Bodily Injury Research Articles

A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic

BackgroundInjuries, the leading cause of death in children 1–17 years old, are often preventable. Injury patterns are impacted by changes in the child’s environment, shifts in supervision, and caregiver stressors. The objective of this study was to evaluate the incidence and proportion of injuries, mechanisms, and severity seen in Pediatric Emergency Departments (PEDs) during the COVID-19 pandemic.MethodsThis multicenter, cross-sectional study from January 2019 through December 2020 examined visits to 40 PEDs for children < 18 years old. Injury was defined by at least one International Classification of Disease-10th revision (ICD-10) code for bodily injury (S00–T78). The main study outcomes were total and proportion of PED injury-related visits compared to all visits in March through December 2020 and to the same months in 2019. Weekly injury visits as a percentage of total PED visits were calculated for all weeks between January 2019 and December 2020.ResultsThe study included 741,418 PED visits for injuries pre-COVID-19 pandemic (2019) and during the COVID-19 pandemic (2020). Overall PED visits from all causes decreased 27.4% in March to December 2020 compared to the same time frame in 2019; however, the proportion of injury-related PED visits in 2020 increased by 37.7%. In 2020, injured children were younger (median age 6.31 years vs 7.31 in 2019), more commonly White (54% vs 50%, p < 0.001), non-Hispanic (72% vs 69%, p < 0.001) and had private insurance (35% vs 32%, p < 0.001). Injury hospitalizations increased 2.2% (p < 0.001) and deaths increased 0.03% (p < 0.001) in 2020 compared to 2019. Mean injury severity score increased (2.2 to 2.4, p < 0.001) between 2019 and 2020. Injuries declined for struck by/against (− 4.9%) and overexertion (− 1.2%) mechanisms. Injuries proportionally increased for pedal cycles (2.8%), cut/pierce (1.5%), motor vehicle occupant (0.9%), other transportation (0.6%), fire/burn (0.5%) and firearms (0.3%) compared to all injuries in 2020 versus 2019.ConclusionsThe proportion of PED injury-related visits in March through December 2020 increased compared to the same months in 2019. Racial and payor differences were noted. Mechanisms of injury seen in the PED during 2020 changed compared to 2019, and this can inform injury prevention initiatives.

Warfare, Political Economy, and Social Formations: Considering Central Andean Prehistory

Warfare is critical for anthropologists and prehistorians studying variation in human economies and societies. To view this variable comparatively, we must consider severity and regularity as documented by defensive facilities and locations, nature and frequency of weaponry, and bodily injuries likely from combat. Arkush (2022 and companion article) provides detailed documentation for explaining Andean warfare. Here, I look at war- fare as a constellations of phenomena involving raiding for wealth, competition over cor porate land ownership, and conquest warfare by complex chiefdoms and states aimed at maximizing the extraction of surpluses. My goal is to model warfare as imbedded within political economies with different goals and means based on sources of economic power. This is fundamentally a Marxist orientation, considering contrasting modes of economic organization representing competitive processes between interest groups. The Andean data suggest that warfare was elementally competition for corporately held agricultural lands intensified by facilities including especially irrigation. It varied in frequency and severity with population density increasing through time. With the emergence of institutional finance, however, overarching polities focus on conquest and intimidation to maximize surplus extraction as they imposed regional peace as documented for example by coastal EIP states and the Inca empire. Elaboration of offensive weaponry did not characterize Andean sequences in sharp contrast to Bronze and Iron Age Europe, suggesting distinctive trajectories of warfare. Key for success in Andean warfare was sizes of fighting forces as characterized by the numbers of sandals on the ground.

Tangzhiqing decoction attenuates cognitive dysfunction of mice with type 2 diabetes by regulating AMPK/mTOR autophagy signaling pathway

