Search results for "traumat"

Traumatic lumbar disc extrusion mimicking spinal epidural hematoma: Case report and literature review

2020

Background: Because the neurological presentation of spinal epidural hematomas (SEH) is often not specific, they may be misdiagnosed as acute lumbar disk herniations. Here, we present a case in which a traumatic disc extrusion mimicked an epidural hematoma and reviewed the appropriate literature. Case Description: A 27-year-old male sustained a high-energy fall. The lumbar MRI scan showed a L4-S1 ventral medium/high signal intensity mass on the T1- and high signal intensity lesion on T2-weighted images; the original diagnosis was spinal epidural hematoma. However, at surgery, consisting of a left L4 and L5 hemilaminectomy with L4-L5 and L5-S1 laminotomy, an extruded lumbar disc was encount…

Conservative Treatment of Splenic Haematoma After Colonoscopy: A Case Report

2020

Colonoscopy is a routine procedure performed worldwide, nevertheless, a small risk of splenic injury, often under-estimated, is still present. As a matter of fact, the diagnosis may be delayed, leading to a rising risk of morbidity and mortality. This paper describes a case of conservative treatment of colonoscopy-associated splenic injury. A 57-year-old woman presented with worsening pain in the upper left abdominal quadrant; she had radiation therapy to the ipsilateral subscapular region, and a diagnostic colonoscopy 18 hours earlier. The computed tomography (CT) scan revealed splenic laceration without signs of hemoperitoneum. Because of the hemodynamic stability of the patient, successf…

Group psychoeducation with relaxation for severe fear of childbirth improves maternal adjustment and childbirth experience – a randomised controlled …

2014

Previous studies on the treatment of women with fear of childbirth have focused on the delivery mode. Women with fear of childbirth often suffer from anxiety and/or depression, and treatment therefore also needs to target postnatal psychological well-being and the early mother-infant relationship.Three hundred and seventy-one nulliparous women out of 4575 scored ≥100 in prospective screening (Wijma Delivery Expectancy Questionnaire, W-DEQ-A), indicating severe fear of childbirth. These women were randomised to psychoeducative group intervention with relaxation (n = 131; six sessions during pregnancy, one postnatal) or to conventional care (n = 240) by community nurses (referral if necessary…

Usefulness of Cerebral Oximetry in TBI by NIRS

2021

Measurement of cerebral oximetry by near-infrared spectroscopy provides continuous and non-invasive information about the oxygen saturation of haemoglobin in the central nervous system. This is especially important in the case of patients with traumatic brain injuries. Monitoring of cerebral oximetry in these patients could allow for the diagnosis of inadequate cerebral oxygenation caused by disturbances in cerebral blood flow. It could enable identification of episodes of hypoxia and cerebral ischemia. Continuous bedside measurement could facilitate the rapid diagnosis of intracranial bleeding or cerebrovascular autoregulation disorders and accelerate the implementation of treatment. Howev…

Positive and negative effects of trauma in patients after myocardial infarction : The role of type D personality

2020

Background: Experiencing a myocardial infarction threatens the health and life of the patient; therefore, it can be perceived as a traumatic event. Indeed, myocardial infarction may result in negative consequences, including symptoms of posttraumatic stress disorder (PTSD). However, it is also possible to experience positive effects from traumatic events, which is expressed as posttraumatic growth. Personality characteristics, including type D (i.e., distressed) personality, are among several factors that have been shown determine the occurrence of negative and positive consequences after exposure to trauma. Aim of the study: The aim of the present study was to establish the role of distres…

Hyperosmolar therapy for acute brain injury: study protocol for an umbrella review of meta-analyses and an evidence mapping

2020

Introduction Acute brain injury is a challenging public health problem worldwide. Elevated intracranial pressure is a common complication after acute brain injury. Hyperosmolar therapy is one of the main therapeutic strategies for the management of intracranial hypertension. This study protocol outlines an umbrella review of meta-analyses which will investigate the benefits and harms of hyperosmolar therapy routinely used for the management of acute brain injury in the intensive care. Methods and analysis We will search PubMed/MEDLINE, EMBASE and the Cochrane Database of Systematic Reviews. We will include meta-analyses of primary research studies (eg, randomised controlled trials, observat…

Viron neuvostoaika 2010-luvun silmin

2022

Suomalaiset käenpesät : väkivallan metaforat ja traumakokemuksen kuvaus mielisairaalamuistoissa

2018

Tässä artikkelissa kuvaan suomalaisiin mielisairaaloihin liittyviä traumamuistoja. Artikkeli pohjautuu Muistoja ja kokemuksia mielisairaaloista -muisteluaineistoon1. Potilaat voivat kokea sairaalahoidon monella tavalla ja aineistossa onkin sekä positiivisia että negatiivisia muistoja sairaaloista. Tässä artikkelissa keskityn negatiivisiin kokemuksiin. Mielisairaaloissa koetusta väkivallasta ja vallankäytöstä on alettu puhua julkisuudessa viime vuosina aiempaa enemmän esimerkiksi Kupittaan psykogeriatrisen osaston väärinkäytösten paljastuttua (ks. esim. Turun Sanomat 15.9.2017). Silti traumaattiset mielisairaalakokemukset ovat vielä usein tabuja sekä kokijoilleen että suurelle yleisölle. Met…

Kerrostuneet tulkinnat : vaikeat lapsuusmuistot muistitietohaastattelussa

2022

‘Cos I’m a Survivor’ : Narratives of coping and resilience in recollections of difficult childhood in post-war Finland

2018

In post-war Finland thousands of children experienced poor upbringing, neglect and abuse, and had to deal with their experiences without social support from adults. In this article we study how difficult and bitter experiences related to childhood crises are remembered, reinterpreted and reframed in later life and in contemporary Finland. As research material we use both oral and written reminiscences of childhood in the post-war years collected in the period 2014–2016. We argue that in the recollections of difficult childhood coping and resilience emerge as major narrative themes. Although informants in their childhood were forced to suffer in silence, they remember themselves as being res…