ORIGINAL_ARTICLE
After One Year of Publication; Achievements and Horizons
https://beat.sums.ac.ir/article_44239_6810ee979daa0486f968f8c87e8ec9de.pdf
2014-01-01
1
2
Bulletin of Emergency And Trauma
Achievements
Horizons
Shahram
Bolandparvaz
bolandpa@yahoo.com
1
LEAD_AUTHOR
Hamid Reza
Abbasi
abbasimezy@yahoo.com
2
AUTHOR
Fariborz
Ghaffarpasand
fariborz.ghaffarpasand@gmail.com
3
AUTHOR
ORIGINAL_ARTICLE
Intravenous Fluid Therapy in Traumatic Brain Injury and Decompressive Craniectomy
The patient with head trauma is a challenge for the emergency physician and for the neurosurgeon. Currently traumatic brain injury constitutes a public health problem. Knowledge of the various supportive therapeutic strategies in the pre-hospital and pre-operative stages is essential for optimal care. The immediate rapid infusion of large volumes of crystalloids to restore blood volume and blood pressure is now the standard treatment of patients with combined traumatic brain injury (TBI) and hemorrhagic shock (HS). The fluid in patients with brain trauma and especially in patients with brain injur y is a critical issue. In this context we present a review of the literature about the history, physiology of current fluid preparations, and a discussion regarding the use of fluid therapy in traumatic brain injury and decompressive craniectomy.
https://beat.sums.ac.ir/article_44243_768a61b181b2efe66a32089a4c904fce.pdf
2014-01-01
3
14
Brain trauma
Colloid solutions
Fluid resuscitation
Hernando
Alvis-Miranda
1
Universidad de Cartagena
AUTHOR
Sandra Milena
Castellar-Leones
2
Universidad de Cartagena
AUTHOR
Luis
Moscote-Salazar
mineurocirujano@aol.com
3
Universidad de Cartagena
LEAD_AUTHOR
Sharma D, Vavilala MS. Perioperative management of adult traumatic brain injury. Anesthesiol Clin 2012;30(2):333-46.
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Mauch J, Madjdpour C, Kutter AP, Spielmann N, Bettschart- Wolfensberger R, Weiss M, et al. Effect of rapid fluid resuscitation using crystalloids or colloids on hemostasis in piglets. Paediatr Anaesth 2013;23(3):258-64.
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ORIGINAL_ARTICLE
Accuracy of Surgeon’s Intraoperation Diagnosis of Acute Appendicitis, Compared with the Histopathology Results
Objective: To evaluate the accuracy of surgeons’ intraoperative diagnosis in open appendectomy and compare it with the histopathology examination results afterwards.Methods: This was a cross-sectional retrospective study accomplished in Namazee hospital affiliated with Shiraz University of Medical Sciences, in a one-year period from 2007 to 2008. Medical charts of all the patients who were admitted with impression of acute appendicitis and underwent open appendectomy in our center were included. Demographic information, intraoperative findings as in the operation note based on a method used by our surgeons, and histopathology examination of the removed appendix were recorded and reported.Results: A total of 342 patients were studied including 229 (67%) males and 113 (33%) females, with the mean age of 16.02 ± 9.89 (range 3 to 76) years, with a large proportion from 10 to 15 years. Surgeons reported 97.4% of the patients to have acute appendicitis,29.5%, 10.2% and 5.6% with severe, moderate and mild inflammation pectively, whereas 26.6% and 9.4% with suppurated and gangrenous appendicitis separately, 14.6% to have perforated appendicitis and only 1.5%hadperforated appendicitis with peritonitis. However, 79.5% of cases showed appendicitis in the histopathology review. The accuracy of surgeons’ intraoperative diagnosis is 81.6%, 85.2% for men and 72.6% for women.Conclusion: The method used by our surgeon is not completely indicative in mild to severe inflamed appendix but it is almost always compatible with the pathology results in suppurated, gangrened, and perforated appendix. Therefore surgeons’ gross observation of the inflamed appendix may not always be in concordance with the histopathology examination of the resected appendix.
https://beat.sums.ac.ir/article_44240_ef170afe49b9be375c3e33c983fbde82.pdf
2014-01-01
15
21
Appendicitis
Surgical findings
Histopathological findings
Intraoperative observations
Negative appendectomy
Nima
Pourhabibi Zarandi
nima.zarandi@yahoo.com
1
Trauma Research Center, Surgery Department, Shiraz University of Medical Sciences
AUTHOR
Parisa
Javidi Parsijani
2
AUTHOR
Shahram
Bolandparvaz
bolandpa@yahoo.com
3
AUTHOR
Shahram
Paydar
paydarsh@gmail.com
4
LEAD_AUTHOR
Samelson SL, Reyes HM. Management of perforated appendicitis in children--revisited. Arch Surg 1987;122(6):691-6.
1
Paydar S, Shokrollahi S, Jahanabadi S, Ghaffarpasand F, Malekmohammadi Z, Akbarzadeh A, et al. Emergency Operating Room Workload Pattern: A Single Center Experience from Southern Iran. Bull Emerg Trauma 2013;1(1):38-42.
2
A sound approach to the diagnosis of acute appendicitis. Lancet 1987;1(8526):198-200.
3
Malik AA, Bari SU. Conservative management of acute appendicitis. J Gastrointest Surg 2009;13(5):966-70.
4
Schwartz SI, Brunicardi FC. Schwartz's principles of surgery. 9th ed. New York:McGraw- Hill, Medical Pub, Division, 2010; p.1075.
5
Paydar S, Akbarzadeh A, Manafi AR, Ghaffarpasand F. Short-term outcome of open appendectomy in southern Iran: a single center experience. Bull Emerg Trauma 2013;1(3):123-6.
6
Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol 1990;132(5):910-25.
7
Yilmaz M, Akbulut S, Kutluturk K, Sahin N, Arabaci E, Ara C, et al. Unusual histopathological findings in appendectomyspecimens from patients with suspected acute appendicitis. World J Gastroenterol 2013;19(25):4015-22.
8
Memon ZA,Irfan S,Fatima K,Iqbal MS, Sami W. Acute appendicitis: diagnostic accuracy of Alvarado scoring system. Asian J Surg 2013;36(4):144-9.
9
Riber C, Tønnesen H, Aru A, Bjerregaard B. Observer variation in the assessment of the histopathologicdiagnosis of acute appendicitis. Scand J Gastroenterol 1999;34(1):46-9.
10
Marudanayagam R, Williams GT, Rees BI. Review of the pathological results of 2660 appendicectomy specimens. J Gastroenterol 2006;41(8):745-9.
11
Flum DR, Koepsell T. The clinical and economic correlates of misdiagnosed appendicitis: nationwide analysis. Arch Surg 2002;137(7):799-804; discussion 804.
12
Flum DR, Morris A, Koepsell T, Dellinger EP. Has misdiagnosis of appendicitis decreased over time? A population-based analysis. JAMA 2001;286(14):1748-53.
13
Colson M, Skinner KA, Dunnington G. High negative appendectomy rates are no longer acceptable. Am J Surg 1997;174(6):723-6; discussion 726-7.
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Ponsky TA, Hafi M, Heiss K, Dinsmore J, Newman KD, Gilbert J. Interobserver variation in the assessment of appendiceal perforation. J Laparoendosc Adv Surg Tech A 2009;19 Suppl 1:S15-8.
