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Exploring the Causal Impact of Age and Nighttime Driving on Road Traffic Injuries among Elderly Drivers: A Bayesian LASSO Approach. 年龄和夜间驾驶对老年驾驶员道路交通伤害的因果影响:贝叶斯LASSO方法。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.98406.1427
Fatemeh Jahanjoo, Homayoun Sadeghi-Bazargani, Seyyed Teymoor Hosseini, Mina Golestani, Mahdi Rezaei, Kavous Shahsavarinia, Hamid Soori, Mohammad Asghari-Jafarabadia
{"title":"Exploring the Causal Impact of Age and Nighttime Driving on Road Traffic Injuries among Elderly Drivers: A Bayesian LASSO Approach.","authors":"Fatemeh Jahanjoo,&nbsp;Homayoun Sadeghi-Bazargani,&nbsp;Seyyed Teymoor Hosseini,&nbsp;Mina Golestani,&nbsp;Mahdi Rezaei,&nbsp;Kavous Shahsavarinia,&nbsp;Hamid Soori,&nbsp;Mohammad Asghari-Jafarabadia","doi":"10.30476/BEAT.2023.98406.1427","DOIUrl":"https://doi.org/10.30476/BEAT.2023.98406.1427","url":null,"abstract":"<p><strong>Objective: </strong>To determine the causal relationship between aging and nighttime driving and the odds of injury among elderly drivers.</p><p><strong>Methods: </strong>In this cross-sectional study, 5460 car accidents were investigated from 2015 to 2016. The data were extracted from the Iranian Integrated Road Traffic Injury Registry System. Pedestrian accidents, motorcycle crashes, and fatalities were excluded from the study. To account for major confounders, Bayesian-LASSO, and treatment-effect cutting-edge approaches were used.</p><p><strong>Results: </strong>Overall, 801 injuries (14.67%) were evaluated. The results of the univariable analysis indicated that aging and nighttime had adverse effects on the odds of road traffic injuries (RTIs), even after adjusting for the effect of other variables, these effects remained statistically significant. According to a newly developed approach, the overall effects of aging and nighttime were significantly and directly correlated with the odds of being injured for older adults (both <i>p</i><0.001). Our findings indicated that drivers over 75 years old experienced 23% higher injury odds (OR=1.23, 95% CI:1.11 to 1.39; <i>p</i><0.001), while driving at night increased the odds by 1.78 times (OR=1.78, 95% CI:1.51 to 1.83; <i>p</i><0.001).</p><p><strong>Conclusion: </strong>Aging and nighttime driving are significant risk factors for RTIs among elderly drivers. This highlights the importance of implementing targeted interventions to enhance road safety for this vulnerable population. Furthermore, the use of advanced Bayesian-LASSO and treatment-effect statistical methods highlights the importance of utilizing sophisticated methodologies in epidemiological research to effectively capture and adjust for potential confounding factors.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 3","pages":"125-131"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/31/87/bet-11-125.PMC10387334.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9974180","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
Gamification-based Virtual Reality and Post-burn Rehabilitation: How Promising Is That? 基于游戏化的虚拟现实和烧伤后康复:前景如何?
