Search Results
Results 201 - 250 of 935
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Squier Waney - - 2009
Subdural haemorrhage (SDH) in the infant has a different pattern from that seen in the older child and adult. It is usually a widespread, bilateral, thin film, unlike the thick, space-occupying and often unilateral clot seen in older children and adults after trauma. Whether both arise by the same mechanism ...
Byramji Angela - - 2009
Retropharyngeal abscesses are serious infections of the deep tissues of the neck associated with significant morbidity and mortality due to their proximity to vital structures. The most common age range is 2-4 years, with neonates accounting for approximately 10% of cases. The following report demonstrates possible forensic issues that may ...
Naci H - - 2009
BACKGROUND: Road traffic deaths are a major global health and development problem. An understanding of the existing burden of road traffic deaths in the population is necessary for developing effective interventions. OBJECTIVE: To outline systematically the global distribution of road traffic deaths by road user groups (pedestrians, bicyclists, motorcyclists, motorised ...
McGwin Gerald G - - 2009
BACKGROUND: The temporal distribution of trauma-related deaths has been described as tri-modal with immediate, early, and late peaks. With the development of trauma centers and systems, it has been suggested that this distribution might be altered. METHODS: Information regarding all trauma-related deaths occurring from 1990 through 2003 in Jefferson County, ...
Wood Joanne N - - 2009
OBJECTIVE: The goal was to describe the utility of skeletal surveys and factors associated with both skeletal survey use and referral to child protective services for infants with skull fractures in the absence of significant intracranial injury. METHODS: A retrospective chart review was performed for infants who were evaluated at ...
Matis Georgios K - - 2009
BACKGROUND: Early indicators or predictors of outcome after head injury can affect clinical decision making and the choice of case-specific approaches to rehabilitation. MATERIAL/METHODS: A retrospective study of 60 patients with a head injury who had been admitted to a tertiary care hospital intensive care unit was undertaken to explore ...
Sauber-Schatz, Erin Kristine
Injury during the perinatal period can have significant health effects on the pregnant woman, the fetus, and the child; therefore, injuries during pregnancy and during labor and delivery in the form of birth trauma were the focus of this dissertation. Through a three papers format, this dissertation addressed three unique ...
Feldman Kenneth W - - 2009
Three premobile infants with unexplained bruising are described. Although, they were asymptomatic otherwise, evaluation led to the recognition of inflicted rib fractures in two and hemophilia A in one. Although such bruises are inconsequential themselves, they may provide the opportunity to recognize serious problems before major injury or morbidity occurs.
Squires Amanda Jayne - - 2009
Improved technology and management approaches that have reduced bronchopulmonary dysplasia (BPD) have decreased mortality and morbidity in extremely low birth weight (ELBW) infants. Early extubation to nasal continuous positive airway pressure (NCPAP) decreases the complications associated with long-term oral/nasal endotracheal intubation, including BPD, ventilator-associated pneumonia, volutrauma, subglottic stenosis, oral palatal ...
Atmosukarto Indriyati - - 2009
Recent studies have shown an increase in the occurrence of deformational plagiocephaly and brachycephaly in children. This increase has coincided with the "Back to Sleep" campaign that was introduced to reduce the risk of Sudden Infant Death Syndrome (SIDS). However, there has yet to be an objective quantification of the ...
McKenzie Kirsten - - 2009
The objective of this research was to identify the level of detail regarding the external causes of death in Australia and ascertain problematic areas where data quality improvement efforts may be focused. The 2003 national mortality dataset of 12,591 deaths with an external cause of injury as the underlying cause ...
Stramrood Claire A I - - 2009
AIMS: To describe the clinical course of infants recovering spontaneously from diaphragmatic paralysis due to perinatal phrenic nerve injury as well as those that underwent plication of the diaphragm. METHODS: Between 1990 and 2006, 14 newborns admitted to the Neonatal Intensive Care Unit (NICU) of the Wilhelmina Children's Hospital in ...
McIntosh Neil - - 2008
The frequency of oronasal haemorrhage in infancy was estimated from two national GP research databases (6% UK population). When a case was identified, other presentations in the child over the first year were available from one dataset. In the first year haemoptysis is rare. In contrast, epistaxis (7-20 cases of ...
