Traumatic Posterior Tibial Pseudoaneursym: A Rare Late Complication Repaired Conventionally, 2016 Marshall University: School of Medicine
Traumatic Posterior Tibial Pseudoaneursym: A Rare Late Complication Repaired Conventionally, Farzad Amiri, Md, Zachary Sanford, Constantinous Constantinou, Md
Marshall Journal of Medicine
Posterior tibial artery pseudoaneurysms are extremely rare. They commonly present as a late complication of trauma or iatrogenic injury. Diagnosis can be elusive. Treatment has been described in the context of open primary repair, endovascular stenting, and coil embolization. There has been increasing interest in the use of endovascular treatment options for this type of injury. If left untreated, pseudoaneurysms can rupture, partially thrombose, expand and cause adjacent local compression and compartment syndrome. The following case presented is of a young gentleman with a posterior tibial pseudoaneurysm incidentally discovered after stepping on glass and the management of his posterior tibial ...
Working With Mild Traumatic Brain Injury: Voices From The Field, 2016 West Chester University of Pennsylvania
Working With Mild Traumatic Brain Injury: Voices From The Field, Page Walker Buck, Rebecca G. Laster, Jocelyn Spencer Sagrati, Rachel Shapiro Kirzner
No abstract provided.
Survival Rates In Trauma Patients Following Health Care Reform In Massachusetts, 2016 University of Vermont Medical Center
Survival Rates In Trauma Patients Following Health Care Reform In Massachusetts, Turner Osler, Laurent G. Glance, Wenjun Li, Jeffery S. Buzas, David W. Hosmer
IMPORTANCE: Massachusetts introduced health care reform (HCR) in 2006, expecting to expand health insurance coverage and improve outcomes. Because traumatic injury is a common acute condition with important health, disability, and economic consequences, examination of the effect of HCR on patients hospitalized following injury may help inform the national HCR debate. OBJECTIVE: To examine the effect of Massachusetts HCR on survival rates of injured patients. DESIGN, SETTING, AND PARTICIPANTS: Retrospective cohort study of 1,520,599 patients hospitalized following traumatic injury in Massachusetts or New York during the 10 years (2002-2011) surrounding Massachusetts HCR using data from the State Inpatient ...
Frequency And Location Of Head Impacts In Division I Men's Lacrosse Players, 2016 Sacred Heart University
Frequency And Location Of Head Impacts In Division I Men's Lacrosse Players, Theresa Miyashita, Eleni Diakogeorgiou, Kaitlyn Marrie, Rosemary Danaher
Gaining a better understanding of head impact exposures may lead to an improved comprehension of the possible effects of repeated subconcussive impacts. This cohort study aimed to quantify the frequency, magnitude, and location of head impacts among player positions between practices and games. Forty-two Division I men's lacrosse players wore lacrosse helmets instrumented with sensors while playing on the collegiate lacrosse field to measure the frequency and linear acceleration of head impacts over the course of the 2014 spring season. The number of head impacts greater than 20 units of linear acceleration (g) and the location of the head ...
Modern Evaluation Of Abdominal Trauma, 2016 Marshall University
Modern Evaluation Of Abdominal Trauma, Errington C. Thompson, Md, Chadwick J. Knight, Md
Marshall Journal of Medicine
Abdominal trauma can be mysterious to some physicians. If patients are evaluated for being stable or unstable, then abdominal trauma can be easily managed. Using a combination of physical examination, ultrasound and CT scans, patients can be quickly and efficiently evaluated.
Geriatric Psychology, 2016 Lehigh Valley Health Network
Geriatric Psychology, Robert D. Barraco Md
Robert D Barraco MD, MPH
No abstract provided.
School-Based Injury Outcomes In Children From A Low-Income Setting: Results From The Pilot Injury Surveillance In Rawalpindi City, Pakistan, Uzma Khan, Junaid Bhatti, Nukhba Zia, Umar Farooq
Uzma R. Khan
Background School-based injuries account for one in five unintentional childhood injuries. Little is known about the epidemiology of school-based injuries in low-income settings. The objective of our study was to compare emergency department (ED) outcomes of the school-based injuries with respect to age, sex, and injury mechanisms in a Pakistani urban setting. Findings A pilot injury surveillance study was conducted at the EDs of three major tertiary-care hospitals of Rawalpindi city from July 2007 to June 2008 and included children of less than 15 years injured at school. The World Health Organization’s questionnaire for injury surveillance was used. There ...
