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1

Cryer, H. Gill, and Jonathan R. Hiatt. "Trauma System: The Backbone of Disaster Preparedness." Journal of Trauma: Injury, Infection, and Critical Care 67, Supplement (2009): S111—S113. http://dx.doi.org/10.1097/ta.0b013e3181ae9d63.

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2

Vstavskaya, T. G., V. I. Larkin, L. B. Reznik, and N. I. Nazarova. "The condition of cerebral hemodynamic at patients with cervical injury of spine." Bulletin of Siberian Medicine 10, no. 4 (2011): 146–51. http://dx.doi.org/10.20538/1682-0363-2011-4-146-151.

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The condition of cerebral hemodynamic at the patients who transferred a cervical trauma of a backbone during the early and intermediate periods was studied. Examined 48 patients at the age of 18—50 years with cervical injury of spine during the early and intermediate periods. Patients were grouped according anatomical particularizes of cervical cord injury and influenced at spinal cord. Besides neurologic inspection, methods of ultrasonic Doppler sonography extracranial and transcranial Doppler sonography of intracranial brain vessels. The most essential changes of a blood-groove were register
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3

Ebrahimzadeh, Mohammad Hossein. "National Trauma Registry Center, as a Backbone of Trauma Management and Research." Archives of Trauma Research 1, no. 4 (2012): 87–8. http://dx.doi.org/10.5812/atr.8487.

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Vstavskaya, T. G., V. I. Larkin, and M. M. Katina. "COMPLEX NEUROPHYSIOLOGICAL DIAGNOSTICS OF THE COMPLICATED TRAUMA OF CERVICAL DEPARTMENT OF A BACKBONE DURING THE SHARP PERIOD." Bulletin of Siberian Medicine 12, no. 5 (2013): 18–23. http://dx.doi.org/10.20538/1682-0363-2013-5-18-23.

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The acoustic deckman and somatosensorny caused potentials at 65 patients with the complicated trauma of cervical department of a backbone are investigated. It is established that the complicated trauma of cervical department of a backbone leads to functional violations at level of cervical segments of a spinal cord and deckman structures of a brain. Existence of functional changes is influenced by weight of damage of a spinal cord and degree of instability of vertebras.
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5

Shapkin, Yu G., P. A. Seliverstov, and E. A. Skripal. "THE PHENOMENON OF «SECOND HIT» AFTER OPERATIONS OF OSTEOSYNTHESIS IN CASE OF POLY-TRAUMA." Medical Journal of the Russian Federation 23, no. 6 (2017): 331–36. http://dx.doi.org/10.18821/0869-2106-2017-23-6-331-336.

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In case of poly-trauma the early operations of osteosynthesis under fractures of long bones, unstable fractures of pelvis and backbone bones being an operational trauma, can provoke progression of inflammatory reaction, development of systemic complications and poly-organ inadequacy i.e. causing a «second hit» effect. The pathophysiologic mechanisms of «second hit» phenomenon are complicated and they are implementing by means of modulation of immune response. The risk of development of the given phenomenon depends on period of implementation and method of osteosynthesis, severity of injuries a
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Haldar, Ajay, Bharti Raj, Ved Prakash Maurya, Md Yunus, Rakesh Mishra, and Amit Agrawal. "Neurocritical Care Perspective of Traumatic Brain Injury During Pregnancy." Journal of Neurointensive Care 6, no. 1 (2023): 15–19. http://dx.doi.org/10.32587/jnic.2022.00577.

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Trauma is a leading cause of morbidity and mortality amongst females of childbearing age, and traumatic brain injury (TBI) carries a significant proportion of share amongst trauma of all kinds. Trauma during pregnancy has a twofold impact on the patient and the foetus, who, most of the time, remains unnoticed. Understanding and managing altered maternal physiology in the background of TBI is a challenge and requires close monitoring to avoid any unwanted outcome. The challenges initiate right from the resuscitation following trauma to the rehabilitation of these patients with TBI during pregna
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Paudel, Niket. "Person Centered and Trauma Informed Approach in Social Work Practice and Ways to Ensure Diversity in both Approaches." Asian Social Work Journal 6, no. 5 (2021): 21–24. http://dx.doi.org/10.47405/aswj.v6i5.183.

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Person-Centered approach is an adapted work of Carl Rogers, where the focus was mainly on psychotherapy and counselling. Rogers believed, the basic nature of an individual is constructive and trustworthy – given that the individual is freely functioning. Person-Centered approach is the backbone of social work practice alongside trauma-informed approach. Any emotionally and physically daunting events that affects the response of an individual is trauma. Trauma damages the freely functioning state of an individual – emotionally, socially and behaviorally. By introducing an approach that is traum
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8

Hilder, Ian. "Career Adaptability: The Key to Tackling Workplace Trauma at Scale." International Journal of Advanced Corporate Learning (iJAC) 14, no. 1 (2021): 57. http://dx.doi.org/10.3991/ijac.v14i1.21035.

