Journal of trauma & treatment最新文献_第2页

Comparison of the Admission Characteristics and Outcomesof Indian Severe TBI Cohort with Earlier EpidemiologicStudies of Developed Nations 印度重型颅脑损伤队列入院特征和预后与发达国家早期流行病学研究的比较

Journal of trauma & treatment Pub Date : 2020-01-01 DOI: 10.37421/JTM.2020.9.457

V. Kamal, D. Kumari, P. RavindraMohan, Ey, D. Agrawal, A. Pál

{"title":"Comparison of the Admission Characteristics and Outcomesof Indian Severe TBI Cohort with Earlier EpidemiologicStudies of Developed Nations","authors":"V. Kamal, D. Kumari, P. RavindraMohan, Ey, D. Agrawal, A. Pál","doi":"10.37421/JTM.2020.9.457","DOIUrl":"https://doi.org/10.37421/JTM.2020.9.457","url":null,"abstract":"From policymaking and research point of view, our aim is to compare data of patients with severe traumatic brain injury (TBI) with developed settings, where health care facilities are much enhanced as compared to developing settings. In this retrospective study, we described and compared demographic, clinical, secondary insult related characteristics, and outcomes at 6-months (based on Glasgow outcome scale) of our patients with severe TBI; based on emergency department Glasgow coma scale, admitted to neurosurgery Intensive Care Unit at Jai Prakash Narayan Apex Trauma Centre (JPNATC), AIIMS, New Delhi, during May 2010–July 2012; with famous studies from developed settings using descriptive statistics. We found that there is a huge burden of young patients, mostly males with severe TBI in India as compared to developed settings. Follow-up data for 6-months outcome were very much lesser and outcome as death was in high proportion as compared to developed settings. In case of severe TBI, this information can be valuable in formulation of policies and programmes at centre/national/international level, increasing public awareness, developing new action plans.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"9 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70062370","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

Brief Editorial Note for Journal of Trauma and Treatment 《创伤与治疗杂志》编辑简注

Journal of trauma & treatment Pub Date : 2020-01-01 DOI: 10.37421/JTM.2020.9.45

K. Jones

引用次数: 0

The Most Effective Method to Instruct Others about youruncommon illness 最有效的方法来指导别人你的不常见的疾病

Journal of trauma & treatment Pub Date : 2020-01-01 DOI: 10.37421/JTM.2020.9.458

L. Shima

引用次数: 0

Upper Brachial Plexus Palsy (Rucksack Palsy) 上臂丛性麻痹

Journal of trauma & treatment Pub Date : 2018-03-29 DOI: 10.4172/2167-1222.1000419

S. Nahas, Clarence Yeoh, Hagen Jahnich

引用次数: 0

Relationship between work-related musculoskeletal disorders among intensive care unit nurses 重症监护室护士与工作相关肌肉骨骼疾病的关系

Journal of trauma & treatment Pub Date : 2018-03-09 DOI: 10.4172/2167-1222-C1-007

R. Anabtawi

引用次数: 0

Transarterial Embolization Affects Recovery in Nonoperative Management of Severe Blunt Hepatic Injuries: A Retrospective Study 经动脉栓塞影响非手术治疗严重钝性肝损伤的恢复:一项回顾性研究

Journal of trauma & treatment Pub Date : 2018-02-12 DOI: 10.4172/2167-1222.1000411

K. Sekine, S. Matsumoto, T. Funabiki, Y. Sugawara, J. Sasaki, Mitsuhide Kitano

{"title":"Transarterial Embolization Affects Recovery in Nonoperative Management of Severe Blunt Hepatic Injuries: A Retrospective Study","authors":"K. Sekine, S. Matsumoto, T. Funabiki, Y. Sugawara, J. Sasaki, Mitsuhide Kitano","doi":"10.4172/2167-1222.1000411","DOIUrl":"https://doi.org/10.4172/2167-1222.1000411","url":null,"abstract":"Introduction: Transarterial embolization (TAE) has been used as an essential technique in the nonoperative management (NOM) of severe blunt hepatic injuries (BHI) but has a possible risk of tissue ischemia and necrosis, which may affect hepatic recovery. The injured liver tissue gets encapsulated and absorbed by intact liver tissue; therefore, the healing process requires the formation of a wall surrounding the injured tissue. In this study, we determined the impact of TAE on the hepatic healing process.Patients and methods: We reviewed hemodynamically stable patients (n=35; males, 23; females, 12; mean age, 32 years), admitted to our hospitals over a 10-year period, who underwent NOM of severe BHI (American Association for the Surgery of Trauma Organ Injury Scale, grades IV and V). Data collected included demographic information, serial CT findings, severity of hepatic injuries showing lacerations (Couinaud's liver segment classification), TAE performed for active hepatic bleeding, and the amount of hemoperitoneum. Extrahepatic factors were evaluated using the Abbreviated Injury Scale for injuries to the head, face, thorax, and extremities. Time taken by injured segments to encapsulate was individually obtained from serial CTs. Cox regression and Kaplan-Meier analyses were used to identify risk factors associated with delayed healing among the hepatic and extrahepatic factors mentioned above.Results: Risk factors were independently and significantly associated with TAE (odds ratio, 2.45; 95% confidence interval, 1.01-5.92; p=0.047). Multivariate analysis indicated that patients who underwent TAE took 2.45-times longer time to attain liver encapsulation than those who did not undergo TAE and that extrahepatic factors did not correlate with the time to encapsulation.Conclusion: TAE for active liver hemorrhage resulted in a delayed recovery from BHI, regardless of extrahepatic factors.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"7 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000411","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48432430","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

