ROUTING OF VICTIMS OF ROAD ACCIDENTS IN THE VORONEZH REGION

2021 ◽  
pp. 140-144
Author(s):  
Людмила Евгеньевна Механтьева ◽  
Юрий Владимирович Струк ◽  
Татьяна Петровна Склярова ◽  
Ольга Алексеевна Якушева ◽  
Александр Николаевич Артёмов
Keyword(s):  
Disaster Medicine ◽  
Trauma Centers ◽  
Road Accidents ◽  
Craniocerebral Injuries ◽  
Clinical Center ◽  
Close Proximity ◽  
Voronezh Region ◽  
Adults And Children ◽  
The Subject ◽  
Complications And Mortality

Предметом публикации является анализ динамики количества дорожно-транспортных происшествий в Воронежской области в 2017-2019 гг. на аварийно-опасных участках автодорог. Отмечен рост числа дорожно-транспортных происшествий в 2019 г., что может быть обусловлено неблагоприятной метеорологической обстановкой. Приведены статистические показатели Воронежского областного клинического центра медицины катастроф, характеризующие структуру травм при дорожно-транспортных происшествиях среди взрослого и детского населения, а также наличие осложнений и летальность на этапах эвакуации. Наиболее высокая летальность среди пострадавших с множественной травмой наблюдалась в 2018 г., что связано с преобладанием черепно-мозговых травм в структуре травматизма. Приведены характеристики структурной организации, оснащенности и локализации травмоцентров первого, второго и третьего уровней, регламентирующие объем оказания медицинской помощи пострадавшим. Рассматриваются вопросы маршрутизации пациентов с автодорожной травмой в травмоцентры Воронежской области с учетом тяжести состояния, наличия осложнений и критериев транспортабельности. На основании полученных данных можно сделать вывод, что в травмоцентры второго уровня доставляется наибольшее количество всех пострадавших, что связано с непосредственной близостью их расположения от наиболее аварийно-опасных участков автодорог The subject of the publication is an analysis of the dynamics of the number of road accidents in the Voronezh region in 2017-2019 on accident-prone sections of roads. There was an increase in the number of road accidents in 2019, which may be due to the unfavorable meteorological situation. Statistical indicators of the Voronezh Regional Clinical Center for Disaster Medicine are presented, which characterize the structure of injuries in road accidents among adults and children, as well as the presence of complications and mortality at the stages of evacuation. The highest mortality rate among victims with multiple injuries was observed in 2018, which is associated with the predominance of craniocerebral injuries in the structure of injuries. The characteristics of the structural organization, equipment and localization of trauma centers of the first, second and third levels, regulating the scope of medical care for victims, are given. The issues of routing patients with road injuries to trauma centers in the Voronezh region are considered, taking into account the severity of the condition, the presence of complications and criteria for transportability. Based on the data obtained, it can be concluded that the largest number of all victims is delivered to the second-level trauma centers, which is due to the close proximity of their location to the most dangerous sections of roads

scholarly journals Experience of Applying Telemedicine Technologies in the Work of Voronezh Regional Clinical Center for Disaster Medicine

2021 ◽  
pp. 17-22
Author(s):  
L.E. Mekhantieva ◽  
◽  
A.N. Artemov ◽  
V.P. Ilyichev ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Disaster Medicine ◽  
Trauma Centers ◽  
Road Accidents ◽  
Car Accidents ◽  
Clinical Center

The purpose of the study is to determine the role of telecommunication technologies in increasing the efficiency of Voronezh Regional Clinical Center for Disaster Medicine. Materials and methods of research. The data contained in analytical reports and other documentation of the Center for 2018-2020 in terms of identifying patterns of their change with the introduction of telecommunications technologies were analyzed. Results of the study and their analysis. Introduction of telemedicine technologies in the work of the Center resulted in increase of volume of rendering of medical care by its specialists. The neurosurgeons were the most demanded specialists, who performed telemedical consultations, which is mostly related to the necessity of performing consultations for the doctors of trauma centers of the II and III levels, engaged in treatment of victims of car accidents. Voronezh Regional Clinical Center for Disaster Medicine plans to further expand the use of telecommunication technologies not only in treating victims of road accidents, but also victims of other man-made and natural emergencies.

Community management of burn injuries

2019 ◽  
Vol 12 (8) ◽  
pp. 459-465
Author(s):  
Nader Henry ◽  
Ishan Radotra ◽  
Sheirin Khalil
Keyword(s):  
Primary Care ◽  
Rapid Assessment ◽  
Burn Injuries ◽  
Community Management ◽  
Referral Criteria ◽  
Rapid Assessment Methods ◽  
Adults And Children ◽  
The Subject ◽  
Key Aspects

Burn injuries are extremely common injuries for both adults and children, and yet knowledge of their management is often lacking in society and the subject is not routinely taught to clinicians. In this article, we aim to provide an overview of the pertinent points of the history, classification of burns, and rapid assessment methods for determining body surface area within primary care. This is followed by key aspects of management, referral criteria for transfer to a burns service, and important safeguarding issues surrounding burns.

