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[PMID]:28452700
[Au] Autor:Ghadersohi S; Ference EH; Detwiller K; Kern RC
[Ad] Endereço:Department of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
[Ti] Título:Presentation, workup, and management of penetrating transorbital and transnasal injuries: A case report and systematic review.
[So] Source:Am J Rhinol Allergy;31(2):29-34, 2017 Mar 01.
[Is] ISSN:1945-8932
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: A foreign body (FB) penetrating intracranially after passing transorbitally or transnasally is a rare occurrence. However, otolaryngologists are increasingly being asked to participate in the care of these patients for both endoscopic removal of the object and repair of any skull base defects. OBJECTIVE: To assess the presentation, workup, and management of transnasal or transorbital penetrating FB injury. METHODS: Systematic review of the presentation, workup, and management of transnasal or transorbital penetrating FB injury; plus, a case report of a 53-year-old woman with a transorbital penetrating rose bush branch. We searched medical literature data bases, which resulted in 215 total titles, which were then narrowed based on inclusion and exclusion criteria. RESULTS: Thirty-five cases of transorbital or transnasal low-velocity trauma that involved the paranasal sinuses were reviewed from 33 articles. The average age was 30 years, 40% of the objects were made of wood. Fifty-seven percent of the cases were transorbital, whereas 43% were transnasal. Forty-six percent of the surgical interventions were completed endoscopically or with endoscopic assistance. Complications of injury were common, with 66% of patients experiencing cerebrospinal fluid leaks; 23%, permanent blindness; 17%, meningitis; 14%, ophthalmoplegia; 9%, decreased visual acuity; and 3%, brain abscess. Our patient presented with a traumatic cerebrospinal fluid leak, and recovered well after transorbital and endoscopic removal of the branch, skull base repair, and a prolonged course of antibiotics and antifungal medications. CONCLUSIONS: Transnasal and transorbital penetrating FB injuries are a relatively uncommon occurrence but when they do occur require rapid workup and interdisciplinary management to prevent acute and delayed complications.
[Mh] Termos MeSH primário: Vazamento de Líquido Cefalorraquidiano/epidemiologia
Traumatismos Craniocerebrais/epidemiologia
Endoscopia
Traumatismos Oculares/epidemiologia
Traumatismos Cranianos Penetrantes/epidemiologia
Órbita/cirurgia
Seios Paranasais/cirurgia
Complicações Pós-Operatórias/epidemiologia
[Mh] Termos MeSH secundário: Vazamento de Líquido Cefalorraquidiano/etiologia
Traumatismos Craniocerebrais/cirurgia
Traumatismos Oculares/cirurgia
Feminino
Corpos Estranhos
Traumatismos Cranianos Penetrantes/cirurgia
Seres Humanos
Meia-Idade
Base do Crânio/cirurgia
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.2500/ajra.2017.31.4421


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[PMID]:29231022
[Au] Autor:Li CH; Huang LN; Zhang MC; He M
[Ad] Endereço:Shanghai Xuhui Mental Health Center, Shanghai 200232, China.
[Ti] Título:[Forensic Psychiatric Assessment for Organic Personality Disorders after Craniocerebral Trauma].
[So] Source:Fa Yi Xue Za Zhi;33(2):158-161, 2017 Apr.
