Anna Malečková, Petra Kochova, Richard Pálek, Václav Liška, Patrik Mik, Tomasz Bońkowski, Miroslav Horák, Zbyněk Tonar
Liver is frequently injured in blunt abdominal trauma caused by road traffic accidents. The testing of safety performance of vehicles, e.g. belt usage, head support, seat shape, or air bag shape, material, pressure, and reaction, could lead to reduction of the injury seriousness. Current trends in safety testing include development of accurate computational human body models (HBM's) based on the anatomical, morphological, and mechanical behavior of tissues under high strain. The aim of this study was to describe the internal pressure changes within porcine liver, the severity of liver injury and the relation between the porcine liver microstructure and rupture propagation in an experimental impact test...
January 22, 2021: Physiological Measurement
Christopher Wilson, Mariana Hoyos, Andrew Huh, Blake Priddy, Stephen Avila, Stephen Mendenhall, Miracle C Anokwute, George J Eckert, David W Stockwell
OBJECTIVE: Type II odontoid fractures may be managed operatively or nonoperatively. If managed with bracing, bony union may never occur despite stability. This phenomenon is termed fibrous union. The authors aimed to determine associations with stable fibrous union and compare the morbidity of patients managed operatively and nonoperatively. METHODS: The authors performed a retrospective review of their spine trauma database for adults with type II odontoid fractures between 2015 and 2019...
January 22, 2021: Journal of Neurosurgery. Spine
Martina Anto-Ocrah, Marina Oktapodas Feiler, Caroline Pukall, Amy Pacos-Martinez
BACKGROUND: Previous findings from our group show that in the acute (ie, 6-10 weeks) post-injury period, women with concussions have a 70% greater risk of sexual dysfunction than those with extremity injuries. There are currently limited treatment options for the clinical management of concussions. Resilience is a protective, modifiable psychological construct that has been shown to improve concussion-related sequelae. To date, however, no research has evaluated how resilience impacts sexuality outcomes after concussion in women...
January 19, 2021: Sexual Medicine
Lillie Tien, Dan-Victor Giurgiutiu, Erin F Switzer, Jeffrey A Switzer
OBJECTIVE: To highlight the occurrence of ischemic stroke after blunt cerebrovascular injuries and discuss the neurologist's role in preventing and managing ischemic strokes in this trauma population. METHODS: A retrospective chart review was performed and included data from 2016 to 2019 from a Level I trauma center. Demographics, injury mechanism, ischemic stroke occurrence, interventions, and neurology consultations were examined and descriptive statistics were utilized to characterize the nature of ischemic strokes and their management...
January 19, 2021: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Cara Schofield, Karen Martin, Catherine S Choong, David Gibson, Rachel Skoss, Jenny Downs
BACKGROUND: Behavioural support for young people with Prader-Willi syndrome (PWS) is necessary in home and school environments. The Trauma Informed Practice (TIP) framework has been used to support young people with complex behavioural needs in school settings. AIMS: To identify parent and professional perspectives on behavioural challenges experienced by young people with PWS and strategies for supports, to inform understanding of how they are aligned with the TIP framework...
January 20, 2021: Research in Developmental Disabilities
Abdullah Noufal, Muhammad Rafat Meda, Muhammed Fayez Aboujaib
INTRODUCTION: Hoffa fracture is a type of rare tangential supracondylar distal femoral fracture. The most common mechanism of this fracture injury is high energy trauma. In some cases, its poor visibility on X-rays makes its diagnosis difficult and needs more than routine X-rays. Treatment methods include conventional ORIF, or arthroscopy-assisted fixation as a more challenging method. CASE REPORT: We present a case of a young female patient who sustained a low energy injury trauma to her left knee, which caused in a small minimally displaced lateral unicondylar Hoffa fracture...
January 15, 2021: International Journal of Surgery Case Reports
Brandon Diaz, Evander Meneses, Kyle Kinslow, Mark McKenney, Adel Elkbuli, Dessy Boneva
INTRODUCTION: Blunt thoracic aortic injuries (BTAIs) are an uncommon traumatic injury that if not treated promptly, can result in death. We present the case of a BTAI with aberrant aortic anatomy. PRESENTATION OF CASE: A 60-year-old female was involved in a motor vehicle crash where she suffered significant polytrauma including a BTAI. She was also found to have an aberrant right subclavian artery originating from the aortic arch. Thoracic Endovascular Aortic Repair (TEVAR) with a right common carotid artery to right subclavian artery bypass was accomplished...
