Elif Elibol, Yavuz Fuat Yılmaz, Adnan Ünal, Müge Ozcan, Nurcan Yurtsever Kum, Rauf Oğuzhan Kum, Sezer Kulaçoğlu
BACKGROUND: Vocal cord scarring is the most crucial obstacle in voice quality after surgery. This study aimed to evaluate the effectiveness of hyaluronic acid (HA)-collagen nanofibers on the healing of vocal cords after surgical trauma. METHOD: Right vocal cords of 12 New Zealand white rabbits were traumatized, and the experimental group was received 1.08 mg/75 ml topical HA-collagen nanofiber (Gelfix® spray) for 3 days. Three animals in each group were sacrificed on the 7th day, and the remaining of the animals were sacrificed on the 21st day...
February 22, 2021: European Archives of Oto-rhino-laryngology
Xiaomin Lu, Lilun Zhong, Xuewei Cao, Jun Liu, Jie Chen, Da Guo
BACKGROUND: Total knee arthroplasty (TKA) is one of the most commonly used procedures in orthopedics. However, whether different would closure positions affect the clinical outcomes after TKA remains controversial. We conducted a meta-analysis of randomized controlled trials (RCT) to assess the effect of wound closure position on clinical TKA outcomes. METHODS: Embase, PubMed, and the Cochrane Library databases were systematically searched. A systematic review and meta-analysis of all RCTs were performed to prove the role of different wound closure positions on TKA...
February 22, 2021: Archives of Orthopaedic and Trauma Surgery
Shun-Jie Yang, Jian Li, Yang Xue, Zhong Zhang, Gang Chen
INTRODUCTION: The postoperative effect of arthroscopy in the treatment of symptomatic discoid lateral meniscus (DLM) varies greatly among individuals. Therefore, this study aims to investigate the factors affecting the postoperative outcomes of symptomatic DLM. MATERIALS AND METHODS: According to the inclusion and exclusion criteria, patients with symptomatic single-knee DLM who underwent arthroscopic surgery at our hospital from 9/2008 to 9/2015 were included. Retrospectively collected 16 factors probably affecting postoperative outcomes...
February 22, 2021: Archives of Orthopaedic and Trauma Surgery
A Toepfer, A K Calek, R von Eisenhart-Rothe
No abstract text is available yet for this article.
February 22, 2021: Der Orthopäde
M Weber, M Hüppe, E Cavus, H Ocker, K Gerlach
BACKGROUND: The evaluation of German postanesthesia questionnaires is often restricted to inpatient medical care. The anesthesiological questionnaire for patients (ANP) has previously been validated only after medical care of inpatients. Therefore, the aim of the present study was to evaluate the validity of the ANP in the context of outpatient surgery and anesthesia. METHODS: Data from 4547 patients (mean age 18-89 years, sex: m/f, 55%/45%), scheduled for ambulatory orthopedic and trauma surgery, were analyzed...
February 22, 2021: Der Anaesthesist
A Akil, M C Müller, S Ziegeler, N Dickgreber, S Fischer
The coronavirus disease 2019 (COVID-19) has spread rapidly worldwide and leads to high morbidity and mortality. Clinical experience regarding the surgical management in COVID-19 patients is limited. We report the interdisciplinary approach in a COVID-19 patient with severe thoracic trauma and pulmonary symptoms, who was admitted to the emergency unit after blunt chest trauma with dislocated serial rib fractures and concomitant hemothorax.
February 22, 2021: Der Unfallchirurg
Cameron Ghafil, Kazuhide Matsushima, Li Ding, Reynold Henry, Kenji Inaba
Importance: Describing the changes in trauma volume and injury patterns during the course of the coronavirus disease 2019 (COVID-19) pandemic could help to inform policy development and hospital resource planning. Objective: To examine trends in trauma admissions throughout Los Angeles County (LAC) during the pandemic. Design, Setting, and Participants: In this cohort study, all trauma admissions to the 15 verified level 1 and level 2 trauma centers in LAC from January 1 to June 7, 2020 were reviewed...
