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https://www.readbyqxmd.com/read/28815943/impact-response-comparison-between-parametric-human-models-and-postmortem-human-subjects-with-a-wide-range-of-obesity-levels
#1
Kai Zhang, Libo Cao, Yulong Wang, Eunjoo Hwang, Matthew P Reed, Jason Forman, Jingwen Hu
OBJECTIVE: Field data analyses have shown that obesity significantly increases the occupant injury risks in motor vehicle crashes, but the injury assessment tools for people with obesity are largely lacking. The objectives of this study were to use a mesh morphing method to rapidly generate parametric finite element models with a wide range of obesity levels and to evaluate their biofidelity against impact tests using postmortem human subjects (PMHS). METHODS: Frontal crash tests using three PMHS seated in a vehicle rear seat compartment with body mass index (BMI) from 24 to 40 kg/m(2) were selected...
August 17, 2017: Obesity
https://www.readbyqxmd.com/read/28813547/an-experimental-and-numerical-study-of-hybrid-iii-dummy-response-to-simulated-underbody-blast-impacts
#2
Karthik Somasundaram, Anil Kalra, Don Sherman, Paul Begeman, King H Yang, John M Cavanaugh
Anthropometric test devices (ATDs) such as Hybrid III dummy have been widely used in automotive crash tests to evaluate the risks of injury at different body regions. In recent years, researchers have started using automotive ATDs to study the high-speed vertical loading response caused by underbelly blast (UBB) impacts. This study analyzed the Hybrid III dummy responses to short-duration large magnitude vertical acceleration in a laboratory setup. Two unique test conditions were investigated using a horizontal sled system to simulate the UBB loading conditions...
August 16, 2017: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/28804400/differential-age-related-changes-in-localizing-a-target-among-distractors-across-an-extended-visual-field
#3
Jing Feng, Fergus I M Craik, Brian Levine, Sylvain Moreno, Gary Naglie, HeeSun Choi
Age differences in the spatial distribution of attention over a wide field of view have only been described in terms of the spatial extent, leaving the topographical aspect unexplored. This study examined age differences between younger and older adults in good general health in an important topographical characteristic, the asymmetry between the upper and lower visual fields. In Experiment 1, we found age differences across the entire attentional visual field. In addition, age differences were greater in the upper compared to the lower field...
June 2017: European Journal of Ageing
https://www.readbyqxmd.com/read/28800763/causes-trends-and-severity-of-musculoskeletal-injuries-in-ghana
#4
Eric Lawer Torgbenu, Emmanuel K Nakua, Henry Kyei, Eric Badu, Maxwell Peprah Opoku
BACKGROUND: Musculoskeletal [MSK] injuries are common causes of long-term pain and physical disability which affect many people worldwide. The economic and social impacts on the individual, society and national health systems are enormous making a matter of public health concern. Therefore, this study examined the causes and extent of MSK injuries in a referral hospital in Ghana. METHODS: A prospective study design with consecutive sampling method was used to recruit patients admitted at Trauma Unit as well as those receiving orthopaedic reviews at St...
August 11, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28774897/generating-a-city-s-first-report-on-bicyclist-safety-lessons-from-the-field
#5
Dahianna S Lopez, David Hemenway
BACKGROUND: For cities aiming to create a useful surveillance system for bicycle injuries, a common challenge is that city crash reporting is scattered, faulty or non-existent. We document some of the lessons we learnt in helping the city of Boston, Massachusetts, USA, do the following: (1) Create a prototype for a comprehensive police crash data set (2) Produce the city's first cyclist safety report, (3) Make crash data available to the public and (4) Generate policy recommendations for both specific roadside improvements and for sustainable changes to the police department's crash reporting database...