[Is] ISSN:1004-5619
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVES: To explore the occurrence and the differences of clinical manifestations of organic personality disorder with varying degrees of craniocerebral trauma. METHODS: According to the International Classification of Diseases-10, 396 subjects with craniocerebral trauma caused by traffic accidents were diagnosed, and the degrees of craniocerebral trauma were graded. The personality characteristics of all patients were evaluated using the simplified Neuroticism Extraversion Openness Five-Factor Inventory (NEO-FFI). RESULTS: The occurrence rate of organic personality disorder was 34.6% while it was 34.9% and 49.5% in the patients with moderate and severe craniocerebral trauma, respectively, which significantly higher than that in the patients (18.7%) of mild craniocerebral trauma ( <0.05). Compared with the patients without personality disorder, the neuroticism, extraversion and agreeableness scores all showed significantly differences ( <0.05) in the patients of mild craniocerebral trauma with personality disorder; the neuroticism, extraversion, agreeableness and conscientiousness scores showed significantly differences ( >0.05) in the patients of moderate and severe craniocerebral trauma with personality disorder. The agreeableness and conscientiousness scores in the patients of moderate and severe craniocerebral trauma with personality disorder were significantly lower than that of mild craniocerebral trauma, and the patients of severe craniocerebral trauma had a lower score in extraversion than in the patients of mild craniocerebral trauma. CONCLUSIONS: The severity of craniocerebral trauma is closely related to the incidence of organic personality disorder, and it also affects the clinical features of the latter, which provides a certain significance and help for forensic psychiatric assessment.
[Mh] Termos MeSH primário: Traumatismos Craniocerebrais/patologia
Transtornos da Personalidade/psicologia
Transtornos Psicóticos/psicologia
[Mh] Termos MeSH secundário: Seres Humanos
Personalidade
Transtornos da Personalidade/fisiopatologia
Inventário de Personalidade
Transtornos Psicóticos/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.3969/j.issn.1004-5619.2017.02.010


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[PMID]:29206822
[Au] Autor:Berrones-Sanz LD
[Ad] Endereço:Colegio de Ciencia y Tecnología, Universidad Autónoma de la Ciudad de México, Ciudad de México, México.
[Ti] Título:Analysis of accidents and injuries on motorcycles in Mexico.
[Ti] Título:Análisis de los accidentes y las lesiones de los motociclistas en México..
[So] Source:Gac Med Mex;153(6):662-671, 2017 Nov-Dec.
[Is] ISSN:0016-3813
[Cp] País de publicação:Mexico
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To analyze the type of injuries and the characteristics and geographical distribution of road accidents where motorcycles were involved in Mexico. METHODS: A descriptive analysis of second-hand information sources was conducted, including the number of accidents (N = 41,881), total number of injured people (N = 13,916) and medical expenses (N = 9,111) associated to motorcycle accidents during 2014. RESULTS: Motorcycles represent 13.14% of the total number of deaths in road accidents in Mexico, and the Southeast region of Mexico registers the highest proportion of fatal injuries. Of the total number of motorcycles, 1.84% (95% confidence interval [CI]: 1.83-1.86) were involved in a collision. 3.64 (95% CI: 3.39-3.89) people died and 105.5 (95% CI: 104.1-106.8) were injured in every 10,000. Out of the total number of injuries, 76.6% were male and 53.74% were women. 55.1% of deaths were caused by intracranial trauma. Only 16.6% wore a helmet at the time of the accident, and those not wearing a helmet had a 2.11 (odds ratio [OR]: 2.1; CI 95%: 1.8-2.4) higher chance of head injury. Regarding the severity of the crash, those occurred in suburban areas (OR: 6.58; CI 95%: 5.69-7.60), in unpaved surfaces (OR: 4.13; CI 95%: 3.04-5.61), after low alcohol consumption (OR: 1.89; CI 95%: 1.46-2.44), at night (OR: 2.24; CI 95%: 1.95-2.57) and on weekends (OR: 1.65; CI 95%: 1.44-1.90), had the highest chance of turning into a fatal accident. CONCLUSIONS: In spite of the progress made in terms of road safety, motorcycle accidents are still increasing, and the use of a helmet is still proportionally low. More information on these groups and risk factors needs to be available so people are better informed. Also, regulations need improvements regarding the use of security equipment like helmets in order to reduce injuries and fatal accidents.
