scholarly journals “As If Neck Injuries Did Not Exist”: An Interview Study of Patients’ and Relatives’ Perceptions of Web Information on and Management of Whiplash Injuries in Sweden

2019 ◽  
Vol 8 (2) ◽  
pp. e9881
Author(s):  
Gabriella Bernhoff ◽  
Christos Saripanidis ◽  
Bo Christer Bertilson
Keyword(s):  
Interview Study ◽  
Neck Injuries ◽  
Whiplash Injuries ◽  
Web Information ◽  
As If

scholarly journals “As If Neck Injuries Did Not Exist”: An Interview Study of Patients’ and Relatives’ Perceptions of Web Information on and Management of Whiplash Injuries in Sweden (Preprint)

2018 ◽  
Author(s):  
Gabriella Bernhoff ◽  
Christos Saripanidis ◽  
Bo Christer Bertilson
Keyword(s):  
Public Health ◽  
Health Care ◽  
Content Analysis ◽  
Patient Information ◽  
Well Being ◽  
Public Health Care ◽  
Whiplash Injuries ◽  
The Public ◽  
Web Information ◽  
Swedish Health Care

BACKGROUND If purposefully designed, patient information can help individuals make well-founded health care decisions. This study was initiated to improve the information on whiplash injuries found in the national health care portal Healthcare Guide 1177, operated by the Swedish government. OBJECTIVE The objective of this study was to describe the thoughts of patients and relatives on (1) information about whiplash injuries presented in the portal and (2) the Swedish health care system’s management of whiplash injuries. METHODS A total of 5 interviews were conducted with patients (n=10) who had experienced a whiplash injury and with relatives (n=3) of such patients. The interviews were taped, transcribed verbatim, and analyzed by means of conventional content analysis. RESULTS The following two themes emerged from the latent content analysis: (1) confidence and trust in the public health care system and (2) a disappointment with health care encounters. CONCLUSIONS We found that most of the study participants felt distress due to insufficient information; respondents perceived a discrepancy between the public health care system's authority and the information provided. The Web information on whiplash injuries may greatly impact patients' care decisions as well as their physical, mental, and social well-being. We would recommend detailed patient information on whiplash injuries, with less emphasis on psychology and more data on pathophysiology, prognosis, and treatment.

Lumbar Spine Loads in Low- and Moderate-Speed Rear-End Collisions

2008 ◽  
Author(s):  
Jacob L. Fisher ◽  
Robert T. Bove ◽  
Tara L. A. Moore
Keyword(s):  
Cervical Spine ◽  
Lumbar Spine ◽  
Fuel System ◽  
Neck Injuries ◽  
Whiplash Injuries ◽  
Low Speed ◽  
System Integrity ◽  
Lower Neck

Much attention has been given to the motions of and the forces and moments exerted upon the cervical spine during rear-end collisions, often in the interest of understanding so-called whiplash injuries in low-speed collisions and serious or fatal neck injuries in higher speed collisions. In contrast, lumbar spine loads are seldom recorded in rear-end collisions. For example, it has become common to place instrumented anthropomorphic test devices (ATDs) in vehicles during FMVSS 301 Fuel System Integrity rear-end impacts. Since the mid-1990s, upper neck loads have been measured during these tests, and, more recently, lower neck load data have been collected as well [1]. Lumbar spine loads, in contrast, are generally not recorded [1].

scholarly journals Frequency of Formication Symptoms in Injured Motorists and in Normal Controls

2021 ◽  
Vol 3 (2) ◽  
pp. 48-52
Author(s):  
Zack Z. Cernovsky ◽  
Varadaraj R. Velamoor ◽  
Stephan C. Mann ◽  
L. Kola Oyewumi ◽  
James D. Mendonça ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Control Sample ◽  
Brief Pain Inventory ◽  
Severity Index ◽  
Lumbosacral Spine ◽  
Whiplash Injuries ◽  
Vehicle Accidents ◽  
Whiplash Trauma ◽  
Normal Controls ◽  
As If

Background: Formication is the sensation or feeling as if insects were crawling on or under the skin. It is observed in a variety of clinical situations including drug intoxications, multiple sclerosis, and diabetic neuropathy, among many others. Furthermore, it can be associated with injuries incurred during motor vehicle accidents (MVAs). We examined the frequency of reports of formication in a normal control sample as well as in a sample of motorists who sustained concussive and whiplash injuries following high impact MVAs. We also evaluated the correlations of the formication to measures of pain, insomnia, and of various post-accident neuropsychological symptoms. Method: De-identified data on 23 injured motorists (mean age=38.0 years, SD=12.8) and on 20 normal controls (mean age 42.8 years, SD=19.9) were available. All motorists responded to the following True/False item: “I have pain in my body which seems to feel like bugs crawling under the surface of my skin.” Their data were also available on the Brief Pain Inventory, Post-MVA Neurological Symptoms (PMNS) scale, Insomnia Severity Index, and on the Rivermead Post-Concussion Symptoms Questionnaire. The data of normal controls included responses to the following specific item of the formication questionnaire: “Do you sometimes have an annoying feeling in some of your limbs or in some other part of your body as if insects were crawling on or under your skin?” The participants were to circle one of the following responses: “never, very rarely, sometimes, often, or almost constantly.” Results and Discussion: Almost a third (30.4%) of the motorists who sustained whiplash trauma in their MVA reported the formication. In contrast, only one of the 20 normal controls (i.e., 5%) reported formication (this was an elderly man with MRI documented pathology in lumbosacral spine). Notably, formication correlated significantly with the ratings of “reduced feeling in the limbs” (r=.55, p=.010), but not with ratings of “tingling in the limbs” (r=.21, p>.05). Conclusion: The painful form of formication has been reported by almost a third of motorists who sustained whiplash injuries in their accident.

Improvement of an artificial test substrate technique for evaluation of em immunocytochemical labeling

1987 ◽  
Vol 45 ◽  
pp. 762-763
Author(s):  
G. D. Gagne ◽  
M. F. Miller
Keyword(s):  
Bovine Serum Albumin ◽  
Serum Albumin ◽  
Bovine Serum ◽  
Artificial Substrate ◽  
Chemical Fixation ◽  
As If

We recently described an artificial substrate system which could be used to optimize labeling parameters in EM immunocytochemistry (ICC). The system utilizes blocks of glutaraldehyde polymerized bovine serum albumin (BSA) into which an antigen is incorporated by a soaking procedure. The resulting antigen impregnated blocks can then be fixed and embedded as if they are pieces of tissue and the effects of fixation, embedding and other parameters on the ability of incorporated antigen to be immunocyto-chemically labeled can then be assessed. In developing this system further, we discovered that the BSA substrate can also be dried and then sectioned for immunolabeling with or without prior chemical fixation and without exposing the antigen to embedding reagents. The effects of fixation and embedding protocols can thus be evaluated separately.

Perceptions of Terrorism: An Interview Study of Muslim Families in Germany

2011 ◽  
Author(s):  
Anna Dorothea Ursula Moellering ◽  
David Schiefer
Keyword(s):  
Interview Study
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