August 3, 2017: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/28771623/the-distracted-mind-on-the-wheel-overall-propensity-to-mind-wandering-is-associated-with-road-crash-responsibility
#6
Cédric Gil-Jardiné, Mélanie Née, Emmanuel Lagarde, Jonathan Schooler, Benjamin Contrand, Ludivine Orriols, Cédric Galera
The role of distractions on attentional lapses that place road users in higher risk of crash remains poorly understood. We aimed to assess the respective impact of (i) mind wandering trait (propensity to mind wander in the everyday life as measured with a set of 4 questions on the proportion of time spent mind wandering in 4 different situations) and (ii) mind wandering state (disturbing thoughts just before the crash) on road crash risk using a comparison between responsible and non-responsible drivers. 954 drivers injured in a road crash were interviewed at the adult emergency department of the Bordeaux university hospital in France (2013-2015)...
2017: PloS One
https://www.readbyqxmd.com/read/28758801/using-medico-legal-data-to-investigate-fatal-older-road-user-crash-circumstances-and-risk-factors
#7
Sjaan Koppel, Lyndal Bugeja, Daisy Smith, Ashne Lamb, Jeremy Dwyer, Michael Fitzharris, Stuart Newstead, Angelo D'Elia, Judith Charlton
OBJECTIVE: This study used medico-legal data to investigate fatal older road user (ORU, aged 65 years and older) crash circumstances and risk factors relating to four key components of the Safe System approach (e.g., roads and roadsides, vehicles, road users and speeds) to identify areas of priority for targeted prevention activity. METHOD: The Coroners' Court of Victoria (CCOV)'s Surveillance Database was searched to identify and describe the frequency and rate per 100,000 population of fatal ORU crashes in the Australian state of Victoria for 2013-2014...
July 31, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28756314/incorporating-twitter-based-human-activity-information-in-spatial-analysis-of-crashes-in-urban-areas
#8
Jie Bao, Pan Liu, Hao Yu, Chengcheng Xu
The primary objective of this study was to investigate how to incorporate human activity information in spatial analysis of crashes in urban areas using Twitter check-in data. This study used the data collected from the City of Los Angeles in the United States to illustrate the procedure. The following five types of data were collected: crash data, human activity data, traditional traffic exposure variables, road network attributes and social-demographic data. A web crawler by Python was developed to collect the venue type information from the Twitter check-in data automatically...
July 27, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28747008/enhanced-robustness-in-acetone-butanol-ethanol-fermentation-with-engineered-clostridium-beijerinckii-overexpressing-adhe2-and-ctfab
#9
Congcong Lu, Le Yu, Saju Varghese, Mingrui Yu, Shang-Tian Yang
Clostridium beijerinckii CC101 was engineered to overexpress aldehyde/alcohol dehydrogenase (adhE2) and CoA-transferase (ctfAB). Solvent production and acid assimilation were compared between the parental and engineered strains expressing only adhE2 (CC101-SV4) and expressing adhE2, ald and ctfAB (CC101-SV6). CC101-SV4 showed an early butanol production from glucose but stopped pre-maturely at a low butanol concentration of ∼6g/L. Compared to CC101, CC101-SV6 produced more butanol (∼12g/L) from glucose and was able to re-assimilate more acids, which prevented "acid crash" and increased butanol production, under all conditions studied...
July 8, 2017: Bioresource Technology
https://www.readbyqxmd.com/read/28746303/clinical-significance-and-prognostic-implications-of-quantifying-pulmonary-contusion-volume-in-patients-with-blunt-chest-trauma
#10
Ismail Mahmood, Ayman El-Menyar, Basil Younis, Khalid Ahmed, Syed Nabir, Mohamed Nadeem Ahmed, Omer Al-Yahri, Saeed Mahmood, Rafael Consunji, Hassan Al-Thani
BACKGROUND Pulmonary contusion (PC) is the most frequent blunt chest injury which could be used to identify patients at high-risk of clinical deterioration. We aimed to investigate the clinical correlation between PC volume and outcome in patients with blunt chest trauma (BCT). MATERIAL AND METHODS BCT patients with PC were identified retrospectively from the prospectively collected trauma registry database over a 2-year period. Contusion volume was measured and expressed as percentage of total lung (CTCV) volume using three-dimensional reconstruction of thoracic CT images on admission...
