Objective: This study aimed to investigate the death trend and years of life lost (YLL) caused by social harm in Ilam province.
Methods: This cross-sectional study was conducted in Ilam province from 2009 to 2019. To estimate YLL, all deaths caused by suicide, homicide, and addiction were included in the study. The data were collected from the Forensic Medicine Organization. The analysis was carried out using SPSS software (version 23.0). A p-value of <0.05 was considered statistically significant.
Results: Between 2009 and 2019, there were 1712 occurrences of suicide, homicide, and addiction, which resulted in a total of 62,605 years of lost life (53,934 per 100,000 people). The highest frequency was related to the age group of 15-29 years, while the lowest was related to the age group of 0-14 years (p<0.001). During the studied period, men were more likely than women to commit suicide, homicide, and addiction in Ilam (p>0.439). Between 2009 and 2019, the number of suicides and homicides in Ilam province started a decreasing trend for both sexes, while the number of deaths caused by addiction was increasing.
Conclusion: The results of this study indicated that the age groups of 15-29 years had the highest rate of YLL caused by suicide, homicide, and addiction for both sexes. Furthermore, the findings showed that YLL decreased for suicide and homicide, but increased for addiction.
{"title":"Death Trends and Years of Life Lost Due to Social Harms Such as Suicide, Homicide, and Addiction, Ilam Province, 2009-2019.","authors":"Zahra Jalilian, Fathola Mohamadian, Sasan Ahmadi, Yousef Veisani","doi":"10.30476/BEAT.2023.97876.1447","DOIUrl":"https://doi.org/10.30476/BEAT.2023.97876.1447","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the death trend and years of life lost (YLL) caused by social harm in Ilam province.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in Ilam province from 2009 to 2019. To estimate YLL, all deaths caused by suicide, homicide, and addiction were included in the study. The data were collected from the Forensic Medicine Organization. The analysis was carried out using SPSS software (version 23.0). A <i>p</i>-value of <0.05 was considered statistically significant.</p><p><strong>Results: </strong>Between 2009 and 2019, there were 1712 occurrences of suicide, homicide, and addiction, which resulted in a total of 62,605 years of lost life (53,934 per 100,000 people). The highest frequency was related to the age group of 15-29 years, while the lowest was related to the age group of 0-14 years (<i>p</i><0.001). During the studied period, men were more likely than women to commit suicide, homicide, and addiction in Ilam (<i>p</i>>0.439). Between 2009 and 2019, the number of suicides and homicides in Ilam province started a decreasing trend for both sexes, while the number of deaths caused by addiction was increasing.</p><p><strong>Conclusion: </strong>The results of this study indicated that the age groups of 15-29 years had the highest rate of YLL caused by suicide, homicide, and addiction for both sexes. Furthermore, the findings showed that YLL decreased for suicide and homicide, but increased for addiction<b>.</b></p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10743323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032175","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}
{"title":"Health Stewardship in Polar Regions: A Gateway to Establish Emergency Medicine in Extreme Environment.","authors":"Hossein Akbarialiabad, Rowena Christiansen, Mohsen Farjoud Kouhanjani, Milad Ahmadi Marzaleh, Mohammad Hossein Taghrir","doi":"10.30476/BEAT.2023.99614.1454","DOIUrl":"https://doi.org/10.30476/BEAT.2023.99614.1454","url":null,"abstract":"","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10743319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032178","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}
Pub Date : 2023-01-01DOI: 10.30476/BEAT.2023.97246.1403
Umit Can Dolek, Serdar Ozdemir, Kumissay Babayeva, Murat Gol
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.
