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Trauma informed care

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https://www.readbyqxmd.com/read/29452065/past-year-nonmedical-use-of-prescription-drugs-among-women-on-probation-and-parole-a-cross-sectional-study
#1
Martin T Hall, Diana Ball, Jeanelle Sears, George E Higgins, T K Logan, Seana Golder
BACKGROUND: Prescription drug-related overdose deaths have increased dramatically in recent years. Women in the justice system experience high rates of drug use, victimization, trauma symptoms, and other health problems, and would appear to be at high risk for nonmedical use of prescription drugs (NMUPD). This study will be among the first to describe prevalence and correlates of NMUPD among this population. METHODS: This cross-sectional study collected data from 406 victimized women on probation and parole between 2010 and 2012...
February 16, 2018: Substance Abuse
https://www.readbyqxmd.com/read/29443866/factors-associated-with-trauma-patients-length-of-stay-at-role-2-facilities-in-afghanistan-october-2009-to-september-2014
#2
Amanda Staudt, Jennifer Gurney, Krystal Valdez-Delgado, Mithun Suresh, Jennifer Trevino, Tuan Le, Jason Seery, Stacy Shackelford, Shawn Nessen, Elizabeth Mann-Salinas
BACKGROUND: Understanding patients' length of stay at far-forward Role 2 surgical units may help to determine support needs, stabilization requirements, pre-deployment training, and necessity of increased care capability prior to or during transport to a higher level of care. The objectives of this study were to 1) evaluate the amount of time patients spent at Role 2 and 2) determine factors associated with trauma patients' length of stay at Role 2. METHODS: We conducted a secondary data analysis of the Joint Trauma System Role 2 Database...
February 13, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29433888/trauma-registry-implementation-in-low-and-middle-income-countries-challenges-and-opportunities
#3
REVIEW
Krishna Bommakanti, Isabelle Feldhaus, Girish Motwani, Rochelle A Dicker, Catherine Juillard
BACKGROUND: Trauma registries are an essential part of trauma quality improvement programs aimed at decreasing morbidity and mortality in high-income countries. In low- and middle-income countries (LMICs), where the burden of injury is disproportionately high, hospitals have faced challenges in adapting trauma registry models implemented in high-income countries. We analyze the barriers to trauma registry implementation in LMICs to inform development of sustainable models in resource-constrained settings...
March 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29432316/pediatric-supracondylar-humerus-fractures-does-after-hours-treatment-influence-outcomes
#4
Gabrielle M Paci, Kali R Tileston, John S Vorhies, Julius A Bishop
OBJECTIVES: After-hours surgery for pediatric supracondylar humerus fractures may be suboptimal due to surgeon fatigue, limited resources, and variations in comfort with pediatric fracture care. This study compared the outcomes of pediatric supracondylar humerus fractures treated during daytime hours to those treated after-hours. DESIGN: Retrospective SETTING:: Academic level I trauma centerPatients/Participants: 298 pediatric patients treated with surgical reduction and fixation of closed supracondylar fractures were included...
February 9, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29425210/seasonality-in-trauma-admissions-are-daylight-and-weather-variables-better-predictors-than-general-cyclic-effects
#5
Jo Røislien, Signe Søvik, Torsten Eken
BACKGROUND: Trauma is a leading global cause of death, and predicting the burden of trauma admissions is vital for good planning of trauma care. Seasonality in trauma admissions has been found in several studies. Seasonal fluctuations in daylight hours, temperature and weather affect social and cultural practices but also individual neuroendocrine rhythms that may ultimately modify behaviour and potentially predispose to trauma. The aim of the present study was to explore to what extent the observed seasonality in daily trauma admissions could be explained by changes in daylight and weather variables throughout the year...
