53,894 results match your criteria Accident Analysis & Prevention [Journal]


Mechanisms of traumatic cardiac arrest in Kuwait: A retrospective study.

Medicine (Baltimore) 2020 Jun;99(23):e20520

Audit Department, Emergency Medicals Services, State of Kuwait.

The objective of this study is to describe the epidemiology and causes of traumatic cardiac arrest (TCA) in Kuwait aiming to provide a preliminary background to update the current guidelines and improve patients' management.This is a retrospective analysis of TCA cases retrieved from emergency medical services archived data between 1 January and 31 December 2017. The TCA cases were sub-grouped based on mechanism of injury then compared in terms of patient demographics, vital signs, patterns of injuries, resuscitation practices, and outcomes. Read More

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http://dx.doi.org/10.1097/MD.0000000000020520DOI Listing

Development of the annual incidence rate of fracture in children 1980-2018: a population-based study of 32,375 fractures.

Acta Orthop 2020 Jun 5:1-5. Epub 2020 Jun 5.

Accident Analysis Group, Department of Orthopaedics and Traumatology, Odense University Hospital, Odense.

Background and purpose - Pediatric fractures are a common cause of morbidity. So far, no larger Danish study has described the development in the incidence rates. Therefore, we describe the development in the incidence rates of pediatric fractures in the time period 1980-2018 and the frequency of the most common type of fractures. Read More

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http://dx.doi.org/10.1080/17453674.2020.1772555DOI Listing

Quality of life up to 10 years after traumatic brain injury: a cross-sectional analysis.

Health Qual Life Outcomes 2020 Jun 4;18(1):166. Epub 2020 Jun 4.

Institute for Stroke and Dementia Research (ISD), University of Munich Medical Center, Feodor-Lynen-Straße 17, 81377, Munich, Germany.

Background: Traumatic brain injury (TBI) is the leading cause of death and disability among children and young adults in industrialized countries, but strikingly little is known how patients cope with the long-term consequences of TBI. Thus, the aim of the current study was to elucidate health-related quality of life (HRQoL) and outcome predictors in chronic TBI adults.

Methods: In this cross-sectional study, 439 former patients were invited to report HRQoL up to 10 years after mild, moderate or severe TBI using the QOLIBRI (Quality of Life after Brain Injury) questionnaire. Read More

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http://dx.doi.org/10.1186/s12955-020-01391-3DOI Listing

Predicting Risky and Aggressive Driving Behavior among Taxi Drivers: Do Spatio-Temporal Attributes Matter?

Int J Environ Res Public Health 2020 Jun 2;17(11). Epub 2020 Jun 2.

UHasselt, Transportation Research Institute (IMOB), Agoralaan, 3590 Diepenbeek, Belgium.

Risky and aggressive driving maneuvers are considered a significant indicator for traffic accident occurrence as well as they aggravate their severity. Traffic violations caused by such uncivilized driving behavior is a global issue. Studies in existing literature have used statistical analysis methods to explore key contributing factors toward aggressive driving and traffic violations. Read More

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http://dx.doi.org/10.3390/ijerph17113937DOI Listing

Autoerotic Deaths in Hamburg, Germany: Autoerotic accident or death from internal cause in an autoerotic setting? A retrospective study from 2004-2018.

Forensic Sci Int 2020 May 16;313:110340. Epub 2020 May 16.

Department of Legal Medicine, University Medical Center Hamburg-Eppendorf, Butenfeld, 34, 22529, Hamburg, Germany.

Introduction: Autoerotic deaths are rare events. The death scene is often bizarre and the death unexpected, thus often requiring forensic autopsies. Our analysis will provide an overview of the expected range of causes and manners of death in cases of autoerotic deaths. Read More

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http://dx.doi.org/10.1016/j.forsciint.2020.110340DOI Listing

Assessment of recent alcohol consumption by detecting ethyl glucuronide and ethyl sulphate level among traffic accident patients.

Traffic Inj Prev 2020 Jun 4:1-4. Epub 2020 Jun 4.

Department of Forensic Medicine, Faculty of Medicine, Cukurova University, Adana, Turkey.