Oestreicher-Kedem Yael - - 2008
OBJECTIVES: We describe the clinical characteristics and management of vocal fold paralysis in infants who were born with a tracheoesophageal fistula (TEF). METHODS: This retrospective case series included all infants born with TEFs who presented to our pediatric otolaryngology unit and intensive care unit because of dyspnea or aphonia in ...
du Plessis Adré J - - 2008
Cerebrovascular insults are a leading cause of brain injury in premature infants, contributing to the high prevalence of motor, cognitive, and behavioral deficits. Understanding the complex pathways linking circulatory immaturity to brain injury in premature infants remains incomplete. These mechanisms are significantly different from those causing injury in the mature ...
Lawrence Russell K - - 2008
Encephalopathy from hypoxic-ischemic injury is a major cause of morbidity and mortality in term infants. MRI is the gold standard in evaluating the nature and extent of injury. Although imaging this population is challenging, important information can be obtained safely. Patterns of injury and the likely mechanisms that cause them ...
Coats Brittany - - 2008
OBJECT: Falls are the most common accident scenario in young children as well as the most common history provided in child abuse cases. Understanding the biomechanics of falls provides clinicians with objective data to aid in their diagnosis of accidental or inflicted trauma. The objective of this study was to ...
Pondaag Willem - - 2008
OBJECT: A typical finding in supraclavicular exploration of infants with severe obstetric brachial plexus lesions (OBPLs) is a neuroma-in-continuity with the superior trunk and/or a root avulsion at C-5, C-6, or C-7. The operative strategy in these cases is determined by the intraoperative assessment of the severity of the lesion. ...
Maddalena Patricia - - 2008
Improvements in neuroimaging technology and techniques have contributed to the increased recognition of cerebellar hemorrhage (CBH) in the prererm infant. Studies have indicated that the extremely low birth weight (ELBW) infant (< 1,000 g) is at highest risk for this injury. Associated risk factors include a constellation of antenaral, intrapartum, ...
Young Richard A - - 2009
A wireless device embedded in the vehicle allowed the user to engage in a personal hands-free conversation (HFC), and automatically placed an emergency notification call to an OnStar call center if the vehicle was involved in a crash in which its airbag deployed. A database stored the exact counts, start ...
Tierney Travis S - - 2008
Most injuries to the neonatal brachial plexus occur acutely at birth, and are iatrogenic in origin. However, when weakness is accompanied by atrophy, nontraumatic etiologies should be considered. The differential diagnosis of chronic congenital brachial plexopathy includes cervical bone malformations, humeral osteomyelitis, varicella, and compression from various types of infantile ...
Reichard Ross - - 2008
Birth injury of the scalp, skull and central nervous system (CNS) is a well-recognized complication of a difficult delivery. The rate of birth trauma has dropped precipitously and now accounts for less than 2% of neonatal deaths. Despite this dramatic decrease in birth-trauma mortality significant injuries still occur. A variety ...
Padmanaban Jeya - - 2008
This study used police-reported motor vehicle crash data from eleven states to determine ejection, fatality, and fatal/serious injury risks for belted drivers in vehicles with conventional seatbelts compared to belted drivers in vehicles with seat integrated restraint systems (SIRS). Risks were compared for 11,159 belted drivers involved in single- or ...
Kim Seong Ho - - 2008
STUDY DESIGN: We present a very rare case of an infant with delayed presentation of spinal cord injury without radiologic abnormality (SCIWORA) after a minor injury. OBJECTIVE: To emphasize the importance of spinal evaluation with MRI in selected cases, even after minor injuries, especially in infants. SUMMARY OF BACKGROUND DATA: ...
Reading Richard - - 2008
Objective The objective of this study was to present a detailed examination of unintentional injuries in infants <12 months of age treated in emergency departments. Methods We conducted a retrospective analysis of data for infants <12 months of age from the National Electronic Surveillance System - All Injury Program for ...
Picca Stefano - - 2008
The infant who develops acute kidney injury (AKI) after cardiopulmonary bypass (CPB) surgery presents unique challenges and opportunities to the clinician and to the investigator interested in the study of AKI pathophysiology. Infants do not have many of the comorbid conditions that confound CPB outcome studies of adults. Because the ...
