Causes and Pattern of Chest Trauma Among Adults: A Scoping Review of Studies From the Middle East
Chest trauma incidence is increasing worldwide, and it requires attention as it is a major cause of morbidity and mortality. Worldwide, chest trauma is the second most common cause of mortality and a major cause of disability and hospitalization. Our main aim is to systematically review the prevalen...
Saved in:
Published in: | Curēus (Palo Alto, CA) Vol. 15; no. 12; p. e49980 |
---|---|
Main Authors: | , , , , , , , |
Format: | Journal Article |
Language: | English |
Published: |
United States
Cureus Inc
01-12-2023
|
Subjects: | |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Abstract | Chest trauma incidence is increasing worldwide, and it requires attention as it is a major cause of morbidity and mortality. Worldwide, chest trauma is the second most common cause of mortality and a major cause of disability and hospitalization. Our main aim is to systematically review the prevalence, pattern, causes, manner, morbidity, and mortality of chest trauma in the Middle East among adults. This scoping review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Screening of the relevant articles was done by using databases, including PubMed, Scopus, and Web of Science. A total of 128 articles were found as a result of searching the databases and reviewing the reference lists. Finally, nine articles met the inclusion criteria. Most of the victims were males, as reported by all studies in this systemic review. The most common cause of chest trauma was road traffic accident (RTA), as described in seven out of the nine included studies. The pattern of chest trauma included pneumothorax, hemothorax, hemopneumothorax, lung contusion, flail chest, rib fracture, and diaphragmatic injury. The rate of mortality and morbidity following chest trauma varied among the studies. However, most of the studies revealed higher rates of morbidity than mortality. Chest trauma carries economic and social burdens, and it is a serious issue, especially in males in the second to third decades. Preventive measures should be considered to decrease the prevalence of chest trauma and its related complications. |
---|---|
AbstractList | Chest trauma incidence is increasing worldwide, and it requires attention as it is a major cause of morbidity and mortality. Worldwide, chest trauma is the second most common cause of mortality and a major cause of disability and hospitalization. Our main aim is to systematically review the prevalence, pattern, causes, manner, morbidity, and mortality of chest trauma in the Middle East among adults. This scoping review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Screening of the relevant articles was done by using databases, including PubMed, Scopus, and Web of Science. A total of 128 articles were found as a result of searching the databases and reviewing the reference lists. Finally, nine articles met the inclusion criteria. Most of the victims were males, as reported by all studies in this systemic review. The most common cause of chest trauma was road traffic accident (RTA), as described in seven out of the nine included studies. The pattern of chest trauma included pneumothorax, hemothorax, hemopneumothorax, lung contusion, flail chest, rib fracture, and diaphragmatic injury. The rate of mortality and morbidity following chest trauma varied among the studies. However, most of the studies revealed higher rates of morbidity than mortality. Chest trauma carries economic and social burdens, and it is a serious issue, especially in males in the second to third decades. Preventive measures should be considered to decrease the prevalence of chest trauma and its related complications. |
Author | Al Abbas, Safia M AlOqayli, Fatimah A AlSulaiman, Reem S Alshaikh, Zahra A Almoallem, Ghadeer S Alibrahim, Laila O Abu Abdullah, Layla A Elbawab, Hatem Y |