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.97911.1416
Maryam Zavarmousavi, Fatemeh Eslamdoust-Siahestalkhi, Alireza Feizkhah, Mohammadreza Mohammadreza, Seyed Armin Fazeli Masouleh, Mahshid Badrikoohi, Parissa Bagheri Toolaroud
{"title":"Gamification-based Virtual Reality and Post-burn Rehabilitation: How Promising Is That?","authors":"Maryam Zavarmousavi,&nbsp;Fatemeh Eslamdoust-Siahestalkhi,&nbsp;Alireza Feizkhah,&nbsp;Mohammadreza Mohammadreza,&nbsp;Seyed Armin Fazeli Masouleh,&nbsp;Mahshid Badrikoohi,&nbsp;Parissa Bagheri Toolaroud","doi":"10.30476/BEAT.2023.97911.1416","DOIUrl":"https://doi.org/10.30476/BEAT.2023.97911.1416","url":null,"abstract":"Is","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 2","pages":"106-107"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7c/be/bet-11-106.PMC10182723.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9857361","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: 3
Evaluation of the Spiral Chest CT Scan Findings in Patients with Multiple Trauma. 多发创伤患者胸部螺旋CT表现的评价。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.97214.1402
Ramin Ebrahimian, Zoubin Souri, Alireza Feizkhah, Mohammadreza Mobayen, Habib Eslami Kenarsari, Mojdeh Esmailzadeh, Mohsen Ghorbani, Soroush Mirhedayati, Parissa Bagheri Toolaroud
{"title":"Evaluation of the Spiral Chest CT Scan Findings in Patients with Multiple Trauma.","authors":"Ramin Ebrahimian,&nbsp;Zoubin Souri,&nbsp;Alireza Feizkhah,&nbsp;Mohammadreza Mobayen,&nbsp;Habib Eslami Kenarsari,&nbsp;Mojdeh Esmailzadeh,&nbsp;Mohsen Ghorbani,&nbsp;Soroush Mirhedayati,&nbsp;Parissa Bagheri Toolaroud","doi":"10.30476/BEAT.2023.97214.1402","DOIUrl":"https://doi.org/10.30476/BEAT.2023.97214.1402","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the spiral chest computed tomography (CT) scan findings in patients with multiple trauma during the COVID-19 pandemic.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 1","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3c/99/bet-11-19.PMC9923035.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10756233","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
Driving Hazard Perception Tests: A Systematic Review. 驾驶危险感知测试:系统回顾。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.95777.1370
Yasaman Habibzadeh Omran, Homayoun Sadeghi-Bazargani, Mohammad Hossein Yarmohammadian, Golrokh Atighechian
{"title":"Driving Hazard Perception Tests: A Systematic Review.","authors":"Yasaman Habibzadeh Omran,&nbsp;Homayoun Sadeghi-Bazargani,&nbsp;Mohammad Hossein Yarmohammadian,&nbsp;Golrokh Atighechian","doi":"10.30476/BEAT.2023.95777.1370","DOIUrl":"https://doi.org/10.30476/BEAT.2023.95777.1370","url":null,"abstract":"<p><strong>Objective: </strong>The present study was conducted to evaluate previous studies on hazard perception among road users.</p><p><strong>Methods: </strong>A comprehensive search was conducted using electronic databases and search engines including Science Direct, PubMed, Scopus, Embase, Web of Science, Iranmedex, SID, Irandoc, and Google Scholar from January 2000 to September 2021. The search was performed using a combination of medical subject heading terms and keywords. Endnote software version 20.0 (Clarivate, Philadelphia, PA, USA) was used to organize the included articles. Thematic content analysis was used to analyze the findings. The entire review process was conducted by two authors, and unresolved challenges were discussed with other researchers.</p><p><strong>Results: </strong>Findings of the study show that all of the tests could discriminate between inexperienced and experienced drivers. The use of dynamic hazard perception tests was more common than static tests, and in some cases, simulators were used. Moreover, the results indicated a weak correlation between the results of dynamic and static tests. Therefore, it could be claimed that both dynamic and static methods measured certain dimensions of hazard perception.</p><p><strong>Conclusion: </strong>Regarding the importance of hazard perception, the findings of this study can provide further progress in designing hazard perception tests. The hazard perception tests can be sensitive to cultural or legal differences. It should also be noted that in developing tools for measuring drivers' hazard perception, different dimensions of hazard perception must be considered, so that the level of drivers' hazard perception can be reported accurately.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 2","pages":"51-68"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/49/45/bet-11-51.PMC10182720.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9486370","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: 1
