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MEDICAL SCIENCES (2413 journals)                  1 2 3 4 5 6 7 8 | Last

Showing 1 - 200 of 3562 Journals sorted alphabetically
16 de Abril     Open Access   (Followers: 4)
3D Printing in Medicine     Open Access   (Followers: 5)
4 open     Open Access  
AADE in Practice     Hybrid Journal   (Followers: 6)
AAS Open Research     Open Access   (Followers: 2)
ABCS Health Sciences     Open Access   (Followers: 8)
Abia State University Medical Students' Association Journal     Full-text available via subscription   (Followers: 3)
AboutOpen     Open Access  
ACIMED     Open Access   (Followers: 1)
ACS Medicinal Chemistry Letters     Hybrid Journal   (Followers: 50)
Acta Bio Medica     Open Access   (Followers: 2)
Acta Bioethica     Open Access  
Acta Bioquimica Clinica Latinoamericana     Open Access   (Followers: 1)
Acta Científica Estudiantil     Open Access  
Acta Facultatis Medicae Naissensis     Open Access   (Followers: 1)
Acta Herediana     Open Access  
Acta Informatica Medica     Open Access   (Followers: 2)
Acta Medica (Hradec Králové)     Open Access  
Acta Medica Bulgarica     Open Access  
Acta Medica Colombiana     Open Access   (Followers: 1)
Acta Médica Costarricense     Open Access   (Followers: 2)
Acta Medica Indonesiana     Open Access  
Acta Medica International     Open Access  
Acta medica Lituanica     Open Access   (Followers: 1)
Acta Medica Marisiensis     Open Access   (Followers: 1)
Acta Medica Martiniana     Open Access  
Acta Medica Nagasakiensia     Open Access   (Followers: 1)
Acta Medica Peruana     Open Access   (Followers: 2)
Acta Médica Portuguesa     Open Access  
Acta Medica Saliniana     Open Access  
Acta Scientiarum. Health Sciences     Open Access   (Followers: 3)
Acupuncture & Electro-Therapeutics Research     Full-text available via subscription   (Followers: 8)
Acupuncture and Natural Medicine     Open Access  
Addiction Science & Clinical Practice     Open Access   (Followers: 9)
Addictive Behaviors Reports     Open Access   (Followers: 9)
Adıyaman Üniversitesi Sağlık Bilimleri Dergisi / Health Sciences Journal of Adıyaman University     Open Access   (Followers: 1)
Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi     Open Access   (Followers: 1)
Advanced Biomedical Research     Open Access  
Advanced Health Care Technologies     Open Access   (Followers: 11)
Advanced Science, Engineering and Medicine     Partially Free   (Followers: 10)
Advanced Therapeutics     Hybrid Journal   (Followers: 1)
Advances in Bioscience and Clinical Medicine     Open Access   (Followers: 7)
Advances in Cell and Gene Therapy     Hybrid Journal   (Followers: 1)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 27)
Advances in Clinical Radiology     Full-text available via subscription   (Followers: 4)
Advances in Life Course Research     Hybrid Journal   (Followers: 11)
Advances in Lipobiology     Full-text available via subscription   (Followers: 2)
Advances in Medical Education and Practice     Open Access   (Followers: 32)
Advances in Medical Ethics     Open Access   (Followers: 6)
Advances in Medical Research     Open Access   (Followers: 3)
Advances in Medical Sciences     Hybrid Journal   (Followers: 11)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 6)
Advances in Medicine     Open Access   (Followers: 3)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 5)
Advances in Molecular Oncology     Open Access   (Followers: 2)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 8)
Advances in Parkinson's Disease     Open Access   (Followers: 2)
Advances in Phytomedicine     Full-text available via subscription   (Followers: 2)
Advances in Preventive Medicine     Open Access   (Followers: 6)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 21)
Advances in Regenerative Medicine     Open Access   (Followers: 4)
Advances in Skeletal Muscle Function Assessment     Open Access  
Advances in Therapy     Hybrid Journal   (Followers: 5)
Advances in Traditional Medicine     Hybrid Journal   (Followers: 8)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 15)
Advances in Virus Research     Full-text available via subscription   (Followers: 6)
Advances in Wound Care     Hybrid Journal   (Followers: 14)
Aerospace Medicine and Human Performance     Full-text available via subscription   (Followers: 14)
African Health Sciences     Open Access   (Followers: 5)
