229,290 results match your criteria Accident; analysis and prevention[Journal]


Exploring the fatigue affecting electroencephalography based functional brain networks during real driving in young males.

Neuropsychologia 2019 Apr 14. Epub 2019 Apr 14.

Department of Mechanical Engineering and Automation, Northeastern University, 110819 Shenyang, Liaoning, China.

In recent years, a large proportion of traffic accidents are caused by driver fatigue. The brain has been conceived as a complex network, whose function can be assessed with EEG. Hence, in this research, fourteen subjects participated in the real driving experiments, and a comprehensive EEG-based expert system was designed for detecting driver fatigue. Read More

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http://dx.doi.org/10.1016/j.neuropsychologia.2019.04.004DOI Listing

Motorcycle helmet visor-related facial injury and its potential mechanism of injury: Evidence-based case study.

Traffic Inj Prev 2019 Apr 17:1-4. Epub 2019 Apr 17.

b Monash University Accident Research Centre (MUARC), Monash University , Victoria , Australia.

Objectives: We encountered an unusual facial laceration wound in relation to motorcycle helmet visor use during our clinical practice. We aimed to assess the prevalence of this unusual facial injury among motorcyclists who sustained facial injuries in selected hospitals and to determine the possible mechanism involved.

Methods: We used our prospective cross-sectional substudy involving injured motorcyclists presenting at major trauma hospitals in Southern Klang Valley, Malaysia, between March 2010 and March 2011. Read More

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http://dx.doi.org/10.1080/15389588.2018.1557640DOI Listing

Hypotheses, design, and instruments in the Educatel Study, Brazil, 2015/2016.

Cad Saude Publica 2019 Apr 15;35Suppl 1(Suppl 1):e00108618. Epub 2019 Apr 15.

Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.

The Educatel Study 2015/2016 was designed to evaluate health and work conditions in a representative sample of the 2,220,000 schoolteachers working in Basic Education in Brazil. The article aimed to describe the telephone survey's basis and design, using a questionnaire consisting of 54 short, simple questions, most of which with multiple-choice answers (closed questions) addressing diseases, accidents, absenteeism, frequency of healthy behaviors, physical and psychosocial environment, and employment characteristics. In the pilot stage, the multi-theme questionnaire was assessed in order to verify the effects of the terminology, the format of the questions and the multiple-choice answers, the questionnaire's internal organization, production of the answers, and duration of the interview. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/0102-311X00108618DOI Listing
April 2019
1 Read

Knowledge and practices related to the use of personal audio devices and associated health risks among medical students in Delhi.

J Educ Health Promot 2019 15;8:42. Epub 2019 Feb 15.

Department of Community Medicine, Maulana Azad Medical College, New Delhi, India.

Background: Over 1 billion young people globally are at risk of hearing loss and road traffic accidents due to unsafe listening practices while using personal audio devices (PADs). Rapid proliferation of mobile phones with built-in music playback facility has rendered nearly universal PAD access. The objective of this study was to ascertain the knowledge of risks and patterns of usage of PADs among medical undergraduate students in Delhi, India. Read More

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http://dx.doi.org/10.4103/jehp.jehp_308_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6432836PMC
February 2019

Innovation in the use of motor ambulance for prehospital emergency care.

J Educ Health Promot 2019 15;8:38. Epub 2019 Feb 15.

Department of Operating Room, School of Paramedical, Qom University of Med Sciences, Qom, Iran.

Background: Prehospital emergency care system is one of the important parts of the health system. Heavy traffic, increasing urban population, and growing demands for prehospital emergency services are challenges faced by this section of the health system. One of the approaches to deal with this issue is using motor ambulances. Read More

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http://dx.doi.org/10.4103/jehp.jehp_249_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6432814PMC
February 2019

High-risk behavior in patients with alcohol dependence.

Indian J Psychiatry 2019 Mar-Apr;61(2):125-130

Department of Psychiatry, Shadan Medical College, Hyderabad, India.

Context: Severity of alcohol dependence is related to the high-risk behavior of alcohol dependents.

Aim: To assess the high-risk behavior in patients with alcohol dependence and study the association between them.