2018: PloS One
https://www.readbyqxmd.com/read/29420102/family-appraisal-of-paediatric-acquired-brain-injury-a-social-work-clinical-intervention-trial
#6
Lyndal Hickey, Vicki Anderson, Stephen Hearps, Brigid Jordan
OBJECTIVE: To compare the efficacy of a new intervention 'Family Forward' with 'Usual Care' social work practice in optimising family appraisal of a child's acquired brain injury to ensure better adaptation during the inpatient rehabilitation phase of care and early transition home. RESEARCH DESIGN: Single site, prospective, sequential comparison group design. METHODS AND PROCEDURES: Families were recruited on admission to an inpatient rehabilitation service based at a tertiary paediatric hospital...
February 8, 2018: Developmental Neurorehabilitation
https://www.readbyqxmd.com/read/29419338/bridging-body-and-mind-considerations-for-trauma-informed-yoga
#7
Lauren Justice, Christiane Brems, Karrie Ehlers
Individuals who suffer from trauma-related symptoms are a unique population that could benefit from the mind-body practice of yoga-or have their symptoms reactivated by it, depending on the type of yoga. Trauma-informed yoga (TIY), that is, yoga adapted to the unique needs of individuals working to overcome trauma, may ameliorate symptoms by creating a safe, tailored practice for students to learn how to respond, rather than react, to symptoms and circumstances. Yoga not thus adapted, on the other hand, may increase reactivity and activate symptoms such as hyperarousal or dissociation...
February 8, 2018: International Journal of Yoga Therapy
https://www.readbyqxmd.com/read/29415229/military-personnel-who-seek-health-and-mental-health-services-outside-the-military
#8
Howard Waitzkin, Mario Cruz, Bryant Shuey, Daniel Smithers, Laura Muncy, Marylou Noble
Background: Although research conducted within the military has assessed the health and mental health problems of military personnel, little information exists about personnel who seek care outside the military. The purpose of this study is to clarify the personal characteristics, mental health diagnoses, and experiences of active duty U.S. military personnel who sought civilian sector services due to unmet needs for care. Materials and Methods: This prospective, multi-method study included 233 clients, based in the United States, Afghanistan, South Korea, and Germany, who obtained care between 2013 and 2016 from a nationwide network of volunteer civilian practitioners...
February 5, 2018: Military Medicine
https://www.readbyqxmd.com/read/29410212/orthopedic-injuries-associated-with-jet-skis-personal-watercrafts-a-review-of-127-in-patients
#9
C J Donnally, P M Rothenberg, G Metser, D H Massel, A J Butler, D Damodar, S H Shin, T L Zakrison
BACKGROUND: Personal watercrafts (PWC) account for a disproportionate amount of water based injuries. Current literature suggests those with less PWC experience are more at risk for injury. Previous studies have not specifically evaluated the orthopedic implications of PWC usage or how various mechanisms of injury (MOI) contribute to different injury patterns. HYPOTHESIS: PWC injuries will frequently require orthopedic intervention. The presence of an orthopedic injury will result in increased injury severity score (ISS), hospital and intensive care unit (ICU) length-of-stay (LOS)...
February 1, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29407725/heart-rate-reactivity-to-trauma-related-imagery-as-a-measure-of-ptsd-symptom-severity-examining-a-new-cohort-of-veterans
#10
Paula L Castro-Chapman, Scott P Orr, John Berg, Suzanne L Pineles, Jessica Yanson, Kristen Salomon
For over three decades, there has been considerable research documenting increased physiological reactivity to trauma-related stimuli as a characteristic feature of posttraumatic stress disorder (PTSD). The present study explored the potential for physiological assessment to aid in defining and validating screening criteria for the presence of significant PTSD-related symptoms in a sample of OEF/OIF/OND Veterans seeking care in a VA post-deployment health clinic. Heart rate reactivity scores during the imagining phase of the script-driven imagery paradigm were compared across groups of individuals with and without probable PTSD diagnoses, as defined by PCL-IV cutoff scores ranging from 40 to 60...
