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https://www.readbyqxmd.com/read/29914763/-characteristics-of-post-traumatic-blindness-at-the-yaound%C3%A3-army-training-application-and-referral-hospital
#1
G Koki, G Helles, Y Bilong, P Biangoup, H Aboubakar, E Epée, A L Bella, C Ebana Mvogo
PURPOSE: To study the characteristics of blindness after ocular trauma. METHODOLOGY: In this retrospective descriptive study, we considered the files of patients who had consulted the service for ocular trauma between January 2008 and December 2014. Included were patients of both sexes and all ages whose monocular or binocular vision with best optical correction was strictly below 1/20. Statistical analysis was performed with EPI Info version 3.5.4 software, and the Chi2  test was used with statistically significant values of P≤0...
June 15, 2018: Journal Français D'ophtalmologie
https://www.readbyqxmd.com/read/29913870/treatment-of-post-traumatic-pain-and-autonomic-and-muscular-dysfunction-by-ganglion-impar-block-and-medial-branch-block-of-the-facet-joints-a-case-report
#2
Johan Hambræus, Hans Westergren
Introduction Patients exposed to whiplash trauma are at risk of developing pain and dysfunction of the neck and shoulder. Although rarely discussed in the literature, some patients also develop autonomic dysfunction. Case presentation A previously healthy 41-year-old woman was involved in a "head-on" car crash. During the following 3 years she developed severe and complex post-traumatic pain syndrome, which consisted of neck pain, lumbar pain, sensory-motor dysfunction, and myoclonic muscular contractions...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29911078/evaluation-of-the-surgical-treatment-of-humeral-shaft-fractures-and-comparison-between-surgical-fixation-methods
#3
Felipe Fernandes Gonçalves, Leonardo Dau, Cristiano Antonio Grassi, Fabiano Rogério Palauro, Ayrton Andrade Martins Neto, Patrícia Caroline Gapski Pereira
Objective: The objective of this study is to analyze the surgical results of humeral shaft fracture treatment and describe its epidemiology. Methods: Retrospective study that identified all patients treated with surgical fixation of humeral shaft fractures between December of 2014 and June of 2016 in a trauma reference center. All medical records were reviewed in search of epidemiological data referent to the trauma and post-operative results, including radiographic healing of the fracture and related complications...
March 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29909779/associations-of-trauma-exposure-and-post-traumatic-stress-disorder-with-the-activity-of-the-renin-angiotensin-aldosterone-system-in-the-general-population
#4
Jan Terock, Anke Hannemann, Deborah Janowitz, Harald J Freyberger, Stephan B Felix, Marcus Dörr, Matthias Nauck, Henry Völzke, Hans J Grabe
BACKGROUND: Previous studies suggested that exposure to traumatic events during childhood and adulthood and post-traumatic stress disorder (PTSD) are associated with a dysregulation of different neuroendocrine systems. However, the activity of the renin-angiotensin-aldosterone-system (RAAS) in relation to trauma/PTSD has been largely neglected. METHODS: Traumatization, PTSD, and plasma concentrations of renin and aldosterone were measured in 3092 individuals from the general population...
June 18, 2018: Psychological Medicine
https://www.readbyqxmd.com/read/29909435/photobiomodulation-therapy-pbmt-on-acute-pain-and-inflammation-in-patients-who-underwent-total-hip-arthroplasty-a-randomized-triple-blind-placebo-controlled-clinical-trial
#5
Luciana Gonçalves Langella, Heliodora Leão Casalechi, Shaiane Silva Tomazoni, Douglas Scott Johnson, Regiane Albertini, Rodney Capp Pallotta, Rodrigo Labat Marcos, Paulo de Tarso Camillo de Carvalho, Ernesto Cesar Pinto Leal-Junior
When conservative treatments fail, hip osteoarthritis (OA), a chronic degenerative disease characterized by cartilage wear, progressive joint deformity, and loss of function, can result in the need for a total hip arthroplasty (THA). Surgical procedures induced tissue trauma and incite an immune response. Photobiomodulation therapy (PBMt) using low-level laser therapy (LLLT) and/or light-emitting diode therapy (LEDT) has proven effective in tissue repair by modulating the inflammatory process and promoting pain relief...
