Trauma epidemiology in Puerto Rico: in-hospital morbidity and mortality from 2002 to 2011

This study aimed to describe the distribution of injury mechanisms and to assess the impact of those mechanisms on the morbidity and mortality of trauma. All patients admitted to Puerto Rico Trauma Hospital (2002–2011) for road-traffic collisions (RTCs, 5,371), gunshot wounds (GSWs, 2,946), falls (2,319), pedestrian accidents (1,652), and stab wounds (SWs, 1,073) were selected. Gunshot victims were 1.19 (95%CI: 1.07–1.33) times as likely as road-traffic victims to have an ISS ≥25. Pedestrians were 1.76 (95%CI: 1.49–2.09) times more likely to have a GCS ≤8 than road-traffic victims were. The risk of dying was 2.64 (95%CI: 2.20–3.16) times higher for gunshot victims and 1.51 (95%CI: 1.23–1.86) times higher for pedestrians compared to patients who had had RTCs. Gunshot victims and pedestrians had the worst clinical outcomes. Accordingly, these patients should receive the most aggressive clinical management. Furthermore, it is imperative to develop public health campaigns on trauma prevention.     

Integrated system of occupational safety and health and fire protection of the fire rescue brigades members

The objective of the conducted research is the identification and determination of requirements of members of fire rescue brigades during operations in the conditions of high risk in order to minimize the possibilities for injury incidence during the intervention. The research is focused on examination, determination and identification of factors affecting the increasing number of occupational injuries of members of fire rescue brigades during interventions. Hypothetical framework of the research problem consists of general hypothesis and six special hypotheses. Results suggest that almost all respondents believe that their skills and abilities are applicable in the intervention phase, but less than a half believe that their skills are applicable in prevention phase. Two-thirds of respondents stated that in their organization they have support for further education and upgrading while a half of respondents stated that they need education concerning identification, assessment and management of risks that can lead to emergency situations.     

A machine-learning method for improving crash injury severity analysis: a case study of work zone crashes in Cairo,Egypt

Abstract

The quality of vehicular collision data is crucial for studying the relationship between injury severity and collision factors. Misclassified injury severity data in the crash dataset, however, may cause inaccurate parameter estimates and consequently lead to biased conclusions and poorly designed countermeasures. This is particularly true for imbalanced data where the number of samples in one class far outnumber the other. To improve the classification performance of the injury severity, the paper presents a robust noise filtering technique to deal with the mislabels in the imbalanced crash dataset using the advanced machine learning algorithms. We examine the state-of-the-art filtering algorithms, including Iterative Noise Filtering based on the Fusion of Classifiers (INFFC), Iterative Partitioning Filter (IPF), and Saturation Filter (SatF). In the case study of Cairo (Egypt), the empirical results show that: (1) the mislabels in crash data significantly influence the injury severity predictions, and (2) the proposed M-IPF filter outperforms its counterparts in terms of the effectiveness and efficiency in eliminating the mislabels in crash data. The test results demonstrate the efficacy of the M-IPF in handling the data noise and mitigating the impacts thereof.     

纤维蛋白胶粘合法联合神经生长因子治疗周围神经损伤的临床疗效

目的探讨纤维蛋白胶(FG)粘合法联合神经生长因子(NGF)治疗周围神经损伤的临床疗效。方法选取我院2006年8月至2013年10月就诊的124例腓总神经损伤患者,随机均分为两组,对照组患者单纯使用缝合法,试验组患者在缝合法的基础上配合使用FG粘合法联合NGF治疗,随访6个月以上,分析两组患者的运动功能和患肢感觉疗效。结果试验组患者总有效率明显优于对照组,差异有统计学异议(P<0.05)。结论周围神经损伤的修复与再生过程中使用FG粘合法联合NGF治疗,可有效改善患者症状,安全性高,不良反应较少。     

论石化企业起重机作业伤害事故的发生、处理与预防对策

本文介绍了石化企业起重机作业伤害事故发生的形式和特点,分析了起重机作业伤害事故发生的原因和事故发生后的处理措施,有针对性地提出了相应的预防对策,有利于提高起重机作业的安全系数,减少事故的发生。     

