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https://www.readbyqxmd.com/read/27899148/undereporting-of-acute-pesticide-poisoning-in-tanzania-modelling-results-from-two-cross-sectional-studies
#1
Elikana E Lekei, Aiwerasia V Ngowi, Leslie London
BACKGROUND: Acute pesticide poisoning (APP) is known to cause serious injuries to end users globally but the magnitude of this problem in Tanzania is not well known. This study aimed to determine the extent and pattern of underreporting of APP in Tanzania to inform the development of a surveillance system and appropriate interventions. METHODS: This study integrates findings from two recent Tanzanian studies. A household survey established the proportion of poisoned farmers in a typical rural area who reported to hospital for a pesticide poisoning...
November 29, 2016: Environmental Health: a Global Access Science Source
https://www.readbyqxmd.com/read/27862642/external-validation-of-the-pecarn-head-trauma-prediction-rules-in-japan
#2
Kentaro Ide, Satoko Uematsu, Kenichi Tetsuhara, Satoshi Yoshimura, Takahiro Kato, Tohru Kobayashi
OBJECTIVES: The Pediatric Emergency Care Applied Research Network (PECARN) head trauma prediction rules are used to assist computed tomography (CT) decision-making for children with minor head trauma. Although the PECARN rules have been validated in North America and Europe, they have not yet been validated in Asia. In Japan, there are no clinical decision rules for children with minor head trauma. The rate of head CT for children with minor head trauma in Japan is high since CT is widely accessible across the country...
November 12, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27832341/non-accidental-trauma-the-role-of-radiology
#3
Cory M Pfeifer, Matthew R Hammer, Kate L Mangona, Timothy N Booth
Non-accidental trauma is a significant source of morbidity and mortality in the pediatric population. Given the vulnerable state of the child, the radiologist can often provide valuable diagnostic information in the setting of suspected abuse. This review focuses on common findings of abusive trauma and serves as a guide to aid in clinical decision-making for providers of emergency medicine and pediatrics. Amid this discussion is an assessment of modern controversies regarding reported mimicking pathologies, recapitulation of the current state of evidence with respect to radiologic findings of abuse, and examination of the contribution that spine imaging may add to the diagnosis of possible abusive head trauma in the acutely injured child...
November 10, 2016: Emergency Radiology
https://www.readbyqxmd.com/read/27827842/the-impacts-of-air-temperature-on-accidental-casualties-in-beijing-china
#4
Pan Ma, Shigong Wang, Xingang Fan, Tanshi Li
Emergency room (ER) visits for accidental casualties, according to the International Classification of Deceases 10th Revision Chapters 19 and 20, include injury, poisoning, and external causes (IPEC). Annual distribution of 187,008 ER visits that took place between 2009 and 2011 in Beijing, China displayed regularity rather than random characteristics. The annual cycle from the Fourier series fitting of the number of ER visits was found to explain 63.2% of its total variance. In this study, the possible effect and regulation of meteorological conditions on these ER visits are investigated through the use of correlation analysis, as well as statistical modeling by using the Distributed Lag Non-linear Model and Generalized Additive Model...
November 2, 2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27805961/intraoperative-adverse-events-in-abdominal-surgery-what-happens-in-the-operating-room-does-not-stay-in-the-operating-room
#5
Jordan D Bohnen, Michael N Mavros, Elie P Ramly, Yuchiao Chang, D Dante Yeh, Jarone Lee, Marc de Moya, David R King, Peter J Fagenholz, Kathryn Butler, George C Velmahos, Haytham M A Kaafarani
OBJECTIVE: We sought to assess the impact of intraoperative adverse events (iAEs) on 30-day postoperative mortality, 30-day postoperative morbidity, and postoperative length of stay (LOS) among patients undergoing abdominal surgery. We hypothesized that iAEs would be associated with significant increases in each outcome. SUMMARY OF BACKGROUND DATA: The relationship between iAEs and postoperative clinical outcomes remains largely unknown. METHODS: The 2007 to 2012 institutional ACS-NSQIP and administrative databases for abdominal surgeries were matched then screened for iAEs using the Agency for Healthcare Research and Quality's 15 Patient Safety Indicator, "Accidental Puncture/Laceration"...
November 1, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27771046/improving-national-standards-of-child-protection-skeletal-surveys-the-value-of-college-guidance
#6
H Patel, S Swinson, K Johnson
AIM: To re-assess the content and quality of skeletal surveys performed in the investigation of non-accidental injury following the publication of nationally agreed guidelines produced jointly by the Royal College of Radiologists and the Royal College of Paediatrics and Child Health in 2008. MATERIALS AND METHODS: One hundred consecutive skeletal surveys performed in England, which were sent to a tertiary paediatric hospital for a second opinion, were reviewed for their content and quality...
