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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Toxic substances,Suicide Attempt
- چکیده:
- چکیده انگلیسی: Introduction: Poisoning is the most common method of non-fatal suicide. In recent years, poisoning caused by the use of medications and chemicals has increased. The present study aimed to investigate the rate of suicide using toxic compounds in Iranian children.
Methods: This retrospective study was conducted using the data of 83 children aged 5-16 years who attempted suicide using toxic substances and were admitted to the pediatric and toxicology departments of Imam Reza Hospital in Mashhad, Iran.
Results: Among 500 suicide cases, 83 committed suicide using toxic substances, and 8.4% of the suicides were committed by children aged 5-7 years. In addition, 60% of the suicide cases were aged 14-16 years. In total, 45.5% of the children committed suicide with prior planning (statistically significant). The peak time of referral to the emergency department was between 6-12 PM, and more than 90% of the patients were admitted with stable vital signs. The most commonly used toxic substance was organophosphate. During admission, psychiatric counseling was not provided to 36.1% of the patients, and the clinical outcomes also showed the use of non-lethal doses.
Conclusion: According to the results, it is of utmost importance to assess the underlying causes of suicide attempts in early childhood (e.g., prior planning and antisocial behaviors), especially with the increased age of children to 14-16 years in such incidents.- انتشار مقاله: 04-02-1399
- نویسندگان: Farah Ashrafzadeh,Farideh Sahebkar,Anahita Alizadeh,Majid Sezavar,Babak Karimi,Maryam Naseri,Gholamreza Khademi
- مشاهده
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Toxic substances,Suicide Attempt
- چکیده:
- چکیده انگلیسی: Introduction: Poisoning is the most common method of non-fatal suicide. In recent years, poisoning caused by the use of medications and chemicals has increased. The present study aimed to investigate the rate of suicide using toxic compounds in Iranian children.
Methods: This retrospective study was conducted using the data of 83 children aged 5-16 years who attempted suicide using toxic substances and were admitted to the pediatric and toxicology departments of Imam Reza Hospital in Mashhad, Iran.
Results: Among 500 suicide cases, 83 committed suicide using toxic substances, and 8.4% of the suicides were committed by children aged 5-7 years. In addition, 60% of the suicide cases were aged 14-16 years. In total, 45.5% of the children committed suicide with prior planning (statistically significant). The peak time of referral to the emergency department was between 6-12 PM, and more than 90% of the patients were admitted with stable vital signs. The most commonly used toxic substance was organophosphate. During admission, psychiatric counseling was not provided to 36.1% of the patients, and the clinical outcomes also showed the use of non-lethal doses.
Conclusion: According to the results, it is of utmost importance to assess the underlying causes of suicide attempts in early childhood (e.g., prior planning and antisocial behaviors), especially with the increased age of children to 14-16 years in such incidents.- انتشار مقاله: 04-02-1399
- نویسندگان: Farah Ashrafzadeh,Farideh Sahebkar,Anahita Alizadeh,Majid Sezavar,Babak Karimi,Maryam Naseri,Gholamreza Khademi
- مشاهده
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Prevention,magnesium,nephrolithiasis,Supplementation
- چکیده:
- چکیده انگلیسی: Introduction: The role of magnesium supplement to prevent primary and/or secondary kidney stones has not been fully determined. The aim of this study is to evaluate the effects of magnesium supplement in modifying urinary risk factors of recurrent kidney stones.
Method: We searched MEDLINE, Scopus, and Google Scholar databases on December 7, 2014 and reference lists of systematic reviews and randomized, controlled trials. Among the initial 282 articles found by our search strategy and hand searching, we found eight English-language studies were eligible for our study.
Result: Magnesium supplementation could be beneficial in nephrolithiasis prevention through increasing urinary magnesium, citrate, and calcium while declining urinary oxalate. In pediatric patients, the results were more prominent and could decline urinary oxalate up to 90% of the baseline.
Conclusions: Magnesium supplementation could be beneficial, especially with potassium-citrate combination. However, due to the low number of well-designed randomized controlled trials, especially in pediatrics, the conclusions of this study need further confirmation.- انتشار مقاله: 05-10-1393
- نویسندگان: Anoush Azarfar,Mohammad Esmaeili,Nayere Tousi,Mitra Naseri,Fatemeh Ghane,Yalda Ravanshad,Anahita Alizadeh
- مشاهده
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Prevention,magnesium,nephrolithiasis,Supplementation
- چکیده:
- چکیده انگلیسی: Introduction: The role of magnesium supplement to prevent primary and/or secondary kidney stones has not been fully determined. The aim of this study is to evaluate the effects of magnesium supplement in modifying urinary risk factors of recurrent kidney stones.
Method: We searched MEDLINE, Scopus, and Google Scholar databases on December 7, 2014 and reference lists of systematic reviews and randomized, controlled trials. Among the initial 282 articles found by our search strategy and hand searching, we found eight English-language studies were eligible for our study.
