ORIGINAL_ARTICLE
Early Tracheostomy in Trauma Patients with Acute Respiratory Distress Syndrome due to Novel Coronavirus Disease 2019 (COVID-19)
The novel coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) was first reported in Wuhan, China in December 2019 [1, 2] and was rapidly spread all over the world, being announced as a pandemic on March 11th, 2020 by the World Health Organization (WHO) [3]. Approaching the mid of August, approximately 20 million people are infected worldwide and 720,000 have died due to the infection and its complications [4]. The virus causes respiratory infection and involves both the upper and lower respiratory tract as well as the gastrointestinal tract, hepatic, neurologic and renal systems [5].
https://beat.sums.ac.ir/article_46836_8744ea6387b4ef8444af75a372d54ee4.pdf
2020-07-01
133
134
10.30476/beat.2020.86487
Early tracheostomy
Trauma
Patients
ARDS
COVID-19
Fariborz
Ghaffarpasand
fariborz.ghaffarpasand@gmail.com
1
MD, Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Mohammad Reza
Saki
mohammadrezasaki89@gmail.com
2
Trauma Research Center, Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Nazanin
Dadashpour
nazanindadashpour1@gmail.com
3
Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Zahra
Ghahramani
zghahreman63@gmail.com
4
Trauma Research Center, Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Shahram
Paydar
paydarsh@gmail.com
5
Trauma Research Center, Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Guo YR, Cao QD, Hong ZS, Tan YY, Chen SD, Jin HJ, et al. The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak - an update on the status. Mil Med Res. 2020;7(1):11.
1
Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents. 2020;55(3):105924.
2
Eurosurveillance EETJ. Note from the editors: World Health Organization declares novel coronavirus (2019-nCoV) sixth public health emergency of international concern. 2020;25(5):200131e.
3
Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020;109:102433.
4
Qian GQ, Yang NB, Ding F, Ma AHY, Wang ZY, Shen YF, et al. Epidemiologic and Clinical Characteristics of 91 Hospitalized Patients with COVID-19 in Zhejiang, China: A retrospective, multi-centre case series. Qjm. 2020.
5
Wang Y, Wang Y, Chen Y, Qin Q. Unique epidemiological and clinical features of the emerging 2019 novel coronavirus pneumonia (COVID-19) implicate special control measures. J Med Virol. 2020;92(6):568-76.
6
Wilkinson T, Dixon R, Page C, Carroll M, Griffiths G, Ho LP, et al. ACCORD: A Multicentre, Seamless, Phase 2 Adaptive Randomisation Platform Study to Assess the Efficacy and Safety of Multiple Candidate Agents for the Treatment of COVID-19 in Hospitalised Patients: A structured summary of a study protocol for a randomised controlled trial. Trials. 2020;21(1):691.
7
Volo T, Stritoni P, Battel I, Zennaro B, Lazzari F, Bellin M, et al. Elective tracheostomy during COVID-19 outbreak: to whom, when, how? Early experience from Venice, Italy. Eur Arch Otorhinolaryngol. 2020:1-9.
8
Ferri E, Boscolo Nata F, Pedruzzi B, Campolieti G, Scotto di Clemente F, Baratto F, et al. Indications and timing for tracheostomy in patients with SARS CoV2-related. Eur Arch Otorhinolaryngol. 2020;277(8):2403-4.
9
Floyd E, Harris SS, Lim JW, Edelstein DR, Filangeri B, Bruni M. Early Data From Case Series of Tracheostomy in Patients With SARS-CoV-2. Otolaryngol Head Neck Surg. 2020:194599820940655.
10
Prabhakaran K, Malcom R, Choi J, Chudner A, Moscatello A, Panzica P, et al. Open tracheostomy for COVID-19-positive patients: A method to minimize aerosolization and reduce risk of exposure. J Trauma Acute Care Surg. 2020;89(2):265-71.
11
Khalili H, Paydar S, Safari R, Arasteh P, Niakan A, Abolhasani Foroughi A. Experience with Traumatic Brain Injury: Is Early Tracheostomy Associated with Better Prognosis? World Neurosurg. 2017;103:88-93.
12
Paydar S, Khalili H, Mousavi SM. Perfect Timing of Tracheostomy in Patients with Traumatic Brain Injury. Bull Emerg Trauma. 2014;2(3):136-7.
13
Piccin O, Albertini R, Caliceti U, Cavicchi O, Cioccoloni E, Demattè M, et al. Early experience in tracheostomy and tracheostomy tube management in Covid-19 patients. Am J Otolaryngol. 2020;41(4):102535.
14
Williamson A, Roberts MT, Phillips J, Saha R. Early percutaneous tracheostomy for patients with COVID-19. Anaesthesia. 2020.
15
Hirschmann MT, Hart A, Henckel J, Sadoghi P, Seil R, Mouton C. COVID-19 coronavirus: recommended personal protective equipment for the orthopaedic and trauma surgeon. Knee Surg Sports Traumatol Arthrosc. 2020;28(6):1690-8.
16
Ma X, Liang M, Ding M, Liu W, Ma H, Zhou X, et al. Extracorporeal Membrane Oxygenation (ECMO) in Critically Ill Patients with Coronavirus Disease 2019 (COVID-19) Pneumonia and Acute Respiratory Distress Syndrome (ARDS). Med Sci Monit. 2020;26:e925364.
17
ORIGINAL_ARTICLE
Real-Time Visual Feedback Device Improves Quality Of Chest Compressions; A Manikin Study
Objective: To evaluate the impact of a real-time visual feedback device on CCs rate and depth delivered by healthcare professionals.Methods: In a simulated scenario a sensor was placed on a manikin’s chest and connected to a defibrillator which provided real-time visual feedback on the rate and depth of CCs. Thirty-two healthcare professionals performed sequentially 5 cycles of 30 CCs without (FeedOFF) and with (FeedON) feedback. CCs with a depth between 50 and 60mm and a rate between 100 and 120cpm were considered optimal.Results: Visual feedback resulted in a significant increase in the proportion of CCs with optimal depth (median 8.7 [interquartile range 0.7–55.5]% FeedOFF vs 63.3 [17.6–88.1]% FeedON, p=0.002) and optimal rate (median 51.3 [1.3–81.3]% FeedOFF vs 68.3 [45.3–86.1]% FeedON, p=0.018). Overall, CCs were too shallow and too fast in the FeedOFF cycle. There was also a significant increase in optimal CCs (optimal depth and rate) with the use of the feedback device (from median 0.7 [0–26.9]% FeedOFF to 31.9 [3.6-59.9]% FeedON, p=0.001). Participants’ factors such as age, sex, body mass index, job or time since last CPR training did not have a significant impact on CPR quality.Conclusion: In the absence of visual feedback, there is a tendency towards lower depth and higher rate of CCs. The use of feedback technology significantly improves the quality of CCs.
https://beat.sums.ac.ir/article_46514_fa0be43dc320939619d0ed638d9199e3.pdf
2020-07-01
135
141
10.30476/beat.2020.83080
Resuscitation
Basic life support
Simulation
Training
Joao
Augusto
joao.andre.augusto@gmail.com
1
1Department of Cardiology, Hospital Professor Doutor Fernando Fonseca, Lisbon, Portugal; 2Institute of Cardiovascular Science, University College London, London, United Kingdom; 3Barts Heart Centre, St Bartholomew’s Hospital, London, United Kingdom
LEAD_AUTHOR
Miguel
Santos
c.miguel.santos@gmail.com
2
Department of Cardiology, Hospital Professor Doutor Fernando Fonseca, Lisbon, Portugal
AUTHOR
Daniel
Faria
danielfaria8@gmail.com
3
Department of Cardiology, Hospital Professor Doutor Fernando Fonseca, Lisbon, Portugal
AUTHOR
Paulo
Alves
pajo201@hotmail.com
4
Department of Cardiology, Hospital Professor Doutor Fernando Fonseca, Lisbon, Portugal
AUTHOR
David
Roque
roque_866@hotmail.com
5
Department of Cardiology, Hospital Professor Doutor Fernando Fonseca, Lisbon, Portugal
AUTHOR
Jose;
Morais
josemorais590@gmail.com
6
Department of Cardiology, Hospital Professor Doutor Fernando Fonseca, Lisbon, Portugal
AUTHOR
Victor
Gil
victorgilmd@gmail.com
7
Department of Cardiology, Hospital dos Lusíadas, Lisbon, Portugal
AUTHOR
Carlos
Morais
moraiscms@gmail.com
8
Department of Cardiology, Hospital Professor Doutor Fernando Fonseca, Lisbon, Portugal
AUTHOR
Berdowski J, Berg RA, Tijssen JG, Koster RW. Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies. Resuscitation. 2010;81(11):1479-87.
1
Meaney PA, Bobrow BJ, Mancini ME, Christenson J, de Caen AR, Bhanji F, et al. Cardiopulmonary resuscitation quality: [corrected] improving cardiac resuscitation outcomes both inside and outside the hospital: a consensus statement from the American Heart Association. Circulation. 2013;128(4):417-35.
2
Perkins GD, Handley AJ, Koster RW, Castrén M, Smyth MA, Olasveengen T, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015;95:81-99.
3
Kleinman ME, Brennan EE, Goldberger ZD, Swor RA, Terry M, Bobrow BJ, et al. Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015;132(18 Suppl 2):S414-35.
4
Edelson DP, Abella BS, Kramer-Johansen J, Wik L, Myklebust H, Barry AM, et al. Effects of compression depth and pre-shock pauses predict defibrillation failure during cardiac arrest. Resuscitation. 2006;71(2):137-45.
5
Lyon RM, Clarke S, Milligan D, Clegg GR. Resuscitation feedback and targeted education improves quality of pre-hospital resuscitation in Scotland. Resuscitation. 2012;83(1):70-5.
6
Boyle AJ, Wilson AM, Connelly K, McGuigan L, Wilson J, Whitbourn R. Improvement in timing and effectiveness of external cardiac compressions with a new non-invasive device: the CPR-Ezy. Resuscitation. 2002;54(1):63-7.
7
Elding C, Baskett P, Hughes A. The study of the effectiveness of chest compressions using the CPR-plus. Resuscitation. 1998;36(3):169-73.
8
Beckers SK, Skorning MH, Fries M, Bickenbach J, Beuerlein S, Derwall M, et al. CPREzy improves performance of external chest compressions in simulated cardiac arrest. Resuscitation. 2007;72(1):100-7.
9
Skorning M, Derwall M, Brokmann JC, Rörtgen D, Bergrath S, Pflipsen J, et al. External chest compressions using a mechanical feedback device : cross-over simulation study. Anaesthesist. 2011;60(8):717-22.
10
Noordergraaf GJ, Drinkwaard BW, van Berkom PF, van Hemert HP, Venema A, Scheffer GJ, et al. The quality of chest compressions by trained personnel: the effect of feedback, via the CPREzy, in a randomized controlled trial using a manikin model. Resuscitation. 2006;69(2):241-52.
11
Zapletal B, Greif R, Stumpf D, Nierscher FJ, Frantal S, Haugk M, et al. Comparing three CPR feedback devices and standard BLS in a single rescuer scenario: a randomised simulation study. Resuscitation. 2014;85(4):560-6.
12
Cheng A, Overly F, Kessler D, Nadkarni VM, Lin Y, Doan Q, et al. Perception of CPR quality: Influence of CPR feedback, Just-in-Time CPR training and provider role. Resuscitation. 2015;87:44-50.
13
Yeung J, Meeks R, Edelson D, Gao F, Soar J, Perkins GD. The use of CPR feedback/prompt devices during training and CPR performance: a systematic review. Resuscitation. 2009;80(7):743-51.
14
Kirkbright S, Finn J, Tohira H, Bremner A, Jacobs I, Celenza A. Audiovisual feedback device use by health care professionals during CPR: a systematic review and meta-analysis of randomised and non-randomised trials. Resuscitation. 2014;85(4):460-71.
