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MÁCHAL, D., P. ŠPIROCH, T. FÜRST, J. POCHYLOVÁ e Z. SEDLÁČKOVÁ. "Trauma Analysis in Patients Examined by Whole-Body CT". Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca 88, n.º 6 (15 de dezembro de 2021): 450–55. http://dx.doi.org/10.55095/achot2021/067.
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CHMELOVÁ, J., V. DŽUPA e L. PLEVA. "Pelvic Fractures: Role of Imaging Methods in the Diagnosis of Isolated Pelvic Fractures and Multi-Trauma". Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca 75, n.º 2 (1 de abril de 2008): 93–98. http://dx.doi.org/10.55095/achot2008/016.
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Salovaara, Ulla, e Janika Lindström. "”Meillä on ihan eri ongelmat ja eri traumat ja jutut kuin miehillä”". Kuntoutus 46, n.º 4 (18 de dezembro de 2023): 33–44. http://dx.doi.org/10.37451/kuntoutus.142110.
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Viime vuosina on rikosseuraamuksissa ja vapautuvien parissa työskentelevien parissa huomattu vankiloissa olevien ja sieltä vapautuvien naisten erityistarpeet. Erityisesti naisten kuntoutustarpeisiin vaikuttavat traumatausta, kompleksiset lähisuhteet sekä koettu häpeä ja stigma. Tässä tutkimuksessa mielenkiinnon kohteena on, millaisia tuen tarpeita naisvangeilla on ja millaisia naiserityisiä palveluita ja kuntoutusta vankilasta vapautuvat tarvitsevat. Tutkimusaineisto tuotettiin haastattelemalla yhtätoista rikostaustaista naista.
Haastatteluaineiston analyysin kautta rakentui naisvankien tuentarpeista kolme keskeistä seikkaa. Ensinnäkin vankilasta vapauteen ulottuva ja eri nivelvaiheissa katkeamaton tuki on tärkeää. Toiseksi palveluiden tarjoaminen ja palveluvalikoiman kattavuus eivät ole riittävät, vaan tarvitaan traumatietoisia ja naiserityisyyden tunnistavia palveluita. Tämä merkitsee traumojen käsittelyä terapeuttisessa ympäristössä sekä mahdollisuutta vuorovaikutukseen, jossa voi keskustella luottamusta vaativista asioista. Kolmanneksi korostui turvallisen ja häpeää vähentävän ”normaaliin” opettelun mahdollisuudet. Turvallinen ympäristö on naiseutta tukeva sekä vapaa häirinnästä. Häpeää vähentävä ”normaaliin” opettelun mahdollisuus merkitsi toisaalta uusien asioiden opettelua sekä poisoppimista vanhoista tavoista.
Abstract
”We have different problems and traumas than men have” – Women-specific services supporting the integration and rehabilitation of women with criminal background
During the recent years in criminal sanctions and workers who work among releasing convicts, it has been noticed that women who are either in prison or releasing have special needs. Especially traumatic background, complex relationships, shame, and stigma are causes for rehabilitation needs. This research focuses on what kind of supportive needs women convicts have and what kind of women specific services and rehabilitations releasing convicts need. The research data was conducted with interviews of 11 women with criminal background.
Three main themes were derived by analyzing the interview data. First, the need for ongoing support for releasing convicts during different stages of being a convict and being released. Second, the services offered, and the variety of services are not enough. Women specific and trauma aware services are needed. This means that traumas are dealt in therapeutic environment and there is a possibility for interaction, where confidential matters can be discussed. Third theme that rose from the material was the possibilities for safe and shame reducing learning for ‘’normal life’’. Safe environment is supporting femininity and free form harassment. Shame reducing learning for ‘’normal life’’ would mean both learning new things and learning to avoid old habits.
Keywords: criminal background, women, women convict, incarcerated women, imprisonment, services
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Andaloussi, Saad. "Management of Missed Traumatic Achilles Tendon Rupture in a Pediatric Patient: A Case Report". Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 9, n.º 4 (15 de dezembro de 2021): 465–70. http://dx.doi.org/10.17816/ptors77113.
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BACKGROUND: Missed traumatic Achilles tendon ruptures in children are rarely reported in the literature. Various techniques have been described to reconstruct delayed Achilles tendon ruptures for adults, but the long-term consequences in the growing child are unknown.
CLINICAL CASE: The article presents a clinical observation of a 8-year-old girl with missed rupture of the Achilles tendon operated 7 weeks after the trauma by end-to-end Kessler-type sutures augmented with the plantaris tendon. At 2-year follow-up, the patient was completely asymptomatic.
DISCUSSION: A review of the literature shows that this is the third neglected pediatric case of post-traumatic Achilles tendon rupture. The first case concerns a 10-year-old boy treated successfully six weeks after the traumat by open surgical repair using the Bunnell sutures technique. The second patient was a 7-year-old girl, she was operated 8 weeks after the trauma with a termino-terminal tenorrhaphy using the Bunnell technique augmented with the plantaris tendon.
CONCLUSIONS: Using the plantaris tendon to reinforce the Achilles tendon repair offers satisfactory results with minimal morbidity. Prognosis depends on the extent of tendon defect which determines the long-term functional outcome. Any skin wound that sits on the back of the leg requires a systematic and careful physical examination to check the integrity of the Achilles tendon.
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Mládek, Arnošt, Václav Gerla, Petr Šeba, Petr Skalický, Vladimír Beneš e Ondřej Bradáč. "NEINVAZIVNÍ MĚŘENÍ NITROLEBNÍHO TLAKU METODAMI DIFERENCIÁLNÍ GEOMETRIE". Medsoft 2021 33, n.º 1 (15 de setembro de 2021): 65–73. http://dx.doi.org/10.35191/medsoft_2021_1_33_65_73.
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Kontinuální monitorace nitrolebního tlaku je v neurointenzivní péči naprosto klíčová. Přestože bylo navrženo množství alternativních metod, invazivní měření ICP pomocí katetru představuje široce uznávaný zlatý standard. Invazivní měření tlaku likvoru v mozkovém parenchymu nebo postranních komorách je však spojeno s rizikem vzniku infekce, hematomu nebo záchvatů. Uvedené komplikace měření nitrolebního tlaku jsou tak motivací pro studium neinvazivních přístupů. Námi navržená metodologie neinvazivního měření nitrolebního tlaku je založena na výpočtu diferenciálně geometrických invariantů mikro-pohybů hlavy u komatózních pacientů a její potenciál spočívá v možnosti kontinuálního měření nitrolebního tlaku v rámci konzervativní léčby mozkových traumat. Domníváme se, že navržený postup měření přesahuje hranice traumatické neurochirurgie a bylo by možné jej aplikovat i v jiných oblastech medicíny.
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Havelka, Miloš. "Poznání – paměť – identita a několik obecnějších úvah". Dějiny - teorie - kritika, n.º 2 (30 de dezembro de 2022): 256–68. http://dx.doi.org/10.14712/24645370.2462.
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Na pozadí nedávných diskusích o vytvoření Ústavu paměti národa rozebírá text širší pojem „paměti“ a politiky paměti ze sociologického hlediska. Začíná obecným rozborem vztahů mezi pamětí, prameny a historickou pamětí, připomíná antropologický a kulturní základ konstrukce paměti a její „kolonizační“ a „izolační“ funkcí. Všímá si, že výpadky obsahu individuální paměti a jejich potenciální rozporuplnost umožňují nejen legitimizovat v mnoha ohledech politické zájmy, ale stejně tak chápat a hodnotit analytický historický výzkum. Skrze pojem „utrakvismus paměti“, odkazuje ke vzájemné podmíněnosti historické paměti a „společenského zapomenutí“. Autor osvětluje sociokulturní základy této vzájemnosti na konceptech sociologie kulturních traumat Jeffrezho C. Alexandera. V této souvislosti ukazuje důležitost paměti jak pro vytvoření historického vědomí a kolektivní identity, tak pro konkrétní podobu solidarity.
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Kubíčková, Hana. "Specifika příbuzenské pěstounské péče v kontextu transgenerační psychické zátěže v rodině". Sociální pedagogika / Social Education 8, n.º 2 (15 de novembro de 2020): 84–99. http://dx.doi.org/10.7441/soced.2020.08.02.06.
