97,233 results match your criteria trauma center


Deep Learning in the Detection of Rare Fractures - Development of a "Deep Learning Convolutional Network" Model for Detecting Acetabular Fractures.

Z Orthop Unfall 2021 Jul 26. Epub 2021 Jul 26.

Department of Trauma and Reconstructive Surgery, Occupational Accident Clinic Tübingen, Tübingen, Germany.

Background: Fracture detection by artificial intelligence and especially Deep Convolutional Neural Networks (DCNN) is a topic of growing interest in current orthopaedic and radiological research. As learning a DCNN usually needs a large amount of training data, mostly frequent fractures as well as conventional X-ray are used. Therefore, less common fractures like acetabular fractures (AF) are underrepresented in the literature. Read More

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Dysconnectivity of the amygdala and dorsal anterior cingulate cortex in drug-naive post-traumatic stress disorder.

Eur Neuropsychopharmacol 2021 Jul 23;52:84-93. Epub 2021 Jul 23.

Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, No. 37 Guo Xue Xiang, Chengdu 610041, China; Psychoradiology Research Unit of Chinese Academy of Medical Sciences, Chengdu, China; Functional and Molecular Imaging Key Laboratory of Sichuan Province, West China Hospital of Sichuan University, Chengdu, China. Electronic address:

Convergent studies have highlighted the amygdala-based and dorsal anterior cingulate cortex (dACC)-based circuit or network dysfunction in post-traumatic stress disorder (PTSD). However, previous studies are often complicated by various traumatic types, psychiatric comorbidities, chronic illness duration, and medication effect on brain function. Besides, little is known whether the functional integration with amygdala-dACC interaction disrupted or not in PTSD. Read More

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Transplant-related trauma, personal growth and alcohol use outcomes in a cohort of patients receiving transplants for alcohol associated liver disease.

Gen Hosp Psychiatry 2021 Jul 17;72:73-80. Epub 2021 Jul 17.

Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, PA, United States of America; Department of Clinical and Translational Science, University of Pittsburgh Medical Center, Pittsburgh, PA, United States of America; Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, United States of America. Electronic address:

Background: Liver transplantation (LT) is stressful experience which can cause psychological trauma but also positive growth. We examined the prevalence of transplant related post-traumatic stress disorder symptoms (PTSD) and post-traumatic growth (PTG) in a cohort of alcohol-associated liver disease (ALD) LT recipients. We also examined whether PTG or PTSD symptoms were associated with post-LT alcohol use. Read More

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Predictors of Post-discharge Follow-up Attendance Among Hospitalized Dermatology Patients: Disparities and Potential Interventions.

J Am Acad Dermatol 2021 Jul 23. Epub 2021 Jul 23.

Department of Dermatology, University of California, San Francisco School of Medicine, San Francisco, CA; Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA. Electronic address:

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[Towards the age of computer-assisted surgery: how to establish a robotic-assisted mitral surgery program with a last-generation platform].

G Ital Cardiol (Rome) 2021 Aug;22(8):648-656

Service de Chirurgie Thoracique et Cardiovasculaire, Centre Hospitalier Universitaire de Rennes, Rennes, Francia.

Mitral valve therapy is rapidly evolving. In this context, there is a clear evolution towards the diffusion of minimally invasive techniques for surgical mitral valve replacement or repair, namely in the context of primary mitral regurgitation. The robotic-assisted mitral surgery strategy allows the greatest reduction in surgical trauma to the patients, as well as improved ergonomics and video-assistance for performance of the mitral procedure. Read More

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Return to Baseline Physical Activity After Bone-Patellar Tendon-Bone Versus Hamstring Tendon Autografts for Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Am J Sports Med 2021 Jul 26:3635465211017522. Epub 2021 Jul 26.

Centre Hospitalier Affilié Universitaire de Québec - Pavillon Enfant-Jésus, Université Laval, Québec, Canada.

Background: Bone-patellar tendon-bone (BPTB) and hamstring tendon (HT) autografts are the most utilized grafts for primary anterior cruciate ligament (ACL) reconstruction. The ability of a patient to return to a preinjury level of physical activity is a key consideration in choice of graft; the influence of graft choice on this metric lacks consensus in the literature.

Purpose: To assess the effects of autograft choice (BPTB vs HT) for primary ACL reconstruction on return to baseline level of physical activity and/or sports participation. Read More

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DDIT4 S-Nitrosylation Aids p38-MAPK Signaling Complex Assembly to Promote Hepatic Reactive Oxygen Species Production.

Adv Sci (Weinh) 2021 Jul 26:e2101957. Epub 2021 Jul 26.

Key Laboratory of Targeted Intervention of Cardiovascular Disease, Collaborative Innovation Center for Cardiovascular Translational Medicine, Nanjing Medical University, Nanjing, 211166, China.

