Hamid Mahdavi Mohtasham; Farshad Safdari; Azad Aliahmadi; Seyyed Morteza Kazemi
Abstract
Background: One of the common reasons for referral to healthcare centers are orthopedic injuries which may occur due to spontaneous pathologic injuries, traffic accidents, workplace injuries, and during exercise. This study aimed to determine the frequency, types and causes of orthopedic injuries refering ...
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Background: One of the common reasons for referral to healthcare centers are orthopedic injuries which may occur due to spontaneous pathologic injuries, traffic accidents, workplace injuries, and during exercise. This study aimed to determine the frequency, types and causes of orthopedic injuries refering to Akhatr teaching hospital in Tehran.Methods: In this study, records of all the patients presented to the emergency department of the Akhtar hospital in 2015 were reviewed. Data were collected by random completion of the "damage record questionnaire" by nurses. Data were analyzed using descriptive (frequency, mean and standard deviation) and inferential (Chi-square) statistics to evaluate the incidence rate of injuries and demographic characteristics of the participants and to compare the incidence rate of injuries in various body parts.Results: Most injuries occurred in lower extremities, followed by upper extremities. In addition, there was a significant association between gender and cause of incidents (P<0.03). Moreover, a significant correlation was observed between gender and rate of injury in left (P<0.001) and right (P<0.049) lower extremities and also in the right (P<0.001) and left (P<0.001) upper extremities. Results demonstrated a higher rate of injury among men, compared to women. Furthermore, the ankle was the most commonly injured area in the lower extremities while the wrist was the most common area of injury in upper extremities.Conclusion: According to our results, the main cause of orthopedic injuries in the emergency department was traffic accidents (drivers, car occupants, and pedestrians), and the majority of patients were in the age range of 20- 40 years.
Mohamad Qoreishy; Seyyed Morteza Kazemi; Hamid Mahdavi Mohtasham
Abstract
Background and Aim: Documentation, examination, and observation of surgical information and experiences are among the important methods for evaluating surgical exercises. To this end, documenting the performed surgeries by residents and submitting the final log can be effective in assessing their acquired ...
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Background and Aim: Documentation, examination, and observation of surgical information and experiences are among the important methods for evaluating surgical exercises. To this end, documenting the performed surgeries by residents and submitting the final log can be effective in assessing their acquired skills. Therefore, we apply a paper logbook, which is a time-consuming process with low accuracy. As a result, the traditional orthopedic surgical logbook was improved in the present study to provide a complete electronic report on surgical activities of residents and compare their results with other residents by professors online.
Materials and Methods: The surgical activities of orthopedic surgery residents in the Akhtar hospital were assessed for two years using an electronic logbook, which was designed in Excel and uploaded on Google Docs Database. In addition, information about surgeries by residents was recorded in categories.
Results: The electronic logbook was implemented in the Akhtar hospital for two years without any error or problem. Using the mentioned system, it was possible to provide the reports on surgeries by residents and even the number of surgeries of professors on different diagrams, archive the information, assess the residents’ skills, and compare them to the expected scientific and practical levels. The results indicate that the satisfaction of the professors and residents from the Electronic logbook is greater than the traditional one.
Conclusion: According to the results of the study, the electronic logbook of orthopedic surgery residents has many benefits and can provide easy access to the number and details of surgeries performed by the residents based on the course design. In addition, we can recognize the ability of these individuals in performing the necessary surgeries and compare them with residents of other universities. Moreover, this program can be implemented across the nation and in other medical fields.
Roshanak Jazayeri, MD; Mohammad Qoreishi, MD; Hamid Reza Seyyed Hoseinzadeh, MD; Mojgan Babanejad, MS; Enayatollah Bakhshi, PhD; Hossein Najmabadi, PhD; Seyyed Mohammad Jazayeri, MD
Abstract
Background: Osteoarthritis (OA) is a degenerative disease of the joints. The asporin (ASPN) gene encodes a cartilage extracellular protein belonging to the small leucine-rich proteoglycan family. Polymorphisms in the aspartic acid (D) repeat are associated with OA susceptibility. The D14 allele is associated ...
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Background: Osteoarthritis (OA) is a degenerative disease of the joints. The asporin (ASPN) gene encodes a cartilage extracellular protein belonging to the small leucine-rich proteoglycan family. Polymorphisms in the aspartic acid (D) repeat are associated with OA susceptibility. The D14 allele is associated with increased OA susceptibility in the Japanese and the Han Chinese but is not an important factor in OA etiology among Caucasians, though the D15 allele is a risk factor for the Greek population. In this study, the effect of ASPN on Iranian with knee OA is investigated.
Methods: 100 knee OA patients (72 female, 28 male) in a training hospital in Tehran, Iran were compared with 100 controls with no sign of OA, and the allelic association of the D-repeat polymorphism was studied in two groups.
Results: There were some minor differences in the frequencies of the D14 and D15 alleles between patient and control groups. These differences were, however, significant only for females. In Iranian females, D15 allele was significantly associated with KOA (p < /em>=.045), and D14 allele was significantly protective from KOA (p < /em>=.032).
Conclusions: D15 allele could be considered a risk allele only for women (p=.045, OR=1.73, 95% CI=1.01-2.94) in the Iranian population. This association is in part similar to that finding for the Greek population.