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Studie se zabývá specifickou problematikou příbuzenské pěstounské péče. Jejím prostřednictvím chceme poukázat na podpůrné i limitující faktory příbuzenské pěstounské péče v kontextu předešlých a současných psychických traumat, které se táhnou generacemi rodin pěstounů v příbuzenském vztahu k přijatému dítěti a jsou významným zdrojem přetrvávající psychické zátěže všech zúčastněných osob. Studie zahrnuje výsledky kvalitativního výzkumného šetření technikou hloubkového rozhovoru s patnácti příbuzenskými pěstouny a deseti klíčovými sociálními pracovnicemi pěstounských rodin. Získaná data byla analyzována pomocí vybraných postupů zakotvené teorie. Z výsledku výzkumu vyplývá jednak podoba a následky traumatických a zátěžových událostí u konkrétních jedinců s akcentem na příbuzenského pěstouna a jednak způsob, jakým se tyto specifické zkušenosti promítají do současného života participantů-pěstounů a konkrétně pak do vybraných oblastí péče o ohrožené dítě.
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Giesen, Bernhard. "V různém čase, v různém rytmu a s rozdílnou pamětí". Sociální studia / Social Studies 4, n.º 1-2 (24 de março de 2007): 67–78. http://dx.doi.org/10.5817/soc2007-1-2-67.
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Můžeme rozlišit tři odlišná paradigmata časové nesourodosti. „Nesoudobost“ označuje místní a časovou koexistenci jevů, které se vztahují k různým historickým obdobím či různým stupňům společenského vývoje. Toto paradigma předpokládá celkovou jednotu společnosti a opomíjí hybridizaci a synkretismus jako běžnou součást reálně existujících společností. Paradigma „asynchroničnosti“ se soustřeďuje na rozdíly v rychlostech a rytmech v různých společenských systémech nebo institucionálních sférách. Ty často opomíjejí nezbytnost časových rozdílů pro vnímání času a změny. Třetí model nazýváme „rozdělené paměti“, jež jsou důsledkem odlišných zkušenostních východisek při vnímání klíčových událostí. Tento model pojímá generace jako zkušenostní komunity, jež se od sebe liší podle svých zkušenostních východisek. V tomto směru jsou nejdůležitější zážitky triumfů či traumat, které znehodnocují zkušenost rodičovské generace a tvoří rámec kolektivní identity dané generace. Autentičnost takovýchto zkušeností spočívá v tělesné přítomnosti a v tělesných rituálech. Veřejné debaty v poslední době směřují k pojímání generačních rozdílů inflačním způsobem. Takové veřejné pojetí generací se nápadně odlišuje od stírání generačních rozdílů na mikrosociální úrovni.
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Dmytriiev, Dmytro, Oleksandr Nazarchuk, Leonarda Gambiroža, Irma Nina Orlandić, Livia Puljak e Damir Sapunar. "Association between catastrophizing, postoperative pain, and injury severity in soldiers injured during the first year of the war in Ukraine". St open 4 (20 de junho de 2023): 1–14. http://dx.doi.org/10.48188/so.4.5.
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Aims: The aim of this study was to investigate the associ-ation between catastrophizing, postoperative pain, and in-jury severity following war-related injuries among soldiers injured during the first year of the war in Ukraine.Methods: This cross-sectional study included 135 patients with war-related injuries treated at the Center of Thermal Trauma and Reconstructive Surgery of the Vinnytsia re-gional University hospital in Ukraine between August 2022 and November 2022. Following surgical treatment, patients’ catastrophizing was assessed using the Ukrainian version of the Pain Catastrophizing Scale (UA-PCS) and correlated with the pain levels assessed with the numerical rating scale (NRS), and the scores obtained with Injury Severity Score (ISS) and the Combat Exposure Scale (CES). The poten-tial pre-existing traumatic events in a participant’s lifetime were assessed with The Life Events Checklist for DSM-5 (LEC-5).Results: Multiple regression analyses showed no significant association between the PCS total score and demographic variables of age, gender, marital status, education, duration of military service, or time from injury. Only 3.6% of the variance in the catastrophizing scores was accountable for the contribution of independent demographic variables. We found a moderate positive correlation between catastroph-izing scores (including all the subscales) with pain NRS, ISS, and CES scores. The pain NRS, ISS, and CES scores account for 43.4% of the variability of PCS scores. Previous traumat-ic events did not contribute to the catastrophizing scores.Conclusion: Our study describes a positive association be-tween catastrophizing, sustained injuries, combat expo-sure, and postoperative pain. Since our sample consists of injured soldiers that were young and healthy before suffering major war-related polytrauma, our study offers a unique perspective, different from all other previous studies in which catastrophizing was investigated in a ci-vilian population.
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Mladenović, Nataša. "Traumas in childhood: War trauma". Zbornik radova Uciteljskog fakulteta Prizren-Leposavic, n.º 13 (2019): 123–44. http://dx.doi.org/10.5937/zrufpl1913123m.
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Nunes, Rayssa Barbosa, e Tereza Feijão Tavares. "Perfil ocupacional de pacientes traumato-ortopédicos atendidos pela Terapia Ocupacional em um Hospital no Oeste do Pará/Brasil/Occupational profile of traumato-orthopedic patients served by occupational therapy in a hospital in the west of Pará/Brazil". Revista Interinstitucional Brasileira de Terapia Ocupacional - REVISBRATO 2, n.º 3 (31 de julho de 2018): 621–38. http://dx.doi.org/10.47222/2526-3544.rbto15056.
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O trauma é um importante problema médico e social, atualmente ocupa um lugar de destaque no campo da saúde tanto pelas mortes que causa, quanto por suas sequelas. As lesões traumáticas determinam perdas funcionais importantes e limitações nas atividades da vida diária. O objetivo do estudo visa indicar o perfil ocupacional de pacientes traumato-ortopédicos atendidos pela Terapia ocupacional em um hospital no Oeste do Pará. Trata-se de estudo quantitativo do tipo transversal, composto por 50 participantes. O perfil ocupacional encontrado teve predomínio de homens 70%, com idade média de 33 anos, do município de Santarém 44%, com traumas por acidentes automobilísticos representando 58% e com fraturas de tíbia 36%, acometendo principalmente as atividades da vida diária de mobilidade funcional 82%, tomar banho no chuveiro 58% usar o vaso sanitário 52%. Os dados demonstram que o trauma ortopédico implica em limitações na realização das atividades da vida diária.AbstractThe trauma is an important medical and social problem, currently occupies a prominent place in the field of health both for the deaths it causes, as for their sequels. The traumatic injuries determine important functional losses and limitations in activities of daily living. The objective of the study aims to indicate the occupational profile of traumato-orthopedic patients served by occupational therapy in a hospital in the West of Pará. This is a quantitative study of transverse type, composed of 50 participants. The occupational profile found had a predominance of men 70%, with an average age of 33 years, of the municipality of Santarém 44%, with traumas by car accidents representing 58% and with tibia fractures with 36%, affecting primarily the activities of daily living of functional mobility 82%, bathe in shower 58% and use the toilet 52%. The data shows that the orthopedic trauma implies limitations in carrying out the activities of daily living.Keywords: Occupational Therapy, Traumatology, Orthopedics.
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Sandrin, Flávia, Diogo Lino Moura e Fernando Fonseca. "Biomecânica e Traumatologia do Ballet". Revista de Medicina Desportiva Informa 10, n.º 1 (15 de janeiro de 2019): 28–30. http://dx.doi.org/10.23911/trauma_.
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P, Shankar. "An Analytical Study of Vascular Trauma in Traumatic Brain Injury". International Journal of Neurology and Neurosurgery 10, n.º 4 (2018): 151–56. http://dx.doi.org/10.21088/ijnns.0975.0223.10418.10.
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Goel, Apoorva. "Traumatic Avulsion of Globe: A Rare Incidence of Ocular Trauma". International Journal of Preventive, Curative & Community Medicine 05, n.º 04 (25 de março de 2020): 16–17. http://dx.doi.org/10.24321/2454.325x.201924.
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Barbier, O., D. Ollat e G. Versier. "Commentaires sur « Prise en charge des fractures balistiques en pratique civile » par V.S. Seng, A.C. Masquelet publié dans Rev Chir Orthop Traumat 2013;99:776–781". Revue de Chirurgie Orthopédique et Traumatologique 100, n.º 5 (setembro de 2014): 429. http://dx.doi.org/10.1016/j.rcot.2014.07.002.
