ABSTRACT
This paper reports a comparison of road injuries and fatalities in the twelve months before and after the mandatory enforcement of seat belt buckling (Law no. 143/89) in to area of Verona. In the post-legem period among hospital admitted subjects a significant reduction of injured/accidents ratio was recorded (reduction of 5.3 percent points C.I. 95%: 3.09-7.5 corresponding to a decrease of 29%: p < 0.001) in the same period the number of decreased was lower 12 vs. 19) but the deceased/accidents and the deceased injured ratios were not significantly different. The comparison of distribution of lesions into different body areas showed a sharp decrease of common head trauma (reduction of 14.7 percent point, C.I. 95% 8.20-21.22 corresponding to a decrease of 50.3%: p < 0.001) with a parallel but not significant reduction of subjects with short hospitalization (< or = 3 days. No differences were found for severe trauma frequencies and for overall hospitalization length.
Subject(s)
Accidents, Traffic , Seat Belts/legislation & jurisprudence , Wounds and Injuries/epidemiology , Humans , Italy , Length of Stay , Wounds and Injuries/mortalityABSTRACT
The authors report a case of associated injuries (thoracoabdominal trauma with multiple rib and sternum fractures, perforation of the small intestine, abdominal cutaneous ecchymosis) caused by a seat belt, and describe the possible seat-belt mechanisms of lesion in road accidents. Some clinical aspects are discussed; in particular the diagnostic problems concerning a seat-belt syndrome as well as the limits of effectiveness in the use of belts.
Subject(s)
Abdominal Injuries/etiology , Multiple Trauma/etiology , Seat Belts/adverse effects , Thoracic Injuries/etiology , Abdominal Injuries/diagnosis , Abdominal Injuries/surgery , Accidents, Traffic , Aged , Female , Humans , Multiple Trauma/diagnosis , Multiple Trauma/surgery , Thoracic Injuries/diagnosis , Thoracic Injuries/surgerySubject(s)
Duodenum/surgery , Esophagus/surgery , Jejunum/surgery , Anastomosis, Roux-en-Y/methods , HumansABSTRACT
The authors reviewed their experience in the emergency treatment of complications of esophageal cancer. They have treated 5 cases of acute obstruction, bleeding (4 cases), perforations or rupture (5 cases), feeding and neoplastic obstruction of esophageal endoprostheses (30 cases), dislocations and migrations of endoprostheses (15 cases), damage of endoprostheses (1 case) and, finally, acute complications after laser treatment.
Subject(s)
Emergencies , Esophageal Neoplasms/complications , Esophageal Diseases/etiology , Gastrointestinal Hemorrhage/etiology , Humans , Laser Therapy/adverse effects , Prosthesis Failure , Rupture, Spontaneous , Tracheoesophageal Fistula/etiologyABSTRACT
Early gastric cancer (e.g.c.) was detected in 23 patients (7.8%) from a total of 293 gastric cancers observed from 1970 to 1985. Clinical and pathological aspects are discussed. In 19 cases the surgical treatment was subtotal gastrectomy for lesions of the middle and lower third, in 4 cases total gastrectomy for tumors of the upper third and of the greater curvature.
Subject(s)
Stomach Neoplasms/pathology , Gastrectomy , Humans , Lymphatic Metastasis , Neoplasm Invasiveness , Stomach Neoplasms/surgeryABSTRACT
In this article are considered the multiple instruments today employed in cars, in order to prevent or ameliorate the lesions caused to the occupants in case of road accident. The acquisitions in the differentiated structure of the car, in the windshield, in the components of the passenger cell are described, and the peculiar importance of the restraint systems is evidenced.
Subject(s)
Accidents, Traffic , Automobiles/standards , Restraint, Physical/instrumentation , Wounds and Injuries/prevention & control , Equipment Safety , Fires/prevention & control , HumansABSTRACT
The effectiveness of seat belts is largely proved. Nevertheless, this safety device produces typical lesions, for very violent accidents, or if it is malpositioned. The pathogenetic criterium of these lesions ("seat belt syndrome") is described, while a complete revision of literature is presented. The importance of emergency care in the identification and treatment of these lesions is emphasized.
Subject(s)
Seat Belts/adverse effects , Wounds and Injuries/etiology , Abdominal Injuries/etiology , Emergencies , Equipment Failure , Humans , Skin/injuries , Spinal Injuries/etiologyABSTRACT
This article deals with the currently available restraint devices for car passengers up to adolescence, since standard seat belts cannot be directly used with children.
Subject(s)
Automobiles , Restraint, Physical/instrumentation , Adolescent , Age Factors , Child , Child, Preschool , Humans , Infant , Infant, NewbornABSTRACT
In this article is carried out an analysis of the actual criteria used by the Italian Institute of Statistics (ISTAT) in the survey of car accidents, and some clues to improve their quality are suggested. The role of the epidemiologic information in preventing road traumatology is emphasized.
