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1,326 Results Found

  • Review
  • Open Access
2 Citations
5,290 Views
22 Pages

1 January 2025

This review critically evaluates the existing literature on youth punishment system (YPS)-involved Black girls and their intersections of with trauma and post-traumatic stress disorder (PTSD). It synthesizes findings from previous studies, identifyin...

  • Article
  • Open Access
6 Citations
4,507 Views
11 Pages

Prehospital Trauma Scoring Systems for Evaluation of Trauma Severity and Prediction of Outcomes

  • Radojka Jokšić-Mazinjanin,
  • Nikolina Marić,
  • Aleksandar Đuričin,
  • Zoran Gojković,
  • Velibor Vasović,
  • Goran Rakić,
  • Milena Jokšić-Zelić and
  • Siniša Saravolac

Introduction: Trauma scoring systems in prehospital settings are supposed to ensure the most appropriate in-hospital treatment of the injured. Aim of the study: To determine the sensitivity and specificity of the CRAMS scale (circulation, respiration...

  • Article
  • Open Access
2 Citations
1,948 Views
8 Pages

How the changes in the system affect trauma care provision: The assessment of and implications for Lithuanian trauma service performance in 2007–2012

  • Žilvinas Dambrauskas,
  • Vytautas Aukštakalnis,
  • Aurika Karbonskienė,
  • Dmitrijus Kačiurinas,
  • Jolanta Vokietienė,
  • Robertas Lapka,
  • Algimantas Pamerneckas,
  • Narūnas Porvaneckas,
  • Kęstutis Stašaitis and
  • Raimundas Lunevičius
  • + 3 authors

6 January 2017

Objective: The aim of this study was to identify and assess the effects of changes in the Lithuanian trauma service from 2007 to 2012. We postulate that the implications derived from this study will be of importance to trauma policy planners and make...

  • Article
  • Open Access
32 Citations
3,244 Views
12 Pages

Performance of Prognostic Scoring Systems in Trauma Patients in the Intensive Care Unit of a Trauma Center

  • Shao-Chun Wu,
  • Sheng-En Chou,
  • Hang-Tsung Liu,
  • Ting-Min Hsieh,
  • Wei-Ti Su,
  • Peng-Chen Chien and
  • Ching-Hua Hsieh

Background: Prediction of mortality outcomes in trauma patients in the intensive care unit (ICU) is important for patient care and quality improvement. We aimed to measure the performance of 11 prognostic scoring systems for predicting mortality outc...

  • Concept Paper
  • Open Access
4 Citations
5,816 Views
16 Pages

Innovations in Trauma-Informed Care: Building the Nation’s First System of Trauma-Informed Recreation Centers

  • Megan R. Holmes,
  • Jennifer A. King,
  • Emily K. Miller,
  • Dakota L. King-White,
  • Amy E. Korsch-Williams,
  • Erica M. Johnson,
  • Tomeika S. Oliver and
  • Ivan T. Conard

9 May 2023

Exposure to adversity and traumatic events affects well-being across important domains of functioning, including mental, physical, social, emotional, spiritual, and neurobiological. Situated as a focal point throughout neighborhoods, recreation cente...

  • Article
  • Open Access
1,691 Views
17 Pages

22 September 2025

Jurors play a critical role in the administration of justice, yet their compulsory exposure to graphic and distressing evidence during criminal trials is often overlooked in discussions of mental health and legal reform. This paper investigates the p...

  • Article
  • Open Access
5 Citations
10,453 Views
26 Pages

22 August 2023

A thread of trauma weaves throughout the U.S. criminal legal system, beginning with individual childhood experiences that are situated within families, communities, and systems that are embedded in structural oppression, thereby increasing the risk o...

