Evaluation the Efficiency of Electrical Stimulation Advanced Methods on Management of Bowel and Bladder Functions in Spinal Cord Injury Subject; A Systematic Review of Literature
Abolghasem
Fallahzadeh Abarghuei
Occupational Therapy Department, Faculty of Rehabilitation, Shiraz University of Medical Sciences, Shiraz, Iran
author
Mohammad Taghi
Karimi
Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
author
text
article
2022
eng
Objective: To evaluate the efficiency of various methods used for SCI subjects in this regard based on the available literature.Methods: A search was done in some data bases such as Google scholar, ISI web of knowledge, PubMed, and Scopus. Some keywords such as bowel, bladder control and management were used in combination with SCI. The studies’ quality was evaluated with Pedro scale.Results: From 100 articles found, 21 papers were selected based on abstracts and titles. The quality of the studies varied between 5 and 7 based on Pedro scale. There were 3 studies on abdominal muscles stimulation, 1 on stimulation of tibial nerve, 8 on stimulation of sacral nerve root, 2 on combination of stimulation and exercise, 4 on Brindley bladder control and 3 on sacralizotomy.Conclusion: The bowel and bladder management functions is not the main problem of SCI subjects anymore. Some advantages of the mentioned procedures used for SCI subjects are including improved quality of life, socialization, and decreased bladder infection.
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
10
v.
1
no.
2022
1
8
https://beat.sums.ac.ir/article_47548_20ac71ab7c0ad79c41a395788ea1f337.pdf
dx.doi.org/10.30476/beat.2021.89300.1227
Is cardiac Troponin I Considered as A Predictor of In-hospital Mortality among COVID-19 Patients? A Retrospective Cohort Study
Mohammad
Haji Aghajani
Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
Roxana
Sadeghi
Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
Reza
Miri
Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
Mohammad
Parsa Mahjoob
Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
Fatemeh
Omidi
Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
Fatemeh
Nasiri-Afrapoli
Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
Asma
Pourhosseingoli
Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
Niloufar
Taherpour
Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
Amirmohammad
Toloui
Physiology Research Center, Iran University of Medical Sciences, School of Medicine, Tehran, Iran
author
Mohammad
Sistanizad
Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
text
article
2022
eng
Objective: To describe the levels of troponin I in COVID-19 patients and its role in the prediction of their inhospital mortality as a cardiac biomarker. Methods: The current retrospective cohort study was performed on the clinical records of 649 COVID-19-related hospitalized cases with at leat one positive polymerase chain reaction (PCR) test in Tehran, Iran from February 2020 to early June 2020. The on admission troponin I level divided into two groups of ≤0.03ng/mL (normal) and >0.03ng/mL (abnormal). The adjusted COX-regression model was used to determine the relationship between the studied variables and patient’s in-hospital mortality. Results: In this study, the median age of subjects was 65 years (54.8% men) and 29.53% of them had abnormal troponin I levels. Besides, the in-hospital mortality rate among patients with abnormal troponin I levels was found to be 51.56%; whereas, patients with normal levels exhibited 18.82% mortality. Also, the multivariable analysis indicated that the risk of death among hospitalized COVID-19 patients displaying abnormal troponin I levels was 67% higher than those with normal troponin I levels (Hazard ratio=1.67, 95% confidence interval=1.08-2.56, p=0.019). Conclusion: It seems that troponin I is one of the important factors related to in-hospital mortality of COVID-19 patients. Next, due to the high prevalence of cardiac complications in these patients, it is highly suggested to monitor and control cardiac biomarkers along with other clinical factors upon the patient’s arrival at the hospital.
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
10
v.
1
no.
