- Successful treatment and digestive decolonization of a patient with osteitis caused by a Carbapenemase-producing Klebsiella pneumoniae isolate harboring both NDM-1 and OXA-48 enzymes. [Journal Article]
- JGJ Glob Antimicrob Resist 2019 Jun 12
- CONCLUSIONS: The ST307 type is becoming endemic in hospital environment and is frequently associated with carbapenem resistance. Treatment of infection caused by multi-drug resistant bacteria are a clinical challenge and the use of old antibiotics associated with a screening and decolonization of the reservoirs can be an efficient therapeutic alternative.
- Young driver fatal motorcycle accident analysis by jointly maximizing accuracy and information. [Journal Article]
- AAAccid Anal Prev 2019 Jun 12; 129:350-361
- While young drivers (YDs) constitute ∼10% of the driver population, their fatality rate in motorcycle accidents is up to three times higher. Thus, we are interested in predicting fatal motorcycle acc…
While young drivers (YDs) constitute ∼10% of the driver population, their fatality rate in motorcycle accidents is up to three times higher. Thus, we are interested in predicting fatal motorcycle accidents (FMAs), and in identifying their key factors and possible causes. Accurate prediction of YD FMAs from data by risk minimization using the 0/1 loss function (i.e., the ordinary classification accuracy) cannot be guaranteed because these accidents are only ∼1% of all YD motorcycle accidents, and classifiers tend to focus on the majority class of minor accidents at the expense of the minority class of fatal ones. Also, classifiers are usually uninformative (providing no information about the distribution of misclassifications), insensitive to error severity (making no distinction between misclassification of fatal accidents as severe or minor), and limited in identifying key factors. We propose to use an information measure (IM) that jointly maximizes accuracy and information and is sensitive to the error distribution and severity. Using a database of ∼3600 motorcycle accidents, a Bayesian network classifier optimized by IM predicted FMAs better than classifiers maximizing accuracy or other predictive or information measures, and identified fatal accident key factors and causal relations.
- Prevention of mood disorder after stroke: a randomised controlled trial of problem solving therapy versus volunteer support. [Journal Article]
- BNBMC Neurol 2019 Jun 14; 19(1):128
- CONCLUSIONS: The results are encouraging and suggest it is possible to prevent mood disorder in stroke patients using a psychological intervention. The differences between the groups at 12 months may indicate a sustained impact of psychological therapies, by comparison with non-specific support.
- Safer cycling and the urban road environment: A case control study. [Journal Article]
- AAAccid Anal Prev 2019 Jun 11; 129:342-349
- This study aimed to identify features of the road environment that increased the risk of on-road bicycle crashes in Perth, Australia between 2014-2017. This case-control study used a combination of a…
This study aimed to identify features of the road environment that increased the risk of on-road bicycle crashes in Perth, Australia between 2014-2017. This case-control study used a combination of an in-depth crash study and naturalistic study to compare the road environment characteristics of 100 case (crash) sites and 300 control sites where no crash occurred using conditional logistic regression. For intersection sites, roundabouts (adjusted OR: 2.98, 95% CI: 1.18, 7.56) and traffic lights (adjusted OR: 3.86, 95% CI 1.29, 11.63) significantly increased the risk of a bicycle crash, compared to priority control/uncontrolled intersections. For midblock (non-intersection) sites, roads with an incline (upwards/downwards) significantly increased the risk of a crash (adjusted OR: 3.39, 95% CI: 1.02, 11.22), compared to level roads. This study highlighted the risk of roundabouts, traffic lights and roads with an incline for bicycle crashes. Treatments that reduce vehicle speeds and encourage cyclists to claim the lane at roundabouts, as well as careful road design and road maintenance at traffic lights, may reduce the risk of crashes for cyclists. While it is impossible to remove hills and slopes from the topography, it is possible to select routes to target for bicycle infrastructure which are predominantly level.
