Early detection of deficient care is an increasingly important element of trauma audit. We aimed to assess the feasibility and demonstrate the use of a variable life adjusted display (VLAD) in trauma audit. Data from the Trauma Audit and Research Network database of Sheffield Teaching Hospitals NHS Trust were used to create a VLAD. A cumulative display of survival was plotted in which survivors...

This study evaluated a theoretically and empirically based model of the progression of acute neck and back pain to chronic pain and disability, developed from the literature in chronic pain, cognition, and stress and trauma. Clinical information and standardized psychosocial measures of cumulative traumatic events exposure (TLEQ), depressed mood (CES-D), pain (DDS), physical disability (PDI), a...

Over half a century of converging clinical and animal research indicates that early life experiences induce enduring neuroplasticity of the HPA-axis and the developing brain. This experience-induced neuroplasticity is due to alterations in the frequency and intensity of stimulation of pups' sensory systems (i.e., olfactory, somatosensory, gustatory) embedded in mother-infant interactions. This ...

objectives: to compare the results of early versus late tracheostomy in trauma patients admitted to intensive care unit (icu). methods: this was case control study being performed at a major trauma centre in shiraz, iran including 120 trauma patients admitted to icu during a 2-year period and underwent tracheostomy during their icu stay. the patients were categorized into two groups of the earl...

The growing prevalence of students affected by complex trauma, and the significant implications unresolved trauma for these later in life, highlights imperative a system-wide response to address effects student populations. An important step this system-level is increasing knowledge pre-service teachers trauma-informed education practice through initial teacher programs. Trauma-informed setting...

BACKGROUND Childhood trauma and recent life-events have been related to psychotic disorders. The aim of the present study was to examine whether childhood trauma and recent life-events are significantly more prevalent in patients at Ultra High Risk (UHR) of developing a psychotic disorder compared to healthy controls. METHOD A search of PsychInfo and Embase was conducted, relevant papers were...

BACKGROUND The "default network" consists of a number of brain regions that exhibit correlated low-frequency activity at rest and that have been suggested to be involved in the processing of self-relevant stimuli. Activity in many of these areas has also been shown to be altered in individuals with posttraumatic stress disorder (PTSD). We hypothesized that the posterior cingulate cortex (PCC)/p...

Many children in the child welfare system (CWS) have histories of recurrent interpersonal trauma perpetrated by caregivers early in life often referred to as complex trauma. Children in the CWS also experience a diverse range of reactions across multiple areas of functioning that are associated with such exposure. Nevertheless, few CWSs routinely screen for trauma exposure and associated sympto...

Background: Acute kidney injury (AKI) is a common problem in critically ill patients and is independently associated with increased morbidity and mortality. Recently, serum cystatin C has been shown to be superior to creatinine in early detection of renal function impairment. We compared estimated GFR based on serum cystatin C with estimated GFR based on serum creatinine for early detection of ...

conclusions age, injury severity, injured body region, and hospital-acquired infections are important determinants of trauma outcome in our center. timely recognition of factors affecting trauma mortality is crucial for monitoring changes of trauma quality of care. our findings suggest the need to allocate resources for trauma prevention along with a potential focus on reducing in-hospital comp...