Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
14
5
2011
3
1
Studying the effect of perturbation training on gait kinematics of patients with anterior cruciate ligament injury
473
482
FA
Leila
Abbasi
Ali Ashraf
Jamshidi
Tehran University of Medical Sciences
Mohamad Ali
Sanjari
Saeed
Sayadi
Saeedeh
Seyed Mohseni
Background: Anterior cruciate ligament (ACL) damage is the most common injury of knee. It can change gait kinematics. Neuromuscular training and perturbation treatment programs are supposed to be effective in modifying gait kinematics of patients with ACL damage. The purpose of this study was to determine the effect of modified perturbation training protocol on gait kinematics in ACL deficient patients. Materials and Methods: Ten professional male athletes, between 18 and 45 years, with at least 6 and at most 24 months history of unilateral ACL rupture were enrolled in the study. Kinematics data of hip, knee and ankle joints were recorded using electrogoniameter device during walking before and after ten sessions of perturbation training. IKDC Subjective and Lysholm questionnaires scores were analyzed before and after training.Results: IKDC Subjective and Lysholm questionnaires scores significantly improved after treatment (P=0.005). Hip range of motion (P=0.02), peak flexion of hip (P=0.02), hip angle at stance phase (P=0.02) and peak dorsiflexion of ankle (P=0.03) were significantly increased after training. Conclusion: Perturbation training probably affects neuromuscular control and modifies feed-forward control, thus it can improve compensatory patterns of ACL deficient patients during gait. ACL deficient patients may adapt their problem with further use of hip joint and increasing hip flexion.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
14
5
2011
3
1
Evaluating the central venous catheter complications of burned patients in Imam Mousa Kazem Hospital of Isfahan during 2007-8
483
487
FA
Masoud
Sayadi
Mohsen
Yousefzadeh
Azam
Babakhani
Ali Akbar
Beigi
Isfahan University of Medical Sciences
Background: Although central venous catheter (CVC) is a favorable and quick method to access blood flow, however, it is associated with early and late complications. The aim of the present study was to determine complications of CVC placement in burned patients within one month of the procedure.Materials and Methods: This prospective study was performed on all patients with more than 30 per cent burn admitted to Imam Mousa Kazem Hospital of Isfahan during 2007-8. CVCs were applied for all of the patients and data related to the complications during placement, 24 hours and one month later were recorded. Results: Sixty-one out of 96 burned patients were male and 35 female. The majority of the victims were in age range of 20-50 years. Twenty-six patients (27%) had complications during catheter placement, 3 (3.2%) after the first 24 hours and 31 (32.3%) after one month. The most common complication during catheter insertion was its application failure (15.6%), after 24 hours it was hematoma at the site of insertion (3.2%) and after one month, catheter infection (12.4%). Conclusion: CVC application can help to reduce repeated peripheral venous catheters insertion and related subsequent complications, so it may be an effective and reliable method of long-term venous access.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
14
5
2011
3
1
A study on trauma epidemiology in children referred to Isfahan Alzahra Hospital during 2004-7
488
493
FA
Mehrdad
Memarzadeh
Mehrdad
Hoseinpour
Kashan University of Medical Sciences
Nasrin
Sanjary
Zahra
Karimi
Background: Accidents are the leading cause of emergency room admissions and mortality for children below the age of 15. This study evaluate overall epidemiological information of pediatric trauma in children referred to Isfahan Alzahra Hospital.Materials and Methods: This cross-sectional study included 2300 children admitted to Alzahra Hospital emergency room during 2005-8. Data including age, sex, kind of trauma, site of injury, blood pressure and cause of death were recorded in prepared checklist by the study of hospital files. Results: Female to male ratio was 2:1 (66.7% versus 33.3). Most of the events (45%) happened at home and school. Fall (32%) followed by motor vehicle accidents (31.1%) were the most common mechanisms of trauma. The most common areas injured in pediatric multiple trauma victims were head (34.3%) and limbs (18.9%). Mortality rate was (4.1%).Conclusion: Falling down and traffic accidents are very common in pediatric emergencies. Training the parents to believe that their children are in need of protection and surveillance is the most effective program of decreasing trauma-induced mortality in children.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
14
5
2011
3
1
Occupational and non-occupational risk factors in occupational hand injuries
494
499
FA
Maryam
Maghsoudi Pour
Hamid Reza
Saberi
Kashan University of Medical Sciences
Sayyed Alireza
Moravveji
