Search Our Scientific Publications & Authors

Am J Emerg Med 2021 Jun 9;49:158-162. Epub 2021 Jun 9.

Department of Emergency Medicine, Albert Einstein College of Medicine, Montefiore, 111 East 210th Street, Bronx, NY 10467, USA. Electronic address:

Purpose: We investigated clinical risk factors that predict poor 30-day headache outcomes among patients evaluated in the emergency department (ED) for post-traumatic headache (PTH).

Methods: This was an analysis of data from a randomized, placebo-controlled study of IV metoclopramide + diphenhydramine for acute PTH. Patients were enrolled during an ED visit and received telephone follow-up with a structured questionnaire 30 days later. Read More

J Mech Behav Biomed Mater 2021 Jun 1;121:104599. Epub 2021 Jun 1.

SURVICE Engineering Company, 4695 Millennium Dr, Belcamp, MD, 21017, USA.

Cellular and tissue-scale indent/impact thresholds for different mechanisms of functional impairments to the brain would be the preferred method to predict head injuries, but a comprehensive understanding of the dominant possible injury mechanisms under multiaxial stress-states and rates is currently not available. Until then, skull fracture could serve as an indication of head injury. Therefore the ability to predict the initiation of skull fracture through finite element simulation can serve as an in silico tool for assessing the effectiveness of various head protection scenarios. Read More

PLoS One 2021 11;16(6):e0252844. Epub 2021 Jun 11.

Sleep Centre, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.

Background: In recent population-based case-control studies, sleep apnea was significantly associated with a higher incidence (hazard ratio, 1.71) of vertigo and the risk of tinnitus was found to increase 1.36 times in patients with sleep apnea. Read More

Forensic Sci Med Pathol 2021 Jun 11. Epub 2021 Jun 11.

Division of Pathology, San Salvatore Hospital, 67100, L'Aquila, Coppito, Italy.

Celestine V is considered one of the most enigmatic Popes. He has been the subject of much speculation, with legends claiming he was murdered by order of his successor Boniface VIII. Assassination rumors first started in medieval times, but they were renewed in 1630 by the discovery of a nail that fitted perfectly into a square opening in his skull. Read More

Medicine (Baltimore) 2021 Jun;100(23):e26333

Department of Orthopedic Trauma Surgery, Ningbo No.6 Hospital.

Abstract: Subacromial impingement syndrome (SIS) after hook plate fixation for acromioclavicular joint (AC) dislocation was the most common complication. However, the researches on its' influential factors were rare. The purpose of this study was to identify the risk factors by analyzing the influencing factors of postoperative SIS and minimize the incidence of SIS in clinical surgery. Read More

Front Sports Act Living 2021 25;3:680773. Epub 2021 May 25.

Faculty of Social Sciences, Nord University, Bodø, Norway.

The purpose of this article is to map existing research literature on athletes and coaches' attitudes toward protective headgear in sport in relation to concussion and head injury prevention, and to identify and analyse knowledge gaps in the field. A scoping review was conducted in three databases; PubMed, Scopus, SportDiscus, and reference lists were searched to identify relevant grey literature. This process lead to an in-depth analysis of 18 peer-reviewed journal articles. Read More

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2021 May;33(5):609-612

Department of Neurology, Suqian First Hospital, Suqian 223899, Jiangsu, China.

Objective: To examine whether the combination of quantitative regional apparent diffusion coefficient (ADC) and amplitude-integrated electroencephalogram (aEEG) can predict the outcome of comatose patients with severe traumatic brain injury (sTBI).

Methods: A prospective study was conducted. The patients with coma caused by sTBI [Glasgow coma scale (GCS) < 8] admitted to Suqian First Hospital from January 2016 to June 2019 were enrolled. Read More

J Craniofac Surg 2021 Jun;32(4):1297-1301

Department of Neurosurgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.

Background Introduction: Nail injuries are important causes of penetrating craniocerebral injuries. Theirs incidence is very low, but the injuries can be fatal. Since the nail gun was gradually popularized in 1959, the incidence of nail injuries has been increasing. Read More

Leg Med (Tokyo) 2021 Jun 4;53:101916. Epub 2021 Jun 4.

