Bulletin of emergency and trauma最新文献_第3页

Factors Influencing Traffic Accidents Among the Elderly in Northern Iran: A Qualitative Content Analysis. 伊朗北部老年人交通事故影响因素：定性内容分析

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.104342.1547

Nima Faghirpour, Enayatollah Homaie Rad, Leila Kouchakinejad, Zahra Mohtasham-Amiri

{"title":"Factors Influencing Traffic Accidents Among the Elderly in Northern Iran: A Qualitative Content Analysis.","authors":"Nima Faghirpour, Enayatollah Homaie Rad, Leila Kouchakinejad, Zahra Mohtasham-Amiri","doi":"10.30476/beat.2025.104342.1547","DOIUrl":"10.30476/beat.2025.104342.1547","url":null,"abstract":"Objective: The study aimed to explore experts' perspectives on the factors contributing to accidents involving the elderly in Guilan, Iran.Methods: This qualitative study employed conventional content analysis with an inductive approach in 2024. Fourteen experts from Guilan (Iran) were purposefully selected. Data were collected through individual face-to-face interviews using a semi-structured interview guide containing open-ended questions, which was developed through an expert panel discussion. All stages of data analysis were performed manually following the Graneheim and Lundman's approach.Results: Three main categories, 10 subcategories, and 29 key codes were identified. The \"Individual Factors\" category had six subcategories: physical abilities, psychological factors, traffic literacy, cultural attitudes, and Individual needs. The \"Environmental Factors\" had two subcategories: road and traffic infrastructure, and weather conditions. The \"Policy-making\" category consisted of three sub-categories: transportation safety, healthcare system, and public education.Conclusion: To reduce damages from elderly-related accidents, preventive measures should focus on improving health services, enhancing traffic education, and addressing specific behavioral and cultural factors. Additionally, enhancing infrastructure, designing age-appropriate vehicles, and implementing targeted policies could significantly mitigate accident risks among this population.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"90-97"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of Silver Diamine Fluoride in Dental Trauma: A Case Series Study. 氟化二胺银在牙外伤中的应用：个案系列研究。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.103986.1541

Mridula Goswami, Vashi Narula, Babita Jangra

{"title":"Application of Silver Diamine Fluoride in Dental Trauma: A Case Series Study.","authors":"Mridula Goswami, Vashi Narula, Babita Jangra","doi":"10.30476/beat.2025.103986.1541","DOIUrl":"https://doi.org/10.30476/beat.2025.103986.1541","url":null,"abstract":"Objective: Dental injury is a significant issue in children due to their immature physical, cognitive, and physiological development. These factors often result in heightened fear and behavioral challenges during their first visit following trauma, which can compromise the quality of treatment and lead to a poor prognosis for the affected tooth. Silver Diamine Fluoride (SDF), a colorless solution approved by the US FDA for treating dental hypersensitivity and caries, offers a simple, painless, and non-invasive treatment option. Its application involves a paint-on technique with a powerful fluoride formulation, making it an ideal choice for the initial management of enamel and dentin fractures in primary teeth, particularly in uncooperative young children.Case description: This case series described four cases in which SDF was successfully used as the primary treatment for Ellis Class IX anterior tooth trauma in very young children with negative behavior responses in the dental setting. The procedure required minimal armamentarium and was well-tolerated by all patients.Conclusion: In each case, the use of SDF yielded successful and satisfactory outcomes, with a favorable prognosis for the affected teeth. Additionally, the treatment contributed to a positive shift in the children's attitudes toward dental care.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"62-67"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative Analysis of "Trauma and Injury Severity Scores" and "Madras Head Injury Prognostic Scale" in Assessing Head Trauma Prognosis in the Emergency Department of Shahid Beheshti Hospital, Sabzevar, Iran. 伊朗Sabzevar Shahid Beheshti医院急诊科“创伤及损伤严重程度评分”与“马德拉斯颅脑损伤预后量表”评估颅脑损伤预后的比较分析