{"title":"Leech Application-related Upper Gastrointestinal Bleeding: A Case Report.","authors":"Umit Can Dolek, Serdar Ozdemir, Kumissay Babayeva, Murat Gol","doi":"10.30476/BEAT.2023.97246.1403","DOIUrl":"https://doi.org/10.30476/BEAT.2023.97246.1403","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"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/c0/3b/bet-11-47.PMC9923036.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10756231","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}
Pub Date : 2023-01-01DOI: 10.30476/BEAT.2023.97509.1406
Faramarz Dobakhti, Ali Zargar, Taraneh Naghibi
Objective: Ventilator-associated pneumonia is the common cause of morbidity and mortality in the intensive care unit. Due to the antimicrobial effect of chlorhexidine, and the long-lasting result of mucoadhesive drugs, this study aimed to determine the effect of chlorhexidine mucoadhesive gel on the prevention of ventilator-associated pneumonia in critical patients.
Method: In this clinical trial, 64 ventilated patients were selected and randomly allocated into two groups. The first group received 0.2% chlorhexidine mucoadhesive gel and the second group received 0.2% chlorhexidine solution as a mouthwash. Every three days, the incidence of ventilator-associated pneumonia was evaluated by the clinical score of pulmonary infection. The data were analyzed by SPSS statistical software version 20.
Results: There was no statistically significant difference in demographic characteristics between the two groups. In the control group, 25% of the patients had ventilator-associated pneumonia, while it was only 15.6% in the intervention group; however, the incidence of ventilator-associated pneumonia revealed no significant difference between the two groups (HR ratio, 0.86; 95% confidence interval, 0.49 to 1.83 p=0.356).In addition, there was no statistically significant difference between the number of days connected to the ventilator (p=0.854), the number of days hospitalized in the intensive care unit (p=0.423), and the death rate (p=0.634) between the two groups.
Conclusion: Although no significant statistical difference was detected between chlorhexidine mucoadhesive gel and chlorhexidine solution in the prevention of ventilator-associated pneumonia, the incidence of pneumonia in the mucoadhesive gel group was clinically less than in the control group. It is better to repeat the study with a larger statistical population.
目的:呼吸机相关性肺炎是重症监护病房发病和死亡的常见原因。鉴于氯己定的抗菌作用,以及黏附药物的长效性,本研究旨在探讨氯己定黏附凝胶对危重患者呼吸机相关性肺炎的预防作用。方法:本临床试验选择64例通气患者,随机分为两组。第一组给予0.2%洗必泰黏附凝胶,第二组给予0.2%洗必泰溶液作为漱口水。每隔三天,通过肺部感染临床评分评估呼吸机相关性肺炎的发生率。采用SPSS统计软件第20版对数据进行分析。结果:两组患者人口学特征差异无统计学意义。对照组有25%的患者发生呼吸机相关性肺炎,干预组只有15.6%;但两组呼吸机相关性肺炎的发生率无显著性差异(HR比0.86;95%置信区间,0.49 ~ 1.83 p =0.356)。此外,两组患者的呼吸机使用天数(p =0.854)、重症监护病房住院天数(p =0.423)和死亡率(p =0.634)差异无统计学意义。结论:氯己定黏附凝胶与氯己定溶液预防呼吸机相关性肺炎的效果虽无统计学差异,但黏附凝胶组肺炎的临床发生率低于对照组。最好在更大的统计人群中重复这项研究。
