@article{ author = {Javadmoosavi, Seyed Yoosef and MohammadReza, Raeisoo}, title = {Let’s avoid unwanted plagiarism}, abstract ={This article has no abstract. Drafting a scientific paper is both challengingand exciting. A paper reports our findings toscholars and contributes to application of the findings.}, Keywords = {The article has no keywords.}, volume = {4}, Number = {1}, pages = {1-1}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-86-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-86-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2016} } @article{ author = {Amouzeshi, Zahra and Soltani, Narges and Taheri, Narjes Khatoon and ZareBidaki, Majid and Mousavi, Seyed Ali Reza and Nasirizade, Manizhe and Safajou, Farzaneh}, title = {The Effect of Offline E-Learning on Cognitive Learning (Levels of Knowledge, Comprehension, and Application) of Fluid and Electrolyte Imbalances Course among Nursing Students}, abstract ={Introduction: The use of e-learning and computer-aided methods is rapidly on the rise in medical and nursing education. Therefore, given the conflicting findings and lack of systematic clinical trials on comparison of the effects of e-learning and traditional methods in nursing education, this study aimed to assess the effects of offline e-Learning on cognitive learning (levels of knowledge, comprehension, and application) in the Fluid and Electrolyte Imbalances course among nursing students. Methods: This is a quasi-experimental study with a two-group, post-test-only design. A total of 52 third-semester nursing students were selected by convenience sampling method. Course contents were presented during 6 weeks by lecture and question and answer (Q & A) in the traditional learning group and by offline e-Learning in the second group. Afterwards, the students’ cognitive learning (knowledge, comprehension, and application) was assessed using a 23-item questionnaire on Fluid and Electrolyte Imbalances course. The obtained data were analyzed in SPSS (version 16) using Mann-Whitney, t-test, Chi-square, Fisher's Exact Test, and analysis of two-way variance. The significant level was considered as P < 0.05. Results: The mean score of cognitive learning was significantly higher in the traditional learning group (14.1±1.9) than in the e-learning group (12.4±2.2) (P=0.006). The difference was also significant in the domain of knowledge (P<0.001), but insignificant in comprehension (P=0.097) and application (P=0.892) domains. Conclusions: According to the results, the method of teaching e-learning, alongside traditional teaching method is recommended.}, Keywords = {Cognitive learning, Nursing Students, e-Learning, Traditional learning}, volume = {4}, Number = {1}, pages = {2-6}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-85-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-85-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2016} } @article{ author = {Abdi, Reza and Aboobakri, Moei}, title = {The use of combined 3.5 LCP unicortical plate and nail fixation in proximal tibia fractures and prevention of valgus and anterior angulation}, abstract ={Introduction: Intramedullary nailing (IMN) of high tibia fracture has some mechanical and biological advantages over the other form of fixation. However, valgus, apex anterior malalignment and anterior displacement of proximal fragment commonly occur after isolated IMN fixation of proximal high tibia fracture. The purpose of this study is to determine the effectiveness of using 3.5-mm locking compression plate (LCP) with unicortical screws combined with IMN fixation to maintain the difficult reduction and prevent any displacement after classic nail insertion. Methods: This cross-sectional study was performed between 2010 and 2012, thirty-three open or closed tibia fractures involving the high proximal tibia metaphysis were operated using combined 3.5 mm LCP unicortical plate with the classic reamed intramedullary nailing technique. The clinical and radiological results of the study were collected on the basis of the time to ::::::::union::::::::, non::::::::union::::::::, mal::::::::union::::::::, degree of angulations at the fracture site, and infection. Follow-up ranged from 24 to 36 months (mean 28 months). Results: The ::::::::union:::::::: rate was 100% on radiographs at 3.38 months postoperatively. No complications such as mal::::::::union::::::::, delayed ::::::::union::::::::, implant failure, prominent valgus, anterior angulation malalignment, or postoperative deep infection occurred. Conclusions: Although prominent malalignment occurs after IM nailing of proximal one-third tibia fractures, we can avoid it by using the medially inserted 3.5 LCP unicortical plate. The results are good even in open fracture type one or two.