Archives of Trauma Research Archives of Trauma Research Arch Trauma Res http://www.archtrauma.com 2251-953X 2251-9599 10.5812/atr. en jalali 2018 2 21 gregorian 2018 2 21 1 4
en Table of Contents Table of Contents issue-information issue-information - - http://www.archtrauma.com/index.php?page=article&article_id=11206
en BOARDS and COMMITTEES BOARDS and COMMITTEES issue-information issue-information - - http://www.archtrauma.com/index.php?page=article&article_id=12070
en 10.5812/atr.10270 Home-Related Injuries: Do Pay Much Attention to Traffic Accidents Resulted in Home-Related Injuries Negligence? Home-Related Injuries: Do Pay Much Attention to Traffic Accidents Resulted in Home-Related Injuries Negligence? editorial editorial Home;Injury;Trauma Home;Injury;Trauma 143 144 http://www.archtrauma.com/index.php?page=article&article_id=10270 Mohammad Reza Fazel Mohammad Reza Fazel Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615620634, drmfazel@yahoo.com; Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615620634, drmfazel@yahoo.com Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615620634, drmfazel@yahoo.com; Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615620634, drmfazel@yahoo.com
en 10.5812/atr.7839 Prevention of Acoustic Trauma-Induced Hearing Loss by N-acetylcysteine Administration in Rabbits Prevention of Acoustic Trauma-Induced Hearing Loss by N-acetylcysteine Administration in Rabbits research-article research-article Background

Acoustic trauma is an injury to the hearing mechanisms in the inner ear due to excessive noise. This injury is the most prevalent cause of sensorineural hearing loss in humans, especially from occupational exposure. Previous studies have shown the essential role of free radical formation in the inner ear hearing loss caused by acoustic trauma.

Objectives

This study was performed to determine the effect of N-acetylcysteine (NAC) administration for reducing acute acoustic trauma in rabbits.

Materials and Methods

Twenty four rabbits were assigned to four groups including: control, noise plus saline, noise plus NAC administration (325 mg/kg body weight by intraperitoneal injection (IP), three days before exposure to noise and three days after noise exposure), and NAC alone. Auditory brain stem response (ABR) threshold was measured before exposure and one hour and 14 days after exposure.

Results

The saline plus noise group had on average a 49 decibel (dB) temporary threshold shift (TTS) and 23.9 dB permanent threshold shift (PTS) at the studied frequencies, while rabbits in the NAC administration plus noise group had a 31.5 dB TTS and 10.7 dB PTS averaged across the frequencies.

Conclusions

Administration of NAC can provide appropriate protection against acoustic trauma-induced hearing loss in rabbits at all studied frequencies.

Background

Acoustic trauma is an injury to the hearing mechanisms in the inner ear due to excessive noise. This injury is the most prevalent cause of sensorineural hearing loss in humans, especially from occupational exposure. Previous studies have shown the essential role of free radical formation in the inner ear hearing loss caused by acoustic trauma.

Objectives

This study was performed to determine the effect of N-acetylcysteine (NAC) administration for reducing acute acoustic trauma in rabbits.

Materials and Methods

Twenty four rabbits were assigned to four groups including: control, noise plus saline, noise plus NAC administration (325 mg/kg body weight by intraperitoneal injection (IP), three days before exposure to noise and three days after noise exposure), and NAC alone. Auditory brain stem response (ABR) threshold was measured before exposure and one hour and 14 days after exposure.

Results

The saline plus noise group had on average a 49 decibel (dB) temporary threshold shift (TTS) and 23.9 dB permanent threshold shift (PTS) at the studied frequencies, while rabbits in the NAC administration plus noise group had a 31.5 dB TTS and 10.7 dB PTS averaged across the frequencies.

Conclusions

Administration of NAC can provide appropriate protection against acoustic trauma-induced hearing loss in rabbits at all studied frequencies.

Acoustic Trauma; Hearing Loss; N-Acetylcysteine Acoustic Trauma; Hearing Loss; N-Acetylcysteine 145 150 http://www.archtrauma.com/index.php?page=article&article_id=7839 Masoud Motalebi Kashani Masoud Motalebi Kashani Occupational Health Department, Health Faculty, Kashan University of Medical Sciences, IR Iran +98-3615550111, Hannani_m@kaums.ac.ir Occupational Health Department, Health Faculty, Kashan University of Medical Sciences, IR Iran +98-3615550111, Hannani_m@kaums.ac.ir Hamidreza Saberi Hamidreza Saberi Trauma Research Center, Kashan University of Medical Sciences, IR Iran Trauma Research Center, Kashan University of Medical Sciences, IR Iran Mitra Hannani Mitra Hannani Occupational Health Department, Health Faculty, Kashan University of Medical Sciences, IR Iran +98-3615550111, Hannani_m@kaums.ac.ir; Occupational Health Department, Health Faculty, Kashan University of Medical Sciences, IR Iran +98-3615550111, Hannani_m@kaums.ac.ir Occupational Health Department, Health Faculty, Kashan University of Medical Sciences, IR Iran +98-3615550111, Hannani_m@kaums.ac.ir; Occupational Health Department, Health Faculty, Kashan University of Medical Sciences, IR Iran +98-3615550111, Hannani_m@kaums.ac.ir
en 10.5812/atr.8226 Efficacy of Mindfulness-Based Stress Reduction on Mood States of Veterans With Post-Traumatic Stress Disorder Efficacy of Mindfulness-Based Stress Reduction on Mood States of Veterans With Post-Traumatic Stress Disorder research-article research-article Results

Analysis showed that there were no significant differences between the groups at baseline (P < 0.05). Comparison of the results between the two groups before the two-step test showed that anger and vitality scales between the two groups have no significant differences, but on the other scales (depression, dizziness, fatigue and tension), differences between pre and post-test groups were significant in the two groups.

