In Japan, traffic accidents involving bicycles have become a serious problem as a result of the increase in the use of bicycles due to the rising concerns of environmental and health problems. In recent years, bicycles equipped with child seats have become a popular means of transportation for preschool children in urban areas in Japan. Under such adverse circumstances, it is necessary to conduct more studies and evaluations to prevent traffic accidents and the resulting injuries involving bicycles with children. For accident prevention and damage mitigation, this study mainly aims to understand the kinematic behavior and injury risk of children in collisions involving bicycles equipped with child seats through experiments. First, fall tests were conducted to evaluate the effect of the integrated head restraints (also commonly known as headrests) of child seats. It was confirmed that head restraints can reduce the impact of head collisions with the road surface. Second, side collision tests were conducted between a car and a bicycle equipped with a child seat, and the effects of the seat belt and head restraint of the child seat were investigated. It was shown that the kinematic behavior of the child dummy significantly was changed depending on wearing the seat belt. In the condition that the seat belt was not fastened, the child dummy was ejected out of the child seat while rotating toward the hood after the impact with the front of the car. In contrast, when the seat belt was fastened, the child dummy was restrained in the child seat and moved together with the bicycle from the start of the collision until the complete stop. Thus, it was found that using child seats with head restraints and using seat belts can reduce the risk of injury to children during an impact with the road surface, because the child dummy in the tests impacted the road surface only after the bicycle already had contact with the road surface.
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http://dx.doi.org/10.1016/j.aap.2021.106535 | DOI Listing |
Acta Ortop Bras
January 2025
Universidade de São Paulo, Faculdade de Medicina, Hospital das Clinicas HC-FMUSP, Instituto de Ortopedia e Traumatologia, Departamento de Ortopedia, São Paulo, SP, Brazil.
Objective: Despite the lack of science-based evidence, many specialists and non-specialists consider W-sitting detrimental to children. This systematic review aims to find evidence on W-sitting.
Methods: This review was registered on PROSPERO under the number CRD42022313341.
J Child Orthop
January 2025
Department of Pediatric Orthopaedics and Traumatology, Poznan University of Medical Sciences, Poznan, Poland.
Purpose: Our study aimed to present health-related quality of life (HRQL) after combined bone reconstruction in nonambulatory patients with cerebral palsy (CP) after at least a 2-year follow-up and to assess its impact on HRQL using the Caregiver Priorities and Child Health Index of Life with Disabilities questionnaire (CPCHILD) as the primary outcome measure.
Methods: In this prospective study, we analyzed 31 nonambulatory patients with spastic or mixed CP (GMFCS levels IV-V) who underwent hip reconstructive surgery between 2015 and 2021. The surgical procedures included one-sided varus derotation osteotomy of the femur with Dega transiliac osteotomy and, on the opposite side, varus derotation osteotomy (VDRO) of the femur with shortening and, as needed, Dega pelvic osteotomy.
Perit Dial Int
January 2025
Department of Pediatric Nephrology, Ankara Yildirim Beyazit University, Ankara City Hospital, Ankara, Türkiye.
Peritoneopericardial leakage is a rare but important complication of peritoneal dialysis. Peritoneal scintigraphy is reported to be effective in diagnosing the peritoneopericardial communication. Although switching to hemodialysis is commonly recommended, reducing exchange volumes and performing peritoneal dialysis in an upright sitting position may also be considered particularly in pediatric patients.
View Article and Find Full Text PDFJ Appl Res Intellect Disabil
January 2025
College of Public Health Medical and Veterinary Sciences, James Cook University, Townsville, Australia.
Background: Sexual well-being significantly impacts the overall quality of life for individuals with and without intellectual disabilities. Notably, parents play a pivotal role in influencing their children's sexual development, and their attitudes towards this topic are shaped by Chinese sociocultural values.
Methods: This study employed Interpretative phenomenological analysis to explore the experiences and attitudes of five individuals with intellectual disabilities and seven parents/caregivers regarding the sexual needs of their adult offspring with intellectual disabilities.
BMC Nurs
January 2025
Faculty of Health Sciences, Department of Midwifery, Üsküdar University, İstanbul, Turkey.
Background: During electronic fetal monitoring, the positions provided to mothers by perinatal nurses and midwives are essential for ensuring maternal comfort, as well as maternal and fetal well-being. This study aimed to investigate the impact of various maternal positions during electronic fetal monitoring on maternal and fetal health.
Methods: This study was conducted in a randomized controlled trial design.
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