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Andre M Samuel, Pablo J Diaz-Collado, Lauren K Szolomayer, Daniel H Wiznia, Wayne W Chan, Adam M Lukasiewicz, Bryce A Basques, Daniel D Bohl, Jonathan N Grauer
Proximal tibia fractures are associated with concurrent collateral ligament injuries. Failure to recognize these injuries may lead to chronic knee instability. The purpose of this study was to identify risk factors for concurrent collateral ligament injuries with proximal tibia fractures and their association with inpatient outcomes. A total of 32,441 patients with proximal tibia fractures were identified in the 2011-2012 National Trauma Data Bank. A total of 1445 (4.5%) had collateral ligament injuries, 794 (2...
February 16, 2018: Orthopedics
Laura Ruotsalainen, Martti Kirkko-Jaakkola, Jesperi Rantanen, Maija Mäkelä
The long-term objective of our research is to develop a method for infrastructure-free simultaneous localization and mapping (SLAM) and context recognition for tactical situational awareness. Localization will be realized by propagating motion measurements obtained using a monocular camera, a foot-mounted Inertial Measurement Unit (IMU), sonar, and a barometer. Due to the size and weight requirements set by tactical applications, Micro-Electro-Mechanical (MEMS) sensors will be used. However, MEMS sensors suffer from biases and drift errors that may substantially decrease the position accuracy...
February 14, 2018: Sensors
Eunwoo Kim, Sungjoon Choi, Songhwai Oh
This paper considers two important problems for autonomous robot navigation in a dynamic environment, where the goal is to predict pedestrian motion and control a robot with the prediction for safe navigation. While there are several methods for predicting the motion of a pedestrian and controlling a robot to avoid incoming pedestrians, it is still difficult to safely navigate in a dynamic environment due to challenges, such as the varying quality and complexity of training data with unwanted noises. This paper addresses these challenges simultaneously by proposing a robust kernel subspace learning algorithm based on the recent advances in nuclear-norm and l 1 -norm minimization...
February 14, 2018: Sensors
Elizabeth D Nesoff, Adam J Milam, Keshia M Pollack, Frank C Curriero, Janice V Bowie, Andrea C Gielen, Debra M Furr-Holden
Nationally, 80% of pedestrian fatalities occur in urban environments, yet the distribution of injuries across urban areas is not uniform. Identifying street-level risk factors for pedestrian injury is essential for urban planning and improvement projects, as well as targeted injury prevention efforts. However, creating and maintaining a comprehensive database of a city's traffic safety infrastructure can be cumbersome and costly. The purpose of this study was to create and validate a neighborhood environmental observational assessment tool to capture evidence-based pedestrian safety infrastructure using Google Street View (GSV)-The Inventory for Pedestrian Safety Infrastructure (IPSI)...
February 13, 2018: Journal of Urban Health: Bulletin of the New York Academy of Medicine
Vasiliki Chatzaraki, Michael J Thali, Garyfalia Ampanozi, Wolf Schweitzer
Fatal car-to-pedestrian collisions regularly appear in the forensic pathologist's routine, particularly in places of extended urbanization. Postmortem computed tomography has gained an exceptional role to supplement autopsy worldwide, giving information that is supplementary or complimentary to conventional autopsy. In this retrospective study, a total number of 320 findings in a series of 21 pedestrians fatally hit by cars and trucks of both postmortem computed tomography and autopsy were correlated. According to our results, it is best to combine both methods to give well-founded answers to questions pertaining to both collision reconstruction and cause of death...
February 12, 2018: American Journal of Forensic Medicine and Pathology
Amy M Reed, Judson C Janak, Jean A Orman, Steven J Hudak
Introduction: Until recently, female U.S. service members (SMs) have not been permitted to serve in direct combat roles. However, during Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF), a large number of female SMs have been wounded while serving in combat support roles. This included an unprecedented number of women with genitourinary (GU) injuries. No previous studies have reported either the incidence or clinical picture of these injuries. The objective of this study is to describe the epidemiology of GU injuries among female U...
February 6, 2018: Military Medicine
Meredith Waldon, Treasure Joelson Ibingira, Luciano de Andrade, Blandina T Mmbaga, João Ricardo N Vissoci, Mark Mvungi, Catherine A Staton
Road traffic injuries (RTIs) cause significant morbidity and mortality in low- and middle-income countries. Investigation of high risk areas for RTIs is needed to guide improvements. This study provides built environmental analysis of road traffic crash hotspots within Moshi, Tanzania. Spatial analysis of police data identified 36 hotspots. Qualitative comparative analysis revealed 40% of crash sites were on local roads without night lighting and increased motorcycle density. Paved narrow roads represented 26% of hotspots and 13% were unpaved roads with uneven roadsides...