15
Wik L, Thowsen J, Steen PA. An automated voice advisory manikin system for training in basic life support without an instructor. A novel approach to CPR training. Resuscitation. 2001;50(2):167-72.
16
Lester CA, Morgan CL, Donnelly PD, Assar D. Assessing with CARE: an innovative method of testing the approach and casualty assessment components of basic life support, using video recording. Resuscitation. 1997;34(1):43-9.
17
Handley AJ, Handley SA. Improving CPR performance using an audible feedback system suitable for incorporation into an automated external defibrillator. Resuscitation. 2003;57(1):57-62.
18
Zanner R, Wilhelm D, Feussner H, Schneider G. Evaluation of M-AID, a first aid application for mobile phones. Resuscitation. 2007;74(3):487-94.
19
Chung TN, Kim SW, You JS, Cho YS, Chung SP, Park I, et al. The specific effect of metronome guidance on the quality of one-person cardiopulmonary resuscitation and rescuer fatigue. J Emerg Med. 2012;43(6):1049-54.
20
Semeraro F, Frisoli A, Loconsole C, Bannò F, Tammaro G, Imbriaco G, et al. Motion detection technology as a tool for cardiopulmonary resuscitation (CPR) quality training: a randomised crossover mannequin pilot study. Resuscitation. 2013;84(4):501-7.
21
ORIGINAL_ARTICLE
Comprehensive Analysis of Pediatric Supracondylar Fractures in the Emergency Department; A Single Center Experience
Objective: To describe the demographic characteristics and to assess possible risk factors related to the moment of presentation at Emergency Department (ED) for pediatric humeral supracondylar fractures. Methods: This was cross-sectional study being conducted during 5-year period from 2013 to 2017 at ED of a regional hospital in Spain. We have included all the pediatric patients ( Results: We have included 52 pediatric patients with supracondylar fractures in this series. The mean age was 7.48 ± 2.97 years with a minimum age of 2 years and a maximum of 14 years. Among the patients there were 32 (61.54%) male and 20 (38.46%) female. Age less than 7 years found to be a protective factor against unstable fractures [OR 0.33 (0.10 - 1.02)]. Fractures presented during daytime hours showed a greater instability [OR 3.49 (1.07-11.39)]. However, the risk of presentation at nighttime was higher during the summer months (June to September). Conclusion: The older is the child, the greater is the risk of suffering an unstable fracture, which increases the need for surgery. This risk is greater during the daytime. Otherwise, during the summer months, there is a higher risk of patient presentation at nighttime.
https://beat.sums.ac.ir/article_46572_e926e7aa6f5c44152dbd149737099790.pdf
2020-07-01
142
147
10.30476/beat.2020.83195
Supracondylar
Elbow
pediatric
Epidemiology
Seasonal
Jose Ramon
Auso-Perez
joaupe@yahoo.es
1
Av. Alcalde En Jaume Botella Mayor, 7, 03570 Villajoyosa, Alicante, Spain
LEAD_AUTHOR
Gloria Maria
Rodríguez-Blanes
gloriarodb@yahoo.es
2
Occupational Health Unit. Public Health Center of Alcoy, Alicante. Conselleria of Universal Health and Public Health, Generalitat Valenciana. Spain.
AUTHOR
Aydogmus S, Duymus TM, Keçeci T, Adiyeke L, Kafadar AB. Comparison of daytime and after-hours surgical treatment of supracondylar humeral fractures in children. J Pediatr Orthop B. 2017;26(5):400-4.
1
McRae B, Nusem I. Temporal characteristics of paediatric supracondylar humerus fractures. Trauma. 2018;20(3):208-16.
2
Sinikumpu JJ, Pokka T, Hyvönen H, Ruuhela R, Serlo W. Supracondylar humerus fractures in children: the effect of weather conditions on their risk. Eur J Orthop Surg Traumatol. 2017;27(2):243-50.
3
Park MJ, Baldwin K, Weiss-Laxer N, Christian JB, Mello MJ, Eberson C, et al. Composite playground safety measure to correlate the rate of supracondylar humerus fractures with safety: an ecologic study. J Pediatr Orthop. 2010;30(2):101-5.
4
Anjum R, Sharma V, Jindal R, Singh TP, Rathee N. Epidemiologic pattern of paediatric supracondylar fractures of humerus in a teaching hospital of rural India: A prospective study of 263 cases. Chin J Traumatol. 2017;20(3):158-60.
5
Barr L. Paediatric supracondylar humeral fractures: epidemiology, mechanisms and incidence during school holidays. J Child Orthop. 2014;8(2):167-70.
6
Mitchelson AJ, Illingworth KD, Robinson BS, Elnimeiry KA, Wilson CJ, Markwell SJ, et al. Patient demographics and risk factors in pediatric distal humeral supracondylar fractures. Orthopedics. 2013;36(6):e700-e6.
7
Barrón-Torres EA, Sánchez-Cruz JF, Cruz-Meléndez JR. Clinical and epidemio-logical characteristics of humeral supracondylar fractures in pediatric patients in a Regional General Hospital. Cir Cir. 2015;83(1):29-34. (in Spanish).
8
Houshian S, Mehdi B, Larsen MS. The epidemiology of elbow fracture in children: analysis of 355 fractures, with special reference to supracondylar humerus fractures. J Orthop Sci. 2001;6(4):312-5.
9
Mathison DJ, Agrawal D. An update on the epidemiology of pediatric fractures. Pediatr Emerg Care. 2010;26(8):594-603.
10
Holt JB, Glass NA, Shah AS. Understanding the epidemiology of pediatric supracondylar humeral fractures in the United States: identifying opportunities for intervention. J Pediatr Orthop. 2018;38(5):e245-e51.
11
Kumar V, Singh A. Fracture Supracondylar Humerus: A Review. J Clin Diagn Res. 2016;10(12):RE01.
12
Loder RT, Abrams S. Temporal variation in childhood injury from common recreational activities. Injury. 2011;42(9):945-57.
13
Loder RT, Krodel E, D’Amico K. Temporal variation in pediatric supracondylar humerus fractures requiring surgical intervention. J Child Orthop. 2012;6(5):419-25.
14
Hubbard EW, Riccio AI. Pediatric orthopedic trauma: an evidence-based approach. Orthop Clin North Am. 2018;49(2):195-210.
15
Loizou C, Simillis C, Hutchinson J. A systematic review of early versus delayed treatment for type III supracondylar humeral fractures in children. Injury. 2009;40(3):245-8.
16
Scherl SA, Schmidt AH. Pediatric trauma: getting through the night. J Bone Joint Surg Am. 2010;92(3):756-64.
17
Li NY, Bruce WJ, Joyce C, Decker NM, Cappello T. Obesity’s Influence on Operative Management of Pediatric Supracondylar Humerus Fractures. J Pediatr Orthop. 2018;38(3):e118-e21.
18
Leung KWP, Mahadev A. The cost of sustaining playground related extremity fractures in Singapore. Injury. 2011;42(4):352-5.
19
Tuomilehto N, Sommarhem A, Salminen P, Nietosvaara AY. Postponing surgery of paediatric supracondylar humerus fractures to office hours increases consultant attendance in operations and saves operative room time. J Child Orthop. 2018;12(3):288-93.
20
ORIGINAL_ARTICLE
Prognosis of the Trauma Patients According to the Trauma and Injury Severity Score (TRISS); A Diagnostic Accuracy Study
Objective: To investigate the prognosis and survival rates of a group of Iranian patients with traumatic injuries using the trauma and injury severity score (TRISS) model. Methods: In this prospective cohort study, all the patients with multi-trauma referring to the Yasuj Shahid Beheshti hospital during 2018 were included. The patients’ demographic information, trauma and history of previous illness were recorded. Vital symptoms including respiratory rate, heart rate, hypertension, pulse rate and Glasgow coma scale (GCS) score were assessed. The injury severity score (ISS) was calculated based on the type and location of the injuries and according to the abbreviated injury scale (AIS) classification. The survival probability of the patients was assessed according to the TRISS model. Results: Overall, 252 trauma patients were evaluated out of whom, 195 (77.4%) were men and 57 (22.6%) women. The mean TRISS score was 24.2 ± 9.32 and the maximum score was 99.7. If we consider the TRISS score probability above 0.5 as the chance of being alive, the mortality rate was 6.75%, that was lower than our series (7.1%). The ISS score and GCS had a positive significant relationship with other variables except respiratory rate, body temperature and hospitalization. Revised trauma score (RTS) was significantly associated with other variables including age, GCS, hemoglobin, systolic blood pressure and respiratory rate. TRISS had an area under curve (AUC) of 0.988 indicating a high prognostic accuracy. Conclusion: The mortality rate was lower than that of being predicted by TRISS. This might be due to treatment effectiveness and care for traumatic patients leading to decreased mortality. TRISS had high prognostic accuracy in trauma patients. We also reported an association between hemoglobin and survival rate. Therefore, it seems that considering the laboratory parameters can be useful in patients with trauma.
https://beat.sums.ac.ir/article_46577_55577d2552a40b1795de449a9dcec0a0.pdf
2020-07-01
148
155
10.30476/beat.2020.84613
Trauma Score Injury Severity Score (TRISS)
Trauma
Prognosis
Mortality
Reza
Hosseinpour
hosseinpour@gmail.com
1
Department of General Surgery, Clinical Research Development Unit of Beheshti Hospital, Yasuj University of Medical Sciences
AUTHOR
Amir
Barghi
amirbarghi1364@gmail.com
2
Clinical Research Development Unit of Beheshti Hospital, Yasuj University of Medical Sciences
AUTHOR
Saadat
Mehrabi
dr.s.meh544@gmail.com
3
Clinical Research Development Unit Beheshti Hospital, Yasuj University of Medical Sciences
AUTHOR
Shirvan
Salaminia
ssalaminia@gmail.com
4
Clinical Research Development Unit of Beheshti Hospital, Yasuj University of Medical Sciences, Yasuj, Iran
LEAD_AUTHOR
Paria
Tobeh
pariatobeh1367@gmail.com
5
Department of Pediatrics, Yasuj University of Medical Sciences, Yasuj, Iran
AUTHOR
Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1859-1922.
1
Manoochehry S, Vafabin M, Bitaraf S, Amiri A. A Comparison between the Ability of Revised Trauma Score and Kampala Trauma Score in Predicting Mortality; a Meta-Analysis. Arch Acad Emerg Med. 2019;7(1):e6.
2
Naghavi M, Shahraz S, Bhalla K, Jafari N, Pourmalek F, Bartels D, et al. Adverse health outcomes of road traffic injuries in Iran after rapid motorization. Arch Iran Med. 2009;12(3):284-94.
3
Sepanlou SG, Parsaeian M, Krohn KJ, Afshin A, Farzadfar F, Roshandel G, et al. Disability-Adjusted Life-Years (DALYs) for 315 Diseases and Injuries and Healthy Life Expectancy (HALE) in Iran and its Neighboring Countries, 1990-2015: Findings from Global Burden of Disease Study 2015. Arch Iran Med. 2017;20(7):403-18.
4
Heydari ST, Hoseinzadeh A, Ghaffarpasand F, Hedjazi A, Zarenezhad M, Moafian G, et al. Epidemiological characteristics of fatal traffic accidents in Fars province, Iran: a community-based survey. Public Health. 2013;127(8):704-9.
5
Heydari ST, Maharlouei N, Foroutan A, Sarikhani Y, Ghaffarpasand F, Hedjazi A, et al. Fatal motorcycle accidents in Fars Province, Iran: a community-based survey. Chin J Traumatol. 2012;15(4):222-7.