Conclusions

It was concluded that mindfulness-based stress reduction is a useful method to regulate the mood state in veterans with post-traumatic stress disorder (PTSD) who have difficulties in mood and emotions in Kashan.

Patients and Methods

In this randomized clinical trial study, participants were selected from the patients referring to the counseling center of the veterans. The participants had post-traumatic stress disorder according to diagnostic and statistical manual of mental disorders, fourth edition, text review (DSM-IV-TR). Sixty- two patients were randomly assigned into 2 groups: (31 for MBSR and 31 for the control group).

Objectives

The current study aimed to investigate the influence of mindfulness-based stress reduction (MBSR) in improving mood state of combat veterans.

Background

Mood and negative emotional states and their regulation in patients with post-traumatic stress disorder have family, social and employment problems. Practices that could be helpful in this area are highly important.

Results

Analysis showed that there were no significant differences between the groups at baseline (P < 0.05). Comparison of the results between the two groups before the two-step test showed that anger and vitality scales between the two groups have no significant differences, but on the other scales (depression, dizziness, fatigue and tension), differences between pre and post-test groups were significant in the two groups.

Conclusions

It was concluded that mindfulness-based stress reduction is a useful method to regulate the mood state in veterans with post-traumatic stress disorder (PTSD) who have difficulties in mood and emotions in Kashan.

Patients and Methods

In this randomized clinical trial study, participants were selected from the patients referring to the counseling center of the veterans. The participants had post-traumatic stress disorder according to diagnostic and statistical manual of mental disorders, fourth edition, text review (DSM-IV-TR). Sixty- two patients were randomly assigned into 2 groups: (31 for MBSR and 31 for the control group).

Objectives

The current study aimed to investigate the influence of mindfulness-based stress reduction (MBSR) in improving mood state of combat veterans.

Background

Mood and negative emotional states and their regulation in patients with post-traumatic stress disorder have family, social and employment problems. Practices that could be helpful in this area are highly important.

Mindfulness-based Stress Reduction;Post-traumatic Stress Disorder;Veterans Mindfulness-based Stress Reduction;Post-traumatic Stress Disorder;Veterans 151 4 http://www.archtrauma.com/index.php?page=article&article_id=8226 Abdollah Omidi Abdollah Omidi Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Abolfazl Mohammadi Abolfazl Mohammadi Department of Clinical Psychology, Kashan University of Medical Sciences, Kashan, IR Iran; Corresponding author: Abolfazl Mohammadi, Department of Clinical Psychology, Kashan University of Medical Sciences, Kashan, IR Iran. Tel.: +98-2615551112, Fax: +98-2615551112, E-mail:. Department of Clinical Psychology, Kashan University of Medical Sciences, Kashan, IR Iran; Corresponding author: Abolfazl Mohammadi, Department of Clinical Psychology, Kashan University of Medical Sciences, Kashan, IR Iran. Tel.: +98-2615551112, Fax: +98-2615551112, E-mail:. Fatemeh Zargar Fatemeh Zargar Department of Clinical Psychology, Kashan University of Medical Sciences, Kashan, IR Iran Department of Clinical Psychology, Kashan University of Medical Sciences, Kashan, IR Iran Hossein Akbari Hossein Akbari Department of Public Health, Kashan University of Medical Sciences, Kashan, IR Iran Department of Public Health, Kashan University of Medical Sciences, Kashan, IR Iran
en 10.5812/atr.7972 Practice and Perception of First Aid Among Lay First Responders in a Southern District of India Practice and Perception of First Aid Among Lay First Responders in a Southern District of India research-article research-article Results

Nearly 60% of the responders had witnessed more than two emergencies in the previous six months and 55% had actively participated in helping the injured person. The nature of the help was mainly by calling for an ambulance (41.5%), transporting the injured (19.7%) and consoling the victim (14.9%). Majority (78.1%) of the responders informed that they had run to the victim (42.4%) or had called for an ambulance. The predominant reason for not providing help was often the ‘fear of legal complications’ (30%) that would follow later. Significant number (81.4%) of respondents reported that they did not have adequate skills to manage an emergency and were willing to acquire knowledge and skills in first aid to help victims.

Objective

The current study was conducted to understand the current practice and perception of first aid among lay first responders in a rural southern district of India.

Materials and Methods

The current cross sectional descriptive study was conducted in the southern district of Tumkur in India within three months from January to March 2011 and covered the population including all police, ambulance personnel, taxi drivers, bus and auto drivers, and primary and middle school teachers within the study area.

Background

Injuries rank among the leading causes of morbidity and mortality worldwide, and are steadily increasing in developing countries like India. However, it is often possible to minimize injury and crash consequences by providing effective pre-hospital services promptly. In most low-and middle-income countries (LMICs), transportation of road traffic victims, is usually provided by relatives, taxi drivers, truck drivers, police officers and other motorists who are often untrained.

Conclusions

Regular and periodical community-based first aid training programs for first care responders will help to provide care and improve outcomes for injured persons.