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.104632.1554

Marjan Hamidnezhad, Mozhgan Ansari, Tahura Afshari Saleh, Samira Foji

{"title":"Comparative Analysis of \"Trauma and Injury Severity Scores\" and \"Madras Head Injury Prognostic Scale\" in Assessing Head Trauma Prognosis in the Emergency Department of Shahid Beheshti Hospital, Sabzevar, Iran.","authors":"Marjan Hamidnezhad, Mozhgan Ansari, Tahura Afshari Saleh, Samira Foji","doi":"10.30476/beat.2025.104632.1554","DOIUrl":"10.30476/beat.2025.104632.1554","url":null,"abstract":"Objectives: This study aimed to compare the effectiveness of Trauma and Injury Severity Scores (TRISS) and Madras Head Injury Prognostic Scale (MHIPS) in assessing the prognosis of head trauma patients in the emergency department.Methods: In this descriptive-analytical (predictive) study, 140 head trauma patients admitted to the emergency department of Shahid Beheshti Hospital (Sabzevar, Iran), were included from January to November 2023. Participants were selected via convenience sampling method and based on the inclusion criteria. Data were collected using a demographic questionnaire, the TRISS, and the MHIPS scale, and analyzed using Stata software (version 17).Results: The mean age of the injured patients was 39.72±19.86 years, and 102 (73%) patients were male. For intensive care unit (ICU) hospitalization prediction, the MHIPS tool showed a sensitivity of 92%, specificity of 86%, positive predictive value (PPV) of 60%, and negative predictive value (NPV) of 98%. For mortality prediction, the MHIPS tool had a sensitivity of 89%, specificity of 86%, PPV of 27%, and NPV of 99% in predicting death. The TRISS tool demonstrated a sensitivity of 81%, a specificity of 96%, a PPV of 81%, and an NPV of 95% for ICU hospitalization, and a sensitivity of 75%, specificity of 87%, PPV of 26%, and NPV of 98% for mortality. No significant difference was observed between TRISS and MHIPS in predicting the probability of ICU admission and mortality (p=0.797).Conclusion: Both TRISS and MHIPS demonstrated satisfactory predictive value for head trauma outcomes, with neither tool being superior to the other.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"76-82"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prognostic Value of Lactate Levels in Trauma Patients' Outcomes in Emergency Department. 乳酸水平对急诊科创伤患者预后的预测价值。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.103125.1519

Sayyed Majid Sadrzadeh, Vahid Talebzadeh, Seyed Mohammad Mousavi, Behrang Rezvani Kakhki, Elnaz Vafadar Moradi, Hamideh Feiz Disfani

{"title":"Prognostic Value of Lactate Levels in Trauma Patients' Outcomes in Emergency Department.","authors":"Sayyed Majid Sadrzadeh, Vahid Talebzadeh, Seyed Mohammad Mousavi, Behrang Rezvani Kakhki, Elnaz Vafadar Moradi, Hamideh Feiz Disfani","doi":"10.30476/beat.2025.103125.1519","DOIUrl":"https://doi.org/10.30476/beat.2025.103125.1519","url":null,"abstract":"Objectives: This study aimed to investigate the prognostic role of lactate clearance in predicting outcomes among trauma patients admitted to the emergency department.Methods: This retrospective cohort study was conducted on patients referred to the Emergency Department. Serum lactate levels were measured at admission and 2 hours later. The patients were followed up for 72 hours to assess outcomes, including discharge, hospitalization in other wards, and mortality.Results: The results showed a significant difference between the mean age, Glasgow Coma Scale (GCS), systolic blood pressure (SBP), pulse rate (PR), and oxygen saturation (O2 Sat) of the trauma patients in relation to mortality prognosis (p<0.05). Additionally, significant differences were found in primary lactate, lactate levels two hours post-admission, and lactate clearance levels based on the patient's prognosis (p<0.01). Multivariate logistic regression analysis revealed that lactate clearance was associated with a reduced mortality rate among trauma patients (OR=0.907, p<0.05).Conclusion: The findings of this study showed that lactate clearance, as an independent predictive factor, was associated with poorer prognosis and increased mortality rates in trauma patients.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"32-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Shetty Test Challenges Ottawa Ankle Rules in Detecting Foot and Ankle Fractures: A Prospective Comparative Study. 谢蒂测试挑战渥太华踝关节规则在检测足部和踝关节骨折：一项前瞻性比较研究。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.104975.1557