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Over the last 12 months we have witnessed an acceleration of change within the traditional workplace. Digital disruption has only been exacerbated by Covid-19, displacement is rife, and the skills gap is widening exponentially. This report explores the concept of career adaptability, it’s origin and development but also how it can form the backbone of the response to overcoming workplace trauma. Exploring a ground-breaking, human centered response that will enable mentoring and employment support, at scale.
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9

Maegele, Marc. "The European Perspective on the Management of Acute Major Hemorrhage and Coagulopathy after Trauma: Summary of the 2019 Updated European Guideline." Journal of Clinical Medicine 10, no. 2 (2021): 362. http://dx.doi.org/10.3390/jcm10020362.

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Non-controlled hemorrhage with accompanying trauma-induced coagulopathy (TIC) remains the most common cause of preventable death after multiple injury. Rapid identification followed by aggressive treatment is the key for improved outcomes. Treatment of trauma hemorrhage begins at the scene, with manual compression, the use of tourniquets and (non) commercial pelvic slings, and rapid transfer to an adequate trauma center. Upon hospital admission, coagulation monitoring and support are to be initiated immediately. Bleeding is controlled surgically following damage control principles. Modern coag
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10

Kavalerskiy, G.M., K.S. Ternovoy, V.Yu. Bogachev, A.P. Romanchuk, and M.A. Lebedeva. "Osobennosti funkcionalnogo sostoyaniya serdechno -sosudistoj i dyxatelnoj sistem pri vertebro -visceralnom sindrome [Features functional state of cardiovascular and respiratory system in vertebra-visceral syndrome]." Vestnik vosstanovitelʹnoj mediciny [Journal of restorative medicine and rehabilitation] 2011, no. 5 (2015): 28–33. https://doi.org/10.5281/zenodo.18236.

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103 patients with a trauma of cervical and/or thorax parts of a spine column during all periods of traumatic disease were examined by means of persistent and non-invasive method of spiroarteriocardiorythmography. The aim of the study was to evaluate the functional sufficiency of cardiovascular and respiratory systems of patients with spinal cord injury. All patients were also executed with modern highly technological researches: MRI, C.T. Results of researches MRI, C.T. speak only about damage localization and morphology, when the functional condition of life supporting systems is the most imp
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11

Singh, Harshpal, Scott Y. Rahimi, David J. Yeh, and David Floyd. "History of posterior thoracic instrumentation." Neurosurgical Focus 16, no. 1 (2004): 1–4. http://dx.doi.org/10.3171/foc.2004.16.1.12.

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The term “backbone” appears in many expressions used in modern day society. In any scenario, it has one central meaning: stability. Best defined as a foundation that is able to sustain multiple stressors without adversely affecting integrity, the commonly and appropriately termed backbone of humans is the spinal column. As the central focus of stability in our species, the spine is subject to a great degree of trauma and mechanical forces. A variety of methods have been developed throughout history in the treatment of spinal column injury. Initial treatment involved the use of simple traction
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12

Donnelly, Nora, Mattew Linvill, Ricardo Zaidan, et al. "Prehospital characteristics that identify major trauma patients: A hybrid systematic review protocol." HRB Open Research 6 (May 18, 2023): 31. http://dx.doi.org/10.12688/hrbopenres.13730.1.

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Background: International evidence has consistently demonstrated significant improvements both in the trauma care process and outcomes for patients through re-configuring care services from that which is fragmented to integrated trauma networks. A backbone of any trauma network is a trauma triage tool. This is necessary to support paramedic staff in identifying major trauma patients based on prehospital characteristics. However, there is no consensus on an optimal triage tool and with that, no consensus on the minimum criteria for prehospital identification of major trauma. Objective: Examine
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Donnelly, Nora, Matthew Linvill, Ricardo Zaidan, et al. "Prehospital characteristics that identify major trauma patients: A hybrid systematic review protocol." HRB Open Research 6 (November 7, 2023): 31. http://dx.doi.org/10.12688/hrbopenres.13730.2.

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Background International evidence has demonstrated significant improvements both in the trauma care process and outcomes for patients through re-configuring care services from that which is fragmented to integrated trauma networks. A backbone of any trauma network is a trauma triage tool. This is necessary to support paramedic staff in identifying major trauma patients based on prehospital characteristics. However, there is no consensus on an optimal triage tool and with that, no consensus on the minimum criteria for prehospital identification of major trauma. Objective Examine the prehospital
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14

KC, Govinda. "AN EFFORT T O REDUCE DISABILITYIN REMOTE DISTRICTS OF NEPAL, A PERSONALEXPERIENCE." Journal of Nepal Medical Association 41, no. 144 (2003): 526–30. http://dx.doi.org/10.31729/jnma.725.

