METHODS: This is a retrospective analysis of pediatric RTA presenting to a Nigerian referral center. [ncbi.nlm.nih.gov]

• Fatigue

  Another widely recognised road safety problem is fatigue. Researchers estimate that fatigue is a main contributory factor in 10% of all accidents and 20% of motorway accidents. It is clear that driving in a fatigued state is highly dangerous. [webarchive.nationalarchives.gov.uk]

  Fatigue Kit Americans receive little education on the importance of sleep, sleep disorders and the consequences of fatigue, but you can help draw attention to this issue by sharing these infographics, fact sheets, posters and resources with employees. [nsc.org]

  However, those rules help ensure that drivers are alert and properly rested, with driver fatigue creating serious risk for other motorists. [expertlaw.com]

  Sleep deprivation Various factors such as fatigue or sleep deprivation might increase the risk, or numbers of hours driving might increase the risk of an accident. [en.wikipedia.org]

• Surgical Procedure

  An injury to the spinal accessory nerve is mostly reported after surgical procedures performed in the posterior triangle of the neck. In addition, it may be caused by fractures in the jugular foramina, traumas or skull base tumors. [ncbi.nlm.nih.gov]

• Alcohol Breath

  […] replaced by a blood or urine sample where the breath sample is between 40__g BrAC and 50__g BrAC (Breath Alcohol Concentration). [webarchive.nationalarchives.gov.uk]

• Contusion

  The results also suggest that a 50% probability of contusions corresponds to CSDM value of 48% at strain levels of 0.2, and the 50% probability of contusions corresponds to a DDM value of 6.7%. Copyright © 2018 Elsevier Ltd. All rights reserved. [ncbi.nlm.nih.gov]

  A number of physical injuries can commonly result from the blunt force trauma caused by a collision, ranging from bruising and contusions to catastrophic physical injury (e.g., paralysis) or death. A 1985 study by K. [en.wikipedia.org]

• Fear

  There was a decrease of symptom severity between the two interviews, but at the later time, 14% still suffered from moderate or severe post-traumatic stress disorder, 17% from serious traffic-related fears, and parents reported increased mood disturbance [ncbi.nlm.nih.gov]

  Because of that, she said she had “no fears” that the breastfeeding would continue into adolescence. [theguardian.com]

  The person's response involved intense fear, helplessness, or horror. Note: In children, this may be expressed instead by disorganized or agitated behavior. B. [aafp.org]

  Spinal injury is perhaps the most feared of all injuries. [web.archive.org]

  After a crash, a person may feel a wide range of emotions — shock, guilt, fear, nervousness, or anger — all of which are normal. But take a few deep breaths or count to 10 to calm down. [kidshealth.org]

• Seizure

  The symptoms needing referral for CT scan included head injury 30 (49.2%), seizures 10 16.4%), skull fractures 8 (13.1%) and persistent headache 6 (5.6%). A total of 113 lesions were seen as some patients presented with more than one lesion. [ncbi.nlm.nih.gov]

• Stroke

  Editable Stroke. 48x48 Pixel Perfect. [shutterstock.com]

Metastatic workup showed no nodal or distant spread, T1N0M0 stage I. After orchiectomy, the patient underwent adjuvant external beam radiotherapy to the para-aortic nodes. [emedicine.medscape.com]

Splenogonadal fusion in a 29-year-old man with a painless, palpable left testicular mass, found during workup for infertility. [pubs.rsna.org]

PET scanning is not usually part of the initial workup but may be useful in tracking activity and growth in residual masses following definitive chemotherapy. [9] [3] [10] [11] Several laboratory values may be useful in following tumor burdens. [ncbi.nlm.nih.gov]

[…] on arrival, treatment, duration of hospitalization before death, challenges, and postmortem findings. [ncbi.nlm.nih.gov]

Treatment and rehabilitation of severe injuries can take months or even years. [web.archive.org]

Treatment of recurrent germ cell tumors depends on the initial treatment and where the cancer recurs. [cancer.org]

In additional to history, clinical manifestation, and prognosis, evaluating the distribution of hypointense lesions in susceptibility-weighted imaging could be useful to differentiate these 2 conditions. [ncbi.nlm.nih.gov]

Prognosis Prognosis is good but depends on the stage of disease with 5- year survival rates as high as 99% in stage 1 disease. [orpha.net]

Unknown status NCT00004219 Phase 3 granisetron hydrochloride;lerisetron 2 Trial of Imaging and Schedule in Seminoma Testis Unknown status NCT00589537 Phase 3 3 Randomized Phase II/III Study of Taxol/Paclitaxel-BEP Versus BEP in Patients With Intermediate Prognosis [malacards.org]

Excellent prognosis with >95% cure rate for stage I and II. Main differential diagnosis: (other GCTs that can have solid growth) Embryonal carcinoma: exhibits cellular pleomorphism and nuclear overlap, CD30+ and keratin+. [auanet.org]

Prognosis is good for all stages with greater than 90% cure rate. [radiopaedia.org]

This pattern of etiologic factors is in accordance with data from most developing countries. [ncbi.nlm.nih.gov]

Etiology Etiology is unknown but tumors are thought to arise from an embryonic germ cell leading to testicular intraepithelial neoplasia (the precursor to classical seminoma). [orpha.net]

Etiology Based on the presumed origin of spermatocytic seminoma from mature (postpubertal) germ cells, it has been hypothesised that the increased proliferation of these cells causes the growth of the tumours, but the etiology has long been unknown. [atlasgeneticsoncology.org]

This paper presents a literature review of epidemiological data relevant to traffic accidents of children, including their personality and behavioral predisposition, social factors, association with risk taking behavior, rehabilitation, and incidence [ncbi.nlm.nih.gov]

[…] primary to extragonadal sites (such as pineal gland) ICD coding ICD-10: C62.90 - malignant neoplasm of unspecified testis, unspecified whether descended or undescended ICD0: 9061/3 - seminoma, NOS Epidemiology Male, age 30 - 49 Rare in > 70 or < 20 years Pathophysiology [pathologyoutlines.com]

Published August 22, 2019 Update on the Pathophysiology and Risk Factors for the Development of Malignant Testicular Germ Cell Tumors in Complete Androgen Insensitivity Syndrome. [urotoday.com]

The overall prevalence of seminoma generally increases with age. [8] Pathophysiology Testicular seminoma originates in the germinal epithelium of the seminiferous tubules. [ncbi.nlm.nih.gov]

Pathophysiology Testicular seminoma is a pathologic diagnosis in which only seminomatous elements are observed upon histopathologic review after a radical orchiectomy and in which serum alpha-fetoprotein (AFP) is within the reference range. [emedicine.medscape.com]

This study lays the foundation for improving access to PR for TA survivors, an issue of quality of care that results in preventable disabilities. [ncbi.nlm.nih.gov]

Simple prevention measures could halve the number of deaths, the report said. [news.bbc.co.uk]

Wilde, Beyond the concept of risk homeostatis: Suggestions for research and application towards the prevention of accidents and lifestyle-related disease, Accident Analysis & Prevention, 10.1016/0001-4575(86)90012-6, 18, 5, (377-401), (1986). [doi.org]