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" Investigation of changes in Brain natriuretic Peptide serum levels and its diagnostic value in patients with minor and moderate head trauma, in patients referred to emergency department of Alzahra hospital, Isfahan, 2013-2014 "
\ Eshagh Keshavarz
; Reza Azizkhani
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Isfahan University of Medical Sciences
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| Document Type
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Latin Dissertation
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English
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| Record Number
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106214
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| Doc. No
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T16465
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| Call number
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WL354,K42i,2015
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| Main Entry
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Keshavarz, Eshagh
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| Title & Author
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Investigation of changes in Brain natriuretic Peptide serum levels and its diagnostic value in patients with minor and moderate head trauma, in patients referred to emergency department of Alzahra hospital, Isfahan, 2013-2014\ Eshagh Keshavarz
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| College
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Schools, Medical
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| Date
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, 2015
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| Degree
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Speciality
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| field of study
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Emergency Medicine
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| Page No
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21p.: diag, tab
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| Note
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This is a research dissertation with project ID:392599
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اسحاق کشاورز
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| Abstract
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Background: Head trauma is one of the most common reasons for emergency department (ED) care. Over the past decade, initial management strategies in mild and moderate head trauma have become focused on selective CT use based upon presence or absence of specific aspects of patient history and/or clinical examination. This selective management has received more attention following reports of increased cancer risk from CT scans. In recent years, changes in serum BNP levels following head trauma have been investigated by some researchers. We investigated the changes in serum levels of BNP in patients with mild and moderate head trauma, in whom the first brain CT scanning was normal.Method: This study is a cross-sectional, descriptive research. It was performed in patients with mild and moderate head trauma. 41 patients with isolated mild and moderate traumatic brain injury (TBI) (GCS=9-15) were included. First brain CT scans were obtained during 2 hours after ED arrival and second one after 24 hours. Plasma BNP levels were determined using a specific immunoassay system.Result: 23 patients were in group A (with normal first and second brain CT) and 18 patients in group B (with normal first and abnormal second brain CT). With P-Value= 0.001, serum BNP level=9.04 was determined for differentiating two groups. Conclusion: We concluded that serum BNP level is higher in patients with mild and moderate head trauma with delayed pathologic changes in second brain CT relative to patients with mild and moderate head trauma and with normal delayed brain CT.
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| Descriptor
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Craniocerebral Trauma
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Natriuretic Peptide, Brain
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Cone-Beam Computed Tomography
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Brain Injuries
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Emergency Medicine
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| Added Entry
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Thesis advisor Azizkhani, Reza,
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| Translated Title Supplied by Cataloguer
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بررسی تغییرات و ارزش تشخیصی ماده بی ان پی در سرم بیماران با ترومای سر از نوع خفیف و متوسط در بیماران مراجعه کننده به اورژانس بیمارستان الزهرا در سالهای ۱۳۹۲-۱۳۹۳
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