Official Publication of the National Center for Trauma Research Trauma Monthly 2251-7464 30 4 2025 08 01 Targeted Assaults on Iran's Scientific Capacities: A Legacy for Global Science 1502 1503 232416 10.30491/tm.2025.546726.1877 EN Mostafa Akbariqomi Tissue Engineering and Regenerative Medicine Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran 0000-0002-3533-2393 Hassan Abolghasemi Department of Pediatrics, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran 0000-0001-6920-5029 Gholamreza Farnoosh Applied Biotechnology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran 0000-0001-8951-892X Journal Article 2025 09 12 The recent attacks by Israel on Iran's scientific infrastructure and capacities do not remain confined to a military conflict and geopolitical crisis; rather, they have far-reaching implications for scientific justice, research ethics, and the future of global science (1). Such events demonstrate that science, contrary to claims of universality, can become a realm of discrimination and monopoly. What we are witnessing today is a direct manifestation of scientific apartheid, which begins with targeted attacks on scientists and scientific infrastructure, leading to the paralysis of the scientific cycle of the targeted nation, while imposing a tethered technological servitude. These attacks are not merely aimed at halting technological advancement; rather, they seek to establish a discriminatory system in global science where only certain countries have the right to independent scientific development, while others must remain on the sidelines.

https://www.traumamon.com/article_232416_7e4ea1c3e727d049aba9f70239d66163.pdf

Official Publication of the National Center for Trauma Research Trauma Monthly 2251-7464 30 4 2025 08 01 Epidemiology and Outcome Analysis of Burn Patients with an ICD-10 Approach 1504 1514 234050 10.30491/tm.2025.521942.1833 EN Mahdie ShojaeiBaghini Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran. 0000-0002-9857-7347 Farnoosh Zamani Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran. Journal Article 2025 05 07 Introduction: Burn injuries are a substantial public health concern worldwide. This study aimed to assess the characteristics and clinical outcomes of burn patients hospitalized in Kerman, Iran, using the ICD-10 classification. Methods: This cross-sectional study assessed the data of 437 burn inpatients admitted to the primary academic burn referral center in Kerman, Iran, in 2023. Data were extracted using a checklist that included ICD-10 coding, demographic variables, burn characteristics, causes, complications, comorbidities, and clinical outcomes. Results: Of the 437 patients, 75.1% were male and 24.9% female, with no reported pregnancies. The most represented age group was 35–45 (24.3%). Most (86.5%) were insured and lived in urban areas (57.2%). However, data on marital status (70.9%), education (65.9%), and employment (59.3%) were frequently missing. The most common burn etiology was flame (36.4%), and burns typically occurred in non-residential settings (60.9%). Most patients (94.1%) had third-degree burns, and 23.1% had burns covering 10–19% of total body surface area. Partial recovery was the most frequent outcome (62.9%), while the mortality rate was 12.1%. Conclusion: This study showed the need for comprehensive data improvement and standardization of burn documentation using the ICD-10 coding system. Improve preventive strategies and integrated data collection systems to improve outcomes and screening.

https://www.traumamon.com/article_234050_2f5384092dc82dd57a8834c853ad482d.pdf

Official Publication of the National Center for Trauma Research Trauma Monthly 2251-7464 30 4 2025 08 01 A Qualitative Study of Resource Constraints to Role Extension on Nurses' First Aid Experiences in Military Emergencies 1515 1524 234045 10.30491/tm.2025.486621.1778 EN Hamid Reza Gholami Student Research Committee, Nursing Care Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran. 0000-0002-8124-8029 Seyed Tayeb Moradian Professor, Nursing Care Research Center, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran. Esmail Heidaranlu Associate Professor, Nursing Care Research Center, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran. 0000-0003-4420-8754 Hamid Reza Javadzadhe Assistant Professor Trauma Research Center, clinical sciences institute, Baqiyatallah University of Medical Sciences, Tehran, Iran Ali Rahmani Associate Professor, Nursing Care Research Center, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran. 0000-0003-0323-3857 Journal Article 2024 11 02 Introduction: Military nurses operating in combat zones confront unparalleled challenges that demand extraordinary adaptability. Understanding how these nurses navigate resource scarcity and expand their professional roles in high-risk conflict environments remains restricted. This study investigates the experiences and coping strategies of Iranian military nurses providing first aid under such conditions. Method: A qualitative descriptive study was conducted using conventional content analysis. Nineteen military nurses with 6-36 months of experience in combat zones (2015-2021) participated in face-to-face, semi-structured interviews conducted at operational sites. Data collection was accomplished from October 2023 to March 2024, continuing until thematic saturation was achieved. Result: Data analysis produced 612 initial codes grouped into two central themes: (1) Challenges in Assisting Injured Individuals—including systemic barriers (resource scarcity, policy limitations) and psychosocial factors (emotional strain, post-traumatic growth); (2) Nurses Providing First Aid Beyond Their Professional Responsibilities, including extended responsibilities (role flexibility, patient advocacy) and personal sacrifices (impact on personal and family life, physical and mental health risks). The results showed that participants had excellent adaptability, often expanding their positions beyond standard job descriptions. Conclusion: The results showed that nurses had good adaptability and resilience in the face of challenges. They expanded their roles to include further formal responsibilities to ensure quality care and patient safety. The findings emphasize the need for policy changes, including resourcing, logistics, legislation, education, and supportive measures to enable nurses to fulfill their critical roles effectively without compromising their well-being.

