J Trauma
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Comparative Study
Snowboard head injury: prospective study in Chino, Nagano, for two seasons from 1995 to 1997.
The popularity of snowboarding has been growing rapidly throughout the world. To date, however, the risk of head injury associated with this relatively new winter sport, especially in comparison with alpine skiing, has not been well analyzed. This study was conducted to assess the risk of head injury in snowboarding and to elucidate its features in comparison with skiing head injury. ⋯ These results indicate that snowboarders, particularly beginners, are at higher risk for head injury, frequently involving occipital impact, and could lead to more major head injuries. We propose that measures should be taken to protect the head, especially the occiput, in snowboarding.
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Early detection of vascular impairments after free tissue transfers are essential to prevent flap failure. Near-infrared spectroscopy showed good promise to monitor flaps at deep levels successfully without being invasive. The purpose of this study was to test whether the INVOS 3100 cerebral oxymeter is capable of detecting circulatory impairments. ⋯ This study, designed to test less-expensive equipment, was able to measure absolute values, and was not prone to interference caused by probe movement, providing information on the oxygenation profile accurately and noninvasively, and distinguishing between arterial and venous occlusion.
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To determine the ability of an externally applied continuous negative abdominal pressure device (CNAP) to reverse the effects of elevated intra-abdominal pressure on the central nervous and cardiovascular systems. ⋯ Acutely elevated IAP causes a significant increase in ICP and impaired cardiovascular and pulmonary function. Abdominal decompression remains the standard of care for abdominal compartment syndrome. However, in patients in whom an increased IAP does not require surgical decompression, the results of this study suggest that externally applied CNAP may be of value.