Background: Hand injuries are the most common bodily traumas sustained at work and are always preventable. Different occupational and non-occupational risk factors may predispose to these grave events identification and modifying them has a critical role in prevention of the accidents. This study was carried out to evaluate the association between these factors and hand injuries. Materials and Methods: In this case control study 82 industrial workers with occupational hand injuries from Tehran nearby factories were compared with eighty-three controls. Working circumstances were assessed using a detailed occupational and non-occupational (individual and socio-psychological factors) questionnaire. Data were analyzed with chi-square and t-test. Results: Rotational shift work (P=0.027), lack of a close relationship between the workers, lack of training, availability and using safety equipments are statistically significant risk factors related to hand injuries (P=0.006). There is no significant relationship between individual and familial factors and hand injuries.Conclusion: Availability of safety equipments and their proper use are the most important preventive factors for hand injury. Lack of close relationship between workers can also be regarded as a significant risk factor.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
14
5
2011
3
1
Trauma epidemiology and its consequences in victims referred to Kashan Trauma Center during 2007-8
500
505
FA
Abdolhosain
Davoodabadi
Alireza
Yazdani
Kashan University of Medical Sciences
Mansoor
Sayyah
Masoud
Mirzadeh Javaheri
Background: Trauma is the most common cause of mortality for people aged 1 through 44 years. Traffic accidents are the leading cause of severe injuries among young people in most countries. This study was conducted to determine the frequency of traffic accident injuries in victims referred to Kashan Trauma Center during 2007-8. Materials and Methods: This cross-sectional descriptive study was carried out on 1004 trauma cases referred to Kashan Shahid Beheshti Trauma Center during the year during 2007-8. Data including age, sex, type of trauma, and type of intra- and/or extra-thoracic injury were recorded and analyzed. Results: Sixty-six per cent of the cases were male, and the most frequently observed trauma cases were between the ages 21 and 30, followed by 10 and 20. The frequency of trauma in urban and rural areas was 62.5% and 37.5%, respectively. Motorcycle accidents are the most common traffic accidents followed by car accidents. Conclusion: Considering the large number of trauma cases secondary to the traffic accidents and lower levels of education in those cases, appropriate educational programs may be helpful to decrease the mortality rates and other undesirable consequences of accidents.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
14
5
2011
3
1
Management of blunt hepatic trauma in patients referred to Isfahan Alzahra Hospital during 1998-2008
506
511
FA
Mohsen
Mahmoodieh
Behnam
Sanei
Mohammad
Moazeni Bistgani
Isfahan University of Medical Sciences
Neghah
Tavakoli fard
Background: Liver is the most commonly injured organ in blunt abdominal trauma. Early diagnosis and appropriate treatment of blunt hepatic trauma would decrease morbidity and mortality rates. To achieve this goal, physicians should be aware of the prevalence, etiologies, signs and symptoms, diagnostic procedures and up-to-date management of blunt hepatic trauma.Materials and Methods: A descriptive retrospective study was conducted on all 130 patients admitted to the emergency department of Isfahan Alzahra Hospital during 1998-2008. Data were collected from patients' medical records and analyzed using descriptive statistical methods.Results: Out of 130 patients, 103 cases (79.2%) were male. Mean age of cases was 29.7±13.46. The most common traumatic mechanism was vehicle accidents in 100 cases (76.9%). Sonography in association with CT scan as the most commonly used diagnostic method was obtained in 68 cases (52.3%). Eighty-eight cases (67.7%) underwent surgery while conservative treatment was selected for the other 42 cases (32.3%). Admission to ICU was more frequently needed in conservative treatment group (P=0.001). The mean length of hospitalization was shorter for patients underwent surgery. Conclusion: Better clinical results and fewer complications in the group managed conservatively presents it as a safer and more efficient treatment method.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
14
5
2011
3
1
Epidemiology of childhood burns in children referred to Velayat Burn University Hospital of Rasht during 2008-9
512
519
FA
Sirous
Emir Alavi
Guilan University of Medical Sciences
Mohamad
Tolouei
Hosain
Shodjaei
Leila
Kouchakinejad
Background: Pediatric burn injuries are common and often lead to devastating consequences. The aim of this study was to determine the epidemiology of childhood burns in children referred to Velayat Burn University Hospital of Rasht during 2008-9.
Materials and Methods: In this descriptive study the clinical data of all burned children including age, sex, burn percentage, burning agents, site of burn, transport vehicle, length of admission and consequences of burn, were collected prospectively.
Results: The burned children were treated either as inpatient (N=138) or outpatient (N=275). Thirty-three per cent of inpatients and 35% of outpatients were under two years of age. Of all the burned children, 53% were male, 76.2% from the urban areas, 72% were scalded, 93% happened at home, 75% had less than 6% burn and 23% of children had burns of trunk. Second degree burn was the most common type (79%). Seven deaths were recorded with forth-degree burns and burning surface more than 40%.
