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https://www.readbyqxmd.com/read/29682374/delayed-appearance-of-a-traumatic-fetal-intracranial-hemorrhage
#1
Kelly Yamasato, Nicole Kurata, Dena Towner
Background: Fetal intracranial injury is a potentially devastating sequelae of maternal trauma, but there is little guidance regarding fetal evaluation in this setting. Case: A 23-year-old woman at 27-week gestation was admitted after a high-speed motor vehicle accident. The initial obstetrical ultrasound was unremarkable, but persistently minimal fetal heart rate variability was observed. Ultrasound on day 3 after the accident showed an intracranial hyperechogenic lesion and subdural fluid collection...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29679852/accident-analysis-to-support-the-development-of-strategies-for-the-prevention-of-brain-injuries-in-car-crashes
#2
Jacobo Antona-Makoshi, Koji Mikami, Mats Lindkvist, Johan Davidsson, Sylvia Schick
This study estimated the frequency and risk of Moderate-to-Maximal traumatic brain injuries sustained by occupants in motor vehicle crashes in the US. National Automotive Sampling System - Crashworthiness Data System crashes that occurred in years 2001-2015 with light vehicles produced 2001 or later were incorporated in the study. Crash type, crash severity, car model year, belt usage and occupant age and sex were controlled for in the analysis. The results showed that Moderate concussions account for 79% of all MAISbrain 2+ injuries...
April 18, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29675071/pediatric-head-injury-a-study-of-403-cases-in-a-tertiary-care-hospital-in-a-developing-country
#3
Abrar Ahad Wani, Arif Hussain Sarmast, Muzaffar Ahangar, Nayil Khursheed Malik, Sarabjit Singh Chhibber, Sajad Hussain Arif, Altaf Umar Ramzan, Bashir Ahmed Dar, Zulfiqar Ali
Introduction: Traumatic brain injury (TBI) in children is a significant cause of morbidity and mortality worldwide. Falls are the most common type of injury, followed by motor vehicle-related accidents and child abuse. Aims and Objectives: The aim and objective of this study was to elucidate the various modes of injury, prognostic factors, complications, incidence of various modes of injury, and outcome in TBI in pediatric population. Materials and Methods: Patients with TBI, 18 years or less in age, managed in our Department of Neurosurgery, over a period of 2 years, were studied prospectively...
October 2017: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/29666666/early-factors-associated-with-the-development-of-chronic-pain-in-trauma-patients
#4
Raoul Daoust, Jean Paquet, Lynne Moore, Marcel Émond, Sophie Gosselin, Gilles Lavigne, Manon Choinière, Aline Boulanger, Jean-Marc Mac-Thiong, Jean-Marc Chauny
Objective: To identify factors, available at the time of trauma admission, associated with the development of chronic pain to allow testing of preventive approaches. Methods: In a retrospective observational cohort study, we included all patients ≥ 18 years old admitted for injury in 57 adult trauma centers in the province of Quebec (Canada) between 2004 and 2014. Chronic pain was defined as follows: treated in a chronic pain clinic, diagnosed with chronic pain, or received at least 2 prescriptions of chronic pain medications 3 to 12 months postinjury...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/29662682/delayed-intestinal-perforation-secondary-to-blunt-force-abdominal-trauma-in-a-cat
#5
A Taylor, E Cooper, K Ham
Case summary: A 7-month-old intact male domestic shorthair cat was presented 4 h after being hit by a car. It had bilateral inguinal hernias and a mesenteric rent that were repaired surgically and a hematoma in the left retroperitoneal space. No other intra-abdominal abnormalities were identified on abdominal surgical exploration. Approximately 72 h after presentation, the cat started vomiting and developed severe abdominal discomfort. A sudden decrease in mentation and elevation of respiratory rate and effort ensued...
January 2018: JFMS Open Reports
https://www.readbyqxmd.com/read/29660749/antimicrobial-peptidomimetics-for-recurrent-septicemia-infections-in-vitro-study-for-immuno-compromised-disease-target
#6
Priyanka Sharma, Kandasamy Nagarajan, Bihu Prasad Panda
The frequency of Bacillus subtilis infection such as pneumonia pan-opthalmitis, visceral abscess or musculoskeletal infection etc. complications following bacteremia, meningitis in children & the infection associated with majority of motor vehicle accidents associated with trauma & gun shoot injury. Antibiotics which appear especially useful in the treatment of Bacillus. infection are clindamycin and vancomycin to which vast majority of strains are susceptible in vitro. Our objective is to test the synthesized peptidomimetics with the efforts mainly directed towards the identification of antibacterial compounds against recurrent septicemia infection...