Blood Glucose Level as a Predictor of Abnormal Brain Computed Tomography Scan Findings in Patients with Mild Traumatic Brain Injury. 血糖水平作为轻度创伤性脑损伤患者异常脑计算机断层扫描结果的预测因子。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.97582.1408
Mehdi Torabi, Zahra-Sadat Amiri, Moghaddameh Mirzaee
{"title":"Blood Glucose Level as a Predictor of Abnormal Brain Computed Tomography Scan Findings in Patients with Mild Traumatic Brain Injury.","authors":"Mehdi Torabi,&nbsp;Zahra-Sadat Amiri,&nbsp;Moghaddameh Mirzaee","doi":"10.30476/BEAT.2023.97582.1408","DOIUrl":"https://doi.org/10.30476/BEAT.2023.97582.1408","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate blood glucose levels in patients with brain injury caused by mild traumatic brain injury (TBI) as a foundation for determining whether these patients need a brain CT scan or not.</p><p><strong>Methods: </strong>This cross-sectional study was conducted on patients with mild TBI, who were referred to the emergency department from March 1, 2022, to September 1, 2022. After the confirmation of mild TBI by an emergency medicine specialist, blood samples were taken from the patients to measure blood glucose levels. Then a brain CT scan was performed, and blood glucose levels were compared between patients with and without CT indications of brain injury. A checklist was used to collect data, and the data were analyzed using SPSS software (version 23).</p><p><strong>Results: </strong>In the CT scans of the 157 patients included in the study, 30 patients (19.2%) had a brain injury in the CT scan. The mean blood glucose level was significantly higher in patients with brain injury, especially in the presence of vertigo and ataxia, than patients without brain injury in the CT scan (<i>p</i><0.0001). There was a significant positive correlation between age and blood glucose level (r=0.315, <i>p</i><0.0001).</p><p><strong>Conclusion: </strong>Patients with mild TBI who had signs of brain injury in the CT scan had significantly higher blood glucose levels than patients with normal CT scan findings. Although indications for performing a brain CT scan are usually based on clinical criteria, blood glucose levels can be helpful in determining the requirement for a brain CT scan in patients with mild TBI.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 2","pages":"83-89"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1b/db/bet-11-83.PMC10182721.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9857363","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
Total Knee Arthroplasty with Non-Stemmed Tibial Components among Obese Patients: Clinical and Radiologic Evaluation and Review of Literature. 肥胖患者全膝关节置换术中无胫部构件:临床和放射学评价及文献回顾。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.98166.1420
Armin Akbarzadeh, Ehsan Fallah, Seyed Ali Hashemi, Mohammad Tahami, Babak Pourabbas Tahvildari, Saeed Solooki
{"title":"Total Knee Arthroplasty with Non-Stemmed Tibial Components among Obese Patients: Clinical and Radiologic Evaluation and Review of Literature.","authors":"Armin Akbarzadeh,&nbsp;Ehsan Fallah,&nbsp;Seyed Ali Hashemi,&nbsp;Mohammad Tahami,&nbsp;Babak Pourabbas Tahvildari,&nbsp;Saeed Solooki","doi":"10.30476/BEAT.2023.98166.1420","DOIUrl":"https://doi.org/10.30476/BEAT.2023.98166.1420","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the radiologic and clinical outcomes of TKA with non-stemmed tibial components in relation to their body mass index (BMI).</p><p><strong>Methods: </strong>In this retrospective cohort study, the outcome of TKA with non-stemmed tibial components based on their BMI was evaluated (BMI<30 vs. BMI≥30). The patients' function was assessed using the International Knee Documentation Committee (IKDC) and Lysholm knee questionnaires. Radiologic evaluation for probable signs of loosening was performed using two quantitative scoring systems by Ewald and Bach <i>et al.</i> Moreover, we reviewed the current literature on the application of non-stemmed tibial components in obese patients.