Results

Nearly 60% of the responders had witnessed more than two emergencies in the previous six months and 55% had actively participated in helping the injured person. The nature of the help was mainly by calling for an ambulance (41.5%), transporting the injured (19.7%) and consoling the victim (14.9%). Majority (78.1%) of the responders informed that they had run to the victim (42.4%) or had called for an ambulance. The predominant reason for not providing help was often the ‘fear of legal complications’ (30%) that would follow later. Significant number (81.4%) of respondents reported that they did not have adequate skills to manage an emergency and were willing to acquire knowledge and skills in first aid to help victims.

Objective

The current study was conducted to understand the current practice and perception of first aid among lay first responders in a rural southern district of India.

Materials and Methods

The current cross sectional descriptive study was conducted in the southern district of Tumkur in India within three months from January to March 2011 and covered the population including all police, ambulance personnel, taxi drivers, bus and auto drivers, and primary and middle school teachers within the study area.

Background

Injuries rank among the leading causes of morbidity and mortality worldwide, and are steadily increasing in developing countries like India. However, it is often possible to minimize injury and crash consequences by providing effective pre-hospital services promptly. In most low-and middle-income countries (LMICs), transportation of road traffic victims, is usually provided by relatives, taxi drivers, truck drivers, police officers and other motorists who are often untrained.

Conclusions

Regular and periodical community-based first aid training programs for first care responders will help to provide care and improve outcomes for injured persons.

Emergencies;First-Aid;First Responders;Injuries;Prehospital Care Emergencies;First-Aid;First Responders;Injuries;Prehospital Care 155 160 http://www.archtrauma.com/index.php?page=article&article_id=7972 Uthkarsh Pallavisarji Uthkarsh Pallavisarji Department of Community Medicine, Sri Siddhartha Medical College, India +91-9945232944, pallavisarji@yahoo.com; Department of Community Medicine, Sri Siddhartha Medical College, India +91-9945232944, pallavisarji@yahoo.com Department of Community Medicine, Sri Siddhartha Medical College, India +91-9945232944, pallavisarji@yahoo.com; Department of Community Medicine, Sri Siddhartha Medical College, India +91-9945232944, pallavisarji@yahoo.com Gopalkrishna Gururaj Gopalkrishna Gururaj Department of Epidemiology, WHO Collaborating Centre for Injury Prevention and Safety Promotion, National Institute of Mental Health and Neuro Sciences, Bangalore, India, India Department of Epidemiology, WHO Collaborating Centre for Injury Prevention and Safety Promotion, National Institute of Mental Health and Neuro Sciences, Bangalore, India, India Rao Nagaraja Girish Rao Nagaraja Girish Department of Epidemiology, National Institute of Mental Health and Neuro Sciences, India Department of Epidemiology, National Institute of Mental Health and Neuro Sciences, India
en 10.5812/atr.7672 Evaluation of Chest and Abdominal Injuries in Trauma Patients Hospitalized in the Surgery Ward of Poursina Teaching Hospital, Guilan, Iran Evaluation of Chest and Abdominal Injuries in Trauma Patients Hospitalized in the Surgery Ward of Poursina Teaching Hospital, Guilan, Iran research-article research-article Conclusions

Considering the fact that road-related accidents are quite predictable and controllable; therefore, the quality promotion of traumatic patients\' care, and the road safety should be noted as problems associated with public health.

Objectives

This study aimed to evaluate the patients with chest and abdominal trauma hospitalized in the surgery ward of Poursina teaching hospital, Guilan, Iran.

Patients and Methods

In this cross-sectional study, the data of all chest and abdominal trauma patients hospitalized in the surgery ward of Poursina teaching hospital were collected from March 2011 to March 2012. Information about age, gender, injured areas, type of injury (penetrating or blunt), etiology of the injury, accident location (urban or rural) and patients\' discharge outcomes were collected by a questionnaire.

Results

In total, 211 patients with a mean age of 34.1 ± 1.68 years was entered into the study. The most common cause of trauma was traffic accidents (51.7%). Among patients with chest trauma, 45 cases (35.4%) had penetrating injuries and 82 cases (64.6%) blunt lesions. The prevalence of chest injuries was 35.5% and rib fractures 26.5%. In chest injuries, the prevalence of hemothorax was 65.3%, pneumothorax 2.7%, lung contusion 4% and emphysema 1.3%, respectively. There were 24 cases (27.9%) with abdominal trauma which had penetrating lesions and 62 cases (72.1%) with blunt lesions. The most common lesions in patients with penetrating abdominal injuries were spleen (24.2%) and liver (12.1%) lesions. The outcomes of the patients were as follow: 95.7% recovery and 4.3% death. The majority of deaths were observed among road traffic victims (77.7%).

Background

Trauma, especially chest and abdominal trauma are increasing due to the growing number of vehicles on the roads, which leads to an increased incidence of road accidents. Urbanization, industrialization and additional problems are the other associated factors which accelerate this phenomenon. A better understanding of the etiology and pattern of such injuries can help to improve the management and ultimate the outcomes of these patients.

Conclusions

Considering the fact that road-related accidents are quite predictable and controllable; therefore, the quality promotion of traumatic patients\' care, and the road safety should be noted as problems associated with public health.

Objectives

This study aimed to evaluate the patients with chest and abdominal trauma hospitalized in the surgery ward of Poursina teaching hospital, Guilan, Iran.