Settings And Design: This is a descriptive study of high-risk behavior in patients with alcohol dependence, conducted over a period of 15-month duration that is from January 2011 to April 2012 on 200 alcohol-dependent patients (178 men and 22 women) in the Department of Psychiatry, Mamata Medical College and General Hospital, Khammam (TS), India. Read More

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http://dx.doi.org/10.4103/psychiatry.IndianJPsychiatry_395_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425803PMC

Guidance on prevention of unintended and accidental radiation exposures in nuclear medicine.

J Radiol Prot 2019 Apr 16. Epub 2019 Apr 16.

Australian Radiation Protection and Nuclear Safety Agency, Yallambie, Victoria, AUSTRALIA.

Nuclear medicine (NM) procedures for diagnosis and treatment of disease are performed routinely in hospitals throughout the world. These involve preparation and administration to patients of pharmaceuticals labelled with radioactive material. There is potential for incidents to occur, involving unintended exposures of patients or staff members, throughout all stages of a procedure. Read More

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http://iopscience.iop.org/article/10.1088/1361-6498/ab19d8
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http://dx.doi.org/10.1088/1361-6498/ab19d8DOI Listing
April 2019
1 Read

Estimation of heavy vehicle-involved rear-end crash potential using WIM data.

Accid Anal Prev 2019 Apr 13;128:103-113. Epub 2019 Apr 13.

Division of Architectural, Urban, and Civil Engineering, Engineering Research Institute, Gyeongsang National University, 501, Jinju-daero, Jinju-si, Gyeongnam, 52828, Republic of Korea. Electronic address:

Rear-end crash risk has been modeled and calibrated from various sources of data. The results can be used to develop traffic control strategies for avoiding collision. As the demand for freight transportation has increased in recent years, traffic agencies are more interested in monitoring heavy vehicle-involved crash risk because of the severity of accidents and high secondary crash risks. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00014575183069
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http://dx.doi.org/10.1016/j.aap.2019.04.005DOI Listing
April 2019
3 Reads

Functional variability of Bothrops atrox venoms from three distinct areas across the Brazilian Amazon and consequences for human envenomings.

Toxicon 2019 Apr 13. Epub 2019 Apr 13.

Laboratório de Imunopatologia, Brazil. Electronic address:

Variability in the composition of snake venoms occurs in different taxa and is usually correlated to snake fitness. Here, we compared B. atrox venoms from three different geographic regions across the Brazilian Amazon and found remarkable functional differences particularly between venoms from two populations separated by the Amazon River, in specimens born, raised and maintained under the same conditions at Instituto Butantan serpentary. Read More

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http://dx.doi.org/10.1016/j.toxicon.2019.04.001DOI Listing

Peri-Infarct Upregulation of the Oxytocin Receptor in Vascular Dementia.

J Neuropathol Exp Neurol 2019 May;78(5):436-452

Department of Translational Science and Molecular Medicine, Michigan State University, Grand Rapids, Michigan.

Vascular dementia (VaD) is cognitive decline linked to reduced cerebral blood perfusion, yet there are few therapeutic options to protect cognitive function following cerebrovascular accidents. The purpose of this study was to profile gene expression changes unique to VaD to identify and characterize disease relevant changes that could offer clues for future therapeutic direction. Microarray-based profiling and validation studies of postmortem frontal cortex samples from VaD, Alzheimer disease, and age-matched control subjects revealed that the oxytocin receptor (OXTR) was strongly and differentially upregulated in VaD. Read More

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http://dx.doi.org/10.1093/jnen/nlz023DOI Listing

[54-year-old male after bicycle accident with elbow luxation fracture : Preparation for the medical specialist examination: Part 14].

Authors:
U Schwemmer

Anaesthesist 2019 Apr;68(Suppl 2):140-145

Klinik für Anästhesiologie und Intensivmedizin, Kliniken des Landkreises Neumarkt/Opf., Nürnberger Str. 12, 91318, Neumarkt in der Oberpfalz, Deutschland.

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http://dx.doi.org/10.1007/s00101-019-0551-9DOI Listing

[37-year-old male with a fracture of the radius after a bicycle accident : Preparation for the medical specialist examination: Part 11].

Authors:
T Piegeler

Anaesthesist 2019 Apr;68(Suppl 2):127-130

Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Leipzig, Liebigstr. 20, 04103, Leipzig, Deutschland.

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http://dx.doi.org/10.1007/s00101-019-0565-3DOI Listing

[67-year-old male in resuscitation room for treatment after traffic accident : Preparation for the medical specialist examination: Part 7].