[Mh] Termos MeSH primário: Acidentes de Trânsito/estatística & dados numéricos
Traumatismos Craniocerebrais/epidemiologia
Motocicletas/estatística & dados numéricos
Ferimentos e Lesões/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Pré-Escolar
Traumatismos Craniocerebrais/mortalidade
Feminino
Dispositivos de Proteção da Cabeça/utilização
Seres Humanos
Lactente
Masculino
México/epidemiologia
Meia-Idade
Fatores de Risco
Ferimentos e Lesões/mortalidade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.24875/GMM.017002812


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[PMID]:29206821
[Au] Autor:Muro-Báez VA; Mendoza-García ME; Vera-López JD; Pérez-Núñez R
[Ad] Endereço:Estudiante de la Licenciatura en Sociología, Secretariado Técnico del Consejo Nacional para la Prevención de Accidentes, Secretaría de Salud México, Ciudad de México, México.
[Ti] Título:[Analysis of road traffic injuries in Mexican cyclists].
[Ti] Título:Análisis de las lesiones causadas por el tránsito sufridas por ciclistas en México..
[So] Source:Gac Med Mex;153(6):653-661, 2017 Nov-Dec.
[Is] ISSN:0016-3813
[Cp] País de publicação:Mexico
[La] Idioma:spa
[Ab] Resumo:With the objective of analyzing fatal and non-fatal road traffic injuries in cyclists and to document helmet use in this road user to inform sustainable mobility policies, a descriptive analysis of four secondary official information sources was conducted at the national level: mortality, Ministry of Health's hospital discharges, Unintentional and Violence Registry System (SIS-SS-17-P) and the 2012 National Health and Nutrition Survey (ENSANUT). Only SIS-SS-17-P and ENSANUT document helmet use. Except for ENSANUT information analyzed is of 2014.A total of 190 cyclists died in Mexico during 2014 and 392 were hospitalized; head was the anatomical region most frequently affected (63% and 32%, respectively). Only 0.75% of the 667 cases registered in SIS-17 reported helmet use and 24% suffered head injuries. Of the 165,348 non-fatally injured cyclists from ENSANUT <10% used helmet, 24% had head injuries and more than 16,000 suffered permanent injuries. Whereas cyclist-friendly infrastructure is an effective intervention to prevent injuries in the long term, helmet use could potentially reduce the frequency and severity of head injuries in the short run while bicycle use widespread as a means of transportation providing "safety in numbers".
[Mh] Termos MeSH primário: Acidentes de Trânsito/estatística & dados numéricos
Ciclismo/lesões
Traumatismos Craniocerebrais/epidemiologia
Ferimentos e Lesões/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Ciclismo/estatística & dados numéricos
Criança
Estudos Transversais
Feminino
Dispositivos de Proteção da Cabeça/utilização
Inquéritos Epidemiológicos
Hospitalização/estatística & dados numéricos
Seres Humanos
Masculino
México
Meia-Idade
Sistema de Registros
Índices de Gravidade do Trauma
Ferimentos e Lesões/mortalidade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.24875/GMM.17002632


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[PMID]:29342208
[Au] Autor:Pai CW; Lin HY; Tsai SH; Chen PL
[Ad] Endereço:Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, Taipei, Taiwan.
[Ti] Título:Comparison of traffic-injury related hospitalisation between bicyclists and motorcyclists in Taiwan.
[So] Source:PLoS One;13(1):e0191221, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Bicyclists and motorcyclists contribute substantially to the morbidity and mortality rates of road crash casualties. The objective of the study was to investigate the crash characteristics of bicyclist and motorcyclist casualties presented to hospitals in Taiwan resulting from crashes. METHODS: By using linked data from The National Traffic Crash Dataset and the National Health Insurance Database between 2003 and 2012, logistic regression models were used to examine the determinants of hospitalisation among motorcyclist and bicyclist casualties. The examined variables include demographic characteristics, road and weather conditions, and vehicle characteristics. RESULTS: A total of 1,998,606 two-wheelers were enrolled in the study, of whom 216,600 were hospitalised: 203,623 were motorcyclists and 12,964 were bicyclists. Bicyclists were more likely to be hospitalised than motorcyclists were (14.0% vs. 10.7%). The pooled logistic regression model shows that bicyclists had higher odds of hospitalisation than motorcyclists (adjusted odds ratio [AOR] = 1.11, 95% confident interval [CI] = 1.08-1.14). In the motorcyclist and bicyclist models, helmet non-use appears to be a determinant of hospitalisation for motorcyclists (AOR = 1.14, CI = 1.12-1.16), although insignificant for cyclists (AOR = 1.03, CI = 0.94-1.12). Other important determinants of hospitalisation for motorcyclists and cyclists include female riders, elderly riders, rural roadways, unlicensed riding (for motorcyclists only), curved roadways, defective roadways, alcohol consumption (only for motorcyclists), and single-vehicle crashes (for motorcyclists only). CONCLUSIONS: The result that bicyclists had an increased probability of being hospitalised than motorcyclists is particularly noteworthy, because there have recently been much more users of bikesharing systems in metropolitan cities where cycle helmets are not provided. We further found that helmet non-use was also a risk factor for motorcyclists, but insignificant for cyclists, possibly due to lower helmet utilization rates among bicyclists. Our findings regarding the increased hospitalisation percentage emphasize the importance of helmet use.