6
Peymani P, Heydari ST, Hoseinzadeh A, Sarikhani Y, Hedjazi A, Zarenezhad M, et al. Epidemiological characteristics of fatal pedestrian accidents in Fars Province of Iran: a community-based survey. Chin J Traumatol. 2012;15(5):279-83.
7
Palmer CS, Gabbe BJ, Cameron PA. Defining major trauma using the 2008 Abbreviated Injury Scale. Injury. 2016;47(1):109-15.
8
Schluter PJ. Trauma and Injury Severity Score (TRISS): is it time for variable re-categorisations and re-characterisations? Injury. 2011;42(1):83-9.
9
Champion HR, Sacco WJ, Hunt TK. Trauma severity scoring to predict mortality. World J Surg. 1983;7(1):4-11.
10
Schluter PJ, Nathens A, Neal ML, Goble S, Cameron CM, Davey TM, et al. Trauma and Injury Severity Score (TRISS) coefficients 2009 revision. J Trauma. 2010;68(4):761-70.
11
Osler T, Baker SP, Long W. A modification of the injury severity score that both improves accuracy and simplifies scoring. J Trauma. 1997;43(6):922-5; discussion 5-6.
12
Yousefzadeh-Chabok S, Hosseinpour M, Kouchakinejad-Eramsadati L, Ranjbar F, Malekpouri R, Razzaghi A, et al. Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients. Ulus Travma Acil Cerrahi Derg. 2016;22(6):536-40.
13
de Munter L, Polinder S, Lansink KW, Cnossen MC, Steyerberg EW, de Jongh MA. Mortality prediction models in the general trauma population: A systematic review. Injury. 2017;48(2):221-9.
14
Swets JA. Measuring the accuracy of diagnostic systems. Science. 1988;240(4857):1285-93.
15
Yadollahi M. A study of mortality risk factors among trauma referrals to trauma center, Shiraz, Iran, 2017. Chin J Traumatol. 2019;22(4):212-8.
16
Zargar M, Kalantar Motamedi SM, Karbakhsh M, Ghodsi SM, Rahimi-Movaghar V, Panahi F, et al. Trauma care system in Iran. Chin J Traumatol. 2011;14(3):131-6.
17
Yadollahi M, Anvar M, Ghaem H, Bolandparvaz S, Paydar S, Izianloo F. Logistic regression modeling for evaluation of factors affecting trauma outcome in a level I trauma center in Shiraz. Iran Red Crescent Med J. 2017;19.
18
Yadollahi M, Paydar S, Sabetianfard Jahromi G, Khalili H, Etemadi S, Abbasi H, et al. Types and causalities in dead patients due to traumatic injuries. Arch Trauma Res. 2015;4(1):e26028.
19
Mazandarani PD, Heydari K, Hatamabadi H, Kashani P, Danesh YJ. Acute physiology and chronic health evaluation (APACHE) III score compared to trauma-injury severity score (TRISS) in predicting mortality of trauma patients. Emerg (Tehran). 2016;4(2):88-91.
20
Schluter PJ. The Trauma and Injury Severity Score (TRISS) revised. Injury. 2011;42(1):90-6.
21
Ay N, Alp V, Aliosmanoglu I, Sevuk U, Kaya S, Dinc B. Factors affecting morbidity and mortality in traumatic colorectal injuries and reliability and validity of trauma scoring systems. World J Emerg Surg. 2015;10:21.
22
Champion HR, Copes WS, Sacco WJ, Lawnick MM, Keast SL, Bain LW, Jr., et al. The Major Trauma Outcome Study: establishing national norms for trauma care. J Trauma. 1990;30(11):1356-65.
23
Kuo SCH, Kuo PJ, Chen YC, Chien PC, Hsieh HY, Hsieh CH. Comparison of the new Exponential Injury Severity Score with the Injury Severity Score and the New Injury Severity Score in trauma patients: A cross-sectional study. PLoS One. 2017;12(11):e0187871.
24
Lovely R, Trecartin A, Ologun G, Johnston A, Svintozelskiy S, Vermeylen F, et al. Injury Severity Score alone predicts mortality when compared to EMS scene time and transport time for motor vehicle trauma patients who arrive alive to hospital. Traffic Inj Prev. 2018;19(sup2):S167-S168.
25
Norouzi V, Feizi I, Vatankhah S, Pourshaikhian M. Calculation of the probability of survival for trauma patients based on trauma score and the injury severity score model in fatemi hospital in ardabil. Arch Trauma Res. 2013;2(1):30-5.
26
Lu J, Chen R, Tang L, Yin H, Shi X, Wu M, et al. Comparison of the prognostic effects of APACHE II score and the TRISS for geriatric trauma patients in the intensive care unit. International Journal of Clinical and Experimental Medicine. 2018;11:9646-53.
27
Kelley KC, Alers A, Bendas C, Thomas PG, Cipolla J, Hoey BA, et al. Emergency Trauma Providers as Equal Partners: From "Proof of Concept" to "Outcome Parity". Am Surg. 2019;85(9):961-4.
28
Bolandparvaz S, Yadollahi M, Abbasi HR, Anvar M. Injury patterns among various age and gender groups of trauma patients in southern Iran: A cross-sectional study. Medicine (Baltimore). 2017;96(41):e7812.
29
ORIGINAL_ARTICLE
Effects of Foot Massage on Pain Severity during Change Position in Critically Ill Trauma Patients; A Randomized Clinical Trial
Objective: To determine the effects of foot massage on pain severity during in unconscious trauma patients admitted to the intensive care unit (ICU). Methods: In this randomized clinical trial (RCT), 80 unconscious trauma patients admitted in the ICU of a hospital in an urban area of Iran were included using the convenience sampling method. They were randomly assigned to the intervention and control groups (n=40 in each group). In both groups, the intensity of pain was measured immediately, 10 minutes after the first change position and without any intervention before the change of position using the Critical Care Pain Observation Tool (CCPOT). In the intervention group, before the second position change, classic foot massage was performed for 20 minutes, but the control group received routine care. Pain was re-evaluated after the change position at desired times. The pain intensity was compared between the two study groups. Results: The baseline characteristics were comparable between the two study groups and no difference was found. There was no statistically significant difference between the mean scores of pain after the change of position (immediately and ten minutes later) before the intervention in the groups (p=0.915 and 0.660, respectively). However, after the intervention, the pain intensity was significantly lower in the intervention groups compared to the control group (p<0.001). Conclusion: Foot massage decreases the pain intensity related to the change of position in unconscious trauma patients admitted in the ICU. Due to its simplicity and low cost, this method can be used along with analgesic drugs to reduce pain in patients. Clinical trial registry: IRCT2016121031327N1
https://beat.sums.ac.ir/article_46770_e820883934cca1398ecb57570f08fa90.pdf
2020-07-01
156
162
10.30476/beat.2020.86094
Complementary therapies
massage
Coma
Pain management
Intensive care units
Khodayar
Oshvandi
awa198011@gmail.com
1
Department of Nursing, Research Center for Maternal and Child Care, Hamadan University of Medical Sciences, Hamadan, Iran
AUTHOR
Zahra
Veladati
2
Medical Surgical Nursing Student, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
AUTHOR
Marzieh
Mahmoodi
3
Department of Biostatistics, School of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran
AUTHOR
Farshid
Rahimi Bashar
4
Anesthesia and Critical Care Department, Hamadan University of Medical Sciences, Hamadan, Iran
AUTHOR
Azim
azizi
azad.abdulahi@yahoo.com
5
Chronic Diseases (Home Care) Research Centre, Malayer School of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran
LEAD_AUTHOR
Hinkle JL, Cheever KH. Brunner & Suddarth's textbook of medical-surgical nursing: Lippincott Williams & Wilkins; 2013.
1
Severgnini P, Pelosi P, Contino E, Serafinelli E, Novario R, Chiaranda M. Accuracy of Critical Care Pain Observation Tool and Behavioral Pain Scale to assess pain in critically ill conscious and unconscious patients: prospective, observational study. J Intensive Care. 2016;4:68.
2
Topolovec-Vranic J, Canzian S, Innis J, Pollmann-Mudryj MA, McFarlan AW, Baker AJ. Patient satisfaction and documentation of pain assessments and management after implementing the adult nonverbal pain scale. Am J Crit Care. 2010;19(4):345-355.
3
Gélinas C. Management of pain in cardiac surgery ICU patients: have we improved over time?. Intensive Crit Care Nurs. 2007;23(5):298-303.
4
Thibaut FA, Chatelle C, Wannez S, Deltombe T, Stender J, Schnakers C, et al. Spasticity in disorders of consciousness: a behavioral study. Eur J Phys Rehabil Med. 2015;51(4):389-97.
5
Urden LD, Stacy KM, Lough ME. Critical care nursing: Mosby/Elsevier; 2010.
6
Marini JJ, Vincent JL, Wischmeyer P, Singer M, Gattinoni L, Ince C, et al. Our favorite unproven ideas for future critical care. Crit Care. 2013;17(Suppl 1):S9.
7
Tracy MF, Chlan L. Nonpharmacological interventions to manage common symptoms in patients receiving mechanical ventilation. Crit Care Nurse. 2011;31(3):19-28.
8
Barr J, Fraser GL, Puntillo K, Ely EW, Gélinas C, Dasta JF, et al. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med. 2013;41(1):263-306.
9
Erstad BL, Puntillo K, Gilbert HC, Grap MJ, Li D, Medina J, et al. Pain management principles in the critically ill. Chest. 2009;135(4):1075-1086.
10
Tracy MF, Lindquist R, Savik K, Watanuki S, Sendelbach S, Kreitzer MJ, et al. Use of complementary and alternative therapies: a national survey of critical care nurses. Am J Crit Care. 2005;14(5):404-14; quiz 415-16.
11
Han L, Li JP, Sit JW, Chung L, Jiao ZY, Ma WG. Effects of music intervention on physiological stress response and anxiety level of mechanically ventilated patients in China: a randomised controlled trial. J Clin Nurs. 2010;19(7-8):978-987.
12
Korhan EA, Khorshid L, Uyar M. The effect of music therapy on physiological signs of anxiety in patients receiving mechanical ventilatory support. J Clin Nurs. 2011;20(7-8):1026-1034.
13
Haddad SH, Arabi YM. Critical care management of severe traumatic brain injury in adults. Scand J Trauma Resusc Emerg Med. 2012;20:12.
14
Meghani N, Tracy MF, Hadidi NN, Lindquist R. Part I: The Effects of Music for the Symptom Management of Anxiety, Pain, and Insomnia in Critically Ill Patients: An Integrative Review of Current Literature. Dimens Crit Care Nurs. 2017;36(4):234-243.
15
Boitor M, Gélinas C, Richard-Lalonde M, Thombs BD. The Effect of Massage on Acute Postoperative Pain in Critically and Acutely Ill Adults Post-thoracic Surgery: Systematic Review and Meta-analysis of Randomized Controlled Trials. Heart Lung. 2017;46(5):339-346.
16
Wang HL, Keck JF. Foot and hand massage as an intervention for postoperative pain. Pain Manag Nurs. 2004;5(2):59-65.
17
Chatchawan U, Eungpinichpong W, Plandee P, Yamauchi J. Effects of thai foot massage on balance performance in diabetic patients with peripheral neuropathy: a randomized parallel-controlled trial. Med Sci Monit Basic Res. 2015;21:68-75.
18
Unal KS, Balci Akpinar R. The effect of foot reflexology and back massage on hemodialysis patients' fatigue and sleep quality. Complement Ther Clin Pract. 2016;24:139-144.
19
Yaghoubinia F, Navidian A, Sheikh S, Safarzai E, Tabatabaei S. Effect of music therapy and reflexology on pain in unconscious patients: A randomized clinical trial. International Journal of Medical Research & Health Sciences. 2016;5(9):288-95.