Ethnopharmacological relevanceTangzhiqing decoction (TZQD) is an effective prescription developed by Jiangsu Province Hospital of Chinese Medicine for the treatment of diabetes mellitus (DM) and its complications, which has a clear cerebral protective effect on mice with diabetic cognitive dysfunction, but its specific mechanism has not been well elucidated. Aims of the studyThis study aims to verify the protection of TZQD on cognitive function in mice with type 2 diabetes mellitus (T2DM) and explore the possible underlying mechanisms. Materials and methodsSix active ingredients in TZQD were detected using high-performance liquid chromatography analysis. In vivo experiments, the protection of TZQD on cognitive function and hippocampal neurons in type 2 diabetes mice was verified to obtain the optimal intervention dose of TZQD. TZQD and 3-methyladenine (3 MA) respectively or jointly intervened in mice with T2DM for 12 weeks, followed by detecting the cognitive difference, hippocampus cornu ammonis 1 (CA1) region injury, and hippocampal neuronal apoptosis in each group. Simultaneously, the investigation of autophagosome formation and organelle impairment in hippocampal neurons, along with the examination of AMPK/mTOR pathway proteins and autophagy-related proteins, was conducted to elucidate the potential mechanisms, through which TZQD modulates autophagy and enhances cognitive function. In vitro experiments, TZQD-containing serum and AMPK inhibitor Compound C (CC) were used to intervene in mouse hippocampal neuron HT22 cells under high glucose environment, further clarifying the regulatory role of TZQD on the AMPK/mTOR pathway and its impact on HT22 cell apoptosis and autophagy. ResultsIn vivo experiment results showed that TZQD had an obvious hypoglycemic effect. Different doses of TZQD could improve cognitive function and hippocampus damage in diabetes mice, with the middle dose of TZQD showing the best effect. TZQD increased the swimming speed of diabetes mice, improved their spatial recognition and memory ability, and reduced hippocampal neuronal apoptosis, Nissl body injury, and p-tau217 protein deposition. In addition, through transmission electron microscopy (TEM), immunofluorescence, and Western blot (WB) detection, TZQD significantly improved the organelle damage of hippocampal neurons in diabetes mice, promoted the formation of autophagy lysosomes, increased the expression of autophagy-related proteins like Beclin 1, LC3II/LC3I, LAMP1, and LAMP2, reduced the level of P62 and promoted autophagy flow, which, however, were all significantly weakened by 3 MA. Meanwhile, TZQD regulated the expressions of AMPK/mTOR pathway proteins. In vitro experimental study results showed that TZQD can regulate the expression ratio of p-AMPK/AMPK alpha 1 and p-mTOR/mTOR in HT22 cells under high glucose conditions and improved the morphology and vitality of HT22 cells. By employing techniques such as monodansylcadaverine (MDC) staining, Lysosomal red fluorescent probe staining, and Annexin V-FITC/PI double staining, the investigation revealed that TZQD administration resulted in enhanced autophagosome formation, preservation of a lysosomal acidic milieu, and consequent mitigation of HT22 cell apoptosis under high glucose conditions. ConclusionsTZQD can regulate the AMPK/mTOR pathway to activate autophagy to attenuate hippocampal neuronal apoptosis, thereby protecting cognitive function in diabetic mice.

Prevention and combating of femicide in the Republic of Moldova

Femicide (the killing of women/girls by men) is an extreme form of violence against women and girls and is influenced by hatred, contempt, pleasure, pride. This can take place in both the private and the public sphere, with the perpetrators often being intimate partners, family members or people who know the victim. This article presents the analysis of the cases of femicide that occurred in 2022 in the Republic of Moldova and the actions taken by the authorities to prevent and combat this phenomenon. The author analyzed the death cases that came to the attention of the Commission for monitoring and analyzing cases of family violence resulting in death or serious bodily injury of the victims, the particularities of the cases of femicide, the profile of victims and perpetrators, preventive measures and punishments applied by different institutions, highlighting some systemic problems and bad practices that need to be fixed.

A Review on the Pharmacological Aspects of Engeletin as Natural Compound.

Engeletin (ENG) is a natural flavonoid compound known for its diverse physiological and pharmacological effects, such as anti-inflammatory, antioxidant, and immunomodulatory properties. It has garnered significant attention as a promising candidate for drug development. This article aims to comprehensively review the clinical application, pharmacological action, and potential mechanisms of ENG, while exploring its prospects in clinical pharmacology. We conducted a systematic search of PubMed, Science Direct, Google Scholar, Web of Science, Scopus, and MEDLINE for a thorough review of high-quality articles on the source, extraction, and application of ENG, or the primary active ingredient for improving bodily injuries. ENG exhibits significant potential in treating a variety of diseases across different systems, attributed to its anti-inflammatory, antioxidant, anti-tumor, and metabolic regulatory activities. These effects are linked to direct or indirect interactions with multiple pathways involving key molecules upstream and downstream. While ENG shows promise, its development requires further exploration. Future studies should focus on elucidating its mechanisms of action, identifying targets through clinical studies, and optimizing compounds for drug development. These research directions are crucial for advancing the development and application of flavonoids. This review underscores the significant research potential of ENG, paving the way for its application in diverse clinical settings.