June 16, 2018: Lasers in Medical Science
https://www.readbyqxmd.com/read/29908851/accuracy-of-sacroiliac-screw-placement-with-and-without-intraoperative-navigation-and-clinical-application-of-the-sacral-dysmorphism-score
#6
Alex Quok An Teo, Jing Hui Yik, Sheldon Ng Jin Keat, Diarmuid Paul Murphy, Gavin Kane O'Neill
INTRODUCTION: Percutaneously-placed sacroiliac (SI) screws are currently the gold-standard fixation technique for fixation of the posterior pelvic ring. The relatively high prevalence of sacral dysmorphism in the general population introduces a high risk of cortical breach with resultant neurovascular damage. This study was performed to compare the accuracy of SI screw placement with and without the use of intraoperative navigation, as well as to externally validate the sacral dysmorphism score in a trauma patient cohort...
May 31, 2018: Injury
https://www.readbyqxmd.com/read/29908489/work-related-fatal-injuries-in-brescia-county-northern-italy-1982-to-2015-a-forensic-analysis
#7
REVIEW
Silvia Perotti, Maria Cristina Russo
Work-related deaths represent an important social problem. We report all the occupational fatal injuries recorded by the Brescia Institute of Forensic Medicine from 1982 to 2015. A total of 426 post-mortem examinations due to accidental work injuries were retrospectively analysed according to temporal distribution (year, month and day of the workplace accident); workers' characteristics (sex, age, nationality); type of occupation; cause of death; anatomical region of fatal injuries and timing of death. The accidental occupational events occurred with a mean of 12...
June 6, 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29907353/determinants-of-skeletal-muscle-protein-turnover-following-severe-burn-trauma-in-children
#8
Ioannis Malagaris, David N Herndon, Efstathia Polychronopoulou, Victoria G Rontoyanni, Clark R Andersen, Oscar E Suman, Craig Porter, Labros S Sidossis
BACKGROUND & AIMS: Burns remain the fifth cause of non-fatal pediatric injuries globally, with muscle cachexia being a hallmark of the stress response to burns. Burn-induced muscle wasting is associated with morbidity, yet the determinants of muscle protein catabolism in response to burn trauma remains unclear. Our objective was to determine the effect of patient and injury characteristics on muscle protein kinetics in burn patients. METHODS: This retrospective, observational study was performed using protein kinetic data from pediatric patients who had severe burns (>30% of the total body surface area burned) and underwent cross-limb stable isotope infusions between 1999 and 2008 as part of prospective clinical trials...
June 4, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29905625/use-of-the-sttgma-tool-to-risk-stratify-1-year-functional-outcomes-and-mortality-in-geriatric-trauma-patients
#9
Sanjit R Konda, Ariana Lott, Hesham Saleh, Jordan Gales, Kenneth A Egol
OBJECTIVES: Determine if a novel inpatient mortality risk assessment tool designed to be calculated in the emergency department (ED) setting can risk stratify patient reported functional outcomes and mortality at one year. DESIGN: Prospective cohort SETTING:: Academic level one trauma center PATIENTS:: 685 patients >55 years old who were orthopaedic surgery consults or trauma surgery consults in the ED between 10/1/2014 and 9/30/2015. INTERVENTION: Calculation of validated trauma triage score (STTGMA) using each patient's demographics, injury severity, and functional status MAIN OUTCOME MEASUREMENTS:: mortality, EQ-5D questionnaire, and percent return to baseline function since their hospitalization at one-year post hospitalization...
June 4, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29904802/an-update-on-repetitive-transcranial-magnetic-stimulation-for-the-treatment-of-co-morbid-pain-and-depressive-symptoms
#10
REVIEW
Jonathan H Hsu, Zafiris J Daskalakis, Daniel M Blumberger
PURPOSE: Review recent meta-analyses and clinical trials investigating the therapeutic use of repetitive transcranial magnetic stimulation (rTMS) for concurrent pain and depressive symptoms. RECENT FINDINGS: Recent meta-analyses have included both pain and depression outcomes in fibromyalgia and chronic pain. Randomized controlled trials have also been conducted in post-herpetic neuralgia, trauma-related headache, and neuropathic pain with attention to both pain and depressive symptoms...