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Shitikov, T., O. Shayrin e L. Danilko. "A Role of Complementary Medicine in Rehabilitation of Military Traumatic Brain Injuries". Pain medicine 3, n.º 2/1 (16 de outubro de 2018): 8. http://dx.doi.org/10.31636/pmjua.t1.21299.
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Background: Military service members and veterans face health issues related to traumat-ic brain injury (TBI), especially during combat, use of heavy equipment, and exposures to environmental hazards and explosives. There were 1.000 TBIs reported in deployed Ukra-nian troops during Russian-Ukranian war in 2014–2017. Studies have indicated that some manual therapies could be helpful for treating patients who have post-concussive syndrome.
Objective: This case series report de-scribes the effects of CranioSacral Therapy (CST), Visceral Manipulation (VM), and Neu-ro-muscular Manipulation (NM) modalities for treating patients who have post-concussion syndrome. The goal of this study was to evalu-ate these effects on immobility, pain intensity, quality of life, sleep disorders, and cognition in these patients.
Materials and Methods: This single-blind-ed case series was conducted at the Volunteer rehabilitation center, Dnipro, Ukraine. The pa-tients were 45 male participationers of Ukra-nian military forces who had been medically diagnosed with post-concussion syndrome. Each participant received a morning and af-ternoon 1-hour session of these three spe-cific manual therapies, which were capable of accessing and addressing the structural, vascular, and neuro-muscular tissues of the Cranium, Neck, Diafragm, Peritoneal bag and brain-as well addressing far-reaching ramifi-cations throughout the body following trauma. The main outcome measures were scores on the: Impact Neurocognitive Test; Blood Oxigen Saturation Test; Short Form-36 Quality of Life Survey, Headache Impact Test, a numeric pain rating scale; orthopedic range of motion tests (ROM); and vestibular testing. Hours of sleep were also checked. These outcome measures were registered at baseline, after treatment, and after a 3–6-month follow up.
Results: Statistically significant differenc-es were seen with a decrease in overall pain rating scale scores (P = 0.034), and cranio-cer-vicogenic pain levels decreased (P = 0.047). There were statistically significant increases of blood oxigen saturation (P = 0.033), Mem-ory Test (P = 0.017) scores, and cervical ROM scores (P = 0.036). Hours of sleep averaged 1 hours on the first day of treatment and in-creased to 2.0 hours at the end of treatment. Results were continuing to increase, as noted at a 5-month evaluation.
Conclusions: Six sessions of specific CST/VM/NM therapy resulted in statistically great-er improvements in pain intensity, ROM, mem-ory, cognition, blood oxigen saturation and breathing in concussed patients.
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Gornostai, Pavlo. "Collective trauma as a complex social situation: A system-conceptual analysis". SCIENTIFIC STUDIOS ON SOCIAL AND POLITICAL PSYCHOLOGY 51, n.º 48 (10 de janeiro de 2022): 100–111. http://dx.doi.org/10.61727/sssppj/2.2021.100.
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The article is dedicated to the system-conceptual analysis of a very complex and multifaceted problem of collective traumas. Collective trauma can be interpreted as the destruction of sociopsychological structures and values of the group, which requires rehabilitative measures, as the experience that the group gets and endures during a traumatic event, and as a crisis that becomes a turning point in the development when posttraumatic growth resources are used. Among studied mechanisms for the formation and spread of collective trauma, we can name information traumatizing, a mandatory component of all collective traumas, and posttraumatic stress disorder, which spreads in the population mainly due to secondary traumatic stress. The scientific literature also considers the concept of «posttraumatic slave syndrome» as a multigenerational trauma experienced by enslaved Africans and their descendants. There are several concepts related to collective trauma, describing various aspects of its formation and functioning: social trauma, historical trauma, cultural trauma, national trauma, racial trauma, transgenerational trauma. The extensive categorical-conceptual apparatus of the problem of collective traumas covers a wide range of phenomena that describe the origin, development, spread of traumas in social groups, the consequences of traumatizing. Collective (historical) traumas lead to the deformation or destruction of group values, boundaries, identity, and historical memory. During traumatizing, passing trauma by group, and the healing process, group experiences play an essential role. Collective trauma is very closely linked to the functioning of the group consciousness and the group unconscious. The experience of untreated collective trauma tends to be repressed into group unconscious and has a complex effect on the further life of the group. One form of group unconsciousness that reflects collective trauma is group mythology, which is also essential in transforming trauma into a nontraumatic narrative
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CROWNSHAW, RICHARD. "Deterritorializing the “Homeland” in American Studies and American Fiction after 9/11". Journal of American Studies 45, n.º 4 (novembro de 2011): 757–76. http://dx.doi.org/10.1017/s0021875811000946.
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Literary criticism has debated the usefulness of the trauma paradigm found in much post-9/11 fiction. Where critiqued, trauma is sometimes understood as a domesticating concept by which the events of 9/11 are incorporated into sentimental, familial dramas and romances with no purchase on the international significance of the terrorist attacks and the US's response to them; or, the concept of trauma is understood critically as the means by which the boundaries of a nation or “homeland” self-perceived as violated and victimized may be shored up, rendered impermeable – if that were possible. A counterversion of trauma argues its potential as an affective means of bridging the divide between a wounded US and global suffering. Understood in this way, the concept of trauma becomes the means by which the significance of 9/11 could be deterritorialized. While these versions of trauma, found in academic theory and literary practice, invoke the spatial – the domestic sphere, the homeland, the global – they tend to focus on the time of trauma rather than on the imbrication of the temporal and the spatial. If, instead, 9/11 trauma could be more productively defined as the puncturing of national fantasies of an inviolable and innocent homeland, fantasies which themselves rest on the (failed) repression of foundational violence in the colonial and settler creation of that homeland, and on subsequent notions of American exceptionalism at home and, in the exercise of foreign policy, abroad, then the traumatic can be spatialized. In other words, understood in relation to fantasy, trauma illuminates the terroritalization and deterritorialization of American history. After working through various examples of post-9/11 fiction to demonstrate parochial renditions of trauma and trauma's unrealized global resonances, this article turns to Cormac McCarthy's 9/11 allegory The Road for the way in which its spaces, places and territories are marked by inextricable traumas of the past and present – and therefore for the way in which it models trauma's relation to national fantasy.
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Susimara Braga de Almeida, Amanda Tomazelli, Bárbara Robaskievicz, José Henrique Dias e Everton Thiago Luz. "Incidência dos traumas dentoalveolares associados a traumas faciais em Joinville (SC): um estudo retrospectivo". RSBO 20, n.º 1 (26 de maio de 2023): 119–25. http://dx.doi.org/10.21726/rsbo.v20i1.2008.
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O traumatismo dentoalveolar constitui um fator etiológico responsável pela perda de grande número de dentes e muitas vezes está associado a traumas faciais. O tratamento de urgência é bastante complexo. Assim, uma boa anamnese, um exame clínico detalhado e a solicitação de exames complementares são de extrema importância na instituição de um plano de tratamento rápido e adequado. Objetivo: Avaliar a incidência de traumas dentoalveolares associados a traumas faciais ocorridos no período de três anos no Hospital Municipal São José (grupo 1) e Hospital Infantil Dr. Jeser Amarante Farias (grupo 2), em Joinville (SC). Material e métodos: A coleta de dados foi realizada por meio da análise dos prontuários de pacientes atendidos no período de janeiro de 2016 a janeiro de 2019. Resultados: No grupo 1, em 85,78% dos casos não ocorreu trauma facial associado a trauma dentoalveolar e em 14,22% houve trauma facial com envolvimento dental. No grupo 2, 100% dos pacientes tiveram trauma facial associado a trauma dentoalveolar. Conclusão: Com base nos resultados encontrados por meio da revisão sistemática de prontuários nos hospitais analisados, conclui-se que os traumas dentoalveolares devem ser considerados tão importantes quanto os traumas faciais nas emergências hospitalares.
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Cabrera Sánchez, José. "Lo real del trauma colectivo: una respuesta desde el psicoanálisis a las críticas de la teoría del trauma cultural". Atenea (Concepción), n.º 527 (2023): 11–32. http://dx.doi.org/10.29393/at527-1rtjc10001.