Patients and Methods

In this cross-sectional study, the data of all chest and abdominal trauma patients hospitalized in the surgery ward of Poursina teaching hospital were collected from March 2011 to March 2012. Information about age, gender, injured areas, type of injury (penetrating or blunt), etiology of the injury, accident location (urban or rural) and patients\' discharge outcomes were collected by a questionnaire.

Results

In total, 211 patients with a mean age of 34.1 ± 1.68 years was entered into the study. The most common cause of trauma was traffic accidents (51.7%). Among patients with chest trauma, 45 cases (35.4%) had penetrating injuries and 82 cases (64.6%) blunt lesions. The prevalence of chest injuries was 35.5% and rib fractures 26.5%. In chest injuries, the prevalence of hemothorax was 65.3%, pneumothorax 2.7%, lung contusion 4% and emphysema 1.3%, respectively. There were 24 cases (27.9%) with abdominal trauma which had penetrating lesions and 62 cases (72.1%) with blunt lesions. The most common lesions in patients with penetrating abdominal injuries were spleen (24.2%) and liver (12.1%) lesions. The outcomes of the patients were as follow: 95.7% recovery and 4.3% death. The majority of deaths were observed among road traffic victims (77.7%).

Background

Trauma, especially chest and abdominal trauma are increasing due to the growing number of vehicles on the roads, which leads to an increased incidence of road accidents. Urbanization, industrialization and additional problems are the other associated factors which accelerate this phenomenon. A better understanding of the etiology and pattern of such injuries can help to improve the management and ultimate the outcomes of these patients.

Abdomen;Chest;Traffic Accident;Wounds and Injuries Abdomen;Chest;Traffic Accident;Wounds and Injuries 161 165 http://www.archtrauma.com/index.php?page=article&article_id=7672 Hossein Hemmati Hossein Hemmati Department of Surgery, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, IR Iran Department of Surgery, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, IR Iran Ehsan Kazemnezhad-Leili Ehsan Kazemnezhad-Leili Department of Biostatistics, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, IR Iran Department of Biostatistics, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, IR Iran Zahra Mohtasham-Amiri Zahra Mohtasham-Amiri Guyms~mwoudovrqwmwe~u{wercndcwowmsl ]ou{sine,howymuol~ooem~ouu.~ewuyswy3s}~ter, Guilan University of Medical Sciences, IR Iran +98-1313238373, Mohtasham@gums.ac.ir; Guyms~mwoudovrqwmwe~u{wercndcwowmsl ]ou{sine,howymuol~ooem~ouu.~ewuyswy3s}~ter, Guilan University of Medical Sciences, IR Iran +98-1313238373, Mohtasham@gums.ac.ir Guyms~mwoudovrqwmwe~u{wercndcwowmsl ]ou{sine,howymuol~ooem~ouu.~ewuyswy3s}~ter, Guilan University of Medical Sciences, IR Iran +98-1313238373, Mohtasham@gums.ac.ir; Guyms~mwoudovrqwmwe~u{wercndcwowmsl ]ou{sine,howymuol~ooem~ouu.~ewuyswy3s}~ter, Guilan University of Medical Sciences, IR Iran +98-1313238373, Mohtasham@gums.ac.ir Ali Asghar Darzi Ali Asghar Darzi Department of Surgery, Babol University of Medical Sciences, IR Iran Department of Surgery, Babol University of Medical Sciences, IR Iran Ali Davoudi-Kiakalayeh Ali Davoudi-Kiakalayeh Guilan Road Trauma Research Center, Guilan University of Medical Sciences, IR Iran Guilan Road Trauma Research Center, Guilan University of Medical Sciences, IR Iran Anoush Dehnadi-Moghaddam Anoush Dehnadi-Moghaddam Department of Anesthesiology, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, IR Iran Department of Anesthesiology, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, IR Iran Leila Kouchakinejad-Eramsadati Leila Kouchakinejad-Eramsadati Guilan Road Trauma Research Center, Guilan University of Medical Sciences, IR Iran Guilan Road Trauma Research Center, Guilan University of Medical Sciences, IR Iran
en 10.5812/atr.8780 Pre-Hospital Trauma Care in Road Traffic Accidents in Kashan, Iran Pre-Hospital Trauma Care in Road Traffic Accidents in Kashan, Iran research-article research-article Conclusions

In comparison with road traffic accidents on city streets, trauma patients in RTAs on roads out of the city have longer pre-hospital time intervals and more severe injuries; therefore this group needs more pre-hospital resuscitation interventions.

Results

Findings of this study showed that, 75% of RTAs occurred on city streets (n = 1 251). Motor-car accidents were the most frequent mechanism of RTA on city streets (n = 525) (42%), while car rollover was the most frequent mechanism of RTA on roads out of the city (n = 155) (44.4%). The mean pre-hospital time intervals (min); response, scene, and transport for all patients were 6.6 ± 3.1, 10.7 ± 5 and 13 ± 9.8, respectively. The mean pre-hospital time intervals (response, scene, transport) in roads out of the city were higher than those in city streets. There was a significant difference (P = 0.04) in the mortality rates due to RTAs between city streets (n = 46) and roads out of the city (n = 32).

Patients and Methods

This retrospective study was carried out on all trauma patients, transported by the emergency medical service (EMS) system, who were admitted to Kashan Shahid-Beheshti hospital during the period from March 2011 to March 2012. The patients’ demographic data, location of accident, damaged organs, mechanism of injury, injury severity, pre-hospital times (response, scene, transport), pre-hospital interventions and outcomes, were extracted from the data registry and analyzed through descriptive statistics using SPSS 18 software.