Konstantinos G Makiev, Ioannis S Vasios, Anthimos Keskinis, Reichan Molla Moustafa, Georgios Petkidis, Athanasios Ververidis, Konstantinos Tilkeridis, Efthymios Iliopoulos

{"title":"Shetty Test Challenges Ottawa Ankle Rules in Detecting Foot and Ankle Fractures: A Prospective Comparative Study.","authors":"Konstantinos G Makiev, Ioannis S Vasios, Anthimos Keskinis, Reichan Molla Moustafa, Georgios Petkidis, Athanasios Ververidis, Konstantinos Tilkeridis, Efthymios Iliopoulos","doi":"10.30476/beat.2025.104975.1557","DOIUrl":"https://doi.org/10.30476/beat.2025.104975.1557","url":null,"abstract":"Objectives: Ankle joint injuries are among the most common orthopedic injuries and are associated with significant healthcare costs. To reduce unnecessary radiographic screening, diagnostic tools such as the widely accepted Ottawa Ankle Rules (OARs) have been developed. However, the accuracy of OARs in excluding fractures remains uncertain. Recently, a new diagnostic test, the Shetty Test (ST), has been introduced. This prospective comparative study aimed to evaluate the diagnostic accuracy of the \"ST\" in comparison to the \"OARs\" for detecting ankle and foot fractures.Methods: A total of 112 consecutive adult patients (>18 years old) were included in the study. They were presented to the Emergency Department of a University Hospital in Alexandroupolis due to an ankle or foot injury. Data were collected over 6 months, from November 2022 to May 2023.Results: The sensitivity of the ST was 68.4%, specificity was 76.3%, positive predictive value (PPV) was 37.1%, and negative predictive value (NPV) was 92.2%. For the OARs, sensitivity was 94.7%, specificity was 15%, PPV was 18.5%, and NPV was 93.3%. When at least one of the tests was positive, the sensitivity and NPV increased to 100%.Conclusion: The ST was found to be reliable; however, it did not outperform the OARs in this study. Nevertheless, when used in conjunction, the two tests significantly improved sensitivity and the NPV. Due to its simplicity and reproducibility, the ST could be a valuable tool in daily clinical practice, particularly for non-orthopedic emergency department personnel.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"20-24"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Genetic Alterations in War-Related Post-Traumatic Stress Disorder: A Systematic Review. 与战争有关的创伤后应激障碍的基因改变：系统综述。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.105114.1560

Amir Hossein Rajabi, Samaneh Zafarabadi, Kimia Jazi, Maryam Moghbel Baerz, Omid Bahrami, Gelareh Azarinoush, Pardis Habibi, Negar Azami, Shahram Paydar

{"title":"Genetic Alterations in War-Related Post-Traumatic Stress Disorder: A Systematic Review.","authors":"Amir Hossein Rajabi, Samaneh Zafarabadi, Kimia Jazi, Maryam Moghbel Baerz, Omid Bahrami, Gelareh Azarinoush, Pardis Habibi, Negar Azami, Shahram Paydar","doi":"10.30476/beat.2025.105114.1560","DOIUrl":"https://doi.org/10.30476/beat.2025.105114.1560","url":null,"abstract":"Objectives: This systematic review explored gene expression and DNA methylation patterns to identify key pathways and molecular targets associated with post-traumatic stress disorder (PTSD), particularly its war-related subtype.Methods: A comprehensive search of PubMed, Scopus, and Web of Science was conducted using keywords related to PTSD, gene expression, and DNA methylation. Studies published between 2000 to 2024 involving adult military personnel with confirmed PTSD based on the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) criteria were included. Animal studies, psychological interventions, and pharmacological research were excluded. Only cross-sectional, case-control, or cohort studies utilizing blood, saliva, or brain tissue samples were considered. Data from 28 studies were extracted using a predefined framework, focusing on population characteristics, study design, and identified hub genes.Results: Key findings revealed the upregulation of immune-related genes (e.g., CCL4, NF-κB) and hypomethylation of inflammation-related genes. Downregulation of neurodevelopmental genes, such as Brain-Derived Neurotropic Factor (BDNF) and Down syndrome cell adhesion molecule (DSCAM), highlighted disruptions in synaptic plasticity. The identified pathways suggested potential biomarkers and therapeutic targets for precision medicine approaches.Conclusion: This review highlighted the role of gene expression alterations in war-related PTSD. The identified genes might serve as candidates for personalized therapies. Further research is required to validate these findings and develop targeted interventions.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of Urine Alkalinization in Preventing Rhabdomyolysis-Induced Acute Kidney Injury and Need for Dialysis: A Systematic Review and Meta-Analysis. 尿碱化在预防横纹肌溶解引起的急性肾损伤和透析需求中的作用：一项系统综述和荟萃分析。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.107657.1618

