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The effect of helmet materials and simulated bone and tissue layers on bullet behaviour in a gelatine model of overmatch penetrating head injury

The aim of this work was to simulate an overmatch ballistic event against a head wearing a helmet. The experiments were designed to understand how layers of bone (or synthetic bone), synthetic skin ... scapulae (with residual tissue) and may be suitable for future ballistic experiments. Gelatine; Helmet; Ballistic; 7; 62 × 39 mm bullet; Synthetic bone; Synthetic skin Introduction Ballistic head injury

Analgosedation in paediatric severe traumatic brain injury (TBI): practice, pitfalls and possibilities

used in paediatric severe TBI and ultimately facilitate steps towards evidence-based and precision pharmacotherapy in this vulnerable patient group. ... the provision of supportive care to guarantee adequate cerebral perfusion to meet cerebral metabolic demands and limit secondary brain injury [ 1, 2 ]. Appropriate management is critical as paediatric

Mesh penetrating the cecum and bladder following inguinal hernia surgery: a case report

rare, there are also reports of intestinal obstruction caused by adhesion of the mesh to the intestinal wall and cases of mesh migration into various organs. Here, we report our experience with a patient ... . Chuback et al. [ 3 ] reported a case of small bowel obstruction caused by mesh migration into the abdominal cavity following curative hernia surgery with a mesh plug, and Murphy et al. reported a case of

Early CT scanning in the emergency department in patients with penetrating injuries: does it affect outcome?

diagnostic process and that therapy can be directed based on these findings. Aim of this study was to assess the effects of implementing a CT scanner in the ED on outcomes in patients with penetrating injuries ... impact, resulting in directed treatment, and improvement of outcomes. Penetrating injury; Diagnostics; Trauma; CT scan Introduction Trauma systems were introduced almost 40 years ago. Proof of their

Pediatric head injury—an opportunity to make a difference in the global burden of disease

, pediatricians, neurologists, and intensivists—all interested in advancing the art and science of head injury management. Starting with preclinical insights, Patrick Kochanek and his team lead one of the most ... successfully complete the ADAPT Trial—a comparative effectiveness trial which is the first international multicenter trial on pediatric head injury management, funded by the National Institutes for Health

Management of screwdriver-induced penetrating brain injury: a case report

Background Penetrating brain injury (PBI) can be caused by several objects ranging from knives to chopsticks. However, an assault with long and electric screwdriver is a peculiar accident and is ... screwdriver assaults: literature review and case report . Am J Forensic Med Pathol . 2016 ; 37 ( 4 ): 291 - 8 . 7. Moussa WM , Abbas M. Management and outcome of low velocity penetrating head injury caused by

Radial head prosthesis: results overview

Background/purpose Radial head replacement is frequently used in treatment of radial head fractures or sequela. Impossibility to restore a correct anatomy, acute elbow traumatic instability and ... of the elbow joint and the radial head is second in importance in the stabilization during loading and valgus stress [ 3 ]. Therefore, from the biomechanical point of view, in the presence of injury

Diagnosis and treatment of hyperinsulinaemic hypoglycaemia and its implications for paediatric endocrinology

early diagnosis of HH is fundamentally important for preventing hypoglycaemic brain injury, hence, clinicians should always be aware of recognising and managing these patients. Any patient with recurrent

Identifying cisplatin-induced kidney damage in paediatric oncology patients

retinol-binding protein in the urine of paediatric patients receiving cisplatin suggest decreased physiological reabsorption indicative of tubular injury but do not provide information on prognosis [ 59 ... , Pirmohamed M , Pizer B ( 2012 ) Acute kidney injury in paediatric cancer patients receiving Cisplatin (abstract) RCPE acute kidney injury consensus conference: Management of Acute Kidney Injury: the role of

Wind-integration benefits of controlled plug-in electric vehicle charging

Flexibility in plug-in electric vehicle (PEV) charging can reduce the ancillary cost effects of wind variability and uncertainty on electric power systems. In this paper, we study these benefits of ... the system a two-hour window of flexibility in which to recharge their vehicles provides much of the benefits that giving full charging control does. Plug-in electric vehicle; Controlled charging; Wind

