@article{ author = {MalakiMoghadam, Hakimeh}, title = {Letter to Editor}, abstract ={Dear Editor-in-chief of the Journal of Surgery and Trauma An article titled: (Evaluation of the results of direct laryngoscopy of patients with larynx and hypopharynx signs and lesions in ENT specialized medical centers of Birjand city) Which was published by Mr. Mofaateh et al. In issue No. 1-2, Volume 4-2016 (1), Thanks and respect to the cherished writers, a few points are worth mentioning: 1) In the results section, The first form is listed as the frequency distribution. Therefore, the total relative percentage of frequencies should be 100, which is more than 100 here. 2) This problem is also seen in the first paragraph of page 20. The word "frequency distribution" does not seem to fit. 3) The most common type of lesion in the second paragraph of page 19 is the foreign object (foreign object), which is not listed in Table 1. Table 1 lists the most common transglottic lesions. The sample size is 165, while the frequency for the locus of the lesion is 239 (Table 1). In the first paragraph of page 20, the place of residence variable is significant, but a significant amount is listed in Table 2, 0.24, which is not significant.}, Keywords = {}, volume = {5}, Number = {3}, pages = {43-43}, publisher = {Birjand University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, url = {http://jsurgery.bums.ac.ir/article-1-124-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-124-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2017} } @article{ author = {Tabiee, Shahnaz and Vagharseyyedin, Seyyed Abolfazl and RiyahiiNokandeh, Gholam Ali and Sheikhy, Fatemeh}, title = {The effect of comfort-based care (Reflective massage and education to patient) on comfort in patients undergoing coronary artery bypass grafting}, abstract ={Introduction: Growing incidence of cardiovascular disease and various treatment procedures, including coronary artery bypass graft surgery, is a stressful experience for the patient and the family. The multiple complications of surgery during hospitalization can have impacts on the patient comfort, which may require comfort-centered nursing care. Studies in this regard report conflicting results concerning the effects of these interventions. Considering the importance of nursing care and its impact on elimination of the needs and reduction of the patient's problems in cardiac surgery, this study was designed to determine the effect of comfort-centered nursing care, including reflective massage and education, on the comfort of patients undergoing coronary artery bypass grafting (CABG). Methods: In this randomized clinical trial, 70 CABG patients were selected with convenience sampling method and allocated into intervention and control groups via permuted block randomization. The data collection tools comprised of demographics form and Hospice Comfort Questionnaire (HCQ) the reliability of the latter was calculated by Cronbach's alpha as 0.75. Initially, the prevalent needs of the patients were determined including pain in the sternum, anxiety, lack of awareness of post-operative care, sleep disturbance. Also, disruptions in comfort were assessed using the HCQ. The intervention group received the comfort-centered care program once a day for 6 days. The program included foot reflective massage and education to patients, whereas the controls received the routine cares. In the end of the sixth session, both groups completed the comfort questionnaire. Data were analyzed by SPSS software version 23 using descriptive (mean, standard deviation, frequency and percentage) and inferential statistics (independent t, Mann-Whitney U, and Wilcoxon). The significant level was set at P <0.05. Results: The mean of comfort score increased in the intervention group after intervention (P <0.001). Also, in the control group, the mean score of comfort and its dimensions significantly improve after intervention (P <0.001). However, the mean scores of changes in comfort and its dimensions was not significantly different in the intervention and control groups after intervention relative to before intervention (P >0.05). Conclusions: This study reported significant increase of comfort in both groups, positive effect of care implementation and nurse`s presence on better communication with patient and comfort in critical conditions after surgery.