April 16, 2018: Drug Research
https://www.readbyqxmd.com/read/29656076/is-improved-lane-keeping-during-cognitive-load-caused-by-increased-physical-arousal-or-gaze-concentration-toward-the-road-center
#7
Penghui Li, Gustav Markkula, Yibing Li, Natasha Merat
Driver distraction is one of the main causes of motor-vehicle accidents. However, the impact on traffic safety of tasks that impose cognitive (non-visual) distraction remains debated. One particularly intriguing finding is that cognitive load seems to improve lane keeping performance, most often quantified as reduced standard deviation of lateral position (SDLP). The main competing hypotheses, supported by current empirical evidence, suggest that cognitive load improves lane keeping via either increased physical arousal, or higher gaze concentration toward the road center, but views are mixed regarding if, and how, these possible mediators influence lane keeping performance...
April 12, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29652238/challenge-of-handling-a-charcot-spinal-arthropathy-with-a-novel-hybrid-fibular-autograft-and-expandable-cage
#8
Nissim Ohana, Daniel Benharroch, Dimitri Sheinis
A 26-year-old man, who was paraplegic for 6 years due to a motor vehicle accident, presented to the authors' clinic following his incapacity to withstand a sitting posture, the frequent sensation of "clicks" in his back, and a complaint of back pain while in his wheelchair. On imaging, his dorsal spine showed a complete arthrodesis of the primarily fused vertebrae. However, distal to this segment, a Charcot spinal arthropathy with subluxation of T12-L1 was evident. Repair of this complex, uncommon, late complication of his paraplegia by the frequently used fusion techniques was shown to be inappropriate...
April 13, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29651372/epidemiology-and-characteristics-of-cervical-spine-injury-in-patients-presenting-to-a-regional-emergency-department
#9
Etimbuk Umana, Khalid Khan, M N Baig, James Binchy
Purpose This study aims to establish the demographics and characteristics of patients with cervical spine injury (CSI) in an Irish cohort presenting to a regional emergency department. Methods We performed a retrospective analysis of the medical records of patients who underwent cervical spine computed tomography (CT) scans following trauma from January 2013 to July 2016. We looked at the mechanism of injury, mode of arrival to the emergency department, triage category, correlation between examination, and site of CSI and neurological status...
February 10, 2018: Curēus
https://www.readbyqxmd.com/read/29644297/negative-pressure-in-treatment-of-persistent-post-traumatic-subcutaneous-emphysema-with-respiratory-failure-case-report-and-literature-review
#10
Jakov Mihanović, Ivan Bačić, Nina Sulen
Subcutaneous emphysema may aggravate traumatic pneumothorax treatment, especially when mechanical ventilation is required. Expectative management usually suffices, but when respiratory function is impaired surgical treatment might be indicated. Historically relevant methods are blowhole incisions and placement of various drains, often with related wound complications. Since the first report of negative pressure wound therapy for the treatment of severe subcutaneous emphysema in 2009, only few publications on use of commercially available sets were published...
February 2018: Trauma Case Reports
https://www.readbyqxmd.com/read/29644294/isolated-right-atrial-appendage-rupture-following-blunt-chest-trauma
#11
Rakesh Hegde, Nathan Lafayette, Michael Sywak, Gregory Ricketts, Jorge Otero, Scott Kurtzman, Zhongqiu Zhang
Background: Right sided tears or rupture are the most common injury to the heart after blunt chest trauma. The majority of these injuries are to the thin walled atrium. Reports of localized right atrial appendage rupture are rare. The classical features of Beck's triad are unreliable in the trauma bay. With the advent of EFAST (Focused assessment with sonography for trauma extended to thorax), Beck's triad should be considered but not used as the primary clinical tool for diagnosis of cardiac tamponade [1]...
February 2018: Trauma Case Reports
https://www.readbyqxmd.com/read/29644101/spinal-cord-injury-epidemiological-profile-in-the-sarah-network-of-rehabilitation-hospitals-a-brazilian-population-sample
#12
D C Barbetta, T R Smanioto, M F Poletto, Rfa Ferreira, Acg Lopes, F M Casaro, Acs Camargo, T O Ogashawara
Study design: Retrospective cross-sectional study. Objective: To describe the epidemiological profile of individuals with spinal cord injury (SCI), who visited the Sarah Network in 2014. Setting: Brazil, Brasília-Federal District. Methods: A review of the electronic medical records of persons with SCI, aged over 15 years, was carried out. Results: The medical records of 2076 persons were evaluated: 83% were male, the mean age was 31 years, 40% did not complete elementary school, 67...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29628667/early-predictive-factors-of-hypofibrinogenemia-in-acute-trauma-patients
#13
Shahram Paydar, Behnam Dalfardi, Zahra Shayan, Leila Shayan, Jalal Saem, Shahram Bolandparvaz
Background: Uncontrolled hemorrhage still remains a major cause of trauma-associated mortality. The events resulting in acute traumatic coagulopathy, particularly hypofibrinogenemia, make control of bleeding difficult. It is essential to timely predict, diagnose, and manage trauma-induced coagulopathy. Aims: The aim of this study is to determine clinical and easily available laboratory variables that are predictive of hypofibrinogenemia in acute trauma patients...
