Pub Date : 2017-05-24DOI: 10.4172/2167-1222.1000378
Mark I. Johnson
There is a commonly held belief that the relationship between trauma and pain is strong. The more severe the trauma the more severe the pain. This short commentary demonstrates the fragility of the relationship between trauma and pain and suggests that healthcare professionals should not think of pain in terms of single causes or cures but should treat the person in pain with personalized pain management.
{"title":"Trauma and Pain: A Fragile Link","authors":"Mark I. Johnson","doi":"10.4172/2167-1222.1000378","DOIUrl":"https://doi.org/10.4172/2167-1222.1000378","url":null,"abstract":"There is a commonly held belief that the relationship between trauma and pain is strong. The more severe the trauma the more severe the pain. This short commentary demonstrates the fragility of the relationship between trauma and pain and suggests that healthcare professionals should not think of pain in terms of single causes or cures but should treat the person in pain with personalized pain management.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000378","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48676949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-12DOI: 10.4172/2167-1222.1000377
Eva J Usadi, R. S. Levine
{"title":"Working with Horses on the Ground: Case Studies","authors":"Eva J Usadi, R. S. Levine","doi":"10.4172/2167-1222.1000377","DOIUrl":"https://doi.org/10.4172/2167-1222.1000377","url":null,"abstract":"","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000377","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47310023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-10DOI: 10.4172/2167-1222.1000376
T. Nogueira, Miriam Rosa
The present text aims to promote reflections about the trauma clinic. It is a treatment practice conceived within the psychological care of refugee immigrants, marked by the silencing that comes from the fixation in the traumatic moment. Such practice requires unconventional interventions that can symptomatize this deadly silence and convey the experience of loss produced by the trauma of displacement/uprooting. We propose a few questions regarding the ethos of the trauma clinic, at the same time as we present some Freudian indications for the understanding of the operation of this traumatic moment. Both authors authorize the publication of this study.
{"title":"The Trauma Clinic: A Brief Comment","authors":"T. Nogueira, Miriam Rosa","doi":"10.4172/2167-1222.1000376","DOIUrl":"https://doi.org/10.4172/2167-1222.1000376","url":null,"abstract":"The present text aims to promote reflections about the trauma clinic. It is a treatment practice conceived within the psychological care of refugee immigrants, marked by the silencing that comes from the fixation in the traumatic moment. Such practice requires unconventional interventions that can symptomatize this deadly silence and convey the experience of loss produced by the trauma of displacement/uprooting. We propose a few questions regarding the ethos of the trauma clinic, at the same time as we present some Freudian indications for the understanding of the operation of this traumatic moment. Both authors authorize the publication of this study.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"6 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000376","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42175916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-06DOI: 10.4172/2167-1222.1000I105
G. Pauly, R. Kashyap, Raghavendra Kini, P. Rao, Gowri P Bh, Arkar
A 32-year-old male patient came to the department of oral medicine and radiology with a chief complaint of discoloured teeth in upper front tooth region since 2 years. He gave no history of pain and a history of fall 4 years ago. Past medical and dental history were noncontributory. Intraoral examination revealed yellowish discoloration of coronal aspect of left maxillary central incisor (Figure 1). No tenderness elicited on palpation and percussion. A provisional diagnosis of Ellis Class IV fracture was given. Electric pulp testing gave a negative response. Intraoral periapical radiograph revealed calcification of coronal and radicular part of the pulp canal, suggestive of trauma induced calcification. The patient was referred for endodontic evaluation followed by prosthodontic evaluation for the needful.
{"title":"The Pulpless Tooth: A Case of Calcified Pulp Canal","authors":"G. Pauly, R. Kashyap, Raghavendra Kini, P. Rao, Gowri P Bh, Arkar","doi":"10.4172/2167-1222.1000I105","DOIUrl":"https://doi.org/10.4172/2167-1222.1000I105","url":null,"abstract":"A 32-year-old male patient came to the department of oral medicine and radiology with a chief complaint of discoloured teeth in upper front tooth region since 2 years. He gave no history of pain and a history of fall 4 years ago. Past medical and dental history were noncontributory. Intraoral examination revealed yellowish discoloration of coronal aspect of left maxillary central incisor (Figure 1). No tenderness elicited on palpation and percussion. A provisional diagnosis of Ellis Class IV fracture was given. Electric pulp testing gave a negative response. Intraoral periapical radiograph revealed calcification of coronal and radicular part of the pulp canal, suggestive of trauma induced calcification. The patient was referred for endodontic evaluation followed by prosthodontic evaluation for the needful.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43174785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-02DOI: 10.4172/2167-1222.1000374
Eva J Usadi, R. S. Levine
While programs using horses with war veterans proliferate few aim specifically at Moral Injury. Many believe that riding horses constitutes therapy for Post-Traumatic Stress Disorder. While there may be a benefit because the movement of the horse is regulating to the nervous system, this practice is contraindicated for warriors with Moral Injury which we see as separate and distinct from PTSD, and not a disorder. Our definition of Moral Injury is that it is an existential/spiritual crisis that is the result of having been trained to override the instinctual aversion to the taking of human life. It can also be the consequence of having perpetrated acts during combat operations, necessary at the time for survival, that damage one’s conscience or moral compass. To the extent that warriors may have both PTSD and Moral Injury, the latter requires a different clinical approach. Warriors who attend Trauma and Resiliency Resources Inc.’s Warrior Camp® program do not ride nor do they have access to halters, lead lines or other instruments of domination or control. Our work at TRR is in accordance with the EAGALA model of Equine Assisted Psychotherapy. This method best suits warriors with Moral Injury because it allows for a more robust use of the horse’s capacity for nonjudgmental intuitive mirroring. In particular, a horse’s ability to intuitively target post-war attachment disruptions caused by morally injurious combat experiences is best employed when the veterans keep their feet on the ground.