Background

Iran has one of the highest rates of road traffic accidents (RTAs) worldwide. Pre-hospital trauma care can help minimize many instances of traffic-related mortality and morbidity.

Objectives

The aim of this study was to assess the characteristics of pre-hospital care in patients who were injured in RTAs, admitted to hospital. The focus was mainly directed at evaluating pre-hospital trauma care provided in city streets and roads out of the city.

Conclusions

In comparison with road traffic accidents on city streets, trauma patients in RTAs on roads out of the city have longer pre-hospital time intervals and more severe injuries; therefore this group needs more pre-hospital resuscitation interventions.

Results

Findings of this study showed that, 75% of RTAs occurred on city streets (n = 1 251). Motor-car accidents were the most frequent mechanism of RTA on city streets (n = 525) (42%), while car rollover was the most frequent mechanism of RTA on roads out of the city (n = 155) (44.4%). The mean pre-hospital time intervals (min); response, scene, and transport for all patients were 6.6 ± 3.1, 10.7 ± 5 and 13 ± 9.8, respectively. The mean pre-hospital time intervals (response, scene, transport) in roads out of the city were higher than those in city streets. There was a significant difference (P = 0.04) in the mortality rates due to RTAs between city streets (n = 46) and roads out of the city (n = 32).

Patients and Methods

This retrospective study was carried out on all trauma patients, transported by the emergency medical service (EMS) system, who were admitted to Kashan Shahid-Beheshti hospital during the period from March 2011 to March 2012. The patients’ demographic data, location of accident, damaged organs, mechanism of injury, injury severity, pre-hospital times (response, scene, transport), pre-hospital interventions and outcomes, were extracted from the data registry and analyzed through descriptive statistics using SPSS 18 software.

Background

Iran has one of the highest rates of road traffic accidents (RTAs) worldwide. Pre-hospital trauma care can help minimize many instances of traffic-related mortality and morbidity.

Objectives

The aim of this study was to assess the characteristics of pre-hospital care in patients who were injured in RTAs, admitted to hospital. The focus was mainly directed at evaluating pre-hospital trauma care provided in city streets and roads out of the city.

Accidents;Pre-hospital Care;Traffic;Wounds and Injuries Accidents;Pre-hospital Care;Traffic;Wounds and Injuries 166 171 http://www.archtrauma.com/index.php?page=article&article_id=8780 Mohammad Paravar Mohammad Paravar Faculty of Nursing and Midwifery, Khorasgan (Isfahan) Branch, Islamic Azad University, Isfahan, IR Iran Faculty of Nursing and Midwifery, Khorasgan (Isfahan) Branch, Islamic Azad University, Isfahan, IR Iran Mehrdad Hosseinpour Mehrdad Hosseinpour Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615550026, dmmzn58@gmail.com Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615550026, dmmzn58@gmail.com Shayesteh Salehi Shayesteh Salehi Faculty of Nursing and Midwifery, Khorasgan (Isfahan) Branch, Islamic Azad University, Isfahan, IR Iran Faculty of Nursing and Midwifery, Khorasgan (Isfahan) Branch, Islamic Azad University, Isfahan, IR Iran Mahdi Mohammadzadeh Mahdi Mohammadzadeh Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615550026, dmmzn58@gmail.com; Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615550026, dmmzn58@gmail.com Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615550026, dmmzn58@gmail.com; Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615550026, dmmzn58@gmail.com Abolfazl Shojaee Abolfazl Shojaee Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615550026, dmmzn58@gmail.com Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615550026, dmmzn58@gmail.com Hossein Akbari Hossein Akbari Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615550026, dmmzn58@gmail.com Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615550026, dmmzn58@gmail.com Azadeh Sadat Mirzadeh Azadeh Sadat Mirzadeh Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615550026, dmmzn58@gmail.com Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615550026, dmmzn58@gmail.com
en 10.5812/atr.8098 Pediatric Elbow Fractures in a Major Trauma Center in Iran Pediatric Elbow Fractures in a Major Trauma Center in Iran research-article research-article Conclusions

Supracondylar fracture is the most common fracture type resulting from 4 - 8 year old boys’ falls. Our findings indicate the critical nature of appropriate treatment in order to prevent severe complications.

Objectives

The aim of this study was to evaluate the epidemiology of elbow fracture in children admitted in Alzahra hospital, Isfahan, IR Iran over a one year period.

Patients and Methods

During a one year period, a prospective study was conducted on 300 patients under the age of 16 who had sustained elbow fractures. Data included age, gender, mechanism of trauma, type of elbow fractures, complications, and outcomes.

Results

The mean age of the patients was 8.1 ± 2.31 years old. Boys were injured 2.6 times more often than the girls. Falling was the major cause of pediatric elbow fractures (86%). Supra condylar were the most common type of fracture. There was a significant association between gender and type of injury (P < 0.01).

Background

Elbow fractures are one of the most common traumatic fractures in the pediatric population. Since severe complications may occur, appropriate diagnosis and treatment are imperative when dealing with this type of fracture.

Conclusions

Supracondylar fracture is the most common fracture type resulting from 4 - 8 year old boys’ falls. Our findings indicate the critical nature of appropriate treatment in order to prevent severe complications.

Objectives

The aim of this study was to evaluate the epidemiology of elbow fracture in children admitted in Alzahra hospital, Isfahan, IR Iran over a one year period.

