scholarly journals The modern view of the contact of body pedestrian with cars wheel in case of accident

2016 ◽  
pp. 44-47
Author(s):  
Pavlo Plevynskys
Keyword(s):  
Lower Limb ◽  
The Body ◽  
Medical Expert ◽  
Moving Vehicle ◽  
The Road ◽  
Forensic Expertise ◽  
Human Contact ◽  
Rolling Wheel ◽  
Wheel Arch ◽  
Human Injury

Therefore, the aim of this study − was to perform what specific variants of human injury wheel of a moving vehicle is encountered in the modern practice of forensic expertise than they are, and how they can be classified on the basis of the practical needs of a forensic medical expert. Material and methods: To achieve the research objectives investigated the circumstances of the receipt and morphology of injuries in casualties in the case of contact of a body with wheels of a vehicle, (71 during the period from 2010 to 2015, according to the materials of the Odessa regional Bureau of a forensic medical examination).Conclusions:1. Rolling a wheel of the vehicle through the body of the victim can take place not only in finding the victim lying on the roadway, but subject to finding it in a vertical or close to it position. While injured, as a rule, the foot feet of the victim.2. In addition to the rolling wheel through the lower limb of the victim can take place still at least 2 options of injury to the victim the wheel of a car:− as a result of contact of the tibia of the injured between the moving wheel and the wheel arch of the vehicle;− as a result of hitting the wheel of a car at the lower extremities of the victim. Such an attack can be combined withfriction of the extremities of the wheel of the vehicle and not be accompanied by compression of the limb between the rotatingwheel and other subjects (especially the road surface).3. It seems that this type of car injury better not be called «moving wheel» and injury as a result of human contact with the wheel (wheels) of the vehicle.

scholarly journals Potentiation of general multimodal anesthesia by contact laser effects on the body in the red range in patients with lower limb high amputations

2019 ◽  
Vol 6 (1) ◽  
pp. 39-43
Author(s):  
V. S. Shiryaev ◽  
M. A. Grebenkina ◽  
R. D. Mustafaev ◽  
A. I. Guseinov ◽  
V. D. Lyutov ◽  
...  
Keyword(s):  
Lower Limb ◽  
Comparison Group ◽  
Limb Ischemia ◽  
Main Group ◽  
The Body ◽  
Acupuncture Points ◽  
Laser Exposure ◽  
Average Dose ◽  
Surgical Interventions ◽  
The Road

Objective. The aim of the study is to develop a technique of potentiating traditional multimodal anesthesia with contact laser exposure to the body in the red range (650 nm) in patients with critical lower limb ischemia (CLI).Materials and methods. Multimodal anesthesia in the main group was performed with the potentiation of modern laser technology in 70 to 94 years old 35 patients [7 (20.0 %) women and 28 (80.0 %) men] with CLI and associated diseases. As a comparison group, a retrospective group of 23 patients was selected who underwent a high amputation of the lower extremities without potentiation of multimodal anesthesia with laser blood radiation. Multimodal anesthesia was additionally potentiated with quantum hemotherapy sessions. Sessions were carried out using a fifth-generation semiconductor contact laser irradiation of blood LASPOT (PRC) in the form of a wristwatch with an additional effect on the acupuncture points Nei-Guan, Tun-li – the heart meridian, connection with the inner world, Ling-dao – the meridian hearts, the road of the spirit. The first session was performed to patients before surgery — a duration of 15 minutes; the second — during surgery — a duration of 30 minutes.Results. The obtained data on the shifts of peripheral hemodynamic parameters at the stages of surgical interventions in patients of both groups practically did not demonstrate significant differences from the baseline values, reflecting the adequacy of the degree of anesthesiological protection. In patients of the main group, central hemodynamic indices: the cardiac index (CI) significantly increased from 2.81 ± 0.49 to 3.15 ± 0.58 (p < 0.05) l/min∙m2, and total peripheral vascular resistance (TPVR) decreased from 1587.5 ± 494.3 to 1492.7 ± 427.8 dyn∙s∙cm-5. In patients of the comparison group, CI increased during surgery from 2.83 ± 0.53 to 3.02 ± 0.35 l/min∙m2, and at the end of the operation it returned to baseline. Potentiation of multimodal anesthesia with modern laser technologies in patients of the main group made it possible to reduce during surgical interventions the average dose of fentanyl, which was 0.98 ± 0.12 mcg/kg/h, while in patients of the comparison group, the consumption of fentanyl was 3.28 ± 0.18 mcg/kg/h (with traditional combined general anesthesia, the flow rate of fentanyl during surgery is on average 5–12 mcg/kg/h or more).Conclusion. The method of potentiation of the traditional scheme of general combined anesthesia with optical radiation of the red range (650 nm) allows to achieve more pronounced effects of hemodynamic control, makes it possible to reduce the dose of fentanyl, reduce the pharmacological load on the operated patient.