  • Article
  • Open Access
510 Views
15 Pages

Validation of an ICD-9-CM-Based Monitoring Tool for Regional Trauma Systems: The PaTraME Study in Pavia Province, Italy

  • Paola Fugazzola,
  • Leandro Gentile,
  • Francesco Chiarolanza,
  • Pietro Perotti,
  • Mario Alessiani,
  • Federico Capra Marzani,
  • Lorenzo Cobianchi,
  • Simone Frassini,
  • Federico Alberto Grassi and
  • on behalf of the PaTraME Study Group
  • + 6 authors

27 December 2025

Background/Objectives: Continuous trauma-system monitoring is limited by the lack of scalable, low-cost tools. The Pavia Trauma Management Epidemiology (PaTraME) project uses routinely collected ICD-9-CM discharge data (SDO) and the Trauma Mortality...

  • Article
  • Open Access
15 Citations
3,232 Views
13 Pages

The Predictive Role of Systemic Inflammatory Markers in the Development of Acute Kidney Failure and Mortality in Patients with Abdominal Trauma

  • Vlad Vunvulea,
  • Ovidiu Aurelian Budișcă,
  • Emil Marian Arbănași,
  • Adrian Vasile Mureșan,
  • Eliza Mihaela Arbănași,
  • Klara Brînzaniuc,
  • Raluca Niculescu,
  • Iuliu Gabriel Cocuz,
  • Adrian Dumitru Ivănescu and
  • Bogdan Andrei Suciu
  • + 4 authors

10 December 2022

Background: Abdominal trauma is defined as a variety of injuries to the abdominal wall, solid or hollow intra-abdominal organs, and various intra-abdominal vessels. Recently, there has been a significant amount of interest in the establishment of a r...

  • Article
  • Open Access
2 Citations
1,765 Views
11 Pages

Predictors of Short-Term Trauma Laparotomy Outcomes in an Integrated Military–Civilian Health System: A 23-Year Retrospective Cohort Study

  • Sami Gendler,
  • Shaul Gelikas,
  • Tomer Talmy,
  • Roy Nadler,
  • Avishai M. Tsur,
  • Irina Radomislensky,
  • Moran Bodas,
  • Elon Glassberg,
  • Ofer Almog and
  • Jacob Chen
  • + 1 author

22 March 2024

Background: Trauma laparotomy (TL) remains a cornerstone of trauma care. We aimed to investigate prehospital measures associated with in-hospital mortality among casualties subsequently undergoing TLs in civilian hospitals. Methods: This retrospectiv...

  • Article
  • Open Access
1,761 Views
13 Pages

Background/Objectives: This study investigates the evolution of hospital capacity and utilization in California between 2003 and 2023, focusing on emergency departments (EDs) and trauma centers (TCs). We seek to document structural changes in the hea...

  • Article
  • Open Access
22 Citations
9,193 Views
12 Pages

The Abbreviated Injury Scale (AIS) measures injury severity of a trauma patient with a numeric method for ranking anatomy-based specific injuries. The summation of the squares of the three most severe injuries in the AIS of six predefined body region...

  • Article
  • Open Access
10 Citations
3,771 Views
12 Pages

Background: For elderly trauma patients, a prognostic tool called the Geriatric Trauma Outcome Score (GTOS), where GTOS = (age) + (ISS × 2.5) + (22 if any packed red blood cells (pRBCs) were transfused within 24 h after admission), was develope...

  • Article
  • Open Access
2,177 Views
11 Pages

Toward Standardized Massive Transfusion Protocols: A Multicenter Evaluation of Practice Variability Within a National Trauma System

  • Dongmin Seo,
  • Junsik Kwon,
  • Inhae Heo,
  • Younghwan Kim,
  • Jae Hun Kim,
  • Taegyun Kim,
  • Hangjoo Cho and
  • Kyoungwon Jung

Background/Objectives: Hemorrhage remains a leading cause of early mortality in trauma patients, and timely transfusion guided by a structured massive transfusion protocol (MTP) is critical for improving outcomes. Although regional trauma centers hav...

  • Article
  • Open Access
1,071 Views
13 Pages

22 August 2025

Background/Objectives: Nipple trauma is a common challenge during the early postpartum period, often undermining maternal confidence and breastfeeding success. Although deep-learning-based image analysis offers the potential for objective and remote...

