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[PMID]:29419694
[Au] Autor:Jang SH; Kim SH; Lee HD
[Ad] Endereço:Department of Physical Medicine and Rehabilitation.
[Ti] Título:Akinetic mutism following prefrontal injury by an electrical grinder a case report: A diffusion tensor tractography study.
[So] Source:Medicine (Baltimore);97(6):e9845, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: A 72-year-old male had suffered from head trauma resulting from injury to his frontal area by an electrical grinder while working at his home. PATIENT CONCERNS: He lost consciousness for approximately 10 minutes and experienced continuous post-traumatic amnesia. DIAGNOSES: He was diagnosed as traumatic intracerebral hemorrhage in both frontal lobes, intraventricular hemorrhage, and subarachnoid hemorrhage, and underwent decompressive craniectomy and hematoma removal. INTERVENTIONS: The patient's Glasgow Coma Scale score was 5. At 2 months after onset, when starting rehabilitation, he showed no spontaneous movement or speech; he remained in a lying position all day with no spontaneous activity. OUTCOMES: On 2-month diffusion tensor tractography, decreased neural connectivity of the caudate nucleus to the medial prefrontal cortex (PFC, Broadmann area [BA]: 10 and 12) and orbitofrontal cortex (BA 11 and 13) was observed in both hemispheres. LESSONS: Akinetic mutism following prefrontal injury.
[Mh] Termos MeSH primário: Afasia Acinética
Hemorragia Cerebral Traumática
Craniectomia Descompressiva
Córtex Pré-Frontal
[Mh] Termos MeSH secundário: Acidentes Domésticos
Idoso
Afasia Acinética/diagnóstico
Afasia Acinética/etiologia
Afasia Acinética/fisiopatologia
Afasia Acinética/cirurgia
Hemorragia Cerebral Traumática/diagnóstico
Hemorragia Cerebral Traumática/etiologia
Hemorragia Cerebral Traumática/cirurgia
Craniectomia Descompressiva/efeitos adversos
Craniectomia Descompressiva/métodos
Imagem de Tensor de Difusão/métodos
Equipamentos e Provisões Elétricas
Escala de Coma de Glasgow
Seres Humanos
Masculino
Córtex Pré-Frontal/diagnóstico por imagem
Córtex Pré-Frontal/lesões
Resultado do Tratamento
[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:180209
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009845


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[PMID]:29187941
[Au] Autor:Mohamed AS; Sagna A; Fall M; Ndoye NA; Mbaye PA; Fall AL; Diaby A; Ndour O; Ngom G
[Ad] Endereço:Centre de Santé des HLM de Dakar, Sénégal.
[Ti] Título:[Accidents of the everyday life (AcVC) in children in Dakar: about 201 cases].
[Ti] Título:Les accidents de la vie courante chez l'enfant à Dakar: à propos de 201 cas..
[So] Source:Pan Afr Med J;27:272, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Accidents of everyday life (AcVC) are common in children and can led to disabling injuries and death. This study aimed to analyze the epidemiological aspects of AcVC and the related injury mechanisms in Dakar. We conducted a descriptive, cross-sectional study conducted from 1 January 2013 to 30 June 2013. All the children victims of domestic accidents, sport and leisure accidents or school accidents were included. We studied some general parameters and some parameters related to each type of AcVC. Two hundred and one children were included, accounting for 27% of emergency consultations. There were 148 boys and 53 girls. Children less than 5 years of age were most affected (37.8%). Football and wrestling game were the main causes of AcVC. AcVC occur mainly at home (58.2%) and in the areas of sport and recreation (31.8%). The fractures predominated in the different types of AcVC: 54.9% of domestic accidents, 68.8% of sport and recreation accidents and 40% of school accidents. From an epidemiological perspective, our results are superimposable to literature. Fractures predominated contrary to literature where bruises were preponderant. Wrestling game is the main cause of these fractures, after football. The acquisition of knowledge about the epidemiological aspects of AcVC and the related injury mechanisms will allow for prevention campaigns in Dakar.