July 26, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28739241/hospital-mortality-based-on-the-mode-of-emergency-medical-services-transportation
#11
Hassan Al-Thani, Ayman El-Menyar, Yugan Pillay, Monira Mollazehi, Ahammed Mekkodathil, Rafael Consunji
OBJECTIVE: We assessed the presentations and outcomes of trauma patients transported by helicopter emergency medical services (HEMS) versus ground emergency medical services (GEMS). METHODS: A retrospective analysis of trauma registry data at a level I trauma center was conducted for patients transported by GEMS and HEMS between 2011 and 2013. Data were analyzed and categorized based on the mode of transportation. RESULTS: A total of 4,596 trauma patients were admitted to the hospital with a mean age of 31 ± 15 years...
July 2017: Air Medical Journal
https://www.readbyqxmd.com/read/28738161/belted-driver-fatalities-time-of-death-and-risk-by-injury-severity
#12
David C Viano, Chantal S Parenteau
PURPOSE: This study is a descriptive study of the fatality risk by injury severity and time of death for lap-shoulder belted drivers without ejection in modern vehicles. It also determined the body region for severe injuries experienced by the belted drivers using the most recent federal crash data. METHODS: 1997-2015 NASS-CDS data was evaluated for fatally-injured lap-shoulder belted drivers without ejection in light vehicles of 1997+ model year (MY). The severity of injuries sustained by the belted drivers was assessed by MAIS and individual injuries by AIS and body region...
July 24, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28738139/association-of-history-of-dizziness-and-long-term-adverse-outcomes-with-early-vs-later-orthostatic-hypotension-assessment-times-in-middle-aged-adults
#13
Stephen P Juraschek, Natalie Daya, Andreea M Rawlings, Lawrence J Appel, Edgar R Miller, B Gwen Windham, Michael E Griswold, Gerardo Heiss, Elizabeth Selvin
Importance: Guidelines recommend assessing orthostatic hypotension (OH) 3 minutes after rising from supine to standing positions. It is not known whether measurements performed immediately after standing predict adverse events as strongly as measurements performed closer to 3 minutes. Objective: To compare early vs later OH measurements and their association with history of dizziness and longitudinal adverse outcomes. Design, Setting, and Participants: This was a prospective cohort study of middle-aged (range, 44-66 years) participants in the Atherosclerosis Risk in Communities Study (1987-1989)...
July 24, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28737957/investigating-factors-influencing-pedestrian-injury-severity-at-intersections
#14
Zhuanglin Ma, Xi Lu, Steven I-Jy Chien, Dawei Hu
OBJECTIVE: Vehicle crashes which involved pedestrian at intersections have been reported occasionally. The injury severity of pedestrians in these crashes seems significantly related to driver and pedestrian attributes, vehicle characteristics, and the geometry of intersections. Identifying factors associated with pedestrian injury severity (PIS) is critical for reducing crashes and improving safety. For developing the proposed probit models, drivers who involved crashes are classified into three groups: young drivers (16 ≤ age ≤ 24); middle-aged drivers (25 ≤ age ≤ 64); older drivers (age ≥ 65)...
July 24, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28736123/analysis-of-two-treatment-modalities-for-the-prevention-of-vomiting-after-trauma-orogastric-tube-or-anti-emetics
#15
H D Vermeijden, L P H Leenen, M van Polen, M G W Dijkgraaf, F Hietbrink
INTRODUCTION: Vomiting in the emergency department after trauma occurs frequently and might lead to aspiration of gastric content. An orogastric tube (OGT) is a way to prevent emesis. However, this is an inconvenient procedure and may actually trigger vomiting. Therefore, a change in policy was applied from preferably an OGT to the administration of anti-emetics in a selected population. The aim of this study was to analyse the prevention of vomiting in trauma patients after OGT or anti-emetics...