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La utilización de conceptos propios del psicoanálisis ha sido una estrategia muy socorrida en el trabajo académico sobre los llamados traumas colectivos. Una de las razones de la utilización de conceptos psicoanalíticos es que estos permiten una comprensión del colapso de los mecanismos de inscripción y representación que caracteriza a los traumas colectivos. No obstante, desde la perspectiva de la teoría del trauma cultural, se señala que los traumas colectivos son el resultado de complejos y ricos procesos sociales de producción discursiva, lo que implica un cuestionamiento al énfasis psicoanalítico respecto de la irrepresentabilidad de los traumas colectivos. En respuesta a esta crítica propondremos que la teoría del trauma cultural yerra al no reconocer que el carácter irrepresentable y antinarrativo del trauma es precisamente una de las fuerzas motoras del trabajo de construcción discursiva. Finalmente, se señalarán los riesgos de des-historización y des-politización implícitos en la teoría del trauma cultural, dado su acento en la dimensión narrativa de los traumas colectivos, y cuál puede ser el aporte del psicoanálisis para disminuir tales peligros.
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MCQUAID, J. R., P. PEDRELLI, M. E. MCCAHILL e M. B. STEIN. "Reported trauma, post-traumatic stress disorder and major depression among primary care patients". Psychological Medicine 31, n.º 7 (outubro de 2001): 1249–57. http://dx.doi.org/10.1017/s0033291701004202.
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Background. Trauma is a necessary diagnostic criterion for post-traumatic stress disorder (PTSD). However, the nature of traumas experienced (e.g. assaultive versus non-assaultive) may influence whether any mental disorder will arise. Traumatic experiences may also be associated with other mental disorders, particularly major depressive disorder (MDD). This report examines the relationship of trauma history to the likelihood of full or partial PTSD and MDD. In addition, the study examines the frequency with which assaultive and non-assaultive traumas are reported by patients with full or partial PTSD and MDD.Methods. Three hundred eighty-six primary care patients completed psychiatric symptom measures during their clinic visit. A subset of 132 participants completed a diagnostic interview within 2 weeks following the screening.Results. Most patients reporting traumas did not meet criteria for a mental disorder. Patients reporting traumas were more likely to experience current MDD (27·8%) than current full or partial PTSD (20·0%) although a high percentage of patients with traumas (41·1%) had experienced full or partial PTSD diagnosis in their lifetime. Respondents reporting assaultive events as their most severe trauma, when compared with those whose most severe trauma was non-assaultive, were more likely to have met criteria for either full or partial PTSD in their lifetime, and were more likely to have current MDD.Conclusions. These findings suggest that trauma history is often not associated with psychopathology, and when it is, trauma is often associated with major depression rather than PTSD. The likelihood of psychopathology is increased for individuals reporting assaultive traumas.
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Isobel, Sophie, Melinda Goodyear e Kim Foster. "Psychological Trauma in the Context of Familial Relationships: A Concept Analysis". Trauma, Violence, & Abuse 20, n.º 4 (21 de agosto de 2017): 549–59. http://dx.doi.org/10.1177/1524838017726424.
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Many forms of psychological trauma are known to develop interpersonally within important relationships, particularly familial. Within the varying theoretical constructs of psychological traumas, and distinct from the processes of diagnosis, there is a need to refine the scope and definitions of psychological traumas that occur within important familial relationships to ensure a cohesive evidence base and fidelity of the concept in application to practice. This review used a philosophical inquiry methodology of concept analysis to identify the definitions, antecedents, characteristics, and consequences of the varying conceptualizations of psychological trauma occurring within important relationships. Interactions between concepts of interpersonal trauma, relational trauma, betrayal trauma, attachment trauma, developmental trauma, complex trauma, cumulative trauma, and intergenerational trauma are presented. Understanding of the discrete forms and pathways of transmission of psychological trauma between individuals, including transgenerationally within families, creates opportunities for prevention and early intervention within trauma-focused practice. This review found that concepts of psychological trauma occurring within familial relationships are not exclusive of each other but overlap in their encompassment of events and circumstances as well as the effect on individuals of events in the short term and long term. These traumas develop and are transmitted in the space between people, both purposefully and incidentally, and have particularly profound effects when they involve a dependent infant or child. Linguistic and conceptual clarity is paramount for trauma research and practice.
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Opalic, Petar. "Disarrangement: Dominant symptom of traumatized people in Serbia". Sociologija 50, n.º 4 (2008): 417–32. http://dx.doi.org/10.2298/soc0804417o.
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The psychopathological status of 175 subjects from Belgrade and wider surroundings was examined. Out of them, 70 subjects had somatic trauma (26 war traumas and 44 somatic peacetime traumas); 45 subjects had mental trauma, and 60 had no trauma. The following instruments were used: PTSD-Scale, Brief Eysenck's Personality Inventory, General Health Questionnaire (GHQ-60) and Late Effect of Accidental Injury (LEAIQ), as well as appropriate statistical procedures (ANOVA, discriminative analysis, linear correlation). In qualitative terms, the majority of symptoms were conversive, the first of which was disarrangement. In quantitative terms, the symptoms of general neuroticism were most frequent in the subgroup of subjects with somatic war traumas, then in the subgroup with mental traumas in peacetime, and finally in the subgroup of subjects with somatic peacetime traumas. In the subgroup of mentally traumatised subjects, the PTSD symptoms were most frequent.
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Lewis, Stephanie J., Karestan C. Koenen, Antony Ambler, Louise Arseneault, Avshalom Caspi, Helen L. Fisher, Terrie E. Moffitt e Andrea Danese. "Unravelling the contribution of complex trauma to psychopathology and cognitive deficits: a cohort study". British Journal of Psychiatry 219, n.º 2 (11 de maio de 2021): 448–55. http://dx.doi.org/10.1192/bjp.2021.57.
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BackgroundComplex traumas are traumatic experiences that involve multiple interpersonal threats during childhood or adolescence, such as repeated abuse. These traumas are hypothesised to cause more severe psychopathology and poorer cognitive function than other non-complex traumas. However, empirical testing has been limited to clinical/convenience samples and cross-sectional designs.AimsTo investigate psychopathology and cognitive function in young people exposed to complex, non-complex or no trauma, from a population-representative longitudinal cohort, and to consider the role of pre-existing vulnerabilities.MethodParticipants were from the Environmental Risk Longitudinal Twin Study, a population-representative birth cohort of 2232 British children. At age 18 years (93% participation), we assessed lifetime exposure to complex and non-complex trauma, past-year psychopathology and current cognitive function. We also prospectively assessed early childhood vulnerabilities: internalising and externalising symptoms at 5 years of age, IQ at 5 years of age, family history of mental illness, family socioeconomic status and sex.ResultsParticipants exposed to complex trauma had more severe psychopathology and poorer cognitive function at 18 years of age, compared with both trauma-unexposed participants and those exposed to non-complex trauma. Early childhood vulnerabilities predicted risk of later complex trauma exposure, and largely explained associations of complex trauma with cognitive deficits, but not with psychopathology.ConclusionsBy conflating complex and non-complex traumas, current research and clinical practice underestimate the severity of psychopathology, cognitive deficits and pre-existing vulnerabilities linked with complex trauma. A better understanding of the mental health needs of people exposed to complex trauma could inform the development of new, more effective interventions.
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Calinescu, Amalia. "The Many Worlds of Trauma: An Interdisciplinary Perspective". Border Crossing 13, n.º 2 (10 de dezembro de 2023): 149–70. http://dx.doi.org/10.33182/bc.v13i2.2843.
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The article presents a multidimensional analysis of trauma. The socio-physiological approach in the first part sets the stage for underlining the role of integrative psychotherapy in addressing traumatic wounds. Drawing from different fields, the study then provides Kazuo Ishiguro's psychoanalytic approach to understanding the relationship between trauma and human existence, with a particular focus on the interplay between memory, identity and chronic emotional disturbances. The study thus explores how fiction can serve as a therapeutic tool, giving voice to characters who either embark on healing journeys or try to conceal their unhealed wounds within self-contained worlds. Through existential parables, therapeutic fiction can delve into the psychological implications of traumas, offering the possibility of acceptance, or even healing, despite the immutable nature of the past. Ultimately, this interdisciplinary analysis aims to deepen one’s understanding of trauma's impact on individuals and society while it highlights the potential for healing and growth in real life through the worlds of fiction.
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Klutts, Garrett N., Joe Deloach, Sacha A. McBain, Hanna Jensen, Kevin W. Sexton, Kyle J. Kalkwarf, Saleema Karim e Avi Bhavaraju. "Increases in Violence and Changes in Trauma Admissions During the COVID Quarantine". American Surgeon 88, n.º 3 (3 de novembro de 2021): 356–59. http://dx.doi.org/10.1177/00031348211050824.