20
Eguchi E, Funakubo N, Tomooka K, Ohira T, Ogino K, Tanigawa T. The Effects of Aroma Foot Massage on Blood Pressure and Anxiety in Japanese Community-Dwelling Men and Women: A Crossover Randomized Controlled Trial. PLoS One. 2016;11(3):e0151712.
21
Ito Y, Teruya K, Kubota H, Yorozu T, Nakajima E. Factors affecting pain assessment scores in patients on mechanical ventilation. Intensive Crit Care Nurs. 2017;42:75-79.
22
Bagheri-Nesami M, Zargar N, Gholipour-Baradari A, Khalilian A. The effects of foot reflexology massage on pain and fatigue of patients after coronary artery bypass graft. Journal of Mazandaran University of Medical Sciences. 2012;22(92):52-62.
23
Mitchinson AR, Kim HM, Rosenberg JM, Geisser M, Kirsh M, Cikrit D, et al. Acute postoperative pain management using massage as an adjuvant therapy: a randomized trial. Arch Surg. 2007;142(12):1158-67; discussion 1167.
24
Adams R, White B, Beckett C. The effects of massage therapy on pain management in the acute care setting. Int J Ther Massage Bodywork. 2010;3(1):4-11.
25
Boitor M, Martorella G, Arbour C, Michaud C, Gélinas C. Evaluation of the preliminary effectiveness of hand massage therapy on postoperative pain of adults in the intensive care unit after cardiac surgery: a pilot randomized controlled trial. Pain Manag Nurs. 2015;16(3):354-366.
26
Schnakers C, Zasler N. Assessment and Management of Pain in Patients With Disorders of Consciousness. PM R. 2015;7(11 Suppl):S270-S277.
27
Rijkenberg S, Stilma W, Endeman H, Bosman RJ, Oudemans-van Straaten HM. Pain measurement in mechanically ventilated critically ill patients: Behavioral Pain Scale versus Critical-Care Pain Observation Tool. J Crit Care. 2015;30(1):167-172.
28
Gélinas C, Fillion L, Puntillo KA, Viens C, Fortier M. Validation of the critical-care pain observation tool in adult patients. Am J Crit Care. 2006;15(4):420-427.
29
Asadi Noghabi AA, Gholizadeh Gerdrodbari M, Zolfaghari M, Mehran A. Effect of application of critical-care pain observation tool in patients with decreased level of consciousness on performance of nurses in documentation and reassessment of pain. Journal of hayat. 2012;18(3):54-65.
30
Uysal N, Kutlutürkan S, Uğur I. Effects of foot massage applied in two different methods on symptom control in colorectal cancer patients: Randomised control trial. Int J Nurs Pract. 2017;23(3):10.1111/ijn.12532.
31
Abbaspoor Z, Akbari M, Najar S. Effect of foot and hand massage in post-cesarean section pain control: a randomized control trial. Pain Manag Nurs. 2014;15(1):132-136.
32
Nik A, Sheikh Andalibi MS, Ehsaei MR, Zarifian A, Ghayoor Karimiani E, Bahadoorkhan G. The Efficacy of Glasgow Coma Scale (GCS) Score and Acute Physiology and Chronic Health Evaluation (APACHE) II for Predicting Hospital Mortality of ICU Patients with Acute Traumatic Brain Injury. Bull Emerg Trauma. 2018;6(2):141-145.
33
Bikmoradi A, Zafari A, Oshvandi K, Mazdeh M, Roshanaei G. Effect of Progressive Muscle Relaxation on Severity of Pain in Patients with Multiple Sclerosis: a Randomized Controlled Trial. Hayat. 2014;20(1):26-37.
34
Abdi S, Karampourian A, Oshvandi K, Moghimbaghi A, Homayonfar S. The effect of foot massage on blood pressure and heart rate of CCU patients. The Journal of Urmia Nursing and Midwifery Faculty. 2016;14(1):47-55..
35
Ucuzal M, Kanan N. Foot massage: effectiveness on postoperative pain in breast surgery patients. Pain Manag Nurs. 2014;15(2):458-465.
36
Cutshall SM, Wentworth LJ, Engen D, Sundt TM, Kelly RF, Bauer BA. Effect of massage therapy on pain, anxiety, and tension in cardiac surgical patients: a pilot study. Complement Ther Clin Pract. 2010;16(2):92-95.
37
Wang AT, Sundt TM, Cutshall SM, Bauer BA, editors. Massage therapy after cardiac surgery. Seminars in thoracic and cardiovascular surgery: Elsevier; 2010.
38
Albert NM, Gillinov AM, Lytle BW, Feng J, Cwynar R, Blackstone EH. A randomized trial of massage therapy after heart surgery. Heart Lung. 2009;38(6):480-490.
39
Bauer BA, Cutshall SM, Wentworth LJ, Engen D, Messner PK, Wood CM, et al. Effect of massage therapy on pain, anxiety, and tension after cardiac surgery: a randomized study. Complement Ther Clin Pract. 2010;16(2):70-5.
40
Kapoor Y, Orr R. Effect of therapeutic massage on pain in patients with dementia. Dementia (London). 2017;16(1):119-125.
41
Oshvandi K, Fallahinia G, Naghdi S, Moghimbeygi A, Karkhanei B. Effect of pain management training on knowledge, attitude and pain relief methods of recovery nurses. J Nurs Educ. 2017;6:31-40.
42
ORIGINAL_ARTICLE
Association between Adult Attention-Deficit/Hyperactivity Disorder and Driving Behaviors among Iranian Motorcyclists
Objective: To investigate the association between attention-deficit/hyperactivity disorder (ADHD) score and driving behaviors among motorcycle drivers in Iran. Methods: This multi-center cross-sectional study was conducted on 1747 motorcyclists in three cities of Iran. We used a random sampling method in this study and gathered data using two standard questionnaires. Data were presented using descriptive statistics, also t-test, and ANOVA used for analysis. Results: The mean age of participants was 27.41±8.80 years. ADHD scores of the participants ranged from 0 to 87, with a mean score 31±15.86. All risky driving behaviors (RDBs) were significantly associated with a higher mean of ADHD score. For example, driving with illegal speed (p<0.001), not wearing a crash helmet (p=0.016), driving while exhausting (p<0.001), talking with other passengers (p<0.001), being fined by the police in the past year (p=0.028), and maneuvering while driving (p<0.001) were related to a higher mean of ADHD score. Conclusion: All RDBs were significantly associated with the ADHD score among motorcyclists in Iran. In this regard, health care providers should inform people with ADHD about the negative consequences associated with driving and ADHD. Public health policymakers should consider management of ADHD through a comprehensive approach to improve driving performance and competencies among motorcyclists in order to decrease RDBs and traffic accidents.
https://beat.sums.ac.ir/article_46675_8654ec2922994580f7e3d3772e07e314.pdf
2020-07-01
163
168
10.30476/beat.2020.84937
Attention-Deficit/Hyperactivity Disorder
Driving behavior
Motorcycle
Iran
Ali
Akbary
doctor_akbary@yahoo.com
1
Department of Psychiatry, Faculty of Medicine, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad, Iran
AUTHOR
Seyed Taghi
Heydari
heydari.st@gmail.com
2
PhD, Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Yaser
Sarikhani
yasersarikhani@yahoo.com
3
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Mehrdad
Vossoughi
arvand80@gmail.com
4
Oral and Dental Disease Research Center, Department of Dental Public Health, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Reza
Tabrizi
kmsrc89@gmail.com
5
Health Policy Research Center, Shiraz University of Medical Sciences
AUTHOR
Maryam
Akbari
m.akbari45@yahoo.com
6
Health Policy Research Center, Shiraz University of Medical Sciences
AUTHOR
Najmeh
Movahhedian
movahedian@sums.ac.ir
7
Oral and Maxillofacial Radiology Department, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Arash
Mani
arashmani@gmail.com
8
Research Center for Psychiatry and Behavioral sciences, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Homayoun
Sadeghi-Bazargani
homayoun.sadeghi@gmail.com
9
Road Traffic Injury Research Center, Statistics & Epidemiology Department, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Tahereh
Ostovar
shima.otv.199953@gmail.com
10
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Kamran
Lankarani
lankarani@mohme.gov.ir
11
Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Anjuman T, Hasanat-E-Rabbi S, Siddiqui CKA, Hoque MM, editors. Road traffic accident: A leading cause of the global burden of public health injuries and fatalities. Proc Int Conf Mech Eng Dhaka Bangladesh; 2020.
1
Organization WH. Global status report on road safety 2015: World Health Organization; 2015.
2
Sharma BR. Road traffic injuries: a major global public health crisis. Public Health. 2008;122(12):1399‐1406.
3
Abedi L, Sadeghi-Bazargani H. Epidemiological patterns and risk factors of motorcycle injuries in Iran and Eastern Mediterranean Region countries: a systematic review. Int J Inj Contr Saf Promot. 2017;24(2):263‐270.
4
Sadeghi-Bazargani H, Abedi L, Mahini M, Amiri S, Khorasani-Zavareh D. Adult attention-deficit hyperactivity disorder, risky behaviors, and motorcycle injuries: a case-control study. Neuropsychiatr Dis Treat. 2015;11:2049‐2054.
5
Sadeghi-Bazargani H, Samadirad B, Hosseinpour-Feizi H. Epidemiology of Traffic Fatalities among Motorcycle Users in East Azerbaijan, Iran. Biomed Res Int. 2018;2018:6971904.
6
Heydari ST, Maharlouei N, Foroutan A, Sarikhani Y, Ghaffarpasand F, Hedjazi A, et al. Fatal motorcycle accidents in Fars Province, Iran: a community-based survey. Chin J Traumatol. 2012;15(4):222-7.
7
Khorasani-Zavareh D. System versus traditional approach in road traffic injury prevention: a call for action. J Inj Violence Res. 2011;3(2):61.
8
Naghavi M, Jafari N, Alaeddin F, Akbari M. Epidemiology of injuries caused by external cause of injury in the Islamic Republic of Iran (2002–3). Iranian Ministry of Health and Medical Education, Deputy of Health; 2005.
9
Stanojević D, Stanojević P, Jovanović D, Lipovac K. Impact of riders’ lifestyle on their risky behavior and road traffic accident risk. Journal of Transportation Safety & Security. 2020;12(3):400-18..
10
Fuermaier AB, Tucha L, Evans BL, Koerts J, de Waard D, Brookhuis K, et al. Driving and attention deficit hyperactivity disorder. J Neural Transm (Vienna). 2017;124(Suppl 1):55-67.
11
Erskine HE, Norman RE, Ferrari AJ, Chan GC, Copeland WE, Whiteford HA, et al. Long-Term Outcomes of Attention-Deficit/Hyperactivity Disorder and Conduct Disorder: A Systematic Review and Meta-Analysis. J Am Acad Child Adolesc Psychiatry. 2016;55(10):841-50.
12
Curry AE, Metzger KB, Pfeiffer MR, Elliott MR, Winston FK, Power TJ. Motor Vehicle Crash Risk Among Adolescents and Young Adults With Attention-Deficit/Hyperactivity Disorder. JAMA Pediatr. 2017;171(8):756-763.
13
Johnson JA, Jakubovski E, Reed MO, Bloch MH. Predictors of Long-Term Risky Driving Behavior in the Multimodal Treatment Study of Children with Attention-Deficit/Hyperactivity Disorder. J Child Adolesc Psychopharmacol. 2017;27(8):747‐754.
14
Pinna M, Visioli C, Rago CM, Manchia M, Tondo L, Baldessarini RJ. Attention deficit-hyperactivity disorder in adult bipolar disorder patients. Journal of affective disorders. 2019;243:391-6.
15
Heydari ST, Vossoughi M, Akbarzadeh A, Lankarani KB, Sarikhani Y, Javanmardi K, et al. Prevalence and risk factors of alcohol and substance abuse among motorcycle drivers in Fars province, Iran. Chin J Traumatol. 2016;19(2):79-84.