{"title":"The Impact of Chlorhexidine Mucoadhesive Gel in the Prevention of Ventilator-Associated Pneumonia: A Randomized Clinical Trial.","authors":"Faramarz Dobakhti, Ali Zargar, Taraneh Naghibi","doi":"10.30476/BEAT.2023.97509.1406","DOIUrl":"https://doi.org/10.30476/BEAT.2023.97509.1406","url":null,"abstract":"<p><strong>Objective: </strong>Ventilator-associated pneumonia is the common cause of morbidity and mortality in the intensive care unit. Due to the antimicrobial effect of chlorhexidine, and the long-lasting result of mucoadhesive drugs, this study aimed to determine the effect of chlorhexidine mucoadhesive gel on the prevention of ventilator-associated pneumonia in critical patients.</p><p><strong>Method: </strong>In this clinical trial, 64 ventilated patients were selected and randomly allocated into two groups. The first group received 0.2% chlorhexidine mucoadhesive gel and the second group received 0.2% chlorhexidine solution as a mouthwash. Every three days, the incidence of ventilator-associated pneumonia was evaluated by the clinical score of pulmonary infection. The data were analyzed by SPSS statistical software version 20.</p><p><strong>Results: </strong>There was no statistically significant difference in demographic characteristics between the two groups. In the control group, 25% of the patients had ventilator-associated pneumonia, while it was only 15.6% in the intervention group; however, the incidence of ventilator-associated pneumonia revealed no significant difference between the two groups (HR ratio, 0.86; 95% confidence interval, 0.49 to 1.83 <i>p</i> <i>=</i>0.356).In addition, there was no statistically significant difference between the number of days connected to the ventilator (<i>p</i> <i>=</i>0.854), the number of days hospitalized in the intensive care unit (<i>p</i> <i>=</i>0.423), and the death rate (<i>p</i> <i>=</i>0.634) between the two groups.</p><p><strong>Conclusion: </strong>Although no significant statistical difference was detected between chlorhexidine mucoadhesive gel and chlorhexidine solution in the prevention of ventilator-associated pneumonia, the incidence of pneumonia in the mucoadhesive gel group was clinically less than in the control group. It is better to repeat the study with a larger statistical population.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"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/78/f4/bet-11-26.PMC9923030.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10768276","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}
Pub Date : 2023-01-01DOI: 10.30476/BEAT.2023.97913.1415
Reza Mohammadian, Afsoon Afsoon, Mohmmadjavad Rajabi, Saman Nikeghbalian, Mahmood Shariat, Ahmad Monabati, Seyed Hamidreza Hosseinialhashemi
Wunderlich syndrome, also known as the spontaneous non-traumatic retroperitoneal hemorrhage, is an uncommon condition characterized by acute, spontaneous, non-traumatic renal hemorrhage into the subcapsular or perirenal spaces. The majority of the cases are caused by renal cell carcinoma or renal angiomyolipoma. Other causes are arteriovenous malformation, cystic renal disease, and anticoagulation medications. The classic presentation is "Lenk's triad" of acute flank pain, palpable flank mass, and hypovolemia. The diagnosis is based on clinical suspicion and confirmed by a CT scan, which is the preferred imaging modality. Due to the rarity of these cases and the wide range of clinical manifestations, the treatment is divergent ranging from conservative management to nephrectomy. Herein, we present a case of massive right renal hemorrhage caused by warfarin toxicity that was initially misdiagnosed as acute renal colic due to the patient's refusal to refer to the clinic during Corona Virus Disease- 19 era and was later managed with a right nephrectomy.
