241,203 results match your criteria Accident; analysis and prevention[Journal]


Tibial Plateau Fracture with Avulsion Fracture of Tibial Tuberosity: A Case Report and Review of Literature.

Cureus 2020 Apr 21;12(4):e7756. Epub 2020 Apr 21.

Orthopaedics, Institute of Medical Sciences and SUM Hospital, Bhubaneswar, IND.

Tibial tuberosity fractures are usually seen in the adolescent age group and are very rare in adults. Here we describe a case of knee injury following a road traffic accident. The patient had tibial tuberosity avulsion along with tibial plateau fracture. Read More

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http://dx.doi.org/10.7759/cureus.7756DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243061PMC

Triggers and Clinical Presentations of Functional Neurological Disorders: Lessons from World War 1.

Eur Neurol 2020 May 26:1-8. Epub 2020 May 26.

Department of Health, Ethics and Society, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands,

Introduction: The psychological contribution to functional neurological and somatic symptom disorders is a major topic in current medical debate.

Objective: For an understanding of the processes leading to functional somatic symptoms, it is paramount to explore their relationship with stress and life events and to elucidate the contribution of cultural factors.

Methods: A total of 937 case records of civilian and military patients with functional somatic disorders treated in London during World War 1 were analysed. Read More

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http://dx.doi.org/10.1159/000507698DOI Listing

Measuring individual external doses of Tokyo Electric Power Company Holdings employees living in Fukushima Prefecture.

J Radiol Prot 2020 May 26. Epub 2020 May 26.

Decontamination Promotion Office, Fukushima Revitalization Headquarters , Tokyo Electric Power Company Holdings Inc, Fukushima-city, Fukushima, 960-8041, JAPAN.

Since the accident at Fukushima Daiichi Nuclear Power Plant, individual external doses of residents have been investigated. To accurately analyze survey data, a variety of information, including the activity patterns of many residents, needs to be integrated. However, such large-scale surveys have not yet been conducted and actual individual external doses in Fukushima are unclear. Read More

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http://dx.doi.org/10.1088/1361-6498/ab968eDOI Listing

Epidemiology of severe trauma patients treated by plastic surgeons: A 7-year study at a single regional trauma center in South Korea.

Arch Plast Surg 2020 May 15;47(3):223-227. Epub 2020 May 15.

Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Cheonan, Korea.

Background: After the laws regulating emergency medicine were amended in 2012, regional trauma centers were established in South Korea. Plastic surgeons specialize in the simultaneous surgical care of patients with facial trauma, burns, and complicated wounds. The objective of this study was to evaluate the role of the plastic surgery department in treating severe trauma patients. Read More

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http://dx.doi.org/10.5999/aps.2020.00430DOI Listing

Spinopelvic Dissociation: A Systematic Review and Meta-analysis.

J Am Acad Orthop Surg 2020 May 22. Epub 2020 May 22.

From the Department of Orthopaedic surgery (Dr. Bäcker, Dr. Vosseller), Columbia University Medical Center, New York City, NY, the Center for Musculo-Skeletal Surgery (Dr. Bäcker, Dr. Perka, Dr. Putzier), Charité-Universitätsmedizin Berlin, Berlin, Germany, and the Department of Orthopaedic Surgery and Traumatology, (Dr. Deml) Inselspital, University Hospital Bern, Bern, Switzerland.

Introduction: Spinopelvic dissociation is a rare type of injury which occurs in approximately 2.9% of pelvic disruptions and correlates with high-energy trauma.The purpose of this study was to systematically evaluate the incidence, demographics, treatment, clinical outcome, and complication rate associated with these injuries. Read More

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http://dx.doi.org/10.5435/JAAOS-D-19-00293DOI Listing

Measurement and modelling of gaseous elemental iodine (I) dry deposition velocity on grass in the environment.

J Environ Radioact 2020 Aug 12;219:106253. Epub 2020 May 12.

Institut de Radioprotection et de Sûrété Nucléaire (IRSN), France. Electronic address:

Assessing the impact of radioactive iodine on humans subsequent to a nuclear accident requires a better understanding of its behaviour in the environment. An original approach aimed at developing a model constrained by data collected during experimental campaigns has been developed. These experimental campaigns, named MIOSEC 2 and MIOSEC 3 respectively, were conducted in the middle of grassland. Read More

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http://dx.doi.org/10.1016/j.jenvrad.2020.106253DOI Listing

Assessing Atrial Fibrillation Substrates by P Wave Analysis: A Comprehensive Review.

