“…The trauma-informed care model is predicated on the notion that trauma—defined not only as interpersonal maltreatment but also as structural and sociohistorical violence—can underlie medical dysfunction. 16 , 17 …”
Fig 1 Racial distribution across UnitedStates census categories for selected rehabilitation-related health professional groups (2011)(2012)(2013)(2014)(2015). 19,20
“…The trauma-informed care model is predicated on the notion that trauma—defined not only as interpersonal maltreatment but also as structural and sociohistorical violence—can underlie medical dysfunction. 16 , 17 …”
Fig 1 Racial distribution across UnitedStates census categories for selected rehabilitation-related health professional groups (2011)(2012)(2013)(2014)(2015). 19,20
“…This ongoing dynamic of trauma can result in Black girls experiencing chronic depression, anxiety, low self-esteem, and difficulty establishing trusting relationships with adults (Harper et al, 2016). Trauma is a significant response to distressing event(s), but these chronic forms of trauma often go undiagnosed for Black girls (Gerber & Gerber, 2019).…”
In recent decades, a growing body of work casts light on Black girls’ schooling experiences to inform the emerging field of Black girlhood studies. Our theoretical review applies intersectionality as a guiding analytic framework to synthesize literature in this emerging field. We specifically highlight the macro and microlevel domains of power (interpersonal, cultural, structural, and disciplinary) in U.S. K–12 schools shaping Black girls’ schooling experiences. The data were drawn from a systematic search of 75 research articles. Our analysis indicated that schools perpetuate racial containment through the policies and practices they maintain as well as the cultural artifacts, objects, and people that coalesce to influence school culture, the instructional practices and curricula Black girls encounter, and the social scripts and covert messaging that dictate how Black girls claim agency in school environments. A key contribution of this review aims to situate power—a central concept in intersectionality—to offer new insights and directions for research on Black girls.
Background:
Traumatic injuries represent huge burden in the developing world, and significant proportion has found in low- and middle-income countries. However, the pattern, outcome and factors of injury varies from setup to setup and is less studied public health problems.
Objective:
To assess pattern of admission, outcome and its predictors among trauma patients visiting the surgical emergency department in comprehensive specialized hospital.
Methods:
A retrospective follow up study was conducted and data was taken from the medical records of patients from 2019 to 2021. Simple random sampling technique was used to get a sample size of 386 from injured patient charts. Data were entered into Epi-Data version 4.6 software and exported to STATA version 14.1 for analysis. The dependent variable was injured patient’s outcome that could be died or not died. The independent variables with P-value less than 0.25 in the bi-variable regression analysis were considered for the multivariable regression. Adjusted Odds Ratio with the 95% Confidence Interval were used to declare statistical significance.
Result:
About 13.99% of injured patients with (95% CI: 10, 17) had died during the study period. The leading cause of injury was assault (62.44%) followed by road traffic accident (26.17%). Severe Glasgow coma scale (AOR 6.6; 95% CI: 2.6-16.4), Length of hospital stay≥7days (AOR=2.8; 95% CI: 1.2-6.2), time of arrival in between 1-24 hours (AOR=0.15; 95% CI: (0.06-0.37), and upper trunk injury (AOR=6.3; 95% CI: 1.3-28.5) were significantly associated with mortality.
Conclusion and Recommendation:
Mortality after traumatic injury was considerably high. Severe Glasgow coma scale, Length of hospital stay≥7days, time of arrival in between 1-24 hours, and upper trunk injury were the associated factors for mortality. Priority should be given for injured patients with decreased level of consciousness and upper trunk injury. Establishment of organized pre-hospital emergency services and provision of timely arrival is recommended. We recommend prospective follow up study.
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