June 14, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29904191/treatment-patterns-of-in-patient-spasticity-medication-use-after-traumatic-spinal-cord-injury-a-prospective-cohort-study
#11
Kaila A Holtz, Elena Szefer, Vanessa K Noonan, Brian K Kwon, Patricia B Mills
STUDY DESIGN: Prospective cohort study using the Rick Hansen SCI Registry (RHSCIR) and retrospective medical chart review. OBJECTIVE: To describe treatment patterns of in-patient anti-spasticity medication use following traumatic spinal cord injury (SCI) in acute and rehabilitation hospital settings in British Columbia, Canada. SETTING: Quaternary trauma center, rehabilitation center. METHODS: Individuals with traumatic SCI between 2005 and 2014 enrolled in the Vancouver RHSCIR site (N = 917) were eligible for inclusion...
June 14, 2018: Spinal Cord
https://www.readbyqxmd.com/read/29901543/early-arterial-access-for-reboa-is-related-to-survival-outcome-in-trauma
#12
Yosuke Matsumura, Junichi Matsumoto, Hiroshi Kondo, Koji Idoguchi, Tokiya Ishida, Yohei Okada, Yuri Kon, Kazuyuki Oka, Kenichiro Ishida, Yukitoshi Toyoda, Tomohiro Funabiki
INTRODUCTION: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been employed in refractory hemorrhagic shock patients. Since the optimal timing of arterial access remains unclear, we evaluated the pre-occlusion status of patients and elapsed time from the arrival to the hospital are associated with the survival outcomes in the REBOA patients. METHODS: From August 2011-December 2016, The DIRECT-IABO investigators registered refractory hemorrhagic shock patients undergoing REBOA from 23 hospitals in Japan...
June 12, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29901247/joint-contracture-is-reduced-by-intra-articular-implantation-of-rosiglitazone-loaded-hydrogels-in-a-rabbit-model-of-arthrofibrosis
#13
Diren Arsoy, Christopher G Salib, William H Trousdale, Meagan E Tibbo, Afton K Limberg, Anthony Viste, Eric A Lewallen, Nicolas Reina, Michael J Yaszemski, Daniel J Berry, Andre J van Wijnen, Mark E Morrey, Joaquin Sanchez-Sotelo, Matthew P Abdel
Trauma, surgery, and other inflammatory conditions can lead to debilitating joint contractures. Adjunct pharmacologic modalities may permit clinical prevention and treatment of recalcitrant joint contractures. We investigated the therapeutic potential of rosiglitazone by intra-articular delivery via oligo[poly(ethylene glycol)fumarate] (OPF) hydrogels in an established rabbit model of arthrofibrosis. OPF hydrogels loaded with rosiglitazone were characterized for drug elution properties upon soaking in minimum essential media (MEM) with 10% fetal bovine serum and measurements of drug concentrations via High Performance Liquid Chromatography (HPLC)...
June 14, 2018: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/29900161/the-impact-of-educational-interventions-on-osteoporosis-knowledge-among-korean-osteoporosis-patients
#14
Won Seok Jo, Eun Hee Cho, Beon Jung Kang, Gi Du Kwon, Yong-Chan Ha, Sunmee Jang, Ha Young Kim
Background: The purpose of this study was to determine the impact of an educational intervention that includes information sharing about absolute fracture risk on the knowledge of osteoporosis and modifiable risk factors among Korean patients with osteoporosis. Methods: Adults aged >50 years who visited the outpatient clinic for osteoporosis were recruited. Subjects with trauma-related fractures or pathological fractures were excluded. The anthropometric data and clinical risk factors for fracture were collected at baseline...