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Background The COVID-19 pandemic caused an abrupt change to societal norms. We anecdotally noticed an increase in penetrating and violent trauma during the period of stay-at-home orders. Studying these changes will allow trauma centers to better prepare for future waves of COVID-19 or other global catastrophes. Methods We queried our institutional database for all level 1 and 2 trauma activations presenting from the scene within our local county from March 18 to May 21, 2020 and matched time periods from 2016 to 2019. Primary outcomes were overall trauma volume, rates of penetrating trauma, rates of violent trauma, and transfusion requirements. Results The number of penetrating and violent traumas at our trauma center during the period of societal quarantine for the COVID-19 pandemic was more than any historical total. During the COVID-19 time period, we saw 39 penetrating traumas, while the mean value for the same time period from 2016 to 2019 was 26 ( P = .03). We saw 45 violent traumas during COVID; the mean value from 2016 to 2019 was 32 ( P = .05). There was also a higher rate of trauma patients requiring transfusion in the COVID cohort (6.7% vs 12.2%). Discussion Societal quarantine increased the number of penetrating and violent traumas, with a concurrent increased percentage of patients transfused. Despite this, there was no change in outcomes. Given the continuation of the COVID-19 pandemic, quarantine measures could be re-implemented. Data from this study can help guide expectations and utilization of hospital resources in the future.
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Ered, Arielle, e Lauren M. Ellman. "Specificity of Childhood Trauma Type and Attenuated Positive Symptoms in a Non-Clinical Sample". Journal of Clinical Medicine 8, n.º 10 (25 de setembro de 2019): 1537. http://dx.doi.org/10.3390/jcm8101537.
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Background: Childhood traumatic experiences have been consistently associated with psychosis risk; however, the specificity of childhood trauma type to interview-based attenuated positive psychotic symptoms has not been adequately explored. Further, previous studies examining specificity of trauma to specific positive symptoms have not accounted for co-occurring trauma types, despite evidence of multiple victimization. Methods: We examined the relationship between childhood trauma (Childhood Trauma Questionnaire) with type of attenuated positive symptom, as measured by the Structured Interview for Psychosis-risk Syndromes (SIPS) among a non-clinical, young adult sample (n = 130). Linear regressions were conducted to predict each attenuated positive symptom, with all trauma types entered into the model to control for co-occurring traumas. Results: Results indicated that childhood sexual abuse was significantly associated with disorganized communication and childhood emotional neglect was significantly associated with increased suspiciousness/persecutory ideas, above and beyond the effect of other co-occurring traumas. These relationships were significant even after removing individuals at clinical high-risk (CHR) for psychosis (n = 14). Conclusions: Our results suggest that there are differential influences of trauma type on specific positive symptom domains, even in a non-clinical sample. Our results also confirm the importance of controlling for co-occurring trauma types, as results differ when not controlling for multiple traumas.
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Lopes de Oliveira, Fabiana Maria Rodrigues, Maria das Graças Melo Fernandes, Keylla Talitha Fernandes Barbosa, Maria Auxiliadora Pereira, Kamyla Félix Oliveira dos Santos e Tainara Barbosa Nunes. "Characterization of trauma in elderly assisted in a mobile emergency care service". Rev Rene 14, n.º 5 (2013): 945–50. http://dx.doi.org/10.15253/2175-6783.20130005000011.
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Trauma in the elderly is a common event, requiring trained professionals in this area. This study aimed at characterizing the occurrence of trauma in the elderly assisted at the Mobile Emergency Care Service, João Pessoa Region - Paraíba, Brazil. This is a documental, retrospective study, conducted from April to December 2012, through the review of 180 medical records from aged trauma victims. The data analysis was conducted by descriptive and exploratory statistics, using Pearson’s chi-square test. Concerning the results, falls represented 74.4% of the traumas, 84.4% of the assistances occurred in the capital and 40.6% of the elderly were sent to the reference hospital for traumas. As consequences of traumas, the most commons items were: pain (32.1%) and suspected fracture (20.6%). One concludes that it is important to plan interventions for trauma prevention with the elderly.
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Skruodytė, Justina, Jūratė Sveikatienė e Pranas Šerpytis. "ATVIRO TIPO AKIŲ TRAUMOS: CHARAKTERISTIKOS IR PROGNOSTINIAI VEIKSNIAI". Health Sciences 31, n.º 3 (24 de maio de 2021): 190–93. http://dx.doi.org/10.35988/sm-hs.2021.108.
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Akių traumos yra viena iš pagrindinių ilgalaikius regėjimo sutrikimus sukeliančių priežasčių. Atviro tipo trauma apibrėžiama kaip viso storio akies sienos pažeidimas, kurį gali sukelti ir aštrus, ir bukas mechanizmas. Akių traumos sudaro apie 44 proc. akių sužalojimų. Tyrimo tikslas − atlikti naujausių mokslinių straipsnių detalią literatūros apžvalgą apie atviro tipo akių traumas, išanalizuoti duomenis apie akių traumų paplitimo dažnį, etiologiją, epidemiologiją, klasifikaciją, nustatyti atviro tipo akių traumų klinikinius ypatumus ir gydymo baigtis. Nustatyta, kad dažniausiai atviro tipo traumas patiria darbingo amžiaus vyrai, kurie neturi akių apsaugos priemonių. Blogos regos prognostiniai veiksniai − pradinis RA ≤ 0,1, teigiamas santykinis aferentinis vyzdžio defektas (RAVD), pradinė tinklainės atšoka, rainelės ar tinklainės prolapsas, stiklakūnio kraujosruva, ilgas laiko tarpas iki pradinės operacijos ir intervencinių procedūrų skaičius. Atviro tipo traumų gydymas beveik visais atvejais yra chirurginis, o chirurginių intervencijų planavimas ir jų skaičius priklauso nuo traumos sunkumo. Gydymo tikslas yra atkurti akies obuolio anatomiją ir pašalinti intraokulinius svetimkūnius. Sunkios akių traumos turi didelį socialinį ir ekonominį poveikį žmogui ir visuomenei. Traumą patyręs žmogus susiduria su psichologinėmis problemomis, pablogėjusia gyvenimo kokybe, fizine negalia. Greita traumos diagnozė ir laiku pradėtas chirurginis gydymas yra itin svarbūs, norint pagerinti regėjimo rezultatus, siekiant išvengti galimų komplikacijų.
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Castro, Renata Reis Matutino de, Natália Fonseca Ribeiro, Aline Mendonça de Andrade e Bruno Dórea Jaques. "Perfil dos pacientes da enfermaria de ortopedia de um hospital público de Salvador-Bahia". Acta Ortopédica Brasileira 21, n.º 4 (agosto de 2013): 191–94. http://dx.doi.org/10.1590/s1413-78522013000400001.
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OBJETIVO: Descrever o perfil dos pacientes atendidos na enfermaria de traumato-ortopedia de um hospital público de referência para atendimento em trauma no estado da Bahia. MÉTODOS: Estudo transversal, no qual foram coletadas informações dos prontuários dos pacientes no período de julho a dezembro de 2008. RESULTADOS: O perfil dos pacientes estudados foi formado por indivíduos majoritariamente do sexo masculino, jovens, vítimas de traumas por acidentes, com destaque para aqueles envolvidos com motocicletas e atropelamentos. Já os traumas associados com a violência mais frequentes foram as perfurações por arma de fogo e por arma branca. A principal lesão apresentada por esses indivíduos foi fratura exposta do fêmur sendo o fixador externo o tratamento mais utilizado. A complicação intra-hospitalar que mais acometeu esses indivíduos foi a infecção da ferida com necessidade de reabordagem cirúrgica. A maioria dos pacientes internados receberam alta hospitalar e um óbito foi registrado nesse período. CONCLUSÃO: O perfil traçado no presente estudo corrobora com pesquisas realizadas em outras instituições do país, o que pode contribuir para um direcionamento das políticas públicas para prevenção dos acidentes e violências. Nível de Evidência IV, Série de Casos.
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Lowenthal, Jeremy. "The Sound of the Reel in Ted Hughes's Birthday Letters". Poetics Today 44, n.º 3 (1 de setembro de 2023): 379–407. http://dx.doi.org/10.1215/03335372-10578485.
