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https://www.readbyqxmd.com/read/29762260/clinical-indications-associated-with-opioid-initiation-for-pain-management-in-ontario-canada-a-population-based-cohort-study
#1
Sachin V Pasricha, Mina Tadrous, Wayne Khuu, David N Juurlink, Muhammad M Mamdani, J Michael Paterson, Tara Gomes
Concerns over prescription opioids contributing to high levels of opioid use disorder and overdose have led policymakers and clinicians to seek means to reduce inappropriate and high-dose initial prescriptions. To inform such efforts, we sought to describe the clinical indications associated with opioid initiation and the characteristics of the initial prescriptions and patients through a retrospective population-based cohort study. Our cohort included Ontarians initiating prescription opioids for pain management between April 1, 2015, and March 31, 2016...
May 14, 2018: Pain
https://www.readbyqxmd.com/read/29752641/levels-of-evidence-in-pelvic-trauma-a-bibliometric-analysis-of-the-top-50-cited-papers
#2
Ailbhe White-Gibson, Barry O'Neill, David Cooper, Michael Leonard, Brendan O'Daly
BACKGROUND: Scientific research is an essential aspect in the ongoing development of medical education and improved patient care. Dissemination of findings is a pivotal goal of any health research study. The number of citations that a published article receives is reflective of the importance that paper has on clinical practice. To date, it is unknown which journals are most frequently cited as influencing the management of pelvic trauma. METHODS: The aim of this study was to identify the top 50 publications relating to the management of pelvic trauma...
May 12, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29728819/the-changing-tides-of-irish-orthopaedic-research
#3
Ailbhe White Gibson, Kevin Clesham, Oisin Tully, John F Quinlan
INTRODUCTION: Research is fundamental to bridging theory, practice and education in orthopaedics. Following the restructuring of the surgical training pathway in Ireland, the opportunity to undertake clinical- or lab-based research has fallen. AIMS: Our aim was to investigate the trends of research in orthopaedics and the implications there. METHODS: We reviewed the trend in publications by Irish trauma and orthopaedic (T&O) trainees over the past 20 years across three different classes of journal...
May 4, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29724430/acr-appropriateness-criteria-%C3%A2-hematuria-child
#4
Jonathan R Dillman, Cynthia K Rigsby, Ramesh S Iyer, Adina L Alazraki, Sudha A Anupindi, Brandon P Brown, Sherwin S Chan, Scott R Dorfman, Richard A Falcone, Matthew D Garber, Jie C Nguyen, Craig A Peters, Nabile M Safdar, Andrew T Trout, Boaz K Karmazyn
Hematuria is the presence of red blood cells in the urine, either visible to the eye (macroscopic hematuria) or as viewed under the microscope (microscopic hematuria). The clinical evaluation of children and adolescents with any form of hematuria begins with a meticulous history and thorough evaluation of the urine. The need for imaging evaluation depends on the clinical scenario in which hematuria presents, including the suspected etiology. Ultrasound and CT are the most common imaging methods used to assess hematuria in children, although other imaging modalities may be appropriate in certain instances...
May 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29717465/animal-models-in-forensic-science-research-justified-use-or-ethical-exploitation
#5
Calvin Gerald Mole, Marise Heyns
A moral dilemma exists in biomedical research relating to the use of animal or human tissue when conducting scientific research. In human ethics, researchers need to justify why the use of humans is necessary should suitable models exist. Conversely, in animal ethics, a researcher must justify why research cannot be carried out on suitable alternatives. In the case of medical procedures or therapeutics testing, the use of animal models is often justified. However, in forensic research, the justification may be less evident, particularly when research involves the infliction of trauma on living animals...