High Blood Press Cardiovasc Prev 2020 May 25. Epub 2020 May 25.

Division of Cardiology, Department of Clinical and Molecular Medicine, Sapienza University, Rome, Via di Grottarossa 1035, 00189, Rome, Italy.

Atrial fibrillation (AF) is the most common cardiac arrhythmia. Pharmacologic and non-pharmacologic rhythm control strategies impact on AF-related symptoms, while leaving largely unaffected the risk of stroke. Moreover, up to 20% of AF patients are asymptomatic during paroxysmal relapses of arrhythmia, thus underlying the need for early markers to identify at-risk patients and prevent cerebrovascular accidents. Read More

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http://dx.doi.org/10.1007/s40292-020-00390-1DOI Listing

[Assessment of otorhinolaryngologic accident consequences outside the dismemberment schedule in private accident insurance].

Authors:
O Michel

HNO 2020 May 25. Epub 2020 May 25.

Afdelingshoofd dienst KNO, Universitair Ziekenhuis - Vrije Universiteit Brussel UZ-VUB, Laarbeeklaan 101, 1090, Brüssel, Belgien.

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http://dx.doi.org/10.1007/s00106-020-00886-1DOI Listing

The impact of extending nurse working hours on staff sickness absence: Evidence from a large mental health hospital in England.

Int J Nurs Stud 2020 May 11:103611. Epub 2020 May 11.

The York Management School, University of York, Freboys Lane, Heslington, York, YO10 5GD, United Kingdom.

Background: A pressing international concern is the issue of mental health workforce capacity, which is also of concern in England where staff attrition rates are significantly higher than in physical health services. Increasing demand for mental health services has led to severe financial pressures resulting in staff shortages, increased workloads, and work-related stress, with health care providers testing new models of care to reduce cost. Previous evidence suggests shift work can negatively affect health and wellbeing (increased accidents, fatigue, absenteeism) but can be perceived as beneficial by both employers and employees (fewer handovers, less overtime, cost savings). Read More

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http://dx.doi.org/10.1016/j.ijnurstu.2020.103611DOI Listing

Open tibia plateau fracture with intra-osseous dislocation of the patella and quadriceps tendon rupture: a case report.

BMC Surg 2020 May 25;20(1):114. Epub 2020 May 25.

Department of Orthopaedics, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.

Background: Both tibial plateau fractures and extensor apparatus injuries are serious injuries to the knee joint that generally do not occur in the same patient. We report a rare case of open tibial plateau fracture combined with quadriceps tendon rupture and complete displacement of the patella into the tibial plateau fracture.

Case Presentation: The case involved a male who was 19 years old who had been in a motorcycle accident. Read More

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http://dx.doi.org/10.1186/s12893-020-00770-3DOI Listing

Safety First: Developing and Deploying a System to Promote Safety and Quality in Your Clinic.

Pract Radiat Oncol 2020 May 22. Epub 2020 May 22.

University of Washington, Department of Radiation Oncology, Seattle WA.

The terms "safety and quality" (SAQ) have become inextricably linked, highly utilized terms that together encompass a wide range of parameters within medical departments. Safety has always been a priority in radiation oncology; quality assurance has been foundational to our practice. Despite this increased focus and attention on SAQ, the "what" of SAQ remains ill-defined, largely because of the vast number of indicators that fall under this umbrella. Read More

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http://dx.doi.org/10.1016/j.prro.2020.05.002DOI Listing

A Study of Risk Relevance Reasoning Based on a Context Ontology of Railway Accidents.

Risk Anal 2020 May 25. Epub 2020 May 25.

ShuoHuang Railway Development Co. Ltd., Cangzhou, China.

With the application of risk management and accident response in the railway domain, risk detection and prevention have become key research topics. Many dangers and associated risk sources must be considered in collaborative scenarios of heavy-haul railways. In these scenarios, (1) various risk sources are involved in different data sources, and context affects their occurrence, (2) the relationships between contexts and risk sources in the accident cause mechanism need to be explicitly defined, and (3) risk knowledge reasoning needs to integrate knowledge from multiple data sources to achieve comprehensive results. Read More

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http://dx.doi.org/10.1111/risa.13506DOI Listing

Implementing a layperson post-crash first aid training programme in Tanzania: a qualitative study of stakeholder perspectives.

BMC Public Health 2020 May 24;20(1):750. Epub 2020 May 24.

Department of Nursing, Umeå University, Umeå, Sweden.