[Mh] Termos MeSH primário: Acidentes de Trânsito
Ciclismo/lesões
Hospitalização
Motocicletas
[Mh] Termos MeSH secundário: Acidentes de Trânsito/mortalidade
Acidentes de Trânsito/estatística & dados numéricos
Acidentes de Trânsito/tendências
Adolescente
Adulto
Idoso
Ciclismo/estatística & dados numéricos
Ciclismo/tendências
Traumatismos Craniocerebrais/epidemiologia
Traumatismos Craniocerebrais/mortalidade
Feminino
Dispositivos de Proteção da Cabeça/utilização
Hospitalização/estatística & dados numéricos
Hospitalização/tendências
Seres Humanos
Escala de Gravidade do Ferimento
Modelos Logísticos
Masculino
Meia-Idade
Motocicletas/estatística & dados numéricos
Razão de Chances
Fatores de Risco
Taiwan/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180118
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191221


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[PMID]:29384955
[Au] Autor:Wang D; Sun XM; Wu J
[Ad] Endereço:Department of Oral and Maxillofacial Surgery, Dongguan People's Hospital, Dongguan.
[Ti] Título:A rare case report of complications in craniofacial injuries: Cavernous sinus-carotid fistula.
[So] Source:Medicine (Baltimore);96(52):e9511, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Cavernous sinus-carotid fistula (CCF) is a rare complication of craniofacial injuries in patients receiving oral and maxillofacial surgical care. PATIENT CONCERNS: A retrospective review of 15 patients with CCF records was conducted. In addition, we present a rare case of a 32-year-old Chinese woman with CCF receiving oral and maxillofacial surgical care. DIAGNOSES: Digital subtraction angiography (DSA) confirmed a diagnosis of CCF. INTERVENTIONS: Endovascular surgery was performed via the femoral artery under general anesthesia without any complications. OUTCOMES: The postoperative course was uneventful, and the subjective and objective ophthalmic symptoms had resolved. LESSONS: The symptoms of CCF may be delayed for several days or weeks. Thus, maxillofacial surgeons should be aware of this and avoid the untimely repair of facial fractures with potentially disastrous consequences. Interventional neuroradiologic approaches that involve the use of a detachable balloon have made it possible to care for patients with CCF without any complications.
[Mh] Termos MeSH primário: Fístula Carotidocavernosa/etiologia
Traumatismos Craniocerebrais/complicações
[Mh] Termos MeSH secundário: Adulto
Angiografia Digital
Fístula Carotidocavernosa/cirurgia
Traumatismos Craniocerebrais/cirurgia
Traumatismos Faciais/complicações
Traumatismos Faciais/cirurgia
Feminino
Seres Humanos
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009511


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[PMID]:29205975
[Au] Autor:Wang JW; Huang J; Li ZD; Zou DH; Li Z; Wang J; Chen YJ
[Ad] Endereço:School of Forensic Medicine, Guizhou Medical University, Guiyang 550025, China.
[Ti] Título:[Research Progress on Biomechanics of Craniocerebral Injury in Children].
