Objectives: In Nigeria, owners of commercial minibuses commonly modify them by adding an extra row of seats and passengers also seat four abreast rather than the recommended three abreast. The modified minibuses carry nineteen passengers rather than the recommended twelve passengers. One such vehicle was fully occupied and had a head-on collision with a truck. Eight of the nineteen occupants sustained nine posterior dislocations of the hip joint.
Methods: We compared the seating space and the leg room of a similarly modified vehicle to an unmodified one.
Results: The legroom had been reduced from 120 cm in the unmodified vehicle to between 60 and 70 cm in the modified vehicle. We postulate that the tighter seating space forced the limbs into adduction and the shorter legroom caused the limb to more readily strike the seat in front, causing the hips to dislocate posteriorly.
Conclusions: We recommend that the authorities put a stop to uncensored vehicle modifications to reduce hip injuries.
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http://dx.doi.org/10.1080/15389580802382671 | DOI Listing |
Cureus
December 2024
Department of Anaesthesiology, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Introduction Spinal anesthesia, a commonly used technique for lower abdominal, pelvic, and lower extremity surgeries, involves injecting a local anesthetic into the subarachnoid space to temporarily block sensory, motor, and sympathetic nerves. Despite its high success rate, the failure of spinal anesthesia, which can lead to adverse patient outcomes, remains a concern. The failure rate varies widely, from 1% to 17%, influenced by factors such as technical challenges, patient anatomy, and practitioner experience.
View Article and Find Full Text PDFGravity has long been purported to serve a unique role in sensorimotor coordination, but the specific mechanisms underlying gravity-based visuomotor realignment remain elusive. In this study, astronauts (9 males, 2 females) performed targeted hand movements with eyes open or closed, both on the ground and in weightlessness. Measurements revealed systematic drift in hand-path orientation seen only when eyes were closed and only in very specific conditions with respect to gravity.
View Article and Find Full Text PDFIntegr Environ Assess Manag
January 2025
Bishan District of Chongqing Modern Service Industry Development Promotion Centre, Chongqing, China.
The rapid development of China's economy and the acceleration of the urbanization process have led to a significant increase in carbon emissions, and more effective policies are urgently needed. As the first city in China to be approved for the overall master plan of territorial space, Chongqing is facing new opportunities in urban construction. This research constructed a classification system of the territorial space functional areas in Chongqing (CQ-TSFA) and matched the corresponding carbon emission and carbon sequestration projects.
View Article and Find Full Text PDFSci Rep
January 2025
Department of Cognitive and Brain Sciences, Ben-Gurion University of the Negev, 1 Ben-Gurion Blvd, Beer-Sheva, Israel.
During flight, spatial disorientation (SD) commonly occurs when a pilot's perception conflicts with the aircraft's actual motion, attitude, or position. A prevalent form of SD is the somatogyral illusion, which is elicited by constant speed rotation and causes a false perception of motion in the opposite direction when the rotation ceases. This research aimed to investigate changes in brain activity that occur when experiencing a somatogyral illusion by simulating conditions closely mimicking flight conditions to gain insight into how to better manage this illusion during flight.
View Article and Find Full Text PDFA A Pract
January 2025
Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota.
This case report describes a 29-year-old patient with cerebral palsy whose mother, for safety reasons, requested that before extubation in the postanesthesia care unit, her son be transferred from the padded stretcher to his personal motorized wheelchair. Using a sling lift, we safely transferred the anesthetized, intubated patient from a supine position to an upright sitting position. Although sling lifts are often used in critical care and rehabilitation environments, use in the perioperative space is rare.
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