGROUND: Vision Zero is a strategy to eliminate all fatalities and serious injuries from road traffic crashes, while increasing safe and equitable mobility for all. In 2015, the United States' Department of Transportation announced the official target of the federal government transportation safety policy was zero deaths. In 2017, we assessed the dissemination of Vision Zero in the United States. METHODS: We conducted a web-based survey in 2017 among road safety professionals...
May 8, 2018: Injury Epidemiology
https://www.readbyqxmd.com/read/29735181/maxillofacial-injuries-in-patients-with-major-trauma
#9
D M McGoldrick, M Fragoso-Iñiguez, T Lawrence, K McMillan
Major trauma is an important cause of mortality and morbidity worldwide. Mortality is high with rates over 10% commonly reported. We studied the epidemiology and aetiology of maxillofacial injuries in patients who presented with major trauma as recorded nationally by retrospectively analysing the database of the Trauma Audit Research Network from 2001 to 2015. All patients who had major trauma with associated maxillofacial injuries were included in the analysis. Of 104645 patients recorded as having had major trauma during the study period, 22148 (21...
May 4, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29734889/oberlin-s-transfer-long-term-outcomes
#10
Karlis Verdins, Martins Kapickis
BACKGROUND: Brachial plexus injury is very commonly associated with road traffic accidents, and frequently affects young adults, causing significant disability and impact on quality of life. The successful treatment of upper plexus injury with the Oberlin technique to restore elbow flexion with good functional results. METHODS: We retrieved the records of all patients with upper plexus injury who underwent Oberlin transfer operation between March 2007 and July 2012...
June 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29732218/repair-of-recto-urethral-fistula-with-urethral-augmentation-by-buccal-mucosal-graft-and-gracilis-muscle-flap-interposition-our-experience
#11
Vikram Prabha, Vishal Kadeli
Introduction: Recto-urethral fistula (RUF) is a relatively rare surgical condition, the treatment of which is quite challenging. There are many causes of RUF, but 60% of them are iatrogenic following open prostatectomies, radiotherapy, brachytherapy, urethral instrumentation etc. We present a series of six cases treated at our institution. Material and methods: A retrospective study of all six patients with recto-urethral fistula treated at our centre between 2011 and 2016 was performed...
2018: Central European Journal of Urology
https://www.readbyqxmd.com/read/29730599/a-social-change-perspective-on-injury-prevention-in-china
#12
Joan Ozanne-Smith, Qingfeng Li
INTRODUCTION: China has undergone massive social change over the past four decades. Since national estimates became available in 1987, the overall fatal injury rate has decreased. This paper investigates targeted interventions and sociodemographic factors that may have contributed to fatal injury rate changes particularly for road traffic fatality (RTF), suicide and drowning. AIMS: (1) To review the recent epidemiology of injury in China.(2)To investigate factors influencing trends in overall and specific cause injury mortality rates...
May 5, 2018: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/29730104/feasibility-of-online-traumatic-brain-injury-prognostic-crash-as-a-predictor-of-mortality
#13
Ahmad Faried, Ferry C Satriawan, Muhammad Z Arifin
INTRODUCTION: Traumatic brain injury (TBI) is a major cause of mortality in many countries. According to the World Health Organization, traffic crashes have become a leading cause of death, with as many as 1.25 million deaths worldwide in 2013. Further, a 2013 global road safety report listed 68 low-to-middle income countries that had an increased mortality rate due to traffic accidents. The aim of this study is to analyze the feasibility of an online prognostic model from the Medical Research Council (MRC) Corticosteroids Randomization after Significant Head Injury (CRASH) trial collaborators to be used in our center...
May 3, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29725174/clinico-radiologic-profile-of-pediatric-traumatic-brain-injury-in-western-rajasthan
#14
Pawan Kumar Dara, Manish Parakh, Shyama Choudhary, Hemant Jangid, Priyanka Kumari, Satyendra Khichar
Objective: The aim of this study was to evaluate clinico-radiological profile and outcome of pediatric traumatic brain injury (TBI). Design: Prospective observational study. Setting: Intensive Care Unit, ward and OPD of Pediatrics, Dr. S. N. Medical College, Jodhpur (tertiary care hospital). Participants: A total of 188 children (1 month-18 years) were enrolled and 108 admitted. Intervention: TBI classified as mild, moderate, or severe TBI...
