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https://www.readbyqxmd.com/read/27910090/spinal-fractures-in-older-adult-patients-admitted-after-low-level-falls-10-year-incidence-and-outcomes
#1
Randeep S Jawa, Adam J Singer, Daniel N Rutigliano, Jane E McCormack, Emily C Huang, Marc J Shapiro, Suzanne D Fields, Brian N Morelli, James A Vosswinkel
OBJECTIVES: To evaluate the incidence of spinal fractures and their outcomes in the elderly who fall from low-levels in a suburban county. DESIGN: Retrospective county-wide trauma registry review from 2004 to 2013. SETTING: Suburban county with regionalized trauma care consisting of 11 hospitals. PARTICIPANTS: Adult trauma patients aged ≥65 years who were admitted after falling from <3 feet. MEASUREMENTS: Demographic characteristics, comorbidities, and outcomes...
December 2, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27893639/surgical-rescue-the-next-pillar-of-acute-care-surgery
#2
Matthew E Kutcher, Jason L Sperry, Matthew R Rosengart, Deepika Mohan, Marcus K Hoffman, Matthew D Neal, Louis H Alarcon, Gregory A Watson, Juan Carlos Puyana, Graciela M Bauzá, Vaishali D Schuchert, Anisleidy Fombona, Tianhua Zhou, Samuel Zolin, Robert D Becher, Timothy R Billiar, Raquel M Forsythe, Brian S Zuckerbraun, Andrew B Peitzman
BACKGROUND: The evolving field of Acute Care Surgery (ACS) traditionally includes trauma, emergency general surgery, and critical care. However, the critical role of ACS in the rescue of patients with a surgical complication has not been explored. We here describe the role of 'surgical rescue' in the practice of Acute Care Surgery (ACS). METHODS: A prospective, electronic medical record-based ACS registry spanning January 2013 to May 2014 at a large urban academic medical center was screened by ICD-9 codes for acute surgical complications of an operative or interventional procedure...
November 23, 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27893002/incidence-and-etiologies-of-acquired-third-nerve-palsy-using-a-population-based-method
#3
Chengbo Fang, Jacqueline A Leavitt, David O Hodge, Jonathan M Holmes, Brian G Mohney, John J Chen
Importance: Among cranial nerve palsies, a third nerve palsy is important because a subset is caused by life-threatening aneurysms. However, there is significant disagreement regarding its incidence and the reported etiologies. Objective: To determine the incidence and etiologies of acquired third nerve palsy using a population-based method. Design, Setting, and Participants: All newly diagnosed cases of acquired third nerve palsy from January 1, 1978, through December 31, 2014, in Olmsted County, Minnesota, were identified using the Rochester Epidemiology Project, a record-linkage system of medical records for all patient-physician encounters among Olmsted County residents...
November 17, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/27887676/trauma-patients-i-can-t-get-no-patient-satisfaction
#4
Karalyn Bentley-Kumar, Theresa Jackson, Danny Holland, Brian LeBlanc, Vaidehi Agrawal, Michael S Truitt
BACKGROUND: The Centers for Medicare and Medicaid Services (CMS) provides financial incentives to hospitals based on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction survey. This data is made publicly available on their website to be utilized by patients and insurers. Hospitals are profoundly interested in identifying patient populations that negatively contribute to overall patient satisfaction scores. Hospitals consider trauma patients "high risk" from a HCAHPS perspective, but there is no data to inform this opinion...
October 20, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27871770/ptsd-in-those-who-care-for-the-injured
#5
Kevin Luftman, Jayson Aydelotte, Kevin Rix, Sadia Ali, Katherine Houck, Thomas B Coopwood, Pedro Teixeira, Alex Eastman, Brian Eastridge, Carlos V R Brown, Matthew Davis
BACKGROUND: Post Traumatic Stress Disorder (PTSD) has become a focus for the care of trauma victims, but the incidence of PTSD in those who care for injured patients has not been well studied. Our hypothesis was that a significant proportion of health care providers involved with trauma care are at risk of developing PTSD. METHODS: A system-wide survey was applied using a modified version of the Primary Care PTSD Screen [PC-PTSD], a validated PTSD screening tool currently being used by the VA to screen veterans for PTSD...