  • Article
  • Open Access
2 Citations
1,907 Views
15 Pages

Epidemiology of Traumatic Injuries at a Single Regional Trauma Center in South Korea: Age-Specific and Temporal Trends (2014–2023)

  • Sebeom Jeon,
  • Gil-Jae Lee,
  • Mina Lee,
  • Kang-Kook Choi,
  • Seung-Hwan Lee,
  • Sung-Youl Hyun,
  • Yang-Bin Jeon and
  • Byungchul Yu

Background/Objectives: Trauma remains a leading cause of morbidity and mortality worldwide, significantly affecting younger and aging populations. The regional trauma center establishment in South Korea in 2014 marked a pivotal advancement in the nat...

  • Review
  • Open Access
54 Citations
9,035 Views
28 Pages

Traumatic stress may chronically affect master homeostatic systems at the crossroads of peripheral and central susceptibility pathways and lead to the biological embedment of trauma-related allostatic trajectories through neurobiological alterations...

  • Article
  • Open Access
9 Citations
2,826 Views
12 Pages

Blood Count-Derived Inflammatory Markers Correlate with Lengthier Hospital Stay and Are Predictors of Pneumothorax Risk in Thoracic Trauma Patients

  • Vlad Vunvulea,
  • Răzvan Marian Melinte,
  • Klara Brinzaniuc,
  • Bogdan Andrei Suciu,
  • Adrian Dumitru Ivănescu,
  • Ioana Hălmaciu,
  • Zsuzsanna Incze-Bartha,
  • Ylenia Pastorello,
  • Cristian Trâmbițaș and
  • Timur Hogea
  • + 3 authors

(1) Background: Trauma is one of the leading causes of death worldwide, with the chest being the third most frequent body part injured after abdominal and head trauma. Identifying and predicting injuries related to the trauma mechanism is the initial...

  • Article
  • Open Access
5 Citations
4,185 Views
16 Pages

This study aimed to assess the effect of the county-level medical centre policy on the health outcomes of trauma patients transported by emergency medical service (EMS) system in rural China. The methodology involved the use of electronic health reco...

  • Review
  • Open Access
28 Citations
6,030 Views
19 Pages

Trauma, a Matter of the Heart—Molecular Mechanism of Post-Traumatic Cardiac Dysfunction

  • Birte Weber,
  • Ina Lackner,
  • Florian Gebhard,
  • Theodore Miclau and
  • Miriam Kalbitz

Trauma remains a leading global cause of mortality, particularly in the young population. In the United States, approximately 30,000 patients with blunt cardiac trauma were recorded annually. Cardiac damage is a predictor for poor outcome after multi...

  • Concept Paper
  • Open Access
11 Citations
4,535 Views
22 Pages

24 April 2023

A paradigm shift is under way in the human services because of breakthrough knowledge and research in understanding the underlying etiology of physical, emotional, and social problems at the micro-level of the individual, at the meso-level of the fam...

  • Article
  • Open Access
1,315 Views
10 Pages

Background: Trauma injury scoring systems are essential for standardized assessment, treatment decisions, and outcome prediction in trauma patients. The mechanism, Glasgow Coma Scale (GCS), age, and arterial pressure (MGAP) score offers a simplified...

  • Review
  • Open Access
13 Citations
5,632 Views
13 Pages

Liver Trauma: Until When We Have to Delay Surgery? A Review

  • Inés Cañas García,
  • Julio Santoyo Villalba,
  • Domenico Iovino,
  • Caterina Franchi,
  • Valentina Iori,
  • Giuseppe Pettinato,
  • Davide Inversini,
  • Francesco Amico and
  • Giuseppe Ietto

6 May 2022

Liver involvement after abdominal blunt trauma must be expected, and in up to 30% of cases, spleen, kidney, and pancreas injuries may coexist. Whenever hemodynamics conditions do not contraindicate the overcoming of the ancient dogma according to whi...

