@article{ author = {GanjiFard, Mahmoud and Jafari, Mahmoud and Karbasi, Hass}, title = {Comparison of hemodynamic changes in patients using conventional laryngoscopy and video laryngoscope in surgery}, abstract ={Introduction: One of the complications of laryngoscopy and endotracheal intubation is sympathetic stimulation with hemodynamic changes that are always tried to be avoided by anesthesiologists. The aim of this study is to review and compare hemodynamic changes caused by both conventional and video laryngoscopy. Methods: In this clinical trial performed in 2015 in the Birjand-based Imam Reza Hospital, a total of 42 patients were enrolled by census, 21 patients were intubated by direct laryngoscopy and 21 using video laryngoscope. The mean arterial blood pressure, systolic and diastolic blood pressure, pulse rate, and arterial oxygen saturation 2 minutes after induction and after intubation were checked. The data were subsequently analyzed in SPSS software (version 22) using independent T-test and Chi-square. The significant level was set at P <0.05. Results: According to the findings in this study, the average score of systolic blood pressure after direct intubation was significantly higher than intubation by glidescopy (139.00±22.47 versus 90.00±16.89). The mean arterial blood pressure after intubation by glidescopy was 96.34±13.16 and in direct laryngoscopy, it was 101.60±15.53 with no significant difference between the two. The mean heart rate in the glidescopy group was 104.86±15.79 and in the laryngoscopy group, it was 104.48±16.37, which is not significantly different between the groups. Conclusions: Compared with video laryngoscopy, the direct laryngoscopy can significantly increase the mean systolic arterial blood pressure in patients, which can lead to fatal complications. Therefore, it is advisable to use glidescopy technique for intubation in high-risk patients.}, Keywords = {Hemodynamics, Intubation, Laryngoscopy, Surgery}, volume = {5}, Number = {1}, pages = {1-6}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-105-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-105-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2017} } @article{ author = {RasiHashemi, Seyed Ziaoldin and Ramouz, Ali}, title = {Effect of Betadine in chemical pleurodesis in patients with recurrent malignant pleural effusion between 2013 and 2015}, abstract ={Introduction: Application of Talc powder, Bleomycin and Tetracycline is among conventional treatments in recurrent malignant pleural effusion caused by malignant pleurodesis. The aim of this research is to estimate the effect and safety in application of betadine as a cheap and available chemical factor in treatment of pleurodesis. Methods: In this empirical before-after study, all patients suffering from recurrent pleural effusion, who were admitted in the thoracic surgery department because of malignant nature of the diseases in a period of one year, were incorporated in the study. To perform pleurodesis, chest tube was initially inserted in the duration of 24-48 hours. Thereafter, 20 ml iodopovidon, 10 ml lidocaine, 80 ml normal saline of liquids were injected into the pleural cavity by a chest tube. All the patients were examined for the pleural effusion and pleurodesis recurrence monthly for 6 months. Chi-square and Fisher exact test were used as the qualitative and independent parameters in the quantitative comparison in this study. Results: In this study, a total number of patients was 50 among whom 23 were male (46%) and 27 were female (54%).  The mean age of the patients was 53.25±12.49 years. In the six months follow-up, 40 patients (80%) were completely recovered and the recurrence of the pleural effusion was noticed in 10 patients (20%). Comparison of the success rate of recovery in terms of the gender of the patients showed no significant relation between gender and response to the recovery process (P=0.219). Of the total of 32 patients (64%) with chest pain after pleurodesis, 23 patients had complete recovery, and the incidence of chest pain in patients with no improvement was significantly higher (P=0.018). However, there was no significant relationship between the severity of pain and the success of the treatment (P=0.92). Conclusions: Compared with other sclerosant chemical substances, Iodopovidone is more cheaply available, is of high efficacy, and can be a good choice in treatment of malignant pleural effusion.}, Keywords = {Neoplasm, Metastasis, Pleurodesis, Pleural Effusion}, volume = {5}, Number = {1}, pages = {7-12}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-102-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-102-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2017} } @article{ author = {Amouzeshi, Ahmad and Dolatabadi, Mahtab and Nakhaee, Samaneh and HosseinzadehMaleki, Mahmood and Mehrpour, Omi}, title = {Comparing short- term mortality in opium users and non-users candidate for coronary artery bypass graft surgery}, abstract ={Introduction: Opium addiction is a social and health problem in many parts of the world, including Iran. The exact effects of this substance on the cardiovascular system and postoperative complications are not clear And the results of studies in this regard are also contradictory, Therefore, the present study aims to compare short-term mortality After coronary artery bypass surgery In two groups Opium consumer And non-consumer was done. Methods: This cross-sectional study was performed on 194 patients who were hospitalized during September 2013 to September 2015 In Valiasr Hospital