2022
9
15
https://beat.sums.ac.ir/article_48099_82f18e884555282529a8d19f4ca383b4.pdf
dx.doi.org/10.30476/beat.2022.92719.1310
Years of Life Lost (YLLs) Due to Suicide and Homicide in Ilam Province: Iran, 2014-2018
Yousef
Veisani
Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran
author
Amin
Bakhtiyari
Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
author
Fathola
Mohamadian
Department of Psychology, Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran
author
text
article
2022
eng
Objective: To provide detailed of suicide and homicide mortality and calculate of years of life lost (YLLs) in Ilam province Iran, during 2014-2018. Methods: In this cross-sectional study, all deaths due to suicide and homicide were enrolled to estimate YLLs, in Ilam province between 2014-2018. The source of data was legal medicine organization (LMO). All analysis was performed at 0.05 significant levels using statistical software package STATA for Windows version 11.2 and SPSS 21 software. Results: The total YLLs of suicide and homicide were 15685 and 5317, respectively. 522 per 100,000 populations were suicide and 117 for homicide. The YLL and 95% confidence interval form suicide was 34.4 (32.8-36.1) for both sexes that 33.7 (31.6-35.8) for men, and 35.5 (32.7-38.3) for women. In this study period, YLLs rate began to increase over the years in both injury-related in 2016. Conclusion: Results of this study disclosed the most prominent contribution of men and peoples aged 15-29 to the YLLs. Also our results indicate a recent increase in suicide and homicide YLLs for both genders.
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
10
v.
1
no.
2022
16
20
https://beat.sums.ac.ir/article_48094_700245ac0d86e74e003687f30decbb76.pdf
dx.doi.org/10.30476/beat.2022.92045.1293
Self-Referred Walk-in (SRW) versus Emergency Medical Services Brought Covid-19 Patients
Navid
Kalani
Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran
author
Naser
Hatami
Student Research Committee, Jahrom University of Medical Sciences, Jahrom, Iran
author
Sajed
Ali
Department of Biotechnology, University of Management and Technology, Sialkot, Pakistan
author
Neema
John Mehramiz
Department of Psychiatry Neurology, Banner University Medical Center, Tucson, Arizona, USA
author
Fatemeh
Rahmanian
Department of Emergency Medicine, Jahrom University of Medical sciences, Jahrom, Iran
author
Esmaeel
Raeyat doost
Department of Emergency Medicine, Jahrom University of Medical sciences, Jahrom, Iran
author
Marzieh
Haghbeen
Women’s Health and Disease Research Center, Jahrom University of Medical Sciences, Jahrom, Iran
author
Samaneh
Abiri
Department of Emergency Medicine, Jahrom University of Medical sciences, Jahrom, Iran
author
Mahdi
Foroughian
Department of Emergency Medicine, Mashhad University of Medical sciences, Mashhad, Iran
author
Mohsen
Ebrahimi
Department of Emergency Medicine, Mashhad University of Medical sciences, Mashhad, Iran
author
text
article
2022
eng
Objective: To compare the characteristics of the emergency medical services (EMS) brought COVID-19 patients versus self-referred walk-in patients. Methods: This was a Cross-sectional study of COVID-19 infected cases in Jahrom, south of Iran. Age, sex, the symptoms of beginning days’ passing, respiratory distress, PO2 at arrival, admission length and inhospital death were retrieved for confirming COVID-19 cases in the whole 2020 year. Respiratory distress was considered as the sign that agitates the patient to call EMS care. Survival analysis was used to evaluate the possible difference of the hospitalization outcome in EMS brought or Self-referred walk-in (SRW) patients. Results: There was 704 (27.1%) registries patients transfer to the hospital by EMS and 1895 (72.9%) cases with SRW referred to the hospital. The survival distributions for the EMS group were statistically significant and lower than SRW group (p <0.05). Despite the SRW patients, respiratory distress was associated with lower survival in EMS group (p <0.05). Days passing the symptom’s beginning was significantly different between EMS group (6.1±5.3 days) and SRW group (6.9±4.6 days). Cox regression showed higher mortality rate in patients higher than 75 years old in both groups (p <0.05). Higher PO2 at arrival was associated with lower mortality rate of Hazard Ratio of 0.959 (p <0.001) and 0.903 (p <0.001) in EMS and SRW groups, respectively. The history of heart disease and hypertension were associated with 1.011 and 1.088 times more than mortality risk in EMS group; while cancer history was associated with 2.74 times more of mortality risk in SRW group. Conclusion: It seems that severe acute respiratory syndrome occurs soon in some patients that lead to the need for an ambulance to transfer the patient to the hospital. Therefore, EMS transfer patients should be considered for more risk of severe COVID-19; considering comorbidities of heart disease and hypertension as red flags.