  • Concept Paper
  • Open Access
8 Citations
7,003 Views
21 Pages

ARCCH Model of Resilience: A Flexible Multisystemic Resilience Framework

  • Armeda Stevenson Wojciak,
  • Jan Powers,
  • Athena Chung Yin Chan,
  • Allison L. Pleggenkuhle and
  • Lisa M. Hooper

The increasing prevalence and impact of trauma, such as adverse childhood experiences, race-based trauma, and a global pandemic, highlight the critical need for a flexible multisystemic framework of resilience. This manuscript outlines the universali...

  • Article
  • Open Access
21 Citations
7,587 Views
11 Pages

The Ultimate Safe System: Redefining the Safe System Approach for Road Safety

  • R. F. Soames Job,
  • Jessica Truong and
  • Chika Sakashita

3 March 2022

The Safe System approach to road safety has been adopted in many countries, but it has been adopted pervasively to a substantially constrained extent. This paper argues that effective adoption is hampered by two weaknesses in strategies for the imple...

  • Article
  • Open Access
10 Citations
2,149 Views
13 Pages

Descriptive Analysis of Trauma Admission Trends before and during the COVID-19 Pandemic

  • Mariusz Jojczuk,
  • Katarzyna Naylor,
  • Adrianna Serwin,
  • Iwona Dolliver,
  • Dariusz Głuchowski,
  • Jakub Gajewski,
  • Robert Karpiński,
  • Przemysław Krakowski,
  • Kamil Torres and
  • Krzysztof Goniewicz
  • + 2 authors

2 January 2024

Introduction: Traumatic injuries are a significant global health concern, with profound medical and socioeconomic impacts. This study explores the patterns of trauma-related hospitalizations in the Lublin Province of Poland, with a particular focus o...

  • Article
  • Open Access
964 Views
23 Pages

25 June 2025

This article explores the emotional transformations of teachers since the pandemic, shifting from idealised passion for their profession to a more balanced, self-preserving approach to their work and mental well-being. Through four case studies of te...

  • Article
  • Open Access
3 Citations
2,235 Views
13 Pages

3 March 2022

(1) Background: Current findings emphasize the potential contribution of platelets to the immunological response after severe trauma. As clinical relevance remains unclear, this study aims to analyze the correlation between platelets and lung dysfunc...

  • Article
  • Open Access
1 Citations
983 Views
12 Pages

Background and Objectives: Major trauma ranks among the leading causes of mortality and handicap in both developing and developed countries, consuming substantial healthcare resources. Its unpredictable nature and diverse clinical presentations often...

  • Review
  • Open Access
1 Citations
1,913 Views
20 Pages

Proteasomes and Ubiquitin C-Terminal Hydrolase L1 as Biomarkers of Tissue Damage and Inflammatory Response to Different Types of Injury—A Short Review

  • Marzena Tylicka,
  • Ewa Matuszczak,
  • Joanna Kamińska,
  • Beata Modzelewska and
  • Olga Martyna Koper-Lenkiewicz

6 March 2025

The proteasomal system of protein degradation is crucial for various cellular processes, including transduction of signals and differentiation of cells. Proteasome activity rises after various traumatic stressors such as hyperoxia, radiation, or oxid...

  • Article
  • Open Access
4 Citations
4,170 Views
12 Pages

The Osteoporosis Self-assessment Tool for Asians (OSTA) is a validated index based on age and weight to predict the risk of osteoporosis in women. This cross-sectional study was designed to evaluate the impact of sexual dimorphism on the trauma patte...