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With the sole objective of preventing and reducing the incidence of disability in remotedistricts of Nepal resulting from lack of proper treatment due to lack of skill andknowledge in trauma and orthopaedic in the part of treating health workers, altogether,25 workshops were conducted in 18 remote districts to educate the doctors and healthworkers working in those districts. Till date 437 different level health workersunderwent basic training in this field. Workshops were conducted in district healthoffice, and health workers from health post and sub health posts were the participants.Slides,
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15

Ibarra, Enrique Ajuria. "Permanent hauntings: spectral fantasies and national trauma in Guillermo del Toro’s El espinazo del diablo [The Devil’s Backbone]." Journal of Romance Studies 12, no. 1 (2012): 56–71. http://dx.doi.org/10.3828/jrs.12.1.56.

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16

Somesh, O. Kale1* Ashvini B. Deshmukh2. "Polyherbal Gel For Management Of Mouth Ulcer: A Review." International Journal in Pharmaceutical Sciences 2, no. 5 (2024): 247–53. https://doi.org/10.5281/zenodo.11127319.

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The main purpose of this gel formulation of Guava leaves, Neem leaves, Mango leaves, Jasmine leaves, Jamun leaves was to relieve pain and discomfort due to oral ulcers. As we know there are different types of sores in the mouth that cause inflammation and pain. The most common oral ulcers are Local trauma & Aphthous Stomatitis. Now many over-the-counter medications are essential to staying in primary health care because of the positive response and the most effective treatment with the least amount of side effects. Herbal medicines are still the backbone of almost 75-80% of the world's pop
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17

Štorková Maliti, Romana. "Hranice traumy / Možnosti solidarity. Odraz bieloruských udalostí rokov 2020 a 2021 v súčasnej bieloruskej dráme." Slavia 93, no. 3 (2024): 329–38. http://dx.doi.org/10.58377/slav.2024.3.06.

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What type of drama, and with what possibilities of expression, emerges in cultures constrained by power? How and what do playwrights who are forced to write anonymously and cannot count on seeing their plays performed in their own country write? Using the example of several dramatic texts by Belarussian contemporary playwrights (first of all we deal with the texts I will emerge from the forest, straighten my backbone, and it shall become my sword by noname67 and Half a Year by Victoria Koval) and theatrical projects that emerged in response to the suppressed protests in Belarus, the study pres
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18

Wollina, Uwe, Dana Langner, Katlein França, Serena Gianfaldoni, Torello Lotti, and Georgi Tchernev. "Pyogenic Granuloma – A Common Benign Vascular Tumor with Variable Clinical Presentation: New Findings and Treatment Options." Open Access Macedonian Journal of Medical Sciences 5, no. 4 (2017): 423–26. http://dx.doi.org/10.3889/oamjms.2017.111.

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Pyogenic granuloma is a common benign vascular tumour occurring in all ages. Both skin and mucous membranes can be affected. Of pathogenetic importance are trauma, BRAF mutations and probably herpes virus type 1, Orf virus and/or human papilloma virus type 2. The tumour consists of capillary proliferations, venules and fibromyxoid stroma. The development of a lesion occurs in three stages and bleeding is a common symptom. The tumour can mimic various other vascular lesions, solid tumours, and soft tissue infections. In recent years, targeted tumour therapies have become the most common cause o
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19

Vilovic, Tina, Josko Bozic, Marino Vilovic, et al. "Family Physicians’ Standpoint and Mental Health Assessment in the Light of COVID-19 Pandemic—A Nationwide Survey Study." International Journal of Environmental Research and Public Health 18, no. 4 (2021): 2093. http://dx.doi.org/10.3390/ijerph18042093.

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During the coronavirus disease 2019 (COVID-19) outbreak, family physicians (FPs) are the backbone of the healthcare system with considerable impact on the general population, and their well-being is of great importance. The aim of this investigation was to assess FPs mental health, as well as knowledge, attitudes and practices (KAPs) regarding the pandemic, and opinions on non-communicable disease (NCD) health care provided to patients. A cross-sectional study was carried out with a sample of 613 FPs. Anxiety and depression levels were estimated with the Hospital Anxiety and Depression Scale,
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20

Handayani, Irma. "Application of K-Nearest Neighbor Algorithm on Classification of Disk Hernia and Spondylolisthesis in Vertebral Column." Indonesian Journal of Information Systems 2, no. 1 (2019): 57. http://dx.doi.org/10.24002/ijis.v2i1.2352.