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
10
v.
1
no.
2022
21
26
https://beat.sums.ac.ir/article_47882_98c226a6abf067a4cd2de5064fb8ef79.pdf
dx.doi.org/10.30476/beat.2021.92229.1299
Factors Influencing the Use of Pedestrian Bridges in North of Iran
Zahra
Mohtasham Amiri
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
author
Iraj
Barge-Gol
Department of Civil Engineering, Guilan University, Rasht, Iran
author
Leila
Kouchakinejad‑Eramsadati
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
author
Payam
Abedian
Department of Civil Engineering, Guilan University, Rasht, Iran
author
Helya
Jafari-Shakib
Department of Civil Engineering, Guilan University, Rasht, Iran
author
text
article
2022
eng
Objective: To find out factors that influence the use/non-use of pedestrian bridges in Northern Iran. Methods: In this observational study, 4 pedestrian bridges at four different places in Rasht, North of Iran was studied. In addition to demographic data, pedestrians were interviewed for reasons of use/not use the pedestrian bridge. The data analyzed with SPSS software version 18 by non-parametric tests such as Chi Square. Results: From all 499 participants, more than one-third of pedestrians had not used pedestrian bridges. The most reasons for bridges use among respondents were feeling of safety and security (79.2%) and obey the rules (53.6%). The reasons for the non-use of bridges were time saving (63.7%), laziness (48.7%) and inappropriate of the bridge (34.2%). There were no significant differences in age, sex, education level, and road accidents’ history with use of bridge but there was a significant difference between the bridge usage with having a driver’s license, rash-hour time, and the presence of a mechanical elevator (p <0.001). Conclusion: The results of this study show that in order to increase the pedestrian bridges use, it is necessary to pay more attention to make standard facilities such as installing escalators or elevators of these bridges.
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
10
v.
1
no.
2022
27
32
https://beat.sums.ac.ir/article_48095_721151b5b09e1f513bb55221bbfff31f.pdf
dx.doi.org/10.30476/beat.2022.92068.1297
Association of Serum Biomarkers with the Mortality of Trauma Victims in a Level -1 Trauma Care Centre of Eastern India
Kasturi
Mukherjee
Department of Biochemistry, IPGME&R and SSKM Hospital, West Bengal, India
author
Debojyoti
Bhattacharjee
Department of Biochemistry, IPGME&R and SSKM Hospital, West Bengal, India
author
Jayati
Roy Chowdhury
Department of Biochemistry, IPGME&R and SSKM Hospital, West Bengal, India
author
Raghunath
Bhattacharyya
Department of Obstetrics and Gynaecology, College of Medicine and Sagore Dutta Medical College, West Bengal, India
author
text
article
2022
eng
Objective: To determine correlation of important biochemical laboratory investigations in different trauma patients and their degree of injury severity and overall mortality association. Methods: In this hospital based retrospective observational study, 238 trauma patients were divided into two groups. Group I with injury severity score (ISS)16. Haemoglobin (Hb), international normalized ratio, serum creatinine, blood urea nitogen (BUN), serum electrolyte, serum uric acid and liver function parameters were recorded and statistically analyzed. Results: Group II had statistically significant (p <0.0001) elevated levels for referral pulse rate, creatinine, BUN, liver enzymes and decreased level in Hb% and potassium level compared to Group I. Strong positive correlation only exists between BUN and severity score, moderate positive correlation exists between creatinine, aspartate transaminase, and alanine transaminase, alkaline phosphatase and severity score and negative correlation between potassium and severity score. In this study, higher odds of high BUN and creatinine and lower potassium to normal values are associated with bad outcome such as higher mortality in the population of high ISS (>16). Conclusion: The study establishes the absolute need of doing three laboratory parameters (serum creatinine, serum blood urea nitrogen and serum potassium) instead of doing laboratory tests battery at the time of trauma victims admission and predicting survival among injured patients in trauma population from Indian settings.