April 2018: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/29723734/characteristics-of-single-vehicle-crashes-with-e-bikes-in-switzerland
#15
Patrizia Hertach, Andrea Uhr, Steffen Niemann, Mario Cavegn
In Switzerland, the usage and accident numbers of e-bikes have strongly increased in recent years. According to official statistics, single-vehicle accidents constitute an important crash type. Up to date, very little is known about the mechanisms and causes of these crashes. To gain more insight, a survey was conducted among 3658 e-cyclists in 2016. The crash risk and injury severity were analysed using logistic regression models. 638 (17%) e-cyclists had experienced a single-vehicle accident in road traffic since the beginning of their e-bike use...
April 30, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29719846/epidemiology-of-road-traffic-injury-fatalities-among-car-users-a-study-based-on-forensic-medicine-data-in-east-azerbaijan-of-iran
#16
Homayoun Sadeghi-Bazargani, Bahram Samadirad, Nasrin Shahedifar, Mina Golestani
Objective: To study the epidemiology of car user road traffic fatalities (CURTFs) during eight years, in East Azerbaijan, Iran. Methods: A total of 3051 CURTFs registered in East Azerbaijan forensic medicine organization database, Iran, during 2006-2014, were analyzed using Stata 13 statistical software package. Descriptive statistics ( p <0.05) and inferential statistical methods such as Chi-squared test and multivariate logistic regression with p <0.1 were applied...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29719838/effectiveness-of-interventions-for-prevention-of-road-traffic-injuries-in-iran-and-some-methodological-issues-a-systematic-review
#17
REVIEW
Saber Azami-Aghdash, Homayoun Sadeghi-Bazarghani, Mahdiyeh Heydari, Ramin Rezapour, Naser Derakhshani
Objective: To review the effectiveness of Road Traffic Injuries (RTIs) interventions implemented for prevention of RTIs in Iran and to introduce some methodological issues. Methods: Required data in this systematic review study were collected through searching the following key words: "Road Traffic Injuries", "Road Traffic accidents", "Road Traffic crashes", "prevention", and Iran in PubMed, Cochrane Library electronic databases, Google Scholar, Scopus, MagIran, SID and IranMedex...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29719311/registry-data-coordinator-rdc-a-proper-accessible-strategy-for-improving-road-traffic-injury-rti-hospital-based-trauma-registry-systems-in-developing-countries-and-low-income-countries
#18
Zahra Meidani, Mehrdad Mahdian, Atefe Ayan, Mahdi Mohammadzade, Alimohammad Nickfarjam, Gholam Abbas Moosavi
Introduction: Evidence suggested that a significant level of trauma mortality can be prevented using registry system. Aim: This study aimed to improve Kashan Hospital Based Trauma Registry System (KHBTRS) for Road Traffic Injury (RTI). Material and methods: After conducting focus group discussion absence of minimum data set (MDS) and poor data collection process (DCP) were identified as main problems for KHBTRS- RTI. Proposed MDS were surveyed by 20 experts of trauma research center of throughout the Iran...
2018: Acta Informatica Medica: AIM
https://www.readbyqxmd.com/read/29715625/cost-benefit-study-of-a-safety-campaign-s-impact-on-road-safety
#19
Hana Stojanová, Veronika Blašková
The aim of this paper is to identify a break in the development trend of the time series of the number of fatal, light and heavy injuries in traffic accidents and compare the progress caused by the media campaign named "Think or you'll pay! "in the Czech Republic over the period 2000-2015. The campaign focuses on the age group of drivers under the age of 25 and the most common cause of their traffic accidents as the drivers in this age category are the most vulnerable group in road traffic. The campaign uses a method in which it tries to influence behaviour by negative action, or by causing negative emotions...
April 28, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29712526/the-estimated-cost-of-surgically-managed-isolated-traumatic-head-injury-secondary-to-road-traffic-accidents
#20
Xinli You, Boon S Liew, Azmin K Rosman, Dcsn, Kamarul Imran Musa, Zamzuri Idris
OBJECTIVE Traumatic brain injury due to road traffic accidents occurs mainly in the younger age group in which injury-related disability leads to long-term impact on employment and economic and social consequences across the lifespan. This study was designed to assign a monetary cost (in Malaysian ringgits [RM]) to the treatment of patients with surgically treated isolated traumatic head injury as determined up to 1 year after injury. METHODS Relevant resource items used were identified and valued using the direct measurement of costs method, cost accounting methods, standard unit costs method, fees, charges and/or market prices method...
May 2018: Neurosurgical Focus
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