Open-source code maps traumas for targeting interventions: Applying the model to compare penetrating traumas with "Stop the Bleed" training locations.

BACKGROUND: To improve equitable access to geospatial analysis, a free open-source R package, called Rosymap, was created to map trauma incident locations. METHODS: To demonstrate the R package, penetrating trauma events for all patients who received care at a level one trauma center, and the locations of all "Stop the Bleed" training locations between 2019 and 2022 were geospatially analyzed. RESULTS: The level one trauma center treated 1531 patients for penetrating traumas between 2019 and 2022. Using Rosymap, a map was produced showing the poor overlap in distribution between penetrating traumas and "Stop the Bleed" training locations. CONCLUSION: Rosymap, a free open-source GIS R package, visualized that the majority of "Stop the Bleed" training locations were not performed within clusters of penetrating traumas serviced by our level one trauma center. These results suggest that trauma providers and public health advocates should consider geospatial analysis when planning interventions and when attempting to choose locations equitably and accurately. To facilitate and promote the implementation of geospatial analysis, Rosymap is available as open-source code.

The history of the term pudendum: Opening the discussion on anatomical sex inequality.

The anatomical terminology for the female external genitalia, "pudendum," was removed from the second edition of the Terminologia Anatomica (2019) in response to opposition of the Latin root of the word (pudere meaning "to be ashamed"). This recent revision provides an opportunity to discuss sex inequality within the history of anatomy. This viewpoint article compares the evolution of modern anatomical terminology toward clarity and precision to the stagnant non-descriptive naming of the "pudendum" to illuminate a long timeline of the societal misperception of women. Claudius Galen (129-216 BC) used the Greek αιδοίον/aidoion (from αἰδώς/aidos meaning shame, respect, or modesty) to describe both the male and female external genitalia, as he believed that men and women were isomorphic, the difference lying only in the positioning of the reproductive organs. Galen, however, was not always impartial in his comparisons, repeatedly describing the female as inferior to the male. Andreas Vesalius (1543), whose illustrations greatly influenced the study of anatomy, later drew the female genitalia as Galen described them, as internal equivalents of male genitalia, codifying female shame within anatomical terminology. While renaming "pudendum" is a noble step in support of women, changing one word will not undo generations of implicit bias and institutional oppression. We can, however, work to create culturally and psychosocially competent future physicians through the integrative study of sex and gender issues and anatomy. Through an understanding of historical context, physicians can refocus their actions on providing care in a way that leaves the patient feeling proud, not ashamed.