</p><p><strong>Results: </strong>Twenty-one patients (two men and 19 women) with BMI≥30 and a mean age of 65.1±9.5 years, and 22 patients (three men and 19 women) with BMI<30 and a mean age of 63.6±8.5 years were studied. The mean follow-up periods with BMI≥30 (47.0±19.8 months) and BMI<30 (49.2±18.7 months) were comparable (<i>p</i>=0.618). No patients in either group experienced clinical loosening. Besides, none of the patients had any kind of revision surgery. The patients in both BMI groups had comparable IKDC scores (both the total score and its sub-scores; <i>p</i>>0.05). Furthermore, the total Lysholm knee scores were similar in both groups (<i>p</i>=0.122). Using both scoring systems, the peri-prosthetic bone radiolucency near the tibial components was similar in both groups (<i>p</i>>0.999).</p><p><strong>Conclusion: </strong>The present study found no significant difference in the radiologic or clinical outcome of non-stemmed TKA in patients with BMIs under and over 30.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 2","pages":"69-74"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3e/e5/bet-11-69.PMC10182724.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9857364","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
C-Reactive Protein and D-dimer as Prognostic Markers for Clinical Outcomes in Patients with Mild Traumatic Brain Injury: A Cross-Sectional Study. c -反应蛋白和d -二聚体作为轻度创伤性脑损伤患者临床结果的预后标志物:一项横断面研究。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.98573.1435
Seyed Mohammad Hosseininejad, Farzad Bozorgi, Fatemeh Jahanian, Mehdi Mohammadian Amiri, Reza Ali Mohammadpour, Gholamhossein Hajiaghaei
{"title":"C-Reactive Protein and D-dimer as Prognostic Markers for Clinical Outcomes in Patients with Mild Traumatic Brain Injury: A Cross-Sectional Study.","authors":"Seyed Mohammad Hosseininejad,&nbsp;Farzad Bozorgi,&nbsp;Fatemeh Jahanian,&nbsp;Mehdi Mohammadian Amiri,&nbsp;Reza Ali Mohammadpour,&nbsp;Gholamhossein Hajiaghaei","doi":"10.30476/BEAT.2023.98573.1435","DOIUrl":"https://doi.org/10.30476/BEAT.2023.98573.1435","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the use of prognostic markers such as C-reactive protein (CRP) and D-dimer for clinical outcomes in patients with mild traumatic brain injury (TBI).</p><p><strong>Methods: </strong>This cross-sectional study was conducted on patients with mild head trauma who were admitted to the Emergency Department of Imam Khomeini Hospital (Sari, Iran). Data were collected from 2018 to 2019. Age, sex, the time of injury hospitalization, length of hospitalization, length of unconsciousness, blood pressure, heart rate, respiratory rate, and concomitant symptoms were all recorded using a pre-designed checklist. The patient's Glasgow Coma Scale (GCS), CRP, and D-dimer were also measured. Moreover, all patients underwent CT scan.</p><p><strong>Results: </strong>This study included 74 patients with TBI. The mean age of the participants was 36.92±3.54. The mean CRP and D-dimer values were 5.69±0.77 and 0.58±0.11 in these patients, respectively. At the cut-off point of 11.50 for CRP, the sensitivity and specificity to detect the pathological lesions in CT scan were 75% and 95.50%, respectively (<i>p</i><0.001). Additionally, with a D-dimer cut-off point of 0.90, the sensitivity and specificity for diagnosing pathological lesions in CT scan were 100% and 98.50%, respectively (<i>p</i><0.001).</p><p><strong>Conclusion: </strong>In general, the CRP and D-dimer levels of patients with mild TBI (GCS≥13) can be assessed to protect against CT-induced radiation exposure and subsequent disorders; if they do not exhibit clinical signs to increase the risk of adverse brain damage, such as reduced level of consciousness, drowsiness, and prolonged periods of unconsciousness.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 3","pages":"119-124"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/15/6d/bet-11-119.PMC10387341.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9919994","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
Driving Hazard Perception Components: A Systematic Review and Meta-Analysis. 驾驶危险知觉成分:系统回顾与元分析。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.95410.1356
Yasaman Habibzadeh, Mohammad Hossein Yarmohammadian, Homayoun Sadeghi-Bazargani