January 16, 2021: International Journal of Surgery Case Reports
Julia Hadley, Jessica Moore, Amy Goldberg
Although accidental trauma is the most common mechanism for genital bleeding, sexual abuse should be considered when the patient is prepubertal and/or a vague history of bleeding is provided. Pre-pubertal female genital exams should be completed routinely; this clinical technique is critical for pediatricians to assess pubertal progression, to identify pathologies or differences in sexual differentiation, and to narrow a broad differential diagnosis of bleeding. Physical evidence of sexual abuse on exam is rarely found, and therefore the diagnosis relies on a child's disclosure...
January 19, 2021: Journal of Pediatric and Adolescent Gynecology
Justin Beebe, Corey Kronman, Farah Mahmud, Molly Basch, Melinda Hogan, Eileen Li, Chris Ploski, Laura Simons
OBJECTIVE: Some children with chronic pain struggle with fear of pain, avoidance behaviors, and associated disability; however, movement adaptations in the context of chronic pain in childhood is virtually unknown. Variability in adaptive movement responses previously observed between individuals might be largely explained by the presence of problematic psychological drivers (eg, fear, avoidance). The goals of this study were to (1) quantify the variability of gait and (2) examine relationships among pain, fear, avoidance, function, perceived and objective, and gait variability...
January 22, 2021: Physical Therapy
Liat Ayalon, Sharon Avidor
BACKGROUND AND OBJECTIVES: During the COVID-19 pandemic in Israel, people residing in continuing care retirement communities (CCRC) found themselves under strict instructions to self-isolate, imposed by the CCRC managements before, during, and after the nationwide lockdown. The present study explored the personal experiences of CCRC residents during the lockdown. RESEARCH DESIGN AND METHODS: In-depth interviews were conducted with 24 CCRC residents from 13 different CCRCs...
January 22, 2021: Age and Ageing
Bothild Bendiksen, Trond Heir, Fabakary Minteh, Mai Mahgoub Ziyada, Rex A Kuye, Inger-Lise Lien
BACKGROUND: Female genital cutting (FGC) involve an acute physical trauma that hold a potential risk for immediate and long-term complications and mental health problems. The aim of this study was to examine the prediction of depressive symptoms and psychological distress by the immediate and current physical complications following FGC. Further, to examine whether the age at which 12-year-old Gambian girls had undergone the procedure affected mental health outcomes. METHOD: This cross-sectional study recruited 134 12-year-old girls from 23 public primary schools in The Gambia...
2021: PloS One
Dennis J Zheng, Patrick J Sur, Mary Goretty Ariokot, Catherine Juillard, Mary Margaret Ajiko, Rochelle A Dicker
Trauma is a leading cause of morbidity and mortality worldwide. Data characterizing the burden of injury in rural Uganda is limited. Hospital-based trauma registries are a critical tool in illustrating injury patterns and clinical outcomes. This study aims to characterize the traumatic injuries presenting to Soroti Regional Referral Hospital (SRRH) in order to identify opportunities for quality improvement and policy development. From October 2016 to July 2019, we prospectively captured data on injured patients using a locally designed, context-relevant trauma registry instrument...
2021: PloS One
Ayse Selin Cakmak, Erick Andres Perez Alday, Giulia Da Poian, Ali Bahrami Rad, Thomas J Metzler, Thomas C Neylan, Stacey L House, Francesca L Beaudoin, Xinming An, Jennifer Stevens, Donglin Zeng, Sarah D Linnstaedt, Tanja Jovanovic, Laura T Germine, Kenneth A Bollen, Scott L Rauch, Christopher Lewandowski, Phyllis L Hendry, Sophia Sheikh, Allan B Storrow, Paul I Musey, John P Haran, Christopher W Jones, Brittany E Punches, Robert A Swor, Nina T Gentile, Meghan E Mcgrath, Mark J Seamon, Kamran Mohiuddin, Anna M Chang, Claire Pearson, Robert M Domeier, Steven E Bruce, Brian J O'Neil, Niels K Rathlev, Leon D Sanchez, Robert H Pietrzak, Jutta Joormann, Deanna M Barch, Diego Pizzagalli, Steven E Harte, James M Elliott, Karestan C Koenen, Kerry J Ressler, Ronald Kessler, Qiao Li, Samuel A Mclean, Gari D Clifford
Post-Traumatic Stress Disorder (PTSD) is a psychiatric condition resulting from threatening or horrifying events. We hypothesized that circadian rhythm changes, measured by a wrist-worn research watch are predictive of post-trauma outcomes. APPROACH: 1618 post-trauma patients were enrolled after admission to emergency departments (ED). Three standardized questionnaires were administered at week eight to measure post-trauma outcomes related to PTSD, sleep disturbance, and pain interference with daily life...
