OBJECTIVE To understand the degree to which the trauma care guidelines released by the World Health Organization (WHO) between 2004 and 2009 have been used, and to identify priorities for the future implementation and dissemination of such guidelines. METHODS We conducted a systematic review, across 19 databases, in which the titles of the three sets of guidelines - Guidelines for essential t...

Photoinitiated polymerization of styrene in oil/water microemulsions has been successfully performed by using dibenzyl ketone (DBK) as initiator. The system remains transparent during the whole polymerization process. The molecular weights of polymers produced are in the order of IO5, and the polydispersity indexes (PDI) are in the range 1.6-2.2. The particle sizes of the latexes produced are i...

BACKGROUND The "July Phenomenon" refers to the propensity for increased errors to occur with new housestaff, as they assume new responsibilities at the beginning of the academic year. The purpose of this study was to examine the impact of the new residents presenting in July at a high volume Level I Academic Trauma Center. METHODS The trauma registry at the Los Angeles County + University of ...

Muitos prematuros extremos necessitam de ventilação assistida. Ao serem extubados, após a resolução da disfunção pulmonar inicial, esses bebês correm risco de haver insucesso na extubação devido a esforço respiratório diminuído, atelectasia, anormalidades da função pulmonar residual ou doença intercorrente. Manter esses bebês extubados diminui a ocorrência de lesão pulmonar e melhora os desfech...

objective: to determine the predictive and diagnostic value of thorax trauma severity score (ttss) in a population of thoracic trauma patients admitted to a secondary level trauma center. methods : a retrospective analysis of patients admitted over a period of two years with idc-9 codes related to thoracic trauma was undertaken. the association of ttss with complications and mortality was evalu...

BACKGROUND The deterioration of hemodynamics instantly endangers the patients' life after polytrauma. As accidental hypothermia frequently occurs in polytrauma, therapeutic hypothermia still displays an ambivalent role as the impact on the cardiopulmonary function is not yet fully understood. METHODS We have previously established a porcine polytrauma model including blunt chest trauma, penet...

BACKGROUND Simulation-based training provides a low-stress learning environment where real-life emergencies can be practiced. Simulation can improve surgical education and patient care in crisis situations through a team approach emphasizing interpersonal and communication skills. OBJECTIVE This study assessed the effects of simulation-based training in the context of trauma resuscitation in ...

background most patients with trauma experience different levels of pain. due to side effects as well as economic burden of drugs used for pain relief after trauma commonly, it is important to use low-cost methods independently or combined with drugs to alleviate pain. objectives therefore, this study aimed to investigate the effects of topical sesame oil on pain severity and frequency of recei...

BACKGROUND There is increasing theoretical, clinical and research evidence for the role of trauma memory in the aetiology of acute pathological stress responses in adults. However, research into the phenomenology of trauma memories in young people is currently scarce. METHODS This study compared the nature of trauma narratives to narratives of unpleasant non-traumatic events in young people (...