African Journal of Biomedical Research     Open Access   (Followers: 1)
African Journal of Clinical and Experimental Microbiology     Open Access   (Followers: 4)
African Journal of Laboratory Medicine     Open Access   (Followers: 2)
African Journal of Medical and Health Sciences     Open Access   (Followers: 4)
African Journal of Thoracic and Critical Care Medicine     Open Access  
African Journal of Trauma     Open Access   (Followers: 1)
Afrimedic Journal     Open Access   (Followers: 3)
Aggiornamenti CIO     Hybrid Journal   (Followers: 1)
AIDS Research and Human Retroviruses     Hybrid Journal   (Followers: 9)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 3)
AJSP: Reviews & Reports     Hybrid Journal   (Followers: 1)
Aktuelle Ernährungsmedizin     Hybrid Journal   (Followers: 6)
Al-Azhar Assiut Medical Journal     Open Access   (Followers: 2)
Al-Qadisiah Medical Journal     Open Access   (Followers: 1)
Alerta : Revista Científica del Instituto Nacional de Salud     Open Access  
Alexandria Journal of Medicine     Open Access   (Followers: 1)
Allgemeine Homöopathische Zeitung     Hybrid Journal   (Followers: 3)
Alpha Omegan     Full-text available via subscription  
ALTEX : Alternatives to Animal Experimentation     Open Access   (Followers: 2)
Althea Medical Journal     Open Access   (Followers: 2)
American Journal of Biomedical Engineering     Open Access   (Followers: 14)
American Journal of Biomedical Research     Open Access   (Followers: 2)
American Journal of Biomedicine     Full-text available via subscription   (Followers: 7)
American Journal of Chinese Medicine, The     Hybrid Journal   (Followers: 4)
American Journal of Clinical Medicine Research     Open Access   (Followers: 8)
American Journal of Family Therapy     Hybrid Journal   (Followers: 10)
American Journal of Law & Medicine     Full-text available via subscription   (Followers: 12)
American Journal of Lifestyle Medicine     Hybrid Journal   (Followers: 7)
American Journal of Managed Care     Full-text available via subscription   (Followers: 13)
American Journal of Medical Case Reports     Open Access   (Followers: 3)
American Journal of Medical Sciences and Medicine     Open Access   (Followers: 6)
American Journal of Medicine     Hybrid Journal   (Followers: 50)
American Journal of Medicine and Medical Sciences     Open Access   (Followers: 2)
American Journal of Medicine Studies     Open Access   (Followers: 3)
American Journal of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American Journal of the Medical Sciences     Hybrid Journal   (Followers: 12)
American Journal on Addictions     Hybrid Journal   (Followers: 11)
American medical news     Free   (Followers: 3)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 6)
Amyloid: The Journal of Protein Folding Disorders     Hybrid Journal   (Followers: 5)
Anales de la Facultad de Medicina     Open Access  
Anales de la Facultad de Medicina, Universidad de la República, Uruguay     Open Access  
Anales del Sistema Sanitario de Navarra     Open Access   (Followers: 1)
Analgesia & Resuscitation : Current Research     Hybrid Journal   (Followers: 7)
Anatolian Clinic the Journal of Medical Sciences     Open Access  
Anatomica Medical Journal     Open Access  
Anatomical Science International     Hybrid Journal   (Followers: 3)
Anatomical Sciences Education     Hybrid Journal   (Followers: 2)
Anatomy     Open Access   (Followers: 3)
Anatomy Research International     Open Access   (Followers: 4)
Androgens : Clinical Research and Therapeutics     Open Access   (Followers: 3)
Angewandte Schmerztherapie und Palliativmedizin     Hybrid Journal  
Angiogenesis     Hybrid Journal   (Followers: 3)
Ankara Medical Journal     Open Access   (Followers: 2)
Ankara Üniversitesi Tıp Fakültesi Mecmuası     Open Access  
Annales de Pathologie     Full-text available via subscription  
Annales des Sciences de la Santé     Open Access  
Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale     Full-text available via subscription   (Followers: 3)
Annals of African Medicine     Open Access   (Followers: 2)
Annals of Anatomy - Anatomischer Anzeiger     Hybrid Journal   (Followers: 3)
Annals of Bioanthropology     Open Access   (Followers: 5)
Annals of Biomedical Engineering     Hybrid Journal   (Followers: 19)
Annals of Biomedical Sciences     Full-text available via subscription   (Followers: 4)
Annals of Clinical Hypertension     Open Access  