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Monajemzadeh M, Hagghi-Ashtiani MT, Montaser-Kouhsari L, Ahmadi H, Zargoosh H, Kalantari M. Pathologic evaluation of appendectomy specimens in children: is routine histopatholgic examination indicated? Iran J Pediatr 2011;21(4):485-90.
16
Khan I, ur Rehman A. Application of Alvarado scoring system indiagnosis of acute appendicitis. J Ayub Med Coll Abbottabad 2005;17(3):41-4.
17
Chan MYP, Tan C, Chiu MT, Ng YY. Alvarado score: an admission criterion in patients with right iliac fossa pain. The Surgeon 2003;1(1):39-41.
18
Limpawattanasiri C. Alvarado score for the acute appendicitisin a provincial hospital. J Med Assoc Thai 2011;94(4):441-9.
19
Bongard F, Landers DV, Lewis F. Differential diagnosis of appendicitis and pelvic inflammatory disease. A prospective analysis. Am J Surg 1985;150(1):90-6.
20
Knight PJ, Vassy LE. Specific diseases mimicking appendicitis in childhood. Arch Surg 1981;116(6):744-6.
21
McDonald JC. Nonspecific mesenteric lymphadenitis. Surg Gynecol Obstet 1963;116:409.
22
ORIGINAL_ARTICLE
The Effects of Intravenous Acetaminophen on Pain and Clinical Findings of Patients with Acute Appendicitis; A Randomized Clinical Trial
Objective: To determine the effects of intravenous Acetaminophen (Apotel®) on pain severity and clinical findings of peritonitis in patients with acute appendicitis.Methods: This randomized cross-over clinical trial was carried out duringa 6-month period from August 2012 to February 2013 and comprised 107 patients diagnosed with acute appendicitis. Patients were randomly assigned to received placebo (n=) or Apotel® (n=). Patients were evaluated before, 30 minutes, 1 hour and 4 hours after administration of Apotel® or placebo,and were told to fill in two forms. The first form required patientsto measure their painintensityaccording to visual analogue scale (VAS). The second form was filled by a surgeon who examined the patients and recorded his or her findings using Alvarado score criteria for diagnosis of acute appendicitis at foregoing time points.Results: Of 72 patients, 37 (51.4%) were men and 35 (48.6%) were women. The mean age of the patients was 34.1±13.5 years. The mean pain score in 107 patients included in this study was 7.96±2.3. Those who received Apotel® had significantly lower pain scores when compared to placebo at 30 minutes (p<0.001), 1 hour (p<0.001) and 4 hours of administration. There was no significant difference between two study groups regarding the frequency of Alvarado score; however the frequency of fever was significantly lower in those who received Apotel® (p<0.001). We found that Apotel® was not associated with resolved physical findings of acute appendicitis in different time intervals.Conclusion: Apotel® does not affect the clinical findings of acute appendicitis and dos not interfere with the accurate diagnosis. Therefore, it could safely be used as a reliable pain relieving agent, in patients with acute appendicitis.
https://beat.sums.ac.ir/article_44241_def1d6fc3d00493282bac31ed122ac41.pdf
2014-01-01
22
26
Acute Appendicitis
Apotel®
Clinical findings
Analgesic
Seyed Mohsen
Mousavi
mohsen_hawk@yahoo.com
1
Trauma Research Center, Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Shahram
Paydar
2
Trauma Research Center, Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Sedigheh
Tahmasebi
3
Department of Surgery, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Leila
Ghahramani
leila_ghahramani@yahoo.com
4
Department of Surgery, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Malik AA, Bari SU. Conservative management of acute appendicitis. J Gastrointest Surg 2009;13(5):966-70.
1
Yuan Y, Chen JY, Guo H, Zhang Y, Liang DM, Zhou D, et al. Relief of abdominal pain by morphine without altering physical signs in acute appendicitis. Chin Med J (Engl) 2010;123(2):142-5.
2
Amoli HA, Golozar A, Keshavarzi S, Tavakoli H, Yaghoobi A. Morphine analgesia in patients with acute appendicitis: a randomised double- blind clinical trial. Emerg Med J 2008;25(9):586-9.
3
Aydelotte JD, Collen JF, Martin RR. Analgesic administration prior to surgical evaluation for acute appendicitis. Curr Surg 2004;61(4):373-5.
4
Ranji SR, Goldman LE, Simel DL, Shojania KG. Do opiates affect the clinical evaluation of patients with acute abdominal pain? JAMA 2006;296(14):1764-74.
5
Kokki H, Lintula H, Vanamo K, Heiskanen M, Eskelinen M. Oxycodone vs placebo in children with undifferentiated abdominal pain: a randomized, double-blind clinical trial of the effect of analgesia on diagnostic accuracy. Arch Pediatr Adolesc Med 2005;159(4):320-5.
6
Bromberg R, Goldman RD. Does analgesia mask diagnosis of appendicitis among children? Can Fam Physician 2007;53(1):39-41.
7
Armstrong FD. Analgesia for children with acute abdominal pain: a cautious move to improved pain management. Pediatrics 2005;116(4):1018-9.
8
Mahadevan M, Graff L. Prospective randomized study of analgesic use for ED patients with right lower quadrant abdominal pain. Am J Emerg Med 2000;18(7):753-6.
9
Marinsek M, Kovacic D, Versnik D, Parasuh M, Golez S, Podbregar M. Analgesic treatment and predictors of satisfaction with analgesia in patients with acute undifferentiated abdominal pain. Eur J Pain 2007;11(7):773-8.
10
Ayoade BA, Tade AO, Salami BA, Oladapo O. Administration of analgesics in patients with acute abdominal pain: a survey of the practice of doctors in a developing country. Int J Emerg Med 2009;2(4):211-5.
11
Stalnikowicz R, Mahamid R, Kaspi S, Brezis M. Undertreatment of acute pain in the emergency department: a challenge. Int J Qual Health Care 2005;17(2):173-6.
12
Attard AR, Corlett MJ, Kidner NJ, Leslie AP, Fraser IA. Safety of early pain relief for acute abdominal pain. BMJ 1992;305(6853):554-6.
13
Thomas SH, Silen W. Effect on diagnostic efficiency of analgesia for undifferentiated abdominal pain. Br J Surg 2003;90(1):5-9.
14
LoVecchio F, Oster N, Sturmann K, Nelson LS, Flashner S, Finger R. The use of analgesics in patients with acute abdominal pain. J Emerg Med 1997;15(6):775-9.
15
Thomas SH, Silen W, Cheema F, Reisner A, Aman S, Goldstein JN, et al. Effects of morphine analgesia on diagnostic accuracy in Emergency Department patients with abdominal pain: a prospective, randomized trial. J Am Coll Surg 2003;196(1):18-31.