}, Keywords = {Nail, Tibia,Intramedullary, Proximal, Fracture, Fixation}, volume = {4}, Number = {1}, pages = {7-10}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-80-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-80-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2016} } @article{ author = {Vejdan, Amirkazem and Naseh, Ghodratollah and Masoodi, Narjes and Khosravi, Malihe}, title = {Evaluation of the accuracy of physicians’ diagnostic performances in patients with suspected acute appendicitis}, abstract ={Introduction: With a prevalence rate of 7-8 percent, acute appendicitis is one of the most common public surgical emergencies worldwide. Given the complications of this disease because of lack of medical diagnosis and not on-time arrival of patients, this study evaluated the diagnostic performance of physicians (general or specialist) in patients with suspected appendicitis admitted in Imam Reza Hospital of Birjand in 2015’s second half. Methods: In this cross-sectional study, diagnostic and treatment process from the onset of symptoms to hospitalization and surgery of 147 patients with a diagnosis of acute appendicitis undergoing surgery in the second half of 2015 in Imam Reza (AS) hospital in Birjand were evaluated using questionnaires and checklist. After examining the results of the histopathology, confirmed appendicitis cases were analyzed. The data were analyzed using statistical software SPSS 15 and statistical tests of chi-square, Fisher exact test, and Mann-Whitney U test. Results: In the study, the mean age of the 147 patients was 24.45±13.32 years and all the patients were complaining of abdominal pain. The initial pain in 52% of the cases was in the periumbilical area. Moreover, 105 (71.42%) of the patients presented typical symptoms and 42 (28.57%) had untypical symptoms. Appendicitis in 74.8 percent of patients had led to no complications and 21.1% of them were admitted with generalized peritonitis in surgery. Distribution of the people in cases of complicated appendicitis evaluated by clinical examination (N=22) was significantly lower than uncomplicated cases (99 patients) (P<0.001). A statistically significant difference was found between the cases of complicated and uncomplicated appendicitis in terms of testing, imaging, first physician therapist, and clinical treatment (p= 0.033). Although both groups had direct reference in the first place, many cases of complicated appendicitis were discharged with prescription medication and without any advice or warnings. Conclusions: Based on these results, it is necessary to raise awareness about quick lookup. It is also recommended to physicians to observe early signs and symptoms of appendicitis to accurately refer the patients to specialized diagnostic procedures in order to take quick actions and appropriate treatment.}, Keywords = {Diagnostic Techniques, Appendicitis, Appendectomy}, volume = {4}, Number = {1}, pages = {11-16}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-89-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-89-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2016} } @article{ author = {Mofatteh, Mohamad Reza and Asli, Marziye and Shaghab, Masoome and Mofatteh, Ali}, title = {Evaluation of the results of direct laryngoscopy of patients with larynx and hypopharynx signs and lesions in ENT specialized medical centers of Birjand city}, abstract ={Introduction: Laryngeal and hypopharyngeal lesions areamong common head-and-neck diseases. Evaluating them with direct laryngoscope provides information about the kinds and regions of the lesions, whichalong with the clinical signs helps to diagnose and determine the treatment plans. The aim of this study is to evaluatethe frequency distribution of different types of laryngeal and hypopharyngeal lesions viadirect laryngoscopyofthe patients referred to the medical centers of Birjand city. Methods: This cross-sectionalstudy wasperformed on 165 patients referred to all ENT specialized medical centers of Birjand city who,according to the primary clinical diagnosis, were in need of direct laryngoscopy. Patients with bronchial or lower lesions were omitted from the study. The necessary information including age, sex, residence, primary complaint, risk factors,type and region of the lesion was collected with the patient’s consent. Data were analyzed in SPSS 18 software usingKruskal-Wallis and Chi-Square tests. The significance level was set at P<0.05. Results: The mean age of the participants was 43.76±23.66 years, and 53.3% were male. The most frequent primary complaint was dysphonia,the most frequent types of lesion were foreign object and neoplasm, the most involved regions were glottis and hypopharynx, and the most frequent risk factors were opium and smoking.The results showed a significant correlation between the type of lesions and the variables of age, residence, risk factors and region of legions. Conclusions: The results showed that dysphonia was the most frequent primary complaint. The majority of neoplastic lesions,which had a significant correlation with smoking, opium consumption and bad nutritional habits, were seen in men,indicating the necessity to inform people about the primary signsof these lesions in order to diagnose timely and decrease tobacco use.