16
Sadeghi-Bazargani H, Amiri S, Hamraz S, Malek A, Abdi S, Shahrokhi H. Validity and reliability of the Persian version of Conner’s adult ADHD rating scales: observer and self-report screening versions. Journal of Clinical Research & Governance. 2014;3(1):42-7.
17
Lange H, Buse J, Bender S, Siegert J, Knopf H, Roessner V. Accident proneness in children and adolescents affected by ADHD and the impact of medication. Journal of attention disorders. 2016;20(6):501-9.
18
Amiri S, Sadeghi-Bazargani H, Nazari S, Ranjbar F, Abdi S. Attention deficit/hyperactivity disorder and risk of injuries: A systematic review and meta-analysis. J Inj Violence Res. 2017;9(2):95‐105.
19
Mani A, Heydari ST, Sarikhani Y, Vossoughi M, Lankarani KB. Attention Deficit Hyperactivity Disorder as a determinant of motorcycle accidents in Fars province of Iran. Journal of Injury and Violence Research. 2019;11(2).
20
Barkley RA. Driving impairments in teens and adults with attention-deficit/hyperactivity disorder. Psychiatr Clin North Am. 2004;27(2):233‐260.
21
Safiri S, Haghdoost AA, Hashemi F, Amiri S, Raza O, Sadeghi-Bazargani H. Association Between Adult Attention Deficit Hyperactivity Disorder and Helmet Use Among Motorcycle Riders. Trauma Mon. 2016;21(2):e21066.
22
El Farouki K, Lagarde E, Orriols L, Bouvard MP, Contrand B, Galéra C. The increased risk of road crashes in attention deficit hyperactivity disorder (ADHD) adult drivers: driven by distraction? Results from a responsibility case-control study. PLoS One. 2014;9(12):e115002.
23
Amiri S, Ranjbar F, Sadeghi-Bazargani H, Jodeiri Eslami A, Navali AM, Saedi F. Association of adult attention deficit/hyperactivity disorder and traffic injuries in tabriz - iran. Iran J Psychiatry. 2011;6(2):61-5.
24
Barkley RA, Cox D. A review of driving risks and impairments associated with attention-deficit/hyperactivity disorder and the effects of stimulant medication on driving performance. J Safety Res. 2007;38(1):113‐128.
25
ORIGINAL_ARTICLE
Evaluation of Beneficial Influence of Local Application of Crocus Pallasii Subsp. Haussknechtii Boiss. Extract on Healing of Full Thickness Excisional Infected Wounds in Diabetic Rats
Objective: To evaluate the wound healing activity of Crocus pallasii subsp. haussknechtii boiss leaves extract on infected wounds in diabetic rats. Methods: Fifty male diabetic rats were randomized into two sets of 25 animals each. Each group was sub divided into five groups of five animals, each for excisional and incisional wound models, respectively. Induction of diabetes was achieved using 60 mg/kg streptozotocin. In group I, 0.1 mL sterile saline 0.9% solution was added to the wounds with no infection. In group II, the wounds were infected with Methicillin-resistant staphylococcus aureus (MRSA) and only treated with 0.1 mL the sterile saline 0.9% solution. In group III, infected wounds were treated with application of base formulation ointment. In group IV, animals with infected wounds were treated with 0.1 mL topical application of 1 mg/mL methicillin and base formulation ointment. In group V, animals with infected wounds were treated with topical application of 0.1 mL solution of methicillin (1 mg/mL) and with 1g of powder extract of the plant material in ointment. The healing of the wound was assessed based on planimetry, hydroxyproline estimation, microbiological, biomechanical and biochemical studies Results: Microbiological examination, planimetric, histological and quantitative morphometric studies and determination of hydroxyproline levels showed that there was significant difference between animals in group V compared to other groups (p=0.001). Biomechanical indices in incisional groups showed there was significant difference between animals in group V compared to other groups (p=0.001). Conclusion: It was possible to conclude that the ointment of the extract of Crocus pallasii subsp. haussknechtii boiss. leaves have significant wound-healing activity in diabetes.
https://beat.sums.ac.ir/article_46561_531076b1adbbea89d1170c21e39cc91a.pdf
2020-07-01
169
178
10.30476/beat.2020.82567
MRSA
Crocus pallasii subsp. haussknechtii boiss
diabetic rat
Infected wound
Mohammad Ali
Ashja Zadeh
m.ashjazadeh@gmail.com
1
Faculty of Medicine, AJA University of medical sciences, Tehran, Iran
AUTHOR
Mohsen
Ebrahimi
mepharmd@yahoo.com
2
Department of Toxicology and pharmacology, Faculty of Medicine, AJA University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Amir Ahmad
Salarian
a.salarian@gmail.com
3
Department of Toxicology and Pharmacology, Faculty of Medicine, AJA University of Medical
Sciences, Tehran, Iran
AUTHOR
Seyyed Reza
Abtahi
sr.abtahi@gmail.com
4
Department of Toxicology and Pharmacology, Faculty of Medicine, AJA University of Medical
Sciences, Tehran, Iran
AUTHOR
Alireza
Jahandideh
dr.jahandideh@gmail.com
5
Department of Clinical Science, Faculty of Specialized Veterinary Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran
AUTHOR
de Almeida SA, Salomé GM, Dutra RA, Ferreira LM. Feelings of powerlessness in individuals with either venous or diabetic foot ulcers. J Tissue Viability. 2014;23(3):109-14.
1
Mutluoglu M, Uzun G, Bennett M, Germonpré P, Smart D, Mathieu D. Poorly designed research does not help clarify the role of hyperbaric oxygen in the treatment of chronic diabetic foot ulcers. Diving Hyperb Med. 2016;46(3):133-4.
2
Mendes JJ, Leandro C, Corte-Real S, Barbosa R, Cavaco-Silva P, Melo-Cristino J, et al. Wound healing potential of topical bacteriophage therapy on diabetic cutaneous wounds. Wound Repair Regen. 2013;21(4):595-603.
3
Shivaswamy VC, Kalasuramath SB, Sadanand CK, Basavaraju AK, Ginnavaram V, Bille S, Ukken SS, et al. Ability of bacteriophage in resolving wound infection caused by multidrug-resistant Acinetobacter baumannii in uncontrolled diabetic rats. Microb Drug Resist. 2015;21(2):171-7.
4
Lee CH, Chang SH, Chen WJ, Hung KC, Lin YH, Liu SJ, et al. Augmentation of diabetic wound healing and enhancement of Collagen content using nanofibrous glucophage-loaded Collagen/PLGA scaffold membranes. J Colloid Interface Sci. 2015;439;88-97.
5
Romero-Cerecero O, Zamilpa A, Díaz-García ER, Tortoriello J. Pharmacological effect of Ageratina pichinchensis on wound healing in diabetic rats and genotoxicity evaluation. J Ethnopharmacol. 2014;156:222-7.
6
Greenhalgh, DG. Wound healing and diabetes mellitus. Clin Plast Surg. 2003;30(1):37-45.
7
Deshmukh PT, Gupta VB. Embelin accelerates cutaneous wound healing in diabetic rats. J Asian Nat Prod Res. 2013;15(2):158-65.
8
Mallefet P, Dweck CA. Mechanisms involved in wound healing. Biomed Sci. 2008;7:609‑15.
9
Kaur C, Kapoor HC. Antioxidants in fruits and vegetables- the millennium’s health. Int J Food Sci Technol. 2001;36:703-25.
10
Djeridanea A, Yousfia M, Nadjemib B, Boutassounaa D, Stockerc P, Vidalc N. Antioxidant activity of some Algerian medicinal plants extracts containing phenolic compounds. Food Chem.2006;97(4):654-60.
11
Katalinic V, Milos M, Kulisic T, Jukic M. Screening of 70 medicinal plant extracts for antioxidant capacity and total phenols. Food Chem. 2006;94(4):550-7.
12
Tabaraki R, Nateghi A, Ahmady-Asbchin S. In vitro assessment of antioxidant and antibacterial activities of six edible plants from Iran. J Acupunct Meridian Stud. 2013;6(3):159-62.
13
Süntar I, Küpeli Akkol E, Keles H, Yesilada E, Sarker SD, Arroo R, et al. Efficacy of Daphne oleoides subsp. kurdica used for wound healing: identification of active compounds through bioassay guided isolation technique. J Ethnopharmacol. 2012;141(3):1058-70.
14
Jaitak V, Sharma K, Kaltia K, Kumar N, Singh HP, Kau VK, et al. Antioxidant activity of Potentilla Fulgens: an alpine plant of western Himalaya. J Food Comp Anal. 2010;23(2):142-7.
15
Benzie IF, Strain JJ. The ferric reducing ability of plasma (FRAP) as a measure of antioxidant power: the FRAP assay. Anal Biochem. 1996;239:70-6.
16
Saeed N, Khan MR, Shabbir M. Antioxidant activity, total phenolic and total flavonoid contents of whole plant extracts Torilis leptophylla L. BMC Complement Altern Med. 2012;12:221.
17
Arts MJTJ, Dallinga JS, Vass HP, Haenen GRMM, Bast A. A critical appraisal of the use of the antioxidant capacity (TEAC) assay in defining optimal antioxidant structures. Food Chem. 2003;80(3):409-14.
18
Kikuzaki H, Nakatani N. Antioxidant effects of some ginger constituents. J Food Sci. 1993;58(6):1407-10.
19
Zhishen J, Mengcheng T, Jianming W. The determination of flavonoid contents in mulberry and their scavenging effects on superoxides radicals. Food Chem. 1999;64(4):555-9.
20
Rehman ZU. Evaluation of antioxidant activity of methanolic extract from peanut hulls in fried potato chips. Plant Foods Hum Nutr. 2003;58(1):75-83.
21
Reddy BSR, Reddy KK, Naidu VGM, Madhusudhana K, Agwane SB, Ramakrishna S, et al. Evaluation of antimicrobial, antioxidant and wound-healing potentials of Holoptelea integrifolia. J Ethnopharmacol. 2008;115(2):249-56.
22
Qiu Z, Kwon AH, Kamiyama,Y. Effects of plasma fibronectin on the healing of full-thickness skin wounds in streptozotocin-induced diabetic rats. J Surg Res. 2007;138(1):64-70.
23
Nozaki N, Shishido T, Takeishi Y, Kubota I. Modulation of doxorubicin-induced cardiac dysfunction in toll-like receptor-2-knockout mice. Circulation. 2004;110(18):2869-74.
24
Siddiqui IA, Raisuddin S, Shukla Y. Protective effects of black tea extract on testosterone induced oxidative damage in prostate. Cancer Lett. 2005;227(2):125-32.
25
Jana K1, Dutta A, Chakraborty P, Manna I, Firdaus SB, Bandyopadhyay D, et al. Alpha-Lipoic Acid, N-acetylcysteine protects intensive swimming exercise-mediated germ-cell depletion, pro-oxidant generation, and alteration of steroidogenesis in rat testis. Mol Reprod Dev. 2014;81(9):833-50.
26
Noble JE, Bailey MJ. Quantitation of protein. Methods Enzymol. 2009;463:73-95.
27
Shedoeva A, Leavesley D, Upton Z, Fan C. Wound Healing and the Use of Medicinal Plants. Evid Based Complement Alternat Med. 2019.
28
Peters EJ, Lipsky BA. Diagnosis and management of infection in the diabetic foot. Med Clin North Am. 2013;97(5):911-46.
29
Pattanayak SP, Sunita P. Wound healing, anti-microbial and antioxidant potential of Dendrophthoe falcata (L.f) Ettingsh. J Ethnopharmacol. 2008;120(2):241-7.