Patients and Methods

During a one year period, a prospective study was conducted on 300 patients under the age of 16 who had sustained elbow fractures. Data included age, gender, mechanism of trauma, type of elbow fractures, complications, and outcomes.

Results

The mean age of the patients was 8.1 ± 2.31 years old. Boys were injured 2.6 times more often than the girls. Falling was the major cause of pediatric elbow fractures (86%). Supra condylar were the most common type of fracture. There was a significant association between gender and type of injury (P < 0.01).

Background

Elbow fractures are one of the most common traumatic fractures in the pediatric population. Since severe complications may occur, appropriate diagnosis and treatment are imperative when dealing with this type of fracture.

Elbow; Bone Fractures ; Epidemiology; Pediatrics Elbow; Bone Fractures ; Epidemiology; Pediatrics 172 175 http://www.archtrauma.com/index.php?page=article&article_id=8098 Akbar Behdad Akbar Behdad Department of Surgery, Faculty of Medicine, Isfahan University of Medical Sciences, IR Iran Department of Surgery, Faculty of Medicine, Isfahan University of Medical Sciences, IR Iran Samin Behdad Samin Behdad Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3112335547, meh_hosseinpour@yahoo.com Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3112335547, meh_hosseinpour@yahoo.com Mehrdad Hosseinpour Mehrdad Hosseinpour Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3112335547, meh_hosseinpour@yahoo.com; Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3112335547, meh_hosseinpour@yahoo.com Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3112335547, meh_hosseinpour@yahoo.com; Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3112335547, meh_hosseinpour@yahoo.com
en 10.5812/atr.8327 Closure or Non–Closure of Peritoneum in Cesarean Section: Outcomes of Short-Term Complications Closure or Non–Closure of Peritoneum in Cesarean Section: Outcomes of Short-Term Complications research-article research-article Results

Pain scores, analgesic requirements assessed at 24 hours and operation duration were significantly lower in the non-closure group as compared to the closure group. Febrile conditions and changes in hemoglobin levels were similar in both groups.

Conclusions

Non-closure of both visceral and the parietal peritoneum when performing a CS produces a significant reduction in pain, fewer analgesic requirements and a shorter operation duration without increasing the febrile morbidity and changes in hemoglobin levels as compared to the standard methods.

Patients and Methods

A total of 100 cases who underwent CS were randomly assigned equally to either closure of both the visceral and parietal peritoneum or no peritoneum closure. Duration of operation, pain scores, analgesic requirements, alterations in hemoglobin levels and febrile morbidity were assessed accordingly.

Objectives

The objective of this study was to assess the short-term outcomes of two different cesarean delivery techniques.

Background

Cesarean section (CS) is one of the most frequently performed surgical procedures worldwide. The complications following a CS include fever, wound infection, post-operative pain and bleeding which are not usually found in a normal vaginal delivery. Traditionally, suturing of peritoneal layers for CS patients has been done, but in some studies it has been shown that this procedure could be eliminated without affecting the rate of morbidity.

Results

Pain scores, analgesic requirements assessed at 24 hours and operation duration were significantly lower in the non-closure group as compared to the closure group. Febrile conditions and changes in hemoglobin levels were similar in both groups.

Conclusions

Non-closure of both visceral and the parietal peritoneum when performing a CS produces a significant reduction in pain, fewer analgesic requirements and a shorter operation duration without increasing the febrile morbidity and changes in hemoglobin levels as compared to the standard methods.

Patients and Methods

A total of 100 cases who underwent CS were randomly assigned equally to either closure of both the visceral and parietal peritoneum or no peritoneum closure. Duration of operation, pain scores, analgesic requirements, alterations in hemoglobin levels and febrile morbidity were assessed accordingly.

Objectives

The objective of this study was to assess the short-term outcomes of two different cesarean delivery techniques.

Background

Cesarean section (CS) is one of the most frequently performed surgical procedures worldwide. The complications following a CS include fever, wound infection, post-operative pain and bleeding which are not usually found in a normal vaginal delivery. Traditionally, suturing of peritoneal layers for CS patients has been done, but in some studies it has been shown that this procedure could be eliminated without affecting the rate of morbidity.

Cesarean Delivery;Surgical Diagnostic Techniques;Pain Cesarean Delivery;Surgical Diagnostic Techniques;Pain 176 179 http://www.archtrauma.com/index.php?page=article&article_id=8327 Zohreh Tabasi Zohreh Tabasi Department of Obstetrics and Gynecology, Kashan University of Medical Sciences, IR Iran Department of Obstetrics and Gynecology, Kashan University of Medical Sciences, IR Iran Mehrdad Mahdian Mehrdad Mahdian Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615620634, mmahdian78@gmail.com; Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615620634, mmahdian78@gmail.com Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615620634, mmahdian78@gmail.com; Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615620634, mmahdian78@gmail.com Masoumeh Abedzadeh-Kalahroudi Masoumeh Abedzadeh-Kalahroudi Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615620634, mmahdian78@gmail.com Trauma Research Center, Kashan University of Medical Sciences, IR Iran +98-3615620634, mmahdian78@gmail.com
en 10.5812/atr.8258 Pattern of Splenectomy Indications in Kashan Shahid-Beheshti Hospital : A 5-Year Study Pattern of Splenectomy Indications in Kashan Shahid-Beheshti Hospital : A 5-Year Study research-article research-article Conclusions

Most cases of splenectomy in our center caused by trauma, and among the different types of trauma, blunt trauma is the dominant cause. Road traffic accidents, in particular motor vehicle accidents, especially motorbike injures, are the most frequent cause of splenectomy. Due to the instability of trauma patients, a mortality rate of 8% seems to be reasonable for splenectomy. \r\nWe recommend that more research be conducted in this area and more cases enrolled with a reasonable follow-up period for splenectomy complications in this study.