scholarly journals Forensic medical evaluation of dental-jaw injuries in cases of traffic accidents

2020 ◽  
Vol 26 (4) ◽  
pp. 5-10
Author(s):  
P.V. Plevinskis ◽  
V.D. Mishalov ◽  
S.V. Kozlov ◽  
N.M. Kozan ◽  
O.V. Dunayev
Keyword(s):  
Traffic Accidents ◽  
Morphological Features ◽  
The Body ◽  
Moving Vehicle ◽  
The Road ◽  
Vehicle Collision ◽  
Medical Evaluation ◽  
Health Disorders ◽  
On The Road ◽  
Dental Apparatus

Information about the differential diagnosis of human bodily injuries, which were formed when the body, wheel and bottom of a modern car came into contact with the body of a pedestrian; a person on the road surface, in the cabin of a modern car (driver and passengers), when a cyclist comes into contact with a car, in cases of combined types of car injury, is not enough. The purpose of the study is to increase the objectivity of forensic examinations by determining the criteria for assessing damage to the dental system in cases of the most common types of accidents: collision of moving vehicle with man; run over the body with a wheels or the bottom of vehicle; at an injury inside the vehicle on the basis of the analysis of morphological features and the mechanism of the specified damages. The archival materials of 130 forensic medical examinations of the municipal institution “Odessa Regional Bureau of Forensic Medical Examination” concerning victims of living persons and corpses as a result of traffic accidents that were accompanied by their injuries in the period 2015-2020 were used. The following research methods were used: anthropometric, morphometric, photographic, radiological, statistical. The article presents our own experience of improving the objectivity and provability of forensic examinations by determining the criteria for assessing damage to the dental system in cases of the most common types of vehicle: collision of moving vehicle with man; run over the body with a wheels or the bottom of vehicle; at an injury inside the vehicle on the basis of the analysis of morphological features and the mechanism of the specified damages. It is proved that according to the degree of gravity of physical injuries (health disorder or disability), damage to the dental apparatus in traffic accidents should be investigated only in cases of isolated injuries. In this case, fractures of the jaws, regardless of their nature, should be assessed as moderate injuries according to the criterion of long-term health disorders; Crown fractures, traumatic tooth dislocations, and soft tissue fatal wounds should be considered simple injuries that have caused short-term health disorders. Abrasions, bruises should be attributed to simple injuries. Thus, it is impractical to separately determine the severity of the injury of the dental system in cases run over the head with a wheels or the bottom of vehicle - in these cases, we always deal with gross, massive destruction of the bones of the skull.

Study on Pramana Shareera in relation to Prakriti

2016 ◽  
Vol 2 (3) ◽  
Author(s):  
Rajendra Pai N. ◽  
U. Govindaraju
Keyword(s):  
Observational Study ◽  
Upper Limb ◽  
Lower Limb ◽  
Characteristic Property ◽  
The Body ◽  
Artificial Limbs ◽  
Body Parts ◽  
Unit Of Measurement ◽  
The Individual ◽  
Different Parts

Ayurveda in its principle has given importance to individualistic approach rather than generalize. Application of this examination can be clearly seem like even though two patients suffering from same disease, the treatment modality may change depending upon the results of Dashvidha Pariksha. Prakruti and Pramana both used in Dashvidha Pariksha. Both determine the health of the individual and Bala (strength) of Rogi (Patient). Ayurveda followed Swa-angula Pramana as the unit of measurement for measuring the different parts of the body which is prime step assessing patient before treatment. Sushruta and Charaka had stated different Angula Pramana of each Pratyanga (body parts). Specificity is the characteristic property of Swa-angula Pramana. This can be applicable in present era for example artificial limbs. A scientific research includes collection, compilation, analysis and lastly scrutiny of entire findings to arrive at a conclusion. Study of Pramana and its relation with Prakruti was conducted in 1000 volunteers using Prakruti Parkishan proforma with an objective of evaluation of Anguli Pramana in various Prakriti. It was observed co-relating Pramana in each Prakruti and Granthokta Pramana that there is no vast difference in measurement of head, upper limb and lower limb. The observational study shows closer relation of features with classical texts.