Intentional And Unintentional Poisoning In Pakistan: A Pilot Study Using The Emergency Departments Surveillance Project., Nadeem Ullah Khan, Ricardo Pérez-Núñez, Nudrat Shamim, Uzma Khan, Naureen Naseer, Asher Feroze, Junaid Razzak, Adnan Hyder
Uzma R. Khan
Acute poisoning is one of the most common reasons for emergency department visits around the world. In Pakistan, the epidemiological data on poisoning is limited due to an under developed poison information surveillance system. We aim to describe the characteristics associated with intentional and unintentional poisoning in Pakistan presenting to emergency departments.
The data was extracted from the Pakistan National Emergency Department Surveillance (Pak-NEDS) which was an active surveillance conducted between November 2010 and March 2011. All patients, regardless of age, who presented with poisoning to any of Pakistan's seven major tertiary care centers' emergency departments, were ...
Clothing-Related Motorcycle Injuries In Pakistan: Findings From A Surveillance Study, 2016 Aga Khan University
Clothing-Related Motorcycle Injuries In Pakistan: Findings From A Surveillance Study, Uzma R. Khan, Junaid Bhatti, M. Shamim, Nukhba Zia, Junaid Razzak, Rashid Jooma
Uzma R. Khan
This study aims to assess the burden and patterns of clothing-related motorcycle injuries in Karachi, Pakistan. Data were extracted from an ongoing traffic injury surveillance system. In three years (2007-2009), out of 99155 road traffic injury cases there were 986 (0.9%) cases of clothing-related motorcycle injuries. Most cases were females (73.9%) and pillion riders (80.6%). The crashes involving clothing-related injuries were mostly single vehicle (98.5%), and largely resulted in injuries to the external body (60.3%), limbs (51.0%), head (41.5%) and face (35.9%). One-third of injuries were either moderate (26.7%) or severe ...
Flight Nurses’ Narratives Of Traumatic Patient Care Events: Why Do They Stay?, 2016 Lynchburg College
Flight Nurses’ Narratives Of Traumatic Patient Care Events: Why Do They Stay?, Joanne Booth Newton
Graduate Dissertations and Theses
As frontline providers of care, flight nurses are continuously exposed to traumatic patient care events; they are, accordingly, highly vulnerable to the injurious effects of compassion fatigue. Flight nursing is an exclusive nursing specialty in which highly trained registered nurses provide comprehensive pre-hospital, emergency, and critical care to patients with urgent or life-threatening conditions aboard helicopter or fixed wing aircraft or, when necessary due to unfavorable weather conditions, by ground ambulance. The purpose of this study was to explore the lived experiences of five flight nurses; to better understand the factors they perceived to be contributors or barriers to compassion ...
Google Flu Trends Spatial Variability Validated Against Emergency Department Influenza-Related Visits., 2016 George Washington University
Google Flu Trends Spatial Variability Validated Against Emergency Department Influenza-Related Visits., Joseph Jeffrey Klembczyk, Mehdi Jalalpour, Scott Levin, Raynard E Washington, Jesse M. Pines, Richard E Rothman, Andrea Freyer Dugas
Emergency Medicine Faculty Publications
BACKGROUND: Influenza is a deadly and costly public health problem. Variations in its seasonal patterns cause dangerous surges in emergency department (ED) patient volume. Google Flu Trends (GFT) can provide faster influenza surveillance information than traditional CDC methods, potentially leading to improved public health preparedness. GFT has been found to correlate well with reported influenza and to improve influenza prediction models. However, previous validation studies have focused on isolated clinical locations.
OBJECTIVE: The purpose of the study was to measure GFT surveillance effectiveness by correlating GFT with influenza-related ED visits in 19 US cities across seven influenza seasons, and to ...
