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https://www.readbyqxmd.com/read/29931121/work-stress-resilience-and-professional-quality-of-life-among-nurses-caring-for-mass-burn-casualty-patients-after-formosa-color-dust-explosion
#1
Hsu-Min Tseng, Whei-Mei Shih, Yung-Chao Shen, Lun-Hui Ho, Chu-Fang Wu
A Dust explosion that injured 499 patients occurred on June 27, 2015 in Taiwan. This tragedy inundated hospitals across northern Taiwan with an unprecedented number of burn patients. It caused extreme pressure and challenges for nurses. The purpose of this study is to investigate factors associated with nurses' work stress, resilience, and professional quality of life in caring for dust exposure patients. A cross-sectional survey data was collected from nurses in caring for dust explosion patients. A total of 83 nurses in burn unit, plastic surgery ward, and reconstructive microsurgery unit returned valid data for analysis...
December 6, 2017: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29924193/therapeutic-effects-of-proanthocyanidin-and-coenzyme-q10-on-nitrogen-mustard-induced-ocular-injury
#2
Abdullah Ilhan, Umit Yolcu, Emin Oztas, Uzeyir Erdem
PURPOSE: Nitrogen mustard (NM) is a devastating casualty agent in chemical warfare. There is no effective antidote to treat NM-induced ocular injury. We aimed to assess the effects of proanthocyanidin (PAC) and coenzyme Q10 (CoQ10) on NM-induced ocular injury. METHODS: Eighteen male rats were divided into the following 4 groups: NM, NM + PAC, NM + CoQ10, and control. The 3 NM groups received a single dose of NM (0.02 mg/μL) on the right eye to induce ocular injury...
June 2018: Arquivos Brasileiros de Oftalmologia
https://www.readbyqxmd.com/read/29913623/in-praise-of-anesthesia-two-case-studies-of-pain-and-suffering-during-major-surgical-procedures-with-and-without-anesthesia-in-the-united-states-civil-war-1861-65
#3
Maurice S Albin
Background The United States Civil War (1861-1865) pitted the more populous industrialized North (Union) against the mainly agricultural slaveholding South (Confederacy). This conflict cost an enormous number of lives, with recent estimates mentioning a total mortality greater than 700,000 combatants [1]. Although sulfuric ether (ETH) and chloroform (CHL) were available since Morton's use of the former in 1846 and the employment of the latter in 1847, and even though inhalational agents were used in Crimean war (1853-1856) and the Mexican-American War (1846-1848), the United States Civil War gave military surgeons on both sides the opportunity to experience the use of these two agents because of the large number of casualties...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29912454/the-need-for-a-combat-casualty-care-research-program-and-trauma-registry-for-military-working-dogs
#4
Jean A Orman, Jacquelyn S Parker, Zsolt T Stockinger, Kevin W Nemelka
No abstract text is available yet for this article.
June 15, 2018: Military Medicine
https://www.readbyqxmd.com/read/29909330/predicting-wildlife-road-crossing-probability-from-roadkill-data-using-occupancy-detection-models
#5
Rodrigo A L Santos, Mário Mota-Ferreira, Ludmilla M S Aguiar, Fernando Ascensão
Wildlife-vehicle collisions (WVC) represent a major threat for wildlife and understanding how WVC spatial patterns relate to surrounding land cover can provide valuable information for deciding where to implement mitigation measures. However, these relations may be heavily biased as many casualties are undetected in roadkill surveys, e.g. due to scavenger activity, which may ultimately jeopardize conservation actions. We suggest using occupancy models to overcome imperfect detection issues, assuming that 'occupancy' represents the preference for crossing the road in a given site, i...