Annals of Clinical Microbiology and Antimicrobials     Open Access   (Followers: 15)
Annals of Family Medicine     Open Access   (Followers: 18)
Annals of Health Research     Open Access   (Followers: 3)
Annals of Ibadan Postgraduate Medicine     Open Access  
Annals of Medical and Health Sciences Research     Open Access   (Followers: 9)
Annals of Medicine     Hybrid Journal   (Followers: 12)
Annals of Medicine and Surgery     Open Access   (Followers: 7)
Annals of Medicine and Surgery Case Reports     Open Access   (Followers: 1)
Annals of Medicine and Surgery Protocols     Open Access   (Followers: 1)
Annals of Microbiology     Hybrid Journal   (Followers: 13)
Annals of Musculoskeletal Medicine     Open Access   (Followers: 2)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Rehabilitation Medicine     Open Access   (Followers: 1)
Annals of Saudi Medicine     Open Access  
Annals of the College of Medicine, Mosul     Open Access   (Followers: 1)
Annals of the New York Academy of Sciences     Hybrid Journal   (Followers: 5)
Annals of The Royal College of Surgeons of England     Full-text available via subscription   (Followers: 3)
Annals of the RussianAacademy of Medical Sciences     Open Access  
Annual Reports in Medicinal Chemistry     Full-text available via subscription   (Followers: 7)
Annual Reports on NMR Spectroscopy     Full-text available via subscription   (Followers: 5)
Annual Review of Medicine     Full-text available via subscription   (Followers: 18)
Anthropological Review     Open Access   (Followers: 27)
Anthropologie et santé     Open Access   (Followers: 5)
Antibiotics     Open Access   (Followers: 9)
Antibodies     Open Access   (Followers: 2)
Antibody Reports     Open Access   (Followers: 1)
Antibody Technology Journal     Open Access   (Followers: 1)
Antibody Therapeutics     Open Access   (Followers: 1)
Anuradhapura Medical Journal     Open Access  
Anwer Khan Modern Medical College Journal     Open Access   (Followers: 2)
Apmis     Hybrid Journal   (Followers: 2)
Apparence(s)     Open Access   (Followers: 1)
Applied Clinical Informatics     Hybrid Journal   (Followers: 5)
Applied Clinical Research, Clinical Trials and Regulatory Affairs     Hybrid Journal   (Followers: 2)
Applied Medical Informatics     Open Access   (Followers: 14)
Arab Journal of Nephrology and Transplantation     Open Access   (Followers: 1)
Arabian Journal of Scientific Research / المجلة العربية للبحث العلمي     Open Access   (Followers: 1)
Archive of Biomedical Science and Engineering     Open Access   (Followers: 1)
Archive of Clinical Medicine     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives Medical Review Journal / Arşiv Kaynak Tarama Dergisi     Open Access  
Archives of Asthma, Allergy and Immunology     Open Access  
Archives of Clinical Hypertension     Open Access   (Followers: 2)
Archives of Medical and Biomedical Research     Open Access   (Followers: 3)
Archives of Medical Laboratory Sciences     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 5)
Archives of Medicine and Surgery     Open Access   (Followers: 1)
Archives of Organ Transplantation     Open Access   (Followers: 2)
Archives of Preventive Medicine     Open Access   (Followers: 3)
Archives of Pulmonology and Respiratory Care     Open Access   (Followers: 2)
Archives of Renal Diseases and Management     Open Access   (Followers: 2)
Archives of Trauma Research     Open Access   (Followers: 5)
Archivos de Medicina (Manizales)     Open Access   (Followers: 1)
ArgoSpine News & Journal     Hybrid Journal  
Arquivos Brasileiros de Oftalmologia     Open Access   (Followers: 1)
Arquivos de Ciências da Saúde     Open Access  
Arquivos de Medicina     Open Access   (Followers: 1)
Ars Medica : Revista de Ciencias Médicas     Open Access  
ARS Medica Tomitana     Open Access   (Followers: 1)
Art Therapy: Journal of the American Art Therapy Association     Hybrid Journal   (Followers: 20)
Arterial Hypertension     Open Access   (Followers: 1)
Artificial Intelligence in Medicine     Hybrid Journal   (Followers: 21)
Artificial Organs     Hybrid Journal   (Followers: 2)
ASHA Leader     Open Access   (Followers: 7)
Asia Pacific Family Medicine Journal     Open Access   (Followers: 4)
Asia Pacific Journal of Clinical Nutrition     Full-text available via subscription   (Followers: 13)
Asia Pacific Journal of Clinical Trials : Nervous System Diseases     Open Access   (Followers: 1)