February 1, 2021: JAMA Network Open
Beau Gamble, Katherine Depa, Emily A Holmes, Marie Kanstrup
BACKGROUND: The COVID-19 pandemic has escalated the global need for remotely delivered and scalable interventions after psychological trauma. A brief intervention involving a computer game as an imagery-competing task has shown promising results for reducing the number of intrusive memories of trauma-one of the core clinical symptoms of posttraumatic stress disorder. To date, the intervention has only been delivered face-to-face. To be tested and implemented on a wider scale, digital adaptation for remote delivery is crucial...
February 22, 2021: JMIR Mental Health
Lara Gurney, Julie Lockington, Lori Quinn, Maura MacPhee
The "wobble room" is a wellness intervention designed to guide staff through unpredictable times that are not going away quickly. Emergency department teams are accustomed to trauma events and trauma debriefing, but the prolonged uncertainties and fears associated with COVID-19 have posed a unique challenge for healthcare workers. The wobble room has become a place where staff can make sense of how the pandemic is affecting them and create a "new normal" with respect to personal safety and team cohesion...
December 2020: Nursing Leadership
Umut Karaca, Ali Hakan Durukan, Murat Kucukevcilioglu, Gulsah Usta, Alper Can Yilmaz
Purpose : To describe a novel surgical technique for external drainage of choroidal detachment/suprachoroidal hemorrhage with a butterfly needle. Materials and Methods : This is a retrospective case series on six eyes with serous and/or hemorrhagic choroidal detachments due to previous intraocular surgery or perforating ocular trauma that underwent active external suprachoroidal fluid drainage procedure with butterfly needle. The primary outcome measures were perioperative controlled fluid discharge and presence of choroidal detachment at 1 week, 1 month, and 6 months postoperatively...
February 22, 2021: Seminars in Ophthalmology
Ali Ozcan, Terrie Ahn, Begum Akay, Margaret Menoch
BACKGROUND: Computerized tomography (CT) of the abdomen and pelvis is the standard imaging modality to diagnose intra-abdominal injury (IAI). Clinicians must weigh the risk-benefit of CT compared with the degree of clinical suspicion for an IAI. Pediatric Emergency Care Applied Research Network (PECARN), Streck, and blunt abdominal trauma in children (BATiC) prediction rules have been published to help guide evaluation of these patients. Pediatric Emergency Care Applied Research Network uses history and physical examination findings, whereas Streck and BATiC use examination plus laboratory and imaging findings...
January 21, 2021: Pediatric Emergency Care
Sally M Weinstein, Oksana Pugach, Genesis Rosales, Giselle S Mosnaim, Kimberly Orozco, Andrea A Pappalardo, Molly A Martin
OBJECTIVE: Psychosocial factors play a role in child asthma morbidity and disparities, but their impact on asthma intervention effectiveness is less understood. This study examined how child, parent, and family psychosocial factors moderated asthma response to, and changed in response to, 2 community asthma interventions among urban minority youth. METHODS: Asthma Action at Erie was a randomized comparative effectiveness trial examining a community health worker (CHW) home intervention versus certified asthma educator (AE-C) services for children aged 5-16 with uncontrolled asthma (N = 223; mean age = 9...
February 22, 2021: Journal of Pediatric Psychology
Vincent U Ehlers, Charles F Kohler, Aida Tefera, Elizabeth Lutge, Damian L Clarke
BACKGROUND: South Africa is a middle-income country with major discrepancies in wealth and access to care. There is a significant burden of surgical disease and limited access to quality health care for a large proportion of the population. This article quantifies the burden of abdominal surgery over a 6-month period in KwaZulu-Natal (KZN) province and quantifies the emergency to elective (Ee) ratio for these operations. METHODS: This study describes the abdominal operations conducted at all regional and tertiary hospitals in the public health sector of KZN province for the period of 1 July to December 31, 2015...
