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https://www.readbyqxmd.com/read/27918104/quality-of-life-following-trauma-before-and-after-implementation-of-a-physician-staffed-helicopter
#1
K S Funder, L S Rasmussen, R Hesselfeldt, V Siersma, N Lohse, A Sonne, S Wulffeld, J Steinmetz
BACKGROUND: Implementation of a physician-staffed helicopter emergency medical service (PS-HEMS) in Denmark was associated with lower 30-day mortality in severely injured trauma patients and less time on social subsidy. However, the reduced 30-day mortality in severely injured patients might be at the expense of a worse functional outcome and quality of life (QoL) in those who survive. The aim of this study was to investigate the effect of a physician-staffed helicopter on long-term QoL in trauma patients...
January 2017: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/27790532/living-with-amputation-anxiety-and-depression-correlates
#2
Sukriti Bhutani, Jaikrit Bhutani, Anurag Chhabra, Rajesh Uppal
INTRODUCTION: Trauma accounts for 16% of the total burden of disease in the world, making it a leading cause of morbidity and mortality especially in the developing nations. India represents about 10% (225million) of the total world workforce in agriculture. With the evolution of new machinery and better techniques of agriculture, there has been a substantial increase in the associated injuries. Depression, anxiety and post-traumatic stress are among the predictors of poor quality of life (QOL)...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27771822/-life-is-at-a-standstill-quality-of-life-after-lower-extremity-trauma-in-malawi
#3
Racquel E Kohler, Jared Tomlinson, Tiyamike Eletima Chilunjika, Sven Young, Mina Hosseinipour, Clara N Lee
PURPOSE: Low- and middle-income countries face a disproportionate burden of death and disability from injuries, many of which are due to road traffic accidents or falls. Lower extremity injuries in particular have implications not only for physical disabilities affecting work and school performance, but also for quality of life (QOL) of the individual. This qualitative study explores the psychosocial impact and QOL changes due to lower extremity injuries among trauma patients in central Malawi...
October 22, 2016: Quality of Life Research
https://www.readbyqxmd.com/read/27738719/burden-of-first-osteoporotic-hip-fracture-in-spain-a-prospective-12-month-observational-study
#4
Jose Ramón Caeiro, Agustí Bartra, Manuel Mesa-Ramos, Íñigo Etxebarría, Jorge Montejo, Pedro Carpintero, Francesc Sorio, Sonia Gatell, Andrea Farré, Laura Canals
The purpose of this study was to estimate the burden of osteoporotic fractures beyond the hospitalization period covering up to the first year after the fracture. This was a prospective, 12-month, observational study including patients aged ≥65 years hospitalized due to a first low-trauma hip fracture, in six Spanish regions. Health resource utilization (HRU), quality of life (QoL) and autonomy were collected and total costs calculated. Four hundred and eighty seven patients (mean ± SD age 83 ± 7 years, 77 % women) were included...
October 14, 2016: Calcified Tissue International
https://www.readbyqxmd.com/read/27734220/acute-high-grade-acromioclavicular-joint-injuries-quality-of-life-comparison-between-patients-managed-operatively-with-a-hook-plate-versus-patients-managed-non-operatively
#5
Luis Gerardo Natera Cisneros, Juan Sarasquete Reiriz
INTRODUCTION: Surgical indication for acromioclavicular joint (ACJ) injuries still represents a reason for shoulder and trauma debate. In high-grade injuries, surgery is advocated because some of the non-operatively managed patients may have persistent shoulder pain that could make them unable to return to their previous activity. It has been shown that many of the patients with high-grade ACJ injuries that are managed non-operatively involve the development of scapular dyskinesis, situation that may result in loss of strength and weakness...
