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https://www.readbyqxmd.com/read/28443338/child-passenger-safety-technician-consultation-in-the-pediatric-primary-care-setting
#1
Dina Burstein, Mark R Zonfrillo, Janette Baird, Michael J Mello
Correct use of a child safety seat (CSS) can reduce the risk of fatal motor vehicle crash-related injury by up to 71%; however, misuse rates for CSS are as high as 70%. We recruited 189 caregivers at 2 large suburban pediatric office practices; 94 in the intervention group and 95 in the control group. All participants completed a baseline survey and received a CSS safety brochure. Intervention participants had their CSS installation checked at enrollment by a certified child passenger safety (CPS) technician...
April 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28436734/effects-of-speed-control-measures-on-the-safety-of-unsignalized-mid-block-street-crossings-in-china
#2
Chao Wang, Zhirui Ye, Xinyi Wang, Wenting Li
OBJECTIVE: The primary objective of this study was to evaluate the effects of different speed control measures on the safety of unsignalized mid-block street crossings. METHODS: In China, it is quite difficult to obtain traffic crash and conflict data for pedestrians using such crossings, mainly due to the lack of traffic data management and organizational issues. In light of this, the proposed method did not rely on such data, but considered vehicle speed, which is a leading contributing factor of pedestrian safety at mid-blocks...
February 16, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28436733/social-and-hospital-costs-of-patients-admitted-to-a-university-hospital-in-brazil-due-to-motorcycle-crashes
#3
Katia Campos Dos Anjos, Marcelo Rosa de Rezende, Rames Mattar Júnior
OBJECTIVE: The present study aimed to investigate the social and hospital costs of patients treated at a public hospital who were motorcycle crash victims. METHOD: This prospective study was on 68 motorcycle riders (drivers or passengers), who were followed up from hospital admission to six months after the crash. A questionnaire covering quantitative and qualitative questions was administered. RESULTS: Motorcycle crash victims were responsible for 12% of the institution's hospital admissions; 54...
February 13, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28429962/predictors-of-restraint-use-among-child-occupants
#4
Marco Benedetti, Kathleen D Klinich, Miriam A Manary, Carol A Flannagan
OBJECTIVES: Identify factors that predict restraint use and optimal restraint use among children aged 0 to 13 years. METHODS: The dataset is a national sample of police-reported crashes for years 2010-2014 in which type of child restraint is recorded. The dataset was supplemented with demographic census data linked by driver zip code, as well as a score for the state child restraint law during the year of the crash relative to best practice recommendations for protecting child occupants...
April 21, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28424128/analysis-of-all-terrain-vehicle-trauma-data-implications-for-increased-regulation-and-injury-prevention
#5
Cathy V Ho, James R Dunne, Wesley R Stroud, Alvaro H Fonseca, Frank E Davis, William J Bromberg
To determine the incidence and severity of all-terrain vehicle crashes (ATVCs) compared with motorcycle crashes (MCCs) in all critically injured patients. Prospective data were retrospectively reviewed on 1840 patients involved in ATVCs and MCCs admitted to a rural level one trauma center over 16 years. ATVC patients (n = 655) were younger (25 vs 38, P < 0.0001), more likely female (20% vs 11%, P < 0.001), less severely injured (13.5 vs 16, P < 0.0001), had similar Glasgow Coma Score (13.3 vs 13.4, p = NS), less helmet use (6% vs 69%, P < 0...
April 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28422920/a-multi-year-assessment-of-a-hospital-school-program-to-promote-teen-motor-vehicle-safety
#6
Purnima Unni, Cristina M Estrada, Dai H Chung, Emily B Riley, Lesley Worsley-Hynd, Neil Stinson
BACKGROUND: Motor vehicle crashes are the leading cause of death among teen drivers. The main goal of this program was to reduce texting while driving among high school teens through a unique peer-generated anti-texting campaign. METHODS: The program consisted of two phases. In Phase 1, student leaders participated in a half-day, hospital-based experiential program that emphasized safe teen driving. In Phase 2, these students conceptualized and implemented an anti-texting while driving campaign during the school year...
April 18, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28419017/the-evaluation-of-trauma-care-the-comparison-of-2-high-level-pediatric-emergency-departments-in-the-united-states-and-turkey
#7
Alkan Bal, Michael Cooper, Amanda Lee, Murat Anil, Halim Hennes
OBJECTIVE: The purpose of the study is to compare the outcomes of pediatric trauma patients with motor vehicle crashes (MVCs) and motor vehicle versus pedestrian crashes (MPCs) at a level 1 pediatric trauma center in the United States and a pediatric trauma center in Turkey. METHODS: The medical records of all pediatric MVC and MPC subjects presenting to the emergency departments (EDs) of a level 3 hospital in Turkey (Izmir Tepecik Training and Research Hospital [ITTRH]) and a level 1 pediatric trauma center in the United States (Children's Medical Center Dallas [CMCD]) over a 1-year period were reviewed...