Authors:
C Dumps D Bolkenius

Anaesthesist 2019 Apr;68(Suppl 2):107-112

Klinik für Anästhesiologie und Operative Intensivmedizin, Medizinische Fakultät der Universität Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.

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http://dx.doi.org/10.1007/s00101-018-0520-8DOI Listing

Intraoperative evaluation of cervical nerve root avulsion using ultra-high-frequency ultrasound system.

Case Reports Plast Surg Hand Surg 2019 2;6(1):43-46. Epub 2019 Apr 2.

Department of Anesthesiology and Perioperative Medicine, Jacksonville, FL, USA.

Avulsion of C5 and C7 nerve roots was confirmed intraoperatively in a 21 year old male presenting after motor vehicle accident with confirmed absence of somatosensory evoked potentials upon stimulation via ultra-high-frequency ultrasound (70 MHz). Ultra-high-frequency ultrasound can be used as a reliable tool to directly visualise nerve injury. Read More

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http://dx.doi.org/10.1080/23320885.2019.1583569DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450574PMC

Emergency department presentation of hemoptysis due to nail gun injury.

Int J Crit Illn Inj Sci 2019 Jan-Mar;9(1):46-48

Department of Thoracic Surgery, Faculty of Medicine, Mersin University, Mersin, Turkey.

Nail guns are cheap and easy-to-access devices that are common in the industry and personal use and are widely used by untrained people. Life-threatening injuries may occur after a self-accident due to the use of these devices. We report the case of a 47-year-old man who had hemoptysis due to a lung parenchymal injury after nail gun use. Read More

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http://dx.doi.org/10.4103/IJCIIS.IJCIIS_64_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6423926PMC

Unusual post-traumatic aortic rupture in a paraglide pilot - A case report.

Radiol Case Rep 2019 Jun 1;14(6):714-717. Epub 2019 Apr 1.

Department of General and Oncological Surgery, Szpital w Szczecinku, Szczecinek, Poland.

Post-traumatic aortic injuries are more common in victims of aircraft accidents than in motor vehicle accidents, and are a leading cause of on-site and delayed mortality, regardless of cause. In this case report, we present a history of a nearly isolated aortic post-traumatic injury in a victim of a paragliding accident. The rarity of this case lies in 2 factors, that is, the lack of the other life-threatening injuries usually present in high-energy accidents, and an unusual, exfoliative type of injury not matching more closely the typical classifications made use of currently in clinical practice. Read More

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http://dx.doi.org/10.1016/j.radcr.2019.03.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446060PMC

Abiraterone acetate plus prednisone in patients with newly diagnosed high-risk metastatic castration-sensitive prostate cancer (LATITUDE): final overall survival analysis of a randomised, double-blind, phase 3 trial.

Lancet Oncol 2019 Apr 12. Epub 2019 Apr 12.

BC Cancer Agency-Vancouver Centre, Vancouver, BC, Canada.

Background: In the interim analyses of the LATITUDE study, the addition of abiraterone acetate plus prednisone to androgen deprivation therapy (ADT) led to a significant improvement in overall survival and radiographic progression-free survival compared with placebos plus ADT in men with newly diagnosed high-risk metastatic castration-sensitive prostate cancer (mCSPC). Here, we present long-term survival outcomes and safety of abiraterone acetate plus prednisone and ADT from the final analysis of the LATITUDE study.

Methods: This is a multicentre, randomised, double-blind, phase 3 trial done at 235 sites in 34 countries. Read More

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http://dx.doi.org/10.1016/S1470-2045(19)30082-8DOI Listing

Optimizing UAV-based radiation sensor systems for aerial surveys.

J Environ Radioact 2019 Apr 12;204:76-85. Epub 2019 Apr 12.

Department of Nuclear Engineering, Ulsan National Institute of Science and Technology, 50 UNIST-gil, Ulju-gun, Ulsan, South Korea. Electronic address:

In this study, we qualitatively and quantitatively analyzed unmanned aerial vehicle (UAV)-based radiation sensor systems suitable for specific survey missions. We examined a variety of UAVs, radiation sensors, and radiological survey missions; after reviewing previous studies that developed and conducted field tests, we categorized them by mission and suggested suitable types of UAVs and radiation sensors for each mission. To quantitatively analyze various system designs previously suggested, we proposed a new figure of merit (FOM) formula that can explain the mutual effects of parameters of both radiation sensors and UAVs on system performance. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0265931X183084
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http://dx.doi.org/10.1016/j.jenvrad.2019.04.002DOI Listing
April 2019
2 Reads

Narrative review: Do spontaneous eye blink parameters provide a useful assessment of state drowsiness?

