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https://www.readbyqxmd.com/read/28731937/an-adapted-clavien-dindo-scoring-system-in-trauma-as-a-clinically-meaningful-nonmortality-endpoint
#1
David N Naumann, Laura E Vincent, Nicola Pearson, Alastair Beaven, Iain M Smith, Kieran Smith, Emma Toman, Helen R Dorrance, Keith Porter, Charles E Wade, Bryan A Cotton, John B Holcomb, Mark J Midwinter
BACKGROUND: There is no consensus on reporting nonmortality trauma complications in a graded manner. The Clavien-Dindo scale of complications was originally for elective surgery and requires adaptation to provide meaningful data for trauma patients. In particular, the original score does not account for those treated without surgery. We report an adapted Clavien-Dindo in trauma (ACDiT) scale and apply it to patients managed operatively and nonoperatively. METHODS: A combined prospective and retrospective international multicenter observational study was undertaken to apply the ACDiT scale to 484 trauma patients at three university teaching hospitals (Birmingham, England (n = 303); Houston, Texas (n = 113); and Glasgow, Scotland (n = 68))...
August 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28666398/how-do-we-meet-the-challenge-of-whiplash
#2
James M Elliott, David M Walton
A previous special issue of JOSPT (October 2016) discussed whiplash in terms of the clinical problems and current research surrounding prevention, biomechanics of injury, emergent care, imaging advancements, recovery pathways and prognosis, pathogenesis of posttrauma pain, acute and chronic management, and new predictive clinical tools. While great strides have been made in the field of whiplash and are continuing in earnest, a key group of clinicians and academics have recognized that inconsistent outcomes in published literature hamper our ability to meaningfully synthesize research findings, leading to results of systematic reviews that provide very few concrete clinical recommendations...
July 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28661975/interleukin-6-serum-levels-correlate-with-severity-of-burn-injury-but-not-with-gender
#3
Stephan Hager, Ann Christina Foldenauer, Hans-Oliver Rennekampff, Robert Deisz, Ruedger Kopp, Mayer Tenenhaus, Marx Gernot, Norbert Pallua
Gender-specific differences in the outcome of patients with burn injury have been recognized in the past with female patients being at a higher risk of mortality. We hypothesized that early post-burn interleukin-6 (IL-6) cytokine levels may contribute to the different gender-specific outcome. We retrospectively examined 94 burned patients who were treated in the Burn Intensive Care Unit at the University Hospital Aachen. Age, gender, presence of inhalation injury, depth, TBSA, and clinical outcome were documented...
June 21, 2017: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/28626823/a-survey-of-ophthalmologists-and-gynecologists-regarding-termination-of-pregnancy-and-choice-of-delivery-mode-in-the-presence-of-eye-diseases
#4
Seyed-Farzad Mohammadi, Mojgan Letafat-Nejad, Elham Ashrafi, Hanieh Delshad-Aghdam
PURPOSE: To evaluate and compare the attitudes of ophthalmologists and gynecologists in suggesting appropriate approach to pregnancy in different ocular conditions. METHODS: Specialty-specific questionnaires on delivery mode and abortion indications for ophthalmic patients (refractive, vascular, oncologic, retinal, glaucoma, postoperation, posttrauma, and infectious) were designed and distributed among physician staff of Farabi Eye Hospital and Yas Women Hospital in Tehran...
June 2017: Journal of Current Ophthalmology
https://www.readbyqxmd.com/read/28584438/neurogenic-pulmonary-edema-in-traumatic-brain-injury
#5
Ramanan Rajagopal, Swaminathan Ganesh, Muralidharan Vetrivel
A 29-year-old male admitted with severe traumatic brain injury following a road traffic accident was sedated and ventilated uneventfully for 72 h. On the fourth posttrauma day, after stopping sedation to assess readiness for extubation, he developed sudden onset desaturation; arterial blood gas showed severe diffusion defect with very low PaO2/FiO2 ratio following an episode of generalized tonic-clonic seizure. The differential diagnoses and further management are discussed.
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28557484/understanding-the-early-support-needs-of-survivors-of-traumatic-events-the-example-of-severe-injury-survivors
#6
Rachel M Brand, Katherine Chisholm, Sonia Terhaag, Winnie Lau, David Forbes, Alex Holmes, Meaghan O'Donnell
OBJECTIVE: In the aftermath of a potentially traumatic event, people may experience a range of mental health outcomes, including subclinical symptoms and distress. There is growing evidence that trauma survivors with subclinical symptoms are at increased risk of developing later psychiatric disorders, and this is especially the case with severe injury survivors. There is a need to develop evidence-based, early, brief interventions for those who are at risk of developing trauma-related psychopathology...