May 1, 2018: Science and Engineering Ethics
https://www.readbyqxmd.com/read/29683829/harmful-or-physiologic-diagnosing-fibrinolysis-shutdown-in-a-trauma-cohort-with-rotational-thromboelastometry
#6
J Carolina Gomez-Builes, Sergio A Acuna, Bartolomeu Nascimento, Fabiana Madotto, Sandro B Rizoli
BACKGROUND: Despite its central role in early trauma coagulopathy, abnormal fibrinolysis continues to be poorly understood. Excessive fibrinolysis is a known contributor to mortality. Recent studies with thromboelastography (TEG) suggest decreased fibrinolysis (or shutdown) may be just as harmful. Considering the broad use of 2 different viscoelastic assays, which are not interchangeable, we proposed for the first time to define and characterize fibrinolysis shutdown using rotational thromboelastometry (ROTEM)...
April 19, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29677092/current-publication-rates-of-abstracts-presented-at-the-orthopaedic-trauma-association-annual-meetings-2005-2010
#7
Ryan Lee, Ishwarya S Mamidi, Alex Gu, Jordan S Cohen, William Probasco, James DeBritz
OBJECTIVES: To evaluate the publication rate of abstracts presented at the 2005-2010 Orthopaedic Trauma Association (OTA) Annual Meetings. METHODS: All abstracts from the 2005 to 2010 OTA meetings were identified through the OTA's official website. Each abstract was searched across PubMed and Google to determine its publication status. The overall publication rate of abstracts was determined, along with the first authors' sex, number of authors, time and journal of publication, and analyzed with statistical testing...
May 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29660009/critical-care-in-the-military-health-system-a-24-h-point-prevalence-study
#8
Raymond Fisher, Christopher J Colombo, Cristin A Mount, Elizabeth A Mann-Salinas, Adam W Bostick, Konrad Davis, James K Aden, Kevin K Chung, Mary S McCarthy, Jeremy C Pamplin
Background: Healthcare expenditures are a significant economic cost with critical care services constituting one of its largest components. The Military Health System (MHS) is the largest, global healthcare system of its kind. In this project, we sought to describe critical care services and the patients who receive them in the MHS. Methods: We surveyed 26 military treatment facilities (MTFs) representing 38 critical care services or intensive care units (ICUs)...
April 11, 2018: Military Medicine
https://www.readbyqxmd.com/read/29644417/longitudinal-analysis-of-superficial-midfacial-fat-volumes-over-a-10-year-period
#9
Jacob Tower, Kimberly Seifert, Boris Paskhover
BACKGROUND: Volumetric changes to facial fat that occur with aging remain poorly understood. The aim of this study was to evaluate for longitudinal changes to midfacial fat volumes in a group of individuals. METHODS: We conducted a retrospective longitudinal study of adult subjects who underwent multiple facial computed tomographic (CT) scans timed at least 8 years apart. Subjects who underwent facial surgery or suffered facial trauma were excluded. Facial CT scans were analyzed, and superficial cheek fat volumes were measured and compared to track changes that occurred with aging...
April 11, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29629637/childhood-sexual-violence-in-indonesia-a-systematic-review
#10
Lauren Rumble, Ryan Fajar Febrianto, Melania Niken Larasati, Carolyn Hamilton, Ben Mathews, Michael P Dunne
There has been relatively little research into the prevalence of childhood sexual violence (CSV) as well as the risk and protective factors for CSV in low- and middle-income countries including Indonesia. Systematic searches conducted in English and Bahasa Indonesia in this review identified 594 records published between 2006 and 2016 in peer-reviewed journals and other literature including 299 Indonesian records. Fifteen studies, including nine prevalence studies, met the quality appraisal criteria developed for this review...
January 1, 2018: Trauma, Violence & Abuse
https://www.readbyqxmd.com/read/29547074/polyvictimization-in-childhood-and-its-adverse-impacts-across-the-lifespan-introduction-to-the-special-issue
#11
Julian D Ford, Brianna C Delker
Although much empirical work has focused on the adverse impact of specific types of childhood victimization (e.g., sexual, physical, or emotional abuse), researchers and clinicians increasingly are recognizing the prevalence of polyvictimization, or exposure to multiple types of victimization. Polyvictimization during formative developmental periods may have detrimental and potentially lifelong biopsychosocial impacts over and above the effects of exposure to specific types of adversity. In this guest editorial, we summarize the key questions and findings for six empirical studies on polyvictimization included in this Special Issue of the Journal of Trauma & Dissociation...