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
10
v.
1
no.
2022
33
39
https://beat.sums.ac.ir/article_48100_a406b3a1c4ba1af064aa518b19333f3c.pdf
dx.doi.org/10.30476/beat.2022.89155.1222
Prevalence of Pediatric Ocular Trauma in Northern Iran; An Epidemiological Cross-Sectional Study
Hanieh
Ahmadi
Department of Ophthalmology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
author
Zahra
Alizadeh
Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
author
Samad
Karkhah
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
author
Mohammad Javad
Ghazanfari
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
author
text
article
2022
eng
Ocular trauma is one of the most common causes of acquired blindness in children. The epidemiological parameters associated with ocular trauma vary in different populations, especially in children. The objective of this study was to assess the ocular trauma epidemiology in children less than 18 years of age. In this crosssectional study, 145 children (under 18 years) with ocular trauma who referred to the emergency department of Bu-Ali-Sina Hospital in Sari, Iran were enrolled from November 2017 to January 2019. Of the participants, 57.9% were men, 70.4% had blunt trauma, 97.2% had a unilateral eye injury, and 54.5% had a right eye injury. The most risk factor for trauma was stationery (51.0%). Almost half of the patients (52.9%) had corneal injuries. The most trauma locations were at home (67.4%). Most patients (95.0%) had normal relative afferent pupillary defects. Blunt (52.6% vs. 47.4%) and penetrating (72.5% vs. 27.5%) traumas was higher in boys than girls (p=0.03). Most frequent part of eye injuries in blunt and penetrating traumas was related to the cornea (P=0.04). It seems that parents should have more supervision on children at home and give adequate education in using of stationery to school-age children by considering the results of present study.
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
10
v.
1
no.
2022
40
43
https://beat.sums.ac.ir/article_47957_64043d5e5f5c46d12a2b6e865a113bb8.pdf
dx.doi.org/10.30476/beat.2021.90773.1262
Severe Acute Kidney Injury Secondary to Immunoglobulin Infusion in Life-Threatening Guillain Barre Syndrome
José David
Orquera
Neurointensive Care Unit, Sanatorio Pasteur, Catamarca, Argentina
author
Maria
Pernasetti
Department of Nephrology, Sanatorio Pasteur, Catamarca, Argentina
author
Patricia
Ojeda
Department of Nephrology, Sanatorio Pasteur, Catamarca, Argentina
author
Griselda
Aguero
Department of Neurology, Sanatorio Pasteur, Catamarca, Argentina
author
Daniel
Godoy
Neurointensive Care Unit, Sanatorio Pasteur, Catamarca, Argentina
author
text
article
2022
eng
Immunoglobulin infusion (IVIG) is one of the first line therapy in Guillain Barre Syndrome (GBS). Several medical complications are associated with GBS (pneumonia, sepsis, deep vein thrombosis, dysautonomy). Acute kidney injury (AKI) is an uncommon complication during IVIG infusion. Several risk factors were associated with AKI during IVIG. These are an older age, previous renal disease, concomitant use of nephrotoxic agents, diabetes mellitus, hypovolemia, sepsis or using of IVIG that contained in its preparation sucrose or mannitol as stabilizers to avoid precipitation and aggregation. Infusion rate and total dose play a determinant role. The most important pathophysiological mechanism of AKI are the osmotic stress applied to the epithelium of proximal tubules and glomeruli. The osmotic overload is principally generated by IVIG stabilizers (sucrose). In general, AKI is reversible but approximately 30% hemodialysis is necessary. It is essential to respect doses, infusion rates and closely monitoring renal function parameters during IVIG infusion.
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
10
v.
1
no.
2022
44
48
https://beat.sums.ac.ir/article_47484_7e829132c33ebe9f7d61d9ccaaaa7ef8.pdf
dx.doi.org/10.30476/beat.2021.85702.1103