Background: In low and middle-income countries (LMICs), laypersons play a significant role in providing initial care to injured victims of traffic accidents. Post-crash first aid (PFA) training programmes for laypersons have become an important response to addressing knowledge and skills gaps in pre-hospital care. However, little is known about factors influencing effective implementation of such programmes from stakeholders' point of view. Read More

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http://dx.doi.org/10.1186/s12889-020-08692-8DOI Listing

Occupational post-traumatic stress disorder: an updated systematic review.

BMC Public Health 2020 May 24;20(1):768. Epub 2020 May 24.

Department of Occupational and Environmental Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea.

Background: Although numerous studies on occupational post-traumatic stress disorder (PTSD) have been conducted prior to the 1950-2010 seminal systematic review by Skogstad et al., the prevalence, risk factors, and impact of this disorder following traumatic events in occupational settings remain unclear. This study aims to address this knowledge gap by reviewing the literature published after 2010. Read More

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http://dx.doi.org/10.1186/s12889-020-08903-2DOI Listing

Successful bedaquiline-containing antimycobacterial treatment in post-traumatic skin and soft-tissue infection by Mycobacterium fortuitum complex: a case report.

BMC Infect Dis 2020 May 24;20(1):365. Epub 2020 May 24.

Technical University of Munich, School of Medicine, University Hospital Rechts der Isar, Department of Internal Medicine II, Ismaningerstrasse 22, 81675, Munich, Germany.

Background: Mycobacterium fortuitum complex is a group of rapidly growing nontuberculous mycobacteria (NTM) associated with skin and soft-tissue infections after surgery or trauma. Treatment of NTM is challenging, due to resistance to multiple antimycobacterial agents. Bedaquiline is a diarylquinoline that inhibits mycobacterial ATP-synthase. Read More

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http://dx.doi.org/10.1186/s12879-020-05075-7DOI Listing

Virtual reality interventions to enhance upper limb motor improvement after a stroke: commonly used types of platform and outcomes.

Disabil Rehabil Assist Technol 2020 May 23:1-9. Epub 2020 May 23.

Department of Physical Therapy, School of Health Professions, UT Health San Antonio, San Antonio, TX, USA.

Virtual Reality (VR) based platforms are useful in enhancing post-stroke sub-optimal upper limb (UL) motor improvement. A variety of options are available from expensive highly customizable platforms to low cost turnkey solutions. Clinical outcomes primarily help assess the effects of VR-based platforms. Read More

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http://dx.doi.org/10.1080/17483107.2020.1765422DOI Listing

Young victims of youth violence: using youth workers in the emergency department to facilitate 'teachable moments' and to improve access to services.

Arch Dis Child Educ Pract Ed 2020 May 23. Epub 2020 May 23.

Association for Young People's Health, London, UK

There have been rising concerns in the UK about the levels of serious violence between young people, especially serious physical violence and knife crime. Interactions with young people in the emergency department (ED) at the time of injury provide an opportunity for screening and intervention in order to reduce the risk of repeat attendances. However, paediatricians and other healthcare workers can feel unsure about the best way to intervene. Read More

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http://dx.doi.org/10.1136/archdischild-2019-318251DOI Listing

Posterior dislocation of left hip joint with closed fracture of left acetabulum Judet-Letournel type posterior wall, femoral head fracture, management and follow up: A case report.

Int J Surg Case Rep 2020 May 8;71:85-90. Epub 2020 May 8.

Department of Orthopaedic & Traumatology, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jalan Diponegoro No. 71, Central Jakarta, Jakarta 10430, Indonesia.

Introduction: Traumatic dislocation of the hip is a very severe injury. Posterior hip dislocation can be associated with acetabular fracture, which can ultimately result in a higher incidence of complications.

Case Presentation: We present a case report of 26-year-old men with a motor vehicle accident and suffered a posterior hip dislocation on left hip joint and acetabular fracture with Judet-Letournel type posterior wall and femoral head fracture. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.009DOI Listing

Synthesis of studies on significant atmospheric electrical effects of major nuclear accidents in Chernobyl and Fukushima.

Sci Total Environ 2020 May 8;733:139271. Epub 2020 May 8.

Research Centre for Astronomy and Earth Sciences, GGI, Hungarian Academy of Sciences, Sopron, Hungary.

Radioactive materials released during the two most serious nuclear accidents in history, at Chernobyl and Fukushima, caused exceptionally significant contamination and perturbations of the environment. Among them, this paper focuses on the effects related to the atmospheric electricity (AE). Measurements of the most significant disturbances in the values of various AE parameters recorded near ground level are reviewed and the corresponding results are jointly evaluated. Read More

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http://dx.doi.org/10.1016/j.scitotenv.2020.139271DOI Listing

Crash risk and subjective risk perception during urban cycling: Evidence for congruent and incongruent sources.

