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Archives in Military Medicine - Volume:4 Issue: 4, Nov 2016

Journal of Archives in Military Medicine
Volume:4 Issue: 4, Nov 2016

  • تاریخ انتشار: 1395/09/25
  • تعداد عناوین: 6
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  • Zahra Rezasoltani, Faeze Dehghan, Ali Azizan, Afsaneh Dadarkhah, Farhad Yadegarian Page 1
    Background
    Doing hard physical exercises help empowering military forces to carry out their duties and missions. However, blindly following this aim may cause physical damages which lead to their temporary or permanent disability..
    Objectives
    The current study aimed to investigate the prevalence of knee injuries resulting from sports activities among the armed forces personnel in 2010..
    Methods
    It was a descriptive and retrospective study. All the armed forces personnel (n = 4203) covered by Kosar insurance in 2010 participated in the study. Data were analyzed using Excel and SPSS version 18 at the significant level of P ≤ 0.05..
    Results
    The most frequent injuries were observed in the lower limbs (73% )and ankles (38.7%), respectively. The third most common injury was observed in knees (13.4%). Among the knee injuries, anterior cruciate ligament (ACL) (77.82%) and meniscus (63.8%) were most prevalent. Also, posterior cruciate ligament (PCL) (6.6%) and medial collateral ligament (3.8%), the lateral collateral ligament (2.3%) and other injuries, including chondromalacia, osteoarthritis, etc. were reported..
    Conclusions
    The prevalence of injuries in lower limbs is more frequent than other limbs. Ligament injury is high among the armed forces personnel. Among the ligament injuries, the most frequently observed case was anterior cruciate ligament (ACL). Most knee injuries in this research were observed in the dominant leg and the muscle injuries in the dominant leg can be reduced through appropriate strength training program and muscle balancing to opposemuscles..
    Keywords: Injuries, Sports Injuries, Knee Joint
  • Amir Abdoli, Mohammad Barati, Abdolhossein Dalimi, Majid Pirestani, Seyyed Javad Hoseini Shokouh Page 7
  • Kaynoosh Homayouni, Hajar Karimian, Hamid Reza Golkar, Nayyereh Jalalati Page 9
    Background
    Plantar fasciitis (PF) is one of the common reasons of heel pain that making up 11% - 15% professional managements for the foot symptoms among adults..
    Objectives
    The current study aimed to compare the effect of ultrasound-guided (US-guided) injection of platelets rich plasma (PRP) with that of corticosteroid injection to treat patients with chronic PF..
    Methods
    Patients with PF (n = 30) were assigned to receive either PRP or corticosteroid US-guided injection. The pain level was evaluated by the visual analogue scale (VAS) the baseline, three and eight weeks after injection. Disabilities were assessed by foot and ankle ability measure (FAAM) at the baseline, three and eight weeks after injection..
    Results
    In both corticosteroid and PRP injected groups, the average VAS heel pain scores and the mean FAAM subscales scores were statistically lower compared with the pre-treatment scores (P
    Conclusions
    The current study results revealed that both methods were effective and successful to treat PF, but due to potential complication of corticosteroid and its short-term relief of pain, PRP injection looked safer..
    Keywords: Plantar Fasciitis, Platelets Rich Plasma, Corticosteroid
  • Majid Jafari, Sabet, Habib Nasiri, Ramin Ataee Page 15
    Background
    Collagen-based scaffolds are appealing products for various applications in pharmaceutics and tissue engineering and military applications like wound healing..
    Objectives
    This study was conducted to extract acid soluble collagen protein from calf skin tissue and cross-linked it using cross-linking agents. The collagen scaffolds with different 1-ethyl-3-(3-dimethyl aminopropyl) carbodiimide (EDC) / N-hydroxysuccinimide (NHS) molar ratios as cross-linking agents were investigated..
    Methods
    The type I extracted collagen was used as a raw material for making collagen based scaffolds. Different EDC/NHS molar ratios as cross-linking agents were used. Matrix morphology and mechanical strength of the scaffolds were determined to evaluate the physicochemical properties of the collagen matrices with different cross-linker molar ratios. Furthermore collagen and cross-linked collagen were characterized using standard methods like SDS- page, FT-IR and SEM analysis..
    Results
    The results confirmed that the extracted collagen is pure and free of any non-collagen protein contamination. Furthermore, the results showed that average pore size of the scaffolds from EDC/NHS cross-linker with molar ratio of 1:1 (I) was less than the scaffolds that were made using EDC/NHS cross-linker with molar ratio of 2:1 (II). Moreover, collagen samples that were cross-linked using 1:1 EDC/NHS molar ratios showed increased mechanical strength comparing to 2:1 EDC/NHS molar ratio..
    Conclusions
    The applied protocol is a convenient method for extraction of collagen and obtaining pure calf skin collage type I. Furthermore the best molar ratio of EDC/NHS cross-linking agents to cross-link collagen is 1:1 for obtaining stronger collagen structure..
    Keywords: Collagen, Scaffold, Cross, link
  • Parli Raghavan Ravi, Mn Vijai Page 23
    The Indian Medical Mission, which included a surgical team, was established in 2001 after the fall of Taliban in Mazar-e Sharief in Afghanistan. The practice of anaesthesiology was not only primitive but also rudimentary. It was an arduous task for the successive anesthesiologist to propagate the scientific aspect of the subject and demonstrate the need for its dedicated practice in patient outcomes. The Anaesthesiologist conducted 22,856 surgeries in the operation theatre given to Indian medical mission (IMM) and provided consultation for more than 50,000 cases. The successive teams trained the doctors, and helped to establish the department of anaesthesiology at Balk Medical University in a sincere effort to promote the subject. Afghanistan stands in the twilight of a long journey in providing comprehensive health care to its population. Although considerable progress has been made in the past decade and a firm base for the specialty of anaesthesiology has been built, a great deal of work is still to be done. The continued development of the specialty will require joint commitment and action from all health agencies in Afghanistan. Lastly, for anaesthesiology to develop in a professional manner, the trained anesthesiologists, themselves, must play a pivotal role and establish professional societies for its permanent growth.
    Keywords: Anesthesia Practices, Post War Afghanistan, Rehabilitation
  • Inam Danish Khan Page 31
    Unexploded ordnance from old wars and conflicts pose a serious threat in war and conflict zones. An incident of abandoned grenade explosion during high altitude counter insurgency operations led to penetrative brain trauma and demise of three children. A high index of suspicion is warranted with aged/expired/unexploded ordnance, which may have unstable explosive ingredients; and hence, could pose a threat to the military..
    Keywords: Blast Injury, Grenade, Explosion, Unexploded Ordnance, High Altitude, Counter Insurgency, Civil, Military Medicine