[Mh] Termos MeSH primário: Acidentes por Quedas/estatística & dados numéricos
Acidentes Domésticos/estatística & dados numéricos
Traumatismos em Atletas/epidemiologia
Fraturas Ósseas/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Distribuição por Idade
Criança
Pré-Escolar
Estudos Transversais
Serviço Hospitalar de Emergência/estatística & dados numéricos
Feminino
Fraturas Ósseas/etiologia
Hospitais Universitários
Seres Humanos
Lactente
Recém-Nascido
Masculino
Senegal/epidemiologia
Distribuição por Sexo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171219
[Lr] Data última revisão:
171219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.272.6759


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[PMID]:28665287
[Au] Autor:Gudjonsdottir GA; Thordardottir AM; Kristinsson J
[Ti] Título:[A prospective study on acute poisonings presenting to the Emergency Department at Landspitali University Hospital in Iceland 2012].
[So] Source:Laeknabladid;103(6):275-280, 2017 Juni.
[Is] ISSN:0023-7213
[Cp] País de publicação:Iceland
[La] Idioma:ice
[Ab] Resumo:INTRODUCTION: The purpose of the study was to assess the incidence and type of toxic exposures presenting to the Emergency Department (ED) at Landspitali University Hospital in Iceland over one year and compare the results to another study performed eleven years before. METHODS: The study was prospective and included all visits due to acute poisoning to the ED between January 1, and December 31, 2012. RESULTS: A total of 977 toxic exposures were documented. Females were 554 (57%) and males 423 (43%). The age range was from 2 months to 96 years old. More than half of the patients were under 30 years old. The majority of exposures occurred in private homes and ingestion was the most common route of exposure. Deliberate poisonings accounted for 66% of all the poisonings and 76% had drugs and/or alcohol as their main cause. Exposures to chemicals other than drugs were usually unintentional and 31% of them were occupational exposures. 80% of patients received treatment and were discharged from the ED, 20% were admitted to other departments, thereof 21% to ICU. Two patients died (0.2%). CONCLUSION: A slight but statistically unsignificant increase in incidence was observed. Females outnumbered males. Self-poisonings by ingestion of drugs and/or alcohol accounted for the majority of cases. The age range was wide, but the incidence was higher with young people. Mortality was low. Key words: toxicology, acute poisoning, epidemiology, self-poisoning. Correspondence: Gudborg Audur Gudjonsdottir, gudborgg@gmail.com.
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência
Hospitais Universitários
Envenenamento/epidemiologia
[Mh] Termos MeSH secundário: Acidentes Domésticos
Acidentes de Trabalho
Doença Aguda
Adolescente
Adulto
Distribuição por Idade
Idoso
Idoso de 80 Anos ou mais
Criança
Pré-Escolar
Feminino
Mortalidade Hospitalar
Seres Humanos
Islândia
Incidência
Lactente
Recém-Nascido
Masculino
Meia-Idade
Exposição Ocupacional/efeitos adversos
Envenenamento/diagnóstico
Envenenamento/mortalidade
Envenenamento/terapia
Estudos Prospectivos
Distribuição por Sexo
Tentativa de Suicídio
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170701
[St] Status:MEDLINE
[do] DOI:/10.17992/lbl.2017.06.140


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[PMID]:28594246
[Au] Autor:Heise CW; Malashock H; Brooks DE
[Ad] Endereço:a Center for Toxicology & Pharmacology Education and Research , College of Medicine - Phoenix, University of Arizona , Phoenix , AZ , USA.
[Ti] Título:A review of vilazodone exposures with focus on serotonin syndrome effects.
[So] Source:Clin Toxicol (Phila);55(9):1004-1007, 2017 Nov.