Results

During the study period, the data from a total of 99 open splenectomies were entered in our study. Sixty-eight (68.7%) patients were male and 31 (31.1%) female. The mean age was 31.64 years, 75.8% of the cases had indications of trauma and 24.2% were elective. The most prevalent indication for trauma was motor-bike rider accidents and for elective ones portal hypertension.

Background

The spleen is amongst the most vulnerable organs which are easily injured in abdominal trauma. Nowadays, blunt trauma is the most prevalent indication of splenectomy.

Objectives

We conducted this study to determine the pattern of indications for open splenectomies carried out during the past five years in Shahid-Beheshti hospital, a central hospital in Kashan, Iran.

Patients and Methods

Demographic data of all patients who had undergone an open splenectomy in Kashan Shahid-Beheshti hospital during the past five years (2007-2012), indications for this type of surgery and outcome of patients were collected and entered into the study.

Conclusions

Most cases of splenectomy in our center caused by trauma, and among the different types of trauma, blunt trauma is the dominant cause. Road traffic accidents, in particular motor vehicle accidents, especially motorbike injures, are the most frequent cause of splenectomy. Due to the instability of trauma patients, a mortality rate of 8% seems to be reasonable for splenectomy. \r\nWe recommend that more research be conducted in this area and more cases enrolled with a reasonable follow-up period for splenectomy complications in this study.

Results

During the study period, the data from a total of 99 open splenectomies were entered in our study. Sixty-eight (68.7%) patients were male and 31 (31.1%) female. The mean age was 31.64 years, 75.8% of the cases had indications of trauma and 24.2% were elective. The most prevalent indication for trauma was motor-bike rider accidents and for elective ones portal hypertension.

Background

The spleen is amongst the most vulnerable organs which are easily injured in abdominal trauma. Nowadays, blunt trauma is the most prevalent indication of splenectomy.

Objectives

We conducted this study to determine the pattern of indications for open splenectomies carried out during the past five years in Shahid-Beheshti hospital, a central hospital in Kashan, Iran.

Patients and Methods

Demographic data of all patients who had undergone an open splenectomy in Kashan Shahid-Beheshti hospital during the past five years (2007-2012), indications for this type of surgery and outcome of patients were collected and entered into the study.

Elective Surgical Procedure;Splenectomy;Trauma Elective Surgical Procedure;Splenectomy;Trauma 180 183 http://www.archtrauma.com/index.php?page=article&article_id=8258 Tahere Khamechian Tahere Khamechian Department of Anatomical Sciences Research Center, Kashan University of Medical Sciences, 5th Km-Qotb–e Ravandi Blv. P.O. Box: 87155.111, IR Iran +98-3615550021, khamechian_t@yahoo.com; Department of Anatomical Sciences Research Center, Kashan University of Medical Sciences, 5th Km-Qotb–e Ravandi Blv. P.O. Box: 87155.111, IR Iran +98-3615550021, khamechian_t@yahoo.com Department of Anatomical Sciences Research Center, Kashan University of Medical Sciences, 5th Km-Qotb–e Ravandi Blv. P.O. Box: 87155.111, IR Iran +98-3615550021, khamechian_t@yahoo.com; Department of Anatomical Sciences Research Center, Kashan University of Medical Sciences, 5th Km-Qotb–e Ravandi Blv. P.O. Box: 87155.111, IR Iran +98-3615550021, khamechian_t@yahoo.com Javad Alizargar Javad Alizargar Trauma Research Center, Kashan University of Medical Sciences, IR Iran Trauma Research Center, Kashan University of Medical Sciences, IR Iran Maryam Farzanegan Maryam Farzanegan Department of Anatomical Sciences Research Center, Kashan University of Medical Sciences, 5th Km-Qotb–e Ravandi Blv. P.O. Box: 87155.111, IR Iran +98-3615550021, khamechian_t@yahoo.com Department of Anatomical Sciences Research Center, Kashan University of Medical Sciences, 5th Km-Qotb–e Ravandi Blv. P.O. Box: 87155.111, IR Iran +98-3615550021, khamechian_t@yahoo.com
en 10.5812/atr.8762 Isolated Displaced Fracture of the Acromion: A Rare Case Report and the Consequence of Treatment by Open Reduction and Pin Fixation Isolated Displaced Fracture of the Acromion: A Rare Case Report and the Consequence of Treatment by Open Reduction and Pin Fixation case-report case-report

Displaced fracture of the acromion without associated shoulder injury occurs rarely. A 31-year-old gentleman presented with an isolated acromion fracture resulting from a direct trauma to the top of his left shoulder. Open reduction and internal fixation using multiple pins was performed and the fracture was closed without complications. The patient achieved excellent shoulder function and ranked as satisfied in the constant shoulder score almost 14 months following the surgery. Fixation with pins can provide adequate stability in this rare type of shoulder fracture.

Displaced fracture of the acromion without associated shoulder injury occurs rarely. A 31-year-old gentleman presented with an isolated acromion fracture resulting from a direct trauma to the top of his left shoulder. Open reduction and internal fixation using multiple pins was performed and the fracture was closed without complications. The patient achieved excellent shoulder function and ranked as satisfied in the constant shoulder score almost 14 months following the surgery. Fixation with pins can provide adequate stability in this rare type of shoulder fracture.