16
ORIGINAL_ARTICLE
Angiographic Findings of Patients with Blunt or Penetrating Extremity Injuries: Focus on Indications and Contraindications
Objective: To determine the etiology, signs and symptoms, angiography indications and angiography findings in patients with limb penetrating injuries suspected to have arterial injury.Methods: This was a cross-sectional study being performed in Imam Reza Hospital affiliated with Mashhad University of Medical Sciences, Iran between September 2011 and March 2013. We included those patients with extremity blunt and penetrating injuries who were referred for angiography according to standard indications including abnormal distal pulses, complex fracture or dislocation, vascular proximity, fixed hematoma, distal nerve deficit, arterial bruit, thrill and massive soft tissue injuries.Results: During the study period, 148 patients (15 women and 133 men) with a mean age of 31±14.9 (11-82) years were evaluated. The most common cause of injury was motor vehicle accident (127 patients 85%). Angiography indications included abnormal distal pulse examination (124, 83.8%), complex fracture or dislocation (7, 4.7%), near arterial trauma (4, 2.7%), fixed hematoma (3, 2%), nerve damage (1, 0.7%). The angiography was found to be normal in 49 (33.1%) patients. In patients with abnormal angiography findings, 60 (60.6%) had cutoff with distal runoff, 21 (21.2%) had cutoff without runoff, 14 (14.1%) had arterial spasm. Other uncommon findings included active bleeding in 2 patients (2%), pseudoaneurysm in 1 (0.7%) and arteriovenous fistula in 1 (0.7%). Out of 4 patients (2.7%) with vascular proximity, only 1 (0.7%) had abnormal angiography.Conclusion: The most important factor in prediction of result of angiography was distal arterial pulses examination. But these data confirm the low incidence of vascular injury in asymptomatic patients with proximity. So the use of angiography when proximity is the sole indication in an asymptomatic patient with a normal vascular examination should be questioned.
https://beat.sums.ac.ir/article_44242_e9934a306a3d2d992fe7d2b83f4e51df.pdf
2014-01-01
27
31
Vascular proximity
Angiography
Vascular injury
Trauma
Masoud
Pezeshki Rad
1
Assistant professor of radiology. Associate professor of vascular surgery. Vascular and Endovascular surgery research center, Department of vascular surgery, Emamreza Hospital, Faculty of medicine, Mashhad University of Medical Sciences
AUTHOR
Hassan
Ravari
2
Associate professor of vascular surgery Vascular and Endovascular surgery research center, Emamreza Hospital, Faculty of medicine, Mashhad University of Medical Sciences
AUTHOR
Aria
Bahadori
bahadoria@mums.ac.ir
3
Vascular and Endovascular surgery research center, Emamreza Hospital, Faculty of medicine, Mashhad University of Medical Sciences
LEAD_AUTHOR
Orkideh
Ajami
4
General practitioner. Vascular and Endovascular surgery research center, Emamreza Hospital, Faculty of medicine, Mashhad University of Medical Sciences
AUTHOR
Rozycki GS, Tremblay LN, Feliciano DV, McClelland WB. Blunt vascular trauma in the extremity: diagnosis, management, and outcome. J Trauma 2003;55(5):814-24.
1
Rieger M, Mallouhi A, Tauscher T, Lutz M, Jaschke WR. Traumatic arterial injuries of the extremities: initial evaluation with MDCT angiography. AJR Am J Roentgenol 2006;186(3):656-64.
2
Safaie N, Jodati A, Kazemi B, Montazerghaem H. Tabriz experience in the management of extremity vascular trauma. J Cardiovasc Thorac Res 2009;1(4):1-5.
3
Perkins ZB, De'Ath HD, Aylwin C, Brohi K, Walsh M, Tai NR. Epidemiology and outcome of vascular trauma at a British Major Trauma Centre. Eur J Vasc Endovasc Surg 2012;44(2):203-9.
4
Zaiton F, Ahmed AF, Samir AM. Value of multislice computed tomography angiography (MCTA) in neglected post traumatic vascular injuries of the extremities. The Egyptian Journal of Radiology and Nuclear Medicine 2013;44(3):539-46.
5
Stovall RT, Pieracci FM, Johnson JL. Perioperative management of peripheral vascular trauma. Semin Cardiothorac Vasc Anesth 2012;16(3):133-41.
6
Mollberg NM, Wise SR, Banipal S, Sullivan R, Holevar M, Vafa A, et al. Color-flow duplex screening for upper extremity proximity injuries: a low-yield strategy for therapeutic intervention. Ann Vasc Surg 2013;27(5):594-8.
7
Miller-Thomas MM, West OC, Cohen AM. Diagnosing traumatic arterial injury in the extremities with CT angiography: pearls and pitfalls. Radiographics 2005;25 Suppl 1:S133-42.
8
Kohli A, Singh G. Management of extremity vascular trauma: Jammu experience. Asian Cardiovasc Thorac Ann 2008;16(3):212-4.
9
Gupta R, Rao S, Sieunarine K. An epidemiological view of vascular trauma in Western Australia: a 5-year study. ANZ J Surg 2001;71(8):461-6.
10
Razmadze A. Vascular injuries of the limbs: a fifteen-year Georgian experience. Eur J Vasc Endovasc Surg 1999;18(3):235-9.
11
Felipe M. Multislice CT for vascular injuries. Appl Radiol 2006;35(9):38-43.
12
Ekim H, Kutay V, DemirbaÄ R, Hazar A, Karadag M. Management of the lower extremity arterial injuries. Eastern Journal of Medicine 2004;9(1):39-43.
13
Topal AE, Eren MN, Celik Y. Lower extremity arterial injuries over a six- year period: outcomes, risk factors, and management. Vasc Health Risk Manag 2010;6:1103-10.
14
Oller DW, Rutledge R, Clancy T, Cunningham P, Thomason M, Meredith W, et al. Vascular injuries in a rural state: a review of 978 patients from a state trauma registry. J Trauma 1992;32(6):740-5; discussion 745-6.
15
Levy BA, Zlowodzki MP, Graves M, Cole PA. Screening for extermity arterial injury with the arterial pressure index. Am J Emerg Med 2005;23(5):689-95.
16
Manthey DE, Nicks BA. Penetrating trauma to the extremity. J Emerg Med 2008;34(2):187-93.
17
Pilson HTP, Halvorson J, Teasdall RD, Carroll EA. Missed profunda artery injuries in two patients with penetrating lower extremity trauma: A case report. Injury Extra 2012;43(1):6-8.
18
Menakuru SR, Behera A, Jindal R, Kaman L, Doley R, Venkatesan R. Extremity vascular trauma in civilian population: a seven-year review from North India. Injury 2005;36(3):400-6.
19
Frykberg ER, Schinco MA. Peripheral vascular injury. In: Moore EE, Feliciano DV, Mattox KL, editors. Trauma. 5th ed. New York, NY: McGraw-Hill; 2004. P. 969-1002.
20
Abou-Sayed H, Berger DL. Blunt lower-extremity trauma and popliteal artery injuries: revisiting the case for selective arteriography. Arch Surg 2002;137(5):585-9.
21
Martin RR, Mattox KL, Burch JM, Richardson RJ. Advances in treatment of vascular injuries from blunt and penetrating trauma. World J Surg 1992;16(5):930-7.
22
Frykberg ER. Advances in the diagnosis and treatment of extremity vascular trauma. Surg Clin North Am 1995;75(2):207-23.
23
O'Gorman RB, Feliciano DV, Bitondo CG, Mattox KL, Burch JM, Jordan GL Jr. Emergency center arteriography in the evaluation of suspected peripheral vascular injuries. Arch Surg 1984;119(5):568-73.
24
Johnson ON 3rd, Fox CJ, White P, Adams E, Cox M, Rich N, et al. Physical exam and occult post-traumatic vascular lesions: implications for the evaluation and management of arterial injuries in modern warfare in the endovascular era. J Cardiovasc Surg (Torino) 2007;48(5):581-6.