January 11, 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29401094/ultra-low-dose-ct-scan-reduction-protocol-for-extremity-fracture-evaluation-is-as-safe-and-effective-as-conventional-ct-an-evaluation-of-quality-outcomes
#11
Sanjit Reddy Konda, Abraham Michael Goch, Jack Haglin, Kenneth Andrew Egol
OBJECTIVES: To assess clinical and hospital quality outcomes of patients receiving the previously reported Reduced Effective Dose Using Computed Tomography In Orthopaedic iNjury (REDUCTION) imaging protocol. DESIGN: Retrospective Chart review SETTING:: Level I Trauma Center and affiliated Tertiary Care Hospital CenterPatients/Participants: fifty patients who received this protocol for acute traumatic fracture evaluation and met inclusion criteria were compared to a cohort of fifty patients matched for age and fracture type who previously received conventional CT scanning for acute traumatic fracture evaluation...
January 30, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29401074/the-economic-burden-of-musculoskeletal-disease-in-children-and-adolescents-in-the-united-states
#12
Scott B Rosenfeld, Katherine Schroeder, Sylvia I Watkins-Castillo
BACKGROUND: Musculoskeletal conditions are among the most common and costly conditions suffered by Americans. In 2011, there was an estimated $213 billion in annual cost of direct treatment for and lost wages due to musculoskeletal disease in the United States. Data on economic burden, however, comes mostly from the adult population, with significantly less information regarding the burden of these conditions in young patients available. The purpose of this report is to provide data on the economic burden of musculoskeletal diseases in children and adolescents in the United States...
February 2, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29401055/on-becoming-trauma-informed-role-of-the-adverse-childhood-experiences-survey-in-tertiary-child-and-adolescent-mental-health-services-and-the-association-with-standard-measures-of-impairment-and-severity
#13
Abdul Rahman, Andrea Perri, Avril Deegan, Jennifer Kuntz, David Cawthorpe
CONTEXT: There is a movement toward trauma-informed, trauma-focused psychiatric treatment. OBJECTIVE: To examine Adverse Childhood Experiences (ACE) survey items by sex and by total scores by sex vs clinical measures of impairment to examine the clinical utility of the ACE survey as an index of trauma in a child and adolescent mental health care setting. DESIGN: Descriptive, polychoric factor analysis and regression analyses were employed to analyze cross-sectional ACE surveys (N = 2833) and registration-linked data using past admissions (N = 10,400) collected from November 2016 to March 2017 related to clinical data (28 independent variables), taking into account multicollinearity...
2018: Permanente Journal
https://www.readbyqxmd.com/read/29401053/medical-students-perspectives-on-trauma-informed-care-training
#14
Ellen Goldstein, Jann Murray-García, Andrés F Sciolla, James Topitzes
INTRODUCTION: Adults exposed to traumatic events during childhood commonly seek medical services, but health care practitioners hesitate to address and assess early trauma despite its known negative health effects. This study examines medical students' perspectives on a brief course that addressed the health care needs of patients exposed to adverse childhood experiences. METHODS: A convenience sample of 20 University of California, Davis medical students from the Summer Institute on Race and Health received 6 hours of trauma-informed care training...
2018: Permanente Journal
https://www.readbyqxmd.com/read/29400421/effects-of-adverse-events-in-health-care-on-acute-care-nurses-in-an-australian-context-a-qualitative-study
#15
Ashley Kable, Brian Kelly, Jon Adams
Adverse events in health care significantly impact health professionals who become the second victims of medical error. The aim of the present study was to understand the effects of adverse events in health care on nurses in acute health-care settings in an Australian context. In this qualitative, descriptive study, we used purposeful sampling and recruited 10 acute care nurses. Interviews were conducted from 2011 to 2012 and were recorded, transcribed, and returned to participants to verify their accuracy...