May 2018: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/29538793/implementation-of-trauma-informed-care-and-brief-solution-focused-therapy-a-quality-improvement-project-aimed-at-increasing-engagement-on-an-inpatient-psychiatric-unit
#12
Babatunde Aremu, Pamela D Hill, Joanne M McNeal, Mary A Petersen, Debbie Swanberg, Kathleen R Delaney
Addressing tense and escalating situations with noncoercive measures is an important element of inpatient psychiatric treatment. Although restraint rates are frequently monitored, the use of pro re nata (PRN) intramuscular (IM) injections to address agitation is also an important indicator. In 2015, at the current study site, a significant increase was noted in PRN IM medication use despite unit leadership's efforts to build a culture of trauma-informed care (TIC). The purpose of the current quality improvement project was to educate staff on methods to incorporate TIC into daily practice and the use of brief solution-focused therapy techniques in escalating situations...
March 14, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29538792/non-psychiatric-nurses-perceived-self-efficacy-after-an-educational-intervention-on-suicide-prevention-and-care
#13
Ellen W Blair, Jyoti Chhabra, Cynthia Belonick, Maria Tackett
Potential for suicide risk can be a safety concern for patients in all health care settings. Inadequate training of nurses in suicide assessment and prevention is a serious patient safety concern. A non-randomized pre-/postintervention research design was used to measure the effects of education on non-psychiatric nurses' perceived self-efficacy in assessment and inquiry about suicide risk and in implementing suicide prevention strategies. The intervention was an educational module about suicide prevention and care delivered to non-psychiatric nurses employed on a neuro-trauma unit in an acute care urban hospital setting...
March 14, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29530911/comparative-efficacy-and-acceptability-of-psychotherapies-for-post-traumatic-stress-disorder-in-children-and-adolescents-study-protocol-for-a-systematic-review-and-network-meta-analysis
#14
Yuqing Zhang, Xinyu Zhou, Lining Yang, Sarah E Hetrick, John R Weisz, Pim Cuijpers, Jürgen Barth, Cinzia Del Giovane, Shuai Yuan, David Cohen, Donna Gillies, Xiaofeng Jiang, Teng Teng, Peng Xie
INTRODUCTION: Post-traumatic stress disorder (PTSD) is common among children and adolescents who are exposed to trauma, and it is often associated with significant negative impacts on their psychosocial functioning and quality of life. Many types of psychotherapies have been found to be effective for PTSD in children and adolescents. However, due to the lack of direct comparisons between different psychotherapies, the hierarchy of treatment efficacy is still unclear. Therefore, we plan to conduct a systematic review and network meta-analysis to evaluate the efficacy and acceptability of various types of psychotherapies for PTSD in children and adolescents...
March 12, 2018: BMJ Open
https://www.readbyqxmd.com/read/29521884/childhood-trauma-perceived-stress-and-hair-cortisol-in-adults-with-and-without-cardiovascular-disease
#15
Stéphanie Bossé, Tobias Stalder, Bianca DʼAntono
OBJECTIVE: Childhood trauma has been associated with greater psychological and physical morbidity, including a greater risk of developing cardiovascular disease (CVD). This may partially reflect trauma-induced disturbances in how stress is later perceived and regulated. This study evaluated the associations of childhood trauma with perceived stress and hair cortisol concentrations (HCC) in a large sample of adults with coronary artery disease (CAD) and in non-CVD patients experiencing other nonfatal illnesses...