  • Article
  • Open Access
7 Citations
2,404 Views
12 Pages

Use of Reverse Shock Index Multiplied by Simplified Motor Score in a Five-Level Triage System: Identifying Trauma in Adult Patients at a High Risk of Mortality

  • Po-Chen Lin,
  • Meng-Yu Wu,
  • Da-Sen Chien,
  • Jui-Yuan Chung,
  • Chi-Yuan Liu,
  • I-Shiang Tzeng,
  • Yueh-Tseng Hou,
  • Yu-Long Chen and
  • Giou-Teng Yiang

18 April 2024

Background and Objectives: The Taiwan Triage and Acuity Scale (TTAS) is reliable for triaging patients in emergency departments in Taiwan; however, most triage decisions are still based on chief complaints. The reverse-shock index (SI) multiplied by...

  • Article
  • Open Access
16 Citations
4,382 Views
15 Pages

23 February 2022

The 1990s saw the emergence of the Swedish Vision Zero and the Dutch Sustainable Safety philosophies on road safety. At the time, both were considered somewhat radical and ambitious departures from the status quo. The principles that underpinned both...

  • Article
  • Open Access
3 Citations
2,025 Views
12 Pages

Applicability of Anatomic and Physiologic Scoring Systems for the Prediction of Outcome in Polytraumatized Patients with Blunt Aortic Injuries

  • Alexander Omar,
  • Marcel Winkelmann,
  • Emmanouil Liodakis,
  • Jan-Dierk Clausen,
  • Tilman Graulich,
  • Mohamed Omar,
  • Christian Krettek and
  • Christian Macke

21 November 2021

Background: Most patients with blunt aortic injuries, who arrive alive in a clinic, suffer from traumatic pseudoaneurysms. Due to modern treatments, the perioperative mortality has significantly decreased. Therefore, it is unclear how exact the predi...

  • Feature Paper
  • Article
  • Open Access
4 Citations
1,475 Views
9 Pages

Demographics and Comorbidities of United States Service Members with Combat-Related Lower Extremity Limb Salvage

  • Stephen M. Goldman,
  • Susan L. Eskridge,
  • Sarah R. Franco and
  • Christopher L. Dearth

31 October 2023

Introduction: This retrospective study describes the demographics and injury characteristics of a recently identified cohort of US Service members with combat-related lower extremity limb salvage (LS). Methods: US Service members with combat trauma w...

  • Article
  • Open Access
1 Citations
562 Views
14 Pages

Objectives: This study investigates the effects of resveratrol on systemic inflammatory, oxidative, and metabolic responses in a rat model that combines surgical trauma with prior exposure to Single Prolonged Stress (SPS), an established experimental...

  • Article
  • Open Access
2,172 Views
26 Pages

Co-Creating a District-Wide Professional Development Program and Implementation Model for Trauma-Informed Schools

  • Megan Blanton,
  • Erum Nadeem,
  • Pamela Vona,
  • Anusha Sahay,
  • Olivia Kycia,
  • Chris Dudek,
  • Jade Garcia and
  • Candace Coccaro

24 May 2025

Research practice partnerships (RPP) between schools and researchers present a promising approach to co-creating scalable professional development for trauma-informed schools. This study used an RPP to develop an implementation model for a trauma-inf...

  • Review
  • Open Access
19 Citations
6,696 Views
16 Pages

Laparoscopy in Emergency: Why Not? Advantages of Laparoscopy in Major Emergency: A Review

  • Giuseppe Ietto,
  • Francesco Amico,
  • Giuseppe Pettinato,
  • Valentina Iori and
  • Giulio Carcano

3 September 2021

A laparoscopic approach is suggested with the highest grade of recommendation for acute cholecystitis, perforated gastroduodenal ulcers, acute appendicitis, gynaecological disorders, and non-specific abdominal pain (NSAP). To date, the main qualities...

  • Review
  • Open Access
81 Citations
15,853 Views
22 Pages

Trauma Informed Child Welfare Systems—A Rapid Evidence Review

  • Lisa Bunting,
  • Lorna Montgomery,
  • Suzanne Mooney,
  • Mandi MacDonald,
  • Stephen Coulter,
  • David Hayes and
  • Gavin Davidson

Trauma informed care (TIC) is a whole system organisational change process which emerged from the seminal Adverse Childhood Experiences (ACE) study, establishing a strong graded relationship between the number of childhood adversities experienced and...