{"title":"Wunderlich Syndrome: Early Misdiagnosis with Acute Renal Colic During COVID-19 Pandemic.","authors":"Reza Mohammadian, Afsoon Afsoon, Mohmmadjavad Rajabi, Saman Nikeghbalian, Mahmood Shariat, Ahmad Monabati, Seyed Hamidreza Hosseinialhashemi","doi":"10.30476/BEAT.2023.97913.1415","DOIUrl":"https://doi.org/10.30476/BEAT.2023.97913.1415","url":null,"abstract":"<p><p>Wunderlich syndrome, also known as the spontaneous non-traumatic retroperitoneal hemorrhage, is an uncommon condition characterized by acute, spontaneous, non-traumatic renal hemorrhage into the subcapsular or perirenal spaces. The majority of the cases are caused by renal cell carcinoma or renal angiomyolipoma. Other causes are arteriovenous malformation, cystic renal disease, and anticoagulation medications. The classic presentation is \"Lenk's triad\" of acute flank pain, palpable flank mass, and hypovolemia. The diagnosis is based on clinical suspicion and confirmed by a CT scan, which is the preferred imaging modality. Due to the rarity of these cases and the wide range of clinical manifestations, the treatment is divergent ranging from conservative management to nephrectomy. Herein, we present a case of massive right renal hemorrhage caused by warfarin toxicity that was initially misdiagnosed as acute renal colic due to the patient's refusal to refer to the clinic during Corona Virus Disease- 19 era and was later managed with a right nephrectomy.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"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/5b/6d/bet-11-102.PMC10182722.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9857362","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}
Due to the specific features of the adrenal glands, traumatic adrenal injury is a rare phenomenon. The majority of these rare types of traumas are caused by blunt force injuries and rarely by penetrating mechanisms. In such cases, a whole-body computed tomography scan is essential for early diagnosis. This paper describes an uncommon case of adrenal hematoma and contusion followed by blunt abdominal trauma. A 35-year-old woman was admitted to the emergency department after a high-speed vehicle-pedestrian collision. She presented with decreasing level of consciousness. Additionally, a thoracoabdominal CT scan revealed a left flank hematoma. Blunt adrenal injury, often accompanied by multiorgan damage, is a rare occurrence resulting from severe accidents. Accurate diagnosis based on clinical symptoms requires high clinical suspicion, particularly in isolated cases, and treatment depends on the patient's condition.
{"title":"Isolated Adrenal Gland Hemorrhage: A Case of a Car Accident.","authors":"Hossein Abdolrahimzadeh Fard, Soheil Bolandi, Zahra Mohammadi","doi":"10.30476/BEAT.2023.98940.1446","DOIUrl":"https://doi.org/10.30476/BEAT.2023.98940.1446","url":null,"abstract":"<p><p>Due to the specific features of the adrenal glands, traumatic adrenal injury is a rare phenomenon. The majority of these rare types of traumas are caused by blunt force injuries and rarely by penetrating mechanisms. In such cases, a whole-body computed tomography scan is essential for early diagnosis. This paper describes an uncommon case of adrenal hematoma and contusion followed by blunt abdominal trauma. A 35-year-old woman was admitted to the emergency department after a high-speed vehicle-pedestrian collision. She presented with decreasing level of consciousness. Additionally, a thoracoabdominal CT scan revealed a left flank hematoma. Blunt adrenal injury, often accompanied by multiorgan damage, is a rare occurrence resulting from severe accidents. Accurate diagnosis based on clinical symptoms requires high clinical suspicion, particularly in isolated cases, and treatment depends on the patient's condition.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"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/61/7e/bet-11-162.PMC10387335.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9974177","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}
Pub Date : 2023-01-01DOI: 10.30476/BEAT.2023.98793.1441
Mohamad Hoseini Kasnavieh, Keihan Kookli, Mohamad Veisi, Mohammad Amerzadeh, Hossein Hosseinifar, Ali Tahmasebi
Objective: This study aimed to investigate the necessity of cervical collars in patients with neck problems.
Methods: This cross-sectional study was conducted on 114 patients who were admitted to the Haft Tir and Rasoul Akram Hospitals (Tehran, Iran) from August to September 2022. The Nexus protocol was used to select the patients with cervical collars. According to the protocol, a cervical collar was required for individuals who had at least one symptom. If none of these symptoms existed, the cervical collar was deemed unnecessary. The data were analyzed using the Chi-square test and Fisher's exact test.
Results: Of the 114 trauma patients, the cervical collar was used unnecessarily by 49 (43%) patients. Tenderness was the most common complication in 62 patients (54.4%). The prevalence of unnecessary cervical collar use was 37.5% in female trauma patients and 43.88% in male trauma patients, which was not statistically significant (p=0.63). The prevalence of unnecessary cervical collar use in trauma patients with multiple trauma was 39.42% and 80% in patients without multiple trauma, which was statistically significant (p=0.018). Patients with a medical history had a higher rate of unnecessary use of the cervical collar (47.96%) than those without a history (12.5%), and this difference was statistically significant (p=0.008).