October 12, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27676750/programmed-amputation-on-a-teenager-what-kind-of-preparation-for-what-outcome
#6
Marion Prigent, Sylvain Brochard, Mathias Thepaut, Christian Lefèvre, Dominique Le Nen, Thierry Cornic, Marie-Thérèse Cariou, Catherine Le Rouzic, Phlippe Le Moine, Christelle Pons, Laetitia Houx
OBJECTIVE: Traumatic lower limb amputation is rare in pediatric population, and surgeons always try limb salvage. But rarely, later amputation occurred when the traumatic limb is painful. It is a difficult and irreversible decision needed a multidisciplinary approach. We report how we managed a programmed trans-tibial amputation on 13-years-old boy, 20 months after a foot trauma. OBSERVATIONS: Our patient is an adolescent victim of a left foot crash. The first checkup showed a degloving injury, dislocation of the interphalangeal joints and of all toes...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27590436/the-impact-of-depressive-symptoms-and-traumatic-experiences-on-quality-of-life-in-adults-with-adhd
#7
Swantje Matthies, Chiharu Sadohara-Bannwarth, Sebastian Lehnhart, Jan Schulte-Maeter, Alexandra Philipsen
OBJECTIVE: We assessed factors influencing quality of life (QoL) in adults with ADHD. METHOD: QoL, traumatic childhood experiences, and depression were assessed using the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q), Childhood Trauma Questionnaire (CTQ), and Beck Depression Inventory (BDI), respectively, in 60 adult ADHD outpatients and 60 age- and gender-matched controls. RESULTS: Emotional neglect or abuse had occurred significantly more often during childhood in adults with ADHD...
September 2, 2016: Journal of Attention Disorders
https://www.readbyqxmd.com/read/27501705/one-year-development-of-qol-following-orthopaedic-polytrauma-a-prospective-observational-cohort-study-of-53-patients
#8
Peter Larsen, Charlotte B Goethgen, Sten Rasmussen, Annika B Iyer, Rasmus Elsoe
INTRODUCTION: Most studies of polytrauma examined highly mixed patient groups. The objective of the present study was to report the development of patient-reported quality of life (QOL), in a patient group with musculoskeletal polytrauma, excluding patients with major thoracic, abdominal, and brain injuries. MATERIALS AND METHODS: The study design was a 1-year cohort follow-up study. Recordings of injury severity were measured with the ISS and NISS. Patient-reported QOL was measured with the questionnaires Eq5d-5L and SF-36 and compared to age-matched reference populations...
November 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27209524/differential-effects-of-childhood-trauma-and-cannabis-use-disorders-in-patients-suffering-from-schizophrenia
#9
G Baudin, O Godin, M Lajnef, B Aouizerate, F Berna, L Brunel, D Capdevielle, I Chereau, J M Dorey, C Dubertret, J Dubreucq, C Faget, G Fond, F Gabayet, H Laouamri, C Lancon, Y Le Strat, A M Tronche, D Misdrahi, R Rey, C Passerieux, A Schandrin, M Urbach, P Vidalhet, P M Llorca, F Schürhoff
BACKGROUND: Childhood trauma (CT) and cannabis use are both environmental and modifier risk factors for schizophrenia. However, little is known about how they interact in schizophrenia. We examined the main effect of each of these two environmental factors on the clinical expression of the disease using a large set of variables, and we tested whether and how cannabis and CT interact to influence the course and the presentation of the illness. METHODS: A sample of 366 patients who met the DSM-IV-TR criteria for schizophrenia was recruited through the FACE-SCZ (Fondamental Advanced Centre of Expertise - Schizophrenia) network...
August 2016: Schizophrenia Research
https://www.readbyqxmd.com/read/27191238/predictors-of-quality-of-life-after-moderate-to-severe-traumatic-brain-injury
#10
Karina Tavares Weber, Viviane Assunção Guimarães, Octávio M Pontes Neto, João P Leite, Osvaldo Massaiti Takayanagui, Taiza E G Santos-Pontelli
Objective To verify correlations between age, injury severity, length of stay (LOS), cognition, functional capacity and quality of life (QOL) six months after hospital discharge (HD) of victims of traumatic brain injury (TBI). Method 50 patients consecutively treated in a Brazilian emergency hospital were assessed at admission, HD and six months after HD. The assessment protocol consisted in Abbreviated Injury Scale, Injury Severity Score, Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), Mini Mental Test, Barthel Index and World Health Organization QOL - Brief...