Accid Anal Prev 2020 May 20;142:105584. Epub 2020 May 20.

Center for Cognitive Science, Freiburg University, Hebelstr. 10, 79104 Freiburg, Germany.

Background: Urban planners frequently neglect the role of subjective risk perception during urban cycling. Several findings suggest a complex relationship between the risk of being involved in a crash and the subjective anticipation of this risk.

Data Collection And Methods: We investigate the relation of objective risks (operationalized through crashes involving cyclists) and subjective risk perception (operationalized through citizens' reports in a crowdsourcing project) in a medium-sized German city. Read More

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http://dx.doi.org/10.1016/j.aap.2020.105584DOI Listing

Minocycline and celecoxib as adjunctive treatments for bipolar depression: a multicentre, factorial design randomised controlled trial.

Lancet Psychiatry 2020 Jun 20;7(6):515-527. Epub 2020 May 20.

Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

Background: Several small studies suggest that the adjunctive use of anti-inflammatory agents might improve depressive symptoms in bipolar disorder. However, there are few well designed, appropriately powered clinical trials assessing the efficacy of these novel treatment strategies. We aimed to assess the efficacy of adjunctive minocycline or celecoxib in this setting. Read More

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http://dx.doi.org/10.1016/S2215-0366(20)30138-3DOI Listing

Post-traumatic pneumolabyrinth: a rare cause of hearing loss.

Emerg Radiol 2020 May 22. Epub 2020 May 22.

Department of Radiology, Kayseri Training and Research Hospital, Kayseri, Turkey.

Pneumolabyrinth (PL) is the presence of air within the vestibule, semicircular canals, or cochlea. It represents an abnormal connection between the inner ear and middle ear spaces. PL most commonly occurs after blunt head trauma, followed by penetrating injuries. Read More

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http://dx.doi.org/10.1007/s10140-020-01789-yDOI Listing

[What is an accident anyway and what is injury? : Considerations on causality in various legal fields].

Unfallchirurg 2020 May 22. Epub 2020 May 22.

Oberlandesgericht Hamm, Hamm, Deutschland.

It is not infrequent for physicians or lawyers who only occasionally deal with medical expert opinions to have difficulty understanding terms used in a legal context. A question of proof relating to consequences of an accidental injury can refer to the accidental injury itself and it seems relatively unknown that the term accident can apply to both the event and the damage/harm to health. The special situations with mental injuries (psychotrauma) are not dealt with in this article. Read More

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http://dx.doi.org/10.1007/s00113-020-00820-8DOI Listing

Detrimental effects of flame retardant, PBB153, exposure on sperm and future generations.

Sci Rep 2020 May 22;10(1):8567. Epub 2020 May 22.

Department of Environmental Health Science, College of Public Health, University of Georgia, Athens, GA, USA.

In 1973, the Velsicol Chemical Company, which manufactured FireMaster, a brominated flame retardant, and NutriMaster, a nutritional supplement, mistakenly shipped hundreds of pounds of FireMaster to grain mills around Michigan where it was incorporated into animal feed and then into the food chain across the state. An estimated 6.5 million Michigan residents consumed polybrominated biphenyl (PBB)-laced animal products leading to one of the largest agricultural accidents in U. Read More

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http://dx.doi.org/10.1038/s41598-020-65593-xDOI Listing

Costs resulting from nonprofessional soccer injuries in Switzerland: A detailed analysis.

J Sport Health Sci 2020 May 23;9(3):240-247. Epub 2018 Aug 23.

Lamprecht und Stamm Sozialforschung und Beratung, Zurich CH, 8032, Switzerland.

Background: Soccer injuries constitute an important public health problem and cause a high economic burden. Nevertheless, comprehensive data regarding injury costs in nonprofessional soccer are missing. The aim of this study was to determine which groups of nonprofessional soccer athletes, injury types, and injury situations caused high injury costs. Read More

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http://dx.doi.org/10.1016/j.jshs.2018.08.001DOI Listing

The Influence Mechanism of Reputation Information on the Formation of Safety Trust in Chinese Infant Milk Powder.

Authors:
Yanan Cao Cuixia Li

Healthcare (Basel) 2020 May 20;8(2). Epub 2020 May 20.

College of Economics and Management, Northeast Agricultural University, Harbin 150028, China.