February 8, 2018: International Journal of Injury Control and Safety Promotion
Wagner Souza Silva, Aravind Gayatri, Sangani Samir, Lamontagne Anouk
This study examines how three types of obstacles (cylinder, virtual human and virtual human with footstep sounds) affect circumvention strategies of healthy young adults. Sixteen participants aged 25.2 ± 2.5 years (mean ± 1SD) were tested while walking overground and viewing a virtual room through a helmet mounted display. As participants walked towards a stationary target in the far space, they avoided an obstacle (cylinder or virtual human) approaching either from the right (+40°), left (-40°) or head-on (0°)...
January 31, 2018: Gait & Posture
P C Dixon, K H Schütte, B Vanwanseele, J V Jacobs, J T Dennerlein, J M Schiffman
BACKGROUND: Outdoor falls in community-dwelling older adults are often triggered by uneven pedestrian walkways. It remains unclear how older adults adapt to uneven surfaces typically encountered in the outdoor built-environment and whether these adaptations are associated to age-related physiological changes. RESEARCH QUESTION: The aims of this study were to (1) compare gait parameters over uneven and flat brick walkways, (2) evaluate the differences between older and young adults for these two surfaces, and (3) assess if physiological characteristics could predict adaptations in older adults...
January 29, 2018: Gait & Posture
Vijitha De Silva, Hemajith Tharindra, João Ricardo Nickenig Vissoci, Luciano Andrade, Badra Chandanie Mallawaarachchi, Truls Østbye, Catherine A Staton
Road traffic crashes (RTCs) are a leading cause of death and disability. In low- and middle-income countries, vulnerable road users are commonly involved in injurious RTCs. This study describes epidemiological and built environment analysis (BEA) of in Galle, Sri Lanka. After ethical and police permission, police data were collected and descriptive statistics tabulated. Spatial analysis identified hot spots and BEA was conducted at each location. Seven hundred and fifty-two victim data from 389 reported RTCs were collected...
February 7, 2018: International Journal of Injury Control and Safety Promotion
Hasan Mehdi Naqvi, Geetam Tiwari
This study analyses fatal crash patterns, and identifies the risk factors contributing to motorcycle versus non-motorcycle fatal crashes using binomial logistic regression on two-, four- and six-lane National Highways (NHs) in India utilizing police fatal crash data. The distribution of victims' mode by striking vehicles shows that percentage share of striking vehicles (truck) against the victims' vehicles (motorcycle) is 44%, 52% and 37% on two-lane NH-8, four-lane NH-24 and six-lane NH-1, respectively. Nine explanatory variables pertaining to fatal crash, victim, roadway and environment are considered for the model (using combined data of cited three NHs)...
February 7, 2018: International Journal of Injury Control and Safety Promotion
Gemma J M Read, Erin L Stevens, Michael G Lenné, Neville A Stanton, Guy H Walker, Paul M Salmon
The safety of vulnerable road users, including pedestrians, is an important issue worldwide. In line with the shift towards systems thinking in transport safety, the aim of this study was to compare the normal performance of pedestrians as they navigate the road system with that imagined by road system managers to gain insights into how safety management can be improved for this vulnerable road user group. The Event Analysis of Systemic Teamwork framework was used to compare pedestrian activity 'as imagined' and 'as done' at signalised road intersections and railway level crossings...
January 30, 2018: Accident; Analysis and Prevention
Rabea Hasadia, Joseph DuBose, Kobi Peleg, Jacob Stephenson, Adi Givon, Boris Kessel
INTRODUCTION: Blunt chest trauma in children is common. Although rare, associated major thoracic vascular injuries (TVIs) are lethal potential sequelae of these mechanisms. The preferred study for definitive diagnosis of TVI in stable patients is computed tomographic angiography imaging of the chest. This imaging modality is, however, associated with high doses of ionizing radiation that represent significant carcinogenic risk for pediatric patients. The aim of the present investigation was to define the incidence of TVI among blunt pediatric trauma patients in an effort to better elucidate the usefulness of computed tomographic angiography use in this population...