May 2016: Arquivos de Neuro-psiquiatria
https://www.readbyqxmd.com/read/27165213/correlates-of-lymphedema-in-women-with-breast-cancer-a-case-control-study-in-shiraz-southern-iran
#11
Behnam Honarvar, Negin Sayar, Sedigheh Tahmasebi, Zeinab Zakeri, Asra Talei, Sara Rostami, Sahar Khademi, Amene Sabzi Sarvestani, Eghbal Sekhavati
Globally, the burden of breast cancer (BC) continues to increase. BC related lymphedema (BCRL) is currently non curable and as a life time risk it affects at least 25% of BC patients. Knowing more about BCRL and appropriate control of its modifiable risk factors can improve quality of life (QOL) of the affected patients. In this case control study to detect factors, 400 women with BCRL (as the case group) and 283 patients with BC without lymphedema (as the control group) that were referred to Shiraz University of Medical Sciences affiliated BC clinic center were assessed...
2016: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/27065661/patient-reported-outcomes-following-breast-reconstruction-surgery-and-therapeutic-mammoplasty-prospective-evaluation-1%C3%A2-year-post-surgery-with-breast-q-questionnaire
#12
Laxmi Shekhawat, Laleh Busheri, Santosh Dixit, Chaula Patel, Upendra Dhar, Chaitanyanand Koppiker
Breast Cancer (BC) treatment leads to mutilation and destruction of breast shape with negative effects on body image and self-esteem.One of the main goals of reconstructive and oncoplastic breast surgery is to satisfy patients and improve their quality of life (QoL).Therefore, it is important to assess the patient experience post-surgery by means of patient-reported outcome measures (PROMs) that focus on the patient's perception of the surgery and surgical care, as well as psychosocial well-being and physical functioning...
December 2015: Indian Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27042518/outcome-and-predicting-factor-following-severe-traumatic-brain-injury-a-retrospective-cross-sectional-study
#13
Javaher Khajavikhan, Aminolah Vasigh, Ali Khani, Molouk Jaafarpour, Taleb Kokhazade
INTRODUCTION: Severe traumatic brain injury (TBI) is a major and challenging problem in critical care medicine. AIM: To assess the outcome and predicting factor following severe TBI. MATERIALS AND METHODS: This is a retrospective and cross-sectional study. Data were collected from two sections; one section consisting of a questionnaire answered by the patients and other section from the patient records. The instruments used included the Glasgow Outcome Scale (GOS), SF-36 and the Hospital Anxiety and Depression Scale (HAD)...
February 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/26998079/percutaneous-kyphoplasty-for-the-treatment-of-spinal-metastases
#14
Feng Chen, Yong-Hui Xia, Wen-Zhen Cao, Wei Shan, Yang Gao, B O Feng, Difei Wang
The bones are the most common location for metastases, which may cause severe pain and damage, including osteolytic destruction and fractures. Pathological fractures of the spine are extremely painful and cause significant disability and morbidity in patients. Traditional open surgery has numerous complications, and radiation therapy may take weeks to become effective. To avoid the trauma and complication of open surgery, percutaneous kyphoplasty (PKP) is a minimally invasive procedure that has played a great role in the treatment of spinal metastases over the past several years...
March 2016: Oncology Letters
https://www.readbyqxmd.com/read/26725478/functional-outcome-and-quality-of-life-after-a-maxillectomy-a-comparison-between-an-implant-supported-obturator-and-implant-supported-fixed-prostheses-in-a-free-vascularized-flap
#15
Feng Wang, Wei Huang, Chenping Zhang, Jian Sun, Xingzhou Qu, Yiqun Wu
OBJECTIVE: Defects of the maxilla caused by tumor resection create high levels of psychological and physical trauma for patients. The application of osseointegrated dental implants using either an obturator prosthesis or a free vascularized flap has tremendously changed the retention and stability of the superstructure. However, no study has been performed to compare the function of the aforementioned two approaches and the quality of life using the subjective assessments of patients...