        1 2 3 4 5 6 7 8 | Last

Similar Journals
Journal Cover
Archives of Trauma Research
Journal Prestige (SJR): 0.37
Citation Impact (citeScore): 2
Number of Followers: 5  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2251-953X - ISSN (Online) 2251-9599
Published by Medknow Publishers Homepage  [427 journals]
  • Development of the Iranian National road safety plan: Study protocol

    • Authors: Homayoun Sadeghi-Bazargani, Alireza Razzaghi, Mohammad Hossein Somi, Shahriar Behzad Basirat, Reza Deljavan Anvari, Leila Doshmangir, Alireza Esmaeili, Sedighe Etemad Saeid, Mina Golestani, Javad Hedayati, Einollah Jahani, Hamidreza Khankeh, Alireza Khavandi Khiavi, Reza Masoudi Far, Iraj Mohebbi, Pooria Mohammadian, Saeid Pour-Doulati, Mahdi Rezaei, Mohammad Saadati, Vahideh Sadeghi, Mehdi Shafieian, Hamid Soori, Ebrahim Vahabzadeh, Jabbar Ali Zakeri
      Pages: 149 - 153
      Abstract: Homayoun Sadeghi-Bazargani, Alireza Razzaghi, Mohammad Hossein Somi, Shahriar Behzad Basirat, Reza Deljavan Anvari, Leila Doshmangir, Alireza Esmaeili, Sedighe Etemad Saeid, Mina Golestani, Javad Hedayati, Einollah Jahani, Hamidreza Khankeh, Alireza Khavandi Khiavi, Reza Masoudi Far, Iraj Mohebbi, Pooria Mohammadian, Saeid Pour-Doulati, Mahdi Rezaei, Mohammad Saadati, Vahideh Sadeghi, Mehdi Shafieian, Hamid Soori, Ebrahim Vahabzadeh, Jabbar Ali Zakeri
      Archives of Trauma Research 2020 9(4):149-153
      Introduction: A national road safety strategic plan (NRSSP) is considered as one of the main road safety management issues in different countries. Such a plan not only determines the vision and relevant strategies but also causes the implementation of appropriate interventions to be coordinated and strengthened to achieve the goals set by partner organizations. The present study mainly aims to report Iran's NRSSP 2021–2031 development protocol. Methods: According to a schedule, the study protocol consists of ten sections: (1) Determining a core planning center, (2) Establishment of a steering committee, (3) Stakeholder identification, (4) Identification and development of Goals and Strategies, (5) Vision development, (6) Establishment of committees, (7) Integration of Goals and Strategies, (8) Goals and Strategies assessment, (9) Action plans development, (10) Monitoring and evaluation. An appropriate study method is performed for each of the concerned steps. Conclusion: The road safety strategy plan is a critical component to promote the effectiveness of activities and achieve the goals determined for road safety purposes. The Decade of Action for Road Safety is just being closed to its end; hence, reviewing and drawing up a road safety document concerning authentic scientific models and evidence is of paramount importance in Iran. The present study takes over the mission to address this gap.
      Citation: Archives of Trauma Research 2020 9(4):149-153
      PubDate: Sat,26 Dec 2020
      DOI: 10.4103/atr.atr_84_20
      Issue No: Vol. 9, No. 4 (2020)
       
  • Injury pattern and outcome of assault victims: An emergency department
           perspective