Department of Legal Medicine, Faculty of Medicine, University of Toyama, Toyama, Japan. Electronic address:

We herein report two autopsy cases with gastric injury associated with cardiopulmonary resuscitation (CPR). Case 1 was a 36-year-old woman who was found in cardiopulmonary arrest possibly caused by a fall from a height of 8 m. She received continuous manual chest compression with artificial ventilation while being transferred to the hospital. Read More

JAMA Otolaryngol Head Neck Surg 2021 Jun 10. Epub 2021 Jun 10.

School of Communication Sciences and Disorders, McGill University, Montreal, Canada.

Importance: Vocal fold paralysis (VFP) results from the disruption of neural motor outputs to laryngeal muscles. Children with VFP manifest various degrees of difficulties in phonation, breathing, and swallowing. Although the etiologic characteristics and symptoms of VFP are well established in adults, corresponding clinical profiles are notably different in children. Read More

Shanghai Kou Qiang Yi Xue 2021 Apr;30(2):151-155

Department of General Dentistry, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology and Shanghai Research Institute of Stomatology. Shanghai 200011, China.

Purpose: To analyze the clinical data of oral emergency cases and the characteristics of oral emergency diseases, and provide clinical basis for improving the quality of oral emergency treatment and making reasonable arrangement.

Methods: A total of 137 740 patients in oral emergency department from January 1st, 2017 to December 31st, 2018 were collected and analyzed retrospectively according to gender, age, time of visit and diagnosis. The results were analyzed with Chi-square test by Excel 7. Read More

Front Bioeng Biotechnol 2021 24;9:677952. Epub 2021 May 24.

Vehicle Safety Institute, Graz University of Technology, Graz, Austria.

This study has analyzed sex-specific differences in pedestrian and cyclist accidents involving passenger cars. The most frequently injured body regions, types of injuries, which show sex-specific differences and the general accident parameters of females and males were compared. Accident data from three different European countries (Austria, Netherlands, Sweden) were analyzed. Read More

J Trauma Acute Care Surg 2021 Apr 8. Epub 2021 Apr 8.

Trauma & Combat Medicine Branch, Surgeon General's Headquarters, Israel Defense Forces, Ramat Gan, Israel. Department of Medicine 'B', Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel; affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Department of General Surgery and Transplantation-Surgery B, Chaim Sheba Medical Center, Tel Hashomer, Affiliated to Sackler School of Medicine, Tel Aviv, Israel. The Azrieli Faculty of Medicine, Bar-Ilan University, Safad, Israel. Uniformed Services University of the Health Sciences, Bethesda, Maryland Surgeon General's Headquarters, Israel Defense Forces, Ramat Gan, Israel Research and Academic Division, Israel Defense Forces Medical Corps, Ramat Gan, Israel; Department of Military Medicine, Jerusalem, Israel.

Background: Ocular injuries account for up to 13% of battle injuries, despite the implementation of advanced protective eyewear (PE). This study aims to describe the extent of ocular injuries over the last years among Israel Defense Force (IDF) soldiers, and to examine the change in PE policy introduced in 2013 and the effect of a high-intensity conflict on ocular injury characteristics.

Methods: This retrospective registry-based analysis derived data from the IDF Trauma Registry (IDF-TR) and included soldiers who sustained combat-related ocular injuries between the years 2013 and 2019. Read More

Emerg Med J 2021 Jun 9. Epub 2021 Jun 9.

Department of Surgery, Carver College of Medicine, The University of Iowa, Iowa City, Iowa, USA.

Background: A consistent approach to cervical spine injury (CSI) clearance for patients 65 and older remains a challenge. Clinical clearance algorithms like the National Emergency X-Radiography Utilisation Study (NEXUS) criteria have variable accuracy and the Canadian C-spine rule excludes older patients. Routine CT of the cervical spine is performed to rule out CSI but at an increased cost and low yield. Read More

Ann Palliat Med 2021 May;10(5):5380-5390

Neurosurgery Department, the Affiliated Hospital of North Sichuan Medical College, Nanchong, China.