November 10, 2016: Injury
https://www.readbyqxmd.com/read/27857003/mental-health-interventions-and-priorities-for-research-for-adult-survivors-of-torture-and-systematic-violence-a-review-of-the-literature
#6
William M Weiss, Ana M Ugueto, Zayan Mahmooth, Laura K Murray, Brian J Hall, Maya Nadison, Andrew Rasmussen, Jennifer S Lee, Andrea Vazzano, Judy Bass, Paul Bolton
This research describes the development and findings of a literature review and analysis meant to inform the international torture and trauma treatment community. The review focuses on interventions that have been used among populations affected by torture, based on a review of journals indexed in commonly used search engines. Work on the review began in September 2008 and continued to be updated until March 2014. In total, 88 studies of interventions for torture victims were identified. Studies ranged from randomized controlled trials utilizing evidence-based treatments to case studies employing non-structured, supportive therapies...
2016: Torture: Quarterly Journal on Rehabilitation of Torture Victims and Prevention of Torture
https://www.readbyqxmd.com/read/27852453/current-use-and-outcomes-of-helicopter-transport-in-pediatric-trauma-a-review-of-18-291-transports
#7
Brian R Englum, Kristy L Rialon, Jina Kim, Mark L Shapiro, John E Scarborough, Henry E Rice, Obinna O Adibe, Elisabeth T Tracy
PURPOSE: The role of helicopter emergency medical services (HEMS) in pediatric trauma remains controversial. We examined its use in pediatric trauma and its effectiveness in children with moderate/severe injuries. METHODS: All blunt/penetrating trauma patients ≤18years old in the National Trauma Data Bank were evaluated for use of HEMS and in-hospital mortality. In a comparative effectiveness study, only patients treated at level I/II pediatric centers with injury severity score (ISS)≥9 were included...
October 27, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27851209/1574-using-pcl-5-to-assess-prevalence-of-posttraumatic-stress-disorder-in-outpatient-trauma-clinic
#8
So-Youn Park, Jessica George, Brian Williams
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27851208/1573-improved-functional-discharge-status-despite-higher-complication-rates-at-level-i-trauma-centers
#9
Daniel Wu, Brian Gross, Caitlin Lynch, Cole Rinehart, Eric Bradburn, Frederick Rogers
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27851207/1572-variation-of-symptoms-endorsement-in-subscale-dsm-5-ptsd-clusters-in-outpatient-trauma-clinic
#10
So-Youn Park, Jessica George, Brian Williams
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850478/840-methocarbamol-decreases-hospital-length-of-stay-in-trauma-patients-with-rib-fractures
#11
Asad Patanwala, Ohoud Aljuhani, Brian Kopp, Brian Erstad
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850269/630-the-human-response-to-trauma-a-systems-immunology-approach
#12
Anupamaa Seshadri, Gabriel Brat, Brian Yorkgitis, Joshua Keegan, James Dolan, Ali Salim, Reza Askari, James Lederer
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27845943/broadening-the-anatomic-landscape-of-sclerosing-perineurioma-a-series-of-5-cases-in-nonacral-sites
#13
Emily M Erstine, Jennifer S Ko, Brian P Rubin, Jesse K McKenney, John R Goldblum, Steven D Billings
Sclerosing perineurioma is a rare perineurioma variant thought to occur almost exclusively in digits and palms, predominantly in young adult men. It clinically presents as a solitary slow-growing nodule, sometimes associated with prior trauma. Since 01/01/2000, our institution has received 5 cases in consultation of sclerosing perineurioma presenting in atypical locations. Four of 5 patients were women. The median age at presentation was 45 years (range, 31-62 years). Sites included dorsal tongue, anterior neck, mid upper back, forearm, and proximal anterior thigh...
November 11, 2016: American Journal of Dermatopathology
https://www.readbyqxmd.com/read/27837045/pharmacologic-stress-gastropathy-prophylaxis-may-not-be-necessary-in-at-risk-surgical-trauma-icu-patients-tolerating-enteral-nutrition
#14
Nicole M Palm, Brian McKinzie, Pamela L Ferguson, Emily Chapman, Margaret Dorlon, Evert A Eriksson, Brent Jewett, Stuart M Leon, Alicia R Privette, Samir M Fakhry
OBJECTIVE: Stress gastropathy is a rare complication of the intensive care unit stay with high morbidity and mortality. There are data that support the concept that patients tolerating enteral nutrition have sufficient gut blood flow to obviate the need for prophylaxis; however, no robust studies exist. This study assesses the incidence of clinically significant gastrointestinal bleeding in surgical trauma intensive care unit (STICU) patients at risk of stress gastropathy secondary to mechanical ventilation receiving enteral nutrition without pharmacologic prophylaxis...