October 19, 2016: Clinical Radiology
https://www.readbyqxmd.com/read/27766468/early-diffusion-restriction-of-white-matter-in-infants-with-small-subdural-hematomas-is-associated-with-delayed-atrophy
#7
Cameron A Elliott, Vijay Ramaswamy, Francois D Jacob, Tejas Sankar, Vivek Mehta
BACKGROUND: Traumatic brain injury (TBI) is a major cause of infant morbidity and mortality. In these patients, magnetic resonance imaging (MRI) including diffusion-weighted imaging (DWI) is the test of choice to describe the extent of microstructural injury. CASE PRESENTATION AND DISCUSSION: In this case series, we describe novel acute and chronic MRI findings in four infants (6-19 months) with small, unilateral subdural hematomas in whom the etiology of head injury was suspicious for non-accidental trauma (NAT)...
October 20, 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27756665/non-synostotic-posterior-brachycephaly-with-hindbrain-herniation
#8
Omar N Pathmanaban, Kerry A Burke, Paul Leach, John Thorne, Ian D Kamaly-Asl
BACKGROUND: Positional plagiocephaly is the most common cause of cranial asymmetry. The underlying cause of Chiari-1 malformation has many possible theories, and anecdotally some pediatric neurosurgeons have had experience of severe cases of positional brachycephaly with Chiari-1. However, to date there have been no published cases linking non-synostotic plagiocephaly with Chiari-1 malformation. CASE DESCRIPTION: An 18-month-old boy presented with a head injury...
October 15, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27744559/performance-of-computed-tomography-of-the-head-to-evaluate-for-skull-fractures-in-infants-with-suspected-non-accidental-trauma
#9
Paige A Culotta, James E Crowe, Quynh-Anh Tran, Jeremy Y Jones, Amy R Mehollin-Ray, H Brandon Tran, Marcella Donaruma-Kwoh, Cristina T Dodge, Elizabeth A Camp, Andrea T Cruz
BACKGROUND: Young children with suspected abusive head trauma often receive skull radiographs to evaluate for fractures as well as computed tomography (CT) of the head to assess for intracranial injury. Using a CT as the primary modality to evaluate both fracture and intracranial injury could reduce exposure to radiation without sacrificing performance. OBJECTIVE: To evaluate the sensitivity of CT head with (3-D) reconstruction compared to skull radiographs to identify skull fractures in children with suspected abusive head trauma...
October 15, 2016: Pediatric Radiology
https://www.readbyqxmd.com/read/27682567/non-suicidal-self-injury-clinical-presentation-assessment-and-management
#10
Katie Dhingra, Parveen Ali
Non-suicidal self-injury is a common behaviour in adolescents and young adults, and may be associated with mental health disorders, risk of suicidal behaviour (ideation and attempts), and a need for clinical services. Nurses, in particular those working in emergency departments and mental health settings, have a crucial role in the assessment, treatment and care of individuals who have self-injured. It is essential for nurses to assess an individual's risk of more serious harm or accidental death, regardless of intent...
September 28, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27624565/a-closer-look-at-non-accidental-trauma-caregiver-assault-compared-to-non-caregiver-assault
#11
Cristen N Litz, David J Ciesla, Paul D Danielson, Nicole M Chandler
PURPOSE: The purpose of this study was to examine the outcomes of non-accidental trauma (NAT) patients compared to other trauma (OT) patients across the state of Florida. In addition, NAT and OT patients with a mechanism of injury of assault were further analyzed. METHODS: A statewide database was reviewed from January 2010 to December 2014 for patients aged 0-18years who presented following trauma. Patients were sorted by admitting diagnosis into two groups: rule out NAT and all other diagnoses...
September 2, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27587455/current-practices-and-the-provider-perspectives-on-inconclusive-genetic-test-results-for-osteogenesis-imperfecta-in-children-with-unexplained-fractures-elsi-implications
#12
Emily Youngblom, Mitzi Leah Murray, Peter H Byers
Genetic testing can be used to determine if unexplained fractures in children could have resulted from a predisposition to bone fractures, e.g., osteogenesis imperfecta. However, uncertainty is introduced if a variant of unknown significance (VUS) is identified. Proper interpretation of VUS in these situations is critical because of its influence on clinical care and in court rulings. This study sought to understand how VUS are interpreted and used by practitioners when there is a differential diagnosis including both osteogenesis imperfecta and non-accidental injury...
September 2016: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://www.readbyqxmd.com/read/27574688/epidemiology-of-burns-and-scalds-in-children-presenting-to-the-emergency-department-of-a-regional-burns-unit-a-7-year-retrospective-study
#13
Ceri Elisabeth Battle, Vanessa Evans, Karen James, Katherine Guy, Janet Whitley, Phillip Adrian Evans
BACKGROUND: Variation in the incidence and mechanism of thermal injury has been reported in different age groups in children. The aim of this study was to report the incidence, mechanisms, and environmental factors of all burns presentations to the emergency department (ED) of a regional burns centre over a 7-year period. METHODS: A retrospective, chart review study of all burns presentations to the ED of a regional burns centre in South Wales was conducted. All children recorded as having sustained a burn or scald, aged less than 16 years were included in the analysis...