March 2021: Journal of Surgical Research
Jie Bai, Tao Xu, Ai-Ping Ji, Wei Sun, Ming-Wei Huang
OBJECTIVE: To retrospectively review the impact of the outbreak of coronavirus disease 2019 (COVID-19) on services in the oral emergency room. MATERIALS AND METHODS: A statistical analysis of epidemiological characteristics and the patients' diagnoses and treatments in the Emergency Department of Peking University Hospital of Stomatology during the outbreak of COVID-19 in 2020 compared with those in 2019 in Beijing, China. RESULTS: There were fewer total visits in 2020 than in 2019 (P = 0...
February 2021: International Dental Journal
Hope Plastock, Caroline Bruce, Naomi White
Research shows disclosure of CSA is influenced by interpersonal, intrapersonal and systemic factors, but there is limited understanding of factors that may influence survivors' decisions as to whether to initiate legal proceedings against perpetrators or not. This understanding is necessary to support CSA survivors who may wish to pursue criminal conviction. This study aimed to qualitatively explore decision-making around legal initiation of historic abuse for adult survivors of CSA. Participants were attending psychological trauma services in Scotland and were identified for the study via treating clinicians...
February 21, 2021: Journal of Child Sexual Abuse
Elisabeth Goad
People with intellectual disabilities are more likely to experience adverse childhood experiences than those in the general population. Additionally, the conceptualization of 'trauma' is far broader than traditionally understood in order to encompass the far reaching relational nature of people with intellectual disabilities traumatic experiences. This reflective account details the first steps one service took to embrace trauma-informed care as a whole systems approach. The paper is a response to calls following conference presentations about our work, to share the process of the beginning of this journey, it also aims to provide key learning points, practical considerations and questions for reflection in order to support other services to begin their own relationships with trauma-informed care...
February 22, 2021: Journal of Intellectual Disabilities: JOID
Sophie Shand, Kate Curtis, Michael Dinh, Brian Burns
BACKGROUND: Ambulance service blood transfusion is an area of rapid development. In New South Wales, Australia, the blood products carried by ambulance medical teams are often the first available to patients with critical bleeding. In addition to the blood products routinely carried by these teams, the Service created and implemented a method of initiating large-volume, mixed-product transfusions using existing blood banks: the Retrieval Transfusion Procedure (RTP). This article describes the trends and characteristics of New South Wales Ambulance RTP activations...
December 8, 2020: Transfusion
Moon O Lee, Ryan Ribeira, Andrea Fang, Lauren Cantwell, Kajal Khanna, Cherrelle Smith, Laleh Gharahbaghian
The coronavirus disease 2019 (COVID-19) pandemic created new emergency physician staffing challenges. Emergency physicians may be taken out of the workforce because of respiratory symptoms or pending severe acute respiratory syndrome coronavirus 2 test results. Vulnerable emergency physician populations with increased risk of serious disease and death from COVID-19 include physicians at older ages; those with chronic medical conditions, including cardiac and pulmonary diseases and immunosuppression; and potentially pregnancy...
February 2021: Journal of the American College of Emergency Physicians open
Hamid Mahmood Hashemi, Sarvenaz Karimi Avval
Objectives: Damages to the middle third of the facial bone generally involve the orbital skeleton and can lead to eye impairment. In this study, it is attempted to determine the incidence of ophthalmic injuries in maxillofacial trauma with zygomatic bone fractures. Materials and Methods: One hundred and fifteen cases with ophthalmic (ocular) involvement after maxillofacial trauma were referred to the Shariati Hospital, Tehran, Iran, and were visited at the Ophthalmology Department between 2016 and 2018...
May 2020: Frontiers in dentistry
Mehdi Fani, Sahand Samieirad, Zahra Shooshtari, Maryam Jamali, Elahe Tohidi
Objectives: The purpose of this study was to determine the mini-plate and screw removal rate and reasons in maxillofacial surgery patients under previous semi-rigid fixation treatment in the past five years at the main trauma center of Mashhad. Materials and Methods: This was a census-based retrospective study. All the candidates who admitted to our department for maxillofacial plate removal due to symptomatic or infected mini-plates were included in this study...
April 2020: Frontiers in dentistry
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