Mitogen-activated protein kinase (MAPK) signaling plays a significant role in reactive oxygen species (ROS) production. The authors have previously shown that Brahma-related gene 1 (BRG1), a chromatin remodeling protein, contributes to hepatic ROS accumulation in multiple animal and cellular models of liver injury. Here it is reported that DNA damage-induced transcript 4 (DDIT4) is identified as a direct transcriptional target for BRG1. Read More

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Prognostic Value of Hemorrhagic Brainstem Injury on Early Computed Tomography: A TRACK-TBI Study.

Neurocrit Care 2021 Jul 26. Epub 2021 Jul 26.

Department of Neurological Surgery, Harborview Medical Center, University of Washington School of Medicine, 325 9th Ave, Box 359924, Seattle, WA, 98104, USA.

Background: Traumatic brainstem injury has yet to be incorporated into widely used imaging classification systems for traumatic brain injury (TBI), and questions remain regarding prognostic implications for this TBI subgroup. To address this, retrospective data on patients from the multicenter prospective Transforming Research and Clinical Knowledge in TBI study were studied.

Methods: Patients with brainstem and cerebrum injury (BSI+) were matched by age, sex, and admission Glasgow Coma Scale (GCS) score to patients with cerebrum injuries only. Read More

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Selective non-operative management of penetrating abdominal injuries at Northern European trauma centers: the NordiPen Study.

Eur J Trauma Emerg Surg 2021 Jul 26. Epub 2021 Jul 26.

Department of Surgery, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.

Purpose: A selective nonoperative management (SNOM) of penetrating abdominal injuries (PAI) is a standard of care in numerous established trauma centers. However, available evidence supporting SNOM of PAI in European settings remains scarce. Thus, we performed a multi-center study at selected Northern European trauma centers to investigate the management and outcomes of PAI. Read More

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Genetic Variants Associated With Intraparenchymal Hemorrhage Progression After Traumatic Brain Injury.

JAMA Netw Open 2021 Jul 1;4(7):e2116839. Epub 2021 Jul 1.

Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.

Importance: Intracerebral hemorrhage progression is associated with unfavorable outcome after traumatic brain injury (TBI). No effective treatments are currently available. This secondary injury process reflects an extreme form of vasogenic edema and blood-brain barrier breakdown. Read More

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Splint stiffness and extension effects on a simulated avulsed permanent incisor-A patient-specific finite element analysis.

Dent Traumatol 2021 Jul 26. Epub 2021 Jul 26.

Department of Operative Dentistry and Dental Materials, Dental School, Federal University of Uberlândia, Uberlândia, Brazil.

Background/aim: Splinting is an important procedure after avulsion. However, the role of splint stiffness and extension is not fully understood. The aim of this study was to evaluate the effect of splint stiffness and extensions on the mobility and stress on an injured tooth under physiological biting load. Read More

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Ostomy 101 for Dermatologists: Managing Peristomal Skin Diseases.

Dermatol Ther 2021 Jul 26:e15069. Epub 2021 Jul 26.

Department of Dermatology, Beth Israel Deaconess Medical Center, Boston, MA.

An estimated 1 million North Americans live with ostomies, with up to 80% of ostomy patients developing stoma-related skin morbidities. While ostomy nurses are often the first line of management, dermatologists may be involved in the care of ostomy patients with complex or persistent peristomal skin complications. Therefore, an understanding of the ostomy apparatus and possible peristomal skin conditions that may arise allows dermatologists to identify skin complications early and work effectively with a multidisciplinary team. Read More

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Sagittal wedging of intervertebral discs and vertebral bodies in the cervical spine and their associations with age, sex and cervical lordosis: a large-scale morphological study.

Clin Anat 2021 Jul 26. Epub 2021 Jul 26.

Institute of Orthopaedic Research and Biomechanics, Trauma Research Center Ulm, Ulm University, Ulm, Germany.

Many recent studies have focused on the functional and clinical importance of cervical lordosis. However, there is little accurate knowledge of the anatomical parameters that constitute cervical lordosis (i.e. Read More

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Design and investigation of novel Maraviroc analogues as dual inhibition of CCR-5/SARS-CoV-2 M.

J Biomol Struct Dyn 2021 Jul 26:1-16. Epub 2021 Jul 26.

School of Chemical Sciences, SRTM University, Nanded, India.

A sudden increase in life-threatening COVID-19 infections around the world inflicts global crisis and emotional trauma. In current study two druggable targets, namely SARS-COV-2 M and CCR-5 were selected due to their significant nature in the viral life cycle and cytokine molecular storm respectively. The systematic drug repurposing strategy has been utilized to recognize inhibitory mechanism through extensive investigation of novel Maraviroc analogues as promising inhibitors against SARS-CoV-2 M and CCR-5. Read More

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Implementing a School-Based, Trauma-Informed Resilience Curriculum for Parents.