30
Jonaidi J, Kargozari N, Ranjbar M, Rostami R, H, Hamedi H. The effect of chitosan coating incorporated with ethanolic extract of propolis on the quality of refrigerated chicken fillet. J Food Process Preserv. 2018;11;1-8.
31
Maghsoudi O, Ranjbar R, Mirjalili SH, Fasihi-Ramandi M. Inhibitory activities of platelet-rich and platelet-poor plasma on the growth of pathogenic bacteria. Iran J Pathol. 2017;12(1):79-87.
32
Dogan S, Demirer S, Kepenekci I, Erkek B, Kiziltay A, Hasirci N, et al. Epidermal growth factor containing wound closure enhances wound healing in non-diabetic and diabetic rats. Int Wound J. 2009;6(2):107-15.
33
Mehrtash M, Mohammadi R, Hobbenaghi R. Effect of adipose derived nucleated cell fractions with chitosan biodegradable film on wound healing in rats. Wound Medicine. 2015;10–11:1–8.
34
Dogan S, Demirer S, Kepenekci I, Erkek B, Kiziltay A, Hasirci N, et al. Epidermal growth factor-containing wound closure enhances wound healing in non-diabetic and diabetic rats. Int Wound J. 2009;6(2):107-15.
35
Martin J, Zenilman M, Lazarus GS. Molecular microbiology: new dimensions for cutaneous biology and wound healing. J Invest Dermatol. 2010;130(1):38-48.
36
Brem H, Tomic-Canic M, Entero H, Hanflik AM, Wang VM, Fallon JT, et al. The synergism of age and db/db genotype impairs wound healing. Exp Gerontol. 2007;42(6):523-31.
37
Fitzmaurice SD, Sivamani RK, Isseroff RR. Antioxidant therapies for wound healing: a clinical guide to currently commercially available products. Skin Pharmacol Physiol. 2011;24(3):113-26.
38
Kaur C, Kapoor HC. Antioxidants in fruits and vegetables e the millennium’s health. Int J Food Sci Technol. 2001;36:703-25.
39
Zekavat O, Amanat, A, Karami, MY, Paydar S, Gramizadeh B, Zareian-Jahromi M. Wound Healing Studies Using Punica granatum Peel: An Animal Experimental Study. Adv Skin Wound Care. 2016;29(5):217-25
40
Association of Official Analytical Chemists (AOAC). Official Methods of Analysis. 17th ed. Washington: AOAC International; 2001.
41
ORIGINAL_ARTICLE
Effects of Topical Sesame Oil Extracted from Tahini (Ardeh) on Pain Severity in Trauma Patients: A Randomized Double-Blinded Placebo-Controlled Clinical Trial
Objective: To investigate the effects of sesame oil extracted from tahini (Ardeh) on pain severity in patients with upper or lower limbs trauma. Methods: This double-blinded randomized clinical trial study was conducted on 120 patients with upper or lower trauma in Shahid Rajaee Hospital, Shiraz, Iran, from May the 1st through November 30th, 2016. The patients were randomly assigned to two groups using block randomization. The intervention group received topical sesame oil extracted from tahini (Ardeh) and the placebo group received cooking oil. Pain severity, pain sensitivity and heaviness of painful site were assessed. Results: Overall, we included 90 patients with traumatic limb injuries in this study who were randomized to two study groups. The mean age of the patients was 28.3 ± 6.8 (ranging from 25 to 35) years and there were 63 (70%) men and 27 (30%) women among the patients. In the sesame oil group, the mean changes in the pain severity (-1.53 ± 0.57, p <0.001), pain sensitivity (-1.45 ± 0.64, p <0.001) and heaviness of painful site (-1.56 ± 0.68, p <0.001) were significantly lower when compared to the placebo group in the second day of the intervention. None of the patients experience adverse drug effects. Conclusion: Our findings suggest that the topical use of sesame oil extracted from Tahini has a pain reliever effect on the skin after bruising and it helps prevent skin discoloration in patients with traumatic injuries of limbs. Clinical Trial Registry: IRCT20171017036838N1
https://beat.sums.ac.ir/article_46831_7b925bcbc7c411feb53f52510b1fd0c0.pdf
2020-07-01
179
185
10.30476/beat.2020.82561
Sesame oil
Traditional Persian Medicine
Pain measurement
Bruise
Emergency department
Maryam
Gholami
ghom5@yahoo.com
1
Clinical Research Development Center, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Sedigheh
Torabi Davan
sed134torabi@gmail.com
2
Transplantation Unit, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Maryam
Gholami
amitisgh4040@gmail.com
3
Intensive Care Unit, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Shahram
Boland Parvaz
shboland@sums.ac.ir
4
Trauma Research Center, Department of Surgery, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Mehrnaz
Gholami
mehrnaz.gholami@yahoo.com
5
School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran; Cognitive Neuroscience, Institute for Cognitive Science Studies, Shahid Beheshti University, Tehran, Iran; Cognitive Science
AUTHOR
Parisa
Chamanpara
chamanpara19@gmail.com
6
Clinical Research Development Center, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Leila
Shayan
shayanl_85@yahoo.com
7
Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Langlois NE, Gresham GA. The ageing of bruises: a review and study of the colour changes with time. Forensic Sci Int. 1991;50(2):227-38.
1
In: World Health Organization. Blood donor counselling implementation guidelines. [Accessed: 2014]. Available from: http://www.who.int/bloodsafety/voluntary_donation/Blooddonorcounselling.pdf.
2
Chan H. Effects of injection duration on site-pain intensity and bruising associated with subcutaneous heparin. J Adv Nurs. 2001;35(6):882-92.
3
McGowan S, Wood A. Administering heparin subcutaneously: an evaluation of techniques used and bruising at the injection site. Aust J Adv Nurs. 1990;7(2):30-9.
4
In: Wikipedia. Bruise. 2017. [Accessed: 2017]. Available from: https://en.wikipedia.org/wiki/Bruise.
5
In: IASP Taxonomy. 2012 . [Accessed: 22 August 2017]. Available from: https://www.iasp-pain.org/Taxonomy#Pain.
6
Ahmadi A, Bazargan-Hejazi S, Heidari Zadie Z, Euasobhon P, Ketumarn P, Karbasfrushan A, et al. Pain management in trauma: A review study. J Inj Violence Res. 2016;8(2):89-98.
7
Sambrook, J. Heat and Ice Treatment for Pain. 2016 [Accessed: 21 August 2017]. Available from: https://patient.info/health/heat-and-ice-treatment-for-pain.
8
Price DD, Harkins SW, Baker C. Sensory-affective relationships among different types of clinical and experimental pain. Pain. 1987;28(3):297-307.
9
Goldstein S. Encyclopedia of child behavior and development: Springer Science & Business Media; 2010.
10
Kaspar K, Jurisch A, Schneider M. Embodied cognition and humor: The impact of weight sensations on humor experience and the moderating role of gender. Current Psychology. 2016;35(3):377-85.
11
Bedigian D. History and lore of sesame in Southwest Asia. Economic botany. 2004;58(3):329-53.
12
Ashri A. Sesame breeding. Plant breeding reviews. 1998;16:179-228.
13
Baydar H, Turgut I, Turgut K. Variation of certain characters and line selection for yield, oil, oleic and linoleic acids in the Turkish sesame (Sesamum indicum L.) populations. Turkish journal of agriculture and forestry. 1999;23(4):431-42.
14
Periasamy S, Chien SP, Chang PC, Hsu DZ, Liu MY. Sesame oil mitigates nutritional steatohepatitis via attenuation of oxidative stress and inflammation: a tale of two-hit hypothesis. J Nutr Biochem. 2014;25(2):232-40..
15
Mohamed H, Awatif I. The use of sesame oil unsaponifiable matter as a natural antioxidant. Food chemistry. 1998;62(3):269-76.
16
Suja KP, Jayalekshmy A, Arumughan C. Free radical scavenging behavior of antioxidant compounds of sesame (Sesamum indicum L.) in DPPH• system. Journal of agricultural and food chemistry. 2004;52(4):912-5.
17
Ames BN, Gold LS, Willett WC. The causes and prevention of cancer. Proceedings of the National Academy of Sciences. 1995;92(12):5258-65.
18
Hong WK, Sporn MB. Recent advances in chemoprevention of cancer. Science. 1997;278(5340):1073-7.
19
Kehrer JP. Free radicals as mediators of tissue injury and disease. Critical reviews in toxicology. 1993;23(1):21-48.
20
Fukuda Y, Osawa T, Kawakishi S, Namiki M. Chemistry of lignan antioxidants in sesame seed and oil. ACS Publications; 1994.
21
Schneider RH, Cavanaugh KL, Kasture H, Rothenburg S, Averbach R, Robinson D, et al. Health promotion with a traditional system of natural health care: Maharishi Ayur-Veda. Journal of Social Behavior and Personality. 1990;5(3):1.
22
Budowski P. Sesame oil. III. Antioxidant properties of sesamol. Journal of the American Oil Chemists' Society. 1950;27(7):264-7.
23
Das U. HYPOTHESIS-Interaction (s) between nutrients, essential fatty acids, eicosanoids, free radicals, nitric oxide, anti-oxidants and endothelium and their relationship to human essential hypertension. Medical Science Research. 2000;28(2):75-84.
24
Suja K, Abraham JT, Thamizh SN, Jayalekshmy A, Arumughan C. Antioxidant efficacy of sesame cake extract in vegetable oil protection. Food Chemistry. 2004;84(3):393-400.
25
Kapadia GJ, Azuine MA, Tokuda H, Takasaki M, Mukainaka T, Konoshima T, et al. Chemopreventive effect of resveratrol, sesamol, sesame oil and sunflower oil in the Epstein-Barr virus early antigen activation assay and the mouse skin two-stage carcinogenesis. Pharmacol Res. 2002;45(6):499-505.
26
Abu-Jdayil B, Al-Malah K, Asoud H. Rheological characterization of milled sesame (tehineh). Food Hydrocolloids. 2002;16(1):55-61.
27
Ereifej K, Rababah T, Al-Rababah M. Quality attributes of halva by utilization of proteins, non-hydrogenated palm oil, emulsifiers, gum arabic, sucrose, and calcium chloride. International journal of food properties. 2005;8(3):415-22..
28
Baranoski S, Ayello EA. Wound care essentials: Practice principles: Lippincott Williams & Wilkins; 2008.
29
Nasiri M, Farsi Z. Effect of light pressure stroking massage with sesame (Sesamum indicum L.) oil on alleviating acute traumatic limbs pain: A triple-blind controlled trial in emergency department. Complementary therapies in medicine. 2017;32:41-8.
30
Bigdeli Shamloo MB, Nasiri M, Dabirian A, Bakhtiyari A, Mojab F, Alavi Majd H. The Effects of Topical Sesame (Sesamum indicum) Oil on Pain Severity and Amount of Received Non-Steroid Anti-Inflammatory Drugs in Patients With Upper or Lower Extremities Trauma. Anesth Pain Med. 2015;5(3):e25085.
31
Zahmatkash M, Vafaeenasab MR. Comparing analgesic effects of a topical herbal mixed medicine with salicylate in patients with knee osteoarthritis. Pak J Biol Sci. 2011;14(13):715-9.
32
Ang ES, Lee ST, Gan CS, See PG, Chan YH, Ng LH, et al. Evaluating the role of alternative therapy in burn wound management: randomized trial comparing moist exposed burn ointment with conventional methods in the management of patients with second-degree burns. MedGenMed. 2001;3(2):3.
33
Hirsch T, Ashkar W, Schumacher O, Steinstraesser L, Ingianni G, Cedidi C. Moist exposed burn ointment (MEBO) in partial thickness burns. Eur J Med Res. 2008;13:505-10.