Conclusion: The guidelines for using cervical collars need to be updated by the EMS. Due to the large number of trauma patients in Iran, cervical collars for necessary conditions can help to reduce the healthcare expenses and injuries caused by unnecessary cervical collars.
{"title":"Investigating the Rate and Affecting Factors of Unnecessary Cervical Collar Use in Trauma Patients.","authors":"Mohamad Hoseini Kasnavieh, Keihan Kookli, Mohamad Veisi, Mohammad Amerzadeh, Hossein Hosseinifar, Ali Tahmasebi","doi":"10.30476/BEAT.2023.98793.1441","DOIUrl":"https://doi.org/10.30476/BEAT.2023.98793.1441","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the necessity of cervical collars in patients with neck problems.</p><p><strong>Methods: </strong>This cross-sectional study was conducted on 114 patients who were admitted to the Haft Tir and Rasoul Akram Hospitals (Tehran, Iran) from August to September 2022. The Nexus protocol was used to select the patients with cervical collars. According to the protocol, a cervical collar was required for individuals who had at least one symptom. If none of these symptoms existed, the cervical collar was deemed unnecessary. The data were analyzed using the Chi-square test and Fisher's exact test.</p><p><strong>Results: </strong>Of the 114 trauma patients, the cervical collar was used unnecessarily by 49 (43%) patients. Tenderness was the most common complication in 62 patients (54.4%). The prevalence of unnecessary cervical collar use was 37.5% in female trauma patients and 43.88% in male trauma patients, which was not statistically significant (p=0.63). The prevalence of unnecessary cervical collar use in trauma patients with multiple trauma was 39.42% and 80% in patients without multiple trauma, which was statistically significant (p=0.018). Patients with a medical history had a higher rate of unnecessary use of the cervical collar (47.96%) than those without a history (12.5%), and this difference was statistically significant (p=0.008).</p><p><strong>Conclusion: </strong>The guidelines for using cervical collars need to be updated by the EMS. Due to the large number of trauma patients in Iran, cervical collars for necessary conditions can help to reduce the healthcare expenses and injuries caused by unnecessary cervical collars.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10743316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032179","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}
Objectives: To study the anti-inflammatory and antioxidant effects of flaxseed oil and olive oil on inflammatory markers for facilitating wound healing.
Methods: One hundred and twelve patients were randomly selected to four groups with a total burn surface area (TBSA) of 20-50%. The four groups includes olive oil (OO), flaxseed oil (FO), mixture of olive oil and flaxseed oil (OF), and control group and received 30g of oils for three weeks. Serum high-sensitivity C-reactive protein (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. Wound healing was assessed by photographing on days 2, 8, 15, and 22 (during three weeks of intervention) and were analyzed 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 the end of the first week of intervention was not significant in the study groups. However, the stereology examination showed 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 healing and showed positive effects on the size of wounds in burn patients.
{"title":"Effects of Flaxseed Oil and Olive Oil on Markers of Inflammation and Wound Healing in Burn Patients: A Randomized Clinical Trial.","authors":"Atefeh Ghanbari, Sanaz Masoumi, Ehsan Kazemnezhad Leyli, Marjan Mahdavi-Roshan, Mohammadreza Mobayen","doi":"10.30476/BEAT.2022.97070.1399","DOIUrl":"https://doi.org/10.30476/BEAT.2022.97070.1399","url":null,"abstract":"<p><strong>Objectives: </strong>To study the anti-inflammatory and antioxidant effects of flaxseed oil and olive oil on inflammatory markers for facilitating wound healing.</p><p><strong>Methods: </strong>One hundred and twelve patients were randomly selected to four groups with a total burn surface area (TBSA) of 20-50%. The four groups includes olive oil (OO), flaxseed oil (FO), mixture of olive oil and flaxseed oil (OF), and control group and received 30g of oils for three weeks. Serum high-sensitivity C-reactive protein (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. Wound healing was assessed by photographing on days 2, 8, 15, and 22 (during three weeks of intervention) and were analyzed in imageJ software.</p><p><strong>Results: </strong>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 the end of the first week of intervention was not significant in the study groups. However, the stereology examination showed significant improvement in wound healing at the end of the second and third weeks in the OF.</p><p><strong>Conclusion: </strong>Based on the findings, combination of herbal oils reduce inflammation and improve wound healing and showed positive effects on the size of wounds in burn patients.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"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/bc/ef/bet-11-32.PMC9923033.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10768278","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}
Objective: Considering the growing use of emergency medical services (EMS), we evaluated the level of public awareness of emergency situations in Iran.