May 2018: Journal of Bone Metabolism
https://www.readbyqxmd.com/read/29899712/impaired-voluntary-control-in-ptsd-probing-self-regulation-of-the-acc-with-real-time-fmri
#15
Jana Zweerings, Eliza M Pflieger, Krystyna A Mathiak, Mikhail Zvyagintsev, Anastasia Kacela, Guido Flatten, Klaus Mathiak
Background: Post-traumatic stress disorder (PTSD) is characterized by deficits in the self-regulation of cognitions and emotions. Neural networks of emotion regulation may exhibit reduced control mediated by the anterior cingulate cortex (ACC), contributing to aberrant limbic responses in PTSD. Methods: Real-time fMRI neurofeedback (rt-fMRI NF) assessed self-regulation of the ACC in nine patients with PTSD after single trauma exposure and nine matched healthy controls. All participants were instructed to train ACC upregulation on three training days...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29898757/predictors-of-health-related-quality-of-life-after-burn-injuries-a-systematic-review
#16
REVIEW
Inge Spronk, Catherine M Legemate, Jan Dokter, Nancy E E van Loey, Margriet E van Baar, Suzanne Polinder
BACKGROUND: Identifying predictors of health-related quality of life (HRQL) following burns is essential for optimization of rehabilitation for burn survivors. This study aimed to systematically review predictors of HRQL in burn patients. METHODS: Medline, Embase, Web of Science, Cochrane, CINAHL, and Google Scholar were reviewed from inception to October 2016 for studies that investigated at least one predictor of HRQL after burns. The Quality in Prognostic Studies tool was used to assess risk of bias of included studies...
June 14, 2018: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/29897630/attachment-based-therapy-for-elder-suffering-ptsd-symptoms-a-narrative-of-modeling-efficacy-for-improved-outcomes
#17
Brittany Steelman
PURPOSE: This paper will acquaint the psychiatric nurse with attachment theory-based therapy through a narrative of post traumatic stress disorder (PTSD) treatment of a Vietnam veteran with a history of compound trauma in childhood. DESIGN AND METHODS: Application of attachment-based therapy is discussed within the context of its guiding principles and tenets. FINDINGS: Attachment-based therapy is effective in reducing PTSD symptoms in a Vietnam veteran through forming secure base scripts from which the patient better evaluated and managed stressors, resulting in improved life functioning...
June 13, 2018: Perspectives in Psychiatric Care
https://www.readbyqxmd.com/read/29896265/comparison-of-efficacy-complications-and-tgf-%C3%AE-2-expression-between-dhs-and-pfna-in-elderly-patients-with-osteoporotic-femoral-intertrochanteric-fracture
#18
Rao Xu, Jiangying Ru, Feng Ji, Jie Liu, Yong Ji, Zhiquan Wu, Dai Shi
The aim of the present study was to compare the efficacy and complications of two fixation techniques, namely dynamic hip screw (DHS) and proximal femoral nail antirotation (PFNA), in the treatment of osteoporotic femoral intertrochanteric fracture in elderly patients, and to detect changes in transforming growth factor β2 (TGF-β2) expression in the two groups. A total of 100 elderly patients with femoral intertrochanteric fracture were randomly divided into two groups that were treated with either DHS or PFNA...
July 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29895273/prevalence-of-acute-stress-disorder-among-road-traffic-accident-survivors-a-meta-analysis
#19
Wenjie Dai, Aizhong Liu, Atipatsa C Kaminga, Jing Deng, Zhiwei Lai, Jianzhou Yang, Shi Wu Wen
BACKGROUND: Road traffic accident (RTA), an unexpected traumatic event, may not only lead to death and serious physical injuries, but also could put survivors at an increased risk for a wide range of psychiatric disorders, particularly acute stress disorder (ASD). Early assessment of trauma-related psychological responses is important because acute trauma responses in the early post-traumatic period are among the robust predictors of long-term mental health problems. However, estimates of the prevalence of ASD among RTA survivors varied considerably across studies...
June 13, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29892586/surgical-treatment-of-femoral-head-fractures-through-previously-controlled-hip-luxation-four-case-series-and-literature-review
#20
Guilherme Augusto Stirma, Christiano Saliba Uliana, Weverley Rubele Valenza, Marcelo Abagge
Objective: To report a series of cases of patients treated by fracture of the femoral head through the Ganz pathway with controlled dislocation of the hip. Method: All patients who were surgically treated with a Ganz access route for femoral head fractures were identified in a tertiary referral service for trauma. A review of medical records with X-rays and CT scans was carried out. The radiographic evaluation was classified according to Pipkin and the functional evaluation was performed through the application of the modified Harris Hip Score...
May 2018: Revista Brasileira de Ortopedia
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