scholarly journals Load Measurement of the Cervical Vertebra C7 and the Head of Passengers of a Car While Driving Across Uneven Terrain

Sensors ◽  
2021 ◽  
Vol 21 (11) ◽  
pp. 3849
Author(s):  
Martin Svoboda ◽  
Milan Chalupa ◽  
Karel Jelen ◽  
František Lopot ◽  
Petr Kubový ◽  
...  
Keyword(s):  
Cervical Vertebrae ◽  
Vertical Direction ◽  
Cervical Vertebra ◽  
Parietal Bone ◽  
The Body ◽  
Human Organism ◽  
Dynamic Effects ◽  
The Road ◽  
Real Environment ◽  
On The Road

The article deals with the measurement of dynamic effects that are transmitted to the driver (passenger) when driving in a car over obstacles. The measurements were performed in a real environment on a defined track at different driving speeds and different distributions of obstacles on the road. The reaction of the human organism, respectively the load of the cervical vertebrae and the heads of the driver and passenger, was measured. Experimental measurements were performed for different variants of driving conditions on a 28-year-old and healthy man. The measurement’s main objective was to determine the acceleration values of the seats in the vehicle in the vertical movement of parts of the vehicle cabin and to determine the dynamic effects that are transmitted to the driver and passenger in a car when driving over obstacles. The measurements were performed in a real environment on a defined track at various driving speeds and diverse distributions of obstacles on the road. The acceleration values on the vehicle’s axles and the structure of the driver’s and front passenger’s seats, under the buttocks, at the top of the head (Vertex Parietal Bone) and the C7 cervical vertebra (Vertebra Cervicales), were measured. The result of the experiment was to determine the maximum magnitudes of acceleration in the vertical direction on the body of the driver and the passenger of the vehicle when passing a passenger vehicle over obstacles. The analysis of the experiment’s results is the basis for determining the future direction of the research.

The October 2005 Earthquake in Northern Pakistan: Pattern of Injuries in Victims Brought to the Emergency Relief Hospital, Doraha, Mansehra

2009 ◽  
Vol 24 (6) ◽  
pp. 535-539 ◽  
Author(s):  
Fahad Sami ◽  
Fahad Ali ◽  
Syed Habib Haider Zaidi ◽  
Hiba Rehman ◽  
Tashfeen Ahmad ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Limb ◽  
Soft Tissue Injuries ◽  
The Body ◽  
Northern Pakistan ◽  
Cross Sectional ◽  
Emergency Relief ◽  
Medical Needs ◽  
Bone Injury ◽  
Tissue Injuries

AbstractObjective:Knowledge of injuries of earthquake victims is important to plan relief efforts. This cross-sectional study was conducted following the 08 October 2005 earthquake in Northern Pakistan to determine the pattern of injuries sustained and their relationship with age and gender in order to identify the medical needs in an earthquake-affected zone.Methods:The study was conducted between 13 October and 23 October 2005 at the Emergency Relief Hospital, Doraha, Mansehra. From the 1,700 patients registered in the hospital, 310 were sampled randomly for the study. Demography and details of the patients' injuries were noted by history and physical examination. Twelve cases were omitted due to incomplete data.Results:Of the cases, 54% were female. Children ≤10 years old formed the largest age group. Isolated bone injuries were present in 41%, soft tissue injuries in 36%, and mixed injuries in 23% of the patients.The most common bone injury was lower limb fracture (52%), while the most common non-bone injury was non-infected, soft tissue wounds on the limbs (33%). Among patients with soft tissue injuries, gangrenous wounds were present in 9%, and grossly infected wounds in 30% (20% on limbs and 10% on rest of the body).Conclusions:The population injured during the earthquake showed a higher proportion of females and children ≤10 years old, and lower limb bone injuries. The data highlight the need to address orthopedic, pediatric, and women's health issues, and for logistic arrangement of relevant diagnostic and therapeutic facilities at the initial stages of relief activities after earthquakes.