of Birjand, they were under CABG operations conducted. In this study, short-term mortality)Hospital and a month After discharge) Through existing records And phone calls were reviewed. All data were analyzed by SPSS 22 software and analyzed using descriptive and inferential statistics. Results: Of the 194 patients who had undergone surgery twenty-three patients (12.2%) used opioid Among them, In the form of Inhaler, 13 patients (56.5%) orally And 3 patients (13%) was a combination of orally and inhaled. In general, there is a case of mortality during surgery And 7 cases (77.77%) of mortality occurred in the Hospital ward. During the one month follow up, There was a death case. Among the non-addicted patients164 case were alive and 7 died And among addicted patients as well 22 cases were alive And there was a death case. Finally, the results showed, No statistically significant difference between the mortality after surgery, Blood lipids, and diabetes, In two groups Opium consumer And non-consume(p>0/05). But hypertension in the non-addicted group was significantly higher (p <0.05). Conclusions: Based on the results of this study, there was no significant relationship between opioid dependence and short-term mortality in patients after CABG surgery. Due to low sample size and cross-sectional study, The design of cognitive studies with higher sample sizes seems to be necessary in order to discover causal relationships.}, Keywords = {Opium, Dependency, Coronary Artery Bypass, Mortality}, volume = {5}, Number = {1}, pages = {13-17}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-64-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-64-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2017} } @article{ author = {Safari, Saeed and Alamrajabi, Mahdi and VahedianArdakani, Jalal and Baghaei, Masoud and Zamani, Farhad and HosseinSobhkhizi, Mohamm}, title = {Evaluation of the effect of pre-surgical transaminase enzyme disorder on early outcomes of laparoscopic cholecystectomy}, abstract ={Introduction: Gallbladder removal surgery is performed in two ways: open, or laparoscopic. Compared with open surgery, laparoscopic surgery has a shorter admission period, less cost of treatment, and the patient’s faster return to work and daily activities. This study aims to investigate the effect of the disorder of transaminase enzymes before surgery on laparoscopic cholecystectomy outcomes. Methods: The present study is a cross-sectional analysis conducted during the period of 2015-2016 on all patients with a diagnosis of acute cholecystitis admitted to the surgical ward of Firoozgar Hospital in Tehran. These patients, based on the level of disorder of the alanine aminotransferase (ALT) and aspartate aminotransferase (AST) enzymes, were divided into two groups: enzymatic disorder less than 2 times normal and normal, and enzymatic disorder higher than 2 times normal up to a maximum of 10 times normal. Data were collected by the researcher using a checklist containing the variables under study and analyzed in SPSS-22. Results: The results of the study showed that of 89 patients with acute cholecystitis, 59.6% were female and the rest were male. The mean and standard deviation of the age of the patients was 48.6 ± 18.71. The analytical results showed that there was no significant relationship between elevated liver enzymes SAT and ALT and variables such as incidence of hemorrhage during surgery, change of surgical method (laparoscopic to open), surgical difficulty report by the surgeon, changes in anesthesia after surgery, and duration of hospitalization (P >0.05). Conclusions: The results of this study showed that laparoscopy is possible for acute cholecystitis, even with the presence of elevated liver enzymes, and it depends largely on the experience of the surgeon and the anatomy of biliary duct.}, Keywords = {Laparoscopic, Collosectomy, Cross-sectional Study, ALT, AST, Iran}, volume = {5}, Number = {1}, pages = {18-23}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-103-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-103-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2017} } @article{ author = {Rezaei, Habibollah and Shayan, Shahram and Amouzeshi, Zahra and Roozbehi, Amrollah and Nikbakht, Jafar and Bahmanbijari, Bahareh and Beigzadeh, Ami}, title = {Investigating the Attention to Components of Change in Health Development Plan from the Viewpoint of staff in two Hospitals of Isfahan and Kerman in 2015}, abstract ={Introduction: The health system development plan is currently one of the most fundamental changes in Iran. The purpose of this study was to determine the amount of attention to the components of change in health Development plan from the Viewpoint of staff in Al-Zahra hospital in Isfahan and Afzalipour hospital in Kerman in 2015. Methods: In this quasi-experimental study , the staff of Al-Zahra hospital in Isfahan and Afzalipour hospital in Kerman were selected by convenience sampling method. Data were collected using a researcher-made questionnaire and its validity and reliability were taken into account. Data were analyzed by SPSS version 21 and two-way multivariate analysis of covariance was used as appropriate at a significant level of p <0.05. Results: The average rate of attention to the components of change in three factors namely "support and planning", "training and counseling", and efficiency" Were respectively 3.93±0.63, 2.91±0.86 and 2.3±0.69. The overall mean of attention to change components was 2.83±2.52. Conclusions: The mean of the total score showed that less attention has been paid to the components of change in the Health Development Plan. We suggest conducting a national survey to identify faulty components and elements in order to take corrective measures.