February 5, 2018: Pediatric Emergency Care
Jose M Celaya-Padilla, Carlos E Galván-Tejada, F E López-Monteagudo, O Alonso-González, Arturo Moreno-Báez, Antonio Martínez-Torteya, Jorge I Galván-Tejada, Jose G Arceo-Olague, Huizilopoztli Luna-García, Hamurabi Gamboa-Rosales
Among the current challenges of the Smart City, traffic management and maintenance are of utmost importance. Road surface monitoring is currently performed by humans, but the road surface condition is one of the main indicators of road quality, and it may drastically affect fuel consumption and the safety of both drivers and pedestrians. Abnormalities in the road, such as manholes and potholes, can cause accidents when not identified by the drivers. Furthermore, human-induced abnormalities, such as speed bumps, could also cause accidents...
February 3, 2018: Sensors
Milenko Čabarkapa
Research on the safety of vulnerable road users in Montenegro and in the European Union found that pedestrian fatality rates are the highest, followed by motorcyclists, and then cyclists. In the European Union, fatality rates are decreasing for all groups of vulnerable road users, while in Montenegro the fatality rate of pedestrians and cyclists is decreasing. The safety improvement for vulnerable road users is less successful than that for people in vehicles. Pedestrians in Montenegro are at the highest risk in the European Union...
February 5, 2018: International Journal of Injury Control and Safety Promotion
S-W Yi, Y J Won, J-J Yi
AIM: This study aimed to prospectively examine whether low normal glucose levels and hypoglycaemia are associated with increased mortality due to external causes, especially unintentional accidents. METHODS: A total of 345,318 normoglycaemic Korean adults who had undergone health examinations during 2002-2003 were followed-up to 2013. To avoid potential biases related to glucose-lowering medication use, those with known diabetes or hyperglycaemia were excluded. RESULTS: During 3...
January 11, 2018: Diabetes & Metabolism
Takahiro Isshiki, Jacobo Antona-Makoshi, Atsuhiro Konosu, Yukou Takahashi
This study addresses the virtual optimization of the technical specifications for a recently developed Advanced Pedestrian Legform Impactor (aPLI). The aPLI incorporates a number of enhancements for improved lower limb injury predictability with respect to its predecessor, the FlexPLI. It also incorporates an attached Simplified Upper Body Part (SUBP) that enables the impactor's applicability to evaluate pedestrian's lower limb injury risk also with high-bumper cars. The response surface methodology was applied to optimize both the aPLI's lower limb and SUBP specifications, while imposing a total mass upper limit of 25 kg that complies with international standards for maximum weight lifting allowed for a single operator in the laboratory setting...
November 2017: Stapp Car Crash Journal
Eric Song, Philippe Petit, Xavier Trosseille, Jerome Uriot, Pascal Potier, Denis Dubois, Richard Douard
This study aims to provide a set of reference post-mortem human subject tests which can be used, with easily reproducible test conditions, for developing and/or validating pedestrian dummies and computational human body models against a road vehicle. An adjustable generic buck was first developed to represent vehicle front-ends. It was composed of four components: two steel cylindrical tubes screwed on rigid supports in V-form represent the bumper and spoiler respectively, a quarter of a steel cylindrical tube represents the bonnet leading edge, and a steel plate represents the bonnet...
November 2017: Stapp Car Crash Journal
Sung Ho Jang, Jeong Pyo Seo
RATIONALE: We report on a patient who developed limb-kinetic apraxia (LKA) due to an injured corticofugal tract (CFT) from the secondary motor area following mild traumatic brain injury (TBI), demonstrated on diffusion tensor tractography (DTT). PATIENT CONCERNS: She was struck in the right leg by a sedan at a crosswalk and fell to the ground. She lost consciousness and experienced post-traumatic amnesia for approximately ten minutes. She was obliged to wear a cast for a left humerus fracture for two months, and she found she could not move her left hand quickly with intention after removal of the cast; consequently her left hand was almost non-functional...
December 2017: Medicine (Baltimore)
Xuguang Zhang, Qian Zhang, Shuo Hu, Chunsheng Guo, Hui Yu
The change of crowd energy is a fundamental measurement for describing a crowd behavior. In this paper, we present a crowd abnormal detection method based on the change of energy-level distribution. The method can not only reduce the camera perspective effect, but also detect crowd abnormal behavior in time. Pixels in the image are treated as particles, and the optical flow method is adopted to extract the velocities of particles. The qualities of different particles are distributed as different value according to the distance between the particle and the camera to reduce the camera perspective effect...
February 1, 2018: Sensors
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