Infant milk powder has always been one of the food categories most sensitive to safety reputation information. The safety reputation of Chinese infant milk powder has been seriously damaged due to the occurrence of safety accidents and the resulting consumers' still-unrestored confidence is an important factor which restricts the dairy industry revitalization. Therefore, this paper analyzes the impact of reputation information on the formation of safety trust in Chinese infant milk powder, taking reputation information transmission as the starting point and consumer psychological perception as the researching perspective. Read More

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http://dx.doi.org/10.3390/healthcare8020138DOI Listing

Removal of bent intramedullary nail: Two case reports.

Medicine (Baltimore) 2020 May;99(20):e19935

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Seoul.

Introduction: The removal of bent intramedullary (IM) nail can become a challenge. Therefore, various methods have been reported for the extraction of nails after femoral refracture. We want to share our successful treatment. Read More

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http://dx.doi.org/10.1097/MD.0000000000019935DOI Listing

An integrated offshore oil spill response decision making approach by human factor analysis and fuzzy preference evaluation.

Environ Pollut 2020 Jul 2;262:114294. Epub 2020 Mar 2.

Northern Region Persistent Organic Pollution Control (NRPOP) Laboratory, Memorial University of Newfoundland, Faculty of Engineering and Applied Science, St. John's, NL, A1B 3X5, Canada.

Human factors/errors (such as inappropriate actions by operators and unsafe supervision by organizations) are a primary cause of oil spill incidents. To investigate the influences of active operational failures and unsafe latent factors in offshore oil spill accidents, an integrated human factor analysis and decision support process has been developed. The system is comprised of a Human Factors Analysis and Classification System (HFACS) framework to qualitatively evaluate the influence of various factors and errors associated with the multiple operational stages considered for oil spill preparedness and response (e. Read More

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http://dx.doi.org/10.1016/j.envpol.2020.114294DOI Listing

Acute liver abscess after non-operative management of blunt liver injury: A rare case managed with laparoscopic drainage.

Int J Surg Case Rep 2020 May 14;71:54-57. Epub 2020 May 14.

Division of Trauma & Emergency Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, 5, Fu-Hsing Street, Kwei-Shan, Tao-Yuan City, 333, Taiwan. Electronic address:

Introduction: Liver abscess may develop as a rare complication of the non-operative management (NOM) of blunt liver injury.

Presentation: A 36-year-old male was injured in a motorcycle accident on November 28, 2017. First aid was performed at the local hospital, then he was transferred to our trauma center for further management. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.092DOI Listing

Functional evaluation following emergency arthroplasty of the proximal interphalangeal joint for complex fractures with silicone implant.

Hand Surg Rehabil 2020 May 19. Epub 2020 May 19.

Service Chirurgie orthopédique, traumatologie, Chirurgie plastique et Chirurgie de la main, Centre hospitalier régional universitaire de Besançon, 3, boulevard Alexandre Fleming, 25000 Besançon, France.

The proximal interphalangeal (PIP) joint is particularly vulnerable to trauma. In comminuted fractures, arthroplasty with a silicone implant is a treatment option that may be controversial in an emergency setting. This joint destruction is usually accompanied by soft tissue injuries (skin and tendon damage, devascularization) making the reconstruction all the more complex. Read More

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http://dx.doi.org/10.1016/j.hansur.2020.05.003DOI Listing

Observational descriptive study of ultrasound use and its impact on clinical decisions in the accident and emergency department at Georgetown public hospital corporation.

PLoS One 2020 22;15(5):e0233379. Epub 2020 May 22.

Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.

Introduction: Point-of-care ultrasound (POCUS) is physician-performed at the bedside, and it is a powerful diagnostic tool, especially in resource-limited emergency medicine healthcare settings. This study aims to quantify both the use of ultrasound and its impact on patient care at the Accident and Emergency Department at the Georgetown Public Hospital Corporation (GPHC).

Methods: This is a cross-sectional observational descriptive analysis of data collected for quality assessment in the GPHC Accident and Emergency Department. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0233379PLOS

Elastic stable intramedullary nailing for treatment of pediatric forearm fractures: A 15-year single centre retrospective study of 173 cases.

Acta Orthop Traumatol Turc 2020 May 22. Epub 2020 May 22.

Department of Pediatric Surgery, University Hospital of Split, Split, Croatia.

Objective: The aim of this study was to analyze the outcomes and complications in children treated with elastic stable intramedullary nailing (ESIN) for forearm fracture.

