Journal of trauma & treatment最新文献_第10页

Psychiatric Care: "The Free Choice: Still a Topical Issue?" 精神科护理:“自由选择:仍然是一个热门话题?”

Journal of trauma & treatment Pub Date : 2016-06-30 DOI: 10.4172/2167-1222.1000313

C. Hazif‐Thomas, P. Thomas

引用次数: 0

The Bamberg Plate: An Alternative Procedure for Tibial Tubercle Fractures 班贝格钢板:胫骨结节骨折的另一种治疗方法

Journal of trauma & treatment Pub Date : 2016-06-30 DOI: 10.4172/2167-1222.1000314

C. Lutter, D. Popp, J. Dickschas, V. Schöffl

引用次数: 0

Juvenile Idiopathic Chondrolysis of the Hip 青少年特发性髋关节软骨松解

Journal of trauma & treatment Pub Date : 2016-06-30 DOI: 10.4172/2167-1222.1000312

Startzman As, T. Hawkes, Beter

引用次数: 0

Surgical Management of Postero-Medial Tibial Plateau Fracture: Is PlateOsteosynthesis Mandatory? 胫骨平台后内侧骨折的外科治疗:是否必须进行钢板骨合成?

Journal of trauma & treatment Pub Date : 2016-06-30 DOI: 10.4172/2167-1222.1000311

D. Saragaglia, Morin, R. Pailhé

引用次数: 0

Caring for the Children of our Neighbours: A Nurses Perspective 照顾邻居的孩子:一个护士的视角

Journal of trauma & treatment Pub Date : 2016-06-30 DOI: 10.4172/2167-1222.1000315

David Fuchs

引用次数: 0

Why Molecular Biomarkers of Traumatic Brain Injury May Never Work:Effects of Glymphatic Pathway Dysfunction 为什么创伤性脑损伤的分子生物标志物可能永远不起作用:淋巴通路功能障碍的影响

Journal of trauma & treatment Pub Date : 2016-06-25 DOI: 10.4172/2167-1222.1000309

Sheng Huang, Yan Zhou

{"title":"Why Molecular Biomarkers of Traumatic Brain Injury May Never Work:Effects of Glymphatic Pathway Dysfunction","authors":"Sheng Huang, Yan Zhou","doi":"10.4172/2167-1222.1000309","DOIUrl":"https://doi.org/10.4172/2167-1222.1000309","url":null,"abstract":"Traumatic brain injury (TBI) is the leading cause of death and disability in children and young adults around the world because it has been the most misunderstood and misdiagnosed problem among the central nervous system (CNS) disorders. Around 90% of TBIs are classified as mild (mTBI). The current detection of mTBI relies heavily on an assessment of behavioral symptoms, often with delay and subject to motivation. Despite notable advances in diagnostic magnetic resonance imaging (MRI), it remains a challenging issue to precisely make early evaluation of the severity of TBI and to predict the long-term outcomes. Currently there are no molecular biomarker-based blood tests that can accurately determine the presence and the severity of TBI because at present no clinical tools are available for measuring glymphatic-derived convective bulk flow in humans. There is an urgent need to call for a concerted effort to search for sensitive and reliable biomarkers of TBI, especially mTBI. There is a growing consensus that TBI, no matter what the cause, leads to dysfunction of the blood-brain barrier (BBB), which is mainly constituted by brain microvascular endothelial cells (BMEC). Our recent preclinical studies have shown that circulating BMEC in the peripheral blood, which are independent of the glymphatic system, could be used as cellbased biomarkers for quantitative assessment of BBB injury caused by various pathogenic insults, including trauma. The vimentin-α7 nAChR pathway significantly contributes to cBMEC shedding during the pathogenesis of BBB/CNS disorders. The cell-based biomarkers cBMEC along with the single cell technology will overcome the limitations of molecular biomarkers mentioned above and make the early diagnosis of TBI.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70826268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Fractures of the Distal Radius: A Randomized Controlled Trial of 180 Patients Comparing Volar Locking Plates and Alternative Fixation Methods 桡骨远端骨折:一项180例患者的随机对照试验，比较掌侧锁定钢板和其他固定方法

Journal of trauma & treatment Pub Date : 2016-06-17 DOI: 10.4172/2167-1222.1000308

C. McCamley, P. Tamblyn, C. Kimber, Steve Quinn, A. Watts, R. Jaarsma

引用次数: 5

Parenting Stress as a Mediator of Exposure to Potentially Traumatic Events and Behavioral Health Outcomes in Children and Youth 父母压力是儿童和青少年暴露于潜在创伤事件和行为健康结果的中介