Background: A meta-analysis was carried out to study the effect of intracranial pressure monitoring on the prognosis of severe craniocerebral injury and to provide reference for treating craniocerebral diseases.

Methods: A Boolean logic search method was adopted, and "intracranial pressure monitoring", "craniocerebral injury", "prognosis", and "brain injury" were set as search terms. The literature searched included PubMed, Medline, and the China National Knowledge Internet (CNKI), and literature that set non-intracranial pressure monitoring as a control for comparative research was screened. Read More

J Community Health 2021 Jun 9. Epub 2021 Jun 9.

Division of Neurosurgery, Dalhousie University, QEII Health Sciences Centre, Halifax, Canada.

Traumatic brain injury (TBI) is a leading cause of death and disability among adults. Falls and motor vehicle collisions (MVCs) are the most common causes of TBI hospitalizations in Canada. The purpose of this study was to determine whether, at the provincial level, there have been significant changes in the injury rate and causes of major TBI. Read More

Headache 2021 May;61(5):790-791

Department of Neurology, Mayo Clinic Scottsdale, Scottsdale, AZ, USA.

J Spec Oper Med 2021 ;21(2):61-66

Background: Mild traumatic brain injury (mTBI) and its potential long-term consequences is a primary concern for the US military. The purpose of the study is to evaluate if participants improved in anxiety/mood symptoms, sleep quality, and vestibular/ocular symptoms following a 6-month active intervention, and to explore the effect of targeted treatment for those with specific symptoms/impairments (e.g. Read More

J Spec Oper Med 2021 ;21(2):43-48

Special Operations Forces have made brain health a medical priority in recent years, and new guidance identified a new challenge-unconventionally acquired brain injury (UBI). Although this emerging condition is described as a cluster of neurosensory and cognitive symptoms with unknown etiology/ origin, there remain critical questions about how this diagnosis differs from other brain injuries. More importantly, there are limited recommendations about how medical personnel should approach the problem. Read More

J Spec Oper Med 2021 ;21(2):25-28

There are limited options available to the combat medic for management of traumatic brain injury (TBI) with impending or ongoing herniation. Current pararescue and Tactical Combat Casualty Care (TCCC) guidelines prescribe a bolus of 3% or 5% hypertonic saline. However, this fluid bears a tactical burden of weight (~570g) and pack volume (~500cm3). Read More

Georgian Med News 2021 Apr(313):60-65

1State Institution, Dnipropetrovsk Medical Academy, Ministry of Healthcare of Ukraine, Nervous Diseases and Neurosurgery Department, Postgraduate Education Faculty; Ukraine.

Headache after craniocerebral injury is an urgent problem due to its frequent occurrence, tendency towards chronization, and strong patient disadaptation effect. Despite the significant incidence of post-traumatic headache (the PTHA) and related socioeconomic factors, many fundamental aspects of this problem have not been considered adequately. Therefore, the aim of our review is to highlight key points regarding the pathogenetic mechanisms of development, key clinical features, and strategies for optimal management of PTHA. Read More

Injury 2021 May 28. Epub 2021 May 28.

Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.

Objectives: To assess the diagnostic accuracy of physical examination findings used to identify patients at risk for midfacial or mandibular fractures.

Materials And Methods: A five-year retrospective cohort was constructed from all emergency department patients with a midfacial or mandibular trauma. The sensitivity, specificity, pre-test probability, positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio data was calculated for 19 and 14 physical examination findings for midfacial and mandibular fractures respectively. Read More

Biochimie 2021 Jun 5;187:144-151. Epub 2021 Jun 5.

