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https://www.readbyqxmd.com/read/29457417/-clinical-observation-of-the-second-operation-for-refracture-after-internal-fixation-of-clavicle
#1
Hong-Wei Xu, Xiao-Jun He, Zhong-Wei Zhang, Gang Chen
OBJECTIVE: To evaluate the outcome of Titanium Elastic intramedullary nailing(TEN) for the treatment of refracture of clavicle. METHODS: From March 2010 to March 2016, 9 cases of clavicle fracture, postoperative re-fracture (plate broken before fracture healing, plate and screw pull out or refracture after fracture union and internal fixation removal) included 6 males and 3 females with a mean age of 38.6 years old ranging from 20 to 62 years old; 3 cases were sports injury, 5 cases were traffic injury, 1 case was severe injury...
October 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29456904/felis-punctatis-cat-claw-induced-punctures
#2
Philip R Cohen, Douglas S Ramsay
Animal-induced conditions in humans predominantly present as infectious zoonoses. However, trauma-associated injuries from the teeth or claws can also occur. Several zoonotic infections can be transmitted by cats, a common household pet, to their owners. The clinical features of a woman who developed multiple sites of trauma-induced cutaneous punctures from her cat's paws while it was kneading on her clothes-covered abdomen are described. The repetitive insertion and withdrawal of the sharp tips of the cat's claws created distinctive groups of erythematous punctures on the patient's skin...
December 8, 2017: Curēus
https://www.readbyqxmd.com/read/29455628/ng%C3%A4-whak%C3%A4-whitinga-standing-at-the-crossroads-how-m%C3%A4-ori-understand-what-western-psychiatry-calls-schizophrenia
#3
Melissa Taitimu, John Read, Tracey McIntosh
This project explored how Māori understand experiences commonly labelled "schizophrenic" or "psychotic". Semi-structured interviews were conducted with 57 Māori participants who had either personal experiences labelled as "psychosis" or "schizophrenia", or who work with people with such experiences; including tangata whaiora (users of mental health services), tohunga (traditional healers), kaumatua/kuia (elders), Māori clinicians, cultural support workers and students...
January 1, 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29455490/-clinical-application-of-anterior-thoracoscopically-assisted-surgery-with-posterior-one-stage-total-en-block-spondylectomy-for-thoracic-spinal-tumor
#4
Wen Xue, Xiao-Li Guan, Zeng-Ping Wang, Zhong-Yu Hao, Lin Liu, Yao-Wen Qian
OBJECTIVE: To investigate the clincial effects and feasibility of anterior thoracoscopically assisted surgery (TAS) with posterior one-stage total en block spondylectomy(TES) for thoracic spinal tumour. METHODS: From October 2014 to January 2016, 4 patients with thoracic spinal tumour were treated by anterior thoracoscopically assisted surgery with posterior one-stage total en block spondylectomy. There were 2 males and 2 females, aged 16, 35, 46, 60 years. Courses of disease were 1, 4, 6, 9 months...
September 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29455479/-clinical-application-of-modified-inverted-l-shape-incision-by-extraperitoneal-approach-to-lumbosacral-tuberculosis
#5
Shi-Yuan Shi, Sheng-Ping Hu, Jun Fei, Zhen Lai, Gui-He Hang
OBJECTIVE: To explore the clinical effects of one-stage posterior transpedicular screw system internal fixation combined with anterior debridement and bone grafting with modified inverted L-shape incision by extraperitoneal approach in treating multiple lumbosacral tuberculosis. METHODS: The clinical data of 15 patients with multiple lumbosacral tuberculosis underwent operation from February 2008 to December 2014 were retrospectively analyzed. There were 9 males and 6 females with an average of (47...
September 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29452065/past-year-nonmedical-use-of-prescription-drugs-among-women-on-probation-and-parole-a-cross-sectional-study
#6
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/29451663/the-analysis-on-the-expression-of-gasotransmitters-in-early-trauma-patients
#7
Zhiyong Wang, Mignxing Fang, Jianying Guo, Yong Yang, Fengjun Tian
OBJECTIVE: Nitric oxide (NO), carbon monoxide (CO) and hydrogen sulfide (H2S) were endogenously-generated molecules gas. They owned important biological activity and participated in many pathophysiological processes. This study aimed to examine the levels of three gasotransmitters in the early phase of trauma patients. METHOD: Blood samples were collected from 60 trauma patients and ten healthy volunteers. Concentration of serum iNOS and HO-1 were analyzed by enzyme linked immunosorbent assay and plasma H2S was determined by colorimetric method...
