|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Should we change our approach to resuscitating victims of femoral fracture?A clinical experience in a busy trauma hospital in Shiraz,Iran显示文摘Purpose Traumatic hemorrhagic shock is a life-threatening event worldwide.Severe brain trauma accompanying femoral fractures can trigger inflammatory responses in the body and increase pre-inflammatory cytokines such as TNF-α,IL-1.The primary treatment in these cases is hydration with crystalloids,which has both benefits and complications.The purpose of this study was to investigate the effects of fluid therapy on the hemodynamics,coagulation profiles,and blood gases in such patients.Methods In this cross-sectional study,patients were divided into two groups:femoral fracture group and non-femoral group.The hemodynamic status,coagulation profile,and blood gases of patients in both groups were evaluated upon arrival at the hospital and again 2 h later.Data were analyzed by t-test and ANOVA with repeated data and paired samples t-test.Results A total of 681 trauma patients(605 men and 76 women)participated in this study,including 69(86.3%)men and 11(13.8%)women in femoral fracture group and 536 men(89.2%)and 65 women(10.8%)in non-femoral group.The laboratory parameters were evaluated in response to the equal amount of crystalloid fluid given upon arrival and 2 h later.Blood gases decreased in the fracture group despite fluid therapy(p<0.003),and the coagulation profile worsened although the change was not statistically significant.Conclusion The treatment of multiple-trauma patients with femoral bone fractures should be more concerned with the need for the infusion of vasopressors such as norepinephrine.If there is evidence of clinical shock,excessive crystalloid infusion(limited to 1 L)should be avoided,and blood and blood products should be started as soon as possible. | Shahram Paydar Ali Taheri Akerdi Sadra Nikseresht Hossein Abdolrahimzadeh-Fard Leila Shayan Zahra Ghahramani Shahram Bolandparvaz Hamid Reza Abbasi | 2021 | Chinese Journal of Traumatology2021，24，1： | 3 |
| 2 | Do clinical and paraclinical findings have the power to predict critical conditions of injured patients after traumatic injury resuscitation?Using data mining artificial intelligence显示文摘Purpose The triage and initial care of injured patients and a subsequent right level of care is paramount for an overall outcome after traumatic injury.Early recognition of patients is an important case of such decision-making with risk of worse prognosis.This article is to answer if clinical and paraclinical signs can predict the critical conditions of injured patients after traumatic injury resuscitation.Methods The study included 1107 trauma patients,16 years and older.The patients were trauma victims of Levels I and II triage and admitted to the Rajaee(Emtiaz)Trauma Hospital,Shiraz,in 2014–2015.The cross-industry process for data mining methodology and modeling was used for assessing the best early clinical and paraclinical variables to predict the patients’prognosis.Five modeling methods including the support vector machine,K-nearest neighbor algorithms,Bagging and Adaboost,and the neural network were compared by some evaluation criteria.Results Learning algorithms can predict the deterioration of injured patients by monitoring the Bagging and SVM models with 99%accuracy.The most-fitted variables were Glasgow Coma Scale score,base deficit,and diastolic blood pressure especially after initial resuscitation in the algorithms for overall outcome predictions.Conclusion Data mining could help in triage,initial treatment,and further decision-making for outcome measures in trauma patients.Clinical and paraclinical variables after resuscitation could predict short-term outcomes much better than variables on arrival.With artificial intelligence modeling system,diastolic blood pressure after resuscitation has a greater association with predicting early mortality rather than systolic blood pressure after resuscitation.Artificial intelligence monitoring may have a role in trauma care and should be further investigated. | Shahram Paydar Elahe Parva Zahra Ghahramani Saeedeh Pourahmad Leila Shayan Vahid Mohammadkarimi Golnar Sabetian | 2021 | Chinese Journal of Traumatology2021，24，1： | 2 |