Sleep Med Rev 2019 Mar 20;45:95-104. Epub 2019 Mar 20.

Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia; School of Psychological Sciences, Monash University, Clayton, Victoria, Australia; Department of Medicine, University of Melbourne, Parkville, Victoria, Australia.

Most objective drowsiness measures have limited ability to provide continuous, accurate assessment of drowsiness state in operational settings. Spontaneous eye blink parameters are ideal for drowsiness assessment as they are objective, non-invasive, and can be recorded continuously during regular activities. Studies that have assessed the spontaneous eye blink as a drowsiness measure are diverse, varying greatly in respect to study design, eye blink acquisition technology and eye blink parameters assessed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10870792183019
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http://dx.doi.org/10.1016/j.smrv.2019.03.004DOI Listing
March 2019
1 Read

Critical evaluation of the association between elevated MCV and alcohol-related traffic accidents: a retrospective study on 6244 car crash cases.

Alcohol Clin Exp Res 2019 Apr 15. Epub 2019 Apr 15.

Department of Diagnostics and Public Health, Unit of Forensic Medicine, University of Verona, Verona, Italy.

Background: Erythrocyte Mean Corpuscolar Volume (MCV) has been used for decades as a biomarker of chronic alcohol abuse and in the treatment of alcohol dependence. More recently, it has also been adopted to investigate the fitness of subjects to hold the driving license to prevent traffic accidents. So far, however, the studies on the association of MCV with an increased risk of alcohol-associated car accidents are extremely scarce if not totally absent. Read More

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http://dx.doi.org/10.1111/acer.14046DOI Listing

Two emergency medical services in China: a study of Beijing and Hong Kong.

Chin Med J (Engl) 2019 Apr 9. Epub 2019 Apr 9.

Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.

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http://dx.doi.org/10.1097/CM9.0000000000000252DOI Listing

Effect of the zero-tolerance drinking and driving law on mortality due to road traffic accidents according to the type of victim, sex, and age in Rio de Janeiro, Brazil: An interrupted time series study.

Traffic Inj Prev 2019 Apr 15:1-6. Epub 2019 Apr 15.

d Department of Epidemiology, Institute of Social Medicine , Rio de Janeiro State University , Rio de Janeiro , Brazil.

Objective: The objective of this study was to estimate the effect of the Brazilian zero-tolerance drinking and driving law on mortality rates due to road traffic accidents according to the type of victim, sex, and age.

Methods: An interrupted time series design was used to compare yearly mortality rates due to road traffic accidents in Rio de Janeiro, Brazil, before and after the zero-tolerance drinking and driving law came into effect on June 19, 2008. Yearly mortality rates were compared according to the type of victim: pedestrian, cyclist, motorcyclist, and vehicle occupant. Read More

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http://dx.doi.org/10.1080/15389588.2019.1576035DOI Listing

Alcohol and risky behavior in traffic among motorcyclists involved in accidents in a city in northeastern Brazil.

Traffic Inj Prev 2019 Apr 15:1-5. Epub 2019 Apr 15.

b Department of Social Medicine , Federal University of Pernambuco (UFPE) , Recife , PE , Brazil.

Objective: The objective of this study was to analyze the association between consumption of alcoholic drinks and adoption of other risky forms of behavior in traffic among motorcyclists involved in accidents.

Methods: This was an exploratory cross-sectional study among injured motorcyclists who were hospitalized in the traumatology department of the "Governador Paulo Guerra" Restoration Hospital (Hospital da Restauração Governador Paulo Guerra), Recife, Pernambuco, Brazil. A questionnaire containing items relating to sociodemographic, occupational, and behavioral factors and aspects of the accident and road conditions was applied. Read More

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http://dx.doi.org/10.1080/15389588.2019.1579318DOI Listing

An Intraventricular Type of Chondroma : A Case Report.

Turk Neurosurg 2019 Mar 7. Epub 2019 Mar 7.

IUMS.

Introduction: Intracranial chondromas are unusual benign tumors. They commonly occur at the base of the skull, whereas an intraventricular type is very rare.

