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https://www.readbyqxmd.com/read/28933560/unintentional-nontraffic-injury-and-fatal-events-threats-to-children-in-and-around-vehicles
#1
Mark R Zonfrillo, Mackenzie L Ramsay, Janette E Fennell, Amber Rollins
Objective There have been substantial reductions in motor vehicle crash-related child fatalities due to advances in legislation, public safety campaigns, and engineering. Less is known about nontraffic injuries and fatalities to children in and around motor vehicles. The objective of this study was to describe the frequency of various nontraffic incidents, injuries, and fatalities to children using a unique surveillance system and database. Methods Instances of nontraffic injuries and fatalities in the United States to children 0-14 years were tracked from January 1990 - December 2014 using a compilation of sources including media reports, individual accounts from families of affected children, medical examiner reports, police reports, child death review teams, coroner reports, medical professionals, legal professionals, and other various modes of publication...
September 21, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28930952/military-use-of-tranexamic-acid-in-combat-trauma-does-it-matter
#2
Jeffrey T Howard, Zsolt T Stockinger, Andrew P Cap, Jeffrey A Bailey, Kirby R Gross
BACKGROUND: Tranexamic acid (TXA) has been previously reported to have a mortality benefit in civilian and combat-related trauma, and was thus added to the Joint Theater Trauma System Damage Control Resuscitation Clinical Practice Guideline. As part of ongoing system-wide performance improvement, the use of TXA has been closely monitored. The goal was to evaluate the efficacy and safety of TXA use in military casualties and provide additional guidance for continued use. METHODS: A total of 3,773 casualties were included in this retrospective, observational study of data gathered from a trauma registry...
October 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28928002/association-between-seatbelt-sign-and-internal-injuries-in-the-contemporary-airbag-era-a-retrospective-cohort-study
#3
Julie M Glover, Madelyn F Waychoff, Monica Casmaer, Michael D April, Curtis J Hunter, Scott T Trexler, Lorne H Blackbourne
BACKGROUND: Literature predating routine availability of airbags reported an association between seatbelt signs and internal injuries. We measured this association among patients involved in motor vehicle crashes (MVCs) with airbag deployment. METHODS: We conducted a retrospective cohort study by chart review of all MVC patients presenting to our Emergency Department (ED) during 1 January 2008-30 September 2015. We included all adult MVC patients in the driver or front passenger seats with both shoulder and lap seatbelts and airbag deployment...
September 12, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28925746/impact-of-extended-monitoring-guided-intensive-care-on-outcome-after-severe-traumatic-brain-injury-a-prospective-multicentre-cohort-study-paris-tbi-study
#4
Joaquim Mateo, Didier Payen, Idir Ghout, Fabrice Vallée, Thomas Lescot, Stephane Welschbillig, Karim Tazarourte, Philippe Azouvi, Jean-Jacques Weiss, Philippe Aegerter, Bernard Vigué
OBJECTIVE: We evaluated whether an integrated monitoring with systemic and specific monitoring affect mortality and disability in adults with severe traumatic brain injury (sTBI). METHODS: Adults with severeTBI (Glasgow Coma Scale [GCS] ≤ 8) admitted alive in intensive care units (ICUs) were prospectively included. Primary endpoints were in-hospital 30-day mortality and extended Glasgow outcome score (GOSE) at 3 years. Association with the intensity of monitoring and outcome was studied by comparing a high level of monitoring (HLM) (systemic and ≥3 specific monitoring) and low level of monitoring (LLM) (systemic and 0-2 specific monitoring) and using inverse probability weighting procedure...
September 19, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28923517/bicycle-helmet-use-patterns-in-italy-a-description-and-analysis-of-survey-data-from-an-italian-friends-of-cycling-association
#5
Ioana Popa, Ottavia E Ferraro, Chiara Orsi, Anna Morandi, Cristina Montomoli
Cycling is becoming one of the most popular forms of recreation and transport the world over, but cyclists still have a high level of vulnerability. A bicycle helmet is an important safety device available to cyclists, but little is known regarding possible determinants of helmet use among adults. This study aims at providing information on helmet usage patterns in Italy and identifying the factors associated with bicycle helmet use. Data on 2072 bicycle riders from an Italian friends of cycling association aged 18 years or older who had ridden a bicycle in the last month were collected using an ad-hoc questionnaire via the web...
September 15, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28921731/inter-observer-agreement-in-pediatric-cervical-spine-injury-assessment-between-prehospital-and-emergency-department-providers
#6
Lorin R Browne, Hamilton Schwartz, Fahd A Ahmad, Michael Wallendorf, Nathan Kuppermann, E Brooke Lerner, Julie C Leonard
BACKGROUND: Investigators have derived cervical spine injury (CSI) decision support tools from physician observations. There is a need to demonstrate that prehospital emergency medical services (EMS) providers can use these tools to appropriately determine the need for spinal motion restrictions and make field disposition decisions. OBJECTIVE: To determine the inter-observer agreement between EMS and emergency department (ED) providers for CSI risk assessment variables and overall gestalt for CSI in children after blunt trauma...