Methods: This cross-sectional study was conducted from August 2021 to January 2023 on Iranian residents in Tehran, who were older than 18 years old. The participants were directed to a URL for an online survey link and asked to select their preferred options for the predetermined scenarios. We divided the participants into three groups: abuse, misuse, and non-use. At least 12 correct answers were required to qualify as acceptable knowledge and practice responses (KP score). Then, the relationship between participants' baseline characteristics and their level of awareness was investigated.
Results: Totally, 3864 people participated in the study, of whom 50.5% were men. The participants' ages ranged from 18 to 90 years old, with a mean age of 40.01±11.30 years. In general, the rate of abuse, misuse, and not-use in at least one scenario was 74.5%, 64%, and 70.4%, respectively. The results of the multivariable regression analysis indicated that female sex (OR=1.29), a higher education level (OR=3.36), a higher income level (OR=1.64), and Turkish ethnicity (OR=1.20) were significantly associated with the correct KP score.
Conclusion: The degree of inappropriate utilization of EMS services in Iran was significant. We found that the proper knowledge regarding the appropriate use of EMS was significantly associated with the participant's level of education, academic field, job, and income.
{"title":"The General Public Awareness of Emergency Conditions and the Services Provided by Emergency Medical Services.","authors":"Peyman Saberian, Arman Shafiee, Parisa Hasani-Sharamin, Hosein Rafiemanesh, Alireza Baratloo","doi":"10.30476/BEAT.2023.98541.1436","DOIUrl":"https://doi.org/10.30476/BEAT.2023.98541.1436","url":null,"abstract":"<p><strong>Objective: </strong>Considering the growing use of emergency medical services (EMS), we evaluated the level of public awareness of emergency situations in Iran.</p><p><strong>Methods: </strong>This cross-sectional study was conducted from August 2021 to January 2023 on Iranian residents in Tehran, who were older than 18 years old. The participants were directed to a URL for an online survey link and asked to select their preferred options for the predetermined scenarios. We divided the participants into three groups: abuse, misuse, and non-use. At least 12 correct answers were required to qualify as acceptable knowledge and practice responses (KP score). Then, the relationship between participants' baseline characteristics and their level of awareness was investigated.</p><p><strong>Results: </strong>Totally, 3864 people participated in the study, of whom 50.5% were men. The participants' ages ranged from 18 to 90 years old, with a mean age of 40.01±11.30 years. In general, the rate of abuse, misuse, and not-use in at least one scenario was 74.5%, 64%, and 70.4%, respectively. The results of the multivariable regression analysis indicated that female sex (OR=1.29), a higher education level (OR=3.36), a higher income level (OR=1.64), and Turkish ethnicity (OR=1.20) were significantly associated with the correct KP score.</p><p><strong>Conclusion: </strong>The degree of inappropriate utilization of EMS services in Iran was significant. We found that the proper knowledge regarding the appropriate use of EMS was significantly associated with the participant's level of education, academic field, job, and income.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"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/f4/07/bet-11-154.PMC10387336.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9919992","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}
Pub Date : 2023-01-01DOI: 10.30476/BEAT.2023.98282.1424
Morteza Rahbar Taramsari, Mohammadreza Mobayen, Alireza Feizkhah, Negin Letafatkar, Mojdeh Esmailzadeh, Sara Hoseinzadeh, Farank Yeganehdoost, Fatemeh Mehdipour, Parissa Bagheri Toolaroud
Objective: Burn trauma is a life-threatening incident that may be accompanied by several risk factors that increase morbidity and mortality. Drug abuse is one of the lifestyle dangers on the rise globally and can have an impact on the outcomes of burn injuries. This study aimed to evaluate the effect of drug abuse on the clinical outcomes of adult burn patients who were admitted to a burn center in the North of Iran.
