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Methods: Using a prospective database of HIs from a neurosurgical practice in a sub-Saharan African developing country, a cross-sectional survey was conducted for the trauma demography and clinical epidemiology of this MCC-related HI.
Results: Motorcycle crashes accounted for 57% (473/833) of all RTI-related HIs in this registry. The victims, with a mean age of 33.1 years (SD = 18.3), consisted mainly of males (83.1%), those of low socioeconomic status (>90%), and those aged between 20 and 40 years old (56%). MCCs involved only riders in 114 cases (114/473, 32.1%), of which 69% were motorcycle–motorcycle crashes. The HI was moderate–severe in 50.8%; clinical symptomatology of significant HI included loss of consciousness (92%), anisocoria (35%), Abbreviated Injury Scale head (AIS–head) score > 3 (28%), and CT-Rotterdam score > 3 (30%). Extracranial systemic injury involved the limbs most frequently, with an Injury Severity Score (ISS) >25 in 49%. The fatality rate was 24%.
MCC-related HI among pedestrian victims involved more vulnerable age groups (the young and elderly) but have lower mean ISS compared to motorcycle passengers (mean ISS = 23.5 [11.6] vs. 27.4 [13.0]; 95% confidence interval [CI], 1.27–6.49; P = .004). In addition, compared to a contemporary cohort of MVC-related HIs in our registry, MCC victims were older (mean age 34.8 years [18.0] vs. 30.8 [18.4]; P = .002); had higher proportions of certain extracranial trauma like long bone fractures (71 vs. 29%; P = .02); and suffered fewer surgical brain lesions (25.5 vs. 17.2%; P = .004).
Conclusions: Motorcycle crashes are now a significant threat to the heads, limbs, and lives of vulnerable road users in developing countries. 相似文献
The presence of potentially hazardous elements (PHEs) in playground soils is generally associated with anthropogenic sources such as vehicle traffic, industries, construction sites, and biomass burning. Studies indicate that PHEs are harmful to human health and may even be carcinogenic. Therefore, the aim of this study was to evaluate the physicochemical, morphological, and mineralogical properties of soil samples from three public playgrounds located in the cities of Bogota, Medellin, and Barranquilla. Besides, the possible impacts caused by the aerodynamics of particles in Colombian cities were verified. The morphology, composition, and structure of the nanoparticles (NPs) (< 100 nm) present in these soils were evaluated by field emission scanning electron microscopy (FE-SEM) equipped with high-precision field emission (FE) and high-resolution transmission electron microscopy (HR-TEM). Soil samples were predominantly feldspar, quartz, and, to a lesser extent, clay minerals, carbonates, and hematites. The average content of PHEs was anthropogenically enriched in relation to the upper continental crust. As and Sn showed a large spatial variation, indicating the influence of local sources, such as vehicle traffic and industries. There is an inverse relationship between the total concentrations of some elements and their leachable fractions. The accumulation of traffic-derived PHEs has a negative impact on human health and the environment, which is alarming, especially for elements such as Pb, Sb, or As. Therefore, the presence of PHEs should receive greater attention from public health professionals, and limits should be set and exposures controlled. This study includes the construction of a baseline that provides basic information on pollution, its sources, and exposure routes for humans in the vicinity of Colombia’s major cities, characterized by their increasing urbanization and industrialization.
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