Author_xml | – sequence: 1 givenname: Reem S surname: AlSulaiman fullname: AlSulaiman, Reem S organization: College of Medicine, Imam Abdulrahman Bin Faisal University, King Fahad Hospital of the University, Al Khobar, SAU – sequence: 2 givenname: Safia M surname: Al Abbas fullname: Al Abbas, Safia M organization: College of Medicine, Imam Abdulrahman Bin Faisal University, King Fahad Hospital of the University, Al Khobar, SAU – sequence: 3 givenname: Zahra A surname: Alshaikh fullname: Alshaikh, Zahra A organization: College of Medicine, Imam Abdulrahman Bin Faisal University, King Fahad Hospital of the University, Al Khobar, SAU – sequence: 4 givenname: Ghadeer S surname: Almoallem fullname: Almoallem, Ghadeer S organization: College of Medicine, Imam Abdulrahman Bin Faisal University, King Fahad Hospital of the University, Al Khobar, SAU – sequence: 5 givenname: Fatimah A surname: AlOqayli fullname: AlOqayli, Fatimah A organization: College of Medicine, Imam Abdulrahman Bin Faisal University, King Fahad Hospital of the University, Al Khobar, SAU – sequence: 6 givenname: Laila O surname: Alibrahim fullname: Alibrahim, Laila O organization: College of Medicine, Imam Abdulrahman Bin Faisal University, King Fahad Hospital of the University, Al Khobar, SAU – sequence: 7 givenname: Layla A surname: Abu Abdullah fullname: Abu Abdullah, Layla A organization: College of Medicine, Imam Abdulrahman Bin Faisal University, King Fahad Hospital of the University, Al Khobar, SAU – sequence: 8 givenname: Hatem Y surname: Elbawab fullname: Elbawab, Hatem Y organization: Surgery/Thoracic Surgery, Imam Abdulrahman Bin Faisal University, King Fahad Hospital of the University, Al Khobar, SAU |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38077676$$D View this record in MEDLINE/PubMed |
BookMark | eNpd0MtLw0AQBvBFFOvr5lkWvHiwdTJ5bOKtlPqAimL1HDa7ExtJsnU3q_jfm9oq4mmG4cfH8O2z7da0xNhxACMh4uxCeUvejaIsS2GL7WGQpMM0SKPtP_uAHTn3CgABCAQBu2wQpiBEIpI9JifSO3Jctpo_yK4j23JT8smCXMefrPSN5OPGtC98rH3duUs-5nNlllV_eaT3ij5WfN55XfUpV9Y0vFsQv6u0rolPpesO2U4pa0dHm3nAnq-mT5Ob4ez--nYyng0VAsJQxCpKJEZCCow1BRFSWcqiCFSRAYSoRYqlkoKURCxLnYQAGQYCCalIKAwP2Nk6d2nNm-_fz5vKKapr2ZLxLscMMIsxjVf09B99Nd62_XcrlUKURFnUq_O1UtY4Z6nMl7ZqpP3MA8hX7efr9vPv9nt-sgn1RUP6F_90HX4BTOaBAQ |
CitedBy_id | crossref_primary_10_7759_cureus_57520 |
Cites_doi | 10.1186/1749-8090-7-35 10.1007/s00264-009-0746-9 10.7759/cureus.6306 10.5812/atr.31888 10.1186/s13017-020-00324-1 10.15406/jaccoa.2015.03.00082 10.7759/cureus.9974 10.12669/pjms.37.2.3842 10.4103/JETS.JETS_131_16 10.21608/EJHM.2021.175174 10.21474/IJAR01/2656 10.1016/j.jflm.2019.101864 10.1590/s1807-59322011000300015 10.1371/journal.pone.0268202 10.1510/icvts.2009.206599 10.1097/ACO.0b013e3282f2aadc 10.1136/bmj.n160 10.4236/ijcm.2021.129033 10.1177/0218492310395954 10.1186/s13049-022-01058-6 10.1111/j.1440-1843.2011.01988.x |
ContentType | Journal Article |
Copyright | Copyright © 2023, AlSulaiman et al. Copyright © 2023, AlSulaiman et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
Copyright_xml | – notice: Copyright © 2023, AlSulaiman et al. – notice: Copyright © 2023, AlSulaiman et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
DBID | NPM AAYXX CITATION 3V. 7X7 7XB 8FI 8FJ 8FK ABUWG AFKRA AZQEC BENPR CCPQU DWQXO FYUFA GHDGH K9. M0S PIMPY PQEST PQQKQ PQUKI 7X8 |
DOI | 10.7759/cureus.49980 |
DatabaseName | PubMed CrossRef ProQuest Central (Corporate) ProQuest Health & Medical Collection ProQuest Central (purchase pre-March 2016) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central UK/Ireland ProQuest Central Essentials ProQuest Central ProQuest One Community College ProQuest Central Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Health & Medical Complete (Alumni) Health & Medical Collection (Alumni Edition) Publicly Available Content Database ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition MEDLINE - Academic |