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Vertebral column as a part of backbone has important role in human body. Trauma in vertebral column can affect spinal cord capability to send and receive messages from brain to the body system that controls sensory and motoric movement. Disk hernia and spondylolisthesis are examples of pathologies on the vertebral column. Research about pathology or damage bones and joints of skeletal system classification is rare whereas the classification system can be used by radiologists as a second opinion so that can improve productivity and diagnosis consistency of the radiologists. This research used d
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21

Jeon, Young-Dae, Min-Jun Kang, Sung-Uk Kuh, et al. "Deep Learning Model Based on You Only Look Once Algorithm for Detection and Visualization of Fracture Areas in Three-Dimensional Skeletal Images." Diagnostics 14, no. 1 (2023): 11. http://dx.doi.org/10.3390/diagnostics14010011.

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Utilizing “You only look once” (YOLO) v4 AI offers valuable support in fracture detection and diagnostic decision-making. The purpose of this study was to help doctors to detect and diagnose fractures more accurately and intuitively, with fewer errors. The data accepted into the backbone are diversified through CSPDarkNet-53. Feature maps are extracted using Spatial Pyramid Pooling and a Path Aggregation Network in the neck part. The head part aggregates and generates the final output. All bounding boxes by the YOLO v4 are mapped onto the 3D reconstructed bone images after being resized to mat
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22

Liang, Han, and Suyoung Seo. "Automatic Detection of Construction Workers’ Helmet Wear Based on Lightweight Deep Learning." Applied Sciences 12, no. 20 (2022): 10369. http://dx.doi.org/10.3390/app122010369.

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To reduce the risk of head trauma to workers working in high-risk workplaces such as construction sites, we designed a new automated lightweight end-to-end convolutional neural network to identify whether all people on a construction site are wearing helmets. Firstly, we used GhostNet as the backbone feature extraction network to take advantage of its low running cost and make the model lighter overall while ensuring efficient automatic feature extraction. Secondly, we designed a multi-scale segmentation and feature fusion network (MSFFN) in the feature-processing stage to improve the algorith
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23

Guryev, S. O., and D. M. Yaroviy. "CLINICAL AND EFFECTIVE RISKS OF DISABILITY AMONG VICTIMS OF ROAD TRAFFIC ACCIDENTS." Ukrainian Scientific Medical Youth Journal 108, no. 3 (2018): 76–79. http://dx.doi.org/10.32345/usmyj.3(108).2018.76-79.

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Clinical and effective risks of disability incidence have been determined on the basis of analysis of 219 cases among the victims of road accidents that have suffered from disability. Determination of the clinical outcome of the risk of invalidity among the victims as a result of traffic accidents is an important stage in the development of a comprehensive rehabilitation system aimed at reducing the level and degree of disability among the victims as a result of road traffic accidents. The highest risks are male, age group of which is 46-75, and pedestrians who have been injured with combined
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Guo, Song. "LightEyes: A Lightweight Fundus Segmentation Network for Mobile Edge Computing." Sensors 22, no. 9 (2022): 3112. http://dx.doi.org/10.3390/s22093112.

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Fundus is the only structure that can be observed without trauma to the human body. By analyzing color fundus images, the diagnosis basis for various diseases can be obtained. Recently, fundus image segmentation has witnessed vast progress with the development of deep learning. However, the improvement of segmentation accuracy comes with the complexity of deep models. As a result, these models show low inference speeds and high memory usages when deploying to mobile edges. To promote the deployment of deep fundus segmentation models to mobile devices, we aim to design a lightweight fundus segm
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Žujo-Marić, Lejla. "Herzegovina`s Literary Portrait in Alija Nametak`s and Almin Kaplan`s Prose Work." Društvene i humanističke studije (Online) 7, no. 2(19) (2022): 63–80. http://dx.doi.org/10.51558/2490-3647.2022.7.2.63.

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Alija Nametak and Almin Kaplan are two writers of Bosnian-Herzegovinian literature. Their prose work is defined by two separate historical periods. Alija Nametak`s prose originated in the 1930s, retaining a realistic poetic framework of storytelling and thematically entering into historical strife, folklore, and social relations amalgamated into the patriarchal way of life of Bosniak rural communities in Herzegovina. On the other hand, Almin Kaplan creates in the cultural climate of the first decades of the 21st century, combining poetic and prose expression in his literary work. Kaplan's lite
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26

Karki, Prateek, Dinesh Shrestha, Dipendra KC, et al. "Evaluation of Outcome of Type 2 Clavicular Fractures with Pre-Contoured Locking Compression Plates." Journal of Nepalgunj Medical College 17, no. 2 (2019): 47–51. http://dx.doi.org/10.3126/jngmc.v17i2.31653.