  • Article
  • Open Access
4,734 Views
9 Pages

28 June 2023

The purpose of this literature review is to inform and examine how foster children were affected by the COVID-19 pandemic. Many children enter and exit the child welfare system every day, and this did not stop due to the COVID-19 pandemic. There were...

  • Essay
  • Open Access
5 Citations
6,337 Views
30 Pages

31 August 2020

This intervention critiques the rationale which underpins the authority of the food system as a context for sustainability, resilience and self-organisation. We apply learning from embodied practice, in particular The Food Journey©, to demonstra...

  • Article
  • Open Access
4 Citations
2,211 Views
11 Pages

Background/Objectives: Trauma scoring systems are essential tools for predicting clinical outcomes in patients with multiple injuries. This study aimed to compare the performance of various anatomical and physiological scoring systems in predicting m...

  • Article
  • Open Access
6 Citations
2,974 Views
11 Pages

Evaluation of the Effects of Developmental Trauma on Neurotransmitter Systems Using Functional Molecular Imaging

  • Namhun Lee,
  • Se-Jong Oh,
  • Jang-Woo Park,
  • Kyung-Rok Nam,
  • Kyung-Jun Kang,
  • Kyo-Chul Lee,
  • Yong-Jin Lee,
  • June-Seek Choi,
  • Jeong-Ho Seok and
  • Jae-Yong Choi

Early life stress (ELS) is strongly associated with psychiatric disorders such as anxiety, depression, and schizophrenia in adulthood. To date, biological, behavioral, and structural aspects of ELS have been studied extensively, but their functional...

  • Article
  • Open Access
39 Citations
17,053 Views
23 Pages

Currently, there is rationale for separating the systemic manifestations of classical inflammation from systemic inflammation (SI) itself as an independent form of the general pathological process underlying the pathogenesis of the most severe acute...

  • Review
  • Open Access
16 Citations
4,261 Views
17 Pages

Application of Virtual Reality Systems in Bone Trauma Procedures

  • Chiedozie Kenneth Ugwoke,
  • Domenico Albano,
  • Nejc Umek,
  • Ivo Dumić-Čule and
  • Žiga Snoj

14 March 2023

Background and Objectives: Bone fractures contribute significantly to the global disease and disability burden and are associated with a high and escalating incidence and tremendous economic consequences. The increasingly challenging climate of ortho...

  • Systematic Review
  • Open Access
1,756 Views
13 Pages

Background: Former foster youth frequently experience housing instability, which hinders their transition to adulthood and affects key life outcomes including education, employment, mental health, and social connections. Objective: This scoping revie...

  • Review
  • Open Access
21 Citations
5,708 Views
25 Pages

Pharmacy Workplace Wellbeing and Resilience: Themes Identified from a Hermeneutic Phenomenological Analysis with Future Recommendations

  • Jon C. Schommer,
  • Caroline A. Gaither,
  • Nancy A. Alvarez,
  • SuHak Lee,
  • April M. Shaughnessy,
  • Vibhuti Arya,
  • Lourdes G. Planas,
  • Olajide Fadare and
  • Matthew J. Witry

23 November 2022

This study applied a hermeneutic phenomenological approach to better understand pharmacy workplace wellbeing and resilience using respondents’ written comments along with a blend of the researchers’ understanding of the phenomenon and the published l...

  • Viewpoint
  • Open Access
17 Citations
6,160 Views
12 Pages

6 November 2023

With the miniaturization of ultrasound and the development of artificial intelligence, its application in disaster scenes and pre-hospital emergency care has become more and more common. This study summarizes the literature on portable ultrasound in...

  • Article
  • Open Access
1 Citations
2,534 Views
20 Pages

13 December 2024

Introduction: Post-Traumatic Stress Disorder (PTSD) is a highly prevalent disorder and a highly debilitating condition. Although current theories focused on depressed mood and intrusion as critical dimensions, the mechanism through which depression i...

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