April 18, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28412467/magnitude-and-direction-of-missing-confounders-had-different-consequences-on-treatment-effect-estimation-in-propensity-score-analysis
#8
Tri-Long Nguyen, Gary S Collins, Jessica Spence, Charles Fontaine, Jean-Pierre Daurès, P J Devereaux, Paul Landais, Yannick Le Manach
OBJECTIVE: Propensity score (PS) analysis allows an unbiased estimate of treatment effects, but assumes that all confounders are measured. We assessed the impact of omitting confounders from a PS analysis on clinical decision-making. STUDY DESIGN AND SETTING: We conducted Monte Carlo simulations on hypothetical observational studies based on virtual populations and on the population from a large randomized trial (CRASH-2). In both series of simulations, PS analysis was conducted with all confounders and with omitted confounders, which were defined to have different strengths of association with the outcome and treatment exposure...
April 12, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28409387/fatal-abdominal-injuries-in-a-bicycle-pedestrian-collision-reconstruction-using-multibody-simulation
#9
Holger Muggenthaler, Stefanie Drobnik, Michael Hubig, Wolfgang Fiebig, Gita Mall
Fatal bicycle-pedestrian collisions do not occur frequently and thus are rarely reported in literature. Pedestrians in bicycle-pedestrian accidents often sustain severe craniocerebral injuries caused by a collision induced fall with head impact on the road surface. We describe a case where a pedestrian crossing a road was hit by a bicycle. Hematomas of the left lower leg and of the left flank/abdomen were found to be caused by the primary impact. However, the fatal injuries were found to be contralateral with a rupture of the right renal pedicle, a rupture of the right lobe of the liver and a tear of the vena cava...
April 13, 2017: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/28408102/exploring-data-sources-for-road-traffic-injury-in-cameroon-collection-and-completeness-of-police-records-newspaper-reports-and-a-hospital-trauma-registry
#10
Catherine Juillard, Marquise Kouo Ngamby, Martin Ekeke Monono, Georges Alain Etoundi Mballa, Rochelle A Dicker, Kent A Stevens, Adnan A Hyder
BACKGROUND: Road traffic injury surveillance systems are a cornerstone of organized efforts at injury control. Although high-income countries rely on established trauma registries and police databases, in low- and middle-income countries, the data source that provides the best collection of road traffic injury events in specific low- and middle-income country contexts without mature surveillance systems is unclear. The objective of this study was to compare the information available on road traffic injuries in 3 data sources used for surveillance in the sub-Saharan African country of Cameroon, providing potential insight on data sources for road traffic injury surveillance in low- and middle-income countries...
April 10, 2017: Surgery
https://www.readbyqxmd.com/read/28407111/road-injuries-health-burden-but-not-fatalities-make-12-to-17-year-olds-a-high-risk-group-in-the-netherlands
#11
Divera A M Twisk, Niels M Bos, Wendy A M Weijermars
To explore the impact of road injuries for different age groups, this study compares the health burden of road injuries in young adolescents-12 to 17 years of age-to those for older age groups. Young adolescents are underrepresented in road fatalities. However, their inexperience, developmental stage and use of bicycles may expose them to high levels of road risk, but their physical resilience may help them survive injuries which in older age groups would be fatal. To assess the impact of injuries compared with death, this study assessed by age group the health burden expressed in disability adjusted life years; years of life lost plus years lived with disability...
April 11, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/28391091/street-racing-among-the-ontario-adult-population-prevalence-and-association-with-collision-risk
#12
Christine M Wickens, Reginald G Smart, Evelyn Vingilis, Anca R Ialomiteanu, Gina Stoduto, Robert E Mann
BACKGROUND: Street racing has been identified as a significant public health concern, yet, little is known about the prevalence of this behaviour and its impact on collision risk. The current study was designed to address this dearth of knowledge by estimating the prevalence of street racing among the Ontario, Canada adult population, and examining its association to collision risk, controlling for demographics and other risk factors. METHODS: Data were based on telephone interviews with 11,263 respondents derived from the 2009-2014 cycles of the CAMH Monitor, an ongoing cross-sectional survey of adults aged 18+ years...
April 6, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28386782/a-comparative-study-of-intermaxillary-fixation-screws-and-noncompression-miniplates-in-the-treatment-of-mandibular-fractures-a-prospective-clinical-study
#13
Osasuyi Anslem, Okoturo Eyituoyo, Ogunbanjo V Olabode, Olaitan A Ademola, Ayodele O Adesina
BACKGROUND: The main goal of treatment of mandibular fractures is to restore normal dental occlusion and promote appropriate bone healing and a normal mouth opening. Recently, there has been a resurgent interest in the use of screws for intermaxillary fixation of mandibular fractures. This study was therefore designed to determine how the clinical outcomes of the use of screws for intermaxillary fixation compare with the use of miniplates in the treatment of mandibular fractures in Nigeria...
April 6, 2017: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28384074/risk-of-serious-injury-of-occupants-involved-in-frontal-crashes-of-cab-over-type-trucks
#14
Hyeok-Jin Jeon, Sang-Chul Kim, Jae-Ho Shin, Jae-Yoon Jeong, Kang-Hyun Lee, Hee-Young Lee, Ho-Joong Kim
OBJECTIVES: Truck vehicles (TVs) have a different structure and stiffness from non-TV and are used commercially for transporting goods. This study aimed to analyze whether truck occupants have a greater risk of serious injury than those of other types of vehicles. METHODS: Crash data were obtained from the Korean In-depth Data Analysis Study (KIDAS) for calendar years 2011-2016. Vehicles involved in frontal crash were included and classified into TVs and non-TVs (passenger cars and sports utility vehicles)...