    • Authors: Darpanarayan Hazra, Ankita Chowdary Nekkanti, Kundavaram Paul Prabhakar Abhilash
      Pages: 154 - 159
      Abstract: Darpanarayan Hazra, Ankita Chowdary Nekkanti, Kundavaram Paul Prabhakar Abhilash
      Archives of Trauma Research 2020 9(4):154-159
      Background: Violence-related injuries top the list as a cause of mortality in the 15–40 years' age group in India. In contrast to the West, the spectrum of assault injuries in Southeast Asian countries is different. Our main aim was to profile intentional injuries due to interpersonal violence treated in the emergency department (ED) and to describe the severity, pattern, etiology, and outcome in such patients. Materials and Methods: We conducted a case-series analysis of assault victims who presented to the ED of Christian Medical College and Hospital, Vellore, India, from January 2017 to December 2018. Data were retrieved electronically from the clinical workstation. Categorized variables were summarized using counts and percentages. Quantitative variables were summarized using mean and standard deviation (SD). Results: During the study period, a total of 381 patients with a mean age of 36.16 (SD: 13.9) years presented to the ED. Male (81.9%) predominance was noted among these victims. A majority of them, i.e., 257 (67%) victims, were assaulted by people that were known to them, of which 66 (17.3%) victims were reported as domestic violence. Blunt objects were used in most, i.e., 234 (61.4%) cases. A spike in the incidence of assault, in general, was noted in the month of September during the South Indian festival season. Approximately one-fourth (21.3%) of the victims required hospital admission. Overall, 15.74% of the victims had to undergo major surgical procedures. There were no mortalities recorded among these study participants. Conclusions: Violence and its consequences lead to severe injuries and levy a heavy burden on health care. There is an urgent need to address the social and emotional needs of adolescents and young adults who are most at risk of being the victims of assault.
      Citation: Archives of Trauma Research 2020 9(4):154-159
      PubDate: Sat,26 Dec 2020
      DOI: 10.4103/atr.atr_47_20
      Issue No: Vol. 9, No. 4 (2020)
       
  • The diagnostic value of chest and abdominopelvic computed tomography in
           detecting thoracolumbar fractures among patients with blunt trauma

    • Authors: Hamid Reza Talari, Nooshin Mousavi, Masoumeh Abedzadeh-Kalahroudi, Hossein Akbari, Abolfazl Kargar
      Pages: 160 - 165
      Abstract: Hamid Reza Talari, Nooshin Mousavi, Masoumeh Abedzadeh-Kalahroudi, Hossein Akbari, Abolfazl Kargar
      Archives of Trauma Research 2020 9(4):160-165
      Background: Thoracolumbar fracture (TLF) is one of the common problems associated with trauma. This study evaluated the diagnostic value of chest and abdominopelvic computed tomography (CT) in detecting TLFs among patients with blunt trauma. Methods: This prospective diagnostic assessment study was conducted during 2016-2017. Participants were 256 patients above 18 years with blunt multiple trauma who had undergone chest and abdominopelvic CT at their admission to the emergency department and were subjected to thoracolumbar CT (TL CT) for the further assessment of TLFs. The sensitivity, specificity, and positive and negative predictive values of chest and abdominopelvic CT were calculated based on TL CT findings. Results: The total sensitivity, specificity, and positive and negative predictive values of chest and abdominopelvic CT in detecting TLFs were 89.55%, 100%, 100%, and 89.71%, respectively. These values were, respectively, 95.56%, 100%, 100%, and 98.39% in detecting transverse process fractures; 50%, 100%, 100%, and 91.04% in detecting vertebral body fractures; and 80%, 100%, 100%, and 65.24% in detecting vertebral body and posterior element fractures. Chest and abdominopelvic CT sensitivity and specificity were, respectively, 97.5% and 100% among patients younger than 40 years and 77.4% and 100% among patients older than 40 years. There was a significant agreement between chest and abdominopelvic CT and TL CT findings (kappa coefficient = 0.896; P < 0.001). Conclusion: Chest and abdominopelvic CT has acceptable sensitivity and specificity in detecting TLFs. However, due to low sensitivity and specificity in detecting vertebral body fractures without posterior element involvement and clinical importance of these fractures, image reformatting is suggested. Of course, TL CT can be used in case of suspicious fractures or older patients.
      Citation: Archives of Trauma Research 2020 9(4):160-165
      PubDate: Sat,26 Dec 2020
      DOI: 10.4103/atr.atr_33_20
      Issue No: Vol. 9, No. 4 (2020)
       
  • Translation, validity, and reliability of disability rating scale in
           Iranian patients with traumatic brain injury