}, Keywords = {Comfort-centered care, Comfort, Reflective massage, Education to patient, Coronary artery bypass graft}, volume = {5}, Number = {3}, pages = {44-50}, publisher = {Birjand University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, url = {http://jsurgery.bums.ac.ir/article-1-116-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-116-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2017} } @article{ author = {Mofatteh, Mohammad Reza and Salehi, Forod and Hosseini, Mehran and Doostabadi, Mohammad Reza and HassanzadehTaheri, Mohammad Mehdi}, title = {Effect of phenylephrine spray on closed reduction of nasal fractures in patients under general anesthesia}, abstract ={Introduction: As the most anterior part of the face, the nose is more prone to trauma than other parts of the face, thereby making it the most common facial fracture site. Closed reduction has long been used as the standard treatment of the nasal fracture, which can be performed outpatiently or inpatiently. Bleeding due to the fracture can be minimized by adopting certain strategies before the realignment of the nasal fracture. One of these strategies is to use phenylephrine spray before surgery. This study aimed to evaluate the effect of phenylephrine spray in closed reduction of nasal fractures. Methods: A total number of 200 patients with nasal fracture – who were admitted to the ENT department of Vali-e-Asr Hospital in 2014 and 2015 – were incorporated in this clinical trial via simple randomization method. The patients were assigned into case and control groups. The case group received phenylephrine spray twice: 30 minutes before the surgery and before anesthesia. The control group did not receive phenylephrine spray. To evaluate the efficiency of the spray, data concerning intraoperative and postoperative bleeding, pain intensity, blood pressure, and the need for tampon in both groups were recorded. The data were compared in the SPSS software version 18 using T-test and Chi-Square test at a confidence level of 95%. Results: The average age of the participants was 25.12±13.73 years and the majority were men (n=127; 63.5%). The mean systolic pressure of the patients in the case group was significantly higher than that of the patients in the control group (P=0.02). Furthermore, the bleeding volume during surgery in the cases was significantly lower than that of the controls (P=0.01). However, postoperative bleeding volume, pain intensity, and the need for tampon were not significantly different in the groups. Conclusions: By reducing the intraoperative bleeding, phenylephrine spray can play an important role in decreasing the complications caused by surgery. However, it is not recommended for the patients with heart diseases because it increases systolic pressure.}, Keywords = {Phenylephrine, Closed Fracture Reduction, Anesthesia, Fractures, Bone, Intraoperative Complications}, volume = {5}, Number = {3}, pages = {51-56}, publisher = {Birjand University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, url = {http://jsurgery.bums.ac.ir/article-1-118-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-118-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2017} } @article{ author = {Yaghoubi, Gholamhossein and Heydari, Behrouz and Davari, Mohammad Hossein and Sadeghi, Mohammad Ali and Heydari, Saeedrez}, title = {The association between oxygen saturation and cataract disease and related factors in Birjand Vali-asr Hospital}, abstract ={Introduction: Any opacity of lens is defined as cataract. This leads to reduced vision that is the most common cause of blindness in the world in among the elderly. There is no non-surgical treatment for cataract patients; thereby, patients have to spend a lot of money especially those residing in the undeveloped countries. It is thus necessary to be informed of predisposing factors in order to plan prevention strategies. Oxidative damage is a major cause or consequence of cortical and nuclear cataracts. This study planned to compare oxygen saturation levels in cataract and non-cataract persons so that a way can be found to reduce or delay cataract formation. Methods: This study was performed on 135 cases and 136 age and sex-matching controls who referred to Vali-asr Hospital of Birjand. Information concerning oxygen saturation in the two groups was recorded in a checklist covering demographics, history of systemic diseases, drug consumption, ultraviolet exposure time, history of chronic eye diseases, and ocular trauma. The collected data were analyzed by T-test and ANOVA using SPSS software. P values lower than 0.05 were considered statistically significant. Results: The mean Oxygen saturation level had a statistically significant relation between cases and control groups (P=0.041).This relation was also statistically significant between smoking (p=0.02), Ultraviolet exposure time (p=0.013) and ocular trauma (p=0.05) but it was insignificant in place of live p=0.22, (city or village), chronic systemic diseases p=0.08, chronic ocular diseases (p=0.69) and drug consumption (p=0.19). Conclusions: This study showed that low oxygen saturation can be a risk factor for cataract disease. Therefore, we offer another study as a preventive strategy of cataract.