{"title":"Why We Don't Ride: Equine Assisted Psychotherapy, Military Veterans and Moral Injury","authors":"Eva J Usadi, R. S. Levine","doi":"10.4172/2167-1222.1000374","DOIUrl":"https://doi.org/10.4172/2167-1222.1000374","url":null,"abstract":"While programs using horses with war veterans proliferate few aim specifically at Moral Injury. Many believe that riding horses constitutes therapy for Post-Traumatic Stress Disorder. While there may be a benefit because the movement of the horse is regulating to the nervous system, this practice is contraindicated for warriors with Moral Injury which we see as separate and distinct from PTSD, and not a disorder. Our definition of Moral Injury is that it is an existential/spiritual crisis that is the result of having been trained to override the instinctual aversion to the taking of human life. \u0000It can also be the consequence of having perpetrated acts during combat operations, necessary at the time for survival, that damage one’s conscience or moral compass. To the extent that warriors may have both PTSD and Moral Injury, the latter requires a different clinical approach. Warriors who attend Trauma and Resiliency Resources Inc.’s Warrior Camp® program do not ride nor do they have access to halters, lead lines or other instruments of domination or control. \u0000Our work at TRR is in accordance with the EAGALA model of Equine Assisted Psychotherapy. This method best suits warriors with Moral Injury because it allows for a more robust use of the horse’s capacity for nonjudgmental intuitive mirroring. In particular, a horse’s ability to intuitively target post-war attachment disruptions caused by morally injurious combat experiences is best employed when the veterans keep their feet on the ground.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":" ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2017-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47340828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-02DOI: 10.4172/2167-1222.1000375
akumar Bhairi, Ullas Mahesh, A. Qureshi, S. Kumar, Mahesh Kumar, K. Shivalingaiah
The incidence of tibial shaft fracture that too distal end fracture is on the rise due to increased rate of road traffic accident by two-wheeler users, specially due to the traffic scenario in cities of our country. High speed vehicles, bad roads and rapid industrialization has further compounded the problems. In this prospective study, we studied 20 patients that suffered a distal tibial fracture. They were managed by intramedullary nailing with or without fixation of the fibula. Results were based on radiological and functional outcomes categorized by excellent, good, fair and poor. We evaluated the rate of fracture union and post-operative complications. 65% of the patients had an excellent outcome, 25% had good, 5 had fair and 5 had a poor outcome. 6 patients suffered complication. The average time to union was 15 weeks. Our study concluded the excellent outcomes that could achieved by intramedullary nail with the distal locking screw.
{"title":"Prospective Study of Surgical Management of Distal Tibial Fractures inAdults","authors":"akumar Bhairi, Ullas Mahesh, A. Qureshi, S. Kumar, Mahesh Kumar, K. Shivalingaiah","doi":"10.4172/2167-1222.1000375","DOIUrl":"https://doi.org/10.4172/2167-1222.1000375","url":null,"abstract":"The incidence of tibial shaft fracture that too distal end fracture is on the rise due to increased rate of road traffic accident by two-wheeler users, specially due to the traffic scenario in cities of our country. High speed vehicles, bad roads and rapid industrialization has further compounded the problems. In this prospective study, we studied 20 patients that suffered a distal tibial fracture. They were managed by intramedullary nailing with or without fixation of the fibula. Results were based on radiological and functional outcomes categorized by excellent, good, fair and poor. We evaluated the rate of fracture union and post-operative complications. 65% of the patients had an excellent outcome, 25% had good, 5 had fair and 5 had a poor outcome. 6 patients suffered complication. The average time to union was 15 weeks. Our study concluded the excellent outcomes that could achieved by intramedullary nail with the distal locking screw.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000375","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41842906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-22DOI: 10.4172/2167-1222.1000373
Thomas E Voigt, S. Balandin, A. Day
We all like to hear positive stories of bravery and heroism, especially those that have a good ending and outcome. These stories reassure us that amongst all the bad news and tragedy we see on a daily basis, there are people out there who act and behave selflessly in extraordinary situations and circumstances.