{"title":"Driving Hazard Perception Components: A Systematic Review and Meta-Analysis.","authors":"Yasaman Habibzadeh,&nbsp;Mohammad Hossein Yarmohammadian,&nbsp;Homayoun Sadeghi-Bazargani","doi":"10.30476/BEAT.2023.95410.1356","DOIUrl":"https://doi.org/10.30476/BEAT.2023.95410.1356","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the rate of driving hazard perception (HP), explicate the content of HP and determine its components.</p><p><strong>Methods: </strong>The present study is a systematic review and a meta-analysis which is carried out to gather data, to search Science Direct, PubMed, Scopus, PROQUEST, web of knowledge databases, Google scholar search engine and also to search manually from January 2000 to September 2021 with using related keywords. EndNote X20 software was used to manage and screening studies. Stata16 was used for meta-analysis. Thematic content analysis was used to analyze the findings. The entire review process was conducted by two authors, and disputes were referred to a third person.</p><p><strong>Results: </strong>Out of the 1167 founded articles, 50 were finally included in the study. According to 10 imported papers for meta-analysis includes 2770 sample size, general HP of drivers is estimated 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.</p><p><strong>Conclusion: </strong>In this study, obtained results show that all people need constant and gradual training at all levels. A 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.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ff/11/bet-11-1.PMC9923031.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10488908","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: 4
Evaluation of Various Fixation Methods in Acute Scapholunate Dissociation, A Finite Element Study. 评估急性肩胛骨离断时的各种固定方法,有限元研究。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.100425.1469
Mohammad Amin Mahdiyar, Hamid Namazi, Hussein Malekjamshidi, Mohammad Taghi Karimi
{"title":"Evaluation of Various Fixation Methods in Acute Scapholunate Dissociation, A Finite Element Study.","authors":"Mohammad Amin Mahdiyar, Hamid Namazi, Hussein Malekjamshidi, Mohammad Taghi Karimi","doi":"10.30476/BEAT.2023.100425.1469","DOIUrl":"https://doi.org/10.30476/BEAT.2023.100425.1469","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the outcomes of fixing scapholunate with pins and screws in parallel, convergent, and divergent orientations.</p><p><strong>Materials and methods: </strong>In this computer simulation study, the CT scan images of a healthy subject were used to construct a 3D model of the wrist joint using MIMICS software. The imposed force to scaphoid and 3D model lunate bones, as well as the scapholunate angle and distance, were compared in different surgical techniques using parallel, divergent, and convergent pins and screws.</p><p><strong>Results: </strong>In the absence of external force, the imposed stress applied to the scaphoid and lunate bones in cases of parallel pins and screws were 7.5MPa, 5.08MPa (pins), 1.134MPa, and 1.151MPa (screws), and 10.90MPa, 10.90MPa (pins), 9.7MPa, and 34.1MPa (screws) for 50N flexion force. The imposed stress in this approach is significantly lower compared to other interventions. Better outcomes were seen regarding scapholunate angle and scapholunate distance in using parallel pins or screws as well.</p><p><strong>Conclusion: </strong>In conclusion, implementing parallel pins and screws for scapholunate fixation had better results in terms of achieving carpal stability in scapholunate dissociation. However, fixation with pins and screws showed a statistically significant difference. Furthermore, a wide range of motion exercises with no additional forces can be used in the rehabilitation of patients undergoing this surgery.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 4","pages":"173-177"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10743320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032177","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
Study of Epidemiological Characteristics of Fatal Injuries Using Death Registry Data in Georgia. 利用佐治亚州死亡登记数据研究致命伤害的流行病学特征。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.97931.1418
Nino Chkhaberidze, Ketevan Axobadze, Maia Kereselidz, Nato Pitskhelauri, Maka Jorbenadze, Nino Chikhladze
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