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Abstract This article presents a mediacentric reading of the autobiographical-lyric (auto-lyric) sound structures of Ted Hughes's 1998 poetry collection Birthday Letters, which broke his decades-long silence on the controversies surrounding his life with and after Sylvia Plath. It explores how Hughes's poems of bereavement adapt the media logics of film, tape, record, and radio not only to understand trauma's complex psychology but also to textually remediate his lost connection with his beloved dead. Rendering Hughes's traumas audible by way of phonotextual analysis, this essay ultimately forwards an ear-sighted approach to poetry of trauma, wherein traumatic memories are often written down to be sounded out by the reading voice and heard—not seen—accordingly.
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Green, Robert S., Michael B. Butler, Nelofar Kureshi e Mete Erdogan. "A Retrospective Evaluation of Pediatric Major Trauma Related to Sport and Recreational Activities in Nova Scotia". CJEM 18, n.º 2 (27 de julho de 2015): 106–11. http://dx.doi.org/10.1017/cem.2015.69.
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AbstractObjectivesA small proportion of pediatric sport- and recreation-related injuries are serious enough to be considered “major trauma.” However, the immediate and long-term consequences in cases of pediatric major trauma are significant and potentially life-threatening. The objective of this study was to describe the incidence and outcomes of pediatric major traumas related to sport and recreational activities in Nova Scotia.MethodsThis study was a retrospective case series. Data on major pediatric traumas related to sport and recreational activities on a provincial scope were extracted from the Nova Scotia Trauma Program Registry between 2000 and 2013. We evaluated frequency, type, severity, and outcomes of major traumas. Outcomes assessed included length of hospital stay, admission to a special care unit (SCU), and mortality.ResultsOverall, 107 children aged three to 18 years sustained a major trauma (mean age 12.5 [SD 3.8]; 84% male). Most injuries were blunt traumas (97%). The greatest proportion were from cycling (59, 53%), followed by hockey (8, 7%), skateboarding (7, 7%) and skiing (7, 7%). The Nova Scotia Pediatric Trauma Team was activated in 27% of cases. Mean in-hospital length of stay was five days (SD 5.6), and nearly half (49%) of patients required SCU admission. Severe traumatic brain injury occurred in 52% of cases, and mortality in five cases.ConclusionsOver a 13-year period, the highest incidence of pediatric major trauma related to sport and recreational activities was from cycling, followed by hockey. Severe traumatic brain injury occurred in over half of pediatric major trauma patients.
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Bados, Arturo, Lidia Toribio e Eugeni García-Grau. "Traumatic Events and Tonic Immobility". Spanish Journal of Psychology 11, n.º 2 (novembro de 2008): 516–21. http://dx.doi.org/10.1017/s1138741600004510.
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Tonic immobility is a basic defense strategy which has not been studied in depth in humans. Data suggest that it may be a relatively frequent phenomenon in victims of rape and sexual abuse, but its occurrence has not been systematically explored in other types of trauma. We carried out a retrospective study in a sample of 100 university students to establish whether tonic immobility varies depending on the nature of the worst trauma experienced, defined subjectively by each participant. Immobility was assessed using the Tonic Immobility Scale and traumas were assessed using the modified Traumatic Events Questionnaire. Seventy percent of the sample had experienced trauma of some kind. There were no significant differences in tonic immobility between different types of trauma (e.g., physical abuse, assault or aggression, serious accident), except that the mean tonic immobility score was significantly higher in the group with trauma due to physical/psychological or sexual abuse than in the group with trauma due to receiving news of the mutilation, serious injury, or violent or sudden death of a loved one. We conclude tentatively that tonic immobility may be typical not only of sexual traumas, but of other kinds of directly experienced traumas as well.
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Alpaslan, Mustafa, e Necmi Baykan. "Paraplegia and fatal outcome following cervical fracture and dislocation due to blunt trauma: a case study". Intercontinental Journal of Emergency Medicine 1, n.º 1 (30 de março de 2023): 14–16. http://dx.doi.org/10.51271/icjem-0004.
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Vertebral traumas are most common in the cervical vertebrae. While the majority of traumas are due to traffic accidents and falling from a height, the rate of cervical fracture secondary to blunt trauma is extremely low. In this case, cervical fracture caused by blunt trauma in the neck region with animal blow and death secondary to paraplegia and other complications that developed afterwards were reported. According to the literature, cervical fracture and dislocation are rare traumas with high morbidity and mortality rates. Taking protective measures will always be lifesaving.
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Khachaturyan, S. Dzh, e M. N. Abdurasulova. "The dependence of the nature of the crime to the type of trauma the perpetrator (for example, minors convicted of violent crimes)". Psychology and Law 7, n.º 2 (2017): 57–70. http://dx.doi.org/10.17759/psylaw.2017060205.
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The article is devoted to psychological correction of juvenile offenders for violent crimes. The authors, based on the fundamentals polygeneration system of traumatology, hypothesize about the presence of a family history of juvenile offenders system traumas. The study was conducted in PKU Nakhodka educational colony GUFSIN Russia for the Primorye territory in January-February 2017. The study involved 23 minors convicted of violent crimes. All system traumas are divided into four types: existential trauma, trauma of losses, trauma of relationship and trauma family system. Conclusions about what the nature of the offence depends on the depth and type of traumatization of the perpetrator and his family system. All examined juvenile offenders are themselves victims of traumatic events in their own families. The main types of trauma from sex offenders are trauma of losses and trauma of relationship. Family convicted of murder filled with existential trauma, trauma of relationship and trauma family system. Convicted of intentional infliction of grievous bodily harm had an average degree of trauma. There are all kinds of trauma in their experience, with a predominance of existential trauma. Offered the main directions of psychological adjustment to each category of prisoners.
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Grebeniuk, Tetiana. "Silence and speaking as forms of representation of the historical trauma in the Ukrainian prose of the Independence period". Synopsis: Text Context Media 28, n.º 3 (2022): 104–12. http://dx.doi.org/10.28925/2311-259x.2022.3.1.
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The relevance of the article is determined by the current need for literary research of contemporary Ukrainian fiction works, focused on the problem of historical trauma, in the context on new achievements of trauma studies, memory studies, and identity studies. The research aims to analyze the role of the phenomena of silence and speaking in the fictional representations of historical traumas of the 20th century in the works of the Ukrainian prose of the Independence period. Methodological framework of the study includes trauma studies, memory studies, and identity studies, as well as postcolonial approach to the analysis of the fictional phenomena. The subject of the research is forms of representation pf historical trauma in the studied texts through the communicative phenomena of silence and speaking. The results of the study. As the main forms of representation of trauma in the works are considered: focus on the characters who became mute because of going through traumas; representation of the characters who stay silent on their traumas — either consciously or because of unconscious communicative barriers; a reflection of an extended process of forming of deep-seated taboo against socially disapproved ideas proclamation; attention to the situation of memory loss which makes impossible for the character to acknowledge his / her own identity; utilization of the plot-creative potential of the mystery, generation of suspense by means of narrative gaps; camouflaging of the key trauma story of the work as a minor, side one, use of unreliable narration stimulating the reader to verify represented facts of the diegesis and to draw his / her own conclusions about the significance of historical traumas in the individual life story of the character. The novelty of the study consists in the consideration of the current fiction works, which represent historical traumas of the 20th century, through the prism of communicative phenomena of silence and speaking. Connections of historical traumas with individual and national identity formation, embodied in the Ukrainian fictional discourse of the Independence period, is an interesting, promising subject of future literary studies.
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Rolim de Lima, Evilly, Ingridy Michely Gadelha do Nascimento, Anne Caroline de Souza, Ocilma Barros de Quental e Yuri Charllub Pereira Bezerra. "INDICADORES DE TRAUMAS TORÁCICOS ATENDIDOS PELO SERVIÇO DE ATENDIMENTO MÓVEL DE URGÊNCIA". Revista interdisciplinar em saúde 9, Único (10 de dezembro de 2022): 1110–20. http://dx.doi.org/10.35621/23587490.v9.n1.p1110-1120.