May 2018: Psychosomatic Medicine
https://www.readbyqxmd.com/read/29509587/cango-lyec-healing-the-elephant-gender-differences-in-hiv-infection-in-post-conflict-northern-uganda
#16
Patricia M Spittal, Samuel S Malamba, Martin D Ogwang, Seggane Musisi, J Paul Ekwaru, Nelson K Sewankambo, Margo E Pearce, Kate Jongbloed, Sheetal H Patel, Achilles Katamba, Alden H Blair, Herbert Muyinda, Martin T Schechter Obc
BACKGROUND: As previously encamped resettle, potential for rapid HIV transmission in post-conflict Northern Uganda is concerning. Women in particular may be experiencing heightened vulnerability resulting from war-related sexual violence. SETTING: Cango Lyec (Healing the Elephant) Project is a cohort involving conflict-affected people in three districts in Northern Uganda. METHODS: Eight randomly selected communities were mapped and a census was conducted...
March 2, 2018: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/29504236/the-effect-of-mesenchymal-stem-cells-combined-with-platelet-rich-plasma-on-skin-wound-healing
#17
REVIEW
Mohammad-Reza Mahmoudian-Sani, Fatemeh Rafeei, Razieh Amini, Massoud Saidijam
INTRODUCTION: Mesenchymal stem cells (MSCs) are multipotent stem cells that have the potential of proliferation, high self-renewal, and the potential of multilineage differentiation. The differentiation potential of the MSCs in vivo and in vitro has caused these cells to be regarded as potentially appropriate tools for wound healing. After the burn, trauma or removal of the tumor of wide wounds is developed. Although standard treatment for skin wounds is primary healing or skin grafting, they are not always practical mainly because of limited autologous skin grafting...
March 4, 2018: Journal of Cosmetic Dermatology
https://www.readbyqxmd.com/read/29502092/management-of-haemothoraces-in-blunt-thoracic-trauma-study-protocol-for-a-randomised-controlled-trial
#18
David A Carver, Alexsander K Bressan, Colin Schieman, Sean C Grondin, Andrew W Kirkpatrick, Rohan Lall, Paul B McBeth, Michael B Dunham, Chad G Ball
INTRODUCTION: Haemothorax following blunt thoracic trauma is a common source of morbidity and mortality. The optimal management of moderate to large haemothoraces has yet to be defined. Observational data have suggested that expectant management may be an appropriate strategy in stable patients. This study aims to compare the outcomes of patients with haemothoraces following blunt thoracic trauma treated with either chest drainage or expectant management. METHODS AND ANALYSIS: This is a single-centre, dual-arm randomised controlled trial...
March 3, 2018: BMJ Open
https://www.readbyqxmd.com/read/29489567/a-comprehensive-review-of-low-speed-rear-impact-volunteer-studies-and-a-comparison-to-real-world-outcomes
#19
Joseph Cormier, Lisa Gwin, Lars Reinhart, Rawson Wood, Charles Bain
STUDY DESIGN: This study combined all prior research involving human volunteers in low-speed rear-end impacts and performed a comparative analysis of real-world crashes using the National Automotive Sampling System - Crashworthiness Data System. OBJECTIVE: The aim of this study was to assess the rates of neck pain between volunteer and real-world collisions as well as the likelihood of an injury beyond symptoms as a function of impact severity and occupant characteristics in real-world collisions...
February 27, 2018: Spine
https://www.readbyqxmd.com/read/29488272/the-vicarious-trauma-scale-confirmatory-factor-analysis-and-psychometric-properties-with-a-sample-of-victim-advocates
#20
Lorraine Benuto, Jonathan Singer, Caroline Cummings, Andrew Ahrendt
Vicarious trauma is referred to as the detrimental change in the manner that professionals understand and interpret material, as a result of exposure to second-hand traumatic material (McCann & Pearlman [1990] Journal of Traumatic Stress, 3:131). According to Aparicio et al. (Health & Social Work, 2013, 38:199), vicarious trauma comprises both affective and cognitive components and, while it is distinct from posttraumatic stress disorder (PTSD), it is associated with similar symptoms, including re-experiencing and avoiding traumatic material and experiencing depressed mood...
February 28, 2018: Health & Social Care in the Community
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