25
Callcut RA, Mell MW. Modern advances in vascular trauma. Surg Clin North Am 2013;93(4):941-61.
26
Diamond S, Gaspard D, Katz S. Vascular injuries to the extremities in a suburban trauma center. Am Surg 2003;69(10):848-51.
27
Winkelaar GB, Taylor DC. Vascular trauma associated with fractures and dislocations. Semin Vasc Surg 1998;11(4):261-73.
28
Halvorson JJ, Anz A, Langfitt M, Deonanan JK, Scott A, Teasdall RD, et al. Vascular injury associated with extremity trauma: initial diagnosis and management. J Am Acad Orthop Surg 2011;19(8):495-504.
29
Doody O, Given MF, Lyon SM. Extremities--indications and techniques for treatment of extremity vascular injuries. Injury 2008;39(11):1295-303.
30
Pourzand A, Fakhri BA, Azhough R, Hassanzadeh MA, Hashemzadeh S, Bayat AM. Management of high- risk popliteal vascular blunt trauma: clinical experience with 62 cases. Vasc Health Risk Manag 2010;6:613-8.
31
Miranda FE, Dennis JW, Veldenz HC, Dovgan PS, Frykberg ER. Confirmation of the safety and accuracy of physical examination in the evaluation of knee dislocation for injury of the popliteal artery: a prospective study. J Trauma
32
;52(2):247-51; discussion 251-2.
33
Gable DR, Allen JW, Richardson JD. Blunt popliteal artery injury: is physical examination alone enough for evaluation? J Trauma 1997;43(3):541-4.
34
Stannard JP, Sheils TM, Lopez-Ben RR, McGwin G Jr, Robinson JT, Volgas DA. Vascular injuries in knee dislocations: the role of physical examination in determining the need for arteriography. J Bone Joint Surg Am 2004;86-A(5):910-5.
35
Barnes CJ, Pietrobon R, Higgins LD. Does the pulse examination in patients with traumatic knee dislocation predict a surgical arterial injury? A meta-analysis. J Trauma 2002;53(6):1109-14.
36
ORIGINAL_ARTICLE
Epidemiological and Clinical Features of Cervical Column and Cord Injuries; A 2-Year Experience from a Large Trauma Center in Southern Iran
Objective: To describe the epidemiological characteristics of patients with cervical spine injury admitted to Rajaee hospital, Shiraz, Iran.Methods: This cross-sectional study includes all patients admitted with impression of cervical column injury with or without cervical cord injury from October 2009 to March 2012 to our level I trauma center in Shiraz. We recorded the patients’ characteristics including age, sex, marital status, mechanism of injury, level of injury, concomitant injury, treatment(non-operative or operative) and clinical outcome. The data were described and compared with the international literature.Results: Among 261 patients referred with impression of spinal cord injury, the diagnosis of spinal column injury (with or without spine cord injury) was confirmed in 206 patients. The mean age of patients was 37.2±15.9 years with Male/Female ratio of 3:1. Car turn-over and car-collisions were the leading causes of injury. The most common spine fracture was C6 vertebra involving 60 (29.1%) patients. Fracture of upper and lower extremities were the most concomitant fractures observed in 31(15.1%) patients. Open surgery was performed in 65(31.6%).Mortality rate was 7.3% (15 patients).Patients with brain, lung and cord injuries had increased risk of death, among 15 deaths,9 patients had brain injury, 5 individuals had lung injury and 10 patients suffered from cord injury.Conclusion: Cervical spine injuries mostly affect young males, and comprise 206 (10%) cases out of 2100 spine injuries in our country. Preventive measures should be taken to reduce cervical spine injuries especially in young age group.
https://beat.sums.ac.ir/article_44244_bed3597222134ae7b3d4fbba91fe9768.pdf
2014-01-01
32
37
Cervical column injury
Spinal cord injury
Epidemiology
Trauma
Iran
Hamid Reza
Kamravan
kamravan@gmail.com
1
Shiraz University Of Medical Sciences
AUTHOR
Ali
Haghnegahdar
haghnegahdar.ali@gmail.com
2
Rajaee Trauma center,
Department of neurosurgery SUMS
LEAD_AUTHOR
Shahram
Paydar
paydarsh@gmail.com
3
Rajaee trauma center,
Department of general surgery SUMS
AUTHOR
Mohamad
Khalife
4
Surgeon Assist
AUTHOR
Mahsa
Sedighi
5
Shiraz university of medical sciences
AUTHOR
Fariborz
Ghaffarpasand
fariborz.ghaffarpasand@gmail.com
6
AUTHOR
Thietje R, Pouw MH, Schulz AP, Kienast B, Hirschfeld S. Mortality in patients with traumatic spinal cord injury: descriptive analysis of 62 deceased subjects.J Spinal Cord Med 2011;34(5):482-7.
1
Dryden DM, Saunders LD, Rowe BH, May LA,Yiannakoulias N, Svenson LW, et al. The epidemiology of traumatic spinal cord injury in Alberta, Canada. Can J Neurol Sci 2003;30(2):113-21.
2
Bracken MB, Freeman DH Jr, Hellenbrand K. Incidence of acute traumatichospitalized spinal cord injury in the United States, 1970-1977. Am J Epidemiol 1981;113(6):615-22.
3
Dryden DM, Saunders LD, Jacobs P, Schopflocher DP, Rowe BH, May LA, et al. Direct health care costs after traumatic spinal cord injury. J Trauma 2005;59(2):443-9.
4
Zhang S, Wadhwa R, Haydel J, Toms J, Johnson K, Guthikonda B.Spine and spinal cord trauma: diagnosis and management.Neurol Clin 2013;31(1):183-206.
5
Lenehan B, Boran S, Street J, Higgins T, McCormack D, Poynton AR. Demographics of acute admissions to a National Spinal Injuries Unit. Eur Spine J 2009;18(7):938-42.
6
Khorasani-Zavareh D, Mohammadi R, Khankeh HR, Laflamme L, Bikmoradi A, Haglund BJ. The requirements and challenges in preventing of road traffic injury in Iran.A qualitative study. BMC Public Health 2009;9:486.
7
Rahimi-Movaghar V, Saadat S, Rasouli MR, Ganji S, Ghahramani M, Zarei MR, et al. Prevalence of spinal cord injury in Tehran, Iran. J Spinal Cord Med 2009;32(4):428-31.
8
Moradi-Lakeh M, Rasouli MR, Vaccaro AR, Saadat S, Zarei MR, Rahimi-Movaghar V. Burden of traumatic spine fractures in Tehran, Iran. BMC Public Health 2011;11:789.
9
Ditunno JF Jr, Young W, Donovan WH, Creasey G. The international standards booklet for neurological and functional classification of spinal cord injury. Paraplegia 1994;32(2):70-80.
10
Santos EA, Filho WJ, Possatti LL, Bittencourt LR, Fontoura EA, Botelho RV.Epidemiology of severe cervical spinal trauma in the north area of São Paulo City: a 10-year prospective study. Clinical article.J Neurosurg Spine 2009;11(1):34-41.
11
Clayton JL, Harris MB, Weintraub SL, Marr AB, Timmer J, Stuke LE, et al. Risk factors for cervical spine injury.Injury 2012;43(4):431-5.