The Effects Of A Trauma-Informed Care Training Program On Mental Health Professionals Knowledge, Skills, And Attitudes With The Smi, 2016 Philadelphia College of Osteopathic Medicine
The Effects Of A Trauma-Informed Care Training Program On Mental Health Professionals Knowledge, Skills, And Attitudes With The Smi, Angelina Pelletier
PCOM Psychology Dissertations
Trauma has been found to be highly prevalent among individuals diagnosed with SMIs. Mental health professionals have been reported to misdiagnose or avoid addressing trauma in this population. There is a need to provide information about trauma and to foster awareness among mental health professionals who are treating individuals diagnosed with SMIs. With a TIC approach, operating from a recovery-oriented philosophy, there have been interventions created to address trauma and SMIs with the aim of developing awareness about trauma and the impact it may have on someone’s life. With these factors in mind, mental health professionals should be competent ...
Vitamin D Clinical Relevance In The Recovery From Traumatic Brain Injury Among The Military Population, 2016 University of Central Florida
Vitamin D Clinical Relevance In The Recovery From Traumatic Brain Injury Among The Military Population, Yuisa M. Colón
Honors in the Major Theses
Background: Traumatic brain injury (TBI) still remains a difficult disorder to treat. TBI has been associated to chronic neuroinflammation and a high risk for neurodegenerative disorders. Since 2001 between ten to twenty percent of all deployed military members have suffered a combat-related TBI. Nearly twenty to thirty percent of those will experience chronic cognitive, behavioral and somatic symptoms after suffering a TBI.
Methods: The objective of this review is to evaluate current literature examining vitamin D as a neurosteroid with protective properties and its clinical relevance after traumatic brain injury. Vitamin D is known to participate in neurobiological processes and ...
Bomb Blast Injuries: An Exploration Of Patient Characteristics And Outcome Using Pakistan National Emergency Departments Surveillance (Pak-Neds) Data., Irum Qamar Khan, Nadeem Ullah Khan, Rubaba Naeem, Salima Kerai, Kate Allen, Nukhba Zia, Sana Shahbaz, Shiraz Qayoom Afridi, Emaduddin Siddiqui, Uzma Rahim Khan, Adnan A. Hyder, Junaid Abdul Razzak
Department of Emergency Medicine
Bomb blast injuries result in premature deaths and burdening of healthcare systems. The objective of this study was to explore the characteristics and outcome of patients presenting to the emergency departments in Pakistan with bomb blast injuries.
Active surveillance was conducted in seven major emergency departments of Pakistan from November 2010-March 2011. All the sites are tertiary care urban centers. All the patients who presented to the hospital's emergency department (ED) following a bomb blast injury as per self-report or the ambulance personnel were included in the study. Frequency of demographics, injury pattern, and outcomes were calculated ...
Strategies For Prevention Of Road Traffic Injuries (Rtis) In Pakistan: Situational Analysis., 2015 Aga Khan University
Strategies For Prevention Of Road Traffic Injuries (Rtis) In Pakistan: Situational Analysis., Adeel Khan, Zafar Fatmi
Road traffic injuries (RTIs) are one of the leading causes of death among productive age group. Using systems approach framework (SAF), current preventive strategies for RTI control were reviewed in Pakistan. A review of the literature was done using four international search engines. Only ten studies on preventive strategies for RTI stemming from Pakistan were found. The first Road Traffic Injuries Research Network (RTIRN) surveillance system for road traffic injuries was established in urban city (Karachi) in Pakistan has shown promise for injury control and should be scaled up to other cities. Enforcement of traffic laws on seat-belt and helmet ...
Working Therapeutically With Deaf People Recovering From Trauma And Addiction, 2015 University of Massachusetts Medical School
Working Therapeutically With Deaf People Recovering From Trauma And Addiction, Melissa Anderson, Neil Glickman, Lisa Mistler, Marco Gonzalez
Melissa L. Anderson
OBJECTIVE: This article reviews what is known about behavioral health treatment of deaf persons with comorbid trauma and addiction.