2016: Burns and trauma
https://www.readbyqxmd.com/read/27552790/mycobacterium-avium-auricular-infection-in-an-apparent-immunocompetent-patient-a-case-report
#14
Panagiota Vlachogianni, Maria Volosyraki, Maria Stefanidou, Sabine Krueger-Krasagakis, George Evangelou, Vrettos Haniotis, Diamantis Kofteridis, Sofia Maraki, Konstantin Krasagakis
INTRODUCTION: Soft tissue infections with Mycobacterium avium complex are more likely to appear in immunocompromised patients. However, they may rarely arise in non-immunosuppressed individuals. AIM: To present the case of an ear infection with Mycobacterium avium in the absence of demonstrable immunosuppression. CASE REPORT: Clinical case description, blood tests, routine histology and tissue cultures. DISCUSSION: A female, apparent immunocompetent patient presented with a 6-month reddish, oedematous and painless lesion with fine scaling in the right ear...
April 2016: Folia Medica
https://www.readbyqxmd.com/read/27499464/evaluation-of-paediatric-radiology-services-in-hospitals-in-the-uk
#15
K Halliday, K Drinkwater, D C Howlett
AIM: To compare paediatric radiology provision across the UK with national standards published by the Department of Health and the Royal College of Radiologists (RCR). MATERIALS AND METHODS: Audit standards and indicators for paediatric imaging were derived from "Delivering quality imaging services for children",(1) "Standards for imaging in cases of suspected non-accidental injury"(2) and "Improving paediatric interventional radiology services"(3) and agreed jointly by the Clinical Radiology Audit Committee and the British Society of Paediatric Radiology...
August 4, 2016: Clinical Radiology
https://www.readbyqxmd.com/read/27453108/-analysis-on-causes-of-death-of-residents-in-beijing-1965-1974
#16
Z H Wei, X Q Xie, F Liu, P Wang, J Wang, Y L Gao, J T Su, J Du, Q P Liu, X H Deng
OBJECTIVE: To fill up the absence of data on causes of death of urban residents in Beijing during 1965-1974 and provide evidence for the similar study in other areas. METHODS: All possible sources for death data during 1965-1974 were identified through expert consultations and record search. Stratified sampling was conducted to collect the death data of urban residents during this period in Beijing. The mortality rate, death cause constituent and rank of death causes were used in this descriptive analysis...
July 2016: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/27385376/identifying-non-pharmacological-risk-factors-for-falling-in-older-adults-with-type-2-diabetes-mellitus-a-systematic-review
#17
Janelle Gravesande, Julie Richardson
PURPOSE: To identify the non-pharmacological risk factors for falling in older adults with type 2 diabetes mellitus (DM2). METHODS: A systematic review of randomized controlled trials, prospective cohort studies, cross-sectional studies and before/after studies was conducted. Eligible studies identified non-pharmacological risk factors for falling in older adults with DM2. Medline, Embase, Pubmed and CINAHL were searched for relevant studies published through December 2015...
July 6, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27365018/unforeseen-rib-fracture-findings-in-infant-chest-radiographs-evidence-of-non-accidental-injury-or-simply-a-case-of-birth-trauma
#18
Nyla Alam Khan, Vincent Lam, Andrew Rickett, Fiona Dickinson
No abstract text is available yet for this article.
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27364279/characterization-and-comparison-of-injuries-caused-by-accidental-and-non-accidental-blunt-force-trauma-in-dogs-and-cats
#19
Nida P Intarapanich, Emily C McCobb, Robert W Reisman, Elizabeth A Rozanski, Pichai P Intarapanich
Motor vehicle accidents (MVA) are often difficult to distinguish from non-accidental injury (NAI). This retrospective case-control study compared animals with known MVA trauma against those with known NAI. Medical records of 426 dogs and cats treated after MVA and 50 after NAI were evaluated. Injuries significantly associated with MVA were pelvic fractures, pneumothorax, pulmonary contusion, abrasions, and degloving wounds. Injuries associated with NAI were fractures of the skull, teeth, vertebrae, and ribs, scleral hemorrhage, damage to claws, and evidence of older fractures...
July 2016: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/27350299/non-missile-penetrating-injury-to-head-an-experience-of-17-cases
#20
Forhad H Chowdhury, Mohammod Raziul Haque, Zahed Hossain, Noman Khaled Chowdhury, Sarwar Murshed Alam, Mainul Haque Sarker
OBJECT: Penetrating non-missile injury to head is far less common in comparison to missile penetrating injury. Here we describe our experiences of management of 17 cases of non-missile injury to head, which is probably the largest series in the literature. We also highlight on simple surgical steps and techniques of removal of in situ objects (weapon) in the penetrating wound that were not previously described. METHOD: We retrogradely studied the non-missile, low velocity penetrating injury of head cases that were admitted and managed in our department...
June 24, 2016: World Neurosurgery
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