February 5, 2018: Nursing & Health Sciences
https://www.readbyqxmd.com/read/29397777/impact-of-intimate-partner-violence-on-clinic-attendance-viral-suppression-and-cd4-cell-count-of-women-living-with-hiv-in-an-urban-clinic-setting
#16
Jocelyn C Anderson, Jacquelyn C Campbell, Nancy E Glass, Michele R Decker, Nancy Perrin, Jason Farley
The substance abuse, violence and HIV/AIDS (SAVA) syndemic represents a complex set of social determinants of health that impacts the lives of women. Specifically, there is growing evidence that intimate partner violence (IPV) places women at risk for both HIV acquisition and poorer HIV-related outcomes. This study assessed prevalence of IPV in an HIV clinic setting, as well as the associations between IPV, symptoms of depression and PTSD on three HIV-related outcomes-CD4 count, viral load, and missed clinic visits...
April 2018: AIDS Care
https://www.readbyqxmd.com/read/29392102/an-orthopaedic-fracture-clinic-service-audit-a-complete-loop
#17
M N Baig, Orna Ni Bhroin, Rajnita Auckloo, Cathal Mac Dhaibheid, Usman Baig, Fergus Byrne
Introduction The British Orthopaedic Association Standards for Trauma (BOAST) Guideline 7 informs the standard of care patients should expect when they come to orthopaedic fracture clinics in the United Kingdom (UK). Objectives We compared our fracture clinic's practice against the standards set by BOAST Guideline 7 to make changes for aligning with the standard of care. We aimed to then re-audit our practice for further evaluation against the guidelines. Material and methods We prospectively collected data from 100 patients presenting to the fracture clinics of different orthopaedic consultants working in our hospital, using the Royal College of Surgeons in Ireland's (RCSI's) satisfaction with outpatients services (SWOPS) questionnaire...
November 29, 2017: Curēus
https://www.readbyqxmd.com/read/29386448/-some-attentional-points-in-the-clinical-aspects-of-trauma-care
#18
Toshiko Sawaguchi, Toshiko Kamo
Almost all patients requiring care for a combination of sexual, physiological, and psychological trauma, suffer from psychological or mental illness. Mental symptoms are well known to be associated with the violence very well and assailants have a violence dependency but it is not a well known mental disease. Changing of roles between being an assailant and being a victim is observed in half of the patients. In patients with trauma, hyperarousal and apathy appears simultaneously, and avoidance symptoms, intrusion symptoms, and crashed sleep, dissociation are also recognized...
2018: Nihon Eiseigaku Zasshi. Japanese Journal of Hygiene
https://www.readbyqxmd.com/read/29385173/rural-versus-urban-academic-hospital-mortality-following-stroke-in-canada
#19
Richard Fleet, Sylvain Bussières, Fatoumata Korika Tounkara, Stéphane Turcotte, France Légaré, Jeff Plant, Julien Poitras, Patrick M Archambault, Gilles Dupuis
INTRODUCTION: Stroke is one of the leading causes of death in Canada. While stroke care has improved dramatically over the last decade, outcomes following stroke among patients treated in rural hospitals have not yet been reported in Canada. OBJECTIVES: To describe variation in 30-day post-stroke in-hospital mortality rates between rural and urban academic hospitals in Canada. We also examined 24/7 in-hospital access to CT scanners and selected services in rural hospitals...
2018: PloS One
https://www.readbyqxmd.com/read/29370062/maximizing-geographical-efficiency-an-analysis-of-the-configuration-of-colorado-s-trauma-system
#20
Jan O Jansen, Ernest E Moore, Handing Wang, Jonathan J Morrison, James D Hutchison, Marion K Campbell, Angela Sauaia
BACKGROUND: Trauma center designation in excess of need risks dilution of experience, reduction in research and training opportunities, and increased costs. The objective of this study was to evaluate the use of a novel data-driven approach (whole-system mathematical modelling of patient flow) to compare the configuration of an existing trauma system with a mathematically optimized design, using the State of Colorado as a case study. METHODS: Geographical network analysis and multi-objective optimization...
January 24, 2018: Journal of Trauma and Acute Care Surgery
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