September 18, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28921600/injury-patterns-sustained-in-fatal-motor-vehicle-collisions-with-driver-s-third-generation-airbag-deployment
#7
Mariya Kuk, Michael J Shkrum
The Office of the Chief Coroner for Ontario database for 2011-2012 was used to compare fatal injury patterns in drivers whose third-generation airbags deployed compared to first- and second-generation airbag deployments and airbag nondeployments with and without seatbelt use. There were 110 frontal and offset frontal crashes analyzed. The small sample size meant that the odds of craniocerebral, cervical spinal, thoracic, and abdominal injuries were not statistically different for airbag generation, deployment status, and seatbelt use; however, the risk of fatal thoracic injuries in third- and second-generation cases was increased...
September 15, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28918223/an-ecological-model-to-factors-associated-with-booster-seat-use-a-population-based-study
#8
Sarit Shimony Kanat, Rosa Gofin
Belt-positioning booster seat use (BPB) is an effective technology to prevent severe child injury in cases of car crash. However, in many countries, age-appropriate car restraint use for children aged 4-7 years old remains the lowest among all age groups. The aim of this study was to identify the main determinants of BPB use through a comprehensive approach. An ecological model was used to analyze individual, parent-child relationships, and neighborhood characteristics. Parents of children enrolled in the first and second grades completed a self-reported questionnaire (n=745)...
September 14, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28917096/how-bicycle-level-of-traffic-stress-correlate-with-reported-cyclist-accidents-injury-severities-a-geospatial-and-mixed-logit-analysis
#9
Chen Chen, Jason C Anderson, Haizhong Wang, Yinhai Wang, Rachel Vogt, Salvador Hernandez
Transportation agencies need efficient methods to determine how to reduce bicycle accidents while promoting cycling activities and prioritizing safety improvement investments. Many studies have used standalone methods, such as level of traffic stress (LTS) and bicycle level of service (BLOS), to better understand bicycle mode share and network connectivity for a region. However, in most cases, other studies rely on crash severity models to explain what variables contribute to the severity of bicycle related crashes...
September 13, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28917095/turning-movements-vehicle-offsets-and-ageing-drivers-driving-behaviour-at-channelized-and-unchannelized-intersections
#10
Jaisung Choi, Richard Tay, Sangyoup Kim, Seungwon Jeong
Ageing drivers experience a higher risk of intersection crashes because of their decrease in driving efficiency, including the decline in cognitive ability, head and neck flexibility, and visual acuity. Although several studies have been conducted to examine the factors associated with ageing driver crashes at intersections, little research has been conducted to examine the differences in the factors related to ageing drivers' turning paths and intersection geometric features. This study aims to improve the safety of ageing drivers at intersections by identifying the maneuvers that are risky for them and tracking their turning movements at selected intersections...
September 13, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28916875/traumatic-injuries-to-the-pregnant-patient-a-critical-literature-review
#11
REVIEW
P Petrone, P Jiménez-Morillas, A Axelrad, C P Marini
INTRODUCTION: Trauma during pregnancy is the leading non-obstetrical cause of maternal death and a significant public health burden. This study reviews the most common causes of trauma during pregnancy, morbidity, and mortality, and the impact upon perinatal outcomes associated with trauma, providing a management approach to pregnant trauma patients. MATERIALS AND METHODS: A systematic review of the current literature from January 2006 to July 2016 was performed...
September 15, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/28911878/comparison-of-proposed-countermeasures-for-dilemma-zone-at-signalized-intersections-based-on-cellular-automata-simulations
#12
Yina Wu, Mohamed Abdel-Aty, Yaoxian Ding, Bin Jia, Qi Shi, Xuedong Yan
The Type II dilemma zone describes the road segment to a signalized intersection where drivers have difficulties to decide either stop or go at the onset of yellow signal. Such phenomenon can result in an increased crash risk at signalized intersections. Different types of warning systems have been proposed to help drivers make decisions. Although the warning systems help to improve drivers' behavior, they also have several disadvantages such as increasing rear-end crashes or red-light running (RLR) violations...
September 11, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28910196/effect-of-alpinia-galanga-on-mental-alertness-and-sustained-attention-with-or-without-caffeine-a-randomized-placebo-controlled-study
#13
Shalini Srivastava, Mark Mennemeier, Surekha Pimple
OBJECTIVE: Although Alpinia galanga has been reported to improve cognitive performance in animals, it has not been thoroughly studied for its potential psychostimulant effect in humans. A randomized, double-dummy, double-blind, placebo-controlled cross-over study was conducted to determine the effect of A galanga on mental alertness and sustained attention in comparison with caffeine and placebo in participants with a habitual caffeine intake. METHODS: Fifty-nine participants (18-40 years and body mass index of ≥18...