[Is] ISSN:1556-9519
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Vilazodone is an antidepressant with selective serotonin reuptake inhibition and partial 5HT1A agonism. Serotonin syndrome is believed to be due to excessive stimulation of 5-HT2A and 5-HT1A receptors, resulting in the clinical triad of altered mentation, autonomic instability and neuromuscular abnormalities. The goal of this study is to define serotonergic effects after vilazodone exposure. METHODS: A retrospective review of two databases: the American Association of Poison Controls Centers' National Poison Data System (NPDS) and the American College of Medical Toxicology's Toxicology Investigators Consortium (ToxIC Registry). A case series of four patients from one medical toxicology service is also presented. RESULTS: During the 52-month study period, a total of 3192 vilazodone human exposures were reported to NPDS. Of these, 1734 (54%) were isolated vilazodone cases. The clinical effects of vilazodone toxicity included drowsiness (20%), vomiting (14%), tachycardia (11%) and agitation (10%). Most patients (71%) had symptoms for between 2 and 24 h, though some (14%) remained symptomatic for more than 24 h. The most common treatment was intravenous fluids (15%) and the most serious intubation (2%). From the ToxIC Registry, a total of 23 cases of vilazodone exposures were identified. Of these, 17 (74%) had vilazodone listed as the first (primary) agent and 10 (43%) involved vilazodone-only ingestions. Nine (39%) cases documented serotonin syndrome; and most (8/9; 89%) listed vilazodone as the primary agent. All (n = 4) subjects in the case series with acute vilazodone toxicity had serotonin syndrome. CONCLUSIONS: Vilazodone overdose, including vilazodone-only ingestions, are associated with serotonin syndrome. Serotonergic toxicity and appropriate treatments should be considered when caring for patients with vilazodone ingestions.
[Mh] Termos MeSH primário: Antidepressivos/envenenamento
Agonistas de Receptores 5-HT1 de Serotonina/envenenamento
Síndrome da Serotonina/induzido quimicamente
Inibidores da Captação de Serotonina/envenenamento
Cloridrato de Vilazodona/envenenamento
[Mh] Termos MeSH secundário: Acidentes Domésticos
Adolescente
Adulto
Criança
Pré-Escolar
Bases de Dados Factuais
Overdose de Drogas
Agonismo Parcial de Drogas
Feminino
Hidratação
Seres Humanos
Masculino
Centros de Controle de Intoxicações
Estudos Retrospectivos
Síndrome da Serotonina/sangue
Síndrome da Serotonina/diagnóstico
Tentativa de Suicídio
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antidepressive Agents); 0 (Serotonin 5-HT1 Receptor Agonists); 0 (Serotonin Uptake Inhibitors); U8HTX2GK8J (Vilazodone Hydrochloride)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170609
[St] Status:MEDLINE
[do] DOI:10.1080/15563650.2017.1332369


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[PMID]:28443378
[Au] Autor:Day RC; Bradberry SM; Sandilands EA; Thomas SHL; Thompson JP; Vale JA
[Ad] Endereço:a NPIS (Birmingham Unit) , City Hospital , Birmingham , UK.
[Ti] Título:Toxicity resulting from exposure to oven cleaners as reported to the UK National Poisons Information Service (NPIS) from 2009 to 2015.
[So] Source:Clin Toxicol (Phila);55(7):645-651, 2017 Aug.
[Is] ISSN:1556-9519
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Oven cleaning products contain corrosive substances, typically sodium or potassium hydroxide. OBJECTIVE: To determine the reported toxicity from exposure to oven cleaning products. METHODS: Telephone enquiries to the UK National Poisons Information Service regarding oven cleaning products were analysed retrospectively for the period January 2009 to December 2015. RESULTS: There were 796 enquiries relating to 780 patients. Ninety-six percent of the products involved in the reported exposures contained sodium hydroxide and/or potassium hydroxide. Ingestion alone (n = 285) or skin contact alone (n = 208) accounted for the majority of cases; inhalation alone (n = 101), eye contact alone (n = 97), and multiple routes of exposure (n = 89) accounted for the remainder. Ninety-five percent of patients exposed by inhalation, 94% exposed dermally and 85% reporting eye exposure, developed features of toxicity. Patients exposed by multiple routes developed symptoms in 70% of cases. Only 103 of the 285 patients ingested oven cleaner directly, whereas 182 patients ingested food they considered to have been contaminated with oven cleaner. In 100 of the 103 direct ingestions where the features and World Health Organisation/International Programme on Chemical Safety/European Commission/European Association of Poison Centres and Clinical Toxicologists Poisoning Severity Score were known, 56 reported symptoms which were minor in 51 cases. The most common features following ingestion were vomiting (n = 26), abdominal pain (n = 22) or pharyngitis (n = 15). Skin burns (n = 91) predominantly involving the hands or arms, occurred in 44% of dermal exposures. Following inhalation, patients frequently developed respiratory features (n = 52) including coughing and chest pain/tightness. Eye pain (n = 43) and conjunctivitis (n = 33) commonly occurred following ocular exposure. CONCLUSIONS: Most (71%) patients exposed to an oven cleaner irrespective of the route of exposure developed features of toxicity, though in most cases only minor features developed; moderate or severe features ensued in ∼4%. Those patients exposed dermally, ophthalmically or by inhalation developed features more frequently (≥85%) than those who ingested a product directly (56%).