January 22, 2021: IEEE Journal of Biomedical and Health Informatics
Antoinette R Esce, Vanina M Chavarri, Amar B Joshi, Duncan A Meiklejohn
PURPOSE: The use of antibiotic prophylaxis for the prevention of infection in nonoperative orbital fractures is controversial, with limited high-quality evidence and inconsistent recommendations in the current scientific literature. Our primary study objective was to identify the prophylactic antibiotic prescribing pattern at our institution for nonoperative orbital fractures and to determine the effect of antibiotic prophylaxis. METHODS: We retrospectively reviewed 16 years of data from a single institution on patients with acute traumatic fractures of the orbital floor or medial orbital wall...
January 19, 2021: Ophthalmic Plastic and Reconstructive Surgery
Fabrizio Spallaccia, Simone Benedetti, Mauro Massarelli, Francesco Paparo, Andrea Rivaroli, Valentino Vellone
Since 1980s, the use of dermal regeneration templates (DRT) for reconstructive purposes has been described in Literature.1 The authors present their experience of 13 patients treated with integra dermal regeneration template and a single-stage surgery for different indications like oncologic reconstruction, trauma injuries, and preprosthetic surgery in the maxillo-facial district.The authors retrospectively reviewed a total of 13 patients treated with DRT at Maxillo-Facial Department of S. Maria Hospital in Terni...
January 20, 2021: Journal of Craniofacial Surgery
Pilkeun Jang, Hyung Gu Kim, Seung-No Hong
A nasal septal perforation is a defect of cartilage, bone, or mucosa of nasal septum, which is caused by previous septal surgery, trauma, chemicals, inflammatory disease, or drugs. If conservative managements, such as nasal saline irrigation or ointments, are not effective, surgical treatment can be considered. Various methods for the reconstruction of nasal septal perforation were reported, such as local flaps, free flaps, autografts, allografts, or xenografts. However, there is no standardized method due to low success rate and high recurrence rate, especially in large perforations...
January 20, 2021: Journal of Craniofacial Surgery
Alejandro García-Rudolph, Alberto García-Molina
We stratified 213 patients with traumatic brain injury according to their time to rehabilitation admission in three groups (0-30 days, 31-60 and 61-90) in order to (1) compare total Functional Independence Measure efficiency and effectiveness between groups; (2) analyze time to admission as predictor of TFIM at discharge. After adjusting for age, Glasgow Coma Scale (GCS), Disability Rating Scale (DRS) and sex, 0-30 had the highest TFIM efficiency compared with 31-60 (P < 0.001) and 61-90 (P < 0.001), 31-60 was quasi-significantly (P = 0...
January 19, 2021: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
Christine Valdez
Limited research has examined the links among violent victimization, mental health, and service utilization among gang-involved individuals. This mixed-methods preliminary study examined narratives of psychiatric distress, current psychiatric morbidity, and mental health treatment experiences among a sample of former gang members (N = 32; M age = 44.4 years, 87.5% male; 56.3% Hispanic or Latino, 31.3% African American). Participants completed online questionnaires to assess trauma exposure and current psychiatric symptoms as well as a semistructured interview to examine histories of psychiatric distress and mental health treatment...
January 22, 2021: Journal of Traumatic Stress
Lucy Clare Maling, John Martin Lynch, Robert William Walker, Mark Ross Norton, Rory George Middleton
PURPOSE: Hip hemiarthroplasty (HA) is a commonly performed operation. A post-operative radiograph forms part of the routine hip fracture pathway, although patients are often mobilised prior to this investigation. This study seeks to provide evidence for a pragmatic clinical change to optimise patient safety and allocate limited resources within the National Health Service (NHS). METHODS: We undertook a retrospective database review of 1563 HA procedures to assess whether the routine ordering of check radiographs played an important role in a patient's post-operative care...
January 22, 2021: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Ciro De Martino, Marcello Della Corte, Pasquale Smaldone, Anna Pollio, Mariano Fortunato Armellino
Gastric perforations as a result of blunt abdominal traumas are rare, with a reported incidence of less than 2%. Usually associated with other solid visceral injuries, isolated gastric ruptures following a blunt abdominal injury are extremely uncommon. The severity of injury, timing of presentation, time elapsed since the last meal, as well as the presence of concomitant injuries are important prognostic factors. Contrast-enhanced CT scan is the gold-standard diagnostic tool in haemodinamically stable patients and allows to detect or raise suspicion of injuries to hollow viscera in about 87% of cases...
January 20, 2021: Annali Italiani di Chirurgia
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