https://www.traumamon.com/article_234045_bde0948c3eb619045e87b4d4c7ec16ec.pdf

Official Publication of the National Center for Trauma Research Trauma Monthly 2251-7464 30 4 2025 08 01 Open Reduction and Screw Fixation of Ideberg Type III Glenoid Fractures: A Case Report and Review of Literature 1525 1529 234043 10.30491/tm.2025.432394.1732 EN Omid Reza Momenzadeh Department of Orthopedic Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Armin Akbarzadeh Department of Orthopedic Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Orthopedic & Rehabilitation Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. Hamid Arabi Orthopedic Research Center, Shahid Kamyab hospital, Mashhad University of Medical Sciences, Mashhad, Iran. Journal Article 2024 05 10 Ideberg type 3 glenoid fracture is a rare pattern of glenoid fracture that should be surgically managed in case of displacement. Surgical fixation of such fractures can be applied through an open or arthroscopic approach or under fluoroscopy guidance. Each method has its advantages and disadvantages. We presented a 32-year-old man with a case of an Ideberg type 3 glenoid fracture that was effectively managed by open reduction and internal fixation using a transcoracoid screw. After 25 months of follow-up, the constant score was 85. The University of California, Los Angeles (UCLA) score and the Disabilities of the Arm, Shoulder, and Hand (DASH) were 31 and 15, respectively. He returned to his previous daily activities and was satisfied with the result. Also, we reviewed the previous reports from fractures that were treated using a similar technique.

https://www.traumamon.com/article_234043_9dd6d00c6373f0511c008cea6bb9f020.pdf

Official Publication of the National Center for Trauma Research Trauma Monthly 2251-7464 30 4 2025 08 01 Effectiveness of Autogenous L-PRF Membranes on Tendon Healing in A Rabbit Model 1530 1537 234051 10.30491/tm.2025.522780.1835 EN Hanie Khorshidi Department of Veterinary Surgery and Radiology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran Amin Bigham-Sadegh Department of Veterinary Surgery and Radiology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran 0000-0003-4981-7495 Ahmad Oryan Department of Pathology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran Aboutorab Tabatabaei Department of Pathology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran Journal Article 2025 05 11 Introduction: Tendon injury is an important clinical issue for orthopedic surgeons. Tendon healing is a time-consuming process. This study aimed to investigate the effect of autologous Leukocyte-platelet-rich fibrin (L-PRF) on the healing of the superficial digital flexor tendon in a rabbit model. Method: Ten healthy adult rabbits of mixed breed were randomly divided into Treatment and Control groups. After cutting the superficial digital flexor tendon and suturing it, the autologous L-PRF membrane was applied locally in the Treated group. The tendon was sutured with the Bunnell-Mayer pattern with no material implantation in the Control group. Five animals from each group were euthanized, and their tendons were collected for histopathological evaluation on the 30th day post-surgery. Result: In morphological examination, a smaller tendon diameter and more adhesion were seen in the Treated group. There were significant differences in the total number of cells, cell maturation, the ratio of cellularity to matrix, and the alignment and order of cells between the Treated and Control groups at the histopathological level. The Treated group showed superiority over the Control group in tissue order, collagen fiber crimp pattern, inflammation, and vascularity; however, these differences were not significant. Conclusion: This study found that L-PRF has a beneficial effect on tendon healing. Due to the short treatment period, additional research and evaluations are necessary in this field.

