BACKGROUND The proportion of death and disability related to trauma is increasing in Third-World countries. Thoracic trauma is significantly involved, but few data are available on this issue in African countries with specific local conditions. METHODS The aim of the study is to analyse the diagnosis and management procedures in thoracic trauma in a typical African country. The records of 354...

IMPORTANCE Refugees are a vulnerable class of immigrants who have fled their countries, typically following war, violence, or natural disaster, and who have frequently experienced trauma. In primary care, engaging refugees to develop a positive therapeutic relationship is challenging. Relative to care of other primary care patients, there are important differences in symptom evaluation and deve...

Background & Aims: Increase in abdominal pressure can lead to the so-called intra–abdominal compartment syndrome (ACS) that is often observed during the first 24 hours after sever abdominal trauma and surgery. Measurement of the intra abdominal pressure through the bladder as a non-invasive measurement can provide a quick and accurate assessment of abdominal pressure changes. This study was per...

CONTEXT Childhood trauma appears to be a potent risk factor for chronic fatigue syndrome (CFS). Evidence from developmental neuroscience suggests that early experience programs the development of regulatory systems that are implicated in the pathophysiology of CFS, including the hypothalamic-pituitary-adrenal axis. However, the contribution of childhood trauma to neuroendocrine dysfunction in C...

Few studies have examined the impact of trauma research participation upon trauma survivors. Empirical data regarding reactions to research participation would be very useful to address the question of whether it is harmful for trauma survivors to participate in trauma studies. We examined participant reactions to different trauma assessment procedures in domestic violence (N = 260), rape (N = ...

Complex trauma is the result of repeated or chronic traumatic experiences in childhood. The traumatic experiences have a pervasive impact on the child’s physical, sensory, emotional, cognitive and social growth. This paper discusses how the proposed diagnostic category, Complex Trauma Disorder, identifies clusters of symptoms and behaviors that suggest the need for a multimodal approach to ther...

Herpes zoster results from reactivation of latent varicella zoster virus infection. Risk of zoster increases with age and with depressed cell mediated immunity, but relatively little is known about other factors. Case reports and case series have indicated that mechanical trauma may be a risk factor. But these studies had no control group, and physical mishaps and surgical trauma are common in ...

BACKGROUND Cervical spine clearance requires clinicians to assess the reliability of physical examination based on a patient's mental status and distracting injuries. Distracting injuries have never been clearly defined in military casualties. METHODS Retrospective review was conducted of patients entered into Department of Defense Trauma Registry January 2008 to August 2013, identifying blun...

OBJECTIVE Childhood trauma has previously been associated with adult obesity. The aim of this study was to determine if ethnicity altered the relationship between childhood trauma and obesity in South African women. METHODS Forty-four normal-weight (BMI < 25kg/m(2)) and obese (BMI > 30kg/m(2)), black and white premenopausal women completed the Childhood Trauma Questionnaire (CTQ), which retro...