    • Authors: Kamran Ezzati, Shahrokh Yousefzadeh-Chabok, Sajjad Rezaei, Zoheir Reihanian
      Pages: 166 - 172
      Abstract: Kamran Ezzati, Shahrokh Yousefzadeh-Chabok, Sajjad Rezaei, Zoheir Reihanian
      Archives of Trauma Research 2020 9(4):166-172
      Background: The Disability Rating Scale (DRS) is a short, efficient, and rapid instrument for assessing levels of functional disability, but little information is available on the translation and psychometric properties of its Persian version, especially for traumatic brain injury (TBI) patients. The aim of this study was to translate and adapt the Persian version of DRS and to determine the psychometric properties of the Persian version of this scale in patients with TBI. Materials and Methods: In this analytical cross-sectional study, 191 TBI patients (age range, 16–86 years) referred to the physiotherapy Center of PourSina Hospital in Rasht, Iran, were selected through census sampling. First, the DRS was translated into Persian, and then, the validity, reliability, and repeatability of DRS scores were evaluated. All patients were evaluated on admission and at discharge through the Glasgow Coma Scale (GCS) and Functional Independence Measure (FIM). Results: According to the reports of the translators, translation of the DRS into Persian language was easy. The quality of translation (including translation clarity, common language usage, conceptual equivalence, and overall quality of translation) was generally favorable. Inter-raters' reliability on admission and at discharge stages was excellent (intraclass correlation coefficient = 0.93–0.94). Cronbach's alpha values for the internal consistency of DRS on admission and at discharge stages were 0.96 and 0.97, respectively. The results showed a strong inverse relationship of DRS scores on admission and at discharge with GCS and FIM scores (in all cases more than 0.70, P < 0.0001). Conclusion: The validity, reliability, and repeatability of the DRS scores for the Persian version were confirmed. These results reflect that DRS can be used to determine the effects of therapeutic/rehabilitation interventions on levels of functional disability in Iranian patients with TBI.
      Citation: Archives of Trauma Research 2020 9(4):166-172
      PubDate: Sat,26 Dec 2020
      DOI: 10.4103/atr.atr_14_20
      Issue No: Vol. 9, No. 4 (2020)
       
  • Investigating the possibility of using noninvasive basic monitoring in
           patients with acute burns undergoing general anesthesia

    • Authors: Ali Akbar Jafarian, Ali Farhoodi, Zahra Jafarian, Azadeh Emami, Mohaddeseh Jafarian, Reza Salehi
      Pages: 173 - 175
      Abstract: Ali Akbar Jafarian, Ali Farhoodi, Zahra Jafarian, Azadeh Emami, Mohaddeseh Jafarian, Reza Salehi
      Archives of Trauma Research 2020 9(4):173-175
      Background: Basic noninvasive monitoring is considered as the standard procedure in patients with acute burns under general anesthesia. In such cases, noninvasive monitoring probes may often be ineffective on damaged skin due to the nature of burns pathology. Hence, the noninvasive monitoring is very challenging. Because of such limitations, we conducted this study to examine the practical difficulties or possibility of noninvasive monitoring utilization. Methods: Over the period of 2016–2017, 100 patients who were injured by acute burns with 20%–90% of TBS and undergoing general anesthesia at Motahari Burn Hospital were enrolled in this descriptive study. Basic monitoring techniques including noninvasive blood pressure (NIBP), cardiac monitoring, and pulse oximetry were applied throughout all surgeries as much as possible. Results: Evidence demonstrated that the application of NIBP monitoring in 23% of cases, cardiac monitoring in 63% of patients, and also even pulse oximetry in 7% of them were impossible. Conclusion: Limited usage of invasive monitoring due to vulnerability to sepsis leads to the noninvasive approach. Hence, technical innovations in noninvasive monitoring may help clinicians to monitor physiological indices, more safely.
      Citation: Archives of Trauma Research 2020 9(4):173-175
      PubDate: Sat,26 Dec 2020
      DOI: 10.4103/atr.atr_6_20
      Issue No: Vol. 9, No. 4 (2020)
       
  • Delay in anesthesia assessment time – A cause of postponement in
           orthopedic trauma surgery