}, Keywords = {Laryngoscopy, Laryngeal Neoplasms, Hypopharyngeal Neoplasms}, volume = {4}, Number = {1}, pages = {17-23}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-91-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-91-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2016} } @article{ author = {Azdaki, Nahid and Mashreghimoghaddam, Hamidreza and Farzad, Marjan and Kazemi, Tob}, title = {Torsades de pointes: Should ECG be taken from all patients before surgery? A case report}, abstract ={Torsades de pointes is a rare but potentially lethal arrhythmia which mainly occurs in the setting of a prolonged QT interval. ECG is a reliable tool to detect such abnormalities, routinely taken from all patients over 40 who undergo surgery. We describe the case of a 35-year-old woman with torsades de points arrhythmia after hysterectomy surgery. Most likely, our patients had long QT syndrome which has not already been detected. Surgery can elicit both acquired and unknown congenital long QT syndrome. Preoperative ECG is recommended even for people under 40 years to detect unknown congenital long QT syndrome.}, Keywords = {Long QT Syndrome, Torsade de Pointes, Electrocardiogram}, volume = {4}, Number = {1}, pages = {24-26}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-84-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-84-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2016} } @article{ author = {Kouzegaran, Samaneh and Sabertanha, Amir}, title = {Accidental discovery of a hydatid cyst with primary presentation in an unusual location: a case report}, abstract ={A hydatid cyst is a zoonotic infection caused by the larval forms of mostly the Echinococcus granulosus. In humans, the most common site of cyst development is the liver (60%), followed by the lungs (20%), and much less commonly in other organs such as kidney, spleen, brain, and other soft tissues. The localization of cysts in muscles and subcutaneous is very rare. We report a case of 38-year-old female patient with a cystic shoulder mass turning out to be hydatid cyst on surgical exploration. However, especially in non-endemic regions, the most diagnostic tool for an unusual presentation is the awareness of the physician. Surgical excision is the main modality of treatment. Also, complementary investigation to rule out other organs’ involvement is necessary. During surgical interventions, all precautions antiscolicidal solutions along with meticulous surgical techniques go a long way in the prevention of recurrence of this disease.}, Keywords = {Cyst, Hydatid, Shoulder, Subcutaneous tissue}, volume = {4}, Number = {1}, pages = {27-29}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-79-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-79-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2016} } @article{ author = {Hematin, Mohammad Nasir and Hosseinzadeh-Maleki, Mahmood and Shabanian, Reza and Navabi, Mohammad Ali and Salehi, Foro}, title = {Neonatal ascending aorta thrombosis: A case report}, abstract ={Thrombotic events are very unusual in neonatal period. This congenital anomaly may be caused by certain risk factors such as polycythemia, perinatal asphyxia, septicemia, maternal diabetes, dehydration, and low cardiac output, or it may occur upon catheterization of central lines. A 20-day-old neonate was referred to our ward with primary signs of hypertrophic cardiomyopathy (HCMP). Echocardiography and CT-angiography were performed to find stenosis or no stenosis of aortic valve, which showed a great mass into the ascending aorta. This mass was resected and removed successfully and thereafter the aortic arch was repaired. There was no prothrombic disorder in his family history.}, Keywords = {Neonatal, Hypertrophic cardiomyopathy, Thrombosis, Echocardiography, Aorta}, volume = {4}, Number = {1}, pages = {30-32}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-74-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-74-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2016} } @article{ author = {Karbasi, Seyyed Hassan and Derakhshan, Pooya and Hashemi, Hossei}, title = {The Effect of Dexamethasone in Reducing PropofolInjection Pain in 6 to 13-Year-Old Children Undergoing AdenotonsillectomySurgery: A Double-Blind Clinical Trial}, abstract ={Introduction: Propofol is a popular intravenous anesthetic and a quick inducer of anesthesia with quick recovery. However, its downside lies with pain and discomfort during intravenous injections when injected in small blood vessels in the back of the hand, which prevails