Case Report: We present the case of a 19-year-old female patient with a giant intraventricular chondroma detected incidentally by imaging after a car accident. Read More

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http://www.turkishneurosurgery.org.tr/summary_en_doi.php3?do
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http://dx.doi.org/10.5137/1019-5149.JTN.25478-18.2DOI Listing
March 2019
1 Read

Mineworkers' Perceptions of Mobile Proximity Detection Systems.

Min Metall Explor 2019 25;2019. Epub 2019 Jan 25.

Spokane Mining Research Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Spokane, WA, USA.

Accident data indicates that mobile haulage poses a significant pinning, crushing, and striking risk. Proximity detection systems (PDSs) have the potential to protect mineworkers from these risks. However, unintended consequences of mobile PDSs can undermine the safety benefit they provide. Read More

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http://dx.doi.org/10.1007/s42461-018-0045-3DOI Listing
January 2019
1 Read

Patterns, Types, and Outcomes of Head Injury in Aseer Region, Kingdom of Saudi Arabia.

Neurosci J 2019 7;2019:2782146. Epub 2019 Mar 7.

Department of Surgery, King Khalid University, Abha, Saudi Arabia.

Background: Head injuries contribute to almost 50% of all injuries. Head injuries are still one of the major causes of loss of life and loss of function among young adults. Nowadays, head injury has become a major community problem. Read More

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https://www.hindawi.com/journals/neuroscience/2019/2782146/
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http://dx.doi.org/10.1155/2019/2782146DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431466PMC
March 2019
1 Read

Mortality pattern of elderly patients at a tertiary care hospital: A study from Sub-Himalayan region, Uttarakhand, India.

J Family Med Prim Care 2019 Feb;8(2):426-431

Department of Paediatrics, Government Doon Medical College, Dehradoon, Uttarakhand, India.

Background: Currently, in developing countries like India, there is a paradigm shift in the mortality patterns of elderly from communicable to noncommunicable diseases.

Objective: This study is aimed at providing an insight on mortality patterns of elderly patients within a 2-year period in a tertiary hospital, All India Institute of Medical Sciences (AIIMS), Rishikesh, India.

Materials And Methods: This study is a retrospective review of mortality patterns of elderly patients from March 2016 to March 2018 occurring in the Department of General Medicine, in AIIMS, Rishikesh, India. Read More

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http://dx.doi.org/10.4103/jfmpc.jfmpc_416_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436249PMC
February 2019

Infectious Disease Threats in the Twenty-First Century: Strengthening the Global Response.

Front Immunol 2019 28;10:549. Epub 2019 Mar 28.

Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA, United States.

The world has developed an elaborate global health system as a bulwark against known and unknown infectious disease threats. The system consists of various formal and informal networks of organizations that serve different stakeholders; have varying goals, modalities, resources, and accountability; operate at different regional levels (i.e. Read More

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https://www.frontiersin.org/article/10.3389/fimmu.2019.00549
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http://dx.doi.org/10.3389/fimmu.2019.00549DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447676PMC
March 2019
1 Read

Resource Loss and Psychosocial Stress in the Aftermath of the 2008 Tennessee Valley Authority Coal Ash Spill.

Int J Mass Emerg Disasters 2018 Aug;36(2):179-207

University of Colorado, Boulder.

The 2008 Tennessee Valley Authority's (TVA) Kingston Fossil Plant impoundment failure resulted in one of most significant industrial accidents of its kind in U.S. history. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454919PMC
August 2018
2 Reads

[Repair of skin and soft tissue defects in extremities with the superior lateral genicular artery perforator flap].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Apr;33(4):467-470

Department of Hand and Microsurgery, Xiangya Hospital, Central South University, Changsha Hunan, 410008, P.R.China.

Objective: To investigate the feasibility and effectiveness of the superior lateral genicular artery perforator flap for repairing of soft tissue defects in extremities.

Methods: Between September 2010 and October 2017, 11 cases of skin and soft tissue in extremities were repaired with the superior lateral genicular artery perforator flap. There were 10 males and 1 female, with an average age of 37. Read More

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http://dx.doi.org/10.7507/1002-1892.201811103DOI Listing

[Treatment of distal humerus fracture with unexposed ulnar nerve medial elbow incision and anatomical locking compression plate].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Apr;33(4):440-444

Department of Orthopaedics, Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou Sichuan, 646000,

Objective: To investigate the feasibility and effectiveness of unexposed ulnar nerve medial elbow incision, open reduction and internal fixation of anatomical locking compression plate (LCP) for distal humerus fractures.