November 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/29450968/knowledge-about-traumatic-dental-injuries-in-the-permanent-dentition-a-survey-of-lithuanian-dentists
#8
Vaida Zaleckienė, Vytautė Pečiulienė, Vilma Brukienė, Audronė Jakaitienė, Jolanta Aleksejūnienė, Linas Zaleckas
BACKGROUND/AIMS: In Lithuania, dental trauma cases are also treated by general dentists but it is unknown whether their age, self-evaluation of trauma knowledge and practice location can predict their actual knowledge and management of trauma cases. The aim of this study was to evaluate whether these factors can be used to predict the actual knowledge and management of trauma cases. METHODS: A two-part questionnaire included 17 multiple-choice questions about practitioners' demographics, their self-evaluated knowledge, and how frequently they treated traumatized permanent teeth as well as 13 clinical scenarios reflecting a variety of clinical trauma cases and their complications...
February 16, 2018: Dental Traumatology: Official Publication of International Association for Dental Traumatology
https://www.readbyqxmd.com/read/29445882/procedure-rates-performed-by-emergency-medicine-residents-a-retrospective-review
#9
Joshua T Bucher, Christopher Bryczkowski, Grant Wei, Renee L Riggs, Anoop Kotwal, Brian Sumner, Jonathan V McCoy
BACKGROUND: The purpose of our study is to investigate rates of individual procedures performed by residents in our emergency medicine (EM) residency program. Different programs expose residents to different training environments. Our hypothesis is that ultrasound examinations are the most commonly performed procedure in our residency. METHODS: The study took place in an academic level I trauma center with multiple residency and fellowship programs including surgery, surgical critical care, trauma, medicine, pulmonary/critical care, anesthesiology and others...
February 14, 2018: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29441451/trauma-psychosocial-factors-and-help-seeking-in-three-immigrant-groups-in-finland
#10
Carla C Schubert, Raija-Leena Punamäki, Jaana Suvisaari, Päivikki Koponen, Anu Castaneda
Multiple psychosocial factors influence help-seeking behavior among immigrants, but studies have focused on separate issues in single cultural groups. This study tested a model of help-seeking behavior among three ethnically different immigrant groups. Participants were 1356 Somali, Russian, and Kurdish immigrants (18-64 years). They reported past traumatic events, social network, acculturation indices, trust in services, and mental health as well as usage of mental and somatic health services. Structural equation modeling (SEM) with multigroup procedure was applied...
February 13, 2018: Journal of Behavioral Health Services & Research
https://www.readbyqxmd.com/read/29437800/ventricular-tachyarrhythmia-in-a-78-year-old-woman-with-essential-thrombocythaemia
#11
Mary Rodriguez-Ziccardi, Manolo Rubio, Marvin Lu, Allan Greenspan
Anagrelide is a phosphodiesterase-3 inhibitor used in the treatment of essential thrombocythaemia. Cardiovascular side effects such as ventricular tachycardia and cardiomyopathy are rare but potentially fatal and should be made known to patients before starting the medication. It usually arises within the first 6 months after initiation of therapy and may be dose related. The elderly population are particularly susceptible. These cardiotoxicities result from an increase in cyclic AMP that induces positive inotropic and chronotropic effects and are often reversible with cessation of use...
February 8, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29437240/comparison-of-characteristics-of-female-drivers-with-single-and-multiple-dui-convictions
#12
Annah K Bender, Kathleen K Bucholz, Andrew C Heath, Vivia V McCutcheon
BACKGROUND: Women are increasingly involved in drunk driving and fatal crashes, yet except for the screening performed in criminal justice settings, little is known about their life context, psychiatric histories, and family backgrounds. This study describes a sample of women with histories of arrest for driving under the influence of alcohol (DUI) who were interviewed outside a criminal justice setting and contrasts women with single versus multiple DUI convictions. METHODS: Women with recent documented histories of DUI participated in a study of women's health behaviors...
February 13, 2018: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/29435518/obliteration-after-recurrent-dental-trauma-in-a-7-year-old-patient-4-year-follow-up
#13
Mhd Said Mourad, Christian H Splieth, Mohammad Alkilzy
Traumatic dental injuries are reported to have a high prevalence regardless of the region or the age group. Concussion injuries are considered as moderate, but very frequent injuries. They are associated with a wide spectrum of pulpal reactions. Pulp canal obliteration in spite of negative sensitivity proves ongoing pulp vitality. This case report presents multiple traumatic dental injuries in both maxillary central incisors with two different pulpal reactions during a follow-up period of 4 years in a healthy 7-year-old girl...
February 12, 2018: Quintessence International
https://www.readbyqxmd.com/read/29434806/extracorporeal-membrane-oxygenation-support-for-a-multitrauma-patient-with-ards-a-case-report-and-literature-review
#14
Yuexing Tu, Qi Jin, Renhua Sun, Qian Li
Extracorporeal membrane oxygenation (ECMO) provides rescue treatment for patients with severe acute respiratory distress syndrome (ARDS) when conventional management fails. The present study reported ECMO as a life-saving treatment for ARDS due to bilateral pulmonary contusion in a 24-year-old male multiple trauma patient. ECMO therapy lasted 7 days for the patient and was successively stopped without any complications. ECMO modality should be chosen according to the respiratory and circulatory condition of each individual...