Effects of Balance and Proprioceptive Exercises on the Balance of Ice Hockey Players and the Risk of Lower Limb Injuries

Background. Most ice hockey injuries are contact, but about 15% are non-contact musculoskeletal injuries and lower body injuries account for 30-45% of all injuries in ice hockey players. It is believed that proprioception and balance training can improve neuromuscular control, improve its ability to synchronise the muscle joint to improve dynamic stability and improve human performance, so balance and proprioception are suggested exercises as a regular part of training. The aim. To determine the effects of a 6-week balance and proprioception training exercises on balance and lower extremity injury risk in ice hockey players. Material and methods. 20 men were randomly divided into experimental and control groups. Six weeks were applied to the research group balance and proprioception exercises, twice a week for 45 minutes next to their regular training. The control group continued with regular training. Before and after the study, static balance was assessed by the flamingo test, dynamic balance and lower extremity injury risk by the modified star excursion test, and injury risk assessment using the Functional Movement Assessment. Results. In the intervention group after 6 weeks the static balance of the right and left leg improved statistically significantly (p&lt;0,05), the dynamic balance of the right and left leg in the front, posteromedial, posterolateral directions (p&lt;0,05), but functional movement patterns did not change statistically significantly (p&gt;0,05). A statistically significant difference was found between the groups in the dynamic balance of the left and right leg in the front, posteromedial, and posterolateral directions (p&lt;0,05) and the static balance of the right leg (p&lt;0,05). The results of the intervention group were better compared to the control group. Conclusions. After the application of balance and proprioception training exercises, the static and dynamic balance of ice hockey players improved and the risk of injury in ice hockey players decreased. Recommendations. Balance and proprioception exercises should be included in hockey physical training to improve static and dynamic balance and reduce the risk of injury. When performing balance and proprioception exercises, we recommend incorporating a variety of specific movements that are similar to those performed by athletes during training and competition. In order to determine the cause of injuries and their risk, it is very important to carry out regular tests, store them and analyse them. Keywords: balance, proprioception, hockey, injury risk

Long-term behavioral and neurochemical paradoxical alterations elicited following intranasal application of a chlorpyrifos formulation in mice

The intranasal (IN) administration route represents a pathway for xenobiotics to reach the brain. The present study aimed to address the long-term consequences of IN administration of a chlorpyrifos (CPF) commercial formulation (fCPF) in mice. For this purpose, adult male CF-1 mice were intranasally administered with fCPF (10 mg/kg/day) three days a week, for 2 and 4 weeks, respectively. Behavioral and biochemical analyses were conducted 3–7, and 7.5 months after the last IN fCPF administration, respectively. Following a 6-month fCPF-free washout period, fur appearance and body injuries scores improved in the fCPF-treated groups. Notably, spatial learning and memory enhancement was observed 4 and 7 months after the last IN fCPF administration. Changes in oxidative stress markers and the activities of enzymes involved in cholinergic and glutamatergic pathways were observed in different brain areas from fCPF-treated mice, still after 7.5 months from fCPF application. Altogether, these neurochemical disturbances could be responsible for the described behavioral observations.

Management of Pediatric Foreign Body Injuries during the COVID-19 Pandemic: Results of an International Survey.

The COVID-19 pandemic has had direct and indirect effects on daily life. In hospitals, the impact of the pandemic was observed in the diagnostic and therapeutic workflow. In this work, we explored potential changes in activities related to the treatment of foreign body injuries (FBIs) in children and the behavioral habits of physicians during the first wave of the pandemic. An online survey was conducted among physicians of the Susy Safe network. The survey comprised items related to respondent information, reference center characteristics, the treatment of FBIs during the COVID-19 pandemic, and a modified COVID-19 Anxiety Scale (CAS). The survey was distributed among the Susy Safe project international network surveillance registry for FBIs. A total of 58 physicians responded to the survey, including 18 (32%) from Europe and 16 (28%) from South America. The respondents indicated that the estimated number of aspirated foreign bodies during the pandemic was lower than or the same as that before the pandemic (43, 74%), and the same was observed for ingested foreign bodies (43, 74%). In univariable logistic regression, no single predictor was associated with a delay in routine care for children or an increasing tendency of medical personnel to avoid procedures. The workflow of physicians involved in the management of FBIs in children has not changed drastically during the COVID-19 pandemic, especially in emergency departments.