January 4, 2016: Clinical Oral Implants Research
https://www.readbyqxmd.com/read/26653265/impaired-quality-of-life-after-bicycle-trauma
#16
Evelyne Zibung, Louis Riddez, Caroline Nordenvall
INTRODUCTION: Bicycle crashes often affect individuals in working age, and can impair quality of life (QoL) as a consequence. The aim of this study was to investigate QoL in bicycle trauma patients and to identify those at risk of impaired QoL. PATIENTS AND METHODS: 173 bicycle trauma patients who attended a level I trauma centre from 2010 to 2012 received Hadorn's QoL questionnaire six months after their crash. Medical data was collected from the patient's records...
May 2016: Injury
https://www.readbyqxmd.com/read/26528822/relationship-of-pretreatment-rorschach-factors-to-symptoms-quality-of-life-and-real-life-functioning-in-a-3-year-follow-up-of-traumatized-refugee-patients
#17
Marianne Opaas, Ellen Hartmann, Tore Wentzel-Larsen, Sverre Varvin
Response to mental health treatment varies highly among refugee patients. Research has not established which factors relate to differences in outcome. This study is a follow-up of Opaas and Hartmann's (2013) Rorschach Inkblot Method (RIM; Exner, 2003) pretreatment study of traumatized refugees, where 2 RIM principal components, Trauma Response and Reality Testing, were found descriptive of participants' trauma-related personality functioning. This study's aims were to examine relationships of the RIM components with measures of anxiety, depression, posttraumatic stress, quality of life (QOL), employment, and exile language skills throughout 3 years...
2016: Journal of Personality Assessment
https://www.readbyqxmd.com/read/26475029/minimizing-the-access-trauma-of-laparoscopic-sleeve-gastrectomy-the-transoral-specimen-extraction-technique
#18
Marco Maria Lirici, Valentina Romeo, Luigi Simonelli, Simone Tierno, Carlo Eugenio Vitelli
BACKGROUND: Laparoscopic sleeve gastrectomy has become a popular stand-alone procedure among bariatric surgeons. Recently, Natural Orifice Specimen Extraction laparoscopic surgery has been introduced to avoid minilaparotomy, possibly reducing postoperative pain, hospital stay, and improving QoL and cosmetics. Operative steps and preliminary results of NOSE sleeve gastrectomy are described and reported. METHODS: Five patients underwent NOSE LSG from November 2014 to March 2015...
January 2016: Obesity Surgery
https://www.readbyqxmd.com/read/26434576/estimating-pre-traumatic-quality-of-life-in-patients-with-surgically-treated-acetabular-fractures-and-pelvic-ring-injuries-does-timing-matter
#19
Björn Hernefalk, Niclas Eriksson, Tomas Borg, Sune Larsson
BACKGROUND AND PURPOSE: Evaluation of patient-assessed functional outcome in traumatic conditions has specific challenges. To obtain pre-traumatic data to allow for comparison during follow-up, retrospective assessments are needed. How such data is affected by posttraumatic time-point chosen for evaluation is unknown. The primary purpose of this study was to investigate how the time-point chosen for retrospective assessment of pre-traumatic quality of life (QoL) in patients with surgically treated acetabular fractures and pelvic ring injuries influenced the results...
February 2016: Injury
https://www.readbyqxmd.com/read/26218697/development-of-a-trauma-specific-quality-of-life-measurement
#20
John Paul Wanner, Terri deRoon-Cassini, Lisa Kodadek, Karen Brasel
BACKGROUND: Complex, disease-specific factors help to determine posttraumatic quality of life (QoL), but current practice uses outcome measures generated from the general population. Trauma survivorship has grown rapidly, while defining the factors that influence posttraumatic QoL has lagged. This study sought to develop a valid and reliable trauma-specific QoL measure to help guide future posttraumatic research and clinical care. METHODS: Qualitative data were collected from adult trauma patients and their caregivers (Phase 1)...
August 2015: Journal of Trauma and Acute Care Surgery
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