- - 2008
Carbon monoxide (CO) is a colorless, odorless, nonirritating gas that is produced through the incomplete combustion of hydrocarbons. Sources of CO include combustion devices (e.g., boilers and furnaces), motor-vehicle exhaust, generators and other gasoline or diesel-powered engines, gas space heaters, woodstoves, gas stoves, fireplaces, tobacco smoke, and various occupational sources. ...
Glass Hannah C - - 2008
Our objective was to identify clinical predictors of progressive white matter injury. We evaluated 133 infants of <34 weeks of gestation at birth from 2 university hospitals. Infants underwent MRI twice, initially when in stable condition for transport and again at term-equivalent age or before transfer or discharge. Two neuroradiologists ...
Clarke Elizabeth C - - 2008
Clinically, spinal cord injuries (SCI) in infants are different from SCIs in adults. SCI is rarer in infants, and the most common types of associated spinal column injury are different for adults and infants. Initially, infants tend to have higher injury severities and mortality; however, young survivors of SCI typically ...
Härtl Roger - - 2008
OBJECT: Traumatic brain injury (TBI) remains a serious public health crisis requiring continuous improvement in pre-hospital and inhospital care. This condition results in a hypermetabolic state that increases systemic and cerebral energy requirements, but achieving adequate nutrition to meet this demand has not been a priority in reducing death due ...
Burns Charlotte M CM Department of Paediatrics, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, - - 2008
Symptomatic neonatal hypoglycemia may be associated with later neurodevelopmental impairment. Brain injury patterns identified on early MRI scans and their relationships to the nature of the hypoglycemic insult and neurodevelopmental outcomes are poorly defined. We studied 35 term infants with early brain MRI scans after symptomatic neonatal hypoglycemia (median glucose ...
Foad Susan L - - 2008
BACKGROUND: The nationwide incidence of neonatal brachial plexus palsy in the United States is unknown. The purpose of this study was to determine the incidence of this condition in the United States and to identify potential risk factors for neonatal brachial plexus palsy. METHODS: Data from the 1997, 2000, and ...
Stola Anita - - 2008
The interruption of placental blood flow during labor with redistribution of cardiac output resulting in increased flow to brain, heart, and adrenal glands at the expense of flow to kidney, gut, and skin can result in systemic organ as well as cerebral injury. Thus, post-resuscitation strategies should focus on both ...
Melendez J - - 2009
BACKGROUND AND OBJECTIVES: Severe shoulder dystocia (SD) is associated with neonatal brachial plexus injuries and skeletal fractures, with the former being the commonest cause for litigation related to birth trauma. The aim of this case-control study was to evaluate risk factors for birth injuries in cases presenting with SD. METHODS: ...
Thompson Deanne K - - 2008
OBJECTIVE: To compare preterm (PT) and full-term (FT) infant hippocampal volumes and to investigate the relations among PT hippocampal volume, perinatal risk factors, and neurodevelopmental outcome. METHODS: A total of 184 PT and 32 full-term infants underwent magnetic resonance imaging at term equivalent age with manual segmentation of the hippocampi ...
Lavery Shelly - - 2008
BACKGROUND: The demand for early diagnosis and prognostication of cerebral injury in the encephalopathic term infant is increasing to facilitate appropriate management. The single-channel amplitude-integrated electroencephalogram (S-aEEG) has been shown to have predictive utility for the severely encephalopathic infant. New bedside aEEG devices with more channels are entering the neonatal ...
Kesler Henry - - 2008
OBJECT: The aim of this study was to characterize the prevalence and demographic features of abusive head trauma (AHT) among infants and children < 36 months of age in Pennsylvania. METHODS: The authors included all cases of substantiated AHT involving children < 36 months of age in Pennsylvania between 1996 ...
Mosavat Seyed Abloghasem - - 2008
BACKGROUND: Some special problems of neonates are related to the adverse effects of delivery such as birth trauma with high mortality and morbidity. The aim of this study was to determine the incidence of birth trauma and related risk factors in a referral hospital in Rafsanjan, a city in the ...
