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The aim of this comparative study was to examine the possible benefits of a dedicated Orthopaedic Trauma Room (DOTR) and in the care of patients with proximal femur fractures. A retrospective study of all orthopaedic cases with a hip fracture from 2020 to 2022 at CHC Montlegia has been undertaken, the group is compared to patients with the same impairment from 2018-2020 admitted to Saint Joseph/Esperance CHC hospitals (before the merge and the existence of a DOTR). The delay between the arrival at the emergency department and transfer to the operating room, as well as the mortality are evaluated.
View Article and Find Full Text PDFIdeal burn resuscitation: a step toward resolving the dilemma in acute flame burn management.
Int J Burns Trauma
December 2024
Burn Care Center, Pakistan Institute of Medical Sciences (G-8/3), Shaheed Zulfiqar Ali Bhutto Medical University Islamabad, Pakistan.
Following severe burns, the predominant concern is significant fluid loss, for which balanced crystalloid solutions are widely recommended as the primary intravenous resuscitation fluids. However, current literature lacks a clear distinction among various buffered crystalloid types that might be most effective in the early resuscitation of burn patients. This retrospective study was conducted to identify the optimal resuscitation fluid for major burns and to assess the clinical outcomes associated with isotonic crystalloid solutions compared to hypotonic crystalloids, specifically in terms of urinary output, acid-base balance, and electrolyte stability.
View Article and Find Full Text PDFThe anterior offset of the standard entry point for tibial intramedullary nails: A transparent 3D-CT image based analysis.
J Orthop
August 2025
Department of Orthopaedic Surgery, Oita University Hospital, Japan.
Background: This study examines the relationship between the anterior offset of the tibial intramedullary nail (TIN) entry point and the tibial shaft axis to enhance the fit and alignment of TINs, using transparent 3D-CT in an accurate lateral view to minimize rotational artifacts.
Methods: Data were collected from 100 adult patients undergoing tibial CT scans. Measurements included the anterior offset from the tibial axis to the entry point, tibial tubercle offset, tibial plateau length, posterior slope, tibial length, isthmus diameter, and the isthmus-to-tibial length ratio.
Surgical interventions for degenerative cervical disease: Impact on patient quality of life, mental health, pain relief, and spiritual health.
Heliyon
January 2025
Department of Plastic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan, 83301.
Introduction: Degenerative cervical diseases can severely affect patients' quality of life (QOL), mental health, and physical function. While surgical intervention is a common treatment, its impact on holistic well-being, including spiritual health, has not been thoroughly explored. This study aimed to evaluate the effects of surgery on QOL, pain-related disability, mental health, and spiritual well-being in patients with degenerative cervical diseases.
View Article and Find Full Text PDFHealing the healers: A systematic review on the burden of secondary traumatic stress among healthcare providers.
J Educ Health Promot
December 2024
Mental Health Nursing Department, Symbiosis College of Nursing, Symbiosis International (Deemed University), Pune, Maharashtra, India.
Healthcare professionals (HCPs) are exposed to the traumatic and painful experiences of others as a part of their caring profession, which leaves them vulnerable to developing secondary traumatic stress (STS). It is an occupational hazard for those who provide direct patient care. Systematic review of quantitative studies on secondary traumatic stress among healthcare professionals was published in English between 2013 and 2023, using electronic databases: CINAHL, PubMed, MEDLINE, Global Health, PsychoInfo, and Google Scholar.
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