12
Taghipour M, Kazemzadeh SE. Traumatic vertebral column and spinal cord injury in Nemazee hospital, Shiraz, 2002 :an epidemiological study.Armaghan Danesh J2005:11(4):55-62. [in Persian]
13
Fredø HL,Rizvi SA,Lied B,Rønning P, Helseth E. The epidemiology of traumatic cervical spine fractures: a prospective population study from Norway.Scand J Trauma Resusc Emerg Med 2012;20:85.
14
Ryan MD, Henderson JJ. The epidemiology of fractures and fracture-dislocations of the cervical spine.Injury 1992;23(1):38-40.
15
Horlyck E, Rahbek M. Cervical spine injuries. Acta Orthop Scand 1974;45(6):845-53.
16
ErdoÄan MÃ, AnlaÅ Demir S, KoÅargelir M, Colak S, Ãztürk E. Local differences in the epidemiology of traumatic spinal injuries. Ulus Travma Acil Cerrahi Derg 2013;19(1):49-52.
17
Yousefzadeh Chabok S, Safaee M, Alizadeh A, Ahmadi Dafchahi M, Taghinnejadi O, Koochakinejad L. Epidemiology of traumatic spinal injury: a descriptive study.Acta Med Iran 2010;48(5):308-11.
18
Leucht P, Fischer K, Muhr G, Mueller EJ. Epidemiology of traumatic spine fractures. Injury 2009;40(2):166-72.
19
Rush JK, Kelly DM, Astur N, Creek A, Dawkins R, Younas S, et al. Associated injuries in children and adolescents with spinal trauma. J Pediatr Orthop 2013;33(4):393-7.
20
ORIGINAL_ARTICLE
Epidemiology and Clinical Characteristics of Mucormycosis in Patients with Leukemia; A 21-year Experience from Southern Iran
Objectives: To determine the epidemiological aspect of mucormycosis, the nature of malignancies complicated by mucormycosis, the initial site of involvement and the subsequent outcome.Methods: This was a cross-sectional study which was performed by reviewing the medical records of 95 patients with leukemia complicated with biopsy-proven mucormycosis admitted to the educational hospitals affiliated with Shiraz University of Medical Sciences over a 21-year period. We recorded demographic information including age and sex and disease characteristics such as type of leukemia, site of involvement, paraclinical findings at the time of admission and the outcome of the patients. The incidence of mucormycosis in leukemia was determined by identifying the number of leukemia patients diagnosed within the last 17 years.Results: The male to female ratio was 2.39:1 in of 95 patients studied. The overall incidence rate of mucormycosis was 4.27 per 100 leukemic patients in last 17 years which showed a decreasing trend from 2001 to 2011. The most frequent type of leukemia was acute myelogenous leukemia (AML) which was found in 58 patients (61.5%). The most common site of initial tumor involvement was sinonasal (90.16%). The mortality rate was about 54%, compared to the mortality rate of about 43.24% in patients with best prognosis of AML.Conclusion: The incidence of mucormycosis in leukemia showed a decreasing trend in our country and its recent incidence is comparable to that of other regions. The best preventive method against this lethal infection is to modify and control the environment which reduces the risk of exposure to air-born fungal spores.
https://beat.sums.ac.ir/article_44245_181a35460c461e74ece8e88921d36639.pdf
2014-01-01
38
43
Mucormycosis
Leukemia
Iran
Amene
Sarvestani
sabziam@yahoo.com
1
RESIDENT OF SURGERY IN ZAHEDAN UNIVERSITY OF MEDICAL SCIENCES
LEAD_AUTHOR
Gholamreza
Pishdad
2
professor of internal medicine,Endocrinology and metabolism research center ,shiraz university of medical sciences.
AUTHOR
Shahram
Bolandparvaz
3
Assistant professor of surgery,surgery dep,namazi hospital,shiraz university of medical sciences.
AUTHOR
Lerchenmüller C, Göner M, Büchner T, Berdel WE. Rhinocerebralzygomycosis in a patient with acute lymphoblastic leukemia. Ann Oncol 2001;12(3):415-9.
1
Pagano L, Offidani M, Fianchi L, Nosari A, Candoni A, Piccardi M, et al. Mucormycosis in hematologic patients. Haematologica 2004;89(2):207-14.
2
Barr A, Nolan M, Grant W, Costello C, Petrou MA. Rhinoorbital and pulmonary zygomycosis post pulmonary aspergilloma in a patient with chronic lymphocytic leukaemia. Acta Biomed 2006;77 Suppl 4:13-8.
3
Nosari A, Oreste P, Montillo M, Carrafiello G, Draisci M, Muti G, et al. Mucormycosis in hematologic malignancies: an emerging fungal infection. Haematologica 2000;85(10):1068-71.
4
Prabhu RM, Patel R. Mucormycosis and entomophthoramycosis: a review of the clinical manifestations, diagnosis and treatment. Clin Microbiol Infect 2004;10Suppl 1:31-47.
5
Kontoyiannis DP, Wessel VC, Bodey GP, Rolston KV. Zygomycosis in the 1990s in a tertiary-care cancer centre. Clin Infect Dis 2000;30(6):851-6.
6
Siwek GT, Dodgson KJ, de Magalhaes- Silverman M, Bartelt LA, Kilborn SB, Hoth PL, et al. Invasive zygomycosis in hematopoietic stem cell transplant recipients receiving voriconazole prophylaxis. Clin Infect Dis 2004;39(4):584-7.
7
Marty FM, Cosimi LA, Baden LR. Breakthrough zygomycosis after voriconazole treatment in recipients of hematopoietic stem-cell transplants. N Engl J Med 2004;350(9):950-2.
8
Imhof A, Balajee SA, Fredricks DN, Englund JA, Marr KA. Breakthrough fungal infections in stem cell transplant recipients receiving voriconazole. Clin Infect Dis 2004;39(5):743-6.
9
Bitar D, Van Cauteren D, Lanternier F, Dannaoui E, Che D, Dromer F, et al. Increasing incidence of zygomycosis (mucormycosis), France, 1997-2006. Emerg Infect Dis 2009;15(9):1395-401.
10
Jagarlamudi R, Kumar L, Kochupillai V, Kapil A, Banerjee U, Thulkar S. Infections in acute leukemia: an analysis of 240 febrile episodes. Med Oncol 2000;17(2):111-6.
11
Bertoni AG, Saydah S, Brancati FL. Diabetes and the risk of infection- related mortality in the U.S. Diabetes Care 2001;24(6):1044-9.
12
Roden MM, Zaoutis TE, Buchanan WL, Knudsen TA, Sarkisova TA, Schaufele RL, et al. Epidemiology and outcome of zygomycosis: a review of 929 reported cases. Clin Infect Dis 2005;41(5):634-53.
13
Martin-Moro JG, Calleja JM, Garcia MB, Carretero JL, Rodriguez JG. Rhinoorbitocerebral mucormycosis: a case report and literature review. Med Oral Patol Oral Cir Bucal 2008;13(12):E792-5.
14
Meis JF, Chakrabarti A. Changing epidemiology of an emerging infection: zygomycosis. Clin Microbiol Infect 2009;15 Suppl 5:10-4.
15
Chakrabrati A, Das A, Sharma A, Panda N, Das S, Gupta KL, et al. Ten yearsâ experience in zygomycosis at a tertiary care center in India. Journal of Infection 2001;42(4):261-6.