April 6, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28383999/energy-attenuation-performance-of-impact-protection-worn-by-motorcyclists-in-real-world-crashes
#15
Bianca Albanese, Tom Gibson, Tom Whyte, Lauren Meredith, Giovanni Savino, Liz De Rome, Matthew Baldock, Michael Fitzharris, Julie Brown
Objective Laboratory studies have demonstrated that impact protectors (IP) used in motorcycle clothing can reduce fracture severities. While crash studies have reported IP are associated with reduced likelihood of soft tissue injury, there is little evidence of their effectiveness in reducing fracture likelihood. This discrepancy might be related to IP quality. There are mandatory requirements for IP supplied with protective clothing in Europe, but not elsewhere. This study examines the energy attenuation performance of IP used by Australian riders...
April 6, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28382259/traumatic-tension-pneumocephalus-two-cases-and-comprehensive-review-of-literature
#16
REVIEW
Promod Pillai, Rohit Sharma, Larami MacKenzie, Eugene F Reilly, Paul R Beery, Thomas J Papadimos, Stanislaw Peter A Stawicki
Although traumatic pneumocephalus is not uncommon, it rarely evolves into tension pneumocephalus (TP). Characterized by the presence of increasing amounts of intracranial air and concurrent appearance or worsening neurological symptoms, TP can be devastating if not recognized and treated promptly. We present two cases of traumatic TP and a concise review of literature on this topic. Two cases of traumatic TP are presented. In addition, a literature search revealed 20 additional cases, of which 18 had sufficient information for inclusion...
January 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28371637/performance-of-basic-kinematic-thresholds-in-the-identification-of-crash-and-near-crash-events-within-naturalistic-driving-data
#17
Miguel A Perez, Jeremy D Sudweeks, Edie Sears, Jonathan Antin, Suzanne Lee, Jonathan M Hankey, Thomas A Dingus
Understanding causal factors for traffic safety-critical events (e.g., crashes and near-crashes) is an important step in reducing their frequency and severity. Naturalistic driving data offers unparalleled insight into these factors, but requires identification of situations where crashes are present within large volumes of data. Sensitivity and specificity of these identification approaches are key to minimizing the resources required to validate candidate crash events. This investigation used data from the Second Strategic Highway Research Program Naturalistic Driving Study (SHRP 2 NDS) and the Canada Naturalistic Driving Study (CNDS) to develop and validate different kinematic thresholds that can be used to detect crash events...
March 31, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28367591/depression-antidepressants-and-driving-safety
#18
REVIEW
Linda L Hill, Vanessa L Lauzon, Elise L Winbrock, Guohua Li, Stanford Chihuri, Kelly C Lee
BACKGROUND: The purpose of this study was to review to review the reported associations of depression and antidepressants with motor vehicle crashes. PURPOSE: A literature search for material published in the English language between January, 1995, and October, 2015, in bibliographic databases was combined with a search for other relevant material referenced in the retrieved articles. METHODS: Retrieved articles were systematically reviewed for inclusion criteria: 19 epidemiological studies (17 case-control and 2 cohort studies) fulfilled the inclusion criteria by estimating the crash risk associated with depression and/or psychotropic medications in naturalistic settings...
December 2017: Injury Epidemiology
https://www.readbyqxmd.com/read/28364446/randomized-prospective-study-of-the-impact-of-a-sleep-health-program-on-firefighter-injury-and-disability
#19
Jason P Sullivan, Conor S O'Brien, Laura K Barger, Shantha M W Rajaratnam, Charles A Czeisler, Steven W Lockley
Study Objectives: Firefighters' schedules include extended shifts and long work weeks which cause sleep deficiency and circadian rhythm disruption. Many firefighters also suffer from undiagnosed sleep disorders, exacerbating fatigue. We tested the hypothesis that a workplace-based Sleep Health Program (SHP) incorporating sleep health education and sleep disorders screening would improve firefighter health and safety compared to standard practice. Design: Prospective station-level randomized, field-based intervention...
January 1, 2017: Sleep
https://www.readbyqxmd.com/read/28359967/alcohol-related-serious-road-traffic-injuries-between-2000-and-2010-a-new-perspective-to-deal-with-administrative-data-in-australia
#20
Jason Ferris, Jessica Killian, Belinda Lloyd
BACKGROUND: According to the most recent statistics from the World Health Organization, 1.2 million people die or are injured on the world's roads every year. Drink-driving continues to be a major risk factor for road traffic crashes, with 22% of serious road injuries (SRIs) in Victoria involving a blood alcohol concentration (BAC) equal to or above the legal driving limit of 0.05g/mL. Use of police and hospital data to determine alcohol involvement in SRIs is not reliable, with researchers using proxy measures such as high alcohol hours (HAH)...
March 27, 2017: International Journal on Drug Policy
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