September 14, 2017: Journal of the American College of Nutrition
https://www.readbyqxmd.com/read/28888336/pediatric-firearm-deaths-and-injuries-in-the-united-states
#14
Deborah L McBride
Guns are the third leading cause of death of those aged 1 to 17years, outpaced only by unintentional injuries such as car crashes and drowning, and illnesses like cancer according to a new federal study. The new study, which has been called the most comprehensive examination of current firearms-related deaths and injury among children in the United States used data from the National Electronic Injury Surveillance System and the Centers for Disease Control and Prevention (CDC) National Violent Death Reporting System to assess the magnitude and characteristics of firearm-related deaths and injuries among children (age 0-17years) from 2002 to 2014...
September 6, 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/28888158/predicting-motorcycle-crash-injury-severity-using-weather-data-and-alternative-bayesian-multivariate-crash-frequency-models
#15
Wen Cheng, Gurdiljot Singh Gill, Taha Sakrani, Mohan Dasu, Jiao Zhou
Motorcycle crashes constitute a very high proportion of the overall motor vehicle fatalities in the United States, and many studies have examined the influential factors under various conditions. However, research on the impact of weather conditions on the motorcycle crash severity is not well documented. In this study, we examined the impact of weather conditions on motorcycle crash injuries at four different severity levels using San Francisco motorcycle crash injury data. Five models were developed using Full Bayesian formulation accounting for different correlations commonly seen in crash data and then compared for fitness and performance...
September 6, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28885121/epilepsy-headache-and-abdominal-pain-after-shunt-surgery-for-idiopathic-normal-pressure-hydrocephalus-the-inph-crash-study
#16
Jenny Larsson, Hanna Israelsson, Anders Eklund, Jan Malm
OBJECTIVE Adverse events related to shunt surgery are common and might have a negative effect on outcome in patients with idiopathic normal pressure hydrocephalus (INPH). The authors' objectives were to establish the frequencies of epilepsy, headache, and abdominal pain and determine their impact on patient quality of life (QOL), in long-term follow-up after shunt surgery for INPH. METHODS One hundred seventy-six shunt-treated patients with INPH (mean age 74 years) and 368 age- and sex-matched controls from the population were included...
September 8, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28882279/benefit-cost-analysis-of-lane-departure-warning-and-roll-stability-control-in-commercial-vehicles
#17
Alejandra Medina-Flintsch, Jeffrey S Hickman, Feng Guo, Matthew C Camden, Richard J Hanowski, Quon Kwan
INTRODUCTION: This paper presents the cost benefits of two different onboard safety systems (OSS) installed on trucks as they operated during normal revenue deliveries. Using a formal economic analysis approach, the study quantified the costs and benefits associated with lane departure warning (LDW) systems and roll stability control (RSC) systems. METHODS: The study used data collected from participating carriers (many of these crashes were not reported to state or Federal agencies), and the research team also reviewed each crash file to determine if the specific OSS would have mitigated or prevented the crash...
September 2017: Journal of Safety Research
https://www.readbyqxmd.com/read/28882276/economic-and-statistical-perspectives-on-traffic-safety-in-louisiana-2005-2015
#18
Onyumbe Enumbe B Lukongo
INTRODUCTION: This study examine and applies recent empirical evidence from Mississippi and Alabama on fatal crashes and its relationship with gasoline prices and alcohol consumptions using the Louisiana Crash Data Reports between January 2005 and December 2015. METHOD: The negative binomial models is the preferred specification for the Louisiana Crash Data. The marginal effects and related elasticities were calculated to facilitate the interpretation of the results...
September 2017: Journal of Safety Research
https://www.readbyqxmd.com/read/28882275/using-shrp-2-naturalistic-driving-data-to-assess-drivers-speed-choice-while-being-engaged-in-different-secondary-tasks
#19
Tina Schneidereit, Tibor Petzoldt, Andreas Keinath, Josef F Krems
INTRODUCTION: The engagement in secondary tasks while driving has been found to result in considerable impairments of driving performance. Texting has especially been suspected to be associated with an increased crash risk. At the same time, there is evidence that drivers use various self-regulating strategies to compensate for the increased demands caused by secondary task engagement. One of the findings reported from multiple studies is a reduction in driving speed. However, most of these studies are of experimental nature and do not let the drivers decide for themselves to (not) engage in the secondary task, and therefore, eliminate other strategies of self-regulation (e...
September 2017: Journal of Safety Research
https://www.readbyqxmd.com/read/28882273/school-transportation-mode-by-distance-between-home-and-school-united-states-consumerstyles-2012
#20
Laurie F Beck, Daniel D Nguyen
INTRODUCTION: Motor-vehicle crashes are a leading cause of death among children in the United States, and almost one-fourth of all trips by school-aged children are trips to and from school. This study sought to determine how children (5-18years) travel to and from school and, among those living ≤1mile of school, to explore the role of school bus service eligibility on school travel mode. METHODS: We used national 2012 survey data to determine prevalence of usual school travel mode, stratified by distance from school...
September 2017: Journal of Safety Research
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