June 14, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29906614/assessing-risk-and-related-complications-after-reversal-of-combat-associated-ostomies
#6
Luke R Johnston, Matthew J Bradley, Carlos J Rodriguez, Michael P McNally, Eric A Elster, James E Duncan
BACKGROUND: During the past decade of conflict, numerous casualties sustained injuries requiring the formation of an ostomy. However, outcomes in those casualties undergoing ostomy reversal have yet to be analyzed. We review the experience and identify risk factors for complications after ostomy reversal in a series of combat casualties at our military treatment facility. STUDY DESIGN: A retrospective review of combat casualties managed with a diverting ostomy who underwent ostomy reversal at our military treatment facility over a 13 year period...
June 12, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29905597/extremity-war-injuries-xii-homeland-defense-as-a-translation-of-war-lessons-learned
#7
Maj Daniel J Stinner, Andrew H Schmidt
The 12th Extremity War Injuries Symposium focused on issues related to the transitions in medical care that are occurring as the focus of the war on terror changes. The symposium highlighted the results of Department of Defense-funded research in musculoskeletal injury, the evolution of combat casualty care, and the readiness of the fighting force. Presentations and discussions focused on force readiness of both troops and their medical support as well as the maintenance of the combat care expertise that has been developed during the previous decade of conflict...
June 12, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29905134/problems-and-costs-that-could-be-addressed-by-improved-burn-and-wound-care-training-in-health-professions-education
#8
Patrick T Delaplain, Victor C Joe
The current system of burn care delivery attempts to meet the needs of the nearly 500 000 patients in the United States who require medical treatment annually. However, specialization of care and lack of fundamental burn and wound care knowledge among graduating medical trainees has unintended consequences, leaving the system inefficient, with inherent inequities in care delivery and with the potential to be overwhelmed in a mass casualty event. While increasing accessibility to specialty burn centers through technology could mitigate some of these problems, increased education is more practical...
June 1, 2018: AMA Journal of Ethics
https://www.readbyqxmd.com/read/29904240/autologistic-models-for-benchmark-risk-or-vulnerability-assessment-of-urban-terrorism-outcomes
#9
Jingyu Liu, Walter W Piegorsch, A Grant Schissler, Susan L Cutter
We develop a quantitative methodology to characterize vulnerability among 132 U.S. urban centers ('cities') to terrorist events, applying a place-based vulnerability index to a database of terrorist incidents and related human casualties. A centered autologistic regression model is employed to relate urban vulnerability to terrorist outcomes and also to adjust for autocorrelation in the geospatial data. Risk-analytic 'benchmark' techniques are then incorporated into the modeling framework, wherein levels of high and low urban vulnerability to terrorism are identified...
June 2018: Journal of the Royal Statistical Society. Series A, (Statistics in Society)
https://www.readbyqxmd.com/read/29901799/the-use-of-a-silver-nylon-dressing-during-evacuation-of-military-burn-casualties
#10
Amit Aurora, Alexander Beasy, Julie A Rizzo, Kevin K Chung
The military has used silver-nylon dressings as a topical antimicrobial on combat-related burns for the past 15 years. However, their clinical efficacy and associated risks have not been evaluated. Herein, the authors document our experience with the use of a specific silver-nylon dressing (Silverlon®) during global evacuation of casualties from combat zones to the United States sArmy Institute of Surgical Research Burn Center. A 10-year retrospective analysis was performed. Variables included patient demographics, total body surface area, length of stay, Injury Severity Score, incidence of urinary tract and burn infections, pneumonia, patient status at the time of discharge, and a composite endpoint...
June 13, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29891425/wilderness-mass-casualty-incident-mci-rescue-chain-after-avalanche-at-everest-base-camp-ebc-in-2015
#11
Ken Zafren, Anne Brants, Katie Tabner, Andrew Nyberg, Matiram Pun, Buddha Basnyat, Monika Brodmann Maeder
The Nepal Earthquake of 2015 killed over 8000 people and injured over 20,000 in Nepal. Moments after the earthquake, an avalanche of falling ice came down from above Everest Base Camp (EBC). The air blast created by the avalanche flattened the middle part of EBC, killing 15 people and injuring at least 70. The casualties were initially triaged and treated at EBC and then evacuated by air to Kathmandu for definitive care. There were intermediate stops at the villages of Pheriche and Lukla during which the casualties were offloaded, retriaged, treated, and loaded again for further transport...