DatabaseTitle | PubMed CrossRef Publicly Available Content Database ProQuest Central Essentials ProQuest One Academic Eastern Edition ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) ProQuest Central ProQuest Health & Medical Complete Health Research Premium Collection ProQuest One Academic UKI Edition Health and Medicine Complete (Alumni Edition) ProQuest Central Korea ProQuest One Academic ProQuest Central (Alumni) MEDLINE - Academic |
DatabaseTitleList | MEDLINE - Academic PubMed Publicly Available Content Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 2168-8184 |
EndPage | e49980 |
ExternalDocumentID | 10_7759_cureus_49980 38077676 |
Genre | Journal Article Review |
GeographicLocations | Middle East Saudi Arabia Turkey Iran Qatar Egypt Syria |
GeographicLocations_xml | – name: Saudi Arabia – name: Qatar – name: Iran – name: Middle East – name: Egypt – name: Syria – name: Turkey |
GroupedDBID | 3V. 53G 5VS 7X7 8FI 8FJ ABUWG ADBBV ADRAZ AFKRA ALIPV ALMA_UNASSIGNED_HOLDINGS AOIJS BCNDV BENPR BPHCQ BVXVI CCPQU FYUFA GROUPED_DOAJ HMCUK HYE KQ8 M48 NPM OK1 PGMZT PIMPY PQQKQ PROAC RPM UKHRP AAYXX CITATION 7XB 8FK AZQEC DWQXO K9. PQEST PQUKI 7X8 |
ID | FETCH-LOGICAL-c2020-75c46a247a725de142effabb1cb90032d782fca7eca22ffd630092172e2eb6e33 |
ISSN | 2168-8184 |
IngestDate | Fri Aug 16 05:27:19 EDT 2024 Fri Nov 08 20:40:55 EST 2024 Fri Aug 23 03:17:10 EDT 2024 Sat Nov 02 12:30:40 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 12 |
Keywords | mortality pattern of injury chest trauma middle east manner of injury thoracic injury |
Language | English |
License | Copyright © 2023, AlSulaiman et al. |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c2020-75c46a247a725de142effabb1cb90032d782fca7eca22ffd630092172e2eb6e33 |
Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 |
OpenAccessLink | https://www.proquest.com/docview/2908046494 |
PMID | 38077676 |
PQID | 2908046494 |
PQPubID | 2045583 |
ParticipantIDs | proquest_miscellaneous_2902952853 proquest_journals_2908046494 crossref_primary_10_7759_cureus_49980 pubmed_primary_38077676 |
PublicationCentury | 2000 |
PublicationDate | 2023-Dec |
PublicationDateYYYYMMDD | 2023-12-01 |
PublicationDate_xml | – month: 12 year: 2023 text: 2023-Dec |
PublicationDecade | 2020 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States – name: Palo Alto |
PublicationTitle | Curēus (Palo Alto, CA) |
PublicationTitleAlternate | Cureus |
PublicationYear | 2023 |
Publisher | Cureus Inc |
Publisher_xml | – name: Cureus Inc |
References | Mefire AC (ref21) 2010; 48 Waness A (ref2) 2011; 16 Madadin M (ref8) 2019; 68 Moloney JT (ref24) 2008; 21 Zargar M (ref9) 2007; 10 Veysi VT (ref19) 2009; 33 Khan MS (ref20) 2004; 18 Alam El-Din ML (ref14) 2018; 31 Ibrahim SR (ref15) 2021; 84 Hajjar WM (ref1) 2021; 37 Al Mourgi M (ref3) 2016; 4 Page MJ (ref7) 2021; 372 Sikander N (ref25) 2020; 12 Hanafi M (ref22) 2011; 19 Benhamed A (ref17) 2022; 17 Manay P (ref26) 2017; 10 Lugo VW (ref5) 2015; 3 Ahmad R (ref6) 2019; 11 Demirhan R (ref10) 2009; 9 Lundin A (ref18) 2022; 30 Kumar PM (ref27) 2006; 6 Al-Koudmani I (ref12) 2012; 7 El-Menyar A (ref13) 2016; 5 Masuma JS (ref16) 2021; 12 Segers P (ref23) 2001; 101 Karadayi S (ref11) 2011; 66 Beshay M (ref4) 2020; 15 |
References_xml | – volume: 7 year: 2012 ident: ref12 article-title: Chest trauma experience over eleven-year period at al-mouassat university teaching hospital-Damascus: a retrospective review of 888 cases publication-title: J Cardiothorac Surg doi: 10.1186/1749-8090-7-35 contributor: fullname: Al-Koudmani I – volume: 33 year: 2009 ident: ref19 article-title: Prevalence of chest trauma, associated injuries and mortality: a level I trauma centre experience publication-title: Int Orthop doi: 10.1007/s00264-009-0746-9 contributor: fullname: Veysi VT – volume: 11 year: 2019 ident: ref6 article-title: A university hospital based study on thoracic trauma: life threatening event, its etiology, presentation, and management publication-title: Cureus doi: 10.7759/cureus.6306 contributor: fullname: Ahmad R – volume: 