Methods: The study included 173 patients (126 men and 47 women; median age: 11 years (range: 3-17 years) treated with ESIN for forearm fracture between May 2002 and May 2018. Immobilization was not performed after the surgery. Read More

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http://dx.doi.org/10.5152/j.aott.2020.19128DOI Listing

Substance Abuse and Misuse Identification and Prevention: An Evidence-Based Protocol for CRNAs in the Workplace.

Authors:
Leigh Taylor

AANA J 2020 Jun;88(3):213-221

is the assistant program administrator at Middle Tennessee School of Anesthesia in Madison, Tennessee, and a staff nurse anesthetist for Anesthesia Medical Group in Nashville, Tennessee. Email:

Healthcare providers are susceptible to substance abuse, and anesthesia personnel are some of the most vulnerable. Substance abuse is the principal cause of professional impairment for Certified Registered Nurse Anesthetists (CRNAs), with 1 of 10 experiencing addiction to drugs or alcohol. Despite this problem, there is no standardized screening protocol for the identification of substance abuse or misuse for CRNAs. Read More

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Predictors of changes in subjective daytime sleepiness in response to CPAP therapy withdrawal in OSA: A post-hoc analysis.

J Sleep Res 2020 May 22:e13078. Epub 2020 May 22.

Department of Pulmonology and Sleep Disorders Centre, University Hospital Zurich, Zurich, Switzerland.

Subjective sleepiness is the hallmark symptom of untreated obstructive sleep apnea (OSA) and leads to an increased risk of motor vehicle accidents and impaired quality of life. Continuous positive airway pressure (CPAP) is the standard therapy for OSA and improves sleepiness. The aim was to identify factors that might predict recurrence of sleepiness in times off CPAP and to define OSA patient types with a likely effect of CPAP on sleepiness. Read More

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http://dx.doi.org/10.1111/jsr.13078DOI Listing

Interhemispheric sleep depth coherence predicts driving safety in sleep apnea.

J Sleep Res 2020 May 22:e13092. Epub 2020 May 22.

Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, MA, USA.

Obstructive sleep apnea is associated with increased risk of car crashes; however, conventional measures of sleep apnea severity do not clearly identify those individuals who are at greatest risk. Here we tested whether, among individuals with sleep apnea, those with reduced interhemispheric sleep depth coherence, measured by correlation between right and left hemisphere odds ratio product, are at greater risk. The sample was derived from the Sleep Heart Health Study, a prospective observational cohort study, and included 1,378 adults with sleep apnea. Read More

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http://dx.doi.org/10.1111/jsr.13092DOI Listing

[The lumbar flexion-relaxation phenomen as a diagnostic test in assessment of lumbar impairment. Sensitivity and specificity].

Rehabilitacion (Madr) 2020 May 6. Epub 2020 May 6.

Servicio de Rehabilitación, Hospital FREMAP de Sevilla, Sevilla, España.

Objective: To define the role of the flexion-relaxation phenomenon (FRP), assessed through ratios (FRR), as a diagnostic test to define impairment in patients with chronic low back pain (CLBP).

Material And Method: The study sample consisted of 180 participants (16 healthy volunteers and 164 patients on work disability due to CLBP), who were consecutively referred for evaluation at the Biomechanics Laboratory of a workplace accident insurance company from January 2012 to December 2017. The evaluations consisted of an isometric dynamometry test, a kinematic test and assessment of the FRP phenomenon. Read More

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http://dx.doi.org/10.1016/j.rh.2020.02.003DOI Listing

Successful use of extracorporeal membrane oxygenation in acute respiratory distress syndrome following accidental chlorine gas inhalation at a swimming pool.

Perfusion 2020 May 22:267659120922013. Epub 2020 May 22.

Cardiothoracic Unit, Karapitiya Teaching Hospital, Galle, Sri Lanka.

While there is evidence to support the use of extracorporeal membrane oxygenation in acute respiratory distress syndrome due to a variety of causes, its use in chlorine gas-induced acute respiratory distress syndrome has not been described in the English medical literature. We present a young girl who had severe acute respiratory distress syndrome following exposure to chlorine gas during the disinfection process at a swimming pool. She failed conventional management and underwent venovenous extracorporeal membrane oxygenation. Read More

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http://dx.doi.org/10.1177/0267659120922013DOI Listing

Crane Principle Revisited.

Plast Reconstr Surg Glob Open 2020 Apr 22;8(4):e2741. Epub 2020 Apr 22.

Department of Plastic Surgery, Faculty of Medicine, Cairo University, Giza, Egypt.