November 10, 2016: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27825395/invasiveness-index-as-a-predictor-of-surgical-site-infection-after-spinal-fusion-revision-fusion-or-laminectomy
#15
Brian L Hollenbeck, Kevin J McGuire, Andrew P White, David S Yassa, Sharon B Wright
OBJECTIVE To evaluate invasiveness index as a potential predictor of spine surgical site infection (SSI) after spinal fusion, revision fusion, or laminectomy. DESIGN Retrospective cohort study. SETTING Single, large, academic medical center. PATIENTS Adults undergoing spinal fusion, revision fusion, or laminectomy. METHODS Data were obtained from electronic hospital databases; cases of SSI were extracted from the infection control database using National Healthcare Safety Network (NHSN) definitions. For each case, an invasiveness index, determined by surgical approach, procedure, and number of spine levels treated, was calculated using current procedural terminology (CPT) billing codes...
November 9, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27819256/long-term-stability-of-intracortical-recordings-using-perforated-and-arrayed-parylene-sheath-electrodes
#16
Seth A Hara, Brian J Kim, Jonathan T W Kuo, Curtis D Lee, Ellis Meng, Victor Pikov
OBJECTIVE: Acquisition of reliable and robust neural recordings with intracortical neural probes is a persistent challenge in the field of neuroprosthetics. We developed a multielectrode array technology to address chronic intracortical recording reliability and present in vivo recording results. APPROACH: The 2 × 2 Parylene sheath electrode array (PSEA) was microfabricated and constructed from only Parylene C and platinum. The probe includes a novel three-dimensional sheath structure, perforations, and bioactive coatings that improve tissue integration and manage immune response...
December 2016: Journal of Neural Engineering
https://www.readbyqxmd.com/read/27818226/-primary-care-of-the-blunt-splenic-injured-adult
#17
REVIEW
Brian Yorkgitis
The spleen is the most commonly injured abdominal organ in blunt trauma. Immediate treatment is aimed at assessing for bleeding and abating it when it is severe. Methods for the management of blunt splenic injury associated bleeding include observation, splenectomy and splenic salvage procedures through splenorrhaphy or embolization. After blunt splenic injury, complications commonly occur, including bleeding, infection, thrombosis and pneumonia. If a patient undergoes splenectomy, infections can be severe...
November 3, 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/27816036/childhood-trauma-exposure-in-substance-use-disorder-patients-with-and-without-adhd
#18
Maija Konstenius, Anders Leifman, Katelijne van Emmerik-van Oortmerssen, Geurt van de Glind, Johan Franck, Franz Moggi, Josep Antoni Ramos-Quiroga, Frances R Levin, Pieter Jan Carpentier, Arvid Skutle, Eli-Torild Bu, Sharlene Kaye, Zsolt Demetrovics, Csaba Barta, Marc Auriecomb, Melina Fatséas, Brian Johnson, Stephen V Faraone, Steve Allsop, Susan Carruthers, Robert A Schoevers, Sofie Verspreet, Geert Dom, Maarten W J Koeter, Wim van den Brink
No abstract text is available yet for this article.
October 24, 2016: Addictive Behaviors
https://www.readbyqxmd.com/read/27805998/big-children-or-little-adults-a-statewide-analysis-of-adolescent-isolated-severe-traumatic-brain-injury-outcomes-at-pediatric-versus-adult-trauma-centers
#19
Brian W Gross, Mathew M Edavettal, Alan D Cook, Cole D Rinehart, Caitlin A Lynch, Eric H Bradburn, Daniel Wu
BACKGROUND: The appropriate managing center for adolescent trauma patients is debated. We sought to determine whether outcome differences existed for adolescent severe traumatic brain injury (sTBI) patients treated at pediatric versus adult trauma centers. We hypothesized that no difference in mortality, functional status at discharge (FSD) or overall complication rate would be observed between center types. METHODS: All adolescent trauma patients (aged 15-17 years) presenting with isolated sTBI (head Abbreviated Injury Scale [AIS] score ≥3; all other AIS body region scores ≤2) to accredited level I-II trauma centers in Pennsylvania from 2003-2015 were extracted from the Pennsylvania Trauma Outcome Study database...
October 31, 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27790997/resource-scarcity-drives-lethal-aggression-among-prehistoric-hunter-gatherers-in-central-california
#20
Mark W Allen, Robert Lawrence Bettinger, Brian F Codding, Terry L Jones, Al W Schwitalla
The origin of human violence and warfare is controversial, and some scholars contend that intergroup conflict was rare until the emergence of sedentary foraging and complex sociopolitical organization, whereas others assert that violence was common and of considerable antiquity among small-scale societies. Here we consider two alternative explanations for the evolution of human violence: (i) individuals resort to violence when benefits outweigh potential costs, which is likely in resource poor environments, or (ii) participation in violence increases when there is coercion from leaders in complex societies leading to group level benefits...
October 25, 2016: Proceedings of the National Academy of Sciences of the United States of America
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