16
Grant JM, St-Germain G, McDonald JC. Successful treatment of invasive Rhizopus infection in a child with thalassemia. Med Mycol 2006;44(8):771-5.
17
Sharma R, Shivanand G, Kumar R, Prem S, Kandpal H, Das CJ, et al. Isolated renal mucormycosis: An unusual cause of acute renal infarction in a boy with aplastic anaemia. Br J Radiol 2006;79(943):e19-21.
18
Gadadhar H, Hawkins S, Huffstutter JE, Panda M. Cutaneous mucormycosis complicating methotrexate, prednisone, and infliximab therapy. J Clin Rheumatol 2007;13(6):361-2.
19
Devlin SM, Hu B, Ippoliti A. Mucormycosis presenting as recurrent gastric perforation in a patient with Crohn's disease on glucocorticoid, 6-mercaptopurine, and infliximab therapy. Dig Dis Sci 2007;52(9):2078-81.
20
Ferguson AD. Rhinocerebral mucormycosis acquired after a short course of prednisone therapy. J Am Osteopath Assoc 2007;107(11):491-3.
21
Jung SH, Kim SW, Park CS, Song CE, Cho JH, Lee JH, et al. Rhinocerebral Mucormycosis: consideration of prognostic factors and treatment modality. Auris Nasus Larynx 2009;36(3):274-9.
22
ORIGINAL_ARTICLE
The Performance of Trauma Research Centers of Iran during the Past 10 Years; A Science Monitor Survey
Objective: To compare and evaluation of scores of trauma research center of Shiraz University of Medical Sciences in Iran with other trauma research centers in Iran.Methods: The assessment scores of each center were gathered from Iran medical research and Ministry of Health and Medical Education website. Each score is recorded in helical year which is defined from the 21th of March of every year until the 20th of March of the next. They are ranked and scored by knowledge production, capacity development, and research projects.Results: The total evaluation scores of the trauma research center of Iran's Universities of Medical Sciences have increased from establishment. The highest increase in assessment scores was related to Tehran Trauma Research Center. An upward trend was observed in the total indicators of knowledge production index of all the trauma research centers from 2001/2002 to 2011/2012. An ascending trend was showed in the published articles score of Shiraz and Kashan Trauma Research Centers through the recent years.Conclusion: The increasing trend in scores of trauma research centers in Iran indicated a significant role in the knowledge production but it is need to find barriers of research and doing interventional projects to promote trauma care and prevention.
https://beat.sums.ac.ir/article_44246_4c49214de0c05d75b2ada044501242b5.pdf
2014-01-01
44
51
Trauma research center
Evaluation score
Shiraz
Iran
Mahnaz
Yadollahi
yadollahim@sums.ac.ir
1
MD, Assistant Professor of Community Medicine,Trauma Research center, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Narges
Shamseddini
2
AUTHOR
Leila
Shayan
shayanl_85@yahoo.com
3
AUTHOR
Abbas
Rezaianzadeh
rezaiana@gmail.com
4
AUTHOR
Shahram
Bolandparvaz
5
AUTHOR
Puvanachandra P, Hoe C, Ozkan T, Lajunen T. Burden of Road Traffic Injuries in Turkey. Traffic Inj Prev
1
;13 Suppl 1:64-75.
2
Rasouli MR, Saadat S, Haddadi M, Gooya MM, Afsari M, Rahimi- Movaghar V. Epidemiology of injuries and poisonings in emergency departments in Iran. Public Health 2011;125(10):727-33.
3
Roudsari BS, Sharzei K, Zargar M. Sex and age distribution in transport- related injuries in Tehran. Accid Anal Prev 2004;36(3):391-8.
4
Montazeri A. Road-traffic-related mortality in Iran: a descriptive study. Public Health 2004;118(2):110-3.
5
Makin S, Larsen L. Child Health: Guidance Document. Ontario, Canada: Queenâs Printer for Ontario, 2010. [http://www.health.gov.on.ca/en/pro/ programs/publichealth/oph_standards/ docs/guidance/ChildHealth.pdf ]
6
Aoun SG, Bendok BR, Rahme RJ, Dacey RG Jr, Batjer HH. Standardizing the Evaluation of Scientific and Academic Performance in Neurosurgery-Critical Review of the "h" Index and its Variants. World Neurosurg 2012 Jan 31. pii: S1878-8750(12)00125-8.
7
Rezaee R. Survey on performance of clinical research centers in Iran Universities of Medical Sciences: Analytic programming. Weekly magazine 2010;9:381. [in Persian]
8
Bigloo M, Hariri M. Survey on quantitative state production of scientific knowledge faculty in Tabriz University of Medical Sciences 1988-1995. Modares 1997:61-77.
9
Horta H, Veloso FM. Opening the box: Comparing EU and US scientific output by scientific field. Technological Forecasting and Social Change 2007;74(8):1334-56.
10
Slob AF, Rijnveld M, Chapman AS, Strosser P. Challenges of linking scientific knowledge to river basin management policy: Aqua Terra as a case study. Environ Pollut 2007;148(3):867-74.
11
In: Medical Research Center. Medical research data management portal. Iran; (Cited 22 May 2012). Available from: http://login.research.ac.ir/forms/TC/ TC selection.aspx.
12
In: HBI. Monitoring and evaluation group of Ministry of Health and Medical Education. Iran: (update
13
May 2012; Cited 22May 2008). Available from: http://www.hbi. ir/NSite /SpecialFullStory/News/? Id=679&Level=9.
14
Sereshti M, Kazemian A, Daris F. Research barriers from the viewpoint of faculty members and employees of Shahrekord University of Medical Sciences. Iranian Journal of Educational Strategies 2010;3(2):51-7. [in Persian]
15
Sohrabi Z, Farajollahi M. Study existing research problems from the perspective of schools faculty members in Iran Universities of Medical Sciences. Journal of Iran Medical Council 2009;2:175-8. [in Persian]
16
Karamian Z, Sabbaghian Z, Saleh- Sadeghpoor B, Lotfi F. Internal obstacles in research activities: Faculty Members View Points in Shiraz University of Medical Sciences. Iranian Journal of Medical Education 2012;11(7):750-62.
17
Alamdari A.K, Afsoon E. The viewpoint of faculty members on research barriers at Yasuj University. Armaghan Danesh
18
;8:27-35. [in Persian]
19
Darabi S, Kohpaee A, Yosefi M, Komaili T, Ahmari H, Rahmani M. Evaluate the severity of problems before and after the management intervention from the perspective of faculty members and researchers at the Qom University of Medical Sciences in 2004-2008. Qom University of Medical Science Journal 2009;3(3):37-43. [in Persian]
20
Majumder MA. Issues and priorities of medical education research in Asia. Ann Acad Med Singapore 2004;33(2):257-63.
21
Parahoo K. Barriers to, and facilitators of, research utilization among nurses in Northern Ireland. J Adv Nurs 2000;31(1):89-98.
22
Dunn V, Crichton N, Roe B, Seers K, Williams K. Using research for practice: a UK experience of the Barriers Scale. J Adv Nurs 1997;26(6):1203-10.