[So] Source:Fa Yi Xue Za Zhi;32(6):448-431, 2016 Dec.
[Is] ISSN:1004-5619
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:In the researches of biomechanics for child craniocerebral injury, the research progress of performance parameter detection for brain, skull, cranial suture and dura mater, and the finite element model construction for child's head were reviewed. Meanwhile, the shortcomings of the established finite element model construction of child's head were analyzed. Thus, it is necessary to strengthen the material properties parameter detection of child's head, and establish the relevant database, so as to lay the foundation for establishing an accurate finite element model of child's head.
[Mh] Termos MeSH primário: Traumatismos Craniocerebrais/fisiopatologia
[Mh] Termos MeSH secundário: Fenômenos Biomecânicos
Encéfalo/patologia
Criança
Análise de Elementos Finitos
Cabeça/patologia
Seres Humanos
Crânio/lesões
Crânio/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.3969/j.issn.1004-5619.2016.06.014


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[PMID]:29390491
[Au] Autor:Jang SH; Seo JP
[Ad] Endereço:Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daemyungdong, Namku, Taegu, Republic of Korea.
[Ti] Título:Absent-mindedness and injury of the ascending reticular activating system in a patient with mild traumatic brain injury: A case report.
[So] Source:Medicine (Baltimore);96(51):e9289, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: No study on the association of absent-mindedness and injury of the ascending reticular activating system (ARAS) has been reported. We report on a patient who showed absent-mindedness and injury of the ARAS following mild traumatic brain injury. PATIENT CONCERNS: The patient complained of absent-mindedness since the head trauma, which was mainly observed while dining for several (5-10) minutes approximately 3 to 4 times a day: according to the patient's family, he usually stopped eating while holding the spoon in the air for approximately 5∼10 minutes. DIAGNOSES: A 19-year-old man suffered from head trauma resulting from being hit on his head by a falling glass from a large window (1.5 × 2 m, approximately 100 kg) at a cafe. INTERVENTIONS: His absent-mindedness showed slow improvement with the passage of time and had almost disappeared at seven months after onset. OUTCOMES: The lower portion of both lower dorsal ARAS and the upper portion of the left lower ventral ARAS of the patient were thinner, and partial tearing was observed in the right lower ventral ARAS. Decreased neural connectivity of the intralaminar thalamic nucleus to the prefrontal cortex, basal forebrain, parietal cortex, and occipital cortex was detected in both hemispheres. LESSONS: Injury of the ARAS and injury of the cerebral cortex was demonstrated in a patient with absent-mindedness following mild traumatic brain injury. The absent-mindedness in this patient might be related to the injury of the ARAS.
[Mh] Termos MeSH primário: Concussão Encefálica/complicações
Traumatismos Craniocerebrais/complicações
Núcleos Intralaminares do Tálamo/lesões
Transtornos da Memória/etiologia
[Mh] Termos MeSH secundário: Concussão Encefálica/diagnóstico
Córtex Cerebral/lesões
Traumatismos Craniocerebrais/diagnóstico por imagem
Seguimentos
Seres Humanos
Escala de Gravidade do Ferimento
Masculino
Transtornos da Memória/fisiopatologia
Testes Neuropsicológicos
Índice de Gravidade de Doença
Fatores de Tempo
Tomografia Computadorizada de Emissão de Fóton Único/métodos
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009289


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[PMID]:28448166
[Au] Autor:Ha NT; Ederer D; Vo VAH; Pham AV; Mounts A; Nolen LD; Sugerman D
[Ad] Endereço:a Institute of Public Health , Ho Chi Minh City , Vietnam.
[Ti] Título:Changes in motorcycle-related injuries and deaths after mandatory motorcycle helmet law in a district of Vietnam.
[So] Source:Traffic Inj Prev;19(1):75-80, 2018 01 02.