Acute stress-induced disorders in general practice

Stress defines a cluster of psychophysiological responses aimed at enabling resources to solve difficult situations, as well as restoring and maintaining homeostasis in the body. Stress is a combination of physiological, neuroendocrine, behavioural and emotional responses to new or threatening stimuli and serves as a protective adaptation of the body under physiological conditions. In accordance with the effect on the body, beneficial and negative stress is distinguished. Stress can be divided into “chronic” and “acute”. The intensity of the physiological response to a stressor is highly individual and situationally dependent. Many variables, including personal attributes, coping strategies, social support, and past experiences may modify the physiological stress response in any given situation and can account for the different response of people exposed to the same stressor. Intense and persistent stress can lead to psychological and pathological body injury. Stress has a significant impact on different brain regions, including the hippocampus, hypothalamus, amygdala etc. Depression, anxiety, cognitive deficits, and even stress-induced mental diseases are closely related to functional and structural damage of the related brain regions. Repetitive daily acute stress can be associated with different diseases, first of all cardiovascular diseases, which affect quality of life and can cut short life expectancy. Timely treatment is required to prevent progression of early stress reactions to chronic post-traumatic stress disorder, especially in individuals at high risk. Advanced stress and anxiety management interventions include non-pharmacological and pharmacological treatments.

Serum biomarkers and disease progression in CT-negative mild traumatic brain injury.

Blood proteins are emerging as potential biomarkers for mild traumatic brain injury (mTBI). Molecular pathology of mTBI underscores the critical roles of neuronal injury, neuroinflammation, and vascular health in disease progression. However, the temporal profile of blood biomarkers associated with the aforementioned molecular pathology after CT-negative mTBI, their diagnostic and prognostic potential, and their utility in monitoring white matter integrity and progressive brain atrophy remain unclear. Thus, we investigated serum biomarkers and neuroimaging in a longitudinal cohort, including 103 CT-negative mTBI patients and 66 matched healthy controls (HCs). Angiogenic biomarker vascular endothelial growth factor (VEGF) exhibited the highest area under the curve of 0.88 in identifying patients from HCs. Inflammatory biomarker interleukin-1β and neuronal cell body injury biomarker ubiquitin carboxyl-terminal hydrolase L1 were elevated in acute-stage patients and associated with deterioration of cognitive function from acute-stage to 6-12mo post-injury period. Notably, axonal injury biomarker neurofilament light (NfL) was elevated in acute-stage patients, with higher levels associated with impaired white matter integrity in acute-stage and progressive gray and white matter atrophy from 3- to 6-12mo post-injury period. Collectively, our findings emphasized the potential clinical value of serum biomarkers, particularly NfL and VEGF, in diagnosing mTBI and monitoring disease progression.

The Level of Knowledge of Organ Transplantation and Attitudes Toward Organ Donation of Carers of Patients Receiving Hemodialysis.

Purpose: Renal transplantation is the most effective treatment method for chronic renal failure and helps improve the quality of life of patients and caregivers.In the present study, the purpose was to determine the knowledge level of the primary caregivers of patients receiving hemodialysis treatment about organ transplantation and their attitudes toward organ donation.Method: The study was conducted in a descriptive fashion with the relatives of 71 patients who were receiving treatment in the hemodialysis unit for the end-stage renal failure of a state hospital between 01.08.2022 and 15.10.2022. The data of the study were collected face to face with a questionnaire form, Organ Donation Attitude Scale, and Organ Tissue Donation and Transplantation Information Scale. The SPSS 24 package program was used in the analysis of the data. Descriptive statistics, numbers, percentages, and mean values were used in the analysis of the data. The One-Sample Kolmogorov-Smirnov Test was used to evaluate the homogeneity of the data. The Studentt test, the One-Way Analysis of Variance, the Kruskal-Wallis Test, and the Tukey Post-Hoc Test were used for the analysis between the groups. Statistical significance was taken as p < .05.Results: The benevolence and moral values/beliefs sub-dimension score average of the participants was found to be 98.44 ± 14.61, the fear of medical neglect was 32.10 ± 10.09, and the mean bodily injury sub-dimension score was 30.45 ± 11.28. It was also found that the mean score of the Organ-Tissue Donation and Transplant Information Scale was 11.41 ± 2.59. A statistically significant and negative relationship was detected between the participants' medical neglect and bodily injury attitudes and the Organ-Tissue Donation and Transplant Information Scale score averages (p < .05).Conclusion and Suggestions: As a result, it was found that the positive attitudes of the caregivers of individuals receiving hemodialysis treatment about organ donation were at a good level, and as the level of organ transplantation knowledge increased, negative attitudes towards organ donation decreased. In this context, it can be suggested that healthcare professionals provide training on organ transplantation and donation to the relatives of patients receiving hemodialysis treatment.