Methods: Fourteen patients with distal humerus fracture were treated between January 2014 and June 2017. There were 5 males and 9 females, aged 18-85 years (mean, 65. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201808077
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http://dx.doi.org/10.7507/1002-1892.201808077DOI Listing
April 2019
2 Reads

[Analysis of mortality and leading causes of death in Chinese children under 5-year-old between 2010 and 2016].

Zhonghua Yu Fang Yi Xue Za Zhi 2019 Apr;53(4):411-414

National Office of Maternal and Child Health Surveillance of China, West China Second University Hospital, Sichuan University, Chengdu 610041, China.

We collected death data of children under 5-year-old in China from the national child mortality surveillance system from 2010 to 2016. The change of mortality rate and causes of death were described. The mortality rate of Chinese children under 5-year-old decreased from 16. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0253-9624.2019.04.016DOI Listing

The Role of a Community-Based Intervention in Promoting Helmet Use in a Non-probability Sample of Rural Motorcyclists in Iran.

J Community Health 2019 Apr 13. Epub 2019 Apr 13.

Research Center of Psychiatry and Behavioral Sciences, Department of Health Education and Promotion, Tabriz University of Medical Sciences, Tabriz, Iran.

Although the use of helmets is known to prevent the majority of mortalities by head injuries, it is ignored by a large number of motorcyclists. The present study was conducted to promote helmet use in an attempt to reduce injuries among motorcyclists in a rural area by adopting a community-based participation approach. The one-group pretest-posttest pre-experimental design was conducted in northwest Iran. Read More

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http://dx.doi.org/10.1007/s10900-019-00663-4DOI Listing

A Mixed-Methods Evaluation Framework for Electronic Health Records Usability Studies.

J Biomed Inform 2019 Apr 11:103175. Epub 2019 Apr 11.

Pulmonary Diseases and Critical Care Medicine, University of North Carolina at Chapel Hill, NC, USA.

Background: Poor EHR design adds further challenges, especially in the areas of order entry and information visualization, with a net effect of increased rates of incidents, accidents, and mortality in ICU settings.

Objective: The purpose of the study was to propose a novel, mixed-methods framework to understand EHR-related information overload by identifying and characterizing areas of suboptimal usability and clinician frustration within a vendor-based, provider-facing EHR interface.

Methods: A mixed-methods, live observational usability study was conducted at a single, large, tertiary academic medical center in the Southeastern US utilizing a commercial, vendor based EHR. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15320464193009
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http://dx.doi.org/10.1016/j.jbi.2019.103175DOI Listing
April 2019
1 Read

Distribution of Cs in the Bohai Sea, Yellow Sea and East China Sea: Sources, budgets and environmental implications.

Sci Total Environ 2019 Apr 2;672:1004-1016. Epub 2019 Apr 2.

State Key Laboratory of Estuarine and Coastal Research, East China Normal University, Shanghai 200241, China.

The transport processes and fate of Cs in eastern Chinese seas (ECSs) that consists of the Bohai, Yellow, and East China Seas, have not been well established. In this study, we measured the concentrations of Cs in the ECSs water and surface sediments during 2013-2014. Combined with a number of published Cs inventory data from drainage basins and sediment accumulation rates in the ECSs, the distribution, sources and budgets of Cs in the ECSs were investigated. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00489697193151
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http://dx.doi.org/10.1016/j.scitotenv.2019.04.001DOI Listing
April 2019
1 Read

Hematologic profile in reverse total shoulder arthroplasty: perioperative and postoperative blood loss.

J Shoulder Elbow Surg 2019 Apr 10. Epub 2019 Apr 10.

Department of Orthopaedic Surgery, Kyung Hee University Hospital, Dongdaemun-gu, Republic of Korea. Electronic address:

Background: Few studies have investigated the amount of blood loss during reverse total shoulder arthroplasty (RTSA). The purpose of this study was to investigate blood loss in patients who underwent RTSA for massive irreparable rotator cuff tear (MIRCT) using the hemoglobin (Hb) balance method and total Hemovac amount and to identify predictors of blood transfusion in these patients.