Journal of trauma & treatment Pub Date : 2016-05-28 DOI: 10.4172/2167-1222.1000310

Joy S. Kaufman, M. Whitson, Cindy A. Crusto

引用次数: 5

Is Urgent Treatment of Pediatric Neck Femur Always Needed 儿童颈股骨总是需要紧急治疗吗

Journal of trauma & treatment Pub Date : 2016-05-20 DOI: 10.4172/2167-1222.1000306

S. Bhat, K. Kangoo, A. Baba, A. Zahoor, Sami Jan

{"title":"Is Urgent Treatment of Pediatric Neck Femur Always Needed","authors":"S. Bhat, K. Kangoo, A. Baba, A. Zahoor, Sami Jan","doi":"10.4172/2167-1222.1000306","DOIUrl":"https://doi.org/10.4172/2167-1222.1000306","url":null,"abstract":"Purpose: Pediatric hip fractures are very uncommon and the complications of these fractures are very serious. With this purpose in mind we evaluated retrospectively the treatment of pediatric femur neck fractures admitted during proceeding five years in our hospital. The Aim of study was to evaluate the outcome of our treatment and know preventable complications of pediatric neck fractures in comparison with literature. Method: We evaluated 19 pediatric femur neck fractures with age from 3-12 years including 12 males 7 females. Treatment was by closed reduction and internal fixation at average of 4.5 days after hospital admission. Spica cast was applied for all patients up to age 10. Clinical and radiological evaluation was done by RATLIFF CRITERIA Results: We enrolled 23 cases in study 4 lost to follow up and thus excluded from final study. We had 10 cases of Delbet type II, 7 cases type III and 2 cases of type IV. Patients were treated by closed reduction and internal fixation at average of 4.5 days after admission. Our results were 12 good, 3 fair and 4 poor. Complications encountered included avascular necrosis in 5 patients, 1 coxa vara, 2 cases of superficial infection and 1 septic sequel of sab acute septic arthritis. Conclusion: Fluoroscopic aided reduction and internal fixation is a very good method of treatment for pediatric neck femur fractures. Emphasis should be on measures to reduce avascular necrosis and infection and give maximum smile to the children and their parents. In our under eloped and far-flung area complications are unavoidable but preventable once infrastructure and facilities of emergency and postoperative care are improved. Education regarding prevention of pediatric fractures in general and neck femur in particular and active participation of parents will help in minimizing complication of these fracture thus limiting diability and morbidity of these fractures.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70826103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emergency Thoracotomy in a Swedish Setting: A Consecutive Series of 45 Patients from a Scandinavian Trauma Hospital 急诊开胸术在瑞典的设置:连续系列45例患者从斯堪的纳维亚创伤医院

Journal of trauma & treatment Pub Date : 2016-05-16 DOI: 10.4172/2167-1222.1000305

J. Beck, H. Granehed, L. Akyürek, P. David

{"title":"Emergency Thoracotomy in a Swedish Setting: A Consecutive Series of 45 Patients from a Scandinavian Trauma Hospital","authors":"J. Beck, H. Granehed, L. Akyürek, P. David","doi":"10.4172/2167-1222.1000305","DOIUrl":"https://doi.org/10.4172/2167-1222.1000305","url":null,"abstract":"Background: Emergency thoracotomy (ET) has previously been studied and evaluated in an American and African perspective. The mechanism of injury (MOI) varies between different parts of the world. In the Northern European setting, blunt trauma is the most common MOI. Regarding penetrating thoracic injuries stab wounds compromises the majority whereas gunshot wounds (GSW) are relatively scarce. The aim of this study was to describe the situation at a Scandinavian Trauma Hospital. Method: This study was a retrospective case series involving all patients who underwent an ET between 2004 and 2011 at a single centre. Patients were identified and data collection of demographics, trauma scores and physiological values were retrieved from hospital charts and trauma registry. Statistical analyses were performed. Results: A total of 45 ET patients were identified. The patients were predominately male (82%), and severely injured with median ISS of 48. The overall survival rate was 31%. Blunt trauma accounted for 60% of the patients. Survival following penetrating thoracic trauma had a 50% survival rate, whereas blunt trauma had a 19% survival rate. Conclusion: The injury pattern preceding ET is different between America and Europe. Blunt trauma accounts for the majority of cases. Penetrating trauma is mostly caused by stab wounds which carry a better prognosis than gunshot wounds (GSW). There is clearly a value in performing ET for selected cases following penetrating thoracic violence. Most of the surviving cases of thoracotomy for blunt trauma were for aortic cross clamping to control abdominal bleeding. Isolated blunt trauma to the chest carried a dismal prognosis.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70826084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2