Methods: This retrospective cross-sectional study included adult burn patients who were referred to Velayat Hospital, between March 1, 2021, and March 20, 2022. The hospital information system (HIS) was used to select patients with a history of drug use and then were compared with burn victims who had never used drugs before. In both groups, demographic information, the cause of the burn, the comorbid diseases, total body surface area, length of stay, and outcomes were collected and recorded for both groups.
Results: This study included 114 inpatients, 90 of whom (78.95%) were men. The mean age of the patients was 43±15 years. The mean length of hospitalization in the drug-user group was significantly higher than in the non-drug abuse group (p=0.004). The drug abuse group had significantly higher rates of comorbid diseases (p=0.021), inhalation injury (p<0.001), mortality (p=0.002), and pneumonia (p<0.001). However, there were no statistically significant differences in the Infection and Sir's rates (p=0.583) between the groups.
Conclusion: Drug abuse is a risk factor in adult burn patients, which can affect the length of stay and burn-related morbidities.
{"title":"The Effect of Drug Abuse on Clinical Outcomes of Adult Burn Patients Admitted to a Burn Center in the North of Iran.","authors":"Morteza Rahbar Taramsari, Mohammadreza Mobayen, Alireza Feizkhah, Negin Letafatkar, Mojdeh Esmailzadeh, Sara Hoseinzadeh, Farank Yeganehdoost, Fatemeh Mehdipour, Parissa Bagheri Toolaroud","doi":"10.30476/BEAT.2023.98282.1424","DOIUrl":"https://doi.org/10.30476/BEAT.2023.98282.1424","url":null,"abstract":"<p><strong>Objective: </strong>Burn trauma is a life-threatening incident that may be accompanied by several risk factors that increase morbidity and mortality. Drug abuse is one of the lifestyle dangers on the rise globally and can have an impact on the outcomes of burn injuries. This study aimed to evaluate the effect of drug abuse on the clinical outcomes of adult burn patients who were admitted to a burn center in the North of Iran.</p><p><strong>Methods: </strong>This retrospective cross-sectional study included adult burn patients who were referred to Velayat Hospital, between March 1, 2021, and March 20, 2022. The hospital information system (HIS) was used to select patients with a history of drug use and then were compared with burn victims who had never used drugs before. In both groups, demographic information, the cause of the burn, the comorbid diseases, total body surface area, length of stay, and outcomes were collected and recorded for both groups.</p><p><strong>Results: </strong>This study included 114 inpatients, 90 of whom (78.95%) were men. The mean age of the patients was 43±15 years. The mean length of hospitalization in the drug-user group was significantly higher than in the non-drug abuse group (<i>p</i>=0.004). The drug abuse group had significantly higher rates of comorbid diseases (<i>p</i>=0.021), inhalation injury (<i>p</i><0.001), mortality (<i>p</i>=0.002), and pneumonia (<i>p</i><0.001). However, there were no statistically significant differences in the Infection and Sir's rates (<i>p</i>=0.583) between the groups.</p><p><strong>Conclusion: </strong>Drug abuse is a risk factor in adult burn patients, which can affect the length of stay and burn-related morbidities.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"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/2b/9c/bet-11-90.PMC10182718.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9857360","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}