This study aims to explain whether EtG and EtS, which are two non-oxidative ethanol metabolites secreted by the liver and used as markers of alcohol intake related to an incident, were also present in whole blood samples of patients with traffic accident injuries. EtG and EtS concentrations in all of the whole blood samples were sent to the Forensic Medicine Department of Cukurova University for testing Blood Alcohol Concentrations (BAC) via validated liquid chromatography-tandem mass spectrometer method. The scope of the study covers 200 patients that were admitted to medical services within 12 h following the incident. Read More

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http://dx.doi.org/10.1080/15389588.2020.1767777DOI Listing

Power Function Retention of Radionuclides in a Wound.

Authors:
Ronald E Goans

Health Phys 2020 Jun 1. Epub 2020 Jun 1.

1422 Eagle Bend Drive, Clinton, TN 37716.

NCRP Report 156 describes soluble radionuclide retention kinetics in a wound, segregated into four retention categories: weak (W), moderate (M), strong (S), and avid (A). An alternate single-parameter model, the negative power function, t, is presented in this paper to describe the time behavior of radionuclide retention. With this mathematical description, γ is a single parameter that can be used to assign the wound retention category rapidly. Read More

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http://dx.doi.org/10.1097/HP.0000000000001273DOI Listing

[Occupationally acquired MRSA colonization and occupational dermatological assessments (BK-No. 3101 in the German list of Occupational Diseases) : Analysis of the DGUV documentation and expert opinion on a case with work-related MRSA-triggered atopic dermatitis].

Hautarzt 2020 Jun 3. Epub 2020 Jun 3.

Hautklinik Universitätsklinikum Erlangen, Erlangen, Deutschland.

Background: Person-to-person transmitted infectious diseases can cause occupational diseases (OD). These are subsumed as BK-No. 3101 in the German list of OD which applies for individuals with a considerably higher risk for infection as a consequence of their professional activity compared to the general population. Read More

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http://dx.doi.org/10.1007/s00105-020-04616-0DOI Listing

Safety of varenicline as an aid to smoking cessation in professional drivers and its impact on driving behaviors: An observational cohort study of taxi drivers in Beijing.

Tob Induc Dis 2020 27;18:45. Epub 2020 May 27.

Beijing Institute of Respiratory Medicine, Beijing, China.

Introduction: Varenicline is an effective smoking cessation medicine. However, the possible adverse neuropsychiatric events reported by Food and Drug Administration for varenicline may cause safety problems for professional drivers. We aimed to investigate its safety and impacts on driving behaviors among taxi drivers in Beijing, China. Read More

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http://dx.doi.org/10.18332/tid/120935DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263361PMC

[Recent trends and challenges for older adults at community sport clubs in Japan: Analysis of FY 2016 Survey Results on Comprehensive Community Sports Clubs].

Nihon Koshu Eisei Zasshi 2020 ;67(5):311-318

Health Services Research and Development Center, University of Tsukuba.

Objectives Comprehensive community sports clubs (CCSCs), of which more than 3,500 exist in Japan, have the potential to contribute to healthy aging in older adults, but their effect on this population has not, thus far, been well explored. This study aimed to investigate the current environment affecting seniors at Japanese CCSCs and to examine issues identified by the analysis.Methods Data were collected from the FY 2016 Survey Results on Comprehensive Community Sports Clubs, conducted by the Japan Sports Agency. Read More

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http://dx.doi.org/10.11236/jph.67.5_311DOI Listing
January 2020

Mortality Predictors In Complicated Patients After Anatomical Lung Resection.

Arch Bronconeumol 2020 May 31. Epub 2020 May 31.

Departamento de Cirugía Torácica. Hospital Universitario de Salamanca, Salamanca, España.

Introduction: Failure to rescue (FTR), defined as the mortality rate among patients suffering from postoperative complications, is considered an indicator of the quality of surgical care. The aim of this study was to investigate the risk factors associated with FTR after anatomical lung resections.

Method: Patients undergoing anatomical lung resection at our center between 1994 and 2018 were included in the study. Read More

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http://dx.doi.org/10.1016/j.arbres.2020.04.015DOI Listing

The Association between Utilization of Media Information and Current Health Anxiety Among the Fukushima Daiichi Nuclear Disaster Evacuees.

Int J Environ Res Public Health 2020 Jun 1;17(11). Epub 2020 Jun 1.

Department of Public Health, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan.

