Theoretical Comparison of the Methods of Surgical Treatment of Deforming Arthrosis of the Knee Joint

Comparison of the techniques of valgus osteotomy with resection osteotomy of the fibula in combination with sanitation arthroscopy. Resection of the fibula, debridement arthroscopy is characterized by minimally invasiveness, targeted therapeutic effect on the focus of destruction of the cartilaginous cover, removal of inflammatory mediators with abundant lavage, low-trauma intervention. Abrasive chondroplasty, subchondral tunneling during arthroscopy make it possible to create conditions for reparative processes, and the formation of hyaline-like cartilage in the defect zone. Corrective osteotomy may result in fractures of the tibial plateau, fractures of the cortical loop (instability of fixation), false joints, and fractures of metal structures.

Trauma and Social Work in South Africa, Need for a Comprehensive Trauma Intervention Model for Social Workers

A significant proportion of South Africans are exposed to traumatic life experiences annually. The trauma is exacerbated by high crime rate which ranges from murder, violence, house breaking and theft. The trauma victims end up in the hands of social workers who are ill prepared to deal with such clients. The motivation for this study was built on assessments that indicated at the time of the study that social work students in South Africa receive little or no training on trauma and trauma intervention. The purpose of this literature study was to draw together relevant knowledge on trauma in South Africa, trauma intervention and the importance of trauma intervention training for social workers in South Africa. Articles reviewed were identified through search engines such as Google Scholar, JSTOR, ProQuest, EBSCOHost, Boloka-NWU Institutional Repository (NWU-IR), Scopus, Science Direct and Web of Science were the databases and search engines utilized in the search. The inclusion criteria that were used to help identify relevant and recent studies using key words regarding the topic of trauma, were chapters in books; conference proceedings; full-text journal articles and higher degree papers. The literature consulted exposes how South Africans are exposed to traumatic life events and provided a deeper understanding of the problem of trauma and trauma intervention. The literature study also clarified why it is critical to have a trauma intervention model for social workers in South Africa and provided guidelines for the development of the trauma intervention manual.

Public School Trauma Intervention for School Shootings: A National Survey of School Leaders

Trauma intervention in United States’ (U.S.) public schools is varied. The occurrence of public-school shootings across the U.S. elicits questions related to how public schools currently address and provide resources related to trauma for employees and students. A randomized, national survey of public-school teachers, guidance counselors, and administrators was conducted to gather information on public-school preparedness for response to trauma. Findings indicated that only 16.9% of respondents indicated their schools have trauma or crisis plans that address issues related to school shootings. Furthermore, public schools use a variety of strategies to address trauma, but teachers, guidance counselors, and administrators were often unsure about the effectiveness of these trauma interventions in the event of school shootings. Implications for findings suggest methods to enhance next steps in the area of trauma response to school shootings.

Emergency Treatment of Patients of Thoraco Abdominal Trauma in Surgical Ward According to Advanced Trauma and Life Support (ATLS)

Objective: To determine the emergency treatment of Patients of Thoraco abdominal trauma in surgical ward according to Advance trauma and life support (ATLS). Methodology: Prospective observational study was conducted for two years from April 2018 to March 2020 at Liaquat university of Medical and Health Sciences Jamshoro/Hyderabad Hospital. The study comprises 50 patients. All were admitted from Emergency department. The patients were evaluated fully after history & clinical examinations. Results were analyzed by using statistical package for social sciences (SPSS) version 23. Results: In this study of 50 patients of Thoraco abdominal trauma, the maximum numbers of patients were in age group 15-70 years. Out of 50 patients 25 patients were presented with Trauma in Thorax, in which 5 patients were presented with penetrating injury & 20 patients were presented with Blunt trauma, 10 patients were presented with combine Thoraco abdominal trauma in which 2 patient were presented with penetrating injury & 8 patients were presented with Blunt trauma. Related to chest trauma 10 patients were treated needle thoracotomy with chest intubation, 5 patients were treated endotracheal intubation, 3 patients were treated thoracotomy and 2 patients were treated cardiosentesis, 5 patients were treated cricothyroidotomy. Better out were seen in 45 patients and mortality were seen in 5 patients. Conclusion: Advance trauma and life support (ATLS) has a vital role in thoraco abdominal trauma intervention. 90% of successful interventions were obtained using advance trauma and life support.

Sexueller Missbrauch von Minderjährigen

Wenn Kinder oder Jugendliche sexuell missbraucht werden, leiden sie meist ihr Leben lang unter den psychischen Folgen. Da die Symptome und Auswirkungen bei jedem Minderjährigen unterschiedlich sein können, müssen Behandlungsansätze individuell angepasst werden. Welche psychischen Konsequenzen ein sexueller Missbrauch haben kann und wie sie mithilfe der Strukturierten Trauma-Intervention therapiert werden können, schildert unsere Autorin.

TRAUMATISED OLDER PERSONS’ EXPERIENCES OF EYE MOVEMENT INTEGRATION AS TRAUMA INTERVENTION

The world’s population is ageing and older people may be exposed to traumatic experiences during their lifetime. Symptoms are often regarded as part of the ageing process and not treated as trauma. Little is known about eye movement integration (EMI) as intervention for symptoms of trauma in older people. This article reports on older people’s experience of EMI as an intervention for their symptoms of trauma. The qualitative study employed an exploratory-descriptive research design with a purposive sampling method. Participants considered EMI as positive and beneficial. Suggestions are made to improve EMI when working with older people.