Soc Work Public Health 2021 Jul 25:1-11. Epub 2021 Jul 25.

Division of Population Behavioral Health, Jane and Terry Semel Institute for Neuroscience & Human Behavior at UCLA.

"Families OverComing Under Stress" (FOCUS) Resilience Curriculum for Parents (FRC-P) is a trauma-informed group parenting program adapted for school social workers to deliver to parents of racial/ethnic minority urban public schoolchildren, an under-researched group of parents in the literature. The objective was to describe implementation of the pilot FRC-P in terms of possible effectiveness, feasibility, and acceptability. Social workers delivered FRC-P to parents at 16 schools. Read More

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The Impact of COVID-19 on Hand Trauma.

Hand (N Y) 2021 Jul 26:15589447211028918. Epub 2021 Jul 26.

Australian Research Collaboration on the Hand, Mudgeeraba, QLD, Australia.

Background: The Coronavirus Disease 2019 (COVID-19) pandemic has had a dramatic impact on individual and societal behaviors, as well as on health care systems. It confers a unique opportunity to examine the relationship among disease, policies, and patterns of activity, as well as their impacts on surgical unit functionality. This study aims to compare the distribution and patterns of injury at a tertiary hand surgery trauma center before and during the COVID-19 pandemic. Read More

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Epidemiology of pediatric trauma during the COVID-19 pandemic shelter in place.

Surg Open Sci 2021 Oct 22;6:5-9. Epub 2021 Jun 22.

Stanford School of Medicine, Department of Surgery, Division of Pediatric Surgery, Stanford, CA.

Introduction: The first COVID-19 cases occurred in the US in January of 2020, leading to the implementation of shelter in place. This study seeks to define the impact of shelter in place on the epidemiology of pediatric trauma.

Methods: We examined pediatric trauma admissions at 5 Level 1 and 1 Level 2 US pediatric trauma centers between January 1 and June 30, 2017-2020. Read More

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October 2021

Disaster preparedness should represent an augmentation of the everyday trauma system, but are we prepared?

Trauma Surg Acute Care Open 2021 7;6(1):e000760. Epub 2021 Jul 7.

Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.

Background: The increased frequency, geographical spread and the heterogenicity in mass casualty incidents (MCIs) challenge healthcare systems worldwide. Trauma systems constitute the base for disaster preparedness. Norway is sparsely populated, with four regional trauma centers (TCs) and 35 hospitals treating trauma (non-trauma centers (NTCs)). Read More

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Examination of the effects of impulsivity and risk-taking propensity on alcohol use in OEF/OIF/OND Veterans.

J Mil Veteran Fam Health 2019 Sep 14;5(2):88-99. Epub 2019 Sep 14.

Department of Psychiatry, Virginia Institute of Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, Virginia.

Introduction: A strong association between posttraumatic stress disorder (PTSD) and problematic alcohol use has been demonstrated among Veteran populations exposed to combat trauma. Several traits, such as higher levels of risk-taking propensity (RTP) and impulsivity (e.g. Read More

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September 2019

Does Proximal Femoral Morphology Impact Morbidity and Mortality? A Cohort Study of Uncemented Hemiarthroplasties in the Treatment of Femoral Neck Fractures.

Arthroplast Today 2021 Aug 9;10:57-62. Epub 2021 Jul 9.

Department of Trauma and Orthopaedics, Galway University Hospitals, Saolta Hospital Group, Galway, Ireland.

Background: To assess outcomes after uncemented hemiarthroplasty stems in the treatment of intracapsular femoral neck fractures over an 11-year period. Mortality rates were assessed, and whether proximal femoral geometry and stem alignment were factors in intraoperative or postoperative periprosthetic fracture (PPF) needs to be identified.

Materials And Methods: A retrospective single-center observational study was conducted of all patients who underwent intracapsular femoral neck fracture treatment using an uncemented prosthesis between January 2008 and December 2018. Read More

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Psychiatric Comorbidities in Functional Movement Disorders: A Retrospective Cohort Study.

Mov Disord Clin Pract 2021 Jul 26;8(5):725-732. Epub 2021 Apr 26.

Department of Neurology, Section of Behavioral Neurology University of Colorado Anschutz Aurora Colorado USA.

Background: Functional movement disorders (FMD) are characterized by abnormal movements and motor symptoms incongruent with a known structural neurologic cause. While psychological stressors have long been considered an important risk factor for developing FMD, little is known about the impact of psychiatric comorbidities on disease manifestations or complexity.

Objectives: To compare characteristics of FMD patients with co-occurring mood and trauma-related psychiatric conditions to FMD patients without psychiatric conditions. Read More

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How to Manage Disasters while Considering Responsibility to Protect Theory?