The 2011 nuclear disaster in Fukushima was not only a health disaster, but also an information disaster. Although media can promote health communication following disasters, studies have revealed associations between media information and negative psychological reactions. To clarify the relationship between media utilization and current health anxiety due to radiation exposure, a cross-sectional questionnaire survey was conducted in Fukushima. Read More

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http://dx.doi.org/10.3390/ijerph17113921DOI Listing

The forensic pathological analysis of sport-related sudden cardiac death in Southern China.

Forensic Sci Res 2020 31;5(1):47-54. Epub 2017 May 31.

Department of Forensic Pathology, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, China.

Studies regarding sport-related sudden cardiac death (SCD) mainly focus on competitive athletes; similar data are rare in the general population, especially in China. We conducted a retrospective study (from September 1998 to August 2013) to investigate the aetiological distribution and epidemiological features of sport-related SCD in Southern China. Selections of cases are based on details, and two subgroups were established: one was the sport-related SCD group, and the other was the disease-free accident victims group which was matched with the sport-related SCD group in gender, age and year of death. Read More

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http://dx.doi.org/10.1080/20961790.2017.1319785DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241569PMC

Alcohol use and risk of vehicle accidents: cross-sectional study in the city of São Paulo, Brazil.

Sao Paulo Med J 2020 Jun 1. Epub 2020 Jun 1.

Department of Neurology, Psychology and Psychiatry, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brazil.

Background: Harm to other people caused by an individual under the influence of alcohol (UIA) can occur in a variety of relationship situations between the drinker and these other people.

Objectives: To estimate the prevalence of the risk of vehicle accidents (RVA) involving people who are UIA, according to sociodemographic variables, respondent alcohol use and gender.

Design And Setting: Cross-sectional study, in which a household survey was carried out on a cluster-stratified representative sample of urban residents in the city of São Paulo. Read More

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http://dx.doi.org/10.1590/1516-3180.2019.0470.r1.27012020DOI Listing

Killed in action (KIA): an analysis of military personnel who died of their injuries before reaching a definitive medical treatment facility in Afghanistan (2004-2014).

BMJ Mil Health 2020 Jun 2. Epub 2020 Jun 2.

Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine (Research and Academia), Birmingham, UK.

Introduction: The majority of combat deaths occur before arrival at a medical treatment facility but no previous studies have comprehensively examined this phase of care.

Methods: The UK Joint Theatre Trauma Registry was used to identify all UK military personnel who died in Afghanistan (2004-2014). These data were linked to non-medical tactical and operational records to provide an accurate timeline of events. Read More

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http://dx.doi.org/10.1136/bmjmilitary-2020-001490DOI Listing

Incidence of accidents and injuries in children under 6 years old in southern Iran: a population-based study.

J Inj Violence Res 2020 May 27;12(2). Epub 2020 May 27.

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. Email:

Background: Accidents and injuries are the leading cause of childhood morbidity and mortality. This study aimed to investigate the incidences of different causes of accidents in children under 6 years old.

Methods: This population-based cross-sectional study was carried out in one year (2016-2017) on a sample of 6000 children in Southern Iran with a multistage sampling method using a standard checklist for comprehensive child health monitoring. Read More

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http://dx.doi.org/10.5249/jivr.v12i2.1280DOI Listing

Bone regeneration utilizing a newly developed octacalcium phosphate/weakly denatured collagen scaffold.

Int J Artif Organs 2020 May 30:391398820924045. Epub 2020 May 30.

Department of Organ and Tissue Reconstruction, Institute for Frontier Life and Medical Sciences, Kyoto University, Kyoto, Japan.

Introduction: Autologous bone grafting or various bone-regenerating materials are used to treat bone defects caused by tumor resection and accident trauma. Octacalcium phosphate, a reasonable bone regenerative material, activates osteoblasts. We fabricated a composite material, octacalcium phosphate/weakly denatured collagen, as a new scaffold. Read More

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http://dx.doi.org/10.1177/0391398820924045DOI Listing

Correlation analysis of earthquake impacts on a nuclear power plant cluster in Fujian province, China.

Environ Res 2020 May 20;187:109689. Epub 2020 May 20.

Institute of Geophysics, China Earthquake Administration, Beijing, 100081, China.