[Is] ISSN:1538-957X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Our study measured the change in head injuries and deaths among motorcycle users in Cu Chi district, a suburban district of Ho Chi Minh City. METHODS: Hospital records for road traffic injuries (RTIs) were collected from the Cu Chi Trauma Centre and motorcycle-related death records were obtained from mortality registries in commune health offices. Head injury severity was categorized using the Abbreviated Injury Score (AIS). Rate ratios (RRs) were used to compare rates pre- and post-law (2005/2006-2009/2010). Cu Chi's population, stratified by year, age, and sex, was used as the denominator. RESULTS: Of records identifying the transportation mode at the time of injury, motorcyclists accounted for most injuries (3,035, 87%) and deaths (238, 90%). Head injuries accounted for 70% of motorcycle-related hospitalizations. Helmet use was not recorded in any death records and not in 97% of medical records. Males accounted for most injuries (73%) and deaths (88%). The median age was 28 years and 32 years for injuries and deaths, respectively. Compared to the pre-law period, rates of motorcycle injuries (RR = 0.53; 95% confidence interval [CI], 0.49-0.58), head injuries (RR = 0.35; 95% CI, 0.31-0.39), severe head injuries (RR = 0.47; 95% CI, 0.34-0.63), and deaths (RR = 0.69; 95% CI, 0.53-0.89) significantly decreased in the post-law period. CONCLUSIONS: Rates of head injuries and deaths among motorcycle riders decreased significantly after implementation of the mandatory helmet law in Vietnam. To further examine the impact of the motorcycle helmet law, including compliance and helmet quality, further emphasis should be placed on gathering helmet use data from injured motorcyclists.
[Mh] Termos MeSH primário: Acidentes de Trânsito/mortalidade
Traumatismos Craniocerebrais/mortalidade
Traumatismos Craniocerebrais/prevenção & controle
Dispositivos de Proteção da Cabeça/utilização
Motocicletas/legislação & jurisprudência
[Mh] Termos MeSH secundário: Acidentes de Trânsito/estatística & dados numéricos
Adolescente
Adulto
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Meia-Idade
Vietnã/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE
[do] DOI:10.1080/15389588.2017.1322203


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[PMID]:28468224
[Au] Autor:Gan Q; Zhao H; Zhang H; You C
[Ad] Endereço:*Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu †Department of Neurosurgery, First Affiliated Hospital of Kunming Medical University, Kunming ‡Department of Radiology, West China Hospital, Sichuan University, Chengdu, China.
[Ti] Título:Rapid Spontaneously Resolving Acute Subdural Hematoma.
[So] Source:J Craniofac Surg;28(3):e287-e289, 2017 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: This study reports a rare patient of a rapid spontaneously resolving acute subdural hematoma. In addition, an analysis of potential clues for the phenomenon is presented with a review of the literature. PATIENT PRESENTATION: A 1-year-and-2-month-old boy fell from a height of approximately 2 m. The patient was in a superficial coma with a Glasgow Coma Scale of 8 when he was transferred to the authors' hospital. Computed tomography revealed the presence of an acute subdural hematoma with a midline shift beyond 1 cm. His guardians refused invasive interventions and chose conservative treatment. Repeat imaging after 15 hours showed the evident resolution of the hematoma and midline reversion. Progressive magnetic resonance imaging demonstrated the complete resolution of the hematoma, without redistribution to a remote site. CONCLUSIONS: Even though this phenomenon has a low incidence, the probability of a rapid spontaneously resolving acute subdural hematoma should be considered when patients present with the following characteristics: children or elderly individuals suffering from mild to moderate head trauma; stable or rapidly recovered consciousness; and simple acute subdural hematoma with a moderate thickness and a particularly low-density band in computed tomography scans.
[Mh] Termos MeSH primário: Traumatismos Craniocerebrais/complicações
Hematoma Subdural Agudo/diagnóstico
[Mh] Termos MeSH secundário: Hematoma Subdural Agudo/etiologia
Seres Humanos
Lactente
Imagem por Ressonância Magnética
Masculino
Remissão Espontânea
Fatores de Tempo
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180202
[Lr] Data última revisão:
180202
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003533



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