[Mh] Termos MeSH primário: Acidentes Domésticos/estatística & dados numéricos
Cáusticos/envenenamento
Culinária/instrumentação
Exposição Ambiental/efeitos adversos
Utensílios Domésticos
Produtos Domésticos/envenenamento
Centros de Controle de Intoxicações/estatística & dados numéricos
Envenenamento/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Pré-Escolar
Desenho de Equipamento
Feminino
Seres Humanos
Lactente
Exposição por Inalação/efeitos adversos
Masculino
Meia-Idade
Envenenamento/diagnóstico
Estudos Retrospectivos
Índice de Gravidade de Doença
Fatores de Tempo
Reino Unido/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Caustics)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170427
[St] Status:MEDLINE
[do] DOI:10.1080/15563650.2017.1306070


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[PMID]:28424177
[Au] Autor:Emond A; Sheahan C; Mytton J; Hollén L
[Ad] Endereço:Scar Free Foundation Children's Burns Research Centre, University of Bristol, Bristol, UK.
[Ti] Título:Developmental and behavioural associations of burns and scalds in children: a prospective population-based study.
[So] Source:Arch Dis Child;102(5):428-483, 2017 May.
[Is] ISSN:1468-2044
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate child developmental and behavioural characteristics and risk of burns and scalds. DESIGN: Data on burns in children up to 11 years from 12 966 participants in the Avon Longitudinal Study of Parents and Children were linked to developmental profiles measured before the burn injury. MEASURES: Preinjury profiles of the children derived from maternal questionnaires completed in pregnancy, and at 6, 18, 42, 47 and 54 months. Injury data collected by questionnaire at 6, 15 and 24 months and 3.5, 4.5, 5.5, 6.5, 8.5 and 11 years of age. RESULTS: Incidence: Burn rates were as follows: birth-2 years 71.9/1000/year; 2-4.5 years 42.2/1000/year; 5-11 years 14.3/1000/year. Boys <2 years were more likely to sustain burns, and girls had more burns between age 5 and 11 years. Medical attention was sought for 11% of burn injuries. : Up to age 2 years, burns were more likely in children with the most advanced gross motor developmental scores and the slowest fine motor development. Children with coordination problems at 4.5 years of age had increased risk of burns between 5 and 11 years. No associations were observed with cognitive skills. : At 3.5 years, the Strengths and Difficulties Questionnaire scores and reported frequent temper tantrums predicted subsequent burns in primary school age. After adjustment for confounders, burns in the preschool period were related to gender and motor development, and in school-aged children, to frequent temper tantrums, hyperactivity and coordination difficulties. CONCLUSION: Child factors associated with increased risk of burns were male gender in infancy and female gender at school age, advanced gross motor development, coordination difficulties, hyperactivity and problems with emotional regulation.
[Mh] Termos MeSH primário: Queimaduras/etiologia
Transtornos do Neurodesenvolvimento/complicações
[Mh] Termos MeSH secundário: Acidentes Domésticos/estatística & dados numéricos
Fatores Etários
Queimaduras/epidemiologia
Criança
Pré-Escolar
Escolaridade
Inglaterra/epidemiologia
Feminino
Seres Humanos
Incidência
Lactente
Recém-Nascido
Estudos Longitudinais
Masculino
Transtornos do Neurodesenvolvimento/epidemiologia
Poder Familiar
Estudos Prospectivos
Fatores de Risco
Fatores Sexuais
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170509
[Lr] Data última revisão:
170509
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170421
[St] Status:MEDLINE
[do] DOI:10.1136/archdischild-2016-311644


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[PMID]:28359399
[Au] Autor:Romli MH; Tan MP; Mackenzie L; Lovarini M; Suttanon P; Clemson L
[Ad] Endereço:Discipline of Occupational Therapy, Faculty of Health Sciences, Cumberland Campus, University of Sydney, 75 East Street, Lidcombe, NSW 2141, Australia; Department of Nursing and Rehabilitation, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia. Ele
[Ti] Título:Falls amongst older people in Southeast Asia: a scoping review.