5 year: 2016 ident: ref13 article-title: Clinical presentation and time-based mortality in patients with chest injuries associated with road traffic accidents publication-title: Arch Trauma Res doi: 10.5812/atr.31888 contributor: fullname: El-Menyar A – volume: 48 year: 2010 ident: ref21 article-title: Analysis of epidemiology, lesions, treatment and outcome of 354 consecutive cases of blunt and penetrating trauma to the chest in an African setting publication-title: S Afr J Surg contributor: fullname: Mefire AC – volume: 18 year: 2004 ident: ref20 article-title: Bilal A. A prospective study of penetrating chest trauma and evaluation of role of thoracotomy publication-title: J Postgrad Med Inst contributor: fullname: Khan MS – volume: 15 year: 2020 ident: ref4 article-title: Analysis of risk factors in thoracic trauma patients with a comparison of a modern trauma centre: a mono-centre study publication-title: World J Emerg Surg doi: 10.1186/s13017-020-00324-1 contributor: fullname: Beshay M – volume: 3 year: 2015 ident: ref5 article-title: Chest trauma: an overview publication-title: J Anesth Crit Care doi: 10.15406/jaccoa.2015.03.00082 contributor: fullname: Lugo VW – volume: 12 year: 2020 ident: ref25 article-title: Analysis of injury patterns and outcomes of blunt thoracic trauma in elderly patients publication-title: Cureus doi: 10.7759/cureus.9974 contributor: fullname: Sikander N – volume: 37 year: 2021 ident: ref1 article-title: Chest trauma experience: incidence, associated factors, and outcomes among patients in Saudi Arabia publication-title: Pak J Med Sci doi: 10.12669/pjms.37.2.3842 contributor: fullname: Hajjar WM – volume: 10 year: 2017 ident: ref26 article-title: Studying morbidity and predicting mortality in patients with blunt chest trauma using a novel clinical score publication-title: J Emerg Trauma Shock doi: 10.4103/JETS.JETS_131_16 contributor: fullname: Manay P – volume: 6 year: 2006 ident: ref27 article-title: Fatality due to chest injury in road traffic accident victims of varanasi and adjoining districts publication-title: Indmedica contributor: fullname: Kumar PM – volume: 84 year: 2021 ident: ref15 article-title: Retrospective statistical study of thoracic trauma patients in Al-Hussein Hospital, Al-Azhar University publication-title: Egypt J Hosp Med doi: 10.21608/EJHM.2021.175174 contributor: fullname: Ibrahim SR – volume: 4 year: 2016 ident: ref3 article-title: Prevalence and pattern of chest trauma in Saudi Arabia: a single-center experience publication-title: IJAR doi: 10.21474/IJAR01/2656 contributor: fullname: Al Mourgi M – volume: 68 year: 2019 ident: ref8 article-title: Common errors in writing the cause of death certificate in the Middle East publication-title: J Forensic Leg Med doi: 10.1016/j.jflm.2019.101864 contributor: fullname: Madadin M – volume: 66 year: 2011 ident: ref11 article-title: An analysis of 214 cases of rib fractures publication-title: Clinics (Sao Paulo) doi: 10.1590/s1807-59322011000300015 contributor: fullname: Karadayi S – volume: 17 year: 2022 ident: ref17 article-title: Road traffic accident-related thoracic trauma: epidemiology, injury pattern, outcome, and impact on mortality—a multicenter observational study publication-title: PLoS One doi: 10.1371/journal.pone.0268202 contributor: fullname: Benhamed A – volume: 101 year: 2001 ident: ref23 article-title: Thoracic trauma: an analysis of 187 patients publication-title: Acta Chir Belg contributor: fullname: Segers P – volume: 9 year: 2009 ident: ref10 article-title: Comprehensive analysis of 4205 patients with chest trauma: a 10-year experience publication-title: Interact Cardiovasc Thorac Surg doi: 10.1510/icvts.2009.206599 contributor: fullname: Demirhan R – volume: 21 year: 2008 ident: ref24 article-title: Anesthetic management of thoracic trauma publication-title: Curr Opin Anaesthesiol doi: 10.1097/ACO.0b013e3282f2aadc contributor: fullname: Moloney JT – volume: 372 