{"title":"The Role of Urine Alkalinization in Preventing Rhabdomyolysis-Induced Acute Kidney Injury and Need for Dialysis: A Systematic Review and Meta-Analysis.","authors":"","doi":"10.30476/beat.2025.107657.1618","DOIUrl":"10.30476/beat.2025.107657.1618","url":null,"abstract":"Objective: This systematic review and meta-analysis aimed to evaluate the efficacy of urine alkalinization in preventing acute kidney injury (AKI) and the need for dialysis in patients with rhabdomyolysis.Methods: This study was conducted in accordance with the PRISMA guideline. A systematic literature search of MEDLINE/ PubMed, Scopus, Web of Science, and Embase databases was conducted. No time or language restrictions were applied to maximize the scope of the results. After removing duplicates, the remaining articles were screened by title, abstract, and study criteria. Two researchers independently assessed the full texts of the remaining studies, with any discrepancies resolved through discussion. The risk of bias was assessed using the ROBINS-I tool, and studies with a critical risk of bias were excluded from the final analysis.Results: Out of 9,230 initially identified articles, five studies met the inclusion criteria for the meta-analysis. The analysis revealed that urine alkalinization was not significantly effective in preventing AKI (OR: 2.11; 95% CI: 0.09-47.72; p=0.3), preventing acute renal failure (OR: 1.26; 95% CI: 0.86-1.84; p=0.36), or reducing the need for dialysis (OR: 4.25; 95% CI: 0-3.8e+07; p=0.25).Conclusion: The addition of sodium bicarbonate to fluid therapy solution did not appear to provide significant protection against AKI, acute renal failure, or the need for dialysis in patients with rhabdomyolysis. Further insight should be sought through controlled randomized clinical trials with larger sample sizes.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 4","pages":"195-202"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12629271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145562871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Systemic Inflammatory Response Index as a Novel Diagnostic Tool for Acute Appendicitis. 系统性炎症反应指数作为急性阑尾炎的新诊断工具。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.107218.1611

Behrad Ghoncheh, Mohammadreza Taheri, Yeganeh Azadmanesh, Zahra Mostafavian, Tooraj Zandbaf

{"title":"The Systemic Inflammatory Response Index as a Novel Diagnostic Tool for Acute Appendicitis.","authors":"Behrad Ghoncheh, Mohammadreza Taheri, Yeganeh Azadmanesh, Zahra Mostafavian, Tooraj Zandbaf","doi":"10.30476/beat.2025.107218.1611","DOIUrl":"10.30476/beat.2025.107218.1611","url":null,"abstract":"Objective: This study aimed to assess the potential of the Systemic Inflammatory Response Index (SIRI) for diagnosing AA, its possible advantages over current methods, and its utility in distinguishing uncomplicated from complicated appendicitis.Methods: In this cross-sectional study, 240 patients scheduled for appendectomy with a diagnosis of AA were enrolled. Demographic information, clinical and paraclinical findings, including complete blood count (CBC), Alvarado score, SIRI, sonography findings, and pathology results, were documented. Data were analyzed using SPSS software version 26.Results: Of the 240 patients, 106 (44.2%) were men, and 134 (55.8%) were women, with a mean age of 37.49±15.55 years. Final pathology reports identified 26 (10.8%) cases of a normal appendix, 176 (73.3%) with uncomplicated appendicitis, 23 (9.6%) with complicated appendicitis, and 15 (6.3%) with reactive lymphoid hyperplasia. SIRI demonstrated significant differences across the pathology groups (P<0.0001). It showed notable discrimination between normal and complicated appendicitis (P=0.005), normal and combined appendicitis (P=0.008), and suggestive differences for normal versus uncomplicated (P=0.021) and uncomplicated versus complicated cases (P=0.044). Similarly, Alvarado scores showed significant differences, particularly between the normal and complicated appendicitis groups.Conclusion: The SIRI and Alvarado scoring systems showed significant potential for diagnosing appendicitis with acceptable sensitivity and specificity. They might also assist in differentiating between uncomplicated and complicated appendicitis.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 4","pages":"221-226"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12631962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145585826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Outcomes of Chevron Osteotomy with Tension Band Wiring for Distal Humerus Fractures: A Prospective Study. 张力带钢丝雪佛龙截骨治疗肱骨远端骨折的临床效果：一项前瞻性研究。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.105478.1565