Background: Scalp and forehead defects represent one of the most complex defects for reconstruction. The nature of these sites being hair bearing, together with the complicated nature of the injuries, for example, electrical burns and motor vehicle accidents, and of course the aesthetic concern being in the face, all add to the complexity of reconstruction.

Methods: This is a case series representing the experience of the authors in using the "crane principle" in the reconstruction of various defects in the forehead and the scalp presented to emergency department, Cairo University Hospital, for the period between January 2018 and January 2019. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002741DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209862PMC

Clinical Intervention Using Body Shadows for a Patient with Complex Regional Pain Syndrome Who Reported Severe Pain and Self-Disgust Toward the Affected Site: A Case Report.

J Pain Res 2020 6;13:971-977. Epub 2020 May 6.

Department of Occupational Therapy, International Univesrity of Health and Welfare, Okawa,Fukuoka, Japan.

A woman in her thirties developed complex regional pain syndrome in her left shoulder due to a traffic accident. She demonstrated autonomic nervous symptoms (swelling, sweating, and skin color asymmetry) in her left hand, severe allodynia, neglect-like symptoms (NLS), impaired body image associated with impaired body awareness, and functional impairment of the left shoulder and elbow. She also reported physical self-disgust toward her affected limb, describing it as "reptilian," as well as aversion to touching others; this body awareness exacerbated her pain and NLS. Read More

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http://dx.doi.org/10.2147/JPR.S236786DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213788PMC

The Risk of Cerebrovascular Accidents in Inflammatory Bowel Disease in the United States: A Population-Based National Study.

Clin Exp Gastroenterol 2020 4;13:123-129. Epub 2020 May 4.

Division of Gastroenterology, Case Western Reserve University at MetroHealth Medical Center, Cleveland, OH 44109, USA.

Background: Inflammatory bowel disease (IBD) has been associated with an increased risk of cardiovascular events, but the risk of cerebrovascular accidents (CVA) remains unknown. Hypercoagulability and systemic inflammation are two proposed mechanisms by which the presence of IBD might lead to the development of CVA.

Objective: To assess the risk of CVA in patients with IBD compared to those without IBD with known traditional risk factors for CVA. Read More

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http://dx.doi.org/10.2147/CEG.S250182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210027PMC

Point-of-care ultrasound at Role 1: is it time for a rethink?

BMJ Mil Health 2020 May 20. Epub 2020 May 20.

Department of Anaesthesia, Army Medical Services, Camberley, UK.

Introduction: The past 20 years have seen a rapid increase in point-of-care ultrasound (POCUS) use in the prehospital sphere. However, in the British Army there is no POCUS capability in the Defence Primary Healthcare (DPHC) or deployed Role 1 setting. POCUS can improve diagnostic capability, influence management decisions and transfer destination, and is a useful triage tool in mass casualty management. Read More

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http://dx.doi.org/10.1136/bmjmilitary-2020-001466DOI Listing

Implementation experience of a guideline on fall prevention in Centres Committed to Excellence in Care®.

Enferm Clin 2020 May 18. Epub 2020 May 18.

Servicio de Medicina Preventiva, Hospital Dr. José Molina Orosa. Área de Salud de Lanzarote, Gerencia de Servicios Sanitarios, Arrecife, Lanzarote, España.

Aim: To describe the progress of implementing the «Preventing falls» Guideline of the Best Practice Spotlight Organization (BPSO®) Programme and fall outcomes in Centres Committed to Excellence in Care (CCEC®).

Method: A Quasi-experimental study pre-post test from a multicentric approach carried out between 2012-2018. The study is focused on patients aged 65 or older, discharged from guideline implementation units, analysing sociodemographic variables (sex, age, hospitalization days; fall risk assessment on admission and patient in risk; fall prevention plan; incidence of falls. Read More

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http://dx.doi.org/10.1016/j.enfcli.2020.03.015DOI Listing

A balanced opinion? Considering the role of the external clinical advisor in ACC processes.

N Z Med J 2020 May 22;133(1515):97-103. Epub 2020 May 22.

Professor, Faculty of Law, University of Auckland, Auckland.

The role of the external clinical advisor is critical to the adjudication of complex claims in the processes of the Accident Compensation Corporation (ACC). This is particularly true of claims for treatment injury that occur during birth, which are often very complicated. In most cases external clinical advisors are non-treating doctors, whose opinion strongly guides the hand of ACC. Read More

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Absence of interaction between rivaroxaban, tacrolimus and everolimus in renal transplant recipients with deep vein thrombosis or atrial fibrillation.

Vascul Pharmacol 2020 May 10:106682. Epub 2020 May 10.