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INTRODUÇÃO: Devido muitas ocorrências, o trauma torácico é considerado um problema de saúde pública com um alto índice de mortalidade. Sabendo que os traumas torácicos são problemas que precisam ser reparados antes de terem agravos nas vítimas, torna-se um desafio aos sistemas de saúde buscar medidas preventivas para tentar conter as possíveis complicações decorrentes dos acidentes que causam este dano. Nesse sentido, o Serviço de Atendimento Móvel de Urgência (SAMU) desempenha um papel fundamental nos primeiros socorros a vítima de trauma de tórax de modo a minimizar o tempo de espera no atendimento, buscando assim, reduzir ou evitar possíveis sequelas. OBJETIVO: Conhecer os indicadores de traumas torácicos atendidos pelo SAMU, entre os anos de 2018 a 2022. METODOLOGIA: Trata-se de uma revisão integrativa da literatura, desenvolvida entre os meses de agosto e outubro de 2022, utilizando as bases de dados: BVS, SciELO e MEDLINE. Na busca dos estudos selecionados foram empregadas as palavras-chaves: “Trauma de tórax”, “Serviços Médicos de Emergência”, “Índices de Gravidade do Trauma” e “Traumatismos Torácicos”. Os critérios de inclusão foram: artigos completos disponíveis na integra, em português e inglês, publicados entre 2018 e 2022. Foi utilizado o cruzamento mediante o descritor booleano and. RESULTADOS: Obteve-se como indicadores a idade dos pacientes, no qual os que mais tiveram trauma torácico foi na média de 35 anos, sendo o sexo masculino o mais prevalente e o trauma contuso o mais frequente. Os principais responsáveis pelos traumas foram os acidentes automobilísticos, tendo a fratura de costela como a lesão mais predominante. CONCLUSÃO: O trauma torácico é um dos principais tipos de traumas que são atendidos pelo Serviço de Atendimento Móvel de Urgência (SAMU) que desempenha um papel fundamental nos primeiros socorros a vítima de trauma de tórax de modo a minimizar o tempo de espera no atendimento, buscando assim, reduzir ou evitar possíveis sequelas. Palavras-chave: Trauma de tórax. Serviços Médicos de Emergência. Índices de Gravidade do Trauma. Traumatismos Torácicos.
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Tintle, LT Scott M., CDR John J. Keeling, LTC Scott B. Shawen, LCDR Jonathan A. Forsberg e MAJ Benjamin K. Potter. "Traumatic and Trauma-Related Amputations". Journal of Bone and Joint Surgery-American Volume 92, n.º 17 (dezembro de 2010): 2852–68. http://dx.doi.org/10.2106/jbjs.j.00257.
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Tintle, LT Scott M., LTC Martin F. Baechler, CDR George P. Nanos, LCDR Jonathan A. Forsberg e MAJ Benjamin K. Potter. "Traumatic and Trauma-Related Amputations". Journal of Bone and Joint Surgery-American Volume 92, n.º 18 (dezembro de 2010): 2934–45. http://dx.doi.org/10.2106/jbjs.j.00258.
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Figley, Charles R. "Victimization, Trauma, and Traumatic Stress". Counseling Psychologist 16, n.º 4 (outubro de 1988): 635–41. http://dx.doi.org/10.1177/0011000088164005.
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Melenhorst, M. C. A. M., K. van der Mooren, R. C. van Nieuwenhuizen e A. F. J. Wüst. "Traumatic pseudoaneurysm following ankle trauma". BJR|case reports 1, n.º 3 (novembro de 2015): 20150132. http://dx.doi.org/10.1259/bjrcr.20150132.
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NORRIS, C. SCOTT, RICHARD ZLOTNICK, WAYNE E. SILVA e H. BROWNELL WHEELER. "Traumatic Pseudoaneurysm Following Blunt Trauma". Journal of Trauma: Injury, Infection, and Critical Care 26, n.º 5 (maio de 1986): 480–82. http://dx.doi.org/10.1097/00005373-198605000-00013.
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Loh, Fun-Chee. "Traumatic asphyxia compounding craniofacial trauma". Journal of Cranio-Maxillofacial Surgery 20, n.º 3 (abril de 1992): 135–37. http://dx.doi.org/10.1016/s1010-5182(05)80096-4.
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Williams, Allison, Anna Beth Parlier-Ahmad, Erin Thompson, Rachel Wallace, Paul B. Perrin, Alyssa Ward e Karen D. Hendricks-Muñoz. "Peripartum Traumas and Mental Health Outcomes in a Low-Income Sample of NICU Mothers: A Call for Family-Centered, Trauma-Informed Care". Children 10, n.º 9 (30 de agosto de 2023): 1477. http://dx.doi.org/10.3390/children10091477.
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Postpartum depression (PPD), postpartum anxiety (PPA), and post-traumatic stress disorder (PTSD) among birthing people have increased substantially, contributing to adverse maternal/infant dyad outcomes, with a high prevalence in the neonatal intensive care unit (NICU). Despite calls for trauma-informed care in the NICU and high rates of post-traumatic stress, little research has examined the rates of or the relationships between peripartum mood and adverse child experiences (ACEs) in NICU mothers or evaluated which peripartum traumas are most distressing. This study employed structural equation modeling (SEM) to explore whether peripartum-related traumas and NICU-related stressors mediated the associations between ACEs and mental health outcomes in 119 lower-income, racially diverse mothers in a Level IV NICU. Mental health concerns were prevalent and highly comorbid, including 51.3% PPA, 34.5% PPD, 39.5% post-traumatic stress, and 37% with ≥4 ACEs. The majority (53.8%) of mothers endorsed multiple peripartum traumas; NICU admission was the most common trauma (61%), followed by birth (19%), pregnancy (9%), and a medical event in the NICU (9%). Our SEMs had good fit and demonstrated that ACEs predicted peripartum distress. Trauma-informed care efforts should employ transdiagnostic approaches and recognize that women commonly present to the NICU with childhood trauma history and cumulative peripartum traumas.
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Mollon, Josephine, Emma Knowles, Samuel Mathias, Amanda Rodrigue, Marinka Koenis, Godfrey Pearlson e David Glahn. "T67. TRAUMA IN AFFECTIVE AND NONAFFECTIVE PSYCHOSIS: ASSOCIATIONS AND DISSOCIATIONS WITH COGNITIVE FUNCTIONING IN CHILDHOOD AND ADULTHOOD". Schizophrenia Bulletin 46, Supplement_1 (abril de 2020): S256—S257. http://dx.doi.org/10.1093/schbul/sbaa029.627.
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Abstract Background Childhood trauma and cognitive impairment are important risk factors for psychotic disorders. However, the relationship between trauma and psychosis throughout the lifespan, as well as between lifetime trauma and cognitive functioning, remain unclear. Methods Using data from a case-control study of African-American adults with psychotic disorders, we examined childhood and adult trauma, as well as their interaction with cognitive functioning, in adults with affective psychotic disorders (n=101), nonaffective psychotic disorders (n=109), non-psychotic psychiatric disorders (n=105), compared to controls (n=211). Childhood trauma was measured using the Childhood Trauma Questionnaire (CTQ), which produces dimensional measures of physical neglect, emotional neglect, physical abuse, emotional abuse, and sexual abuse. Adult trauma was measured using the Trauma History Questionnaire (THQ), which ascertains the presence of death-, and personal-related traumas throughout adulthood. Cognitive functioning was measured using a comprehensive computerized battery (‘Charlie’, https://github.com/sammosummo/Charlie). Results All three psychiatric groups showed greater childhood trauma compared to controls, but the affective psychosis group showed the most trauma (Cohen d=0.97–1.29, p<0.001), followed by the nonaffective psychosis group (d=0.54–0.72, p<0.001), and then the non-psychotic group (d=0.05–0.16, p<0.04). Despite the fact that childhood trauma was significantly associated with adult trauma (OR=0.67–2.08,p<0.002), only the affective psychosis group showed a significantly increased likelihood of experiencing both death- and personal-related traumas in adulthood (OR=0.86–2.14, p<0.01), while the nonaffective psychosis group showed an increased likelihood of experiencing personal-related traumas (OR=1.00, p=0.003). Significant childhood-trauma-by-group interactions on cognitive functioning showed that greater childhood neglect was associated with better performance in the affective psychosis group on measures of processing speed (d=0.52, p=0.011), social processing (d=0.57, p=0.020), and executive functioning (d=0.50–0.71,p<0.020). A similar pattern emerged in the affective psychosis group with both death- and personal-related adult traumas on measures of processing speed (d=0.67–0.74, p<0.010), memory (d=0.67–0.68, p<0.014), and emotional processing (d=0.79, p=0.008). In the domain of complex reasoning, on the other hand, increased childhood sexual abuse in the affective psychosis group, and personal-related adult traumas in the psychosis group, showed a deleterious effect (d=–0.44, p=0.025; d=–0.65, p=0.010). Discussion Individuals with psychotic disorders, especially affective psychoses, experienced more childhood and adult trauma than controls, and also individuals with non-psychotic psychiatric disorders. However, both childhood neglect and adult trauma were associated with better cognitive functioning in the affective psychosis group. One explanation for this seemingly paradoxical finding may be that traumatic experiences in childhood and adulthood lead to increased cognitive vulnerability, as typically seen in psychotic disorders. Thus, individuals who experience more lifetime trauma may follow a different pathway to psychosis, involving less neurodevelopmental impairment, but greater environmental stress, leading to more affective, rather than nonaffective, manifestations of psychosis.
