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| 1 | Should we change our approach to resuscitating victims of femoral fracture?A clinical experience in a busy trauma hospital in Shiraz,Iran显示文摘Purpose Traumatic hemorrhagic shock is a life-threatening event worldwide.Severe brain trauma accompanying femoral fractures can trigger inflammatory responses in the body and increase pre-inflammatory cytokines such as TNF-α,IL-1.The primary treatment in these cases is hydration with crystalloids,which has both benefits and complications.The purpose of this study was to investigate the effects of fluid therapy on the hemodynamics,coagulation profiles,and blood gases in such patients.Methods In this cross-sectional study,patients were divided into two groups:femoral fracture group and non-femoral group.The hemodynamic status,coagulation profile,and blood gases of patients in both groups were evaluated upon arrival at the hospital and again 2 h later.Data were analyzed by t-test and ANOVA with repeated data and paired samples t-test.Results A total of 681 trauma patients(605 men and 76 women)participated in this study,including 69(86.3%)men and 11(13.8%)women in femoral fracture group and 536 men(89.2%)and 65 women(10.8%)in non-femoral group.The laboratory parameters were evaluated in response to the equal amount of crystalloid fluid given upon arrival and 2 h later.Blood gases decreased in the fracture group despite fluid therapy(p<0.003),and the coagulation profile worsened although the change was not statistically significant.Conclusion The treatment of multiple-trauma patients with femoral bone fractures should be more concerned with the need for the infusion of vasopressors such as norepinephrine.If there is evidence of clinical shock,excessive crystalloid infusion(limited to 1 L)should be avoided,and blood and blood products should be started as soon as possible. | Shahram Paydar Ali Taheri Akerdi Sadra Nikseresht Hossein Abdolrahimzadeh-Fard Leila Shayan Zahra Ghahramani Shahram Bolandparvaz Hamid Reza Abbasi | 2021 | Chinese Journal of Traumatology2021，24，1： | 3 |
| 2 | Do clinical and paraclinical findings have the power to predict critical conditions of injured patients after traumatic injury resuscitation?Using data mining artificial intelligence显示文摘Purpose The triage and initial care of injured patients and a subsequent right level of care is paramount for an overall outcome after traumatic injury.Early recognition of patients is an important case of such decision-making with risk of worse prognosis.This article is to answer if clinical and paraclinical signs can predict the critical conditions of injured patients after traumatic injury resuscitation.Methods The study included 1107 trauma patients,16 years and older.The patients were trauma victims of Levels I and II triage and admitted to the Rajaee(Emtiaz)Trauma Hospital,Shiraz,in 2014–2015.The cross-industry process for data mining methodology and modeling was used for assessing the best early clinical and paraclinical variables to predict the patients’prognosis.Five modeling methods including the support vector machine,K-nearest neighbor algorithms,Bagging and Adaboost,and the neural network were compared by some evaluation criteria.Results Learning algorithms can predict the deterioration of injured patients by monitoring the Bagging and SVM models with 99%accuracy.The most-fitted variables were Glasgow Coma Scale score,base deficit,and diastolic blood pressure especially after initial resuscitation in the algorithms for overall outcome predictions.Conclusion Data mining could help in triage,initial treatment,and further decision-making for outcome measures in trauma patients.Clinical and paraclinical variables after resuscitation could predict short-term outcomes much better than variables on arrival.With artificial intelligence modeling system,diastolic blood pressure after resuscitation has a greater association with predicting early mortality rather than systolic blood pressure after resuscitation.Artificial intelligence monitoring may have a role in trauma care and should be further investigated. | Shahram Paydar Elahe Parva Zahra Ghahramani Saeedeh Pourahmad Leila Shayan Vahid Mohammadkarimi Golnar Sabetian | 2021 | Chinese Journal of Traumatology2021，24，1： | 2 |