| 3 | A new mathematical model for integrating all incidence matrices in multi-dimensional cellular manufacturing system 显示文摘 | Mahdavi Iraj Aalaei Amin Paydar Mohammad Mah- di | 2012 | Journal of Manufacturing Systems2012，31，2： | 1 |
| 4 | Modelling irrigated Eucalyptus for salinity control on shallow water tables 显示文摘 | Paydar Z Huth N Snow V | 2005 | Austra J Soil Res2005，43，： | 1 |
| 5 | Prevalence and characterisation of potentially virulent Vibrio parahaemolyticus in seafood in Malaysia using conventional methods,PCR and REP-PCR显示文摘 | Paydar M Ju Teh C S Thong K L | 2013 | Food Control2013，32，1： | 1 |
| 6 | Preva- lence of colorectal neoplasia among young African Americans and Hispanic Americans 显示文摘 | ASHKTORAB H PAYDAR M NAMIN H H | 2014 | Dig Dis Sci2014，59，2： | 1 |
| 7 | Stress analysis of annular sandwich plates of linearly varying thickness 显示文摘 | PAYDAR N | 1988 | Int J Solids Struct1988，24，3： | 1 |
| 8 | Consolidation of commercial pure aluminum powder by torsional-equal channel angular pressing (T-ECAP) at room temperature显示文摘 | MANI B JAHEDI M PAYDAR M H | 2012 | Powder Technology2012，219，： | 1 |
| 9 | Bending of Sandwich plates of variable thickness显示文摘 | PAYDAR N LIBOVE C | 1988 | J Appl Mech ASME1988，55，2： | 1 |
| 10 | Stress analysis of bone modeling response to rat molar orthodontics显示文摘 | Paydar NH Akay HU Roberts WE | 1995 | J Biomech1995，28，1： | 1 |
| 11 | Electroless deposition of Ni-P-B4C composite coating on AZ91D magnesium alloy and investigation on its wear and corrosion resistance显示文摘 | Araghi A Paydar M H | 2010 | Materials and Design2010，，31： | 1 |
| 12 | Mechanical simulation of the human mandible with and without an endosseous implant显示文摘 | Chen J Lu X Paydar N | 1994 | Med Eng Phys1994，16，1： | 1 |
| 13 | Fabrication of A17075/Al, two phase material, by recycling Al7075 alloy chips using powder metallurgy mute 显示文摘 | SHERAFAT Z PAYDAR M H EBRAHIMI R | 2009 | Journal of Alloys and Compounds2009，487，： | 1 |
| 14 | The effect of starch addition on solution combustion synthesis of A1203-ZrO2 nanocomposite powder using urea as fuel显示文摘 | Tahmasebi K Paydar M H | 2008 | Materials Chemistry and Physics2008，109，1： | 1 |
| 15 | Role of routine pelvic ra- diography in initial evaluation of stable, high-energy, blunt trauma pa- tients显示文摘 | Paydar S Ghaffarpasand F Foroughi M | 2013 | Emerg Med J2013，30，9： | 1 |
| 16 | On the achievement of uniform particle distribution in metal matrix composites fabricated by accumulative roll bonding显示文摘 | M. Reihanian E. Bagherpour M.H. Paydar | 2013 | Materials Letters2013，，： | 1 |
| 17 | Evaluation of intrapleural contrast-enhanced abdominal pelvic CT-scan in detecting diaphragm injury in stable patients with thoraco-abdominal stab wound: A preliminary study显示文摘 | Hamid Reza Abbasy Farzad Panahi Sepideh Sefidbakht Majid Akrami Shahram Paydar Sedighe Mirhashemi Shahram Bolandparvaz Kambiz Asaadi Roohollah Salahi | 2011 | Injury2011，，9： | 1 |
| 18 | Studies on preparation,characterisation and ion conductivity of TI-CU double substituted Bi4V2O11显示文摘 | Paydar M H Hadian A M Fafilek G | 2001 | Journal of the European Ceramic Society2001，21，： | 1 |
| 19 | Cement-mantle thickness affects cement strains in total hip replacement显示文摘 | Fisher D A Tsang A C Paydar N | 1997 | J Biomech1997，30，： | 1 |
| 20 | Microwave assisted solution combustion synthesis of alumina-zirconia, ZTA, nanocomposite powder 显示文摘 | Tahmasebi K Paydar M H | 2011 | Journal of Alloys and Compounds2011，509，4： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员