Mack Karin A - - 2008
OBJECTIVE: The objective of this study was to present a detailed examination of unintentional injuries in infants < or = 12 months of age treated in emergency departments. METHODS: We conducted a retrospective analysis of data for infants < or = 12 months of age from the National Electronic Surveillance ...
Okereafor Akudo A Department of Paediatrics and Neonatal Medicine, Hammersmith Hospital, Du Cane Rd, London, W12 OHS, United - - 2008
We studied (1) the pattern of brain injury in term neonates with encephalopathy with evidence of a preceding hypoxic sentinel event, (2) prenatal and perinatal risk factors, and (3) the correlation between neuroimaging findings and developmental outcomes. We identified, among 500 term neonates with encephalopathy who were studied with MRI ...
Plattner T - - 2008
INTRODUCTION: Subendocardial hemorrhages (SE) have been associated with multiple causes of violent and non violent deaths in forensic autopsies such as fatal exsanguination, brain injury and intoxications. METHODS: The presented retrospective study investigates the overall incidence and various causes by an analysis of a total of 1331 forensic autopsies based ...
Adegbehingbe , O O; ...
Birth trauma is a significant cause of neonatal morbidity and mortality. This prospective study determined the predictive factors for birth trauma as seen in a Nigerian university teaching hospital. This was a prospective descriptive evaluation of birth trauma at Wesley Guilds Hospital, Ilesa over three years. Semi-structured questionnaire was used ...
Ryan Margaret A K - - 2008
BACKGROUND: Evaluating the incidence of inflicted traumatic brain injuries (inflicted TBI) in young children, and encompassing shaken baby syndrome (SBS) and related injuries, is an epidemiologic challenge. Data available regarding military families in the U.S. may complement other national surveillance efforts. METHODS: A protocol was developed to assess the epidemiology ...
Zafeiriou Dimitrios I - - 2008
Obstetrical brachial plexus palsy, one of the most complex peripheral nerve injuries, presents as an injury during the neonatal period. The majority of the children recover with either no deficit or a minor functional deficit, but it is almost certain that some will not regain adequate limb function. These few ...
Ellingson Katherine D - - 2008
BACKGROUND: Inflicted traumatic brain injury (inflicted TBI) in infants has been the subject of recent preventive interventions, yet the burden of this problem is poorly defined. This article estimates the national incidence of hospitalizations due to inflicted TBI in infants aged <1 year using hospital discharge databases (HDDs) over 3 ...
Bass W Thomas - - 2008
Proinflammatory cytokines have been variably linked to development of cerebral white matter injury (WMI) in preterm infants. Because soluble receptors tightly control cytokine bioactivity, we modeled cytokine-receptor interaction as a predictor of WMI. Plasma from 100 preterm infants was assayed for cytokines (tumor necrosis factor alpha, interleukin (IL-1beta, IL-6) and ...
Gunn Alistair J - - 2008
PURPOSE OF REVIEW: The aim of this article is to assess evidence for the timing of brain injury associated with clinical encephalopathy in the fetus and newborn. RECENT FINDINGS: Older studies found strong epidemiological links between antenatal factors, including exposure to infection, and acute encephalopathy and later cerebral palsy. In ...
Oehmichen Manfred - - 2008
The discussion surrounding shaken baby syndrome (SBS) arose from the lack of evidence implicating diffuse axonal injury (DAI) as a cause of death. It was assumed instead that injury to the cervical cord, medulla, and nerve roots played a causal role. The present pathomorphological study examines 18 selected infants (<1-year-old) ...
- - 2008
Professional logging is one of the most hazardous occupations in the United States, and the factors contributing to injuries and fatalities associated with this occupation are well documented. However, little has been reported about logging fatalities in the nonoccupational setting. To better characterize nonoccupational logging fatalities, the Vermont Department of ...
Miyazaki Tetsuji - - 2008
A motor scooter carrying two 15-year-old boys collided with the back of an open, parked truck. The tailgate of the truck was down and in a horizontal position. At the autopsy of the driver, horizontal tramline bruises were found on the anterior chest, but the thoracic cage was intact. There ...
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