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Diffuse Axonal and Vascular Pathology in the Gyrencephalic Brain after High-Energy Blunt Injury: Clinicopathological Correlations Involving the Brainstem.
J Neurotrauma
December 2024
Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Traumatic brain injury (TBI) after high-energy, behind helmet blunt trauma (BHBT) is an important but poorly understood clinical entity often associated with apnea and death in humans. In this study, we use a swine model of high-energy BHBT to characterize key neuropathologies and their association with acute respiratory decompensation. Animals with either stable or critical vital signs were euthanized within 4 h after injury for neuropathological assessment, with emphasis on axonal and vascular pathologies in the brainstem.
View Article and Find Full Text PDFHigh speed, high risk: the rise of e-scooter injuries in adolescents.
Pediatr Res
December 2024
Pediatric Emergency Medicine, Boston Children's Hospital, Boston, USA.
The popularity of eco-friendly electric scooters has led to a rise in significant injuries, especially in adolescents. Teens riding e-scooters are more prone to severe traffic accidents and head injuries compared to those using traditional scooters. Risk-taking behaviors, susceptibility to peer influence, limited road safety experience and a lack of protective headgear exacerbate the risks.
View Article and Find Full Text PDFEstimating lives saved and serious injuries reduced by bicycle helmet use in Colorado, 2006-2014.
Int J Inj Contr Saf Promot
December 2024
Department of Civil Engineering, University of Colorado Denver, Denver, CO, USA.
Using the methodology developed by the National Highway Traffic Safety Administration (NHTSA) for motorcyclists, this paper estimates bicycle helmet effectiveness factors (HEFs), defined as the percentage greater chance that a helmeted bicyclist will avoid a fatality or serious injury relative to a non-wearer. We analyse reported motor vehicle-bicycle collisions in Colorado between 2006 and 2014. We conclude that NHTSA's motorcycle HEF methodology did not provide reasonable results given underreporting of low-severity collisions of helmeted bicyclists.
View Article and Find Full Text PDFHow does distraction affect cyclists' severe crashes? A hybrid CatBoost-SHAP and random parameters binary logit approach.
Accid Anal Prev
December 2024
School of Civil Engineering, College of Engineering, University of Tehran, Iran. Electronic address:
Cyclists are among the most vulnerable road users, increasingly subject to various sources of distraction, including the use of mobile phones and engagement in other tasks while navigating urban environments. Understanding and mitigating the impact of these distractions on cyclist safety is crucial. Despite the importance of this issue, the effect of distraction on injury severity in cycling crashes has not been extensively studied.
View Article and Find Full Text PDFOrthopaedic injuries and the use of protective equipment in commercial motorcycle couriers during the Coronavirus Disease 2019 (COVID-19) pandemic: A single level 1 trauma center experience.
Ulus Travma Acil Cerrahi Derg
January 2024
Department Of Orthopaedics And Traumatology, Haseki Training And Research Hospital, Istanbul, Turkey.
Background: The aim of our study is to analyze the orthopedic injuries and the use of protective equipment among commercial motorcycle couriers during the Coronavirus Disease 2019 (COVID-19) pandemic in a level 1 trauma center in Istanbul, to provide epidemiological data, and to serve as a baseline for future studies.
Methods: Commercial motorcycle couriers involved in traffic accidents while working, and who were brought to the emergency department between April 2020 and April 2022, were included in our study. The protective equipment worn at the time of the accidents, including helmets, jackets, pants, gloves, and boots, were recorded.
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