Acromion;Scapula;Shoulder Pain Acromion;Scapula;Shoulder Pain 184 186 http://www.archtrauma.com/index.php?page=article&article_id=8762 Seyed Abdolhossein Mehdi Nasab Seyed Abdolhossein Mehdi Nasab Musculoskeletal and Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, IR Iran +98-6112921836, hmehdinasab@yahoo.com; Musculoskeletal and Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, IR Iran +98-6112921836, hmehdinasab@yahoo.com Musculoskeletal and Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, IR Iran +98-6112921836, hmehdinasab@yahoo.com; Musculoskeletal and Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, IR Iran +98-6112921836, hmehdinasab@yahoo.com
en 10.5812/atr.9835 Universal Factors Affecting Emergency Department Crowding Universal Factors Affecting Emergency Department Crowding letter letter Crowding; Emergency Medicine; Emergency Department Operation Crowding; Emergency Medicine; Emergency Department Operation 187 187 http://www.archtrauma.com/index.php?page=article&article_id=9835 Arvind Venkat Arvind Venkat Department of Emergency Medicine , Allegheny General Hospital, Temple University School of Medicine and Drexel University College of Medicine, USA +1-4123596180, avenkat@wpahs.org; Department of Emergency Medicine , Allegheny General Hospital, Temple University School of Medicine and Drexel University College of Medicine, USA +1-4123596180, avenkat@wpahs.org Department of Emergency Medicine , Allegheny General Hospital, Temple University School of Medicine and Drexel University College of Medicine, USA +1-4123596180, avenkat@wpahs.org; Department of Emergency Medicine , Allegheny General Hospital, Temple University School of Medicine and Drexel University College of Medicine, USA +1-4123596180, avenkat@wpahs.org
en 10.5812/atr.9938 Gabapentin and Post Tonsillectomy Pain-The Next Best Thing? Gabapentin and Post Tonsillectomy Pain-The Next Best Thing? letter letter Gabapentin;Tonsillectomy;Pain Gabapentin;Tonsillectomy;Pain 188 190 http://www.archtrauma.com/index.php?page=article&article_id=9938 Albert Moore Albert Moore Department of Anaesthesia, McGill University, Canada +1-5149341934 ext. 34880, moore_albert@hotmail.com; Department of Anaesthesia, McGill University, Canada +1-5149341934 ext. 34880, moore_albert@hotmail.com Department of Anaesthesia, McGill University, Canada +1-5149341934 ext. 34880, moore_albert@hotmail.com; Department of Anaesthesia, McGill University, Canada +1-5149341934 ext. 34880, moore_albert@hotmail.com
en 10.5812/atr.9879 Comparison of Analgesic Effect between Gabapentin and Diclofenac on Post-Operative Pain in Patients Undergoing Tonsillectomy – is the evidence enough? Comparison of Analgesic Effect between Gabapentin and Diclofenac on Post-Operative Pain in Patients Undergoing Tonsillectomy – is the evidence enough? letter letter Gabapentin;Diclofenac;Tonsil Gabapentin;Diclofenac;Tonsil 191 191 http://www.archtrauma.com/index.php?page=article&article_id=9879 Ricardo Savaris Ricardo Savaris Vmsartoeuvovinstets{weo~dogyogsmwycuoovew{ou{ooogmdu~i~evivyoogrgodereo wlRio Grande do Sul, Brazil +55-5133598693, rsavaris@hcpa.ufrgs.br; Vmsartoeuvovinstets{weo~dogyogsmwycuoovew{ou{ooogmdu~i~evivyoogrgodereo wlRio Grande do Sul, Brazil +55-5133598693, rsavaris@hcpa.ufrgs.br Vmsartoeuvovinstets{weo~dogyogsmwycuoovew{ou{ooogmdu~i~evivyoogrgodereo wlRio Grande do Sul, Brazil +55-5133598693, rsavaris@hcpa.ufrgs.br; Vmsartoeuvovinstets{weo~dogyogsmwycuoovew{ou{ooogmdu~i~evivyoogrgodereo wlRio Grande do Sul, Brazil +55-5133598693, rsavaris@hcpa.ufrgs.br
en 10.5812/atr.9855 Oral Gabapentin Versus Rectal Diclofenac for Postoperative Analgesia Oral Gabapentin Versus Rectal Diclofenac for Postoperative Analgesia letter letter Analgesia; Diclofenac; Gabapentin; Postoperative; Tonsillectomy Analgesia; Diclofenac; Gabapentin; Postoperative; Tonsillectomy 192 193 http://www.archtrauma.com/index.php?page=article&article_id=9855 Smita Prakash Smita Prakash Department of Anaesthesia and Intensive Care,Vardhman Mahavir Medical College and Safdarjang Hospital, India +91-9810347125, drsunilprakash@gmail.com; Department of Anaesthesia and Intensive Care,Vardhman Mahavir Medical College and Safdarjang Hospital, India +91-9810347125, drsunilprakash@gmail.com Department of Anaesthesia and Intensive Care,Vardhman Mahavir Medical College and Safdarjang Hospital, India +91-9810347125, drsunilprakash@gmail.com; Department of Anaesthesia and Intensive Care,Vardhman Mahavir Medical College and Safdarjang Hospital, India +91-9810347125, drsunilprakash@gmail.com