January 2018: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/29627065/after-a-motor-vehicle-accident-is-it-neurogenic-thoracic-outlet-syndrome-or-ulnar-entrapment-syndrome-how-to-make-the-correct-diagnosis
#14
A Ian Munro, G Duncan McPherson, Wr Eric Jamieson
INTRODUCTION: Analysis of alleged neurogenic thoracic outlet syndrome (NTOS) following motor vehicle collisions (MVC) showed a high rate of incorrect diagnosis. METHODS: Over ten years we saw 263 alleged NTOS following a MVC. Fifty-six (21.3%) had ulnar entrapment syndrome (UES) proved by nerve conduction studies or specific motor weakness. Diagnostic errors were examined. RESULTS: Inadequate physical examination and poor knowledge of neuroanatomy in 56 (100...
March 16, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29626543/exploring-rainfall-impacts-on-the-crash-risk-on-texas-roadways-a-crash-based-matched-pairs-analysis-approach
#15
Ehsan Omranian, Hatim Sharif, Samer Dessouky, Jose Weissmann
Interaction between adverse weather conditions and motor vehicle crashes is an important topic for traffic engineers and hydrometeorologists. With the recent availability of high resolution precipitation products (hourly, 4 × 4 km), it is possible to evaluate crash risk during rainfall events more accurately. Texas, the second largest state in the U.S., with a relatively high population density in its eastern part that receives significant rainfall from tropical events, experiences many hazardous traffic conditions every year...
April 4, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29618095/case-report-double-oberlin-nerve-transfer-to-restore-elbow-flexion-following-c5-c6-avulsion-injury
#16
Michael J Moses, Amoz Z Dai, Dylan T Lowe, Alice Chu, Themistocles S Protopsaltis
BACKGROUND AND IMPORTANCE: The use of nerve transfers to restore nerve function following traumatic avulsion injuries has been described, though there is still a paucity in the literature documenting technique and long-term outcomes for these procedures. The double Oberlin nerve transfer involves transferring fascicles from the median and ulnar nerves to the musculocutaneous nerve to restore elbow flexion in patients with a C5-C6 avulsion injury. The purpose of this case report is to present our indications and technique for a double Oberlin transfer in addition to exhibiting video footage at follow-up time points documenting the incremental improvement in elbow flexion following the injury...
April 2, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29601466/longitudinal-clival-fracture-in-a-child-case-report-and-review-of-the-literature
#17
Bedia Gulen, Mustafa Serinken, Ozgur Karcioglu, Okkes Taha Kucukdagli
Clival fracture is a rare and serious injury, which mostly results in the death of the victim before reaching the hospital. The entity is hardly diagnosed in the early phase because of high mortality rates and deficiencies in completion of radiological imaging. The incidence of diagnoses increased year by year after the usage of computed tomography gained widespread availability. In this article, we aimed to present radiological and clinical characteristics of a 5-year-old patient brought to the emergency department after a motor vehicle accident...
April 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29592996/trauma-induced-adiposis-dolorosa-dercum-s-disease
#18
David Hao, Akintomi Olugbodi, Nneka Udechukwu, Anthony A Donato
We present a case of a 39-year-old man who presented with chronic bilateral upper extremity pain associated with innumerable angiomyolipomas that developed 5 years after a motor vehicle accident involving his upper extremities. Our case notes the rare nature of painful adipose tissue deposits and the diagnostic challenges.
March 28, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29584502/an-insight-of-world-health-organization-who-accident-database-by-cluster-analysis-with-self-organizing-map-som
#19
Chinmoy Pal, Shigeru Hirayama, Sangolla Narahari, Manoharan Jeyabharath, Gopinath Prakash, Vimalathithan Kulothungan
OBJECTIVE: Road crashes are increasing every year in low- and middle-income countries compared to high-income countries, which show decreasing trends. One theory may be because of differences in enforcement of laws, vehicle safety, road standards, and many other factors. A detailed review was made of 5 death trends (total number of deaths/100,000 population and percentages of 4-wheeler, pedestrian, motorized 2/3-wheeler, bicyclist) and the underlying patterns in different countries and regions across the world...
February 28, 2018: Traffic Injury Prevention
https://www.readbyqxmd.com/read/29583037/detection-of-atrial-fibrillation-during-pulpal-blood-flow-assessment-using-doppler-ultrasound-a-case-report
#20
Chan-Hyun Lee, Euiseong Kim, Dohyun Kim
This report describes the case of a 52-year-old male patient who exhibited suspicious pulsation patterns during pulpal blood flow assessment using Doppler ultrasound. Initially, he was not aware of his cardiovascular problem; however, after referral to a medical clinic, he was diagnosed with atrial fibrillation. The patient was injured in a motor vehicle accident and referred to our clinic for management of multiple traumatized teeth. On clinical examination, several teeth exhibited negative responses to cold and electrical sensibility tests...
March 27, 2018: Dento Maxillo Facial Radiology
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