Original Article
Atefeh Ghanbari; Sanaz Masoumi; Ehsan Kazemnejadleili; Marjan Mahdavi-Roshan; MohammadReza Mobayen
Articles in Press, Accepted Manuscript, Available Online from 15 January 2023
Abstract
Objectives: To study the anti-inflammatory and antioxidant effects of flaxseed oil and olive oil on inflammatorymarkers for facilitating wound healing.
Methods: One hundred and twelve patients were randomly selected to four groups with a total burn surfacearea (TBSA) of 20-50%. The four groups includes ...
Read More
Objectives: To study the anti-inflammatory and antioxidant effects of flaxseed oil and olive oil on inflammatorymarkers for facilitating wound healing.
Methods: One hundred and twelve patients were randomly selected to four groups with a total burn surfacearea (TBSA) of 20-50%. The four groups includes olive oil (OO), flaxseed oil (FO), mixture of olive oil andflaxseed oil (OF), and control group and received 30g of oils for three weeks. Serum high-sensitivity C-reactiveprotein (hs-CRP), ferritin and albumin level as inflammatory markers, as well as cholesterol, triglyceride,high-density lipoprotein (HDL) and low-density lipoprotein (LDL) as the lipid profile were explored. Woundhealing was assessed by photographing on days 2, 8, 15, and 22 (during three weeks of intervention) and wereanalyzed in imageJ software.
Results: The greatest reduction in the level of hs-CRP and ferritin was observed in the OF (-21.38±44.41)(-132.79±165.36), while the lowest reduction was reported in the control group (-36.36±79.03) (141.08±262.36).Compared to control group, OO significantly increased albumin (0.88±0.65). Reduction of wound healing at theend of the first week of intervention was not significant in the study groups. However, the stereology examinationshowed significant improvement in wound healing at the end of the second and third weeks in the OF.
Conclusion: Based on the findings, combination of herbal oils reduce inflammation and improve wound healingand showed positive effects on the size of wounds in burn patients.
Review Article
Yasaman Habibzadeh omran; Mohammad Hossein Yarmohammadian; Homayoun Sadeghi-Bazargani
Articles in Press, Accepted Manuscript, Available Online from 31 January 2023
Abstract
Introduction: Regarding the importance of Hazard Perception (HP) and its key role indecreasing accidents, the present study is done to have a systematic review of studies in order to estimate the rate of driving HP, explicate the content of HP and determine its components.Methods: The present study is ...
Read More
Introduction: Regarding the importance of Hazard Perception (HP) and its key role indecreasing accidents, the present study is done to have a systematic review of studies in order to estimate the rate of driving HP, explicate the content of HP and determine its components.Methods: The present study is a systematic review and a meta-analysis one which is carried out to gather data, to search Science Direct, PubMed, Scopus, PROQUEST, and web of knowledge databases, and also to search manually from January 2000 to September 2021 whit using related keywords. EndNote X20 software was used to manage and screening studies. Stata16 was used for meta-analysis. Findings are extracted and analyzed individually by using thematic content analysis by two researchers.Findings: Out of the 1167 founded articles, 50 were finally included in the study. According to 10 imported papers for meta-analysis including 2770 sample size, general HP of drivers isestimated 3.33 [4.04-2.62 with CI 95, I2 = 89.72]. Also, HP for experienced and beginner drivers is estimated 3.26 [ 2.23-4.26 with CI 95, I2 = 89.47] and 3.42 [2.41-4.43 with CI 95, I2 = 89.68], respectively. Also, in the data meta-synthesis, 28 definitions of HP and 6 main components are identified to evaluate HP using thematic content analysis.Conclusion: In this study, obtained results show that all people need constant and gradualtraining at all levels. One factor that can be effective to improve drivers’ HP is to make drivers to take training courses and to pass standard tests at the time of obtaining driving license.
Original Article
Behrang Rezvani Kakhki; Melika Fugerdi; Zahra Abbasi; Hamideh Feiz Dysfani; elnaz vafadar moradi
Articles in Press, Corrected Proof, Available Online from 31 January 2023
Abstract
Objective: Sedation in children must be for the shortest time with minimum side effects in the Emergency Department (ED). The used drug must provide proper levels of consciousness and sedation with minimum effect on the patient’s vital signs. This study was designed and conducted on the effectiveness ...
