The possible relationship between physical trauma or psychologic stress and a symptom of nervous system dysfunction that appears or recurs has long puzzled neurologists, psychiatrists and lawyers. Expert opinions have varied from the definite implication of such relationship to the view that neither trauma nor stress causes or even precipitates disease symptoms. In studying this question, it is...

OBJECTIVE To explore and compare severely injured patients' rehabilitation goals with respect to their functioning and the reported goals of rehabilitation professionals. DESIGN A prospective cohort study, including longitudinal data on patients' functioning and cross-sectional data from the patients' and professionals' goal descriptions. SUBJECTS Sixty-six patients (53 men, 13 women, mean ...

Treatment of polytrauma patients requires a large number of well trained staff and expensive medical equipment. The high medical standard in polytrauma care resulted in a reduction of a 40% lethality in the 70's to 10 to 15% today. The changes in german health systems (GSG) cut down the financial resources and call for careful evaluation of costs in trauma centers. Our analysis of the costs of ...

cervical injury, blunt and penetrating trauma, hardly lead to morbidity and mortality in children population but it is clinically important. although blunt trauma is less prevalence in children than penetrating trauma, it is life threatening due to laryngotracheal rupture. bicycle accidents are common reason of blunt trauma. blunt laryngotracheal injury is rare in children because mandibular bo...

Treatment of polytrauma patients remains a medical as well as socioeconomic challenge. Although diagnostics and therapy improved during the last decades, multiple injuries are still the major cause of fatalities in patients below 45 years of age. Organ dysfunction and organ failure are major complications in patients with major injuries and contribute to mortality during the clinical course. Pr...

SB validated many aspects of elderly trauma research and physiology. Although he had a prolonged length of stay and several complications, he survived multiple injuries and had a positive outcome. Exact causes for his complications and processes cannot be separated into degenerative or injury-related and are thus difficult to identify. With a review of aging physiology and SB's history, it is c...

Background Severe multiple injuries cause post-traumatic stress symptoms (PTSS). In a biopsychosocial rehabilitation perspective knowledge about the patients' mental health and PTSS is important. Factors predicting PTSS should be identified and implemented into the rehabilitation processes. Aims were to describe PTSS status for multiple trauma patients at 2 years postinjury, and relations betwe...