}, Keywords = {Change, Health development, Viewpoint, Staff}, volume = {5}, Number = {1}, pages = {24-30}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-107-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-107-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2017} } @article{ author = {Jomefourjan, Somaye and Javadmoosavi, Seyed yoosef and Akbari, Ayob and KhosraviBizhaem, Saeede and Salehi, Foro}, title = {Comparison of quality of life of mothers with healthy children and mothers of children with congenital heart disease after open heart surgery}, abstract ={Introduction: Congenital cardiac abnormalities are among the problems that affect the quality of life of children and parents, especially the mothers. Meanwhile, mothers are severely stressed and harmed due to their emotions and feelings, so that the suffering can reduce their quality of life. This study aimed to compare the quality of life of mothers of healthy children and mothers of children with congenital heart disease after cardiac surgery. Methods: This is a cross-sectional descriptive-analytic study where 100 mothers of healthy children and 60 mothers of children with congenital heart disease referring to Vali-e-Asr Hospital in 2016 and 2017 were incorporated. The mothers' quality of life was assessed using the World Health Organization Quality of Life Scale (WHOQOL-BREF). The collected data was analyzed in SPSS software (version 22) using independent t-test, Mann-Whitney, Kruskal-Wallis and Chi-square. The significance level for all tests was considered less than 0.05. Results: According to the findings, the mean age of mothers with healthy children was 31.91 ± 8.57 years and that of mothers of children with congenital heart disease was 32.48 ± 6.46 years. The mean score of the quality of life of mothers with healthy children was 71.25 ± 16.43 and that of the second group was 66.51 ± 15.46. The mean scores of social relationships, mental health, and physical health in mothers with healthy children were significantly higher than those of mothers after their child's surgery. However, there was no significant difference between the two groups as for the mean score of overall quality of life and environmental health. Conclusions: According to the results, it was found that the quality of life of the mothers with unhealthy children is lower than that of mothers with healthy children. Therefore, proper training and timely counseling are recommended as potential measures to somewhat improve their quality of life.}, Keywords = {Quality of life, Operation, Congenital heart disease, Mothers, Postoperative}, volume = {5}, Number = {1}, pages = {31-35}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-120-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-120-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2017} } @article{ author = {Hosseinirad, Seyyed Abbas and Yaghoubi, Gholamhossein and Haidari, Behrouz}, title = {Misdiagnosis of Ocular Leech Infestation}, abstract ={Leeches are segmented worms belonging to Phylum Annelida and make up the subclass Hirudinea. Leeches have been historically used in medicine to suck blood from patients. Ocular infestation with leech is rare, moreover it is often misdiagnosed. In this report, we describe 2 patients with continuous bright ocular bleeding after swimming in a pool, and pseudo iris prolapse in a child after trauma with a wooden piece who immediately washed his face in a stream. Ocular leech infestation must be ruled out in children with a history of contamination or swimming in rural pool or streams.}, Keywords = {Ocular, Infection, Leeches}, volume = {5}, Number = {1}, pages = {36-38}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-97-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-97-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2017} } @article{ author = {Ahmadi, Jalal and Hosseinirad, Abbas and Dadgar, Hoda and Ganjifard, Mahmou}, title = {A case of penetrating orbitocranial injury}, abstract ={The case is a 2-year-old previously healthy girl with coincidental penetrating eye and brain injury. A metal rod was inserted into the skull through the upper border of the right globe. After admission and diagnostic and surgical approaches, the rod was removed under general anesthesia, and no brain hematoma or ocular and significant periocular injuries were detected. No neurologic and ophthalmologic signs and symptoms were observed during hospitalization, and follow-up brain CT was normal.}, Keywords = {Penetrating cranial injury, Penetrating eye injury, Eye foreign body}, volume = {5}, Number = {1}, pages = {39-42}, publisher = {Birjand University of Medical Sciences}, url = {http://jsurgery.bums.ac.ir/article-1-117-en.html}, eprint = {http://jsurgery.bums.ac.ir/article-1-117-en.pdf}, journal = {Journal of Surgery and Trauma}, issn = {2345-4873}, eissn = {2345-4873}, year = {2017} } @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}, 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}, 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}, 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}, 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}, 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}, 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}, 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}, 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} }