Department of Pharmacology, The Blue Lab, Molecular Pharmacology and Toxicology Division, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences (SIMATS), Chennai, Tamil Nadu, 600 077, India. Electronic address:

Relaxin (RLX) is a heterodimeric, polypeptide hormone that has natural anti-fibrotic activity in many organs. During the chronic liver injury, hepatic stellate cells (HSCs) are phenotypically transformed into myofibroblasts. This process is known as activation of HSCs. Read More

J Orthop Trauma 2021 Jun 5. Epub 2021 Jun 5.

Objective: To better describe the pathoanatomy of young patients' femoral neck fractures with the goal of improving surgeons' decisions for treatment including reduction and fixation.

Design: This is a retrospective study of patient records, plain radiographs, and the modern computed tomography scans to study the pathoanatomy of Pauwels II and III femoral neck fractures (coronal angle >30 degrees) in young adults.

Setting: One American College of Surgeons Level 1 trauma center. Read More

Ann Plast Surg 2021 Jun;86(6S Suppl 5):S510-S516

Division of Plastic and Reconstructive Surgery, Virginia Commonwealth University Medical Center; Richmond, VA.

Background: Dog bite injuries cause significant preventable patient morbidity and health care expenditure in children. This study aimed to characterize the patient and healthcare burden related to pediatric dog bite injuries at a level 1 trauma center.

Methods: This is a retrospective review of 356 pediatric patients who presented to Virginia Commonwealth University Pediatric Emergency Department between July 2007 and August 2017 after sustaining dog bite injuries. Read More

J Int Adv Otol 2021 May;17(3):239-244

Faculty of Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Istanbul University, Istanbul, Turkey.

Objectives: The purpose of the study is to evaluate the audiological, radiological, and examination findings of patients who have been treated for hearing loss (HL) due to head trauma and evaluated in terms of causality to reveal current data, and to highlight the steps to be taken.

Methods: We retrospectively reviewed the reports of cases that had applied for disability with HL due to head injury and had been evaluated by the Forensic Medicine Institute between January 01, 2009 and January 01, 2019.

Results: Of the total cases of head trauma, 52. Read More

Neural Regen Res 2022 Jan;17(1):115-121

Departmant of Otolaryngology and Head Neck Surgery; Department of Neurobiology and Anatomical Sciences, University of Mississippi Medical Center, Jackson, MS, USA.

Exposure to explosive shockwave often leads to blast-induced traumatic brain injury in military and civilian populations. Unprotected ears are most often damaged following exposure to blasts. Although there is an association between tympanic membrane perforation and TBI in blast exposure victims, little is known about how and to what extent blast energy is transmitted to the central nervous system via the external ear canal. Read More

J Clin Orthop Trauma 2021 Aug 20;19:132-138. Epub 2021 May 20.

Medical Student, Parul Institute of Medical Sciences and Research, Parul University, Vadodara, India.

Injury to the distal biceps occurs in certain high risk groups. Anatomical continuity of the lacertus fibrosus has bearing on the extent of retraction of the torn tendon stump. The objective of clinical and imaging evaluation is to discriminate between tendinosis, partial tear, acute complete tear and chronic complete tear. Read More

Emerg Med J 2021 Jun 7. Epub 2021 Jun 7.

Department of Emergency Medicine, Charité University Medicine Berlin, Berlin, Germany.

Background: E-scooters have emerged as a frequently used vehicle in German cities due to their high availability and easy access. However, investigations about the causes and mechanisms of E-scooter incidents and their trauma-specific consequences are rare.

Methods: We analysed all patients involved in E-scooter incidents from June to December 2019 who presented to four inner-city EDs in Berlin. Read More

Oral Maxillofac Surg Clin North Am 2021 Jun 4. Epub 2021 Jun 4.

Oral/Head and Neck Oncology, Legacy Good Samaritan Cancer Center, Portland, OR, USA. Electronic address:

The larynx is a complex anatomic structure and a properly functioning larynx is essential for breathing, voice, and swallowing. Laryngeal trauma is often associated with other injuries, including intracranial injuries, penetrating neck injuries, cervical spine fractures, and facial fractures. Although uncommon, laryngotracheal injuries may lead to life-threatening airway emergencies. Read More