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"Trauma" OR "Blunt Trauma" OR "Penetrating Trauma" OR "Severe Trauma" OR "Trauma Centre" OR "Trauma Center" OR "Trauma Service" OR "Trauma Guidelines" OR "Head Trauma" OR "Facial Trauma" OR "Neck Trauma" OR "Airway Trauma" OR "Thoracic Trauma" OR "Chest T

Helena Posch, Katharina Erb-Eigner
Today, magnetic resonance imaging (MRI) is considered the diagnostic tool of choice for eye and orbital pathologies. In this article, the MR image characteristics of relevant pathologies are illustrated with case-based examples in the context of clinical findings. Vascular pathologies (such as capillary and cavernous hemangioma), inflammatory diseases (such as endocrine orbitopathy), and neoplasms (such as lymphoma, uveal melanoma, retinoblastoma, and ocular/orbital metastasis) are described. Additionally, the role of MRI in the acute clinical setting and in trauma are discussed...
February 18, 2019: Klinische Monatsblätter Für Augenheilkunde
A J Khan, Y Li, J V Dinh, R Donalson, C L Hebenstreit, S Maguen
Suicide rates amongst women veterans are significantly higher than rates for their civilian counterparts. However, risk factors for suicide among women veterans remain unclear. The current study examined the impact of exposure to a number of military stressors (e.g., perceived life threat, killing in combat, military sexual trauma) on suicidal ideation (SI) in women veterans. A total of 403 women veterans responded to mailed self-report surveys, 383 (ages 24-70 years) returned fully completed surveys and were included in analyses, and 16% of those included endorsed current SI...
February 11, 2019: Psychiatry Research
James A Fauerbach, Amanda K Gehrke, Shawn T Mason, Neda F Gould, Stephen M Milner, Julie Caffrey
OBJECTIVE: (1) To evaluate the feasibility of conducting a randomized controlled trial (RCT) of the Safety, Meaning, Activation and Resilience Training (SMART) intervention versus Non-Directive Supportive Psychotherapy (NDSP) in an acutely hospitalized adult burn survivor sample; (2) To assess the preliminary impact of SMART on Acute Stress Disorder (ASD)/Posttraumatic Stress Disorder (PTSD) and Major Depress Disorder (MDD) symptom reduction as secondary prevention. DESIGN: Proof-of-concept, parallel group, RCT design...
February 15, 2019: Archives of Physical Medicine and Rehabilitation
Keng-Chung Shen, Yi-Ho Young
OBJECTIVE: This study revisited seven patients with Lermoyez syndrome over the past 25 years using an inner ear test battery to elucidate its mechanism. METHODS: From 1992 to 2017, we have experienced 4096 patients with Meniere's disease (MD) and seven patients (5 males and 2 females, 8 ears) with Lermoyez syndrome. Two of the Lermoyez patients were elderly, aged 71 and 85 years. An inner ear test battery comprising audiometry, ocular and cervical vestibular-evoked myogenic potential (oVEMP and cVEMP) tests, and caloric test were performed...
November 2018: Acta Oto-laryngologica
Jonathan R Mallen, Daniel S Roberts
OBJECTIVES: Challenge current practices and misconceptions in treating recreational SCUBA (Self-contained underwater breathing apparatus) divers. Differentiate patients who are fit to dive and those with relative and absolute contraindications. Redefine the standard of care for fitness to dive parameters based on the most up-to-date evidence. METHODS: We conducted a review of the available medical and diving literature in English, German, Spanish, Italian, Turkish, and French to determine the degree of evidence or lack thereof behind recommendations for treating SCUBA divers...
February 18, 2019: Laryngoscope
Sarah Gebauer, Rachel Moore, Joanne Salas
No abstract text is available yet for this article.
February 18, 2019: JAMA Pediatrics
Sarah C Conner, Laurent Benayoun, Jayandra J Himali, Stephanie L Adams, Qiong Yang, Charles DeCarli, Jan K Blusztajn, Alexa Beiser, Sudha Seshadri, Ivana Delalle
Genome-wide association studies identified a single nucleotide polymorphism (SNP) in the MSRB3 gene encoding Methionine Sulfoxide Reductase-B3 (MsrB3) to be associated with the risk for low hippocampal volume and late onset Alzheimer's disease (AD). Subsequently, we identified AD-associated abnormal patterns of neuronal and vascular MsrB3 expression in postmortem hippocampi. The present study investigated the relationship between the MSRB3 SNP rs61921502, G (minor/risk allele) and MRI measures of brain injury including total brain volume, hippocampal volume, and white matter hyperintensities using linear regression models; the presence of brain infarcts using logistic regression models; and the incidence of stroke, dementia, and AD using Cox proportional hazards models in 2,038 Framingham Heart Study Offspring participants with MRI administered close to examination cycle 7 (1998-2001)...