栀子花期低温冷害风险区划研究——以湖北蕲春为例

[目的]确定栀子花期低温冷害指标,研究栀子花期低温冷害风险区划方法,以蕲春县为例开展栀子花期低温冷害风险区划,为蕲春栀子种植提供参考。[方法]利用湖北省蕲春县1990~2010年栀子产量资料及同期气象观测资料,通过统计分析冷害持续日数、冷害期间日平均气温20℃累积危害积温、极端最低气温、降温幅度等指标与栀子产量的关系,建立了栀子花期低温冷害损失模型。以20℃累积危害积温为指标,以损失率5%、10%、30%为阈值,确定了栀子花期轻度、中度、重度、严重冷害分级标准,然后利用蕲春县1:25万数字高程模型及蕲春县逐日平均气温、最低气温观测资料,推算网格点1959~2010年5月1~20日逐日最低气温、平均气温,构建冷害风险指数,计算各网格点的冷害风险指数,进行了蕲春县栀子冷害气候风险区划。[结果]蕲春县西部低山区栀子花期冷害风险较小,适宜栀子种植;400m以上的山区冻害风险大,种植栀子只开花不结果。[结论]栀子花期低温冷害风险区划结果在蕲春栀子种植基地规划中有一定参考意义。     

Laypeople roles at road traffic crash scenes: a systematic review

This study aimed to identify the roles of laypeople at road traffic injuries (RTIs). A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The key words of ‘laypeople’, ‘layman’, ‘layperson’, ‘bystander’, ‘first responder’, ‘lay first responder’, ‘road traffic’, ‘road traffic injury’, ‘crash injury’, ‘crash scene’, ‘emergency’, ‘trauma care’, and ‘prehospital trauma care’ were used in combination with the Boolean operators OR and AND. We did electronic search on Google Scholar, PubMed, ISI Web of Science, CINAHL, Science Direct, Scopus, ProQuest. Based on the reviewed studies, some factors such as cultural conditions, knowledge, relief agencies, and demographic factors affect the interventions of laypeople at the crash scene in functional areas. Regarding the permanent presence of people at the crash scene, the present study can provide an opportunity to reduce different side effects of RTIs imposed on the society.     

Opportunities to reduce road traffic injury: new insights from the study of urban areas

Abstract

Over the past four decades considerable efforts have been taken to mitigate the growing burden of road injury. With increasing urbanisation along with global mobility that demands not only safe but equitable, efficient and clean (reduced carbon footprint) transport, the responses to dealing with the burgeoning road traffic injury in low- and middle-income countries has become increasingly complex. In this paper, we apply unique methods to identify important strategies that could be implemented to reduce road traffic injury in the Asia-Pacific region; a region comprising large middle-income countries (China and India) that are currently in the throes of rapid motorisation. Using a convolutional neural network approach, we clustered countries containing a total of 1632 cities from around the world into groups based on urban characteristics related to road and public transport infrastructure. We then analysed 20 countries (containing 689 cities) from the Asia-Pacific region and assessed the global burden of disease attributed to road traffic injury and these various urban characteristics. This study demonstrates the utility of employing image recognition methods to discover new insights that afford urban and transport planning opportunities to mitigate road traffic injury at a regional and global scale.     

The burden of road traffic injuries in Kermanshah Province,Iran, in 2010–2011: GBD 2010 method

Deaths, injuries and disabilities resulting from road traffic injuries (RTIs) are a public health major concern. This study aims to calculate the burden of RTIs in Kermanshah Province in Iran. In this study to determine the years of life lost (YLL) related to RTIs, the National Death Registration and Forensics Medicine census data were employed. We use forensic medicine data to calculate the incidence of non-fatal injuries and years lost due to disability (YLD). The cause of death and non-fatal injuries was classified using ICD-10 codes and 23 groupes of global burden of diseases (GBD) 2010. The disability-adjusted life year (DALY) estimated on the guidelines of the GBD 2010 and age and sex structure was taken from the National Statistic Center for the year 2010. Overall, 70.8% of the subjects were males. The fatal and non-fatal injury rates of RTI were 51.3 and 283.6 per 100,000 persons, respectively. YLLs and YLDs were 46613 (24.5 per 1000) and 3405 (1.8 per 1000) in both sexes, respectively. The disability adjusted life years were 40711 in males, 9306 in females and 50018 in both sexes (42.5, 9.8 and 26.3 per 1000, respectively). More than 93% of DALY was from YLL (24.5 per 1000), with a small proportion for YLD (1.8 per 1000). Accounting for more than 50,000 DALY attributed to RTIs, traffic injuries is a major public health and socioeconomic problem in Kermanshah. Designing cost-effective interventions based on comprehensive and multi-sectoral programmes at the national and provincial levels can save many lives and resources that are lost every year. Undoubtedly, establishing a surveillance system at the sub-national level and measuring the burden of injuries, as in this study, can help policy-makers and planners in lessening the burden of RTIs.