Methods: We retrospectively reviewed 121 patients who underwent RTSA for MIRCT. Read More

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http://dx.doi.org/10.1016/j.jse.2019.01.027DOI Listing

Give the trauma patient what they bleed, when and where they need it: establishing a comprehensive regional system of resuscitation based on patient need utilizing cold-stored, low-titer O+ whole blood.

Transfusion 2019 Apr;59(S2):1429-1438

Department of Surgery, The University of Texas Health Science Center, San Antonio, Texas.

Background: Despite countless advancements in trauma care a survivability gap still exists in the prehospital setting. Military studies clearly identify hemorrhage as the leading cause of potentially survivable prehospital death. Shifting resuscitation from the hospital to the point of injury has shown great promise in decreasing mortality among the severely injured. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/trf.15264
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http://dx.doi.org/10.1111/trf.15264DOI Listing
April 2019
1 Read

Evaluation of Factors Related to Mortality Caused by Firearm Injury: A Retrospective Analysis from Malatya, Turkey.

Arch Iran Med 2019 Feb 1;22(2):80-84. Epub 2019 Feb 1.

Department of Emergency Medicine, School of Medicine, Inonu University, Malatya, Turkey.

Background: Firearm related injuries continue to increase throughout the world and they become the first or second cause of mortality in worldwide. The present study aimed to determine the factors that affect mortality in firearm injuries.

Methods: The patients which were admitted to emergency service between January 2011 and December 2015 due to firearm injuries, were reviewed from hospital records. Read More

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February 2019

A quantitative formulation of biology's first law.

Evolution 2019 Apr 13. Epub 2019 Apr 13.

Philosophy Department, Duke University, Durham, North Carolina, 27708, United States.

The zero-force evolutionary law (ZFEL) states that in evolutionary systems, in the absence of forces or constraints, diversity and complexity tend to increase. The reason is that diversity and complexity are both variance measures, and variances tend to increase spontaneously as accidents accumulate. Here we use random-walk models to quantify the ZFEL expectation, producing equations that give the probabilities of diversity or complexity increasing as a function of time, and that give the expected magnitude of the increase. Read More

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http://dx.doi.org/10.1111/evo.13735DOI Listing

Who is driving and who is prone to have traffic accidents? A systematic review and meta-analysis among people with seizures.

Epilepsy Behav 2019 Apr 9;94:252-257. Epub 2019 Apr 9.

Neurology Department, Prince of Wales Clinical School, University of New South Wales, Barker St., Randwick, NSW 2031, Australia. Electronic address:

Introduction: Epilepsy influences the ability to drive. We aimed to systematically summarize factors associated with driving, holding a driver's license, and traffic accidents among people with seizures.

Material And Methods: Eight databases were searched (from their inception to 27 June 2018). Read More

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http://dx.doi.org/10.1016/j.yebeh.2019.03.032DOI Listing
April 2019
2 Reads

The burden of trauma presenting to the government referral hospital in Freetown, Sierra Leone: An observational study.

Afr J Emerg Med 2019 27;9(Suppl):S9-S13. Epub 2018 Jul 27.

King's Sierra Leone Partnership, King's Centre for Global Health, King's College London and King's Health Partners, UK.

Introduction: Trauma accounts for a significant proportion of the global burden of disease, with highest mortality rates seen in Africa. This epidemic is predicted to increase with urbanisation and an aim of the Sustainable Development Goals is to reduce deaths and trauma caused by road accidents. Data available on urban trauma in Sierra Leone is limited. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S2211419X183005
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http://dx.doi.org/10.1016/j.afjem.2018.07.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440925PMC
July 2018
1 Read

Delayed aortic regurgitation due to traumatic pseudoaneurysm of the sinus of Valsalva.

Acute Med Surg 2019 Apr 28;6(2):185-187. Epub 2019 Jan 28.

Department of Emergency and Critical Care Medicine Chiba University Graduate School of Medicine Chiba Japan.

Case: Pseudoaneurysm of the sinus of Valsalva (PSV) caused by trauma is rare. Surgical intervention is the standard treatment approach for traumatic PSV, as it has a high risk of rupture and is potentially fatal.We hereby report a 59-year-old man with traumatic PSV due to a traffic accident. Read More

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http://dx.doi.org/10.1002/ams2.386DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442520PMC
April 2019
1 Read

Evaluation of Knee Joint after Open Reduction and Internal Fixation Surgery of Posterior Cruciate Ligament in Patients with Avulsion Fracture.