Aliasghar Kousari, Amir Mehrvar, Seiied Hossein Heidari, Soroush Rezaei Garjaei

{"title":"Clinical Outcomes of Chevron Osteotomy with Tension Band Wiring for Distal Humerus Fractures: A Prospective Study.","authors":"Aliasghar Kousari, Amir Mehrvar, Seiied Hossein Heidari, Soroush Rezaei Garjaei","doi":"10.30476/beat.2025.105478.1565","DOIUrl":"10.30476/beat.2025.105478.1565","url":null,"abstract":"Objectives: Chevron osteotomy could be fixed using various techniques, each yielding different outcomes. This study aimed to determine the complications and outcomes caused by Chevron osteotomy fixed with tension band wire in distal humeral fractures.Methods: In this prospective study, patients with distal intra-articular humerus fractures treated by Chevron osteotomy at Shahid Rajaei and Shahid Chamran Hospitals (Shiraz, Iran) from October 2018 to October 2023 were enrolled. Osteotomy fusion was evaluated radiographically using the Picture Archiving and Communication System (PACS). Additional complications were assessed during periodic patient follow-ups.Results: The study included 60 patients with a mean age of 44.6±18.14 years, including 23 (38.3%) women. All cases demonstrated complete union of the olecranon osteotomy, with no cases of infection or fixation failure. In three cases, the applied pins and wires were removed. Hardware-related irritation was observed in 22 patients (36.7%).Conclusion: The tension band wiring (TBW) method demonstrated acceptable clinical outcomes. Despite frequent hardwire irritation, this technique achieved high rates of bony union. However, future comparative studies evaluating multiple fixation techniques within a single center are warranted.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 3","pages":"147-152"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenges in Managing Patients During Biological Emergencies in the Iranian Health System: A Qualitative Study. 伊朗卫生系统在生物紧急情况下管理患者的挑战：一项定性研究。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.105076.1559

Zoya Hadinejad, Mehrdad Farrokhi, Shokoufeh Ahmadi, Mohammad Saatchi, Hamidreza Khankeh

{"title":"Challenges in Managing Patients During Biological Emergencies in the Iranian Health System: A Qualitative Study.","authors":"Zoya Hadinejad, Mehrdad Farrokhi, Shokoufeh Ahmadi, Mohammad Saatchi, Hamidreza Khankeh","doi":"10.30476/beat.2025.105076.1559","DOIUrl":"10.30476/beat.2025.105076.1559","url":null,"abstract":"Objectives: This qualitative study aimed to identify the key challenges associated with managing patients affected by biological emergencies in Iran.Methods: This study was part of grounded theory research using the constant comparative analysis method proposed by Corbin (2014). Data were gathered through semi-structured interviews with 25 individuals with expertise or experience in managing biological emergencies. Purposive sampling, followed by theoretical sampling, was employed until theoretical saturation was reached. Data collection was conducted between April and November 2023, and MAXQDA software (2020) was used for data analysis.Results: After several rounds of data analysis and summarization, considering similarities and differences, four main categories and 14 subcategories were identified. The main categories included: 1) lack of a comprehensive risk communication strategy, 2) inefficiencies in patient flow mismanagement, 3) systemic political and governance challenges, and 4) deficiencies in resource allocation and utilization.Conclusion: This study highlighted the challenges faced by Iran's Healthcare system in managing affected individuals in biological emergencies. Key issues included mismanagement of patient flow and systemic inefficiencies. Addressing these challenges is essential for enhancing the effectiveness and sustainability of Iran's Healthcare system. Further research is recommended to provide practical strategies for managing biological emergencies in the future.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"105-114"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0