July 8, 2017: Injury
https://www.readbyqxmd.com/read/28729903/tranexamic-acid-and-trauma-induced-coagulopathy
#16
REVIEW
Takeshi Nishida, Takahiro Kinoshita, Kazuma Yamakawa
Tranexamic acid (TXA) is a synthetic derivative of the amino acid lysine that inhibits fibrinolysis by blocking the interaction of plasminogen with the lysine residues of fibrin. Historically, TXA is commonly used for reduction of blood loss in perioperative situations, while recently it has attracted attention for clinical use in the trauma field. In 2010, the Clinical Randomization of an Antifibrinolytic in Significant Hemorrhage 2 (CRASH-2) trial demonstrated that intravenous administration of TXA improved mortality significantly in trauma patients with significant bleeding...
2017: Journal of Intensive Care
https://www.readbyqxmd.com/read/28728061/qualifying-information-on-deaths-and-serious-injuries-caused-by-road-traffic-in-five-brazilian-capitals-using-record-linkage
#17
Polyana Maria Pimenta Mandacaru, Ana Lucia Andrade, Marli Souza Rocha, Fernanda Pinheiro Aguiar, Maria Sueli M Nogueira, Anne Marielle Girodo, Ana Amélia Galas Pedrosa, Vera Lídia Alves de Oliveira, Marta Maria Malheiros Alves, Lúcia Maria Miana M Paixão, Deborah Carvalho Malta, Marta Maria Alves Silva, Otaliba Libanio de Morais Neto
INTRODUCTION: Road traffic crashes (RTC) are an important public health problem, accounting for 1.2 million deaths per year worldwide. In Brazil, approximately 40,000 deaths caused by RTC occur every year, with different trends in the Federal Units. However, these figures may be even greater if health databases are linked to police records. In addition, the linkage procedure would make it possible to qualify information from the health and police databases, improving the quality of the data regarding underlying cause of death, cause of injury in hospital records, and injury severity...
July 17, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28727525/trends-in-prescription-opioids-detected-in-fatally-injured-drivers-in-6-us-states-1995-2015
#18
Stanford Chihuri, Guohua Li
OBJECTIVES: To assess the time trends in prescription opioids detected in fatally injured drivers. METHODS: We analyzed 1995 to 2015 Fatality Analysis Reporting System data from California, Hawaii, Illinois, New Hampshire, Rhode Island, and West Virginia of toxicological tests for drivers fatally injured within 1 hour of a crash (n = 36 729). We used the Cochran-Armitage test for trend to assess the statistical significance of changes in the prevalence of prescription opioids detected in these drivers over time...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28719829/detection-of-driver-engagement-in-secondary-tasks-from-observed-naturalistic-driving-behavior
#19
Mengqiu Ye, Osama A Osman, Sherif Ishak, Bita Hashemi
Distracted driving has long been acknowledged as one of the leading causes of death or injury in roadway crashes. The focus of past research has been mainly on the impact of different causes of distraction on driving behavior. However, only a few studies attempted to address how some driving behavior attributes could be linked to the cause of distraction. In essence, this study takes advantage of the rich SHRP 2 Naturalistic Driving Study (NDS) database to develop a model for detecting the likelihood of a driver's involvement in secondary tasks from distinctive attributes of driving behavior...
July 15, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28719606/prescription-medicine-use-by-pedestrians-and-the-risk-of-injurious-road-traffic-crashes-a-case-crossover-study
#20
Mélanie Née, Marta Avalos, Audrey Luxcey, Benjamin Contrand, Louis-Rachid Salmi, Annie Fourrier-Réglat, Blandine Gadegbeku, Emmanuel Lagarde, Ludivine Orriols
BACKGROUND: While some medicinal drugs have been found to affect driving ability, no study has investigated whether a relationship exists between these medicines and crashes involving pedestrians. The aim of this study was to explore the association between the use of medicinal drugs and the risk of being involved in a road traffic crash as a pedestrian. METHODS AND FINDINGS: Data from 3 French nationwide databases were matched. We used the case-crossover design to control for time-invariant factors by using each case as its own control...
July 2017: PLoS Medicine
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