in 85% of children. This study investigates the effect of Dexamethasone in reducing propofol injection pain in children. Methods: In this double-blind clinical trial, 50 children aged from 6 to 13 years undergoing elective Adenotonsillectomy in Birjand-based Valiasr Hospital were randomly assigned into case and control groups. Intravenouscannulation was performed with intravenous cannula No. 22 on hands of all participants. Under similar conditions, 0.2 mg (oral) Midazolam as premedication and 20 ml of juice were administered for all the patients two hours before surgery. The same volume of Dexamethasone and normal saline (0.15 mg/Kg) was injected in the case and control groups, respectively. Immediately after, 20% of anesthesia induction dose of propofol (1%) was injected on all patients following which injection pain severity was measured using the Face Pain Scale (FPS) on a scale from 0 to 10. The remaining doses of propofol, Atracurium, and Fentanyl were subsequently injected whereby the anesthesia process was completed. The collected data were analyzed in SPSS-17 using t-test, Mann-Whitney, Fisher, and McNemar’s tests. The significance level was set at P<0.05. Results: Half of the participants were female. Pain severity rates were 4.32±4.89 and 6.48±1.76 in case and control groups, respectively. The results showed that pain severity was significantly greater in the controls than the cases. Heart rate increased in both groups after intervention (p <0.001). In terms of drug injection complication, three cases were reported in the control group, while there was only one patient in the cases with a significant difference between the groups according to Fisher and McNemar tests. Conclusions: Dexamethasone can be used as an effective and routine drug in the operating room to reduce propofol injection pain in children before the induction dose of propofol, hence increased satisfaction of children from anesthesia.}, Keywords = {Propofol, Pain, Dexamethasone, Child, Tonsillectomy}, volume = {4}, Number = {3}, pages = {33-37}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-82-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-82-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2016} } @article{ author = {Akbari, Ayob and Abdi, Reza and Jomefourjan, Somaye and Gholami, Mojtab}, title = {A comparative study on the effects of warm intravenous fluids, intravenous pethidine, and combined warm intravenous fluids and humid-warm oxygen on hemodynamic parameters after general anesthesia in patients with shivering in the recovery room}, abstract ={Introduction: Pethidine is commonly used to treat shivering after general anesthesia (GA), yet respiratory depression may subsequently occur. Warming methods such as warm fluids and/or humid-warm oxygen inhalation can reduce shivering after GA. This randomized clinical trial aimed to compare the effects of three different methods on the reduction of shivering and their hemodynamic and respiratory side-effects in patients undergoing abdominal surgery. Methods: Eighty-seven patients undergoing abdominal surgery by GA were randomly assigned into three groups (two intervention groups versus the pethidine group). Patients in warmed intravenous fluids group received warmed ringer serum (38 °C). The patients in the combined warming group received warmed ringer serum (38 °C) and humid-warm oxygen, and patients in the pethidine group received intravenous pethidine only. The hemodynamic parameters of patients were collected and analyzed. Results: The elapsed time of shivering in the warmed intravenous serum group, the combined warming group and the pethidine group were 7±1.5 min, 6±1.5 min, and 2.8±0.7 min, respectively, where the difference was statistically significant (P < 0.05). In the pethidine and combined warming groups, the pulse rate (PR) and systolic blood pressure (SBP) increased, whereas the diastolic blood pressure (DBP) decreased. As for the warmed intravenous serum group, pulse rate, DBP and SBP decreased (P >0.05). The mean respiratory rate (RR) decreased in the pethidine group (from 16 to 15). The mean RR increased (from 16.2 to 16.8) in the combined warming groups, and the differences were statistically significant (p<0.05). Conclusions: The combined warming method reduces the shivering length, while the hemodynamic parameters (PR, BP) remain stable and respiratory depression does not occur. Therefore, it can be used to prevent hypothermia and reduce shivering after general anesthesia.