Department of Internal Medicine, Clinical Medicine 1, Padova University Hospital, Italy.

No data are available on rivaroxaban use in renal transplant recipients and on its surmised interaction with immunosuppressants. The aim was to investigate potential interactions between rivaroxaban and immunosuppressants in this setting. Renal transplant recipients with a stable renal function treated with rivaroxaban and tacrolimus with or without everolimus were investigated. Read More

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http://dx.doi.org/10.1016/j.vph.2020.106682DOI Listing

Myocardial bridge pathology and preventable accidents during physical activity of healthy subjects: A case report and a literature review.

Med Leg J 2020 May 21:25817220923638. Epub 2020 May 21.

Department Pro.Mi.Se, Legal Medicine, School of Medicine, University of Palermo, Palermo, Italy.

Myocardial bridging is a congenital coronary pathology described as a segment of coronary artery which courses through the myocardial wall under the muscle bridge. Although the prognosis of myocardial bridging is benign, sports medicine recognises myocardial bridging as a leading cause of sudden death among young basketball, football and soccer players. The authors report a case of a 42-year-old man who collapsed while playing football. Read More

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http://dx.doi.org/10.1177/0025817220923638DOI Listing

A rare case: Isolated superior mesenteric vein injury occurring after blunt abdominal trauma.

Authors:
Mehmet Kubat

Ulus Travma Acil Cerrahi Derg 2020 May;26(3):493-495

Department of General Surgery, Alaaddin Keykubat University Alanya Training and Research Hospital, Antalya-Turkey.

Intraabdominal vascular injuries due to blunt abdominal trauma are rare. It is very difficult to visualize superior mesenteric vein (SMV) and portal vein injuries under emergency conditions. In this case study, we reported a low-speed car accident, a patient with isolated SMV injury as a result of a blunt abdominal trauma that arose from a collision with a steering wheel. Read More

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http://dx.doi.org/10.14744/tjtes.2019.39932DOI Listing

Circulating long non-coding RNA (growth arrest-specific transcript 5) as a complement marker for the detection of malignant mesothelioma using liquid biopsies.

Biomark Res 2020 13;8:15. Epub 2020 May 13.

1Institute for Prevention and Occupational Medicine of the German Social Accident Insurance - Institute of the Ruhr University Bochum (IPA), Buerkle-de-la-Camp-Platz 1, 44789 Bochum, Germany.

Background: For the detection of malignant mesothelioma additional markers are needed besides the established panel consisting of calretinin and mesothelin. The aim of this study was the identification and verification of long non-coding RNAs (lncRNAs) as complementing circulating markers.

Methods: Candidate lncRNAs were identified in silico using previously published RNA expression profiles and verified using quantitative PCR (qPCR) in mesothelioma cell lines as well as human plasma samples from mesothelioma patients and asbestos-exposed controls. Read More

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http://dx.doi.org/10.1186/s40364-020-00194-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222324PMC

Missed hand and forearm injuries in multiple trauma patients: An analysis from the TraumaRegister DGU®.

Injury 2020 May 8. Epub 2020 May 8.

Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society (DGU), Germany.

Purpose: Multiple trauma patients have a high risk of missed injuries. The main point of our study was to provide new epidemiological data on hand and forearm injuries in multiple trauma with a focus on those that were missed. Therefore, we used the database of the TraumaRegister DGU®. Read More

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http://dx.doi.org/10.1016/j.injury.2020.04.022DOI Listing

Association of childhood out-of-home care status with all-cause mortality up to 42-years later: Office of National Statistics Longitudinal Study.

BMC Public Health 2020 May 20;20(1):735. Epub 2020 May 20.

Department of Epidemiology & Public Health, University College London, 1-19 Torrington Place, LONDON, WC1E 6BT, United Kingdom.

Background: The adverse life-long consequences of being looked-after as a child are well recognised, but follow-up periods for mortality risk have mostly ended in young adulthood and mortality suggested to differ by age of placement, gender and cohort in small samples.

Methods: Data on 353,601 Office for National Statistics Longitudinal Study (LS) members during census years 1971-2001, and Cox proportional hazards regression models with time-varying covariates (age as the timescale), were used to examine whether childhood out-of-home care was associated with all-cause mortality until the end of 2013. After adjusting for baseline age and age, gender, born outside the United Kingdom, number of census observations in childhood and baseline census year we tested whether mortality risk varied for those in care by age, gender and baseline census year, by separate assessment of interaction terms. Read More

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http://dx.doi.org/10.1186/s12889-020-08867-3DOI Listing