Critically ill patients often suffer from disturbance of sleep-wake cycle and consequently delirium development, in intensive care units (ICU). In this study, we aimed to evaluate the effect of exogenous melatonin on delirium development and its related adverse sequelae in the subgroup of medical and surgical ICU patients. We performed a double-blind placebo-controlled randomized pilot study i...

Critically ill patients often suffer from disturbance of sleep-wake cycle and consequently delirium development, in intensive care units (ICU). In this study, we aimed to evaluate the effect of exogenous melatonin on delirium development and its related adverse sequelae in the subgroup of medical and surgical ICU patients. We performed a double-blind placebo-controlled randomized pilot study i...

Background: The aim of this study was to assess the pre-hospital emergency services, non-surgical interventions, and clinical outcomes in patients with traumatic spine referred to Poursina hospital in Guilan. Methods: Spine trauma registry of Poursina hospital of Rasht were used. Records of patients with traumatic spine were reviewed for pre-hospital emergency services, non-surgical interventi...

purpose: to evaluate the anatomical and functional outcomes of using heavy silicone oil as an internal tamponade for complicated cases of retinal detachment associated with proliferative vitreoretinopathy involving inferior retinal quadrants methods: 55 eyes from 55 patients with complicated retinal detachments enrolled in this interventional case series study. all eyes underwent standard three...

background multiple classifications can be used to define the magnitude of aortic injury. the vancouver classification (vc) is a new and simplified computed tomography-based blunt aortic injury (bai) grading system correlating with clinical outcomes. objectives the objectives of this study are: 1) to describe the severity of aortic injury in a center with a predominantly surgical approach to ba...

Abstract Background Transverse acetabular fractures, although classified as elementary, have worse outcomes than other types of fractures. Prognostic factors for this fracture type are not clearly established. This study aimed to assess the surgical transverse fractures and subtypes thereof investigate prognostic factors. Methods Between 2014 2019, 39 patients (39 hips) had or thereof. We revie...

Background: Surgical site infections (SSIs) are costly and associated with poorer patient outcomes. Intra-operative surgical irrigation intra-cavity lavage may reduce the risk of SSIs thro...

Background: Spinal cord injury (SCI) is one of the main causes of severe disability and mortality following trauma. Complications and outcomes of patients with spine trauma, especially those who undergo surgery, are a less divulged topic in Iran. Therefore, we designed the present study to evaluate complications and outcomes of patients with traumatic spine in Poursina hospital of Rasht. Mater...

Background: Revision discectomy is the principal procedure for recurrent lumbar disk herniation (RLDH). The clinicaloutcomes after this procedure are as good as or slightly poorer than those produced by primary discectomy. In thisstudy, the clinical outcomes of patients treated with microsurgical discectomy for RLDH were analyzed.Methods: We examined 179 patients undergoing lumbar microdiscecto...

conclusions coccygectomy is a successful treatment in patients unresponsive to conservative treatments for coccydynia. results the patients were followed up for an average of 25.7 months. the results were good in 11 patients, excellent in 1, and fair in only 1 patient. the excellent and good rates amounted to 92.2%. no major complication was seen. patients and methods between october 2010 and d...