}, Keywords = {Anesthesia, Meperidine, Intravenous, Combined, Hemodynamic, Shivering}, volume = {4}, Number = {3}, pages = {38-43}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-96-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-96-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2016} } @article{ author = {Heydari, Behrooz and Heydari, Saeed Reza and Yaghoobi, Gholamhossei}, title = {Effect of Avastin on intraocular pressure before and after intravitreal injections}, abstract ={Introduction: Intravitreal Avastin (bevacizumab) injection is reportedly accompanied by ocular and systemic side-effects. Our enquiry assesses whether there are any differences between intraocular pressure (IOP) in baseline and on the day after injection in patients treated for retinal disease. Methods: In this experimental study, 82 eyes with retinal diseases that had indication for anti-VEGF and were treated with injections of intravitreal bevacizumab were taken as the case group, and 82 healthy eyes were considered as controls. The IOP was measured by non-contact tonometry in both the healthy eyes and the eyes with retinal diseases before and 24 hours after intervention. Data were analyzed by paired t test and independent t-test in SPSS 19.0 software. Significance level was set at P <0.05. Results: Results of the study showed that the mean IOP before injection was not significantly different in either groups (p=0.51). However, it was significantly lower after injection than before it in both case and control eyes (p<0.01). The mean IOP changes before and after infusion in the case and control eyes did not differ significantly (p=0.30). Conclusions: Our study did not find an increased IOP in bevacizumab-treated eyes when compared to fellow control eyes. Further studies with a greater sample size are needed to evaluate whether an increased number of ranibizumab injections is associated with IOP changes.}, Keywords = {Bevacizumab, Intraocular pressure, Intravitreal Injections}, volume = {4}, Number = {3}, pages = {44-46}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-77-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-77-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2016} } @article{ author = {Mousavie, Seyed Hamzeh and Nazerani, Shahram and Alhasani, Jalil Shoa and Negahi, Ali Reza and Derakhshan, Pooy}, title = {A retrospective epidemiologic study on upper extremity tumors in Firozgar Hospital}, abstract ={Introduction: Epidemiologic data of upper extremity tumors are still few and sometimes conflicting. In our department, hand surgeons manage these tumors. Good documentation of patients’ information permitted us to make an epidemiologic study on the tumors of the upper extremity operated in our department. Methods: We retrospectively studied all the cases of upper extremity tumors operated from 1992 to 2012. The required files were collected from the hospital’s databank and the pathology report from the registry of the department of histology. Results: The mean age of patients was 37.91 years (from 3 to 83 years). The series included 100 patients (60 women and 40 men). Tumors concerned soft tissues in 78 cases (78%), bone in 18 cases (18%), and skin in 4 cases. Nearly all the malignant hand tumors were found in men (5 males, one female). Conclusions: The data are comparable to other published studies. Upper extremity tumors are more prevalent in females (60%). The prevalence of bone tumors (18%) in our study is greater than other studies (from 1.6% to 11.4%) and the prevalence of skin tumors is lower (4%). Except for skin tumors where recruitment modalities are more variable, this series seems to be a good reflection of the prevalence of the different types of hand and wrist tumors.}, Keywords = {Upper extremity, Bone tumor, Skin tumor, Osteosarcoma, Lipoma}, volume = {4}, Number = {3}, pages = {47-50}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-81-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-81-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2016} } @article{ author = {Azdaki, Nahid and Ghodsinik, Navid and Rabiee, Navid and Zardast, Mahmood and RahmanianSharifabad, Amir and HosseinzadehMaleki, Mahmood and Jafarnrzhad, Maji}, title = {Associations between preoperative P-wave characteristics, C-reactive protein levels, and atrial fibrillation after coronary artery bypass graft surgery}, abstract ={Introduction: Atrial fibrillation (AF) is the most common complication of cardiac surgery which may cause remarkable morbidity and complications. Identifying predicting factors of this arrhythmia can help prophylactic therapy. The present study is designed to investigate the hypothesis that HsCRP level and P-wave characteristics are associated with the incidence of post-operative AF. Methods: In this prospective study, 50 consecutive patients undergoing coronary artery bypass graft (CABG) operation during a 1-year period at Vali-e-asr Hospital, Birjand, Iran were enrolled. All the patients underwent electrocardiography (ECG) before surgery and P-wave duration and height were measured. In addition, blood samples were collected the day before surgery as well as 12, 24 and 72 hours after surgery to measure CRP serum levels. Patients were monitored after surgery to detect probable AF rhythm. Data was analyzed using SPSS 16. Results: Of the 50 patients, 10 (20%) developed AF in the postoperative phase during days 1 to 5, while the other 40 patients (80%) had stable sinus rhythm. P-wave duration and height were significantly different in patients who subsequently developed postoperative AF with the mean values of 109.5±15.7 and 0.14±0.03, respectively. Mean HsCRP levels before and 12, 24, and 72 h after operation showed no significant difference. Conclusions: Patients prone to AF arrhythmia can be identified by measuring P-wave duration and height in preoperative ECG. Hs.CRP levels before and after CABG surgery may not contribute to AF prediction.