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Background: Clavicular fracture is a common traumatic condition encountered around shoulder region in adult population, while mid-shaft fractures (Robinson’s type 2) are found to be a most common variety. Management trends have changed in recent years from conservative to surgery, considering the higher rates of malunion, nonunion and poorer functional outcomes when managed non-operatively. An open reduction and internal fixation with precontoured locking compression plates has been a backbone of treatment of these fractures for several years with the aim of anatomical reduction, stable fixati
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27

Allen, A., and J. M. Shultz. "(P1-92) Safety Function Action: Current and Future Directions." Prehospital and Disaster Medicine 26, S1 (2011): s128—s129. http://dx.doi.org/10.1017/s1049023x11004249.

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IntroductionSAFETY FUNCTION ACTION for Disaster Responders (SFA) trains a framework for achieving and maintaining a high level of disaster health. Within SFA, disaster health is defined as, “maximal safety, optimal function, and effective action in preparedness for, and response to, emergencies, disasters, and extreme events.” A set of six strategies forms the backbone of the framework with two strategies each for SAFETY (safeguard and sustain), FUNCTION (comfort and connect), and ACTION (advise and activate).MethodsDuring 2008, a total of 2,553 participants were trained throughout the State o
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28

Choudhury, Sagarika. "Prevalence of Burnout in Intern Doctors on a Compulsory Rotational Internship in the Aftermath of the 2nd and 3rd Wave of COVID-19, Conducted in a Tertiary Hospital in Kolkata, India for the Academic Year 2021–2022." BJPsych Open 8, S1 (2022): S119. http://dx.doi.org/10.1192/bjo.2022.355.

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AimsIntern doctors are the backbone of the hospital infrastructure. While they are the first to provide patient care on an Emergency and Elective basis, they also happen to be the junior most. The interns of the year 2021–2022, apart from working in various departments of the hospital, were also the frontline workers in the 2nd and the 3rd wave of the COVID-19 pandemic. In the current global public health crisis, interns are more exposed to physical and mental exhaustion, owing to being overworked, along with carrying the burden of loss of patients, colleagues, and potentially infecting themse
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29

Szilárd, H., X. Gonda, Á. Menus, et al. "Psychological understanding of Anorexia nervosa gained from combined clinical care." European Psychiatry 67, S1 (2024): S556. http://dx.doi.org/10.1192/j.eurpsy.2024.1155.

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Introduction Anorexia nervosa (AN) is a debilitating illness with rapidly increasing incidence. The longer it lasts the more difficult is to cure. Although in the majority of the cases the main treatment is psychotherapy severe cases require inpatient admission for life saving support. The presentation expounds the combined therapeutic approach that anorexia nervosa patients of Semmelweis University Psychiatry and Psychotherapy Department provided with.Currently the backbone of psychotherapy for AN is cognitive behavioral therapy (CBT), schema therapy and katathym imaginative psychotherapy (KI
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30

Zhi, Huiying, Douglas Sheridan, and Peter J. Newman. "Prophylactic Administration of Antibodies Specific for the HPA-1a Epitope Prevents Alloimmunization and Platelet Destruction in a Murine Model of Fetal Neonatal Alloimmune Thrombocytopenia." Blood 138, Supplement 1 (2021): 3153. http://dx.doi.org/10.1182/blood-2021-148557.

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Abstract Fetal/neonatal alloimmune thrombocytopenia (FNAIT) is a life-threatening bleeding disorder caused by maternal alloantibodies directed against paternally inherited antigens present on the surface of fetal and neonatal platelets. The human platelet alloantigen HPA-1a (formerly known as the Pl A1 alloantigen), is the most frequently implicated HPA for causing FNAIT in Caucasians. A single Leu33Pro amino acid polymorphism near the amino terminus of the integrin b3 subunit (known as GPIIIa in the platelet literature) serves as the central target for alloantibody binding, leading to clearan
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31

Romanchuk, A.P., K.S. Ternovoy, M.N. Glushchenko, V. Y. Bogachev, and M.Yu. Karganov. "UNREGULATED BREATHING FEATURES OF PATIENTS WITH SPINAL INJURY." Avtonomiya lichnosti 2012, no. 1 (2015): 123–26. https://doi.org/10.5281/zenodo.16417.

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In work the analysis of features of a pattern and variability of no controllable breath at persons with spinal traumas is carried out. It is shown, that at traumas of a backbone at patients’ duration of a breath and an exhalation, decreases frequency of breath increases. Further the analysis of spectral components of no controllable breath at persons with the moderate and expressed lengthening of a breath and an exhalation is carried out.
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Zhi, Huiying, Debra K. Newman, and Peter J. Newman. "Fetal Maternal Hemorrhage As a Trigger for Fetal/Neonatal Alloimmune Thrombocytopenia: Evidence from a Murine Model." Blood 142, Supplement 1 (2023): 2664. http://dx.doi.org/10.1182/blood-2023-178032.