The construction of nuclear power plants in China has proceeded rapidly in recent years, and a nuclear power plant cluster is present in the coastal area of Fujian Province. Considering the lessons of the Fukushima Daiichi nuclear power plant accident, we applied the Monte Carlo approach to calculate the correlation characteristics of earthquake impacts on the nuclear power plant cluster and to assess the seismic hazards at multiple sites. Based on the seismic source zone model, seismicity model and ground-motion prediction model of the Seismic Ground Motion Parameters Zonation Map of China, many earthquake scenarios were sampled, and the possibility of multiple sites experiencing ground motions that exceed critical values at the same time were obtained. Read More

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http://dx.doi.org/10.1016/j.envres.2020.109689DOI Listing

Analysis of pediatric maxillofacial trauma in North China: Epidemiology, pattern, and management.

Injury 2020 May 11. Epub 2020 May 11.

Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China.

Purpose: To analyze epidemiology, pattern, and management of pediatric maxillofacial trauma in North China.

Patients And Methods: Clinical records of patients aged 0-18 years with maxillofacial trauma, from January 2008 to December 2016 were reviewed. 390 patients with an average age of 9. Read More

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http://dx.doi.org/10.1016/j.injury.2020.04.053DOI Listing

Statistical Analysis and Prediction of Fatal Accidents in the Metallurgical Industry in China.

Authors:
Qingwei Xu Kaili Xu

Int J Environ Res Public Health 2020 May 27;17(11). Epub 2020 May 27.

Key Laboratory of Ministry of Education on Safe Mining of Deep Metal Mines, School of Resources and Civil Engineering, Northeastern University, Shenyang 110819, China.

The metallurgical industry is a significant component of the national economy. The main purpose of this study was to establish a composite risk analysis method for fatal accidents in the metallurgical industry. We collected 152 fatal accidents in the Chinese metallurgical industry from 2001 to 2018, including 141 major accidents, 10 severe accidents, and 1 extraordinarily severe accident, together resulting in 731 deaths. Read More

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http://dx.doi.org/10.3390/ijerph17113790DOI Listing

Types Of Medico-Legal Cases Reported At The Casualty Department Of Ayub Teaching Hospital Abbottabad.

J Ayub Med Coll Abbottabad 2020 Jan- Mar;32(1):51-53

Ziauddin University, Karachi, Pakistan.

Background: Medicolegal data is very important for administrators, health officials, philanthropists, social workers, law enforcement agencies. Because it is used for planning and implementation of strategies in order to reduce further incidents. This study is conducted with the aim to determine different types of medicolegal cases and patterns of weapons used. Read More

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Still careless: findings from a cross-sectional study of young pedestrians' risky road crossing behaviors.

Arch Public Health 2020 18;78:44. Epub 2020 May 18.

5Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

Background: Pedestrian-vehicle collision is one of the most common traffic injuries worldwide. This study aimed to investigate the determinants of pedestrians' road crossing beliefs and behaviors in potentially risky situations using the Theory of Planned Behavior among Iranian young adults.

Methods: This was a population-based study on a sample of 562 young adults aged 18 to 25 years living in Tehran, Iran. Read More

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http://dx.doi.org/10.1186/s13690-020-00421-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236260PMC

Tracing frequent users of regional care services using emergency medical services data: a networked approach.

BMJ Open 2020 May 27;10(5):e036139. Epub 2020 May 27.

Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Objectives: This study shows how a networked approach relying on 'real-world' emergency medical services (EMS) records might contribute to tracing frequent users of care services on a regional scale. Their tracing is considered of importance for policy-makers and clinicians, since they represent a considerable workload and use of scarce resources. While existing approaches for data collection on frequent users tend to limit scope to individual or associated care providers, the proposed approach exploits the role of EMS as the network's 'ferryman' overseeing and recording patient calls made to an entire network of care providers. Read More

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http://dx.doi.org/10.1136/bmjopen-2019-036139DOI Listing

Accident risk analysis based on motorway exposure: an application of benchmarking technique for human safety.

Int J Inj Contr Saf Promot 2020 May 29:1-11. Epub 2020 May 29.

Taxila Institute of Transportation Engineering, Department of Civil Engineering, University of Engineering & Technology, Taxila, Pakistan.

Accident risk analysis for human safety and infrastructural improvement are key requirements of the engineering sector. The purpose of this paper is to identify and prioritize problematic segments of roads based upon the risk evaluation concept and to focus on the severity of accidents regarding human life loss and easy manoeuvring. This study includes the concept of considering road segments as decision-making units for application of data envelopment analysis (DEA) technique which has no compulsion of the distribution function and critical assumptions, unlike the multiple regression models. Read More

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http://dx.doi.org/10.1080/17457300.2020.1774619DOI Listing

Constructing Multi-scale Entropy Based on the Empirical Mode Decomposition(EMD) and its Application in Recognizing Driving Fatigue.