Bull Emerg Trauma 2021 Jul;9(3):155-157

Student Research Committee, Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.

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Maternal and Fetal Outcomes of Pregnant Women Infected with Coronavirus Based on Tracking the Results of 90-Days Data in Hazrat -E- Rasoul Akram Hospital, Iran University of Medical Sciences.

Bull Emerg Trauma 2021 Jul;9(3):145-150

Endometriosis Research Center, Iran University of Medical Sciences (IUMS), Tehran, Iran.

Objective: To evaluate the maternal and fetal outcomes of COVID-19 up to three months after the delivery in pregnant women.

Methods: This case series study was conducted on all pregnant women with COVID-19 hospitalized in Hazrat -E- Rasoul Akram Hospital, Tehran, Iran from March 8, 2020 to December 28, 2020. Data were included maternal age and gestational age (GA) which presenting signs and symptoms were collected at hospital admission. Read More

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A Comparative Study of the Registry System effect on Patients Satisfaction Rate in Two Emergency Department Settings.

Bull Emerg Trauma 2021 Jul;9(3):138-144

Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Objective: To assess the patient's satisfaction rate during two distinct registry procedures in the emergency department.

Methods: A cross-sectional study was conducted in educational hospitals with a high volume of patient's admission in Tabriz-Iran and Erzurum-Turkey. In this study, we used a Press Ganey questionnaire as a data collection tool that was filled out with patients or their companions before discharging or referred to other areas (wards). Read More

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Instructional Programs Influencing the Enhancement of the Knowledge Required by Volunteers in Disasters: A Systematic Review.

Bull Emerg Trauma 2021 Jul;9(3):105-117

Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.

Objective: To determine the instructional programs required by volunteers based on the studies carried out worldwide.

Methods: A systematic search was carried out by PubMed, Cochran Library, Scopus, EMBASE, Science Direct, Web of Science and ProQuest databases between January 1970 and the end of June 2019. The articles were selected based on the keywords chosen by the author. Read More

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Robot-Assisted Electrode Array Insertion Becomes Available in Pediatric Cochlear Implant Recipients: First Report and an Intra-Individual Study.

Front Surg 2021 7;8:695728. Epub 2021 Jul 7.

Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

As an advanced surgical technique to reduce trauma to the inner ear, robot-assisted electrode array (EA) insertion has been applied in adult cochlear implantation (CI) and was approved as a safe surgical procedure that could result in better outcomes. As the mastoid and temporal bones are generally smaller in children, which would increase the difficulty for robot-assisted manipulation, the clinical application of these systems for CI in children has not been reported. Given that the pediatric candidate is the main population, we aim to investigate the safety and reliability of robot-assisted techniques in pediatric cochlear implantation. Read More

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A Composite Lactide-Mineral 3D-Printed Scaffold for Bone Repair and Regeneration.

Front Cell Dev Biol 2021 9;9:654518. Epub 2021 Jul 9.

Department of Surgery, Division of Orthopaedic Surgery, McGill University, Montreal, QC, Canada.

Orthopedic tumor resection, trauma, or degenerative disease surgeries can result in large bone defects and often require bone grafting. However, standard autologous bone grafting has been associated with donor site morbidity and/or limited quantity. As an alternate, allografts with or without metallic or polyether-etherketone have been used as grafting substitutes. Read More

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Idiopathic Omental Bleeding Treated by Laparoscopic Partial Omentectomy: A Case Report and Review of the Literature.

Cureus 2021 Jun 21;13(6):e15795. Epub 2021 Jun 21.

Gastrointestinal Surgery, Uji Tokushukai Hospital, Kyoto, JPN.

Omental bleeding is potentially life-threatening. There are many causes of omental bleeding including trauma, neoplasia, arterial aneurysm rupture, omental torsion, vasculitis, or segmental arterial mediolysis (SAM). Without remarkable pathological features, the diagnosis of idiopathic omental bleeding is made. Read More

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SARS-CoV-2 infection is not associated with a higher rate of post-operative complications in adult appendectomy patients in Peru: Cross-sectional study.

Ann Med Surg (Lond) 2021 Jul 21:102582. Epub 2021 Jul 21.

Surgical Center of the Hospital Emergencia Ate Vitarte (HEAV), Carr. Central 506, Ate, 15491, Lima, Peru.

Background: We present outcomes of patients with SARS-CoV-2 undergoing appendectomy in order to aid in clarification of current controversies regarding safety of therapeutic options for emergency surgical diseases in patients with SARS-CoV-2. Peru has the greatest number of per capita deaths due to SARS-CoV-2 of any country and is one of few with a COVID-dedicated hospital.

Materials And Methods: This prospective observational study included all adult patients with acute appendicitis admitted to an urban, public, COVID-dedicated hospital over two months. Read More

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