FGF2 Functions in H2S's Attenuating Effect on Brain Injury Induced by Deep Hypothermic Circulatory Arrest in Rats.

Deep hypothermic circulatory arrest (DHCA) can protect the brain during cardiac and aortic surgery by cooling the body, but meanwhile, temporary or permanent brain injury may arise. H2S protects neurons and the central nervous system, especially from secondary neuronal injury. We aim to unveil part of the mechanism of H2S's attenuating effect on brain injury induced by DHCA by exploring crucial target genes, and further promote the clinical application of H2S in DHCA.Nine SD rats were utilized to provide histological and microarray samples, and further the differential expression analysis. Then we conducted GO and KEGG pathway enrichment analyses on candidate genes. The protein-protein interaction (PPI) networks were performed by STRING and GeneMANIA. Crucial target genes' expression was validated by qRT-PCR and western blot.Histological study proved DHCA's damaging effect and H2S's repairing effect on brain. Next, we got 477 candidate genes by analyzing differentially expressed genes. The candidate genes were enriched in 303 GO terms and 28 KEGG pathways. Then nine genes were selected as crucial target genes. The function prediction by GeneMANIA suggested their close relation to immunity. FGF2 was identified as the crucial gene.FGF2 plays a vital role in the pathway when H2S attenuates brain injury after DHCA. Our research provides more information for understanding the mechanism of H2S attenuating brain injury after DHCA. We infer the process might probably be closely associated with immunity.

Which curve is better? A comparative analysis of trauma scoring systems in a South Asian country

ObjectivesA diverse set of trauma scoring systems are used globally to predict outcomes and benchmark trauma systems. There is a significant potential benefit of using these scores in low and...

COMPARATIVE ANALYSISOF SOFA VS. SAPS-II SCORE IN ASSESSING MORTALITY IN POLYTRAUMA PATIENTS FOR QUALITY MANAGEMENT

Background: The rise in severe combined traumas, underscores the need for accurate trauma assessment. The urgency to determine diagnoses and treatments for a variety of bodily injuries and disorders in polytrauma cases highlights the necessity for a robust classification system to evaluate trauma severity. Thus, the study aimed to assess the predictive value of the SOFA and SAPS II systems in evaluating mortality among polytrauma patients. Materials and Methodology: In this single centre prospective study, a total of 200 patients with injuries in at least two regions and an ISS &gt; 16 were included. Demographic information and variables for SOFA and SAPS II calculations were recorded upon admission. SOFA scores were applied to evaluate organ failure, with variables assessed at different time points to provide comprehensive insights. SAPS II scores were derived using established procedures, considering vital signs, blood tests, and Glasgow Coma Scale (GCS) values. Mortality outcomes were monitored for up to 30 days post-admission. Result: The relationship between SOFA and SAPS II scores was significant, with a Chi-square value and p-value less than 0.001. Notably, elevated SOFA scores were linked to reduced survival rates, as affirmed by a substantial Chi-square association between SOFA scores and survival outcomes (Chi-square: 116.80, p &lt; 0.001). The ROC Curve analysis with SOFAs AUROC at 0.924 and SAPS IIs AUROC at 0.99. SAPS II exhibited superior sensitivity and a lower false negative rate compared to SOFA. Conclusion: SOFA score effectively assesses organ dysfunction over time, while SAPS II excel in prognostic accuracy with an AUROC of 0.99, superior sensitivity, and reduced false negatives. SAPS II emerge as the more precise outcome predictor, aiding clinical decisions for enhanced patient care and improved outcomes in critical settings.