May 29, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28493728/internal-and-community-recourses-contribution-to-level-of-posttraumatic-symptoms-the-case-of-tourists-after-the-earthquake-in-nepal-2015
#7
Haya Itzhaky, Shlomit Weiss-Dagan, Orit Taubman-Ben-Ari
OBJECTIVE: The current study focused on tourists who were caught in the middle of Nepal's, 2015 earthquake, and survived. We examined the contribution of internal (coping flexibility and emotional regulation) and community resources (sense of belonging to the community) to tourist's level of post traumatic stress disorder symptoms. METHOD: A cross-sectional sample survey was conducted to collect data from 145 tourists between 2 week to 3 months after the earthquake...
May 11, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28486286/practical-aspects-of-posttrauma-reconstruction-with-an-intramedullary-lengthening-nail
#8
Mitchell Bernstein
Limb equalization using the Ilizarov method has evolved and adapted the use of internal lengthening devices. One of the newest devices, termed "PRECICE," is a magnetically controlled telescoping nail. Complications such as pin site infection and skin irritation are eliminated. Despite trauma surgeons' familiarity with intramedullary nailing, the Ilizarov method requires sound knowledge of deformity analysis and awareness of specific complications associated with distraction osteogenesis. This manuscript discusses some of the practical preoperative and intraoperative components of limb lengthening...
June 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28486283/the-evolution-of-remote-controlled-intramedullary-lengthening-and-compression-nails
#9
Stuart A Green
The operative elongation of limbs has long been a goal of orthopaedic surgeons. Indeed, the very first external skeletal fixators, although designed for stabilization of displaced fractures, were also used to overcome the posttrauma shortening that so commonly accompanies fracture deformities.
June 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28451068/preventing-ptsd-with-oxytocin-effects-of-oxytocin-administration-on-fear-neurocircuitry-and-ptsd-symptom-development-in-recently-trauma-exposed-individuals
#10
Jessie L Frijling
Background: Posttraumatic stress disorder (PTSD) is a debilitating psychiatric disorder which develops in approximately 10% of trauma-exposed individuals. Currently, there are few early preventive interventions available for PTSD. Intranasal oxytocin administration early posttrauma may prevent PTSD symptom development, as oxytocin administration was previously found to beneficially impact neurobiological (e.g. amygdala reactivity) and socio-emotional PTSD vulnerability factors. Objective: The overall aim of this dissertation was to investigate the potential of intranasal oxytocin administration as early preventive intervention for PTSD...
2017: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/28396822/commentary-pre-and-posttrauma-predictors-of-posttraumatic-stress-disorder-symptom-severity-reply-to-van-der-velden-and-van-der-knaap-2017
#11
COMMENT
Christin M Ogle, David C Rubin, Ilene C Siegler
No abstract text is available yet for this article.
January 2017: Clinical Psychological Science
https://www.readbyqxmd.com/read/28270333/longitudinal-associations-between-ptsd-symptoms-and-dyadic-conflict-communication-following-a-severe-motor-vehicle-accident
#12
Steffany J Fredman, J Gayle Beck, Philippe Shnaider, Yunying Le, Nicole D Pukay-Martin, Kimberly Z Pentel, Candice M Monson, Naomi M Simon, Luana Marques
There are well-documented associations between posttraumatic stress disorder (PTSD) symptoms and intimate relationship impairments, including dysfunctional communication at times of relationship conflict. To date, the extant research on the associations between PTSD symptom severity and conflict communication has been cross-sectional and focused on military and veteran couples. No published work has evaluated the extent to which PTSD symptom severity and communication at times of relationship conflict influence each other over time or in civilian samples...
March 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28135019/acute-stress-disorder-and-the-transition-to-posttraumatic-stress-disorder-in-children-and-adolescents-prevalence-course-prognosis-diagnostic-suitability-and-risk-markers
#13
Richard Meiser-Stedman, Anna McKinnon, Clare Dixon, Adrian Boyle, Patrick Smith, Tim Dalgleish
BACKGROUND: Early recovery from trauma exposure in youth is poorly understood. This prospective longitudinal study examined the early course of traumatic stress responses in recently trauma-exposed youth, evaluated the revised DSM-5 acute stress disorder (ASD) and PTSD diagnoses and alternative diagnoses, and identified risk factors for persistent traumatic stress. METHOD: Participants were 8- to 17-year-old emergency departments attendees exposed to single incident traumas...
April 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28127474/traumatic-foreign-body-into-the-face-case-report-and-literature-review
#14
Maysa Nogueira de Barros Melo, Lidyane Nunes Pantoja, Sara Juliana de Abreu de Vasconcellos, Viviane Almeida Sarmento, Christiano Sampaio Queiroz
This paper describes a case of mouth opening limitation, secondary to a facial trauma by cutting-piercing instrument, whose fragments had not been diagnosed in the immediate posttrauma care. Description of an unusual surgical maneuver and a literature review are presented.