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Fetal/neonatal alloimmune thrombocytopenia (FNAIT) is a severe bleeding disorder caused by maternal alloantibodies targeting fetal platelet alloantigens. Among the 37 human platelet alloantigens (HPAs) identified, the HPA-1a/HPA-1b polymorphism, involving a Leu33Pro amino acid substitution in the integrin β3 subunit, is the most common cause of severe FNAIT, particularly in Caucasians. Leu33 serves as a key target for alloantibody binding, leading to fetal and neonatal thrombocytopenia and, in severe cases, spontaneous or trauma-induced intracranial hemorrhage. FNAIT shares a pathophysiologic
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33

Hendry, Anne, and Alison Bunce. "Understanding the Value of a Compassionate Community - learning from Compassionate Inverclyde in Scotland." International Journal of Integrated Care 25 (April 9, 2025): 503. https://doi.org/10.5334/ijic.icic24237.

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Compassionate Inverclyde, a multi-award winning social movement, was established in 2017 in a mixed urban / coastal area with a population of 80,000 and high levels of poverty, disability and trauma. Our previous reports describe the design principles, the many benefits for citizens, communities and organisations, and the contribution to realising local and national outcomes. As we face unprecedented economic and workforce challenges, investment in proactive preventative support struggles to compete with demands for funding of reactive care. The need to demonstrate impact from investment in pr
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Antao, Nicholas A. "Does inequality prevail in treatment of fairer sex in orthopaedics?" Journal of Clinical Orthopaedics 8, no. 2 (2023): 1. http://dx.doi.org/10.13107/jcorth.2023.v08i02.572.

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From times immemorial, women has had the difficult road to travel, may be their values in societal position, their active participation and understanding and realisation of their voice in matters of legislation, not to say the least in day to day contribution still needs to be appreciated despite working full time24/7. When I was a resident in the seventies, I often used to wonder, why the Opd’s were full of womenfolk as compared to men in chronic ailments of musculoskeletal pains carrying a with them , a thick pad of opd papers with only written legible prescription was ctall (continue all).
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Todor, Dimov Koritarov, and Dimitrov Dimitrakiev Rostislav. "STRATEGIC APPROACHES IN MARITIME LOGISTICS: TRAMP AND LINER SHIPPING IN GLOBAL TRADE." Deutsche internationale Zeitschrift für zeitgenössische Wissenschaft 105 (June 6, 2025): 28–33. https://doi.org/10.5281/zenodo.15611709.

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This paper examines the critical role of maritime logistics in global trade and the strategic approaches in commercial shipping operations and integrated transport. It explores the characteristics of tramp and liner shipping, the integration of sea transport with other transport modes, and the legal and technological developments (such as electronic Bills of Lading) that facilitate global commerce. The study is a literature-based analysis, drawing on recent academic and industry sources to compare operational models and theoretical frameworks in maritime logistics. Maritime transport remains t
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HUETE, TABERNERO Rafael. "Crisis, determinismo, hedonismo y drogas: un análisis de Al final siempre ganan los monstruos." Cuadernos de Aleph 15 (September 25, 2022): 131–50. https://doi.org/10.5281/zenodo.14937993.

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<strong>Resumen</strong>: <em>Al final siempre ganan los monstruos</em>, primera&nbsp;novela publicada del escritor granadino Juan Manuel&nbsp;L&oacute;pez, Juarma, ha sido una de las novedades editoriales&nbsp;que m&aacute;s impacto ha causado en 2021. La progresiva&nbsp;destrucci&oacute;n f&iacute;sica y moral de cuatro amigos sirve al autor&nbsp;para narrar una realidad dif&iacute;cil y en ocasiones olvidada,&nbsp;pero presente en nuestra sociedad. En este sentido,&nbsp;aunque no es la primera obra que tiene como contexto&nbsp;general la crisis econ&oacute;mica que estall&oacute; en 2008 y
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Bastin, Gilles. "Le 'cas Mathieu' ou l'entretien renversé." Sur le journalisme, About journalism, Sobre jornalismo 1, no. 1 (2012): 40–51. http://dx.doi.org/10.25200/slj.v1.n1.2012.3.

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Dans cet submission on propose de revenir sur la pratique de l’entretien de recherche en montrant que la discussion scientifique sur cette méthode a sous-évalué une dimension de la « relation sociale » à laquelle s’apparente tout entretien : le conflit sur les règles mêmes de l’exercice qui peut s’instaurer entre l’intervieweur et l’interviewé. Loin de n’être qu’un « bruit » parasite que le sociologue devrait neutraliser, comme le préconisent la plupart des auteurs, ce conflit — qui forme la trame de ce que l’on appelle ici l’envers de l’entretien — peut constituer la matière même qu’il devra
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Thorat, Sachin Ramdas, Davendranath G. Jha, Ashish K. Sharma, and Dhanraj V. Katkar. "Wrist fracture detection using self-supervised learning methodology." Journal of Musculoskeletal Surgery and Research, March 26, 2024, 1–9. http://dx.doi.org/10.25259/jmsr_260_2023.