}, Keywords = {Coronary Artery Bypass, Atrial Fibrillation, Electrocardiogram, C - reactive protein}, volume = {4}, Number = {3}, pages = {51-57}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-99-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-99-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2016} } @article{ author = {Hosseini, Mostafa and Derakhshan, Pooya and Kashanizadeh, Mohammad Ghasem and Kashanizadeh, Atefe}, title = {Prevalence of parathyroid removal during total thyroidectomy in Rasoul Akram and Firozgar hospitals during 2013- 2014: A case-series study}, abstract ={Introduction: It is not a routine to remove the parathyroid glands during thyroidectomy except when they are ischemic or have malignancy. In this study, the prevalence of parathyroid removal during total thyroidectomy was assessed. Methods: In this case-series study, 53 consecutive patients under total thyroidectomy in two general hospitals during 2013-2014 were enrolled. Serum parathormone values of the patients were assessed, and radioactive iodine uptakes were studied to check for preserved parathyroid gland in the postoperative phase. The obtained data were analyzed in SPSS 14.0. Results: This study incorporated fifty-three consecutive patients under total thyroidectomy who were treated in Rasoul Akram and Firozgar general hospitals from 2013 to 2014. Forty-six patients (86.8%) had no parathyroid removal and 13.2% had parathyroid removal. Four patients had intra-thyroidal parathyroid gland in permanent pathology. Conclusions: One-eighth of the subjects under total thyroidectomy would experience parathyroid removal which would not be a significant contributor, indicating a low chance of parathyroid removal during total thyroidectomy.}, Keywords = {Thyroidectomy, Parathyroidectomy, Thyroid, Parathyroid}, volume = {4}, Number = {3}, pages = {58-61}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-83-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-83-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2016} } @article{ author = {Aghebati, Mohammad and Ghahramani, Zahr}, title = {A Miracle Survival after Falling from Height: A Case Report}, abstract ={Falling from height is an urban phenomenon and shows an important form of blunt trauma. We report an 18-year-old man who fell from 6 m height onto vertical steel rods in an under construction building. He went under surgery to remove two foreign bodies and was discharged on the 2nd day after surgery in good conditions. The objective of this report is to provide a definitive baseline to improve the incidence rate of fall from height. It is better to consult with key stakeholders in the workplace to gain a view on the key issues relating to fall from height. Similarly, it is good to use the available measurements in order to control and prevent those at risk.}, Keywords = {Survive, Accidental Falls, Injury}, volume = {4}, Number = {3}, pages = {62-64}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-98-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-98-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2016} } @article{ author = {Motie, Mohammadreza and Aliakbarian, Mohsen and Rezapanah, Alirez}, title = {Metastasis of alveolar soft part sarcoma of the retroperitoneum to distal phalanx of hand}, abstract ={Hand metastasis accounts for approximately 0.1 percent of all metastatic osseous malignancies. The lung, breast and kidney are the most common primary sources of these metastatic lesions.A rare case of retroperitoneal alveolar soft part sarcoma metastasizing to the distal phalanx of the second finger of the right hand is presented here. The patient underwent complete DIP amputation of the affected finger and was referred to oncologist for further therapeutic workups. Acrometastases run a poor prognosis; thus, palliative treatment is in the patient’s best interest.}, Keywords = {Sarcoma, Alveolar Soft Part, Neoplasm Metastasis, Finger Phalanges}, volume = {4}, Number = {3}, pages = {65-68}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-100-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-100-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2016} }