    • Authors: Mohammad Zarei, Alireza Moharrami, Babak Haghpanah
      Pages: 176 - 180
      Abstract: Mohammad Zarei, Alireza Moharrami, Babak Haghpanah
      Archives of Trauma Research 2020 9(4):176-180
      Background: Postponement of surgery increases the length of hospitalization and medical expenses, the mortality rate, and the prevalence of major medical complications. There is a limited study about the role of anesthesia assessment in developing these complications. Thus, the aim of the present study was to examine the anesthesia assessment time for traumatic patients aged over 50 years and also to investigate the role of anesthesia service in surgery postponement. Materials and Methods: This descriptive retrospective study was performed on 110 patients with traumatic injuries referred to Imam Khomeini Hospital Complex (Tehran, Iran) from March to September 2017. The information was extracted retrospectively from the hospital information system. The standard definitions in the International Classification of Diseases 10 code S00-T88 were used to identify traumatic injuries and fractures. Results: The results of the present study showed that the mean of anesthesia assessment time was significantly different in terms of the type of trauma, and femoral fractures had a higher anesthesia assessment time (P = 0.009). Furthermore, the anesthesia assessment time in patients who underwent echocardiography was significantly higher than those with no echocardiography (P < 0.05). The current study explored that the mean anesthesia assessment time was substantially higher in patients who underwent myocardial perfusion imaging (MPI) (7.1 vs. 1.84 days). Furthermore, the results revealed that there was no significant difference in anesthesia assessment time regarding gender of the patients (3 vs. 2.7 days). Finally, patients aged between 61 and 70 years had a higher anesthesia assessment time with a mean of 4.41 days (P < 0.05). Conclusions: The study concluded that the mean of anesthesia assessment time was significantly higher (3.6 days) in patients with a femoral fracture. Furthermore, this study has shown that diagnostic assessments, including echocardiography, MPI, and angiography, which were performed in some patients, did not change the surgery plan.
      Citation: Archives of Trauma Research 2020 9(4):176-180
      PubDate: Sat,26 Dec 2020
      DOI: 10.4103/atr.atr_72_19
      Issue No: Vol. 9, No. 4 (2020)
       
  • Preparation, characterization, and antibacterial studies of N,
           O-carboxymethyl chitosan as a wound dressing for bedsore application

    • Authors: Atiyeh Raisi, Azadeh Asefnejad, Maryam Shahali, Zeinab Alsadat Sadat Kazerouni, Amin Kolooshani, Saeed Saber-Samandari, Bahareh Kamyab Moghadas, Amirsalar Khandan
      Pages: 181 - 188
      Abstract: Atiyeh Raisi, Azadeh Asefnejad, Maryam Shahali, Zeinab Alsadat Sadat Kazerouni, Amin Kolooshani, Saeed Saber-Samandari, Bahareh Kamyab Moghadas, Amirsalar Khandan
      Archives of Trauma Research 2020 9(4):181-188
      Background: A study conducted on wound treatment by antibacterial wound dressings can reduce the need for using antibiotics to a minimum amount. These wound dressings can create a moist environment at the wound surface to speed the healing process up. In recent years, researchers have paid much attention to polymeric wound dressings. Chitosan can help heal the wounds because of its similar structure to glycosaminoglycans in the skin. In this regard, the aim of the present study was to fabricate and characterize a novel biolayer wound dressing based on the carboxymethyl chitosan polymer with ceramic nanoparticles as a reinforcement and antibacterial agent using the freeze-drying method. Methods: In this study, to make a flexible wound dressing from a biocompatible and biodegradable polymer, N-O-carboxymethyl chitosan, diopside was added to improve the mechanical and hydrophobic properties of the soft tissue and cell proliferation was fabricated. After making the samples, a variety of chemical and biological tests and analyses were performed on the samples, including scanning electron microscope and Fourier-transform infrared spectroscopy. Results: The results showed that the use of this wound dress significantly reduced the risk of infection at the wound site. Conclusions: An antibacterial product with the proper mechanical behavior as a soft tissue was produced and evaluated in this study. The chemical and biological investigation represented that the sample with 5 wt% magnetite nanoparticles has excellent characteristics and can be introduced as a wound dressing application.
      Citation: Archives of Trauma Research 2020 9(4):181-188
      PubDate: Sat,26 Dec 2020
      DOI: 10.4103/atr.atr_10_20
      Issue No: Vol. 9, No. 4 (2020)
       
  • Explaining gender differences in transfer time to a trauma center in
           Northern Iran