Initial Experience Using a Novel Reticulated Open Cell Foam Dressing with Through Holes during Negative Pressure Wound Therapy with Instillation for Management of Pressure Ulcers 新型网状开孔泡沫敷料在负压创面灌注治疗压疮中的初步经验

Journal of trauma & treatment Pub Date : 2017-12-23 DOI: 10.4172/2167-1222.1000410

Luis G. Fernández, C. Ellman, Patricia Jackson

{"title":"Initial Experience Using a Novel Reticulated Open Cell Foam Dressing with Through Holes during Negative Pressure Wound Therapy with Instillation for Management of Pressure Ulcers","authors":"Luis G. Fernández, C. Ellman, Patricia Jackson","doi":"10.4172/2167-1222.1000410","DOIUrl":"https://doi.org/10.4172/2167-1222.1000410","url":null,"abstract":"Several published reviews and recommendations exist for the use of negative pressure wound therapy (NPWT) with instillation and a dwell time (NPWTi-d) in acute and chronic wounds. Specific dressings for use with NPWTi-d have also been developed, including a reticulated open cell foam dressing with through holes (ROCF-CC) that assists in removing thick wound exudate and infectious materials. ROCF-CC is especially helpful for wound cleansing when debridement is not possible or appropriate in patients. \u0000We report our initial experiences in using NPWTi-d with ROCF-CC in patients with pressure ulcers. An algorithmic approach was used to determine appropriate treatment to reach the goals of therapy (i.e., wound bed preparation, granulation tissue formation, and removal of infectious materials). Previous therapies included honey and gauze soaked in Dakin’s solution. All patients received antibiotics and debridement when possible. \u0000Five patients (3 females and 2 males) received NPWTi-d with ROCF-CC (instillation of saline or a hypochlorous solution with a dwell time of 10 minutes, followed by 2-3 hours of -125 mmHg NPWT). Patient comorbidities included obesity, diabetes mellitus, hypertension, and peripheral artery disease. Mean age of patients was 65.2 years (range: 50-82 years). After an average of 6 days of therapy (range 2-9 days), all wounds treated with NPWTi-d with ROCFCC showed rapid granulation tissue formation. \u0000We also noted improved removal of devitalized tissue and subsequent granulation tissue formation in patients receiving hypochlorous solution compared to patients receiving saline during NPWTi-d with ROCF-CC. All patients were eventually transferred to a skilled nursing facility. In our clinical practice, NPWTi-d with ROCF-CC provided effective and rapid removal of the thick exudate and infectious materials and promoted excellent development of underlying granulation tissue.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":" ","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2017-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000410","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47095983","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: 10

Crisis Perceptibility of People Requiring Assistance and Special Care: A Case Report 需要帮助和特殊照顾的人的危机感知:一个案例报告

Journal of trauma & treatment Pub Date : 2017-11-22 DOI: 10.4172/2167-1222.1000407

Dai Noguchi, T. Fujioka

引用次数: 0

Is There a Role for Second Generation Antipsychotics in the Treatment of PTSD 第二代抗精神病药物在治疗创伤后应激障碍中有作用吗

Journal of trauma & treatment Pub Date : 2017-11-22 DOI: 10.4172/2167-1222.1000406

G. Villarreal

引用次数: 0

A Single Case Report of a Patient with Bipolar I Disorder: Focusing on EMDR 单例双相I型患者报告:关注EMDR

Journal of trauma & treatment Pub Date : 2017-11-17 DOI: 10.4172/2167-1222.1000405

Jae Woo Park

引用次数: 0