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Tree stand falls: A persistent cause of neurological injury in hunting

World Journal of Clinical Cases 2014年第8期2卷 345-350页

作者： clifford a pierre Benjamin A Plog Vasisht Srinivasan Kaushik Srinivasan Anthony L Petraglia Jason H Huang School of Medicine and Dentistry University of RochesterRochesterNY 14623United States Department of Neurosurgery University of Rochester Medical CenterRochesterNY 14642United States School of Law Case Western Reserve UniversityClevelandOH 44106United States Department of Neurosurgery Rochester Regional Health SystemRochesterNY 14626United States

AIM: To characterize and compare our current series of patients to prior reports in order to identify any changes in the incidence of neurological injury related to hunting accidents in Rochester, New ***: All tree stand-related injuries referred to our regional trauma center from September 2003 through November 2011 were reviewed. Information was obtained from the hospital's trauma registry and medical records were retrospectively reviewed for data pertaining to the ***: Fifty-four patients were identified. Ninetysix percent of patients were male with a mean age of 47.9 years(range 15-69). The mean Injury Severity Score was 12.53 ± 1.17(range 2-34). The average height of fall was 18.2 feet(range 4-40 feet). All patients fell to the ground with the exception of one who landed on rocks, and many hit the tree or branches on the way down. A reason for the fall was documented in only 13 patients, and included tree stand construction(3), loss of balance(3), falling asleep(3), structural failure(2), safety harness breakage(3) or lightheadedness(1). The most common injuries were spinal fractures(54%), most commonly in the cervical spine(69%), followed by the thoracic(38%) and lumbar(21%) spine. Eight patients required operative repair. Head injuries occurred in 22%. Other systemic injuries include rib/clavicular fractures(47%), pelvic fractures(11%), solid organ injury(23%), and pneumothorax or hemothorax(19%). No patient deaths were reported. The average hospital length of stay was 6.56 ± 1.07 d. Most patients were discharged home without(72%) or with(11%) services and 17% required rehabilitation. CONCLUSION: Falls from hunting tree stands are still common, with a high rate of neurological injury. Compared to a decade ago we have made no progress in preventing these neurological injuries, despite an increase in safety advances. Neurosurgeons must continue to advocate for increased safety awareness and participate in leadership roles to improve outcom

关键词： Neurological sports medicine Hunting Tree stand falls Spine injury Traumatic brain injury

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Specific and redundant functions of RXR/RAR heterodimers in differentiation, proliferation, apoptosis, and the control of expression of retinoid target genes in F9 embryonal carcinomal cells

Specific and redundant functions of RXR/RAR heterodimers in ...

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Third Congress of the Asian-Pacific Organization for Cell Biology

作者： Hideki Chiba John clifford Daniel Metzger pierre Chambon Dept. Pathol. Sapporo Med Univ. Sch. MedSapporo 060-8556JapanIGBMCStrasbourgFrance MD Anderson Cancer center USAIGBMCStrasbourgFrance

The F9 murine embryonal carcinama cell line represents a well-established system for the study of retinoid signaling in vivo. We have generated F9 cells in which either the retinoid X receptor (RXR) a and retinoic aci...

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