34
Eftekhar Sadat B, Khadem Haghighian M, Alipoor B, Malek Mahdavi A, Asghari Jafarabadi M, Moghaddam A. Effects of sesame seed supplementation on clinical signs and symptoms in patients with knee osteoarthritis. Int J Rheum Dis. 2013;16(5):578-82.
35
Salimi R, Haddadi R, Moradi A, Jalilvand F, Firozian F. Local Anesthetic Effect of Amitriptyline versus Lidocaine in Isolated Lesion of the Limb Requiring Primary Suturing; Assessing a Novel Therapeutic Agent. Bull Emerg Trauma.2019;7(3):240.
36
Saleem TM, Basha SD, Mahesh G, Rani PS, Kumar NS, Chetty CM. Analgesic, anti-pyretic and anti-inflammatory activity of dietary sesame oil in experimental animal models. Pharmacologia. 2011;2(6):172-7..
37
Hsu D-Z, Chen S-J, Chu P-Y, Liu M-Y. Therapeutic effects of sesame oil on monosodium urate crystal-induced acute inflammatory response in rats. Springerplus. 2013;2(1):659..
38
Wan Y, Yang YJ, Li YS, Li XJ, Zhang W, Liu M, et al. [Effects of San-huang-sheng-fu oil on peripheral circulatory disorders and foot ulcers in diabetic rats and the mechanisms]. Zhonghua Shao Shang Za Zhi. 2016;32(3):168-75. [in Chinese]
39
Hsu DZ, Chu PY, Jou IM. Enteral sesame oil therapeutically relieves disease severity in rat experimental osteoarthritis. Food Nutr Res. 2016;60:29807.
40
Hsu DZ, Chu PY, Jou IM. Daily sesame oil supplement attenuates joint pain by inhibiting muscular oxidative stress in osteoarthritis rat model. J Nutr Biochem. 2016;29:36-40.
41
Monteiro ÉMH, Chibli LA, Yamamoto CH, Pereira MCS, Vilela FMP, Rodarte MP, et al. Antinociceptive and anti-inflammatory activities of the sesame oil and sesamin. Nutrients. 2014;6(5):1931-44.
42
Rangkadilok N, Pholphana N, Mahidol C, Wongyai W, Saengsooksree K, Nookabkaew S, et al. Variation of sesamin, sesamolin and tocopherols in sesame (Sesamum indicum L.) seeds and oil products in Thailand. Food Chemistry. 2010;122(3):724-30.
43
ORIGINAL_ARTICLE
Utilization of the Parenteral Morphine in Emergency Department using the Anatomical Therapeutic Chemical Classification/Defined Daily Doses (ATC/DDD) System
Objective: To evaluate the utilization of the parenteral morphine in Emergency Department (ED) using the Anatomical Therapeutic Chemical Classification/Defined Daily Doses (ATC/DDD) system. Methods: In this retrospective cross-sectional study, morphine administration was recorded in 4-year time period from January 2013 to December 2016 in the ED of a referral center. The dose of the administered morphine was evaluated using the ATC/DDD system. The ATC/DDD of the parenteral morphine was calculated based on the world health organization (WHO). The data was evaluated based on the different diagnosis and conditions using the ATC/DDD protocol. Results: In this study, 500 patients referred to ED with mean age of 48.29 ± 10.10 years were included. There were 306 (61.2%) men and 194 (38.8%) women among the patients. The lowest and highest DDD of parenteral morphine were 0.1 and 0.43, respectively. The utilization of parenteral morphine was significantly higher in men when compared to women (p<0.001). Those with history of tricyclic anti-depressant (TCA) consumption (p<0.001) and opium addiction (p<0.001) had significantly higher parenteral morphine utilization. Those with pain in the extremities and chest pain had significantly higher parenteral morphine utilization (p<0.001). Conclusion: The utilization of parenteral morphine in the ED of our center was higher than the WHO standard dosage. The morphine utilization was associated with male gender, opium addiction and TCA consumption.
https://beat.sums.ac.ir/article_46614_7ec8a65af1c570c1f061881b29a2ff29.pdf
2020-07-01
186
192
10.30476/beat.2020.86225
Rational utilization
Morphine
Emergency department (ED)
Anatomical Therapeutic Chemical Classification/Defined Daily Doses (ATC/DDD)
Farzad
Bozorgi
farzadbozorgi1356@gmail.com
1
Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran
AUTHOR
Ebrahim
Salehifar
drcorespond@gmail.com
2
Pharmaceutical Research Center, Mazandaran University of Medical Sciences, Sari, Iran
AUTHOR
Seyed Mohammad
Hosseininejad
academicorespond@gmail.com
3
Diabetes Research Center, Mazandaran university of Medical Sciences, Sari, Iran
LEAD_AUTHOR
Siavash
Moradi
4
Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
AUTHOR
Ghazaleh
Janbazi
profacademic33@gmail.com
5
Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
AUTHOR
Aroona
Chabra
academicpublishingg@gmail.com
6
Student Research Committee, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran
AUTHOR
Ayalew MB, Tegegn HG, Abdela OA. Drug Related Hospital Admissions; A Systematic Review of the Recent Literatures. Bull Emrg Trauma. 2019;7(4):339-346..
1
Blackburn JL. Impact of Drug Usage Review on Drug Utilisation. Pharmacoeconomics. 1993;3(1):14-21.
2
Casamayor M, DiDonato K, Hennebert M, Brazzi L, Prosen G. Administration of intravenous morphine for acute pain in the emergency department inflicts an economic burden in Europe. Drugs Context. 2018;7:212524.
3
Khosravani S, Handjani F, Alimohammadi R, Saki N. Frequency of neurological disorders in bullous pemphigoid patients: a cross-sectional study. Int Sch Res Notices. 2017;2017:6053267.
4
Knapp DA. Development of criteria for drug utilization review. Clin Pharmacol Ther. 1991;50:600-2.
5
Hennessy S, Bilker WB, Zhou L, Weber AL, Brensinger C, Wang Y, et al. Retrospective drug utilization review, prescribing errors, and clinical outcomes. JAMA. 2003;290(11):1494-9.
6
Addis A, Rocchi F. Drug evaluation: new requirements and perspectives. Recenti Prog Med. 2006;97(11):618-25.
7
Organization WH. Promoting rational use of medicines: core components. Geneva: World Health Organization; 2002.
8
Olin B, Hebel S, Dombek C. Drug Facts and Comparisons, 2007. St Louis, Mo: Facts and Comparisons Inc; 2007.
9
Masters BR. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases, (2015) Eds: John E. Bennett, Raphael Dolin, Martin J. Blaser. ISBN: 13-978-1-4557-4801-3, Elsevier Saunders. Springer; 2016.
10
Hajati G MA, Salamzadeh J, Moshiri K. A survey on the pattern of consumption of narcotic drugs in surgical wards of Ayatollah Taleghani Hospital. Journal of Dental School. 2006. [in Persian]
11
Shohrati M, Hosseini M, Rahimian S, Mastanabadi H. Unreasonable consumption of narcotic drugs following appendectomy and hernioraphy. 2011.
12
Colman I, Rothney A, Wright SC, Zilkalns B, Rowe BH. Use of narcotic analgesics in the emergency department treatment of migraine headache. Neurology. 2004;62(10):1695-700.
13
McCaffery M, Ferrell BR. Nurses' knowledge of pain assessment and management: how much progress have we made? J Pain Symptom Manage. 1997;14(3):175-88.
14
Vatanpour H, Sufi H, Jomeh NE, Khorramnia A, Bovand T, Vatanpour S. Parenteral opioid analgesics utilization pattern in Amir-al-Momenin hospital, Zabol-Iran. International Journal of Medical Research & Health Sciences. 2016;5(8):112-9.
15
In: WHO Colaborating Center for Drugs Statistics Methodology. Nervous System: Analgesics. Available from: https://www.whocc.no/atc_ddd_index/?code=N02AA01.
16
Picón-Camacho SM, Marcos-Lopez M, Bron JE, Shinn AP. An assessment of the use of drug and non-drug interventions in the treatment of Ichthyophthirius multifiliis Fouquet, 1876, a protozoan parasite of freshwater fish. Parasitology. 2012;139(2):149-90.
17
Teymourzade E Bs, hoseini M, zare H, vafaei A. Drug utilization in Iran. Hakim Health Systems Research Journal. 2013;16(2):169-70. [in Persian]
18
Dinarvand R. Situation of drug prescription in Tehran city. Hakim Research Journal. 2000. [in Persian]
19
Latkin C, Friedman S. Drug use research: drug users as subjects or agents of change. Subst Use Misuse. 2012;47(5):598-9.
20
Abbasi Asl M, Salehi S, Zamani Esmailabadi S, Nikchi P, Soleimani F. Fuzzy clustering of medical sciences universities in Iran on the basis of medical indices in 2008. Journal of Health Administration. 2014;17(55):43-50.
21
Laing R. Rational drug use: an unsolved problem. Tropical doctor. 1990;20(3):101-3.
22
Einarson TR. Drug-related hospital admissions. SAGE Publications Sage CA: Los Angeles, CA; 1993.
23
Shalviri G, Mohammad K, Majdzadeh S, Gholami K. Comparing epidemiological methods in detecting drug safety signal in IRAN. 2005;1(1):17-26.
24
ORIGINAL_ARTICLE
“Crown of Death”; Corona Mortis, a Common Vascular Variant in Pelvis: Identification at Routine 64-slice CT-Angiography
Objective: To establish the incidence of arterial corona mortis variant in angiographic studies being performed using a 64 slice CT scan machine in a series of patients.Methods: This was a prospective cross-sectional study including 100 consecutive patients undergoing routineclinically indicated, standard protocol, CT-angiography for the abdominal aorta and/or lower limbs using a 64 slice CT scanner. Patients having severe arterial insufficiency (Grade 4 stenosis on CT angiography), pelvic infections and tumours, patients with past pelvic trauma and those who had previous pelvic surgery were excluded from the study. In total 200 hemi-pelvises were evaluated for the presence or absence of corona morti.Results: Overall, we included 100 patients in this series including 67 men and 33 women with mean age of 40.1±2.3 (ranging from 22-74) years. The arterial variant was identified on thin, 0.625-mm-thick images in 24 out of 100 patients studied (unilateral in 20 patients and bilateral in 4 patients; 28 out of 200 hemipelvises evaluated, having an incidence of 14%). We found that the distance of corona mortis artery from the symphysis was significantly greater for women compared to men, both on right (p=0.034) and left sides (p=0.046).Conclusion: Corona mortis may be prospectively identified at contrast-enhanced multidetector CT especially in pelvic trauma patients and help guide subsequent endovascular embolization or surgical interventions.
