Of all phases of flight operations, accidents during landings are the most frequent. Of these, poor speed management during landing has ramifications for injury severity since: 1) impact forces increase as a square of forward velocity; and 2) an aerodynamic stall, associated with inadequate landing speed, imparts high vertical G forces. Herein, the proportion of landing accidents involving deficient airspeed control and occupant injury severity was determined. General aviation landing accidents (1997-2016) were identified from the NTSB database. An accident involving high-airspeed (high-energy) was one for which the NTSB cited airplane porpoising, multiple bounces, or floating, whereas an inadequate airspeed related (low energy) mishap was one citing this term or in which an aerodynamic stall occurred. An anonymous online survey of certificated pilots was used to inform landing technique. Statistical analyses used Poisson distribution and Chi-squared tests. Relative to the earliest period (1997-2001), the landing accident rate was undiminished for more recent years (2007-2016). Of 235 accidents, 38% involved high-energy, whereas 4% were inadequate airspeed-related. For the former, 17% resulted in occupants with fatal-serious injuries, twofold higher than for mishaps with no evidence of mis-speed. Of 1392 survey respondents, 73% selected a landing airspeed higher than required for an under-maximum weight airplane. For landing accidents involving airspeed mismanagement, those related to excessive energy predominate and are associated with more severe injuries. Two mitigating strategies are advanced: 1) pilot training should discuss landing airspeed adjustment for aircraft weight; and 2) installation of inflatable restraints for reducing injury severity should be encouraged.
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http://dx.doi.org/10.3357/AMHP.5249.2019 | DOI Listing |
Lymphat Res Biol
January 2025
Department of Plastic and Reconstructive, Aesthetic Surgery, Toyama University Hospital, Toyama, Japan.
We report the usefulness of a tapered cutting needle, which has a polyhedral tip similar to that of a square needle and transitions to a round tip in the middle, for super-microsurgery. We have performed more than 500 lymphaticovenular anastomoses (LVAs) using tapered cutting needles. Therefore, we investigated the caliber of the anastomosed lymphatic vessels and veins, characteristics of the lymphatic vessels, the time required to perform the anastomosis, damage to the lymphatic vessels and veins during anastomosis, and patency of 30 recently performed consecutive anastomoses.
View Article and Find Full Text PDFJ Bone Joint Surg Am
January 2025
Shriners Children's Northern California, Sacramento, California.
Background: Magnetic resonance imaging (MRI) has not been routinely used for infants with brachial plexus birth injury (BPBI); instead, the decision to operate is based on the trajectory of clinical recovery by 6 months of age. The aim of this study was to develop an MRI protocol that can be performed without sedation or contrast in order to identify infants who would benefit from surgery at an earlier age than the age at which that decision could be made clinically.
Methods: This prospective multicenter NAPTIME (Non-Anesthetized Plexus Technique for Infant MRI Evaluation) study included infants aged 28 to 120 days with BPBI from 3 tertiary care centers.
J Trauma Nurs
January 2025
Department of Surgery, Morristown Medical Center, Morristown, New Jersey.
Background: Motorcycle and equestrian accidents can share similar trauma mechanisms and can result in serious injuries.
Objective: This study aims to analyze variations in injuries and safety standards through types, severity, and outcomes of traumatic injuries in both motorcycle and equestrian riders.
Methods: Using the 2020 ACS TQIP database, we split patients into two groups based on their primary injury.
PLoS One
January 2025
College of Medicine, King Faisal University, Alahsa, Saudi Arabia.
Acute kidney injury (AKI) is a frequent clinical complication lacking early diagnostic tests and effective treatments. Novel biomarkers have shown promise for enabling earlier detection, risk stratification, and guiding management of AKI. We conducted a systematic review to synthesize evidence on the efficacy of novel biomarkers for AKI detection and management.
View Article and Find Full Text PDFPLoS One
January 2025
Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Songpa-gu, Seoul, Republic of Korea.
Objective: Cubital tunnel syndrome is a common peripheral neuropathy of the upper extremity. Anterior transposition of the ulnar nerve is an established surgical treatment option for this condition. This study aimed to introduce a novel musculofascial lengthening technique that uses only a portion of the flexor-pronator muscle mass for submuscular anterior transposition of the ulnar nerve and investigate its clinical outcomes.
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