    • Authors: Enayatollah Homaie Rad, Mohammad Hajizadeh, Satar Rezaei, Leila Kouchakinejad-Eramsadati, Hamid Heydari, Naema Khodadadi-Hassankiadeh
      Pages: 189 - 196
      Abstract: Enayatollah Homaie Rad, Mohammad Hajizadeh, Satar Rezaei, Leila Kouchakinejad-Eramsadati, Hamid Heydari, Naema Khodadadi-Hassankiadeh
      Archives of Trauma Research 2020 9(4):189-196
      Background: The association between gender and time of receiving services (TRS) after traumatic injuries is rarely documented in developing countries. This study aimed to examine gender differences in time between occurring injuries and receiving services in hospital after trauma injuries in northern Iran. Materials and Methods: A total of 7085 injured patients were included in this study. Data on sociodemographic and clinical characteristics were extracted from the Guilan province trauma system registry (GTSR) from July 2017 to July 2018. The Oaxaca–Blinder (OB) method was used to explain the gender differences in the TRS after traumatic injuries. Results: There were significant differences between men and women in marital statues (P < 0.001), education level (P < 0.001), time of injury (P = 0.025), occupation (P < 0.001), type of trauma (P < 0.001), mode of transfer (P < 0.001), mean age (P < 0.001), average distance from hospital (P = 0.052), and average transfer time to the hospital (P < 0.001). We found gender differences in TRS after falling trauma (P = 0.006) when the transfer was performed by emergency medical services (EMSs) and in penetrating trauma (P < 0.001) when the transfer was performed by private vehicles. The difference in the observed characteristics of men and women explained 67% of gender differences in TRS (P = 0.06). Conclusion: The gender difference in the transfer of injured patients was in favor of men, depending on the socio-demographic and clinical factors. In OB analysis, the gender differences in falling trauma and transfer by EMS and the gender differences in penetrating trauma and private transmission to the hospital were also confirmed. Steps need to be taken to ensure that services are equally beneficial to both men and women.
      Citation: Archives of Trauma Research 2020 9(4):189-196
      PubDate: Sat,26 Dec 2020
      DOI: 10.4103/atr.atr_2_20
      Issue No: Vol. 9, No. 4 (2020)
       
  • Otitic barotrauma causing facial baroparesis

    • Authors: Santosh Kumar Swain, Sampada Munjal
      Pages: 197 - 199
      Abstract: Santosh Kumar Swain, Sampada Munjal
      Archives of Trauma Research 2020 9(4):197-199
      Facial baroparesis is an extremely rare clinical entity which occurs due to otitic barotraumas. It is rarely reported in medical literature which can happen among persons those ascend to high altitude in flight or scuba diving. The overpressure in the middle ear cavity due to eustachian dysfunction may cause exertion of the excessive pressure over the facial nerve through a dehiscence of the horizontal segment of the fallopian canal leading to facial nerve paralysis. The clinical history and imaging help to diagnose this rare cause of facial nerve paralysis. Here, we report a case of a 38-year-old female who experiences unilateral facial nerve paralysis on ascent to high altitude on a flight, with relieve from symptoms shortly after descent.
      Citation: Archives of Trauma Research 2020 9(4):197-199
      PubDate: Sat,26 Dec 2020
      DOI: 10.4103/atr.atr_17_20
      Issue No: Vol. 9, No. 4 (2020)
       
  • Dislocation of the first carpometacarpal joint

    • Authors: Golnaz Latifian Esfahani, Tahere Ghasemi, Behrang Rezvani Kakhki, Sayyed Majid Sadrzadeh, Elnaz Vafadar Moradi
      Pages: 200 - 202
      Abstract: Golnaz Latifian Esfahani, Tahere Ghasemi, Behrang Rezvani Kakhki, Sayyed Majid Sadrzadeh, Elnaz Vafadar Moradi
      Archives of Trauma Research 2020 9(4):200-202
      First carpometacarpal (CMC1) joint dislocations are uncommon injuries. However, they can limit hand functions and lead to serious complications. Herein, we report the case of a multiple trauma man with dorsal dislocation of thumb CMC joint that was successfully treated with closed reduction and casting. The patient was a 47-year-old male with multiple traumas complaining of right wrist pain. Tenderness, deformity, and reduced range of motion of the right thumb CMC joint were observed. X-ray showed dorsal dislocation of the CMC1 joint. Closed reduction of the dislocated joint was performed under general anesthesia, and the joint was immobilized by a thumb-spica cast for 14 days. The patient was eventually discharged in good condition and had no complications or manual dysfunction after a 1-month follow-up. The optimal management of the CMC1 joint dislocations is controversial. The closed reduction seems adequate for these injuries. However, patients whose joints remain unstable after closed reduction, especially those with manual activities, should be considered for open reduction and surgical ligament repair.
      Citation: Archives of Trauma Research 2020 9(4):200-202
      PubDate: Sat,26 Dec 2020
      DOI: 10.4103/atr.atr_64_20
      Issue No: Vol. 9, No. 4 (2020)
       
 
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