https://beat.sums.ac.ir/article_46771_8207367b42de33793f01f6a9bd8c1e04.pdf
2020-07-01
193
198
10.30476/beat.2020.84118
Pelvic fracture
Trauma
Haemorrhage
Vascular intervention
Embolization
Rohit
Bhoil
rohitbhoil@gmail.com
1
Department of Radiodiagnosis, IGMC Shimla
LEAD_AUTHOR
Neeti
Aggarwal
aggarwal1neeti@gmail.com
2
Department of Radiodiagnosis, IGMC Shimla
AUTHOR
Vineet
Aggarwal
vineetneeti@yahoo.com
3
Department of Orthopaedics, IGMC Shimla
AUTHOR
Mukesh
Surya
mukeshsurya27@yahoo.com
4
Department of Radiodiagnosis, IGMC Shimla
AUTHOR
Sanjiv
Sharma
sanjeev_sai_2@yahoo.co.in
5
Department of Radiodiagnosis, IGMC Shimla
AUTHOR
Ajay
Alhuwalia
drajayahluwalia@gmail.com
6
Department of Radiodiagnosis, IGMC Shimla
AUTHOR
Sabina
Bhoil
sabinabhoil@gmail.com
7
Department of Cardiac Anesthesia, IGMC Shimla
AUTHOR
Surya
Singh
suryapratap10@gmail.com
8
Resident, IGMC Shimla
AUTHOR
Manveer
Thakur
manveer1989thakur@gmail.com
9
Resident, Radiology, IGMC Shimla
AUTHOR
Siddharth
Sood
drsid06@gmail.com
10
Resident, Orthopaedics, IGMC, Shimla
AUTHOR
ORIGINAL_ARTICLE
Our Experience of Trauma Management During Novel Coronovirus 2019 (COVID-19) Pandemic in a Busy Trauma Center in Southern Iran
During the past few months, the novel coronavirus 2019 (COVID-19) pandemic has significantly affected medical service provision. In Iran, it has caused around 197,000 inflictions and 9200 deaths up to June 18, 2020. While many departments turned to telehealth in this era, the trauma service should provide non-stop in presence service to the trauma victims. Our trauma center is the largest in the southwest of Iran, with the mean annual admission of 18,500 polytrauma patients. In this center, we designed a safety protocol to mitigate the spread of disease and also have a more robust case finding system, especially among asymptomatic carriers who attend hospitals based on their trauma. In brief, all unstable patients were considered SARS-COV-2 positive and were directed toward the Specialized COVID-19 related ICU. For all stable patients, history, physical examination, CXR, and lab test (Complete Blood Count, Erythrocyte Sedimentation Rate, C-Reactive Protein) were ordered before entering the wards. If there was any suspicion of COVID-19, the stable patient was admitted to the COVID-19 specialized ward. Among all 1805 patients admitted during a ten weeks interval (from January 30, 2020, to April 14, 2020), 84 had a red flag and toward to COVID-19 related wards. Of those, 67 had positive PCR or evidence in CT in favor of the COOVID-19. Moreover, during regular workups, we found that 19 completely asymptomatic trauma victims had typical Chest CT scan findings of COVID-19.
https://beat.sums.ac.ir/article_46832_69bcaa24f8e615a48f2ba80dc75823b6.pdf
2020-07-01
199
201
10.30476/beat.2020.87029
COVID-19
Trauma
Surgery
Pandemics
Communicable Disease Control
Hossein
Akbarialiabad
hosseinakbari7575@gmail.com
1
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Hossein
Aabdolrahimzadeh fard
dr.h.a.fard@gmail.com
2
Shiraz University of Medical Sciences
AUTHOR
Hamid Reza
Abbasi
abbasime@yahoo.com
3
Department of Surgery, Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Shahram
Bolandparvaz
shaboland@sums.ac.ir
4
Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Shahin
Mohseni
mohsenishahin@yahoo.com
5
Orebro University Hospital / Orebro University
AUTHOR
Vahid
Mehrnoush
vahid.mehrnoush@vch.ca
6
Section of Trauma, Acute Care, and Global Surgery,Division of general surgery, Department of surgery,University of British Columbia
AUTHOR
Mina
Salehi
mina.salehi@vch.ca
7
MSc in surgery student,Department of surgery ,University of British Columbia
AUTHOR
Sima
Roushenas
sima.rooshenas@gmail.com
8
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Shahram
Paydar
paydarsh@gmail.com
9
Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Blachar A, Federle MP. Internal hernia: an increasingly common cause of small bowel obstruction. Semin Ultrasound CT MR. 2002;23(2):174-183.
1
Portnoy J, Waller M, Elliott T. Telemedicine in the Era of COVID-19. J Allergy Clin Immunol Pract. 2020;8(5):1489-1491.
2
Taghrir MH, Akbarialiabad H, Ahmadi Marzaleh M. Efficacy of Mass Quarantine as Leverage of Health System Governance During COVID-19 Outbreak: A Mini Policy Review. Arch Iran Med. 2020;23(4):265-267.
3
Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv W, Tao Q, Sun Z, Xia L. Correlation of Chest CT and RT-PCR Testing in Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases. Radiology. 2020:200642.
4
ORIGINAL_ARTICLE
Broken Knife Blade Completely Penetrating the Humerus: A Case Report and Literature Review
We present a case of a 23-year-old male patient who presented with a blade knife completely wedged and penetrated on his humerus after a stab wound to his left upper extremity. On palpation, a foreign body was palpated under the skin on the deltoid area. The blade was stuck in the bone, so the surrounding bone tissue was osteotomised until the blade was released. The patient evolved favorably, and at three months follow up, he has a full functional recovery of his arm. Stab wounds are prevalent in emergency departments; however, stab wounds with bone involvement have rarely been reported in the literature. When encountering a blade stuck in bone tissue, removing the blade while avoiding orthopedic, neurological and vascular injuries should be the main goal of the treatment. To the best of our knowledge, this is the third reported case of an intraosseous foreign body in the humerus secondary to a stab wound.
https://beat.sums.ac.ir/article_46618_213b9c3f54b894ef8933e606b3af2f5a.pdf
2020-07-01
202
204
10.30476/beat.2020.85769
Knife wound
Stab wound
Bone injury
Mauricio
Gonzalez-Urquijo
mauriciogzzu@gmail.com
1
Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Dr. Ignacio Morones Prieto O 3000. Monterrey, México. 64710
LEAD_AUTHOR
Mario
Zambrano Lara
a00920043@itesm.mx
2
Departamento de Cirugía General. Hospital Metropolitano “Dr. Bernando Sepúlveda”. Adolfo López Mateos No. 4600, San Nicolás de los Garza, Nuevo León, México. 66400
AUTHOR
Manthey DE, Nicks BA. Penetrating trauma to the extremity. J Emerg Med. 2008;34(2):187-93.
1
Anderson RJ, Hobson RW 2nd, Padberg FT Jr, Swan KG, Lee BC, Jamil Z, et al. Penetrating extremity trauma: identification of patients at high-risk requiring arteriography. J Vasc Surg. 1990;11(4):544-8.
2
Humphrey C, Kumaratilake J, Henneberg M. Characteristics of Bone Injuries Resulting from Knife Wounds Incised with Different Forces. J Forensic Sci. 2017;62(6):1445–51.
3
Abboud JA, Wiesel B, Tomlinson D, Ramsey M. Intraosseous stab wound to the arm. Am J Orthop (Belle Mead NJ). 2008;37(3):52–4.
4
Miller SA, Jones MD. Kinematics of four methods of stabbing: A preliminary study. Forensic Sci Int. 1996;82(2):183–90.
5
Quah C, Whitehouse S, Agrawal Y, Shah N, Phaltankar P. Broken knife blade in proximal humerus: An unusual presentation. Eur J Orthop Surg Traumatol. 2009;19(3):193–6.
6
ORIGINAL_ARTICLE
Systematic Review of Drug-Related Hospital Admissions: Common Errors in Reporting
https://beat.sums.ac.ir/article_46515_018ecb2799f22c3e4f4a5354344d7171.pdf
2020-07-01
205
206
10.30476/beat.2020.84167.1059
Systematic review
Reporting
PRISMA
MohammadBagher
Shamsi
mbshamsi@yahoo.com
1
School of Allied Medical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran
AUTHOR
Siavash
Vaziri
vaziri15@yahoo.com
2
Department of Infectious Diseases, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
AUTHOR
HamidReza
Mozaffari
mozaffari@kums.ac.ir
3
Department of Oral and Maxillofacial Medicine, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran
AUTHOR
Maryam
Mirzaei
mirzaei.m.epid92@gmail.com
4
School of Allied Medical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran
LEAD_AUTHOR
Ayalew MB, Tegegn HG, Abdela OA. Drug Related Hospital Admissions; A Systematic Review of the Recent Literatures. Bull Emerg Trauma. 2019;7(4):339-346.
1
Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264-9, W64.
2
Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol. 2009;62(10):1006-12.
3
Shamsi MB, Arab-Zozani M, Mirzaei M. Methodological Issue on Reporting of Systematic Review of Diagnostic Accuracy of Rapid Ultrasound in Shock. Bull Emerg Trauma. 2019;7(3):337-338.
4
Bashir Y, Conlon KC. Step by step guide to do a systematic review and meta-analysis for medical professionals. Ir J Med Sci. 2018;187(2):447-452.
5
ORIGINAL_ARTICLE
Letter to the Editor Regarding “Lateral Approach and Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-Analysis.”
https://beat.sums.ac.ir/article_46512_0d9a5e5fca7391b4a3d5917ded2eb70a.pdf
2020-07-01
207
208
10.30476/beat.2020.86013
Lateral approach
terrible triad
Elbow
Uttam
Saini
doc.uttamsaini@gmail.com
1
Associate Professor, Department of Orthopaedics, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India
AUTHOR
Deepak
Neradi
n.deepak47@gmail.com
2
senior resident , Department of Orthopaedics, PGIMER, Chandigarh
AUTHOR
Deepak
Kumar
drdeepaknegimt@gmail.com
3
Assistant Professor, Department of Orthopaedics, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India
AUTHOR
Vikas
Bacchal
vikasbacchal@gmail.com
4
Associate Professor, Department of Orthopaedics, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India
AUTHOR
Praveen
Sodavarapu
praveen.omc.2k8@gmail.com
5
Senior Resident, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India
LEAD_AUTHOR
Akshay
Shetty
akshayshettyt@live.com
6
Senior Resident, Department of Orthopaedics, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India.
AUTHOR
Meena MK, Singh K, Meena S, Kumbhare C, Chouhan D. Lateral Approach Versus Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-Analysis. Bull Emerg Trauma. 2020;8(1):4-9.
1
Li T, Li X-L, Hu S-X, Sun W, Wu J. Evaluation of effect and safety of arthroscopic surgery with three different operative approaches in patients with terrible triad of the elbow: A comparative study. Medicine (Baltimore). 2018;97(15):e0398.
2
Pierrart J, Bégué T, Mansat P, GEEC. Terrible triad of the elbow: treatment protocol and outcome in a series of eighteen cases. Injury. 2015;46 Suppl 1:S8-12.
3
Liu G, Hu J, Ma W, Li M, Xu R, Pan Z. Surgical treatment for terrible triad injury of the elbow with anteromedial coronoid fracture through a combined surgical approach. J Int Med Res 2018;46(8):3053-64.
4
ORIGINAL_ARTICLE
Response to the Letter to Editor Regarding “Lateral Approach and Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-Analysis”
https://beat.sums.ac.ir/article_46513_4a223856e4f0e54b3ca5425c5c95278b.pdf
2020-07-01
209
209
10.30476/beat.2020.86026
Terrible triad of elbow
Surgical treatment
Approach
Mukesh
Meena
pmukeshmeena321725@gmail.com
1
Department of Orthopedics, LHMC, New Delhi, India
AUTHOR
Karmbeer
Singh
karmbeer311@gmail.com
2
Department of Orthopedics, LHMC, New Delhi, India
AUTHOR
Sanjay
Meena
sanajaymeena@hotmail.com
3
Department of Orthopedics, LHMC, New Delhi, India
LEAD_AUTHOR
Chetan
Kumbhare
chetankumbhare007@gmail.com
4
Department of Orthopedics, LHMC, New Delhi, India
AUTHOR
Dushyant
Chouhan
dkchouhan75@gmail.com
5
Department of Orthopedics, LHMC, New Delhi, India
AUTHOR
Meena MK, Singh K, Meena S, Kumbhare C, Chouhan D. Lateral Approach Versus Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-Analysis. Bull Emerg Trauma. 2020;8(1):4-9.
1
Pierrart J, Bégué T, Mansat P, GEEC. Terrible triad of the elbow: treatment protocol and outcome in a series of eighteen cases. Injury. 2015;46 Suppl 1:S8-12.
2
Liu G, Hu J, Ma W, Li M, Xu R, Pan Z. Surgical treatment for terrible triad injury of the elbow with anteromedial coronoid fracture through a combined surgical approach. J Int Med Res. 2018;46(8):3053-64.
3