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Agar, Anil, Adem Sahin, Orhan Gunes, Deniz Gulabi e Cemil Erturk. "Seasonal variation in paediatric orthopaedic trauma Patients – A single centre experience from Turkey". Journal of Orthopaedic Surgery 30, n.º 1 (janeiro de 2022): 230949902110681. http://dx.doi.org/10.1177/23094990211068146.
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Purpose It is known that the incidence of paediatric orthopaedic trauma peaks in the summer months as a result of increased and uncontrolled physical activity. The aim of this study was to review the experience of a single centre with paediatric orthopaedic traumas and determine the relationship between the severity and the variations in the incidence of traumas in relation to the seasons and temperatures during the study period. Materials and Methods A single institutional review of the historical data of all patients aged 0–16 years who presented for orthopaedic trauma between January 2018 and December 2020 in the emergency department of Level 1 tertiary orthopaedic trauma centre was conducted. 65,182 paediatric orthopaedic trauma cases had been retrieved from the hospital data base during the 3 -year study period. We classified the traumas according to the variants of the patients’ and by holidays, seasons, school days and weekends, months and in which part of the body it occurred. Results After excluding the summer vacation, 77% of paediatric orthopaedic trauma patients attended to the hospital on weekdays and 23% on weekends. While it was observed that hot weather had a statistically positive effect on trauma attendance, rainy weather had an negative effect ( p < 0.05). Trauma attendances were found to be statistically higher in summer months, except for injuries that may occur with indoor activities such as metacarpal fracture, phalanx fracture and pulled elbow ( p < 0.05). Conclusion Orthopaedic trauma at a Level 1 tertiary health care trauma center do vary significantly with the weather and are highest in the summer season. Therefore, it should focus more attention on preventive strategies for paediatric trauma in the summer season.
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Pouya, M., Babak Khodadadi e V. Khodadadi. "Survey of Penetration Injuries Caused to Major Operation on Patients Refer to Tonekabon Shahid Rajaee Hospital, Mazandaran North of Iran during 2015-2016". Bangladesh Journal of Medical Science 17, n.º 3 (29 de junho de 2018): 484–88. http://dx.doi.org/10.3329/bjms.v17i3.37005.
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Introduction: Trauma is considered as one of the major causes of mortality in the World and in Iran. Which, many people die each year. The aim of study we evaluated penetrating traumas as Specific reason of deaths among affected patients.Materials and Methods: In this crosssectional retrospective study, 73patients with penetrating traumas visiting Shahid Rajaee hospital of Tonekabon in 2015-16were evaluated, then, the files were extracted from hospital archive files and information of patients such as age, sex, The type of agent and the cause of the injury, the reasons for the surgery and the type of surgery were recorded from the archived files, then, The data were statistically analyzed by the SPSS software.Results: Based on the findings, over the 60 (80 %) of patients were males, that was a significant relationship between sex and penetrating trauma. Also, the most common were penetrating trauma in the age group of 21-35 years old. There was a significant relationship between age and penetrating traumas (p<0.05), it should be noted that, other variables in this studies were not related significantly withthepenetrating trauma in patients. (p>0.05).Conclusion: The more common causes of penetrating traumas among young are Damage from driving accidents which require better Facilities to manage them. Also, the role of emergency rooms and the provision of equipment to reduce mortality from penetrating trauma can be mentioned.Bangladesh Journal of Medical Science Vol.17(3) 2018 p.484-488
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Великодна, Марʼяна, Людмила Колісник, Олена Шестопалова, Оксана Шило e Владислав Депутатов. "Стрес-реакції, травма та пост-травматичне зростання школярів в умовах війни Росії проти України". Теоретичні і прикладні проблеми психології, n.º 1(57)Т2 (2022): 81–97. http://dx.doi.org/10.33216/2219-2654-2022-57-1-2-81-97.
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Надзвичайна ситуація воєнного нападу Росії на Україну створює особливо гострий запит для психологів в оцінці психологічного стану населення та наданні йому невідкладної психологічної допомоги, особливо дітям та підліткам. Аналіз актуальних досліджень доводить, що стресові й травмівні події шкільного віку часто стають підґрунтям для розвитку депресії та пост-травматичного стресового розладу, що залежить від характеру копінгів, віку, почуття сенсу життя, підтримки близьких, отримання психологічної допомоги. У статті висвітлено результати емпіричного дослідження психологічних впливів війни на школярів України, а також запропонувано рекомендації психологам у роботі з ними. Зокрема, встановлено, що в усіх вікових групах школярів переважають емоційні реакції на війну, передусім тривога та страх, менш вираженими є когнітивні, і мало вираженими – фізичні реакції. При цьому емоційні реакції молодших школярів обʼєднані тим, що мають здебільшого ненаправлене, розмите генералізоване вираження, іншими словами – не мають конкретний об’єкт. Для учнів середньої школи більш притаманна конкретизація почуттів, особливо страху, розгубленість, зниження самооцінки, навчальні труднощі. У старшокласників найчастіше труднощі пов’язані з вибудовуванням планів на майбутнє, а необхідність вибору професії, вступу до вишу і загроза руйнування цих планів викликає в них найбільш гострі і різноманітні реакції: від зневіри й апатії до ненависті і провини. Динаміка пост-травматичного зростання школярів відповідає попереднім даним із вікової психології. Молодші школярі розвивають більшу емпатійність, тоді як підлітки ускладнюють картину своєї самосвідомості, формуючи цінності й світогляд як більш серйозні та обґрунтовані сенсом життя, відчувають власні сили впоратися з ним. Старшокласники надодачу до зазначених надбань, роблять більше екзистенційних відкриттів, відчувають більше розуміння духовного. Ключові слова: молодші школярі, підлітковий вік, пост-травматичне зростання, психологічна травма, стрес, школярі.
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Jencks, Jennifer W., e George S. Leibowitz. "The Impact of Types and Extent of Trauma on Depressive Affect Among Male Juvenile Sexual Offenders". International Journal of Offender Therapy and Comparative Criminology 62, n.º 5 (18 de novembro de 2016): 1143–63. http://dx.doi.org/10.1177/0306624x16676099.
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High levels of depression have been found among incarcerated youth, which suggests that mental health problems are associated with delinquent behavior and are part of a constellation of risk factors that contribute to youth entering the juvenile justice system. In this project, we investigated trauma and mental health issues among male youth in residential treatment, and addressed the following questions: (a) Does childhood trauma predict current depression for male juvenile sexual offenders? (b) If so, do different types of traumas predict depressive affect better than others? and, (c) Does extent of trauma exposure predict depression? Data on incarcerated male juvenile sexual offenders were analyzed ( n = 379). Multiple regressions of various types of traumas and cumulative trauma and depression were conducted. Emotional abuse was the strongest predictor of depressive affect for this sample, and multiple exposures to trauma were the second strongest predictor.
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Cabrera Sánchez, José. "Una crítica al reduccionismo neurológico en la teoría general del trauma de Malabou: la persistencia de lo simbólico en los traumas sociopolíticos". Revista de humanidades (Santiago. En línea), n.º 49 (29 de janeiro de 2024): 369–95. http://dx.doi.org/10.53382/issn.2452-445x.785.
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El presente texto plantea un cuestionamiento a la teoría general sobre el trauma propuesta por la filósofa Catherine Malabou. A nuestro juicio, lo que Malabou califica como una teoría general del trauma es más bien una teoría genérica del trauma, radicando su falla en la generalización del paradigma de la cerebralidad a toda forma de trauma. Intentaremos mostrar que el mutismo simbólico del sujeto postraumático en los traumas sociopolíticos no descansa únicamente en el fundamento material que ofrece la cerebralidad, sino que depende de un colapso de las estructuras de significado que caracterizan a los traumas sociopolíticos, desplome del sentido que debe ser pensado dentro de los marcos de la historia, el despliegue del antagonismo político y las entreveradas vías del reconocimiento.