Read More
Objective: Sedation in children must be for the shortest time with minimum side effects in the Emergency Department (ED). The used drug must provide proper levels of consciousness and sedation with minimum effect on the patient’s vital signs. This study was designed and conducted on the effectiveness of Ketamine vs Dexmedetomidine in children’s sedation in ED.Method: This randomized clinical trial study carried out at the two level-1 academic trauma centers. The patients were divided into two groups by means of a random numbers table to be treated with Ketamine or Dexmedetomidine. Their demographic information forms with the effects the drugs in sedation were collected and analyzed.Results: In general, 40 patients were included in both groups of intervention with Ketamine (20) and Dexmedetomidine (20). Ketamine group had an age mean of 7 years, and Dexmedetomidine group head an age mean of 4 (P: 0.056). In terms of sedation time, it was about 15 minutes in Ketamine group and 10 minutes in Dexmedetomidine group (p <0.05). Patient recovery according to Ramsey scale demonstrated that 32.5% were on grade 2, of which 53.84% were in Dexmedetomidine group. Conclusion: This study demonstrated that Dexmedetomidine could be used in cases where a shorter sedation time was vital, but where full recovery time (from injection) matters most, Ketamine could be a better choice.
Original Article
Ramin Ebrahimian; Zoubin Souri; Alireza Feizkhah; MohammadReza Mobayen; Habib Eslami; Mojdeh Esmailzadeh; Mohsen Ghorbani; Soroush Mirhedayati; Parissa Bagheri
Articles in Press, Corrected Proof, Available Online from 31 January 2023
Abstract
Objective: Chest trauma is a common injury that usually occurs in accidents and mechanical injuries. Imaging technique plays an essential role in diagnosing chest injuries. This study aimed to evaluate spiral chest computed tomography (CT) scan findings in patients with multiple trauma during the COVID-19 ...
Read More
Objective: Chest trauma is a common injury that usually occurs in accidents and mechanical injuries. Imaging technique plays an essential role in diagnosing chest injuries. This study aimed to evaluate spiral chest computed tomography (CT) scan findings in patients with multiple trauma during the COVID-19 pandemic.Methods: This retrospective study was performed on multiple trauma patients admitted to a tertiary hospital in the north of Iran in 2020. All patients with multiple trauma who had undergone a chest spiral CT were included in this study. Furthermore, the data analysis was performed through descriptive and analytical statistics using SPSS software. Results: A total of 600 patients were included over the study period. The mean age of patients was 48.2±20.3 years. Of the total, 496 (65.3%) patients had blunt chest injuries, and 104 (34.7%) had penetrating chest injuries. Falling was the most common mechanical cause of chest trauma in 270 patients (45%). Surgical interventions were performed in 110 (18.3%) patients. A total of 276 (46%) patients had chest injuries identified by CT scans. Many patients (15.6%) had ground-glass lung opacity in the CT scan reports. Lung consolidation, Pneumothorax, lung contusion, hemothorax, and rib fractures were the most common. Conclusion Due to the high frequency of typical findings in spiral CT scan examinations, obtaining a reliable history of trauma severity, injury mechanism, and a detailed physical examination is recommended before prescribing a CT scan for patients.
Case Report
Umit Can Dolek; Serdar Ozdemir; Kumissay Babayeva; Murat Gol
Articles in Press, Accepted Manuscript, Available Online from 01 February 2023
Abstract
Leech therapy (hirudotherapy) is a method used in the treatment of many diseases since ancient times. Although many complications have been reported following the use of this method, no systemic life-threatening bleeding has yet been described. A-43-year-old male patient was diagnosed with upper gastrointestinal ...
Read More
Leech therapy (hirudotherapy) is a method used in the treatment of many diseases since ancient times. Although many complications have been reported following the use of this method, no systemic life-threatening bleeding has yet been described. A-43-year-old male patient was diagnosed with upper gastrointestinal bleeding following leech application that he had received for infertility one week earlier. The complications of hirudotherapy typically spontaneously improve due to the local effects of this treatment. The most frequently reported complications are local infections, and less commonly allergies and prolonged local bleeding can occur. However, in this case report, we describe a life-threatening upper gastrointestinal bleeding as a new complication. Gastrointestinal bleeding appearing a week after leech therapy does not necessarily mean that leeches caused gastrointestinal bleeding in this case. Nevertheless, considering the development time of gastrointestinal bleeding, it can be deduced that it was possibly due to hirudotherapy. Patients should be informed about alarming symptoms that can indicate complications following leech application.