Open Access Maced J Med Sci 2019 Mar 28;7(6):982-986. Epub 2019 Mar 28.

Department of Orthopedics, Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.

Background: The posterior cruciate ligament is one of the important tissues and structures sustaining the knee joint, and its rupture or detachment may lead to joint instability or destruction.

Aim: The present study aimed at investigating the Open Reduction and Internal Fixation surgery of posterior cruciate ligament and comparing it to the normal knee of the same side.

Methods: In this study, 25 patients with avulsion fracture at the PCL joint were treated with open surgery and screw fixation. Read More

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http://dx.doi.org/10.3889/oamjms.2019.185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454159PMC

Tibial fractures following participation in recreational football: Incidence and outcome.

Authors:
C Nwosu

Niger J Clin Pract 2019 Apr;22(4):492-495

Department of Surgery, Federal Medical Centre, Birnin Kebbi, Kebbi State, Nigeria.

Background: Football is responsible for 3.5%-10% of all injuries treated in hospital, but this may reflect the popularity of the sport rather than its dangers. Young people are particularly at risk of sports injury because of high levels of exposure at a time of major physiological change. Read More

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http://www.njcponline.com/text.asp?2019/22/4/492/255917
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http://dx.doi.org/10.4103/njcp.njcp_148_18DOI Listing
April 2019
1 Read

Locked intramedullary nailing using the sign nailing device.

Authors:
I C Nwagbara

Niger J Clin Pract 2019 Apr;22(4):485-491

Orthopaedic Surgery Unit, Imo State University Teaching Hospital, Orlu, Imo State, Nigeria.

Objective: Locked intramedullary nailing is the treatment of choice not only in diaphyseal fractures of long bone but also in most metaphyseal and periarticular fractures. In this study, we set out to present our experience with the Surgical Implant Generation Network (SIGN)] technique of locked intramedullary nailing in long bones that do not require the use of image intensifier, fracture table, and power reamers.

Patients And Methods: This was a hospital-based prospective descriptive study involving 54 consecutive patients seen over a 2-year period. Read More

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http://dx.doi.org/10.4103/njcp.njcp_245_18DOI Listing

"I am not delusional!" Sensory dysaesthesia secondary to degenerative cervical myelopathy.

BMJ Case Rep 2019 Apr 11;12(4). Epub 2019 Apr 11.

Division of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.

Degenerative cervical myelopathy (DCM) is the most common cause of adult spinal cord dysfunction, most classically presenting with a broad-based gait and clumsy hands. Limb sensory loss and paraesthesia are considered common symptoms of DCM. However, we report an unusual case of a patient presenting with prominent and atypical sensory symptoms. Read More

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http://dx.doi.org/10.1136/bcr-2018-229033DOI Listing
April 2019
1 Read

Distally based peroneus brevis muscle flap: A single centre experience.

Chin J Traumatol 2019 Feb 18. Epub 2019 Feb 18.

Department of Plastic & Reconstructive Surgery, Christian Medical College & Hospital, Vellore, Tamilnadu, India.

Purpose: Defects around the distal one third of the leg and ankle are difficult to manage by conservative measures or simple split thickness skin graft. Distally based peroneus brevis muscle flap is a well described flap for such defects.

Methods: This is a retrospective analysis conducted on 25 patients with soft tissue and bony defects of distal third of lower leg and ankle, which were treated using distally based peroneus brevis muscle flap from January 2013 to January 2018. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10081275183016
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http://dx.doi.org/10.1016/j.cjtee.2018.08.006DOI Listing
February 2019
4 Reads

Safety awareness and use of child safety seats among parents after the legislation in Shanghai.

Chin J Traumatol 2019 Feb 10. Epub 2019 Feb 10.

Department of Emergency Medicine, Xinhua Hospital, Shanghai Jiaotong University, Shanghai 200092, China. Electronic address:

Purpose: To investigate the changes and underlying mechanisms in parents' safety awareness and the use of child safety seats after the mandatory legislation in Shanghai city, China.

Methods: This study was carried out by Shanghai Key Laboratory of Environment and Children's Health using a multi-stage, simple random sampling method. Volunteers with children aged 0-12 months were recruited. Read More

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http://dx.doi.org/10.1016/j.cjtee.2018.08.005DOI Listing
February 2019