23
ORIGINAL_ARTICLE
The Efficacy of Rigid Bronchoscopy for Foreign Body Aspiration
The aim of the current study was to determine the pattern, presentation and management of foreign body aspiration in our population. This prospective study comprised 55 patients with foreign body aspiration admitted to our department from January 2009 to December 2011. All patients underwent rigid bronchoscopy under local or general anesthesia. The patients’ demographic information along with clinical characteristics and their outcome were recorded and reported. The mean age of the children was 13.3±3.6 years. There were 32 (58.2%) females and 23 (41.8%) males. The frequent symptom was an attack of chocking followed by cough. The predominant sign was wheezing. Rigid bronchoscopy was successful in removing foreign body from 52(94.5%) patients. Three (5.5%) patients who had undergone thoracotomy with bronchotomy needed exploration, after failure of bronchoscopy to remove the foreign body. There was no mortality in our series. Average hospital stay was 12 hours. It could be concluded that rigid bronchoscopy is modality of choice in management of foreign body aspiration especially in pediatric population.
https://beat.sums.ac.ir/article_44247_ec5dfdfc919a183a8d5dab0411c8f5bf.pdf
2014-01-01
52
54
Foreign body aspiration
Rigid bronchoscopy
Pediatrics
Computed Tomography
Farooq
Ganie
farooq.ganie@ymail.com
1
cardio vascular and thoracic department skims soura srinagar kashmir india.
LEAD_AUTHOR
Mohd
Wani
2
AUTHOR
Abdul
Ahangar
3
AUTHOR
Gholam
Lone
4
AUTHOR
Shyam
Singh
5
AUTHOR
Hafeezulla
Lone
6
AUTHOR
Shadab
Wani
7
AUTHOR
Evans JNG. Foreign bodies in larynx and trachea. In:Kerr Scott-Brownâs Otolaryngology . Butterworth-Heinemann; 1997.
1
Baharloo F, Veyckemans F, Francis C, Biettlot MP, Rodenstein DO. Tracheobronchial foreign bodies: presentation and management in children and adults. Chest 1999;115(5):1357-62.
2
Cotton RT, Myer CM. Practicalpediatric otolaryngology. Philadelphia/New York: Lippincot-Raven; 1999.
3
Rovin JD, Rodgers BM. Pediatric foreign body aspiration. Pediatr Rev 2000;21(3):86-90.
4
Yeh LC, Li HY, Huang TS. Foreign bodies in tracheobroncheal tree in children: a review of caeses over twenty years period. Changgeng Yi Xue Za Zhi 1998;21(1):44-9.
5
Khan NU, Nabi IU, Yousaf S, Akhtar SM. Foreign bodies in larynx and tracheobronchial tree. Pak Armed Forces Med J 2000;50(2):68-70.
6
Asmatullah I, Rasool G. Endoscopic removal of tracheobroncheal foreign bodies at a peripheral hospital. JPMI 2004;8(3);447-52.
7
Tariq P. Foreign body aspiration in children--a persistent problem. J Pak Med Assoc 1999;49(2):33-6.
8
Mourtaga SM, Kuhail SM, Tulaib MA. Foreign body inhalations managed by rigid bronchoscope among children, in shifa hospital Gaza- Palestine. Annals of Alquds Medicin 2005;2:53-7.
9
Schmidt H, Manegold BC. Foreign body aspiration in children. Surg Endosc 2000;14(7):644-8.
10
Narwani S, Bora MK, Samdhani S, Sharma MP, Bapna AS. Foreign body in bronchus: An unusual presentation. Indian J Otolaryngol Head Neck Surg 2005;57(2):161-2.
11
Schmidt H, Manegold BC. Foreign body aspiration in children. Surg Endosc 2000;14(7):644-8.
12
ORIGINAL_ARTICLE
A Late-onset Psoas Abscess Formation Associated with Previous Appendectomy: A Case Report
Psoas abscesses could originate from an adjacent source of infection in the abdominopelvic cavity known as a secondary complication of acute appendicitis. However, it is considered as a very rare event when occurring late after the presentation of appendicitis. Whether it is the source or complication of acute appendicitis following appendectomy remains unclear. A 25-year-old man was admitted to our center with fever and abdominal pain. His past medical history was unremarkable except for having an acute appendicitis and complicated appendectomy 4 years before presenting illness. On admission, the patient was febrile with right lower quadrant abdominal tenderness and moderate leukocytosis. The Abdominopelvic CT- scan revealed a large right psoas muscle than the opposite site, that contained a hypodense mass measuring 6 cm in diameter with extension into right iliacus and internal oblique muscles..The patient underwent subsequent percutaneous abscess drainage under image guide and concurrent broad-spectrum antibiotic therapy.
https://beat.sums.ac.ir/article_44248_bffc97085254fa2245dc539efb0eba49.pdf
2014-01-01
55
58
Late-onset psoas abscess formation
Complicated acute appendicitis
Appendectomy
Sam
Moslemi
moslemis@sums.ac.ir
1
General Surgery Department, Shiraz University of Medical Sciences, Shiraz, Iran.
LEAD_AUTHOR
Maryam
Tahamtan
2
Department of Internal Medicine, Nemazee Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Seyed Vahid
Hosseini
hoseiniv@sums.ac.ir
3
Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Turunç T, Turunç T, DemiroÄlu YZ, ColakoÄlu S. Retrospective evaluation of 15 cases with psoas abscesses. Mikrobiyol Bul 2009;43(1):121-5.
1
Garner JP, Meiring PD, Ravi K, Gupta R. Psoas abscess - not as rare as we think? Colorectal Dis 2007;9(3):269-74.
2
Navarro V, Meseguer V, Fernandez A, Medrano F, Saez JA, Puras A. Psoas muscle abscess.Description of a series of 19 cases. Enferm Infecc Microbiol Clin 1998;16(3):118-22.
3
Ricci MA, Rose FB, Meyer KK. Pyogenic psoas abscess: worldwide variations in aetiology. World J Surg 1986;10(5):834-43.
4
Huang JJ, Ruaan MK, Lan RR, Wang MC. Acute pyogenic iliopsoas abscess in Taiwan: clinical features, diagnosis, treatments and outcome. J Infect 2000;40(3):248-55.
5
Di Marco L, Sciascia V, Salmi R, Manfredini A, Cocuzza C, Berghenti M. Psoas abscess ten years after ipsilateral nephrectomy for pyonephrosis. G Chir 2007;28(4):139-41.
6
Hsieh CH, Wang YC, Yang HR, Chung PK, Jeng LB, Chen RJ. Retroperitoneal abscess resulting from perforated acute appendicitis: analysis of its management and outcome. Surg Today 2007;37(9):762-7.
7
Moosmayer S. Abdominal actinomycosis.Actinomycotic abscess 10 years after appendectomy. Tidsskr Nor Laegeforen 1992;112(22):2857-8.
8
Korenkov M, Yücel N, Schierholz JM, Goh P, Troidl H. Psoas abscesses. Genesis, diagnosis, and therapy. Chirurg 2003;74(7):677-82.
9
Dahami Z, Sarf I, Dakir M, Aboutaieb R, Bennani S, Elmrini M, et al. Treatment of primary pyogenic abscess of the psoas: retrospective study of 18 cases. Ann Urol (Paris) 2001;35(6):329-34.
10
el Hassani S, Echarrab el-M, Bensabbah R, Attaibi A, Kabiri H, Bourki K, et al. Primary psoas abscess. A review of 16 cases. Rev Rhum Engl Ed 1998;65(10):555-9.
11
Penado S, Espina B, Francisco Campo J. Abscess of the psoas muscle. Description of a series of 23 cases. Enferm Infecc Microbiol Clin 2001;19(6):257-60.