[So] Source:Public Health;145:96-112, 2017 Apr.
[Is] ISSN:1476-5616
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The older population in the Southeast Asian region is accelerating and is expected to surpass the proportion of the ageing population in North America and Europe in the future. This study aims to identify the research literature related to falls among older people in Southeast Asia, to examine current practice and discuss the future direction on falls prevention and interventions in the region. STUDY DESIGN: A scoping review design was used. METHODS: A systematic literature search was conducted using the Medline, CINAHL, AMED, Ageline, PsycINFO, Web of Sciences, Scopus, Thai-Journal Citation Index, MyCite and trial registries databases. RESULTS: Thirty-seven studies and six study protocols were included, from Thailand, Malaysia, Singapore, Vietnam, Indonesia and the Philippines. One-sixth of the studies involved interventions, while the remainder were observational studies. The observational studies mainly determined the falls risk factors. The intervention studies comprised multifactorial interventions and single interventions such as exercises, educational materials and visual correction. Many of the studies replicated international studies and may not have taken into account features unique to Southeast Asia. CONCLUSION: Our review has revealed studies evaluating falls and management of falls in the Southeast Asian context. More research is required from all Southeast Asian countries to prepare for the future challenges of managing falls as the population ages.
[Mh] Termos MeSH primário: Acidentes por Quedas/estatística & dados numéricos
Acidentes Domésticos/prevenção & controle
Exercício
[Mh] Termos MeSH secundário: Acidentes por Quedas/prevenção & controle
Ásia Sudeste/epidemiologia
Comparação Transcultural
Planejamento Ambiental
Europa (Continente)
Seres Humanos
Indonésia
Malásia
Educação de Pacientes como Assunto
Filipinas
Fatores de Risco
Singapura
Tailândia
Vietnã
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170417
[Lr] Data última revisão:
170417
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170401
[St] Status:MEDLINE


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[PMID]:28352989
[Au] Autor:Burke M; Odell M; Bouwer H; Murdoch A
[Ad] Endereço:Victorian Institute of Forensic Medicine, 65 Kavanagh Street, Southbank, Vic, 3006, Australia. michaelb@vifm.org.
[Ti] Título:Electric fences and accidental death.
[So] Source:Forensic Sci Med Pathol;13(2):196-208, 2017 Jun.
[Is] ISSN:1556-2891
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Deaths which occur in association with agricultural electric fences are very rare. In fact, electric fences have undoubtedly saved numerous human and animal lives by safely and reliably keeping livestock confined to their fields and enclosures and thus preventing motor vehicle incidents when livestock get onto roads and highways. Accidental and intentional human contact with electric fences occurs regularly and causes little more than transient discomfort, however, on exceptional occasions, contact with electric fences appears to be directly related to the death of the individual. The precise pathophysiological cause of these deaths is unclear. We present two cases of deaths associated with electric fences, discuss the possible pathophysiological mechanisms in these cases, and suggest a universal approach to the medico-legal investigation and documentation of these deaths.
[Mh] Termos MeSH primário: Acidentes Domésticos
Traumatismos por Eletricidade/complicações
[Mh] Termos MeSH secundário: Idoso
Criança
Traumatismos por Eletricidade/patologia
Feminino
Seres Humanos
Masculino
Insuficiência de Múltiplos Órgãos/induzido quimicamente
População Rural
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170330
[St] Status:MEDLINE
[do] DOI:10.1007/s12024-017-9851-z


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[PMID]:28325679
[Au] Autor:Ren KS; Chounthirath T; Yang J; Friedenberg L; Smith GA
[Ad] Endereço:Center for Injury Research and Policy, The Research Institute of Nationwide Children's Hospital, Columbus, OH, United States; The Ohio State University College of Medicine, Columbus, OH, United States.
[Ti] Título:Children treated for lawn mower-related injuries in US emergency departments, 1990-2014.