Stance- and Locomotion-Dependent Processing of Vibration-Induced Proprioceptive Inflow From Multiple Muscles in Humans

2007 ◽  
Vol 97 (1) ◽  
pp. 772-779 ◽  
Author(s):  
Grégoire Courtine ◽  
Alessandro Marco De Nunzio ◽  
Micaela Schmid ◽  
Maria Vittoria Beretta ◽  
Marco Schieppati
Keyword(s):  
Lower Limb ◽  
The Body ◽  
Whole Body ◽  
Neck Muscle ◽  
Muscle Vibration ◽  
Mapping Study ◽  
Body Mapping ◽  
Neck Muscle Vibration ◽  
Postural Changes ◽  
Postural Orientation

We performed a whole-body mapping study of the effect of unilateral muscle vibration, eliciting spindle Ia firing, on the control of standing and walking in humans. During quiet stance, vibration applied to various muscles of the trunk-neck system and of the lower limb elicited a significant tilt in whole body postural orientation. The direction of vibration-induced postural tilt was consistent with a response compensatory for the illusory lengthening of the stimulated muscles. During walking, trunk-neck muscle vibration induced ample deviations of the locomotor trajectory toward the side opposite to the stimulation site. In contrast, no significant modifications of the locomotor trajectory could be detected when vibrating various muscles of the lower as well as upper limb. The absence of correlation between the effects of muscle vibration during walking and standing dismisses the possibility that vibration-induced postural changes can account for the observed deviations of the locomotor trajectory during walking. We conclude that the dissimilar effects of trunk-neck and lower limb muscle vibration during walking and standing reflect a general sensory-motor plan, whereby muscle Ia input is processed according to both the performed task and the body segment from which the sensory inflow arises.

Tuning of a Basic Coordination Pattern Constructs Straight-Ahead and Curved Walking in Humans

2004 ◽  
Vol 91 (4) ◽  
pp. 1524-1535 ◽  
Author(s):  
Grégoire Courtine ◽  
Marco Schieppati
Keyword(s):  
Principal Components ◽  
Lower Limb ◽  
Time Course ◽  
Body Movement ◽  
The Body ◽  
Whole Body ◽  
Coordination Pattern ◽  
Data Set ◽  
Coordination Patterns ◽  
Straight Ahead

We tested the hypothesis that common principles govern the production of the locomotor patterns for both straight-ahead and curved walking. Whole body movement recordings showed that continuous curved walking implies substantial, limb-specific changes in numerous gait descriptors. Principal component analysis (PCA) was used to uncover the spatiotemporal structure of coordination among lower limb segments. PCA revealed that the same kinematic law accounted for the coordination among lower limb segments during both straight-ahead and curved walking, in both the frontal and sagittal planes: turn-related changes in the complex behavior of the inner and outer limbs were captured in limb-specific adaptive tuning of coordination patterns. PCA was also performed on a data set including all elevation angles of limb segments and trunk, thus encompassing 13 degrees of freedom. The results showed that both straight-ahead and curved walking were low dimensional, given that 3 principal components accounted for more than 90% of data variance. Furthermore, the time course of the principal components was unchanged by curved walking, thereby indicating invariant coordination patterns among all body segments during straight-ahead and curved walking. Nevertheless, limb- and turn-dependent tuning of the coordination patterns encoded the adaptations of the limb kinematics to the actual direction of the walking body. Absence of vision had no significant effect on the intersegmental coordination during either straight-ahead or curved walking. Our findings indicate that kinematic laws, probably emerging from the interaction of spinal neural networks and mechanical oscillators, subserve the production of both straight-ahead and curved walking. During locomotion, the descending command tunes basic spinal networks so as to produce the changes in amplitude and phase relationships of the spinal output, sufficient to achieve the body turn.

scholarly journals Assessing the risk for major injuries in equestrian sports

2018 ◽  
Vol 4 (1) ◽  
pp. e000408 ◽  
Author(s):  
Lara Krüger ◽  
Maike Hohberg ◽  
Wolfgang Lehmann ◽  
Klaus Dresing
Keyword(s):  
Surgical Therapy ◽  
Lower Limb ◽  
Head Injuries ◽  
Trauma Centre ◽  
The Body ◽  
Body Region ◽  
Older Individuals ◽  
Horse Riding ◽  
Limb Injuries ◽  
Prevention Programmes