Norms of international law regarding the prevention of crimes of genocide committed by the Russian Federation in the war against Ukraine

The article examines the norms of international law regarding the prevention of crimes of genocide committed by the Russian Federation in the war against Ukraine. The essence and specifics of ensuring the implementation of current provisions and norms of international criminal law regarding criminal prosecution for the commission of crimes of genocide against Russia as an aggressor state, a sponsor of terrorism, its top political and military leadership and the military, who directly commit these crimes in the beginning of February 24, 2022, were considered. full-scale war against Ukraine. It is established that the crimes of genocide are crimes against the security of humanity committed with the intent to destroy, in whole or in part, any national, ethnic, racial or religious group as such by: a) killing members of such a group; b) causing serious bodily injury or mental disorder to members of such a group; c) deliberate creation of living conditions for such a group, designed to bring it to its complete or partial physical destruction; d) implementation of measures aimed at preventing childbirth within such a group; e) forcible transfer of children of this group to another group. The scientific developments and provisions of the current legal norms of the International Convention on the Prevention of the Crime of Genocide and its Punishment, the Rome Statute of the International Criminal Court, as well as the criminal law of Ukraine were studied with the aim of the need for the immediate ratification by the Parliament of Ukraine of the legal norms of the International Criminal Court and their implementation into the criminal legislation of Ukraine and Law of Ukraine “On the Judiciary and the Status of Judges” in English”.&#x0D; The author formulated reasonable proposals for improving the criminal legislation of Ukraine in accordance with the norms of international criminal law, as well as the criminal prosecution and punishment of the highest political and military leadership and the military of the Russian Federation, who directly commit crimes of genocide in the war against Ukraine.

Predicting Factors of Clinical Outcomes in Patients Hospitalized after Esophageal Foreign Body or Caustic Injuries: The Experience of a Tertiary Center

Ingestion of foreign bodies (IFB) and ingestion of caustic agents are frequent non-hemorrhagic causes of endoscopic urgencies, with the potential for severe complications. This study aimed to evaluate the predicting factors of the clinical outcomes of patients hospitalized as a result of IFB or ingestion of caustics (IC). This was a retrospective single-center study of patients admitted for IFB or IC between 2000 and 2019 at a tertiary center. Demographic and clinical data, as well as preliminary exams, were evaluated. Also, variables of the clinical outcomes, including the length of stay (LS) and other inpatient complications, were assessed. Sixty-six patients were included (44 IFB and 22 IC). The median LS was 7 days, with no differences between the groups (p = 0.07). The values of C-reactive protein (CRP) upon admission correlated with the LS in the IFB group (p &lt; 0.01) but not with that of those admitted after IC. In the IFB patients, a diagnosis of perforation on both an endoscopy (p = 0.02) and CT scan (p &lt; 0.01) was correlated with the LS. The Zargar classification was not correlated with the LS in the IC patients (p = 0.36). However, it was correlated with antibiotics, nosocomial pneumonia and an increased need for intensive care treatment. CT assessment of the severity of the caustic lesions did not correlate with the LS. In patients admitted for IFB, CRP values may help stratify the probability of complications. In patients admitted due to IC, the Zargar classification may help to predict inpatient complications, but it does not correlate with the LS.

3D scanning of foreign body causing injuries in children: an innovative approach to injury prevention

Abstract Background Foreign Body (FB) injuries in children are a relevant public health problem associated with significant morbidity and mortality. The characterization of objects causing the injuries is an essential step for developing effective prevention strategies. Scanning the objects causing the injuries would help identify characteristics that make the objects dangerous for young children. The study aims to use 3D scanning within a large series of FB injuries collected in the Susy Safe database to develop a system able to identify the risk profile of everyday objects based on information collected through the scanning study. Methods The Susy Safe is the largest international registry collecting data on FB injuries in children under the age of fifteen. It collects almost 35,000 cases. For each case, information about the child, the object, and the circumstances of the injuries are collected. Furthermore, whenever possible (according to the object type and the approach used for FB removal) also the object is collected. Such objects are undergoing 3D scanning with structured light technology, a common non-contact scanning method allowing for 3D digitization of all dimensions and appearances. Results Currently, 383 objects have undergone 3D scanning. Most objects were made of a stiff material (60%). The scanning of the objects is still ongoing. The digitalized information for each object is collected in a REDCap repository together with all information about the FB injury and the picture of the object. Conclusions The final aim of the project is to develop a web-based application able to identify dangerous objects, based on shape and size parameters, according to the data collected through the scanning. Its objective is to make people aware of the risks posed by particular objects, especially parents and guardians of children. Furthermore, through the web-based application, parents will be able to report injuries and share images on FBs. Key messages • 3D scanning would be a promising opportunity to improve primary prevention of foreign body injuries. • Integrating data from 3D scanning and surveillance systems would represent the basis for the development of a web application able to assist families in identifying hazardous objects.

Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the Literature.

Foreign Body Aspiration (FBA) represents a leading cause of death among unintentional injuries in children less than one year of age. This study reviewed case reports and case series reporting non-food FBA in children to characterize aspirated foreign bodies, describing the clinical presentations and the outcomes. A systematic review was conducted according to the PRISMA checklist. Case reports and case series presenting non-food FBA in children (up to 18 years) were eligible to be included. Information regarding study characteristics, child demographics, foreign body characteristics, clinical presentation, and outcome were extracted. The review included 248 articles published between 1965 and 2023, corresponding to 294 cases. The male gender was the most prevalent (194 cases, 66%), and the median age was 3.5 years (Interquartile Range: 1-8 years). Button batteries were the objects most frequently reported (21 cases, 7.1%). Objects were located most often in the bronchus (102 cases, 35%). The most common symptom was cough (181 cases, 62%), followed by respiratory distress (160 cases, 54%) and wheezing/stridor (127 cases, 43%). The present systematic review may have relevant public health implications, since characterizing objects that cause foreign body injuries is essential to reduce the burden of this phenomenon.

Forensic and forensic aspects of childhood traumatism as a result of domestic injuries and traffic accidents: A review

Childhood injuries are a major cause of death and disability worldwide, particularly in low-, and middle-income countries. Recent data showed that about 5 million children die from injuries per year. About 1 million children under 18 years old die of injury and more than 2000 children die per day, of which child injuries account for 5.4% (265 000348 000) of child deaths annually worldwide. A detailed analysis of the epidemiology of childhood injuries can provide possible insights into their prevention and early intervention to reduce future disability due to childhood injuries.&#x0D; In this review, the specificity of childhood body injuries in accidents and road traffic accidents and their qualitative differences from adult injuries were investigated, and current techniques for the detection, fixation, and recovery of childhood body trauma were reviewed through forensic investigation.&#x0D; A literature search was conducted in the Pubmed, Scopus, Ebscohost, Medline, The Cochrane Library, SpringerLink, Web of Knowledge, Paragraph Medicine, and ScienceDirect databases to identify published studies for the last 20 years: from 1993 to 2023. Inclusion criteria were reports of randomized and cohort studies conducted on large populations, meta-analyses and systematic reviews, and articles in English, and Russian. Exclusion criteria were articles describing single cases and case series, published earlier than 1993, materials with no evidence base, abstracts of reports, abstracts, and newspaper articles. Out of 56 literature sources, 44 were selected as an analytical material for this article.&#x0D; The literature review demonstrated that the absolute number of major childhood injuries has not declined over the past decade. Road traffic crashes remain the leading cause of injury and death in children. Adolescents are at greatest risk of serious injuries. Appropriate use of child restraints and safety equipment remains a key factor of the prevention. The adaptation of the urban environment is also a promising approach to child injury prevention among pedestrians and cyclists. As the social environment is a strong determinant of collisions, new road safety interventions must be implemented and evaluated with equity in mind to ensure safe roads for all.

Body Weight Satisfaction, Comments, Nutrition and Injury Risk in 489 Adolescent Elite Athletes.

Exposure to critical body weight comments in youth athletes could lead to decreased self-esteem, affect body image, and increase the risk of eating disorders and cause depressive symptoms. The aim was to explore differences between sex, body mass index, sports type, with regards to body weight satisfaction, exposure to critical body weight comments from their coach and nutrition status in adolescent elite athletes. A questionnaire about body weight, critical body weight comments and nutrition was distributed to 489 adolescent elite athletes and injury prevalence was monitored across 20 weeks. The results showed that almost one in four athletes (n=116, 24%) was not satisfied with their weight and 12% (n=59) had received critical body weight comments from their coach. Of the athletes who were unsatisfied with their body weight (n=116), 47% wanted to lose weight (n=55). A significant (p<0.05) higher proportion of ice hockey players and swimmers used nutritional supplements, were unsatisfied with their body weight, and were more exposed to critical body weight comments compared to athletes from other sports. Adolescent elite athletes as young as 15-16 years old are exposed to critical body weight comments from their coach and experience challenges with body weight satisfaction that is partly dependent on the sport-specific context.