}, Keywords = {Pulse Oximetry, Risk Factors, Cataract}, volume = {5}, Number = {3}, pages = {57-61}, publisher = {Birjand University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, url = {http://jsurgery.bums.ac.ir/article-1-108-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-108-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2017} } @article{ author = {Yaghoubi, Gholam Hossein and Heydari, Behrouz and Faal, Gholamreza and Heydari, Elahe and Alipour, Mohamm}, title = {Prevalence and related factors of retinopathy of prematurity (ROP) in preterm infants in ophthalmology clinic of Birjand University of Medical Science from 2014 to 2016}, abstract ={Introduction: The prevalence of retinopathy of prematurity is expected to increase along with the developing of premature infants’ care and better prognosis of these infants. The aim of this study was to evaluate the prevalence of retinopathy of prematurity in preterm infants. Methods: According to this cross-sectional study, one same ophthalmologist examined the eyes of all the babies at 4 weeks postnatally or 32 weeks post-conceptional age, whichever was earlier, for all premature infants under 37 weeks and those who had ROP risk factor. These infants were referred to the ophthalmology clinic of Vali-asr Hospital by neonatologists and pediatricians. History and risk factor was assessed by the neonatologist on admission time. Data were analyzed with SPSS software (version 19) using Chi-square, and Fisher's Exact Test. The significance level was considered P < 0.05. Results: A total of 209 patients were referred to the ophthalmologic clinic of Vali-asr hospital of whom 15 infants (7.2%) were diagnosed with retinopathy of prematurity. The prevalence of retinopathy of prematurity had a significant relationship with gestational age and birth weight. However, there were no significant associations with other risk factors (gender, oxygen, respiratory distress, sepsis, and phototherapy). Conclusions: Overall, the prevalence of retinopathy of prematurity in our study was lower than that of other studies. Excellence in pre- and neonatal care, screening and early treatment of retinopathy of prematurity are keys to preventing vision loss induced by this disease. It is mandatory to ensure that these newborns have regular ophthalmologic support.}, Keywords = {Retinopathy of Prematurity, Infant, Premature, Risk Factors, Prevalence}, volume = {5}, Number = {3}, pages = {62-66}, publisher = {Birjand University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, url = {http://jsurgery.bums.ac.ir/article-1-112-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-112-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2017} } @article{ author = {Jomefourjan, Somaye and Salehi, Shiva and Riasi, Hamideh and Salehi, Foro}, title = {Is there any difference in the scores of life quality between mothers of children with congenital heart diseases in need of cardiac surgery and mothers of healthy children?}, abstract ={Introduction: Congenital heart abnormalities are the most common type of congenital conditions in children. Annually,about 1 to 2 percent of children are born with these diseases. As chronic diseases, congenital conditions of children usuallycause limitations in the quality of their lives, especially if they are in need of frequent and complex surgical procedures. Regarding the role of parents, especially mothers, in the care of these children, their quality of life is of particular importance. This study, therefore,aimed to evaluate and compare the life quality of mothers with healthy children and mothers with children with a congenital heart disease in need of surgery. Methods: This research is a cross-sectional descriptive-analytical study, in which 100 mothers of healthy childrenand 60 mothers ofchildren with severe congenital heart disease – who were referred to Birjand Valiasr Hospital in 2017 –were entered into the study. The life quality of the mothers was assessed using the Life Quality Questionnaire of World Health Organization (WHOQOL-BREF). Data were analyzed by SPSS software (version 22). P-values less than 0.05 were considered significant. Results: According to the findings of this study, the age means of the mothers with healthy children and that of mothers of children with congenital heart diseasewere 31.91±8.57 and 32.48±6.46 years, respectively. The mean score of life quality of motherswith healthy children was 71.25±16.43; it was 41.25±19.27 for mothers ofchildren with congenital heart diseases in need of surgery. Life quality and all its sub-scales (social relationships, mental health, environmental health and physical health) were significantly higher in mothers with healthy children than in mothers ofchildren with severe congenital heart diseases in need of surgery before operation(P <0.001). Conclusions: It was found that the life quality of mothers with children with severe congenital heart disease was significantly different from that ofmothers with healthy children. Therefore, in order to improve their quality of life, appropriate planning in different areas should be performed.