February 11, 2019: Journal of Alzheimer's Disease: JAD
Kathleen M Preble, Beverly M Black
Typically examined in terms of understanding vulnerabilities to and the scope of human trafficking, not much is understood about interpersonal dynamics in human trafficking experiences. This article explores human trafficking victims' ( n = 31, female, international) perceptions of traffickers' interpersonal social power during the exiting phase of the trafficking experience. Findings from this study revealed that entrapment factors and shared common characteristics between victim and trafficker prior to trafficking influenced perceptions of interpersonal social power...
February 18, 2019: Violence Against Women
Sang Wook Lee, Araya Zaesim, Amanda Jackson, Michael Borkat
Dermatofibrosarcoma protuberans (DFSP) is an uncommon soft tissue neoplasm of low metastatic potential notable for its progressive growth and high rate of local recurrence after surgical excision. Fibrosarcomatous transformation of DFSP (FS-DFSP) is a rare variant characterized by higher rates of local recurrence and metastasis. Trauma has been hypothesized as a potential risk factor for the development of DFSP, although clear evidence has been lacking. In this study, we report a case of FS-DFSP that was found arising from a previously stable scar following a traumatic injury...
October 2018: Autopsy & Case Reports
Ronen Blecher, Michael A Elliott, Emre Yilmaz, Joseph R Dettori, Rod J Oskouian, Akil Patel, Andrew Clarke, Mike Hutton, Robert McGuire, Robert Dunn, John DeVine, Bruce Twaddle, Jens R Chapman
Study Design: Systematic review. Introduction: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease, ultimately resulting in paralysis and death. The condition is considered to be caused by a complex interaction between environmental and genetic factors. Although vast genetic research has deciphered many of the molecular factors in ALS pathogenesis, the environmental factors have remained largely unknown. Recent evidence suggests that participation in certain types of sporting activities are associated with increased risk for ALS...
February 2019: Global Spine Journal
Sravisht Iyer, Han Jo Kim, Alexander Theologis, Venu M Nemani, Todd J Albert, Lawrence G Lenke, Shane Burch, Oheneba Boachie-Adjei, Vedat Deviren, Themistocles S Protopsaltis, Justin S Smith, Justin K Scheer, Jun Mizutani, Eric O Kleinberg, Christopher P Ames
Study Design: Retrospective cohort study. Objective: Determine the indications, complications, and clinical outcomes in patients requiring fusions from the cervical spine to the pelvis. Several investigators have examined fusions from the thoracic spine to the sacrum, but no similar study has been performed for cervical-to-pelvis fusions. Methods: Patients from 2003 to 2014 with an upper instrumented vertebrae (UIV) in the cervical spine (any level) and a lower instrumented vertebrae (LIV) in the sacrum or pelvis were included in the study...
February 2019: Global Spine Journal
Chon-Fu Lio, Hou-Hon Cheong, Chon-Hou Un, Iek-Long Lo, Shin-Yi Tsai
Objective: Correlation analysis and multiple linear regression analysis were conducted to estimate the influence of meteorological factors on road traffic injuries stratified by severity. Crash rate was defined as mean monthly road traffic accidents per 1,000 vectors. Design: Ecological time-series study. Setting: Macao traffic accident registry database between January 1st, 2001 and November 31st, 2016. Participants: In total, 393,176 traffic accidents and 72,501 cases of road traffic injuries (RTIs) were enrolled; patients' severity was divided into mild injury, required hospitalisation, and death...
2019: PeerJ
Maritza G Gonzalez, Ruth M Wei, Kenneth D Hatch, Lynn M Gries, Meghan G Hill
Background  Trauma in pregnancy can lead to life-threatening hemorrhage. Conventional treatments of hemorrhage include medical and surgical management. However, if these measures fail uterine compression is an option to control bleeding. We present a case where this management was employed. Case  A patient presented at 36 weeks of gestation with multiple injuries after a motor vehicle collision and experienced disseminated intravascular coagulation (DIC). The use of a Bakri balloon in combination with external compression with Coban, a sterile self-adherent bandage, after delivery temporized her bleeding and allowed her to become stable for further management...