Background/aimHorse riding is a popular sport, which bears the risk of serious injuries. This study aims to assess whether individual factors influence the risk to sustain major injuries.MethodsRetrospective data were collected from all equine-related accidents at a German Level I Trauma Centre between 2004 and 2014. Logistic regression was used to identify the risk factors for major injures.Results770 patients were included (87.9% females). Falling off the horse (67.7%) and being kicked by the horse (16.5%) were the two main injury mechanisms. Men and individuals of higher age showed higher odds for all tested parameters of serious injury. Patients falling off a horse had higher odds for being treated as inpatients, whereas patients who were kicked had higher odds for a surgical therapy (OR 1.7) and intensive care unit/intermediate care unit (ICU/IMC) treatment (OR 1.2). The head was the body region most often injured (32.6%) and operated (32.9%). Patients with head injuries had the highest odds for being hospitalised (OR 6.13). Head or trunk injuries lead to the highest odds for an ICU/IMC treatment (head: OR 4.37; trunk: OR 2.47). Upper and lower limb injuries showed the highest odds for a surgical therapy (upper limb: OR 2.61; lower limb: OR 1.7).ConclusionRisk prevention programmes should include older individuals and males as target groups. Thus a rethinking of the overall risk assessment is necessary. Not only horseback riding itself, but also handling a horse bears a relevant risk for major injuries. Serious head injures remain frequent, serious and an important issue to be handled in equestrians sports.

scholarly journals A New Radiographic Method for Estimating Tibial Malrotation

2020 ◽  
Vol 7 (3) ◽  
pp. 121-128
Author(s):  
Hamidreza Yazdi ◽  
◽  
Mohammad Taher Ghaderi ◽  
Alireza Yousof Gomrokchi ◽  
Parham Pezeshk ◽  
...  
Keyword(s):  
Lower Limb ◽  
Evaluation Method ◽  
Bone Fractures ◽  
Distal Tibia ◽  
Bone Diseases ◽  
The Body ◽  
University Hospital ◽  
Radiographic Evaluation ◽  
Minor Trauma ◽  
Lower Limb Injury

Background: Diaphyseal tibial fractures are the most frequent bone fractures in the body and are usually treated with intramedullary nailing method. However, this approach is responsible for 41% of the rotational deviation.  Objectives: This study aimed to provide a radiographic evaluation method to determine tibial malrotation in closed fixation of tibia bone fractures during or after the operation. Methods: This study was conducted in a university hospital from May 2015 to March 2016. All patients referring to the hospital with the complaints of minor trauma around the ankle and knee requiring radiographic evaluation of both joints were enrolled in the study. The inclusion criteria included being 20 and 50 years old; having normal axial, sagittal, and coronal lower limb alignment; lacking previous lower limb injury (such as fractures of the tibia or fibula), ankle or knee sprain; not having previous lower limb surgery, metabolic or congenital bone diseases, or malignancy. In all cases, a standard Anteroposterior (AP) radiograph of the knee was taken, and then, without changing the limb position or image setting, an AP radiograph of the ankle was obtained. The overlap between the distal tibia and fibula was measured in the PACS program environment.   Results: Fifty cases were included in this study. The Mean±SD ages of males and females were 29.08±2.49 years and 31.46±2.04 years, respectively. The range of distal tibia-fibula overlap one centimeter above the tibiotalar joint line was 7.81 to 9.09 mm (confidence interval of 95%), and its percentage to the fibula shaft width at the same level was 49.43% to 54.35%. Conclusion: According to the results, distal tibia-fibula overlap when the knee is in the true AP position, regardless of the side and gender, is 7.81 to 9.09 mm or 49.43% to 54.35%.

scholarly journals Death as an Aesthetic Experiment

2020 ◽  
Vol 6 (2) ◽  
pp. 88-104
Author(s):  
Leander Scholz ◽  
◽  
Anatoly Lipov ◽  
Keyword(s):  
The Body ◽  
Self Determination ◽  
Medical Procedure ◽  
The Road ◽  
Western Art ◽  
Art Scene ◽  
Operating Theatres ◽  
Contemporary Artist ◽  
Funeral Homes ◽  
Ethical Requirement

The more intensely a person thinks about the final nature of life, the more he is bound to a moment in life that is limited in time. Death is a very personal and intimate process, which in most cases is not «beautiful». The reality of death in clinics, intensive care units and operating theatres is, by its human nature, cruel. The body at the «end of the road» is captured by funeral homes. Thus, death today is identical to a long path of suffering. The article is dedicated to the author's reflection on a project by the German artist Gregor Schneider, which caused sensation and fierce reaction in Western art circles and beyond the art scene, creating him a reputation as «the most terrible contemporary artist» who has violated «existing» restrictions that cannot be exceeded if we do not want to question our civilization. The artist's vision is to allow a terminally ill person to die as part of an art project that represents a confrontation with death and that can remove the horror of death. As part of the project, the dying person defines everything in advance. Instead of a mass medical procedure of the same type, death, modeled on the artist's skill, Schneider argues, will create humane places for death and contribute to the creation of a space where people can die with dignity, creating personal protection and ensuring the ethical requirement of free will and self-determination.

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