BACKGROUND Damage to the intestinal barrier often occurs following severe trauma. It has been reported that enteral nutrition with dietary fiber (DF) could mitigate impairment of the intestinal barrier and might therefore be effective in clinical application; however, the conclusions from existing trials are controversial and the nature of the protective mechanism is far from clear. This study ...

abstract vascular injury presents a great challenge to the emergency resident because these injuries require urgent intervention to prevent loss of life or limb. sometimes serious vascular injury presents with only subtle or occult signs or symptoms. the patient may present weeks or months after initial injury with symptoms of vascular insufficiency, embolization, pseudoaneurysm, arteriovenous ...

BACKGROUND Acute kidney injury (AKI) is common among intensive care unit (ICU) patients and is associated with high mortality. Type of ICU, category of admission diagnosis, and socioeconomic characteristics of the region can impact AKI outcomes. We aimed to determine incidence, associated factors and mortality of AKI among trauma and non-trauma patients in a general ICU from a low-income area. ...

Sport injury epidemiology has received increased recognition as a field of sport medicine research that can improve the health and safety of athletes. Injuries among Paralympic powerlifters have not previously been systematically studied. The purpose of this prospective cohort study was to characterize injuries among Paralympic powerlifters. Athletes competing in the sport of powerlifting were ...

conclusions many factors, such as gender, age, education, type of trauma, and location of injured organ, may predict adl following limb trauma. background traumatic injuries in the elderly often lead to permanent disabilities and long-term treatments that can adversely influence their activities of daily of living (adl). the effect on adl is an important outcome in elderly trauma. objectives th...

background activities of daily living (adl) are an important indicator of health and independence in the elderly. it provides useful information for proper planning in the field of elderly care. trauma in the elderly population is frequent and negatively affects the independence in adl. objectives the purpose of the present study was to evaluate elderly independence in activities of daily livin...

background activities of daily living (adl) are an important indicator of health and independence in elderly. it provides useful information for proper planning in the field of elderly care. trauma in elderly population is frequent and can negatively affect the independence in adl. objectives the purpose of the present study was to evaluate elderly independence in activities of daily living (ad...

OBJECTIVES The objectives of this study were 1) to assess potential changes in the incidence and outcome of sepsis after multiple trauma in Germany between 1993 and 2008 and 2) to evaluate independent risk factors for posttraumatic sepsis. DESIGN Retrospective analysis of a nationwide, population-based prospective database, the Trauma Registry of the German Society for Trauma Surgery. SETTI...

BACKGROUND Our aim was to describe the range of perineal trauma in women with a singleton vaginal birth and estimate the effect of maternal and obstetric characteristics on the incidence of perineal tears. METHODS We conducted a prospective observational study on all women with a planned singleton vaginal delivery between May and September 2006 in one obstetric unit, three freestanding midwif...