January 2019: American Journal of Perinatology Reports
Sungwoo Park, Gyeong-Won Lee, Eun-Ha Koh, Hyun-Young Kim
The 5q35.2-q35.3 duplication phenotype is characterized by growth delay, microcephaly, mental retardation and delayed bone aging. However, there has been no reports on the occurrence of pancytopenia as a consequence of 5q35.2-q35.3 duplication. A 42-year-old male visited the emergency room due to multiple trauma. He had been diagnosed with mental retardation in the past. No previous history of severe bleeding symptom was also reported. Complete blood cell counts were leukocyte 3.51×109 /L, neutrophil 0.19×109 /L, hemoglobin 8...
October 1, 2018: International Journal of Hematology-oncology and Stem Cell Research
Greg Chambers, Jeannette Kraft, Kate Kingston
Musculoskeletal trauma in the paediatric population covers a wide range of injuries; although many overlap with their adult counterparts, others are exclusive to the immature skeletal system. Ultrasound is a versatile tool particularly suited to both the imaging of children and the dynamic assessment of musculoskeletal injuries. This pictorial review aims to discuss a range of injuries, focusing on those commonly encountered in children. We shall describe the muscle-tendon-bone complex and changes that occur with increasing skeletal maturity and how this affects the type of injury encountered...
February 2019: Ultrasound: Journal of the British Medical Ultrasound Society
Fernando Brandão Andrade-Silva, Renan Lyuji Takemura, Renato Tavares Bellato, Marcos de Camargo Leonhardt, Kodi Edson Kojima, Jorge Dos Santos Silva
Objectives: To describe the clinical utility of the Manchester triage scale adapted for orthopedic emergency departments and to evaluate its validity in identifying patients with the need for hospital care and its reliability when reproduced by different professionals. Methods: Five triage flowcharts were developed based on the Manchester scale for the following orthopedic disorders: traumatic injuries, joint pain, vertebral pain, postoperative disorders, and musculoskeletal infections...
January 2019: Acta Ortopedica Brasileira
Julian Arevalo Ludeña, Jose Juan Arcas Bellas, Rafael Alvarez Rementeria, Luis Enrique Muñoz Alameda
Background and Aims: Orotracheal intubation (OTI) with fiberoptic bronchoscope (FOB) in spontaneous ventilation is one of the main techniques for patients with predicted difficult airway. Latest generation supraglottic airway devices have been designed to allow OTI through them. We assessed the safety and effectiveness of FOB-guided OTI through i-gel™ device which was inserted in spontaneously breathing patients with predicted difficult airway. Material and Methods: Eighty-five patients with difficult airway predictors were included...
October 2018: Journal of Anaesthesiology, Clinical Pharmacology
Laura Calsina Juscafresa, Maria Paramo Alfaro, Lukasz Grochowicz, Jose Ignacio Leal Lorenzo, Jose Ignacio Bilbao Jaureguizar
Aneurysms of the portal vein and its branches have been rarely described. Their natural history is unknown although large ones (>3cm in diameter) have been reported to cause rupture, thrombosis, duodenal or biliary obstruction, inferior vena cava compression and/or portal hypertension. We report the case of an incidentally diagnosed 4.5 cm splenic vein aneurysm repaired by endovascular treatment through a transhepatic route. The aneurysm was successfully excluded using a covered stent (Viabahn, Gore). The transhepatic route opens the possibility of offering a minimally invasive approach to vascular lesions of the portal vein system...
February 18, 2019: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
Shahzeb Hassan, Bahram Rahmani, Jeffrey C Rastatter, Alok I Jaju, Sudhi P Kurup
Pott's puffy tumor is a significant complication of frontal sinusitis that leads to frontal bone osteomyelitis and can be associated with frontal swelling, subperiosteal abscess, and intracranial abscess. It may be associated with antecedent trauma and typically presents in adolescents. Orbital involvement is rarely reported. We describe the case of a 15-year-old male who presented after blunt facial trauma with orbital hematoma and developed Pott's puffy tumor with orbital cellulitis and subperiosteal abscess...
February 18, 2019: Orbit
Lakshmanan Sivasundaram, Nikunj N Trivedi, Julian Gatta, Anne Y Ning, Chang-Yeon Kim, R Justin Mistovich
Childhood non-accidental trauma (NAT) is the second most common cause of death in children. Despite its prevalence, NAT is frequently unreported due to provider misdiagnosis or unawareness. The purpose of this study was to determine current risk factors and injury patterns associated with NAT. A retrospective review of the Kids' Inpatient Database was performed for the years 2009 and 2012. Univariate and multivariate analyses were used to determine the statistically significant risk factors for NAT. In 2009 and 2012, 174 442 children were hospitalized for fractures...
February 16, 2019: Clinical Pediatrics
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