https://www.traumamon.com/article_234051_2a32adb412ea9a91a1bd39566bc2df97.pdf

Official Publication of the National Center for Trauma Research Trauma Monthly 2251-7464 30 4 2025 08 01 Causes of Trauma and Related Factors in Children Referred to the Emergency Department of Public Hospitals in Iran 1538 1545 201186 10.30491/tm.2024.380849.1560 EN Ali Mastani Jahroodi Student Research Committee, Qom university of Medical Sciences, Qom, Iran 0000-0001-8997-8109 Atena Hakimzadeh Student Research Committee, Qom university of Medical Sciences, Qom, Iran 0000-0002-1786-0459 Narges Eskandari Spiritual Health Research Center, Qom University of Medical Sciences, Qom, Iran 0000-0001-9592-4625 Mohammad Aghaali Department of Family and Community Medicine, School of Medicine, Qom University of Medical Sciences, Qom, Iran 0000-0003-3417-1580 Mohammad Abbasinia Department of nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran. 0000-0003-3842-1508 Atideh Amiri Student Research Committee, Qom university of Medical Sciences, Qom, Iran 0000-0002-6629-4879 Zahra Sarvari Sabet Student Research Committee, Qom university of Medical Sciences, Qom, Iran 0000-0002-1225-0707 Fatemeh Ghazizadeh Ehsaee Student Research Committee, Qom university of Medical Sciences, Qom, Iran 0000-0002-4074-5731 Journal Article 2023 01 10 Introduction: Given the importance of obtaining accurate information on the prevalence and causes of trauma in children, and the role of such data in informing health policy and prevention strategies, as well as the paucity of information on this topic in Qom province, this study aimed to investigate the causes of trauma and related factors. Method: This descriptive-analytical cross-sectional study focused on children with injuries who visited the emergency departments of public hospitals in Qom, Iran. Data were collected using a standardized form and by reviewing the medical records of hospitalized children during 2019. Result: In a study involving 1,447 children, 60.1% of the participants were boys. The most common cause of trauma was falling (46.5%), and the most common place of the accident for boys was outside the home (73%). There was a significant relationship between children's age and the cause of the trauma, so that the prevalence of traffic accidents was higher in older children (P <0.05). Conclusion: Considering that most of the patients referred to the hospital due to trauma were boys, the high prevalence of falls in children, and the increase in traffic accidents in children with increasing age, it is clear that there is a need for further research.

https://www.traumamon.com/article_201186_6f24b0fa856aab3c14a453b41f7394d0.pdf

Official Publication of the National Center for Trauma Research Trauma Monthly 2251-7464 30 4 2025 08 01 The effects of Polyvinyl Alcohol–Chitosan Hydrogel Loaded with Moringa Oleifera Extract on Healing of Infected Burn Wounds in Rats Under High-Intensity Interval Training 1546 1559 234052 10.30491/tm.2025.536183.1857 EN Pouria Ahmadi Simab Applied Biotechnology Research Center, New Health Technologies Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran 0000-0003-1507-8815 Hamid Babavalian Applied Biotechnology Research Center, New Health Technologies Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran 0000-0002-1622-2754 Abolfazl Shakibaee Exercise Physiology Research Center, Lifestyle Institute, Baqiyatallah University of Medical, Tehran, Iran Fatemeh Shakeri Applied Biotechnology Research Center, New Health Technologies Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran 0000-0002-1622-2754 Fathollah Ahmadpour Trauma Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran 0000-0003-2984-6897 Hadi Khoshmohabbat Trauma Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran Zahra Sobhani Department of Traditional Pharmacy, School of Pharmacy, Mashhad University of Medical Science, Mashhad, Iran. Journal Article 2025 07 21 Introduction: Burn injuries represent a critical medical challenge due to their prolonged healing time, susceptibility to infection, high treatment costs, and risk of systemic complications. Recent therapeutic approaches have focused on combining physical interventions and phytotherapeutic agents to enhance wound repair. This study aimed to investigate the synergistic effects of a polyvinyl alcohol–chitosan hydrogel infused with Moringa oleifera seed extract and high-intensity interval training (HIIT) on the healing of infected third-degree burn wounds in rats. Methods: A hydrogel formulation based on polyvinyl alcohol and chitosan was synthesized incorporating Moringa oleifera extract. Male Wistar rats (n=72) were randomly assigned to four groups: T1 (HIIT alone), T2 (HIIT + hydrogel), T3 (hydrogel alone), and T4 (control). HIIT was administered for three weeks prior to wound induction. All animals received third-degree burn wounds followed by infection with Staphylococcus aureus. Wound healing was assessed both macroscopically and microscopically on days 7, 14, and 21 post-injuries. Results: Macroscopic evaluation showed significantly greater wound contraction in T2 (combined HIIT and hydrogel) compared to other groups during the first and second weeks (p < 0.05). By the third week, although no significant difference was observed among the treated groups (T1–T3), all outperformed the control (p > 0.05). Histological analysis revealed enhanced angiogenesis, re-epithelialization, fibroplasia, collagen deposition, and reduced inflammatory infiltration in all treatment groups, with T2 consistently demonstrating the most pronounced improvements. Conclusion: Both HIIT and topical application of Moringa oleifera-enriched chitosan hydrogel individually contributed to improved wound healing outcomes. However, their combination resulted in synergistic effects, promoting accelerated wound closure, enhanced tissue regeneration, and better modulation of inflammatory cell infiltrations. This synergy may be due to HIIT-induced systemic increases in growth factors and antioxidants, potentiating the local anti-inflammatory and pro-angiogenic effects of Moringa oleifera extract.

https://www.traumamon.com/article_234052_5103750b5ef0ce6f80c2892669f44f34.pdf