12
Lin MF, Lau YJ, Hu BS, Shi ZY, Lin YH. Pyogenic psoas abscess: analysis of 27 cases. J Microbiol Immunol Infect 1999;32(4):261-8.
13
Olivares D, Navarro-Lopez V, Serrano R, Lopez-Garcia F. Brucellosis complicated by a psoas muscle abscess. Enferm Infecc Microbiol Clin 2004;22(3):200.
14
Kaya S, Sayil O. Psoas abscess due to brucellosis. Trop Doct 2009;39(2):124-7.
15
Rabii R, el Moussaoui A, Rais H, Debbagh A, el Mrini M, Benjelloun S. Primary pyogenic abscess of the psoas muscle.Apropos of 5 cases. Ann Urol (Paris) 1997;31(6-7):361-5.
16
Perez-Fernandez S, de la Fuente-Aguado J, Fernandez-Fernandez FJ, Rubianes-Gonzalez M, Sopeña Perez-Argüelles B, Martinez-Vazquez C. Psoas abscesses. An up-dated perspective. Enferm Infecc Microbiol Clin 2006;24(5):313-8.
17
MacGillivray DC, Valentine RJ, Johnson JA 3rd. Strategies in the management of pyogenic psoas abscesses. Am Surg 1991;57(11):701-5.
18
Jeffrey RB, Callen PW, Federle MP. Computed tomography of psoas abscesses. J Comput Assist Tomogr 1980;4(5):639-41.
19
Chen YC, Chen ST, Chen YS. Psoas abscess: report of a case. Taiwan Yi Xue Hui Za Zhi 1989;88(7):752-4.
20
Lapus RM, Baker MD. An uncommon late complication of appendicitis. Pediatr Emerg Care 2010;26(10):757-8.
21
ORIGINAL_ARTICLE
Brain Infarction: Rare Neurological Presentation of African Bee Stings
Bee stings are commonly encountered worldwide. Various manifestations after bee sting have been described including local reactions which are common, systemic responses such as anaphylaxis, diffuse intravascular coagulation and hemolysis. We report a case of a 74-year-old man who developed neurologic deficit 5 hours after bee stings, which was confirmed to be left frontal infarction on brain CT-scan. The case does not follow the reported pattern of hypovolemic or anaphylactic shock, hemolysis and/or rhabdomyolysis, despite the potentially lethal amount of venom injected. Diverse mechanisms have been proposed to give an explanation to all the clinical manifestation of both toxic and allergic reactions secondary to bee stings. Currently, the most accepted one state that victims can develop severe syndrome characterized by the release of a large amount of cytokines.
https://beat.sums.ac.ir/article_44249_975747e03623ad3782cce7864cf74e10.pdf
2014-01-01
59
61
Bee stings
Stroke
Rhabdomyolysis
Shock
Hernando
Alvis-Miranda
1
Universidad de Cartagena
AUTHOR
Nancy
Duarte-Valdivieso
2
Chang Gung Memorial Hospital at Linkou, Taiwan
AUTHOR
Gabriel
Alcala-Cerra
3
Universidad de Cartagena
AUTHOR
Luis
Moscote-Salazar
mineurocirujano@aol.com
4
Universidad de Cartagena
LEAD_AUTHOR
Bourgain C, Pauti MD, Fillastre JP, Godin M, François A, Leroy JP, et al. Massive poisoning by African bee stings. Presse Med 1998;27(22):1099-101.
1
Bilir O, Ersunan G, Kalkan A, Ozmen T, Yigit Y. A different reason for cerebrovascular disease. Am J Emerg Med 2013;31(5):891.e5-6.
2
Ferreira RS Jr, Almeida RA, Barraviera SR, Barraviera B. Historical perspective and human consequences of Africanized bee stings in the Americas. J Toxicol Environ Health B Crit Rev 2012;15(2):97-108.
3
Kalyoncu AF, Demir AU, Ozcan U, Ozkuyumcu C, Sahin AA, BariÅ YI. Bee and wasp venom allergy in Turkey. Ann Allergy Asthma Immunol 1997;78(4):408-12.
4
Dikici S, Aydin LY, Saritas A, Kudas O, Kandis H. An unusual presentation of bee sting: subarachnoid hemorrhagia. Am J Emerg Med 2012;30(8):1663.e5-6.
5
Rajendiran C, Puvanalingam A, Thangam D, Ragunanthanan S, Ramesh D, Venkatesan S, et al. Stroke after multiple bee sting. J Assoc Physicians India 2012;60:122-4.
6
Jain J, Banait S, Srivastava AK, Lodhe R. Stroke intracerebral multiple infarcts: Rare neurological presentation of honey bee bite. Ann Indian Acad Neurol 2012;15(2):163-6.
7
ORIGINAL_ARTICLE
Amenable Intubation by Disposable Laryngoscope Blades
https://beat.sums.ac.ir/article_44250_f25213d331f7c8121c718df2b945e7ed.pdf
2014-01-01
62
63
Orotracheal intubation
Disposable blade
Laryngoscope
Saeid
Pasban-Noghabi
pasban_saeid@yahoo.com
1
Bsc in Anesthesia, Msc students in nursing education, student research committee, member of experimental talents, Gonabad university of Medical Sciences. Gonabad, IRAN. Email: Pasban_saeid@yahoo.com. Tell: +989156554507
LEAD_AUTHOR
Ali-Reza
Moslem
2
Anesthesiologist, Department of Anesthesiology, School of Medicine, Mashhad university of Medical Sciences, Mashhad, Iran.
AUTHOR
Naser
Godarzi
3
PhD in Psychology, AJA University of medical sciences, Tehran, Iran.
AUTHOR
Miller RD, Pardo MC. Basic of anesthesia. 6th ed. Philadelphia: Churchill Livingstone Elsevier; 2011.
1
Darabi ME, Mireskandari SM, Salamati P, Ramezani M, Rahimi E. Comparison of laryngoscopic conditions by means of disposable and metalic macintosh blades in pediatric patients. Journal of Isfahan Medical School 2009;97(27):223-31. [in Persian]
2
Phillips RA, Monaghan WP. Incidence of visible and occult blood on laryngoscope blades and handles. AANA J 1997;65(3):241-6.
3
Rassam S, Wilkes AR, Hall JE, Mecklenburgh JS. A comparison of 20 laryngoscope blades using an intubating manikin: visual analogue scores and forces exerted during laryngoscopy. Anaesthesia 2005;60(4):384-94.
4
Modir H, Khalili M, Yazdi B, Moshiri E, Akbari A. Comparison of the efficiency of single-use plastic and reusable metal laryngoscope blades in orotracheal intubation during rapid-sequence induction of anesthesia. Arak University of Medical Sciences Journal 2012;14(6):97-103.
5
Jabre P, Leroux B, Brohon S, Penet C, Lockey D, Adnet F, et al. A comparison of plastic single-use with metallic reusable laryngoscope blades for out- of-hospital tracheal intubation. Ann Emerg Med 2007;50(3):258-63.
6
Amour J, Le Manach YL, Borel M, Lenfant F, Nicolas-Robin A, Carillion A, et al. Comparison of single-use and reusable metal laryngoscope blades for orotracheal intubation during rapid sequence induction of anesthesia: a multicenter cluster randomized study. Anesthesiology 2010;112(2):325-32.
7