2017: Case Reports in Dentistry
https://www.readbyqxmd.com/read/28087128/intranasal-oxytocin-to-prevent-posttraumatic-stress-disorder-symptoms-a-randomized-controlled-trial-in-emergency-department-patients
#15
Mirjam van Zuiden, Jessie L Frijling, Laura Nawijn, Saskia B J Koch, J Carel Goslings, Jan S Luitse, Tessa H Biesheuvel, Adriaan Honig, Dick J Veltman, Miranda Olff
BACKGROUND: There are currently few preventive interventions available for posttraumatic stress disorder (PTSD). Intranasal oxytocin administration early after trauma may prevent PTSD, because oxytocin administration was previously found to beneficially impact PTSD vulnerability factors, including neural fear responsiveness, peripheral stress reactivity, and socioemotional functioning. Therefore, we investigated the effects of intranasal oxytocin administration early after trauma on subsequent clinician-rated PTSD symptoms...
December 8, 2016: Biological Psychiatry
https://www.readbyqxmd.com/read/27977223/randomized-controlled-trial-to-dismantle-exposure-relaxation-and-rescripting-therapy-errt-for-trauma-related-nightmares
#16
Kristi E Pruiksma, Christopher C Cranston, Jamie L Rhudy, Rachel L Micol, Joanne L Davis
OBJECTIVE: The aim of this study was to conduct a preliminary dismantling study of exposure, relaxation, and rescripting therapy (ERRT) for nightmares. METHOD: Participants (N = 70) were randomized to 1 of 2 conditions: ERRT with nightmare exposure and rescripting (full protocol; EX) or ERRT without nightmare exposure and rescripting (NEX). Participants completed follow-ups at 1 week, 3 months, and 6 months posttreatment. RESULTS: Both conditions yielded statistically significant improvements with medium to large effect sizes on primary outcomes related to nightmares (i...
December 15, 2016: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/27929306/posttraumatic-growth-in-pediatric-intensive-care-personnel-dependence-on-resilience-and-coping-strategies
#17
Rocío Rodríguez-Rey, Alba Palacios, Jesús Alonso-Tapia, Elena Pérez, Elena Álvarez, Ana Coca, Santiago Mencía, Ana Maria Marcos, Juan Mayordomo-Colunga, Francisco Fernández, Fernando Gómez, Jaime Cruz, Luisa Barón, Rosa María Calderón, Sylvia Belda
OBJECTIVE: Staff in pediatric intensive care units (PICU) are inherently exposed to potentially traumatic events. Posttraumatic growth (PTG) is the occurrence of positive changes after experiencing a traumatic event. This study aims (a) to evaluate the prevalence of PTG in PICU staff, and whether their scores are different from those reported by professionals working in other pediatric units, (b) to explore the role of resilience and coping strategies in predicting PTG, and (c) to explore the relation of demographic and work-related variables with PTG...
December 8, 2016: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/27835714/posttraumatic-stress-disorder-in-young-children-3-years-posttrauma-prevalence-and-longitudinal-predictors
#18
Richard Meiser-Stedman, Patrick Smith, William Yule, Edward Glucksman, Tim Dalgleish
OBJECTIVE: Age-appropriate criteria for posttraumatic stress disorder (PTSD) in young children have been established. The present study investigated the long-term course of such PTSD and its predictors in young children. METHODS: Young children (aged 2-10 years) and parents/caregivers who had attended emergency departments after motor vehicle collisions (MVCs) between May 2004 and November 2005 were assessed at 2 to 4 weeks and 6 months post-MVC; 71 families were re-interviewed 3 years post-MVC...
March 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/27799012/selective-brain-hypothermia-mitigates-brain-damage-and-improves-neurological-outcome-after-post-traumatic-decompressive-craniectomy-in-mice
#19
Jacek Szczygielski, Andreas Müller, Angelika E Mautes, Christoph Sippl, Cosmin Glameanu, Karsten Schwerdtfeger, Wolf-Ingo Steudel, Joachim Oertel
Hypothermia and decompressive craniectomy (DC) have been considered as treatment for traumatic brain injury. The present study investigates whether selective brain hypothermia added to craniectomy could improve neurological outcome after brain trauma. Male CD-1 mice were assigned into the following groups: sham; DC; closed head injury (CHI); CHI followed by craniectomy (CHI+DC); and CHI+DC followed by focal hypothermia (CHI+DC+H). At 24 h post-trauma, animals were subjected to Neurological Severity Score (NSS) test and Beam Balance Score test...
April 15, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27748249/effects-of-sleep-after-experimental-trauma-on-intrusive-emotional-memories
#20
Birgit Kleim, Julia Wysokowsky, Nuria Schmid, Erich Seifritz, Björn Rasch
STUDY OBJECTIVES: To investigate sleep's effect in the immediate aftermath of experiencing an analog trauma in the laboratory on reducing intrusive emotional memory formation. METHODS: Sixty-five healthy women were exposed to an experimental laboratory trauma. They viewed a neutral and a trauma film in the laboratory and were randomly allocated to either a group that slept following film viewing or a group that remained awake. Sleep was recorded with electroencephalogram in a subgroup of participants in the sleep group...
December 1, 2016: Sleep
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