[So] Source:Am J Emerg Med;35(6):893-898, 2017 Jun.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Investigate the epidemiology of lawn mower-related injuries to children in the US. METHODS: A retrospective analysis was conducted of children younger than 18years of age treated in US emergency departments for a lawn mower-related injury from 1990 through 2014 using data from the National Electronic Injury Surveillance System. RESULTS: An estimated 212,258 children <18years of age received emergency treatment for lawn mower-related injuries from 1990 through 2014, equaling an average annual rate of 11.9 injuries per 100,000 US children. The annual injury rate decreased by 59.9% during the 25-year study period. The leading diagnosis was a laceration (38.5%) and the most common body region injured was the hand/finger (30.7%). Struck by (21.2%), cut by (19.9%), and contact with a hot surface (14.1%) were the leading mechanisms of injury. Patients <5years old were more likely (RR 7.01; 95% CI: 5.69-8.64) to be injured from contact with a hot surface than older patients. A projectile was associated with 49.8% of all injuries among patients injured as bystanders. Patients injured as passengers or bystanders were more likely (RR 3.77; 95% CI: 2.74-5.19) to be admitted to the hospital than lawnmower operators. CONCLUSIONS: Lawn mower-related injuries continue to be a cause of serious morbidity among children. Although the annual injury rate decreased significantly over the study period, the number of injuries is still substantial, indicating the need for additional prevention efforts. In addition to educational approaches, opportunities exist for improvements in mower design and lawn mower safety standards.
[Mh] Termos MeSH primário: Acidentes Domésticos/estatística & dados numéricos
Segurança de Equipamentos
Traumatismos dos Dedos/epidemiologia
Utensílios Domésticos
Lacerações/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Serviço Hospitalar de Emergência
Feminino
Traumatismos dos Dedos/etiologia
Seres Humanos
Lactente
Lacerações/etiologia
Modelos Lineares
Masculino
Estudos Retrospectivos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170803
[Lr] Data última revisão:
170803
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170323
[St] Status:MEDLINE


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[PMID]:28235678
[Au] Autor:Parekh U; Gupta S
[Ad] Endereço:Department of Forensic Medicine, Pramukhswami Medical College, Karamsad, Gujarat, India. Electronic address: utsavnp@charutarhealth.org.
[Ti] Título:Kerosene-a toddler's sin: A five years study at tertiary care hospital in western India.
[So] Source:J Forensic Leg Med;47:24-28, 2017 Apr.
[Is] ISSN:1878-7487
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Acute kerosene poisoning is a preventable health problem in children perceived mainly in developing countries. It influences socioeconomic and cultural status of country due to its contribution in morbidity and mortality. As kerosene is widely used as household energy source in India at rural areas as well as urban, it accounts for significant number of poisoning cases mainly accidental in manner. As there are only handful studies from India on kerosene poisoning in children, we planned this study to evaluate incidence of kerosene poisoning in Western Indian population and its clinico-epidemiotoxicological profile. In this retrospective cross-sectional study, we collected data of all the cases of kerosene poisoning diagnosed during five years from 2009 to 2013 at Shri Krishna hospital situated at Karamsad, Gujarat state of Western India. We observed among total 42 cases, all victims were under 3 years of age. Evening in summer months, rural areas, storage of kerosene in household containers, inadequate parental supervision and door-to-hospitalization period emerged as most serious associated factors. Fever, cough, vomiting, tachypnoea and leucocytosis were commonest manifestations while pneumonia was the most common complication. Signs of central nervous system involvement, leucocytosis and vomiting were significantly correlated with pneumonia. Deaths occurred due to pneumonia. Early diagnosis and treatment of pneumonia may reduce mortality and recommendations are made to reduce the incidence of kerosene poisoning.
[Mh] Termos MeSH primário: Acidentes Domésticos/estatística & dados numéricos
Querosene/envenenamento
[Mh] Termos MeSH secundário: Distribuição por Idade
Pré-Escolar
Tosse/induzido quimicamente
Estudos Transversais
Feminino
Febre/induzido quimicamente
Seres Humanos
Índia/epidemiologia
Lactente
Masculino
Pneumonia Aspirativa/mortalidade
Envenenamento/diagnóstico
Envenenamento/epidemiologia
Estudos Retrospectivos
Estações do Ano
Taquipneia/induzido quimicamente
Vômito/induzido quimicamente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Kerosene)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170226
[St] Status:MEDLINE



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