Previous research suggests that the care provided to trauma patients could be improved by including early screening and management of emotional distress and psychological comorbidity. The Trauma Collaborative Care (TCC) program, which is based on the principles of well-established models of collaborative care, was designed to address this gap in trauma center care. This article describes the TCC program and the design of a multicenter study to evaluate its effectiveness for improving patient outcomes after major, high-energy orthopaedic trauma at level 1 trauma centers. The TCC program was evaluated by comparing outcomes of patients treated at 6 intervention sites (n = 481) with 6 trauma centers where care was delivered as usual (control sites, n = 419). Compared with standard treatment alone, it is hypothesized that access to the TCC program plus standard treatment will result in lower rates of poor patient-reported function, depression, and posttraumatic stress disorder.
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http://dx.doi.org/10.1097/BOT.0000000000000792 | DOI Listing |
N Engl J Med
January 2025
From Boston College Law School, Chestnut Hill, MA (D.A.W.); the University of Maryland at College Park, College Park (M.C.); Washington, DC (D.A.A.); the Global Observatory on Planetary Health, Boston College, Chestnut Hill, MA (C.B., T.C.C., C.G., K.S., E.M.W., A.Y., P.J.L.); the University of Louisville, Louisville, KY (A.B., T.R.S., J.C.S.); the Nicholas School of the Environment, Duke University, Durham, NC (L.S.B.); the Bloomberg School of Public Health, Johns Hopkins University, Baltimore (T.A.B.); the Zuckerberg College of Health Sciences, University of Massachusetts at Lowell, Lowell (K.G., J.A.T.); the United Nations Environment Program, Nairobi (P.K.); the Cesare Maltoni Cancer Research Center, Ramazzini Institute, Bologna, Italy (D.M.); the University of Massachusetts at Amherst, Amherst (Y.P.); the Centre Scientifique de Monaco, Monaco (H.R., P.J.L.); the Innovation Lab, Client Earth, London (A.R.); the Barcelona Institute for Global Health, Barcelona (K.S.); the University of Texas School of Law, Austin (W.W.); the Technology and Society Laboratory, Empa-Swiss Federal Laboratories for Materials Science and Technology, St. Gallen, Switzerland (Z.W.); and the Environmental Research and Translation for Health Center and the Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco (T.J.W.).
Small
December 2024
State Key Laboratory of Analytical Chemistry for Life Science, School of Chemistry and Chemical Engineering, Nanjing University, Nanjing, 210023, China.
J Endocrinol Invest
December 2024
Department of Endocrinology and Metabolism, The Second Hospital of Dalian Medical University, Dalian, 116027, People's Republic of China.
Background: Hashimoto's thyroiditis (HT) is the most common autoimmune thyroid disease (AITD), which is distinguished by high thyroid peroxidase antibody (TPOAb) or thyroglobulin antibody (TgAb). The differentiation of CD4T cell subsets in patients with HT is imbalanced, with Treg cells decreased and Th17 cells abnormally activated. Fatty acid oxidation supports the differentiation of Th17 cells and induces inflammation, but the specific mechanism is still unknown.
View Article and Find Full Text PDFEnviron Toxicol
November 2024
Graduate Institute of Biomedical Sciences, National Chung Hsing University, Taichung, Taiwan.
Am J Lifestyle Med
April 2024
Department of Health & Human Performance, University of Tennessee Chattanooga, Chattanooga, TN, USA (EDH).
The changing needs of our nation's military veterans call for a change in the healthcare system delivery models providing their primary sources of care. The VA Healthcare System has incorporated a whole health movement emphasizing individualized approaches to healthcare by encouraging complementary and integrative programs. Wheelchair/Adaptive Tai Chi Chuan (W/A/TCC) is such program offering a transformative opportunity to programmatically enhance veteran healthcare services by enhancing the training of VA healthcare providers.
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