J Neurosci Methods 2020 May 25:108691. Epub 2020 May 25.

Department of Computer, Nanchang University, Nanchang, Jiangxi 330029, China.

Background: Fatigue is one of the important factors in traffic accidents. Hence, it is necessary to devise methods to detect the fatigue and apply practical fatigue detection solutions for drivers.

New Method: This paper presents a method based on the empirical mode decomposition(EMD) of multi-scale entropy on the recorded forehead Electroencephalogram(EEG) signals. Read More

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http://dx.doi.org/10.1016/j.jneumeth.2020.108691DOI Listing

Injuries Reported by Selected Health Facilities During the Arbaeenia Mass Gathering at Babel Governorate, Iraq, 2014: Retrospective Records Analysis.

JMIR Public Health Surveill 2020 May 28;6(2):e10877. Epub 2020 May 28.

Eastern Mediterranean Public Health Network (EMPHNET), Amman, Jordan.

Background: Arbaeenia is the largest religious mass gathering in Iraq. The conditions associated with mass gatherings result in high rates of injury. There have been no prior studies on injuries during the Arbaeenia mass gathering. Read More

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http://dx.doi.org/10.2196/10877DOI Listing

Optimal timing of laparoscopic cholecystectomy after gallbladder drainage for acute cholecystitis: A multi-institutional retrospective study.

J Hepatobiliary Pancreat Sci 2020 May 27. Epub 2020 May 27.

Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.

Background: There is no consensus on the optimal timing of laparoscopic cholecystectomy (LC) after gallbladder drainage for acute cholecystitis (AC). To obtain evidence for a consensus, we investigated surgical outcomes of LC after gallbladder drainage with respect to the time elapsed from gallbladder drainage to surgery in a multi-institutional retrospective study.

Methods: This study enrolled 347 patients who underwent LC after gallbladder drainage for AC at 15 institutions. Read More

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http://dx.doi.org/10.1002/jhbp.768DOI Listing

Monitoring During Transport.

Respir Care 2020 Jun;65(6):882-893

Warfighter Medical Optimization Division, Airman Systems Directorate, 711th Human Performance Wing, Wright-Patterson Air Force Base, Ohio.

Transport of critically ill patients within and between hospitals is a common undertaking in an effort to improve patient outcomes. Intrahospital transports are frequently conducted to aid in diagnosis through advanced imaging techniques or to allow image-guided procedures. Interhospital transport is most frequently conducted to bring patients to specialized care, including centers of excellence for cardiac, trauma, transplant, and respiratory failure. Read More

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http://dx.doi.org/10.4187/respcare.07796DOI Listing

Effect of early enteral nutrition on outcomes of trauma patients requiring intensive care.

Chin J Traumatol 2020 Apr 21. Epub 2020 Apr 21.

Department of Emergency and Critical Care, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China. Electronic address:

Purpose: To investigate the effect of early enteral nutrition on outcomes of trauma patients in the intensive care unit (ICU).

Methods: Clinical data of trauma patients in the ICU of Daping Hospital, China from January 2012 to December 2017 was retrospectively analyzed, including patient age, gender, injury mechanism, injury severity score (ISS), nutritional treatment, postoperative complications (wound infection, abdominal abscess, anastomotic rupture, pneumonia), mortality, and adverse events (nausea, vomiting, abdominal distention). Only adult trauma patients who developed bloodstream infection after surgery for damage control were included. Read More

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http://dx.doi.org/10.1016/j.cjtee.2020.04.006DOI Listing

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

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

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

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

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7245810PMC

Evaluation of the efficacy and safety of intravenous remdesivir in adult patients with severe COVID-19: study protocol for a phase 3 randomized, double-blind, placebo-controlled, multicentre trial.

Trials 2020 May 24;21(1):422. Epub 2020 May 24.

Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, National Clinical Research Center for Respiratory Diseases, China-Japan Friendship Hospital, Beijing, China.

