To cite: Witt CE, Bulger EM. Trauma Surg Acute Care Open Published Online First: [please include Day Month Year] doi:10.1136/tsaco-2016000064 ABSTRACT Rib fractures are common among patients sustaining blunt trauma, and are markers of severe bodily and solid organ injury. They are associated with high morbidity and mortality, including multiple pulmonary complications, and can lead to chronic p...

STUDY DESIGN Office workers invited and agreeing to participate were assigned to one of three study groups: a group receiving a highly adjustable chair with office ergonomics training, a training-only group, and a control group receiving the training at the end of the study. OBJECTIVE To examine the effect of office ergonomics intervention in reducing musculoskeletal symptom growth over the w...

BACKGROUND Despite the prevailing notion than injury victims are healthy subjects, there is scarce evidence on their preinjury health status, particularly for motor vehicle crash (MVC) victims, where changes between their preinjury health status (or age- and sex-adjusted standards) have seldom been compared with their postinjury status. METHODS This longitudinal study recorded pre-event self-...

BACKGROUND Given recent evolving guidelines regarding postcall clinical relief of residents and emphasis on quality of life, novel strategies are required for implementing call schedules. The night float system has been used by some institutions as a strategy to decrease the burden of call on resident quality of life in level-1 trauma centres. The purpose of this study was to determine whether ...

Objective: Early trauma exposure has been demonstrated to significantly impact brain volume. Childhood trauma also contributes to onset of psychopathology, particularly depression. We sought to identify gray matter volume changes unique to trauma exposure in adolescent depression and hypothesized that adolescents with diagnosis of major depressive disorder (MDD) and childhood trauma would have ...

Severe trauma affects all structures of the self – one's image of the body; the internalized images of the others; and one's values and ideals – and leads to a sense that the self-coherence and self-continuity are invaded, assaulted, and systematically broken down. The traumatic events overwhelm the ordinary human adaptations to life and generally involve threats to life or bodily integrity, co...

The understanding of incipient periodontal pathology in children and adolescents is achieving deserved recognition and discussion.' Similarly, the treatment of "acute" dental and related periodontal trauma is widely understood.' Th,e diagnosis and treatment of subacute periodontal injury has been only meagerly documented in clinical literature. The determining factors in the response to both ac...

BACKGROUND Chronic headaches from head trauma and whiplash injury are well-known and common, but chronic headaches from other sorts of physical traumas are not recognized. METHODS Specific information was obtained from the medical records of 15 consecutive patients with chronic headaches related to physically injurious traumatic events that did not include either head trauma or whiplash injur...

Identifying the factors that contribute to ongoing intimate partner abuse (IPA) among survivors of childhood abuse is essential to developing appropriate interventions. The current study assessed prospectively whether childhood betrayal trauma (BT) history and women's potential dependence on their perpetrators (unemployment, number of children below 13) increased women's risk of ongoing victimi...

We hypothesized that less malalignment and complications occur with intramedullary nailing of distal third tibia fractures (42A, B, C) after the implementation of orthopedic trauma surgeons to this level II community hospital. We also hypothesized that patients with < or =5 degrees of malalignment have poorer function as measured by the MODEMS functional outcome scale. Two cohorts of distal thi...