Patterns of acute poisoning with pesticides in the paediatric age group

in paediatric age group (<12 years) is a relatively uncommon yet significant cause of child health-related morbidity and mortality in rural Sri Lanka. Patterns of poisoning represent the pattern of ... and teaching hospital. Cardiac and respiratory arrests, aspiration pneumonia and convulsions were among the reported complications. Conclusions: Acute pesticide poisoning in paediatric age group (<12

Valuation of opportunity costs by rats working for rewarding electrical brain stimulation

present experiment estimates, in laboratory rats, the function that maps objective opportunity costs into subjective ones. In an operant chamber, rewarding electrical brain stimulation was delivered when ... the cumulative time a lever had been depressed reached a criterion duration. The value of the activities forgone during this duration is the opportunity cost of the electrical reward. We determined

The typically developing paediatric foot: how flat should it be? A systematic review

at each age increment. The objective of this systematic review is to define the postural characteristics of the ‘typically’ developing paediatric foot. The PRISMA protocol was applied to compare all ... management of the paediatric foot for children aged 7 years and younger [ 15 ]. This proforma is the first of its kind to marry subjective patient information with clinical observations and directs the

Point-of-care ultrasound and Doppler ultrasound evaluation of vascular injuries in penetrating and blunt trauma

no clear signs of vascular injury at the physical examination, and the patient is stable, imaging investigation and observation can be useful in the diagnosis and management of these patients. Although ... wounds that deserve especial considerations (Fig.  1). Most vascular injuries are caused by penetrating trauma, such as gunshot wounds, stabbing, and blast injuries [6]. Blunt trauma causes significant

Children are not little adults: blood transfusion in children with burn injury

Blood transfusion in burns larger than 20% total body surface area (TBSA) are frequent due to operative procedures, blood sampling, and physiologic response to burn injury. Optimizing the use of ... , transfusion reactions, and transfusion-related circulatory overload. Thrombocytopenia may be caused by dilution of platelets during transfusion. In general, a patient will lose 40% of the starting platelet

Outcomes of Percutaneous Portal Vein Intervention in a Single UK Paediatric Liver Transplantation Programme

aimed to assess long-term outcomes of intervention in paediatric transplant recipients, in a single institution. Materials and Methods 227 children received 255 transplants between November 2000 and ... and the patient remains clinically well at 9 years’ follow-up. PV portal vein, SMV superior mesenteric vein in children. In addition, biliary atresia is a common indication for paediatric liver

Vascular geometry as a risk factor for non-penetrating traumatic injuries of the aortic arch

Purpose To assess biomechanical factors in aortic arch geometry contributing to the development of non-penetrating aortic arch injury (NAAI) in multiply injured patients with an Injury Severity Score ... 3rd and 4th factor directly contributing to the risk of developing traumatic NAAI in severely injured patients. tomography; FoV, Field of view; ISS, Injury severity score; NAAI, non-penetrating aortic

European Society of Paediatric Radiology abdominal imaging task force recommendations in paediatric uroradiology, part IX: Imaging in anorectal and cloacal malformation, imaging in childhood ovarian torsion, and efforts in standardising paediatric uroradiology terminology

At the occasion of the European Society of Paediatric Radiology (ESPR) annual meeting 2015 in Graz, Austria, the newly termed ESPR abdominal (gastrointestinal and genitourinary) imaging task force ... , University Hospital of North Norway , N-9038 Tromsø , Norway 11 Department of Radiology and Nuclear Medicine, Unit for Paediatric Radiology, Oslo University Hospital , Oslo , Norway At the occasion of the

Evaluation of cervical posture improvement of children with cerebral palsy after physical therapy based on head movements and serious games

. The therapy is based on the use of the ENLAZA Interface, a head mouse based on inertial technology that will be used to control a set of serious videogames with movements of the head. Ten users with CP ... serious videogames with movements of the head. Methods: Ten users with CP participated in the study. Whereas the control group (n = 5) followed traditional therapies, the experimental group (n = 5

Deaths caused by injury among people of working age (18–64) are decreasing, while those among older people (64+) are increasing

Patient Registry, which have complete national coverage. Method CDR was used to identify injury-related deaths among adults (18 years or over) during the years 1999–2012. ICD-10 diagnoses from V01 to X39 ... government in the form of the Cause of Death and National Patient Registries, and these are valid for epidemiological studies particularly as ICD-10 diagnoses of injury and causes of injury are included [9