year: 2021 ident: ref7 article-title: PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews publication-title: BMJ doi: 10.1136/bmj.n160 contributor: fullname: Page MJ – volume: 10 year: 2007 ident: ref9 article-title: Thoracic injury: a review of 276 cases publication-title: Chin J Traumatol contributor: fullname: Zargar M – volume: 31 year: 2018 ident: ref14 article-title: Blunt vs. penetrating chest trauma in terms of the outcome in Menoufia University Hospital publication-title: MMJ contributor: fullname: Alam El-Din ML – volume: 12 year: 2021 ident: ref16 article-title: Prevalence and factors associated with mortality among chest injury patients admitted at Muhimbili National Hospital in Dar es Salaam, Tanzania publication-title: Int J Clin Med doi: 10.4236/ijcm.2021.129033 contributor: fullname: Masuma JS – volume: 19 year: 2011 ident: ref22 article-title: Pattern and presentation of blunt chest trauma among different age groups publication-title: Asian Cardiovasc Thorac Ann doi: 10.1177/0218492310395954 contributor: fullname: Hanafi M – volume: 30 year: 2022 ident: ref18 article-title: Thoracic injuries in trauma patients: epidemiology and its influence on mortality publication-title: Scand J Trauma Resusc Emerg Med doi: 10.1186/s13049-022-01058-6 contributor: fullname: Lundin A – volume: 16 year: 2011 ident: ref2 article-title: Respiratory disorders in the Middle East: a review publication-title: Respirology doi: 10.1111/j.1440-1843.2011.01988.x contributor: fullname: Waness A |
SSID | ssj0001072070 |
Score | 2.2916071 |
SecondaryResourceType | review_article |
Snippet | Chest trauma incidence is increasing worldwide, and it requires attention as it is a major cause of morbidity and mortality. Worldwide, chest trauma is the... |
SourceID | proquest crossref pubmed |
SourceType | Aggregation Database Index Database |
StartPage | e49980 |
SubjectTerms | Age Airway management Contusions Females Hemothorax Injuries Males Morbidity Mortality Pneumothorax Thoracic surgery Trauma |
Title | Causes and Pattern of Chest Trauma Among Adults: A Scoping Review of Studies From the Middle East |
URI | https://www.ncbi.nlm.nih.gov/pubmed/38077676 https://www.proquest.com/docview/2908046494 https://search.proquest.com/docview/2902952853 |
Volume | 15 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3db5RAEN9ca2J8MX57Ws2a6NMFhWVhwTdyXu1DW5veNWl8IQsMuYscGCj_v7Mfd1CjSX3whVz22IXM_BhmfuzMEPKehcCiQAgnZ-A6nOXCkZEXODFOKP2AeyxUycknS3F-HX1Z8MVksmtMMoz9V03jGOpaZc7-g7b3i-IA_kad4xG1jsc76X0u-w5M4eULXTuzNjsu0PqrSub9Vs4S3WAoUZU3OpOZvsxN3tTlkMhi9heiY2vTT840kzFbyO4Wmz_vW-WPxn6v6dsLWTWzpLoxBGwy5hmqZV_JjSVcLwG2A-uaIEyyzKSWLWW5kQNHm1TdWm5-aPLnu1y3ciBfk2rbqE4wGtFf17IAaO2alsZg_mhLiLZ2zAsjB70Hwy7AH8Z25joYw5KNjC9g9GbaQtlX-TDw-4tCiEDVWc37Fvru42jeuB73-bf0-Or0NF0trlcH5B5DU-aP-CDN4rmCuboj4f5eTXaFusCn8fK3_Z6_BDPaqVk9Ig9tNEITA6PHZAL1E3L_zO63eEqkQRNFNFGLJtqUVKOJGjRRjSZq0PSZJtRiiRosqdMtlqjCEkUsUYMlqrD0jFwdL1bzE8c25cCnWVENIsh5KBkXUrCgAI8zKEuZZV6eKVKcFehylrkUkEvGyrJQJd1i1QUNGGQh-P5zclg3NbwkNBc8jIrAEzkUXLp-FEoXw91IfRsHwd0p-bATWfrT1F5JMWZVok2NaFMt2ik52skztU9il7IYYyEe8phPybv932g71QcxWUPT63NYHKCt8qfkhdHD_kKqEYMIRfjqDrNfkwcDpI_I4U3bwxty0BX9Ww2XX6BlkE8 |
link.rule.ids | 315,782,786,27933,27934 |
linkProvider | National Library of Medicine |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Causes+and+Pattern+of+Chest+Trauma+Among+Adults%3A+A+Scoping+Review+of+Studies+From+the+Middle+East&rft.jtitle=Cur%C4%93us+%28Palo+Alto%2C+CA%29&rft.au=AlSulaiman%2C+Reem+S&rft.au=Al+Abbas%2C+Safia+M&rft.au=Alshaikh%2C+Zahra+A&rft.au=Almoallem%2C+Ghadeer+S&rft.date=2023-12-01&rft.issn=2168-8184&rft.eissn=2168-8184&rft.volume=15&rft.issue=12&rft.spage=e49980&rft.epage=e49980&rft_id=info:doi/10.7759%2Fcureus.49980&rft.externalDBID=NO_FULL_TEXT |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2168-8184&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2168-8184&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2168-8184&client=summon |