Background: Coronavirus disease 2019 (COVID-19), caused by a novel corinavirus (later named SARS-CoV-2 virus), was fistly reported in Wuhan, Hubei Province, China towards the end of 2019. Large-scale spread within China and internationally led the World Health Organization to declare a Public Health Emergency of International Concern on 30 January 2020. The clinical manifestations of COVID-19 virus infection include asymptomatic infection, mild upper respiratory symptoms, severe viral pneumonia with respiratory failure, and even death. Read More

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http://dx.doi.org/10.1186/s13063-020-04352-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7245636PMC
May 2020
2.117 Impact Factor

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242620PMC

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
July 2020
4.143 Impact Factor

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244115PMC

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

[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

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

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

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

Rapid detection of plutonium contamination with and without uranium contamination in wounds by x-ray fluorescence.

J Radiol Prot 2020 May 20. Epub 2020 May 20.

National Institutes for Quantum and Radiological Science and Technology, Chiba, Chiba, JAPAN.

In the event of an accident at a nuclear fuel handling facility, the wounds of affected workers may be contaminated with plutonium. The current approach for identifying plutonium contamination is by detecting α-particles in the blood stream. However, the applicability of this approach is impeded due to the α-particles being easily shielded by the bodily fluid components. Read More

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http://dx.doi.org/10.1088/1361-6498/ab9509DOI Listing

A descriptive analysis of an outbreak of measles and a multilevel mixed-effects analysis of factors associated with case isolation in healthcare settings, London (February-June 2016).

Public Health 2020 May 17;183:55-62. Epub 2020 May 17.

Field Service, National Infection Service, Public Health England, UK.

Objectives: We described the epidemiology and healthcare exposures during a measles outbreak in London and identified factors associated with isolation on arrival to healthcare premises.

Study Design: We conducted a cohort study including all confirmed measles cases in London residents from February 1, 2016, to June 30, 2016, and semistructured interviews with two infection prevention and control teams (IPCTs).

Methods: We described the outbreak and conducted a multilevel mixed-effects analysis to assess the relationship between sociodemographic and clinical factors and isolation on arrival to healthcare premises. Read More

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http://dx.doi.org/10.1016/j.puhe.2020.02.015DOI Listing

Comprehensive evaluation system for stability of multiple dams in a uranium tailings reservoir: based on the TOPSIS model and bow tie model.

R Soc Open Sci 2020 Apr 8;7(4):191566. Epub 2020 Apr 8.

School of Resource & Environment and Safety Engineering, University of South China, Hengyang, Hunan 421001, People's Republic of China.

The main purposes of this study are to analyse the evaluation of tailings dam stability under multiple factors and prevent accidents more effectively by proposing a composite risk analysis model. The evaluation model combining the TOPSIS model and bow tie model is presented in this paper. Firstly, a new formula was adopted to calculate the integrated weights based on the subjective and objective weights and the theory of the TOPSIS model was introduced. Read More

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http://dx.doi.org/10.1098/rsos.191566DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211886PMC

Profile and outcome of burn injuries amongst preschool children in a developing country.

Authors:
N L Nguyen M D Ngo

Ann Burns Fire Disasters 2019 Dec;32(4):267-271

National Burn Hospital, Hanoi, Vietnam.

The aim of this study was to investigate characteristics, outcomes and risk factors for death from burn in preschool children. A retrospective study was conducted on 3688 preschool burn children admitted to the National Burn Hospital from 1/1/2016 to 31/12/2018. Collected data included patient demographics and burn characteristics. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7197912PMC
December 2019

Hematological malignancies in Ukraine in post-Chernobyl era: sources of data and their preliminary analysis.

Ann Hematol 2020 May 19. Epub 2020 May 19.

SI "Institute of Blood Pathology and Transfusion Medicine of the National Academy of Medical Sciences of Ukraine", Lviv, Ukraine.

The major sources of the data on the hematological malignancies in the post-Chernobyl period in the regions of Ukraine differing by the levels of the residual contamination with radionuclides have been analyzed. According to the data collected from the primary hematological facilities in Ukraine in 2010-2017, the incidence of lymphoid neoplasms from mature B cells, acute myeloid leukemia, and multiple myeloma in the most contaminated regions was higher than in the less contaminated ones. For the first time, the relative contribution of the several specific types of leukemia in the total diagnosed hematological malignancies has been analyzed throughout 1997-2017 based on the in-house database compiled by the Reference Laboratory of RE Kavetsky Institute of Experimental Pathology, Oncology and Radiobiology, the National Academy of Sciences of Ukraine. Read More

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http://dx.doi.org/10.1007/s00277-020-04076-5DOI Listing