}, Keywords = {Life Quality, Congenital heart disease, Mothers, pre-operation}, volume = {5}, Number = {3}, pages = {67-73}, publisher = {Birjand University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, url = {http://jsurgery.bums.ac.ir/article-1-122-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-122-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2017} } @article{ author = {Ebrahimzadeh, Azadeh and ZareBidaki, Majid and Karbasi, Hasan and Khosravi, Sanaz and Bijari, Bit}, title = {An evaluation of culture-positive infections and risk factors in patients admitted to the ICU of Imam Reza hospital in Birjand in 2015-2016}, abstract ={Background and aim: Culture-positive infections include a broad range of nosocomial infections in the intensive care unit (ICU). Investigation and control of these infections is a global priority which aims to minimize infections in order to reduce mortality, decrease the length of stay in the hospital and also significantly reduce the cost of treatment. The aim of this study was investigation of culture-positive infections and the risk factors in patients admitted to the ICU of Imam Reza (AS) hospital in Birjand. Methods: In this cross-sectional study (descriptive-analytical), all patients admitted to the ICU at Imam Reza hospital in 2015 were enrolled in the study. The patients’ blood, urine, wounds and sputum samples were taken to culture upon their admission and CSF cultures were performed when needed. People who initially had positive cultures, as well as those who were pre-treated with antibiotics, as well as those who or their family were not agree to participate, were excluded from the study. In culture negative cases, 48-72 hours after admission, cultures were repeated. Risk factors such as underlying disease, age, gender, duration of hospitalization and the use of catheters were evaluated in positive samples. Data analysis was performed by SPSS v 18 software and using Chi-square test. Results: A total of 669 people with an average age of 46.12 ± 26.08 years were enrolled in the study. The average length of stay was 4.8 ± 8.11 days. The incidence rate of nosocomial infection in patients was 68 (10.2%). Respiratory infection with 79.3% was the most common source of infection. Surgical wound infection with 44.1% and urinary tract infection with 23.5% were the next common types of infection, respectively. The most common isolated bacteria from urinary tract infections were Escherichia coli and Pseudomonas while coagulase-negative staphylococcus and Klebsiella were the most common isolated bacteria from other types of infections. There was a significant relationship between the incidence of  nosocomial infections with age, duration of hospitalization and risk factors such as central catheters, endotracheal tube, ventilator, chest tube, NG TUBE , ventilator and tracheostomy (P<0.05). Discussion and conclusion: According to the results of this study, more attention should be paid to the patients with culture -positive infections and also reducing the risk factors. It is also recommended to avoid any unnecessary interventions in the ICU. In addition, in case of need for catheterization, care and hygiene practices are essential in order to prevent infections.}, Keywords = {culture-positive infection, risk factors, ICU}, volume = {5}, Number = {3}, pages = {74-80}, publisher = {Birjand University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, url = {http://jsurgery.bums.ac.ir/article-1-126-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-126-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2017} } @article{ author = {Kazemi, Tooba and Rabiee, Navid and Akbari, Ehsan and Azimifar, Najme and Azdaki, Nahi}, title = {Familial hypertriglyceridemia-induced acute necrotizing pancreatitis: A case report}, abstract ={Acutepancreatitis can infrequently be a life-threatening complication of hypertriglyceridemia. Rarely, hypertriglyceridemia can originate from an inborn genetic error in lipoproteins metabolism. This condition can be manifested by very high serum triglyceride levels (>1000 mg/dl) and a more severe and lethal form of pancreatitis. Here, we present a case of acute pancreatic which was found out to be a complication of an undiagnosed familial hypertriglyceridemia who died in spite of receiving conventional care and treatment. Focus is on the importance of considering infrequent etiologies of acute pancreatitis and application of more effective treatments.}, Keywords = {Hypertriglyceridemia, Pancreatitis, Acute Necrotizing}, volume = {5}, Number = {3}, pages = {81-84}, publisher = {Birjand University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, url = {http://jsurgery.bums.ac.ir/article-1-121-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-121-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2017} }