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Objectives: This study aimed to assist radiologists in faster and more accurate diagnosis by automating bone fracture detection in pediatric trauma wrist radiographic images using self-supervised learning. This addresses data labeling challenges associated with traditional deep learning models in medical imaging. Methods: In this study, we trained the model backbone for feature extraction. Then, we used this backbone to train a complete classification model for classifying images as fracture or non-fracture on the publically available Kaggle and GRAZPERDWRI-DX dataset using ResNet-18 in pediat
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39

Balel, Yunus. "Global Mapping Analysis of Maxillofacial Trauma Literature From 1980-2022." European Journal of Therapeutics, June 19, 2023. http://dx.doi.org/10.58600/eurjther1632.

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Objective: The study is aimed to make a comprehensive bibliometric analysis of the literature in the field of maxillofacial trauma (MFT), to determine the focal points and to present the results in a simplified manner by using various mapping methods. In addition, it is aimed to determine the important articles that constitute the main backbone of the MFT literature with objective methods and to provide a source for education and new studies in this field. Methods: The publications related to maxillofacial traumas between 1980-2022 using the search terms "injury, trauma, fracture, facial, mand
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Ibarra, Enrique Ajuria. "Permanent hauntings: spectral fantasies and national trauma in Guillermo del Toro's El espinazo del diablo [The Devil's Backbone]." Journal of Romance Studies 12, no. 1 (2012). http://dx.doi.org/10.3167/jrs.2012.120105.

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Dash, Suvashis, Raja Tiwari, Rakesh Dawar, Shivangi Saha, and Maneesh Singhal. "Review of Replantation Services from a Level One Trauma Center in India." Journal of Hand and Microsurgery, November 29, 2023. http://dx.doi.org/10.1055/s-0043-1777066.

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AbstractThe aim of this article is to examine the elements that contribute to effective operation of a specialized replantation center and to provide readers with a general idea of the outcome of replantation services in India. A dedicated high-volume center coupled with a sound referral system is the backbone of replantation services in a country. A retrospective study was done on all patients who visited a level 1 trauma center in India from November 1, 2017, to December 31, 2018, for various amputations. The medical records and digital pictures of these patients were extracted from the reco
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Paruchuri, Rakhee Kumar, Hema Nalini Choudur, and Lalith Mohan Chodavarapu. "Orthopedic hardware in trauma – A guided tour for the radiologist-Associated complications (Part 2)." Indian Journal of Musculoskeletal Radiology, November 6, 2023, 1–15. http://dx.doi.org/10.25259/ijmsr_13_2023.

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With the increasing number of options available for surgical management of fractures now available, it is imperative that radiologists should familiarize themselves with the various hardwares used to provide a good support system for orthopedic surgeons. Understanding fracture union and “why a device may fail” are basic concepts that have been discussed in this review article, as their success is mutually dependent. While it may be easy to identify frank loosening, fracture, or migration of the hardware, it is more important to identify any early signs of these complications. However, before t
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Henry, Jaymie A. "Decentralization and Regionalization of Surgical Care as a Critical Scale-up Strategy in Low- and Middle-Income Countries Comment on "Decentralization and Regionalization of Surgical Care: A Review of Evidence for the Optimal Distribution of Surgical Services in Low- and Middle-Income Countries"." International Journal of Health Policy and Management, February 24, 2020. http://dx.doi.org/10.34172/ijhpm.2020.26.

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As global attention to improve the quality, safety and access to surgical care in low- and middle-income countries (LMICs) increases, the need for evidence-based strategies to reliably scale-up the quality and quantity of surgical services becomes ever more pertinent. Iversen et al discuss the optimal distribution of surgical services, whether through decentralization or regionalization, and propose a strategy that utilizes the dimensions of acuity, complexity and prevalence of surgical conditions to inform national priorities. Proposed expansion of this strategy to encompass levels of scale-u
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Goto, Ryunosuke, Irina Pinchuk, Oleksiy Kolodezhny, Nataliia Pimenova, and Norbert Skokauskas. "Mental health services in Ukraine during the early phases of the 2022 Russian invasion." British Journal of Psychiatry, December 2, 2022, 1–6. http://dx.doi.org/10.1192/bjp.2022.170.

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Background In February 2022, Russia began its invasion of Ukraine. War increases the demand for mental healthcare among affected populations, but with devastating losses across the nation, it is unclear if Ukrainian mental health services are able to meet the needs of the people. Aims We aimed to evaluate the state of Ukrainian in-patient mental health services, which remains the backbone of the nation's psychiatric services, early in the 2022 Russian invasion. Method We conducted a nationwide cross-sectional study on Ukrainian in-patient mental health facilities during the 2022 Russian invasi
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"The significance of glycocalyx in surgery." Perspectives in Surgery 102, no. 12 (2023). http://dx.doi.org/10.33699/10.33699/pis.2023.102.12.453-458.