June 8, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29889961/survey-of-casualty-evacuation-missions-conducted-by-the-160th-special-operations-aviation-regiment-during-the-afghanistan-conflict
#12
Theodore T Redman, Kevin E Mayberry, Alejandra G Mora, Brock A Benedict, Elliot M Ross, Julian G Mapp, Russ S Kotwal
BACKGROUND: Historically, documentation of prehospital combat casualty care has been relatively nonexistent. Without documentation, performance improvement of prehospital care and evacuation through data collection, consolidation, and scientific analyses cannot be adequately accomplished. During recent conflicts, prehospital documentation has received increased attention for point-of-injury care as well as for care provided en route on medical evacuation platforms. However, documentation on casualty evacuation (CASEVAC) platforms is still lacking...
2018: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/29889959/junctional-tourniquet-use-during-combat-operations-in-afghanistan-the-prehospital-trauma-registry-experience
#13
Steven G Schauer, Michael D April, Andrew D Fisher, Cord W Cunningham, Jennifer Gurney
BACKGROUND: Hemorrhage is the leading cause of potentially preventable death on the battlefield. Although the resurgence of limb tourniquets revolutionized hemorrhage control in combat casualties in the recent conflicts, the mortality rate for patients with junctional hemorrhage is still high. Junctional tourniquets (JTQs) offer a mechanism to address the high mortality rate. The success of these devices in the combat setting is unclear given a dearth of existing data. METHODS: From the Prehospital Trauma Registry (PHTR) and the Department of Defense Trauma Registry, we extracted cases of JTQ use in Afghanistan...
2018: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/29889957/old-tricks-for-new-dogs-john-caddy-and-the-victorian-origins-of-tccc
#14
Penny S Reynolds
The success of Tactical Combat Casualty Care (TCCC) in reducing potentially preventable combat deaths may rely on both specific interventions (such as tourniquets) and the systematized application of immediate care. Essential elements of a combat care system include clear specification of immediate care priorities, standardized methodology, and inclusion and training of all nonmedical personnel in early response. Although TCCC is fairly recent, the construct is similar to that first suggested during the mid-nineteenth century by John Turner Caddy (1822-1902), a British Royal Navy staff surgeon...
2018: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/29889956/prehospital-administration-of-antibiotic-prophylaxis-for-open-combat-wounds-in-afghanistan-2013-2014
#15
Steven G Schauer, Andrew D Fisher, Michael D April, Katherine A Stolper, Cord W Cunningham, Robert Carter, Jessie Renee D Fernandez, James A Pfaff
BACKGROUND: Military operations place injured Servicemembers at high risk for open wounds. Austere environments and initial wound contamination increase the risk for infection. Wound infections continue to cause significant morbidity among injured Servicemembers. Limited evidence suggests that early antibiotic therapy for open wounds reduces infection rates. METHODS: We obtained data from the Prehospital Trauma Registry (PHTR) from January 2013 through September 2014...