| 3 | Longitudinal effects of intravenous immunoglobulin on A lzheimer’s cerebrospinal fluid proteome显示文摘 | Gilda Shayan Basia Adamiak Leila H. Choe Norman Relkin Kelvin H. Lee | 2014 | ELECTROPHORESIS (-)2014，，12： | 1 |
| 4 | Comparison of chest CT scan findings between COVID-19 and pulmonary contusion in trauma patients based on RSNA criteria:Established novel criteria for trauma victims显示文摘Propose:In this study,we re-assessed the criteria defined by the radiological society of North America(RSNA)to determine novel radiological findings helping the physicians differentiating COVID-19 from pulmonary contusion.Methods:All trauma patients with blunt chest wall trauma and subsequent pulmonary contusion,COVID-19-related signs and symptoms before the trauma were enrolled in this retrospective study from February to May 2020.Included patients(Group P)were then classified into two groups based on polymerase chain reaction tests(Group Pa for positive patients and Pb for negative ones).Moreover,44 patients from the prepandemic period(Group PP)were enrolled.They were matched to Group P regarding age,sex,and trauma-related scores.Two radiologists blindly reviewed the CT images of all enrolled patients according to criteria defined by the RSNA criteria.The radiological findings were compared between Group P and Group PP;statistically significant ones were re-evaluated between Group Pa and Group Pb thereafter.Finally,the sensitivity and specificity of each significant findings were calculated.The Chi-square test was used to compare the radiologica丨findings between Group P and Group PP.Results:In the Group PP,73.7%of all ground-glass opacities(GGOs)and 80%of all multiple bilateral GGOs were detected(p<0.001 and p=0.25,respectively).Single bilateral GGOs were only seen among the Group PP.The Chi-square tests showed that the prevalence of diffused GGOs,multiple unilateral GGOs,multiple consolidations,and multiple bilateral consolidations were significantly higher in the Group P(p=0.001,0.01,0.003,and 0.003,respectively).However,GGOs with irregular borders and single consolidations were more significant among the Group PP(p=0.01 and 0.003,respectively).Of note,reticular distortions and subpleural spares were exclusively detected in the Group PP.Conclusion:We concluded that the criteria set by RSNA for the diagnosis of COVID-19 are not appropriate in trauma patients.The clinical signs and symptoms are not always useful either.The presence of multiple unilateral GGOs,diffused GGOs,and multiple bilateral consolidations favor COVID-19 with 88%,97.62%,and 77.7%diagnostic accuracy. | Hossein Abdolrahimzadeh Fard Salahaddin Mahmudi-Azer Qusay Abdulzahraa Yaqoob Golnar Sabetian Pooya Iranpour Zahra Shayan Shahram Bolandparvaz Hamid Reza Abbasi Shiva Aminnia Maryam Salimi Mohammad Mehdi Mahmoudi Shahram Paydara Roham Borazjani Ali Taheri Akerdi Masome Zare Leila Shayan Mohammadreza Sasani | 2022 | Chinese Journal of Traumatology2022，25，3： | 0 |
| 5 | Comparison of a new single-donor human fibrin adhesive with suture for posterior tibial nerve repair in rat: biomechanical resistance and functional analysis显示文摘血纤维蛋白粘合剂的 ObjectiveThe 使用在神经修理有一个宽广背景。当前,单个施主的血纤维蛋白粘合剂的非最优的物理性质限制了他们的用法。表演和修改血纤维蛋白胶水的物理特征在 rat.MethodsForty Wistar 老鼠的以后的胫骨的神经的修理从单个施主的人的血浆准备了的现在的实验研究被划分成 5 个组;在控制组,胫骨的神经是,完全, transected 和没有处理在四个试验性的组被做神经树桩被一缝术,三缝术,有血纤维蛋白胶水的一缝术和血纤维蛋白胶水分别地独自重新连接。在 8 星期后续期间,胫骨的函数索引每周被测量,粘合剂力量,发炎和疤形成在 study.ResultsNerve 树桩裂开率的结束被估计,粘合剂力量在所有试验性的组是类似的并且显著地不同于控制组(P < 0.05 ) 。在第八个后续星期末,一和三个缝术组的功能的恢复比血纤维蛋白胶水在被用于修理的组显著地高(P < 0.05 ) 。发炎和疤织物形成的数量在准备单个施主的血纤维蛋白粘合剂举办的所有 groups.ConclusionThe 学习结果表演之中是类似的能从长远的观点看提供要求的粘着性和抓住神经树桩的可接受的机械性质;然而,我们承认更多的研究被需要改进单个施主血纤维蛋白粘合剂修理的功能的结果。 | Reza Erfanian Masoumeh Firouzi Mohammad Hossein Nabian Masoud Darvishzadeh Leila Oryadi Zanjani Shayan Abdollah Zadegan Reza Shahryar Kamrani | 2014 | Chinese Journal of Traumatology2014，17，3： | 0 |
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