- Social environment versus cycling competency predicting risk-taking in 11- to 13-year-old cyclists in The Netherlands. [Journal Article]
- TITraffic Inj Prev 2019 Jun 14; :1-6
- CONCLUSIONS: At least 20% of children sometimes or more often take risks in traffic. Children who feel peer pressure to behave in a risky manner, observe parents and friends behaving in a risky manner in traffic, and have been exposed as passengers to risky driving more often take risks in traffic themselves. These results provide support for including items on risky road behavior in health monitors and to design interventions that address the risk factors in the child's perceived social environment.
- Pars plana vitrectomy with intraoperative optical coherence tomography for sub-internal limiting membrane fibrosis excision in a child with Terson syndrome: Surgical and pathological correlation. [Case Reports]
- AJAm J Ophthalmol Case Rep 2019; 15:100479
- CONCLUSIONS: Sub-ILM hemorrhage may persist as a tautly adherent fibrotic membrane that can mimic the appearance of an epiretinal membrane or a chronic subhyaloidal hemorrhage during examination, especially in young children. Intraoperative OCT may aid in select complex macular surgery cases to better delineate the planes of dissection during sub-ILM fibrosis excision.
- Pattern of Maxillofacial Injuries and Determinants of Outcome in a Large Series of Patients admitted to a Level-I Trauma Center. [Journal Article]
- BEBull Emerg Trauma 2019; 7(2):176-182
- CONCLUSIONS: Age, gender (male), ISS, and mechanism of injury were the significant predictors of mortality in the facial trauma patients. Mandible fracture and ear injury, respectively, were the most and the least prevalent types of maxillofacial injury. Our findings demonstrate the need for referral to the maxillofacial surgeon and maxillofacial surgery should be in connected with neurosurgical centers.
- Size Estimation of Under-Reported Suicides and Suicide Attempts Using Network Scale up Method. [Journal Article]
- BEBull Emerg Trauma 2019; 7(2):99-104
- CONCLUSIONS: Given the low coverage of suicide registers, all causes of death, especially deaths classified as accident or deaths with undetermined category, are required to be accurately registered. Investigations of causes of death, correction of wrong codes, as well as interviews with survivors to give them assurance can reduce the rate of suicide denial and result in increased accuracy of death register coverage.
- Rare cause of stroke in young: Iron deficiency anemia and diabetic ketoacidosis. [Case Reports]
- JFJ Family Med Prim Care 2019; 8(5):1775-1777
- Iron deficiency anemia (IDA) is a well-known cause of stroke in children, but its association is relatively rare in adults. We describe a case of 36-year-old woman, a known diabetes mellitus, who pre…
Iron deficiency anemia (IDA) is a well-known cause of stroke in children, but its association is relatively rare in adults. We describe a case of 36-year-old woman, a known diabetes mellitus, who presented with recurrent vomiting, headache, and altered sensorium. Investigations revealed severe iron deficiency anemia, thrombocytosis, and ketoacidosis. Magnetic resonance imaging suggested acute infarct of B/L parieto-occipito-temporo-cerebellar region. Patient was worked up for possible causes of stroke in young. She underwent computed tomography angiography of the brain, echocardiogram, and screening for thrombophilia disorders. This, however, did not demonstrate a clear etiology and there were no other evidences of diabetic angiopathy. Some previously published case reports have suggested IDA as a potential cause of ischemic stroke; it is possible that the stroke in this young woman was attributable to severe IDA. Whether cerebrovascular accident has led to diabetic ketoacidosis or vice versa is a topic of discussion which needs further studies. Moreover, such catastrophes could be prevented by early diagnosis and timely management through involvement of primary care physicians.
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- Knowledge and practice of secondary school teachers about first aid. [Journal Article]
- JFJ Family Med Prim Care 2019; 8(5):1587-1593
- CONCLUSIONS: Knowledge and practices of secondary school teachers on first aid need to be improved.