METHOD: We discuss how to work therapeutically with deaf people with comorbid trauma and addiction, both through a review of the literature and through clinical observations of the authors. The article also includes the personal stories of two people-a Deaf peer specialist and a hearing psychiatrist-who share their humbling stories about the recovery process for deaf people and the challenges of learning to become an effective Deaf mental health care provider.
FINDINGS: Deaf people report higher rates of mental health problems ...
Incidence And Pattern Of Unintentional Injuries And Resulting Disability Among Children Under 5 Years Of Age: Results Of The National Health Survey Of Pakistan, Zafar Fatmi, Ambreen Kazi, Wilbur C. Haddend, Zulfiqar A. Bhutta, Junaid A. Razzak, Gregory Pappas
National estimates of injuries for children under 5 years based on population representative surveys are not readily available globally and have not been reported for developing countries. This study estimated the annual incidence, pattern and distribution of unintentional injuries according to age, gender, socio-economic status, urban/rural residence and disability caused among children aged under 5 years in Pakistan. The National Health Survey of Pakistan (NHSP 1990-94) is a nationally representative survey of households to assess the health pro. le of the country. A two-stage stratified design was used to select 3223 children under 5 years of age for interview ...
Incidence, Patterns And Severity Of Reported Unintentional Injuries In Pakistan For Persons Five Years And Older: Results Of The National Health Survey Of Pakistan 1990–94, Zafar Fatmi, Wilbur Hadden, Junaid Razzak, Huma Qureshi, Adnan Hyder, Gregory Pappas
Background National level estimates of injuries are not readily available for developing countries. This study estimated the annual incidence, patterns and severity of unintentional injuries among persons over five years of age in Pakistan. Methods National Health Survey of Pakistan (NHSP 1990–94) is a nationally representative survey of the household. Through a two-stage stratified design, 18, 315 persons over 5 years of age were interviewed to estimate the overall annual incidence, patterns and severity of unintentional injuries for males and females in urban and rural areas over the preceding one year. Weighted estimates were computed adjusting for complex survey ...
Mechanical Falls: Are Patients Willing To Discuss Their Risk With A Health Care Provider?, 2015 Lehigh Valley Health Network
Mechanical Falls: Are Patients Willing To Discuss Their Risk With A Health Care Provider?, Marna Greenberg, Michael Nguyen, Brian Stello, Arnold Goldberg, Robert Barraco, Bernadette Glenn-Porter, Anita Kurt, Stephen Dusza, Bryan Kane
Bryan G Kane MD
Background: Falls in the elderly cause serious injury. Objective: We aimed to determine subjects’ comfort in discussing fall risk and home safety evaluations. Methods: This prospective study surveyed a convenience sample of subjects ($50 years old) in an emergency department (ED), health fair (HF), and family practice (FP). The survey included the Falls Efficacy Scale and Vulnerable Elders Survey—validated surveys measuring fall concern and functional decline. Other data—environmental living conditions, participant behaviors, fall frequency—were collected. The associations between perceived fall risk and participant characteristics were assessed using descriptive statistics and random-effects logistic regression. Results: Participants (n = 416 ...
Potential Therapeutic Role Of Hydrogen Sulfide-Releasing Molecule Gyy4137 In A Rat Model Of Acute Compartment Syndrome., 2015 The University of Western Ontario
Potential Therapeutic Role Of Hydrogen Sulfide-Releasing Molecule Gyy4137 In A Rat Model Of Acute Compartment Syndrome., Moustafa Haddara
Electronic Thesis and Dissertation Repository
Acute limb compartment syndrome (ACS) causes a unique form of limb ischaemia, which induces intense inflammatory response resulting in microcirculatory dysfunction, neutrophil activation and cell injury. Increased intracompartmental pressure is the hallmark of ACS. Decompression by fasciotomy is the gold standard treatment. While fasciotomy saves the limb from ischaemic threat, paradoxically, it causes further damage to the muscle by reperfusion injury. In addition, it does not address the inflammatory element purported to increase the tissue injury in ACS.
Recent evidence suggests that hydrogen sulfide (H2S) can mitigate the damage associated with ischaemia-reperfusion injury. The purpose of this thesis ...