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Introduction: Surgical treatment is associated with an unwanted response of the organism to the so-called surgical trauma. This response is called surgical stress. Ischaemia-reperfusion injury is one of essential causes of tissue damage. It comprises functional and structural changes in tissue that occur after the restoration of circulation, after an episode of ischaemia. Necrosis of irreversibly changed cells and endothelial and mitochondrial- induced tissue swelling occur. Methods: Physiology, pathophysiology of endothelial glycocalyx: Endothelial glycocalyx is a 0.2 to 5 micrometres thin he
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Balanzategui, Jessica. "“You have a secret that you don't want to tell me”: The Child as Trauma in Spanish and American Horror Film." M/C Journal 17, no. 4 (2014). http://dx.doi.org/10.5204/mcj.854.

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In the years surrounding the turn of the millennium, there emerged an assemblage of American and Spanish horror films fixated on uncanny child characters. Caught in the symbolic abyss between death and life, these figures are central to the films’ building of suspense and Gothic frisson—they are at once familiar and unfamiliar, vulnerable and threatening, innocent yet unnervingly inscrutable. Despite being conceived and produced in two very different cultural climates, these films construct the child as an embodiment of trauma in parallel ways. In turn, these Gothic children express the waveri
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Tsang, Michael. "Importance of staff engagement in a post-COVID-19 world." Management in Healthcare: A Peer-Reviewed Journal, June 1, 2023. http://dx.doi.org/10.69554/wuzb1243.

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Healthcare workers are the backbone of any medical system and are vital to healthcare delivery and the patient experience. Although more than two years removed from the height of COVID-19, the reverberation set in motion will be felt for years, possibly decades, to come. The pandemic has taken a heavy toll on healthcare teams who have been on the front lines of the pandemic, with many suffering from stress, trauma, burnout and increased behavioural health challenges. Systems have negotiated staffing shortages and the mental health of their workforce and have also redefined diversity. A 2021 Wa
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Miss. Harshada B. Tribhuvan, Miss. Sapana S. Mhaske, Miss. Vaishnavi G. Wayal, Miss. Priti R. Pawar, and Prof. Kajal Walunj. "Formulation and Evaluation of Pharmaceutical Aqueous Gel for Mouth Ulcer Treatment." International Journal of Scientific Research in Science and Technology, June 26, 2022, 34–40. http://dx.doi.org/10.32628/ijsrst2293165.

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The main purpose of this gel formulation of Guava leaves, Argemone Mexicana, Turmeric and Elaichi flavor was to relieve pain and discomfort due to oral ulcers. As we know there are different types of sores in the mouth that cause inflammation and pain. The most common oral ulcers are Local trauma &amp; Aphthous Stomatitis. Now many over-the-counter medications are essential to staying in primary health care because of the positive response and the most effective treatment with the least amount of side effects. Herbal medicines are still the backbone of almost 75-80% of the world's population,
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-, Sakshi B. Jadhav, Shivtej S. Jadhav -, Sourav A. Jadhav -, Trupti M. Jamadar -, Vrushali S. Jamdar -, and Mrs P. S. Kadane -. "Formulation and Evaluation of Polyherbal Gel for Management of Mouth Ulcer." International Journal For Multidisciplinary Research 6, no. 4 (2024). http://dx.doi.org/10.36948/ijfmr.2024.v06i04.25021.

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The main purpose of this gel formulation of Guava leaves, Betel Leaves, Honey and Peppermint oil was to relieve pain and discomfort due to oral ulcers. As we know there are different types of ulcers in the mouth that cause inflammation and pain. The most common oral ulcers are Local trauma &amp; Aphthous Stomatitis. Now many over-the-counter medications are essential to staying in primary healthcare because of the positive response and the most effective treatment with the least amount of side effects. Herbal medicines are still the backbone of almost 75-80%of the world'spopulation, especially
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Lorge, L., and Priscilla Ann Gerrand. "Volunteer Support Services to Victims at Crime Scenes: Exploring Victims’ Perceptions." Southern African Journal of Social Work and Social Development 33, no. 3 (2021). http://dx.doi.org/10.25159/2708-9355/9117.

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More than one million people in South Africa are victims of individual crime annually. To deal with the trauma that many victims experience, victim support centres have been established. Volunteer supporters usually form the backbone of these centres and sometimes they are called upon to render victim support at the crime scene. This type of early intervention has been criticised because it can lead to secondary victimisation if not rendered appropriately. To gain important insight regarding this problem scenario, the researcher adopted a qualitative approach to explore the perceptions of two
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