Military-Civilian Collaboration for Disaster Medicine in the Federal Republic of Germany (FRG)

1985 ◽  
Vol 1 (1) ◽  
pp. 33-34
Author(s):  
Karl-Wilhelm Wedel
Keyword(s):  
Natural Disasters ◽  
Military Personnel ◽  
Forest Fires ◽  
Medical Service ◽  
Armed Forces ◽  
Disaster Medicine ◽  
Federal Republic Of Germany ◽  
Surgeon General ◽  
Severe Accidents ◽  
The Subject

The subject of disaster medicine may seem suspect to those who say that it means to prepare for war. Others maintain that in the FRG we need not concern ourselves with disaster medicine because “disasters in this country seem unlikely.” I consider those claims absurd. I will try to point out possibilities for medical support by the West German Bundeswehr (Federal Armed Forces) in the event of natural disasters (e.g., earthquakes, floods, forest fires) or in severe accidents (e.g., traffic, aircraft, railway) where suitable civilian helpers or equipment are unavailable or are available only in insufficient numbers or too late. The Federal Armed Forces' Medical Service, according to legislation, is part of the Armed Forces, organized for defense. The medical service has to provide free medical care for military personnel, and protect, maintain or restore as far as possible the health of military personnel. Moreover, it is a matter of course in our country to employ the medical service of the Bundeswehr for aid in natural disasters or major accidents. For this purpose, the Surgeon General, Federal Armed Forces, in March 1982, issued guidelines on which I will primarily base my remarks.

scholarly journals Evaluation of Physiological Intracranial Calcifications in Children Using Computed Tomography

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Katarina Raspopovic ◽  
Valentina Opancina ◽  
Maja Vulovic ◽  
Slavica Markovic ◽  
Radisa Vojinovic
Keyword(s):  
Computed Tomography ◽  
Clinical Study ◽  
Pineal Gland ◽  
The Other ◽  
Intracranial Calcifications ◽  
Randomized Clinical Study ◽  
Clinical Center ◽  
The Subject ◽  
The Mean ◽  
Neuro Imaging

AbstractIntroduction. Physiological intracranial calcifications have an increasing prevalence with the age and can be found in both children and in adults. These calcifications are basically asymptomatic and their presence can only be noticed through neuro-imaging.The aim of the paper was to evaluate physiological intracranial calcifications in children using computed tomography, in our conditions.Materials and methods. The study was designed as a retrospective, observational, non-randomized clinical study. It was conducted at the Department of Radiology, Clinical Center Kragujevac, Serbia. The study included all the patients scanned by CT from 1st October, 2008. to 30th September, 2018.. The criteria for the inclusion were: the patients aged up to 18 years who underwent a non-contrast computed tomography in the observed period, with diagnosed intracranial calcifications that do not have pathological etiology.Results. Our study included 420 patients. Out of them, 213 (50.7%) were boys and 207 (49.3%) were girls. The mean age was 12.47. We divided the patients into two age categories: the first one included the patients aged 1 to 10 years and the other one included the patients aged 11 to 18 years. Our study has demonstrated that physiological intracranial calcifications are the most frequent in habenula (28.1%), followed by the pineal gland (22.6%) and choroid plexus (18.8%).Conclusion. There is a small number of studies with the subject of physiological intracranial calcification distribution, especially in children. It is important to know in which locations we can expect physiological intracranial calcifications, as well as the age in which they become detectable by imaging, in order not to mix them with hemorrhages, pathological tumor or metabolic mineralization.

Un effet du principe C chez l’enfant francophone

2000 ◽  
Vol 45 (1-2) ◽  
pp. 49-62
Author(s):  
Helen Goodluck ◽  
Lawrence Solan
Keyword(s):  
Main Clause ◽  
Binding Theory ◽  
Object Position ◽  
French Speaking ◽  
Adults And Children ◽  
Subject Pronoun ◽  
The Subject ◽  
Work Done

AbstractWe report a study that tests children’s knowledge of an effect of Principle C of the binding theory: In the adult grammar of English and French, coreference between a main clause object pronoun and a non-pronominal subject of a sentence-final temporal clause is permitted, whereas coreference between a subject pronoun and the subject of a temporal clause is blocked. In an act-out task, both French-speaking adults and children aged 3–7 were found to be sensitive to the position of a main clause pronoun (subject vs object) in selecting a referent for the subject of a temporal clause, permitting coreference more frequently when the pronoun was in object position. This result replicates earlier work done on English. A sentence judgement task produced clear results only for adults. Results from the act-out suggest that children are relatively inept at integrating non-mentioned participants into their interpretation of sentences. We suggest that children’s knowledge of the principle C effect we tested constitutes a “poverty of the stimulus” argument for innateness.