February 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29433071/applying-crash-data-to-injury-claims-an-investigation-of-determinant-factors-in-severe-motor-vehicle-accidents
#15
Darren Shannon, Finbarr Murphy, Martin Mullins, Julian Eggert
An extensive number of research studies have attempted to capture the factors that influence the severity of vehicle impacts. The high number of risks facing all traffic participants has led to a gradual increase in sophisticated data collection schemes linking crash characteristics to subsequent severity measures. This study serves as a departure from previous research by relating injuries suffered in road traffic accidents to expected trauma compensation payouts and deriving a quantitative cost function. Data from the National Highway Traffic Safety Administration's (NHTSA) Crash Injury Research (CIREN) database for the years 2005-2014 is combined with the Book of Quantum, an Irish governmental document that offers guidelines on the appropriate compensation to be awarded for injuries sustained in accidents...
February 9, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29430408/using-bronchoscopy-to-detect-acquired-tracheoesophageal-fistula-in-mechanically-ventilated-patients
#16
Michael S Green, Johann J Mathew, Lia J Michos, Parmis Green, Mansoor M Aman
Introduction: An acquired Tracheoesophageal fistula (TEF) is commonly caused by a malignancy or trauma, with pulmonary infection or aspiration being the presenting symptom. However, in the critical care setting the presentation can be subtle and may present with difficult ventilation. High endotracheal tube cuff pressures can lead to tracheal erosions and thus increasing the chances for developing a TEF. Prolonged intubation in the presence of other risk factors like poor general state of health, episodic hypotension, nasogastric tubes, and repeated intubations can increase the likelihood of developing an acquired TEF...
August 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29429776/interventional-treatment-experience-in-multiple-injury-with-major-abdominal-or-pelvic-injuries-160-cases-analysis
#17
Tian-Xi Zhang, Mei Han, Peng Ye, Quan Hu, Jia-Lin Li, Ling Yin, An-Yong Yu
PURPOSE: To observe the therapeutic effect of interventional embolization and haemorrhage control in multiple trauma patients with a major abdominal or pelvic injury. METHODS: Data of 160 multiple trauma patients with a major abdominal or pelvic injury were retrospectively analyzed. They were admitted into the Department of Emergency of the First Affiliated Hospital of Zunyi Medical College from October 2013 to April 2016. Eighty-seven patients who received emergent intervention for embolization and haemorrhage control were set as group A, including 72 males and 15 females, with an average age of (39...
January 31, 2018: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/29428880/multiple-traumas-and-resilience-among-street-children-in-haiti-psychopathology-of-survival
#18
Jude Mary Cénat, Daniel Derivois, Martine Hébert, Laetitia Mélissande Amédée, Amira Karray
In Haiti, as in several developing countries, the phenomenon of street children has become a major public health issue. These children are often victims of traumas and adverse life events. This article aimed to investigate traumas experienced by street children and their coping and resilience strategies used to deal with adversities in a logic of survival, relying on a mixed method approach. A group of 176 street children, aged 7-18 (n = 21 girls), recruited in Port-au-Prince, completed measures assessing PTSD, social support and resilience...
February 8, 2018: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29428102/liver-trauma-what-current-management
#19
Mohamed Tarchouli, Mohamed Elabsi, Noureddine Njoumi, Mohamed Essarghini, Mahjoub Echarrab, Mohamed Rachid Chkoff
BACKGROUND: The liver is the most commonly damaged organ in abdominal trauma. The management of liver trauma has experienced many changes over the last two decades. Currently there is a trend toward a non-operative treatment warranted by the successful pediatric experience and better results recorded in many trauma centers worldwide. This study aimed to evaluate outcomes of operative and non-operative management of liver trauma in our institution over the last five years. METHODS: The patients with a diagnosis of blunt or penetrating liver injuries, admitted and managed in our hospital from January 2012 to December 2016 were retrospectively studied...
February 2018: Hepatobiliary & Pancreatic Diseases International: HBPD INT
https://www.readbyqxmd.com/read/29428042/extremity-vascular-injury-management-good-outcomes-using-selective-referral-to-vascular-surgeons
#20
Shabnam Hafiz, Elizabeth A Zubowicz, Chadi Abouassaly, John J Ricotta, Jack A Sava
Revascularization after extremity vascular injury has long been considered an important skill among trauma surgeons. Increasingly, some trauma surgeons defer vascular repair in response to training or practice patterns. This study was designed to document results of extremity revascularization surgery to evaluate trauma surgeon outcomes and judicious referral of more complex injuries to vascular surgeons (VAS). The trauma registry of an urban level I trauma center was used to identify all patients from 2003 to 2013 who underwent an early (<24 hours) procedure for urgent management of acute injury to extremity vessels...
January 1, 2018: American Surgeon
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