Conclusion: Children under two years of age are at highest risk of burn and most commonly with hot water (scalding) in preparing and serving meal times. Sequelae of burn are dependent to its severity and surface area.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
14
5
2011
3
1
A study on acute stress, post-traumatic stress disorder and quality of life in injured accident survivors admitted to Rasht Porsina Hospital during 2009-10
520
525
FA
Naeima
Khodadadi
Atefeh
Ghanbari
Guilan University of Medical Sciences
Shahrokh
Yosefzadeh
Fatemeh
Meskini
Fariba
Asgari
Leila
Koochaki Nejad
Background: There is limited information on health-related quality of life (HRQOL) of injured accident survivors. The aim of the present study was to assess acute stress, post traumatic stress disorder and health-related quality of life in injured accident survivors. Materials and Methods: Eighty-eight patients admitted to the orthopaedics and trauma surgery department of Rasht Porsina Hospital were enrolled to this descriptive study. SRS- PTSD (post-traumatic stress) and SF-36 (short-form of health-related quality of life) questionnaires were completed and assessed one week and two months after the accident. Results: Acute stress of the first week of the accident was found to be an independent predictor of post-traumatic stress of two months later. Regression analysis showed a statistically significant relationship between position of the survivor as a driver and score of post-traumatic stress disorder two months post-accident (P=0.024). The results also showed a statistically significant improvement in physical function (P=0.005), lack of improvement in role limitations due to physical injury (P=0.02), no improvement in mental function including mental health (P=0.001), role limitations due to emotional problems (P=0.01) and vitality (P=0.001). Conclusion: There is a significant relationship between PTSD and quality of life of the injured survivors. The return of injured accident survivors to pre-injury HRQOL may depend not only on optimal medical care but also on awareness and timely interventions regarding PTSS.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
14
5
2011
3
1
Study of sport trauma in men's sport leagues of Kashan during 2008-9
526
532
FA
Mansoor
Sayyah
Esmaeil
Fakharian
Manzardokht
Bigdeli
Kashan University of Medical Sciences
Majid
Hasanzadeh
Ali
Akbarnejad
Background: Athletes participating in sport competitions are faced with the risk of trauma. The purpose of this study was to determine the frequency of trauma injuries in men’s sport leagues of Kashan during 2008-9. Materials and Methods: In this descriptive cross-sectional study, all injuries during sport league competitions were recorded by attending the sport arenas during 2008-9. Results: A total of 160 trauma cases were recorded during 146 events. The highest number of trauma was observed in handball and taekwondo competitions with 45 (25.6%) and 35 (21.9%) cases, respectively.Conclusion: Athletes involved in sport leagues require appropriate training and adequate protection through the use of protective devices to avoid injuries.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
14
5
2011
3
1
Incidence of perineal trauma in normal spontaneous vaginal delivery in Shabih-khani Maternity Hospital of Kashan during 2007-9
533
538
FA
Elaheh
Mesdaghinia
Fatemeh
Abbaszadeh
Kashan University of Medical Sciences
Aazam
Mesdaghinia
Background: Trauma to genital tract is a common complication of normal vaginal delivery and may result from episiotomies, spontaneous lacerations or both. The aim of this study was to determine the incidence of perineal trauma in normal spontaneous vaginal delivery in patients admitted to Kashan Shabih-khani Maternity Hospital. Materials and Methods: All women having normal vaginal delivery at Kashan Shabih-khani Maternity Hospital from October 2007 to September 2009 were enrolled to this descriptive-analytical retrospective study. Data were collected from hospital charts and analyzed by chi-square test.Results: Severe (third or fourth) degree tears were seen in 0.16% of cases, 0.14% of which accompanied episiotomy. First and 2nd degree tears without episiotomy happened in 90.3% and 9.6%, respectively. Type of trauma is correlated to the birth weight of the baby (P=0/001). Conclusion: Episiotomy has no significant beneficial effect on prevention of perineal trauma. so, it is recommended that episiotomies to be avoided unless for exceptional cases.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
14
5
2011
3
1
Prevalence of musculoskeletal disorders and work-related risk factors among the employees of an automobile factory in Tehran during 2009-10
539
545
FA
Davood
Eskandari
Asghar
Ghahri
Abdolah
Gholamie
Masoud
Motalebi Kashani
Kashan University of Medical Sciences
Sayyed Gholam Abbas
Mousavi
Background: Work-related musculoskeletal disorders are considered as one of the most common occupational diseases and injuries. The high prevalence of the disorders has been reported in automobile industries due to numerous risk factors. This study was conducted to determine the prevalence of musculoskeletal disorders and the work-related risk factors in an automobile factory in Tehran.Materials and Methods: This cross-sectional study was performed on 145 workers in an automobile factory in Tehran during 2009-10. The prevalence of disorders was evaluated with standard Nordic questionnaire and work-related risk factors with KIM index. Data analyzed using chi-square test.Results: Musculoskeletal disorders were most commonly seen in tire installing (92.8%) and exhaust storage installing (88.4%) units. It was least common in door installing (43.7%) unit. Awkward posture, load lifting, back bending and torsional movements were the most important work-related risk factors for the disorders. A significant relationship was observed between prevalence of musculoskeletal disorders and occupational risk level (P<0.05).Conclusion: Ergonomics programs and specific ergonomic interventions are necessary to correct work-related problems in the work stations of this industry.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
14
5
2011
3
1
Intra-abdominal aortic injury during lumbar disc surgery, a case report
546
549
FA
Esmaeil
Fakharian
Kashan University of Medical Sciences
Behroz
Keleidari
Background: Intra-abdominal great vessel injury is a rare complication of lumbar intervertebral disc operations. However it may be underestimated for its unpredictable clinical manifestations. Delay in proper diagnosis and appropriate management of the sequellae often results in death of the patient. Materials and Methods: A 30-year-old man with aortic injury during L4/L5 posterior discectomy is presented and its management discussed. Conclusion: Attention of the surgical team and rapid intervention is the key factor in treatment, prevention of severe complications and even death.