Young Children’s Social Networks in an Informal Urban Settlement in Kenya: Examining Network Characteristics Among Kamba, Kikuyu, Luo, and Maasai Children

2019 ◽  
Vol 50 (5) ◽  
pp. 639-658
Author(s):  
Daniela A. Salinas ◽  
Hillary N. Fouts ◽  
Carin L. Neitzel ◽  
Denise R. Bates-Fredi
Keyword(s):  
Social Networks ◽  
Nuclear Family ◽  
Social And Emotional Development ◽  
Urban Settlement ◽  
Network Characteristics ◽  
Social And Emotional ◽  
Parent Child Interactions ◽  
Close Proximity ◽  
Social Partners ◽  
Adults And Children

Children’s social networks comprise a variety of social partners who interact with the child in unique ways and contribute distinctly to her social and emotional development. This study examines the structure of children’s social networks from four different ethnic groups (Kamba, Kikuyu, Luo, and Maasai) residing in an informal urban settlement in Kenya. Twenty boys and 24 girls ( M = 40 months) were observed on three different weekdays for 2 hr each day, to assess children’s experiences across daylight hours. Children’s social networks predominantly consisted of nonrelative children and nonrelative adults. However, larger social networks did not necessarily mean more highly involved members. Peers were observed to be in close proximity and to engage in play and conversation with the focal children more often than did adult social partners. The findings have implications for intervention programs that focus predominantly on nuclear family members, as they may overlook important roles that other social network members play in children’s lives. The low occurrence of play between adults and children in this study is consistent with studies in other non-Western contexts, where play is generally not considered part of parents’ role nor a fundamental characteristic of parent–child interactions.

Evaluation of driver visual demand in complex two dimensional rural highway alignments

2021 ◽  
Author(s):  
Chandi D Ganguly
Keyword(s):  
Visual Information ◽  
Driving Simulator ◽  
Radius Of Curvature ◽  
Two Dimensional ◽  
Road Accidents ◽  
Complex Curves ◽  
Demand Information ◽  
The Subject ◽  
Highway Alignment ◽  
Lateral Positioning

Transportation has proven to be one of the most important infrastructures in the economic development of any country. Safe and effective traffic operations support growth of the economy and help in future developments. Highway alignment design plays a crucial role in implementing safer traffic operation and management. Road accidents not only jeopardize safety, but also have a major effect on the national economy. These accidents can be divided in three classes, grouped according to their severity. Statistics in North America and Europe show that one of the major reasons for such road accidents is driver error. Wrong decisions during navigation may be the primary reason for such errors. Wrong decisions occur when a driver is unable to process the range of visual information available in a complex highway situation. Drivers need to have sufficient visual information in guiding and controlling vehicles along the correct path. Drivers scan the roadway to collect visual information. This visual information consists mainly of the traffic situation, roadway signs, and the information from the highway alignment itself. The information from the highway alignment plays a major role in decision-making during maneuvering. All drivers, therefore, need sufficient visual information for perfect navigating, and for guiding and controlling their vehicles on the road. The main focus of this research study was on evaluating visual demands on two-dimensional highway alignments with an emphasis on determining the effect of complex curves on visual demand. Complex curves are defined as combinations of simple, compound, and reverse curves in a series. Eighteen hypothetical alignments for two-lane rural highways have been developed following the standard guidelines of the Transportation Association of Canada (TAC) and American Association of State Highway Transportation Officials (AASHTO). These alignments were simulated in a low-cost driving simulator. A series of experiments was carried out using the visual occlusion method. Nine subject drivers drove in the simulator, and the output data related to visual demand information and positioning of the subject vehicle were connected. The data relating to visual demand information and lateral positioning on curves and tangents were processed using Microsoft ExceFM and analyzed using SAS, a statistical software. The turning directions, characteristics of preceding elements, and the combination of curve to curve, tangent to curve, or curve to tangent have been considered as nominal variables and analyzed as independent variables with visual demand. It has been observed that visual demand varies widely with the inverse of radius of curvature of the preceding and current elements, and the characteristics of the combination of the current and the preceding element. Visual demand also varies on identical tangents, depending on the deflection angle, inverse of radius, and turning direction of the preceding curve. The standard deviation of lateral positioning of the subject vehicle was evaluated with respect to the centre-line of the driving lane. This was supposed to have a considerable impact on visual demand evaluation, but it has been observed that this does not bear any significant relationship to visual demand. In addition to curves, tangents, as preceding elements have an immense impact on visual demand evaluation on following curves. Besides, visual demand on tangents has also been observed as highly dependent on the preceding curve and their turning directions.