{"title":"What is the Impact of Acts of bravery","authors":"Thomas E Voigt, S. Balandin, A. Day","doi":"10.4172/2167-1222.1000373","DOIUrl":"https://doi.org/10.4172/2167-1222.1000373","url":null,"abstract":"We all like to hear positive stories of bravery and heroism, especially those that have a good ending and outcome. These stories reassure us that amongst all the bad news and tragedy we see on a daily basis, there are people out there who act and behave selflessly in extraordinary situations and circumstances.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"6 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2017-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000373","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45650596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-12DOI: 10.4172/2167-1222.1000372
V. Kamal, D. Agrawal, P. RavindraMohan, Ey
Traumatic brain injury (TBI) is a significant public health problem in all regions of the globe despite advancement in prevention and treatments. Its global incidence is rising and it is predicted to surpass many diseases as a major cause of death and disability by the year 2020. It is a leading cause of mortality, morbidity, disability, and socioeconomic losses in India as well. For reducing the burden of TBIs, India and other developing countries are facing the major challenges of prehospital care, prevention, and rehabilitation in their rapidly changing environments.
{"title":"Why Statistical Modelling in Outcome Prediction in Patients withTraumatic Brain Injury is Essential?: In Indian context","authors":"V. Kamal, D. Agrawal, P. RavindraMohan, Ey","doi":"10.4172/2167-1222.1000372","DOIUrl":"https://doi.org/10.4172/2167-1222.1000372","url":null,"abstract":"Traumatic brain injury (TBI) is a significant public health problem in all regions of the globe despite advancement in prevention and treatments. Its global incidence is rising and it is predicted to surpass many diseases as a major cause of death and disability by the year 2020. It is a leading cause of mortality, morbidity, disability, and socioeconomic losses in India as well. For reducing the burden of TBIs, India and other developing countries are facing the major challenges of prehospital care, prevention, and rehabilitation in their rapidly changing environments.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44188880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-10DOI: 10.4172/2167-1222.1000371
A. Aguirre, E. G. Quintana, M. Fenaux, ra Erdozain, M. Nuez
The eggshell membrane has shown a positive effect on joint pain relief. In this study, several tests have been performed to measure the effect of Ovomet® supplementation on subjective perception and biomechanical variables to crossfiters before and after 50 days of administration. Pain perception questionnaires were performed in order to assess and demonstrate the protective or potentiating of Ovomet® effect on athletes' joints. In addition, we measured biomechanical variables such as muscle strength and power in knee extension, linear stiffness of the Achilles tendon (AT) by ultrasound, muscle stiffness through sensor in two different manoeuvers. Of all the biomechanical variables, the measurement of tendon stiffness by ultrasound, proves to be a useful tool to study the factors that can affect the joints, like our object of study, the effect of joint supplementation on athletes.
{"title":"Effects of 50 Days Eggshell Membrane Ovometî Supplementation onBiomechanics Parameters and Subjective Pain Perception Among CrossfitAthletes. A Preliminary Study","authors":"A. Aguirre, E. G. Quintana, M. Fenaux, ra Erdozain, M. Nuez","doi":"10.4172/2167-1222.1000371","DOIUrl":"https://doi.org/10.4172/2167-1222.1000371","url":null,"abstract":"The eggshell membrane has shown a positive effect on joint pain relief. In this study, several tests have been performed to measure the effect of Ovomet® supplementation on subjective perception and biomechanical variables to crossfiters before and after 50 days of administration. \u0000Pain perception questionnaires were performed in order to assess and demonstrate the protective or potentiating of Ovomet® effect on athletes' joints. In addition, we measured biomechanical variables such as muscle strength and power in knee extension, linear stiffness of the Achilles tendon (AT) by ultrasound, muscle stiffness through sensor in two different manoeuvers. \u0000Of all the biomechanical variables, the measurement of tendon stiffness by ultrasound, proves to be a useful tool to study the factors that can affect the joints, like our object of study, the effect of joint supplementation on athletes.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000371","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43778116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-03-30DOI: 10.4172/2167-1222.1000368
Marc V. Felizzi
The traumatic experiences of victims of physical and sexual abuse within families have been studied in depth. However, the trauma of emotional abuse within families has received little attention in the literature.
{"title":"Treatment of Trauma Inflicted by Emotional Abuse","authors":"Marc V. Felizzi","doi":"10.4172/2167-1222.1000368","DOIUrl":"https://doi.org/10.4172/2167-1222.1000368","url":null,"abstract":"The traumatic experiences of victims of physical and sexual abuse within families have been studied in depth. However, the trauma of emotional abuse within families has received little attention in the literature.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2017 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000368","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44399940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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