2018: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/29889952/management-of-suspected-tension-pneumothorax-in-tactical-combat-casualty-care-tccc-guidelines-change-17-02
#16
Frank K Butler, John B Holcomb, Stacy Shackelford, Harold R Montgomery, Shawn Anderson, Jeffrey S Cain, Howard R Champion, Cord W Cunningham, Warren C Dorlac, Brendon Drew, Kurt Edwards, John V Gandy, Elon Glassberg, Jennifer Gurney, Theodore Harcke, Donald A Jenkins, Jay Johannigman, Bijan S Kheirabadi, Russ S Kotwal, Lanny F Littlejohn, Matthew Martin, Edward L Mazuchowski, Edward J Otten, Travis Polk, Peter Rhee, Jason M Seery, Zsolt Stockinger, Jeremy Torrisi, Avi Yitzak, Ken Zafren, Scott P Zietlow
This change to the Tactical Combat Casualty Care (TCCC) Guidelines that updates the recommendations for management of suspected tension pneumothorax for combat casualties in the prehospital setting does the following things: (1) Continues the aggressive approach to suspecting and treating tension pneumothorax based on mechanism of injury and respiratory distress that TCCC has advocated for in the past, as opposed to waiting until shock develops as a result of the tension pneumothorax before treating. The new wording does, however, emphasize that shock and cardiac arrest may ensue if the tension pneumothorax is not treated promptly...
2018: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/29889840/impact-of-a-massive-earthquake-on-adherence-to-antiretroviral-therapy-mental-health-and-treatment-failure-among-people-living-with-hiv-in-nepal
#17
Bharat Singh Negi, Sunil Kumar Joshi, Minato Nakazawa, Tomohiro Kotaki, Anup Bastola, Masanori Kameoka
INTRODUCTION: The April 2015 Nepal earthquake resulted in more than 8,700 deaths and 22,000 casualties including damage to health facilities. The impact of this situation on chronic conditions such as human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS) may become a long-lasting public health threat. Therefore, the objectives of this study were i) to assess the association of antiretroviral therapy (ART) adherence with mental health problems, and social behaviors, ii) to examine factors affecting treatment failure, and iii) to investigate changes in ART adherence and post-traumatic stress disorder (PTSD) among people living with HIV 6 and 12 months after the disaster...
2018: PloS One
https://www.readbyqxmd.com/read/29886282/the-aftermath-of-the-kuwait-mosque-bombing-a-retrospective-cohort-analysis-and-lessons-learned
#18
Salman Al Sabah, Nourah Alsharqawi, Eliana Al Haddad
INTRODUCTION: The occurrence of terrorist attacks are still recurrent incidents plaguing the middle east region. However, Kuwait has been mostly spared from these attacks over the years. Therefore, when the bombing of the mosque in 2015 happened, it shocked a country that is not prepared for such disasters. Our aim was to present the incident that occurred on that day and on the lessons learned from it. METHODS: A collaborative effort among the hospitals in Kuwait examined the details and outcomes of the initial response to the bombing...
June 7, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29885548/between-moral-infraction-and-existential-crisis-exploring-physicians-and-nurses-attitudes-to-suicide-and-the-suicidal-patient-in-ghana
#19
Joseph Osafo, Charity S Akotia, Kofi E Boakye, Erica Dickson
BACKGROUND: Negative attitudes of health professionals towards suicide may hamper their willingness and skills to work with attempt survivors. OBJECTIVE: The purpose of this study was to explore the attitudes of physicians and nurses towards suicide and the suicidal patient. METHODS: A semi-structured qualitative interview was conducted on Twenty five (25) health professionals: (15 physicians and 10 casualty nurses) from five hospitals in Accra, the capital of Ghana...
May 26, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29883492/imaging-of-underground-karst-water-channels-using-an-improved-multichannel-transient-rayleigh-wave-detecting-method
#20
Xuhui Zheng, Lei Liu, Jinzhong Sun, Gao Li, Fubiao Zhou, Jiemin Xu
Geological and hydrogeological conditions in karst areas are complicated from the viewpoint of engineering. The construction of underground structures in these areas is often disturbed by the gushing of karst water, which may delay the construction schedule, result in economic losses, and even cause heavy casualties. In this paper, an innovative method of multichannel transient Rayleigh wave detecting is proposed by introducing the concept of arrival time difference phase between channels (TDP). Overcoming the restriction of the space-sampling law, the proposed method can extract the phase velocities of different frequency components from only two channels of transient Rayleigh wave recorded on two adjacent detecting points...
2018: PloS One
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