The Right to Security of Online Childhood

2017 ◽  
Vol 25 (3-4) ◽  
pp. 573-598 ◽  
Author(s):  
Deborah De Felice
Keyword(s):  
Parenting Styles ◽  
Digital Technologies ◽  
Rights Of The Child ◽  
Theoretical Perspectives ◽  
Starting Point ◽  
Adults And Children ◽  
The Subject ◽  
United Nations Convention ◽  
The One ◽  
The Right

The complex relationship between children online and digital technologies is the starting point of this reflection of a growing process of multidisciplinary theoretical attention to building children’s biographies. On the one hand, the concepts of “risk and childhood safety” have become increasingly central in institutional discourses. The content of this attention seems, however, to assume more the form of adults’ fears, dealing with an endless struggle for a utopian safety for their children, than the reality of what really can be a “risk” for children online. On the other hand, the current changes in the representations of childhood are increasingly oriented to a vision of the child as the subject of its own history and therefore more active and participatory. This makes it difficult to manage the distinction between adults and children and is problematic for the use of traditional parenting styles. Starting from a reflection on the main theoretical perspectives that have been compared on the issues of social change, this paper aims to clarify and problematise some of the paradoxes that accompany what has been said relating to children’s safety in the so-called second modernity, compared to the United Nations Convention on the Rights of the Child and the powerful entry of technology digital science in familial contexts.

scholarly journals The perturbations of the Bielid meteors

1905 ◽  
Vol 76 (510) ◽  
pp. 266-270
Keyword(s):  
Main Part ◽  
Meteor Stream ◽  
Close Proximity ◽  
The Subject ◽  
General Opinion

In the calculations, the results of which are embodied in this paper, it is assumed that in the apparition of the Bielid Meteors noted in November, 1885, we have an observation of the main part of the stream. It is also assumed that the periodic time of the stream is 6⅔ years, as appears to be now the general opinion of the chief authorities on the subject, and which agrees closely with the periodic time found for the associated comet. On these assumptions we ought again to encounter the central part, or at least a neighbouring segment of the stream, close to the central part, in November of the present year. It accordingly became a matter of interest to determine the perturbations to which the segment of the meteor stream, encountered in November, 1885, has been subjected in the interval, in order to ascertain the possibility or otherwise of an encounter with the same segment next November, especially as it was known that this segment of the stream was in close proximity to Jupiter during 1900-01.

scholarly journals Organizational Aspects of Providing Emergency Care to Victims in Road Transportation Accidents with Damage to the Facial Skeleton

2021 ◽  
pp. 65-67
Author(s):  
V.V. Maslyakov ◽  
◽  
Yu.E. Barachevsky ◽  
O.N. Pavlova ◽  
A.V. Pimenov ◽  
...  
Keyword(s):  
Medical Care ◽  
Traffic Accidents ◽  
Road Traffic ◽  
The Body ◽  
Trauma Centers ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Emergency Medical Care ◽  
Facial Skeleton ◽  
Emergency Medical

The aim of the study is to investigate the organizational aspects of providing emergency medical care to victims of road traffic accidents with injuries of the facial skeleton. Materials and research methods. The study included 75 victims of road accidents that occurred in the city of Saratov in 2010–2019. In the total number of injured men – 42 (56.0%), women – 33 (44.0%). The age of the victims is 18–70 years, the average age is (37.5 ± 6.0) years. The study did not include: victims under the age of 18; victims with neck trauma, damage to the cerebral section of the skull and to other parts of the body. All the victims got medical assistance from the personnel of the ambulance brigades. Covering sheets, outpatient cards and medical records were used as primary documentation. Study criteria: time during which the ambulance was provided; who provided emergency medical care; correctness of its rendering. Research results and their analysis. Analysis of injuries to the facial skeleton showed: injuries of the facial skeleton are an actual pathology in victims of road traffic accidents in Saratov; victims of road accidents got open and closed injuries of the facial skeleton. With closed injuries, moderate and severe injuries were found in 23 (30.7%) victims, with open injuries — in 19 (23.3%) victims; majority (90.7%) of victims of road accidents got high-quality emergency medical aid in a timely manner. In 9.3% of cases, the quality of care was insufficient due to an incorrect assessment of severity of the victims’ condition and, as a consequence, due to non-fulfillment of anti-shock measures; scope of the provision of emergency medical care to victims of road accidents included temporary hemostasis, treatment of wounds and anti-shock measures; from the accident site were evacuated: to level III trauma centers — 24.0% of victims; to level II — 48.0; to level I trauma centers — 28.0% of victims; complications in the form of purulent-septic processes were observed in 16.0% of victims; competent and timely implementation of anti-shock measures determined an insignificant mortality rate — 4.0%.

Sign in / Sign up

Export Citation Format

Share Document