Result: Magnesium supplementation could be beneficial in nephrolithiasis prevention through increasing urinary magnesium, citrate, and calcium while declining urinary oxalate. In pediatric patients, the results were more prominent and could decline urinary oxalate up to 90% of the baseline.
Conclusions: Magnesium supplementation could be beneficial, especially with potassium-citrate combination. However, due to the low number of well-designed randomized controlled trials, especially in pediatrics, the conclusions of this study need further confirmation.- انتشار مقاله: 05-10-1393
- نویسندگان: Anoush Azarfar,Mohammad Esmaeili,Nayere Tousi,Mitra Naseri,Fatemeh Ghane,Yalda Ravanshad,Anahita Alizadeh
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Emergency Practice and Trauma
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Emergency Medicine,Unusual poisoning
- چکیده:
- چکیده انگلیسی: The Clinical Toxicology Center in Imam Reza hospital in Mashhad is the referral center of poisonings in the East of Iran and many cases of poisoned children are referred to this center and some cases are admitted.In this letter we report some specific, strange and unusual poisonings in children admitted in our center.
- انتشار مقاله: 10-04-1398
- نویسندگان: Mohammad Hossein Kamaloddini,Anahita Alizadeh Ghamsari,Bita Dadpour
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Poisoning,Women,Pregnancy,Suicide
- چکیده:
- چکیده انگلیسی: Background
Suicidal attempt is an important phenomenon among pregnant women in Iran. This study was designed to determine the epidemiological status and risk factors of suicidal attempts by poisoning in pregnant women.
Materials and Methods
All pregnant women who were referred to the poisoning department of Imam Reza Hospital (Mashhad, Iran) from November 2016 to November 2017, were evaluated in terms of suicidal attempts. Cases of poisoning with a suicidal intent were included in the study after obtaining informed consent. A checklist, including the baseline characteristics, risk factors, and underlying causes of suicide, was completed for every participant anonymously.After regaining consciousness, the participants were interviewed by a psychiatrist in the consultation room for 20 minutes, and the underlying psychiatric disorders, mood disorders, stressors, and suicidal thoughts were evaluated.Finally, the collected data were analyzed using SPSS software (version 16.0).
Results
Among 40 pregnant women evaluated in this study, 87.5% did not have a stable job or income,55% had difficult living conditions, 45% suffered from sleep disorders, 45% had suicidal thoughts, and 42.5% reported addiction in husband. In addition, 32.5% of women had a history of depression, 32.5% had previous suicidal attempts, 32.5% had abortion thoughts, 20% had a family history of suicide attempt,17.5% were addicts, and 17.5% had a history of self-injury.
Conclusion
This study indicated that the most important factors associated with suicidal attempts by poisoning in pregnant women include lack of job and income, difficult living conditions, and history of psychiatric problems and addiction.- انتشار مقاله: 07-12-1397
- نویسندگان: Anahita Alizadeh,Fatemeh Said Afkhamoshoara,Mohammad Hussein Kamaloddini,Forough Rakhshanizadeh,Mehdi Talebi
- مشاهده
- جایگاه : پژوهشی
- مجله: Avicenna Journal of Phytomedicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Poisoning,Atropine,Benzodiazepine,Black henbane,Hyoscyamus niger,Anticholinergic,Physostigmine,Hyoscyamine
- چکیده:
- چکیده انگلیسی: Black henbane (BH) or Hyoscyamus niger, has been used as a medicine since last centuries and has been described in all traditional medicines. It applies as a herbal medicine, but may induce intoxication accidentally or intentionally. All part of BH including leaves, seeds and roots contain some alkaloids such as Hyoscyamine, Atropine, Tropane and Scopolamine. BH has pharmacological effects like bronchodilating, antisecretory, urinary bladder relaxant, spasmolytic, hypnotic, hallucinogenic, pupil dilating, sedative and anti-diarrheal properties. Clinical manifestations of acute BH poisoning are very wide which include mydriasis, tachycardia, arrhythmia, agitation, convulsion and coma, dry mouth, thirst, slurred speech, difficulty speaking, dysphagia, warm flushed skin, pyrexia, nausea, vomiting, headache, blurred vision and photophobia, urinary retention, distension of the bladder, drowsiness, hyper reflexia, auditory, visual or tactile hallucinations, confusion, disorientation, delirium, aggressiveness, and combative behavior. The main treatment of BH intoxicated patients is supportive therapies including gastric emptying (not by Ipecac), administration of activated charcoal and benzodiazepines. Health care providers and physicians particularly emergency physicians and clinical toxicologists should know the nature, medical uses, clinical features, diagnosis and management of BH poisoning.
- انتشار مقاله: 26-07-1392
- نویسندگان: Anahita Alizadeh,Mohammad Moshiri,Javad Alizadeh,Mahdi Balali Mood
- مشاهده
- جایگاه : پژوهشی
- مجله: Avicenna Journal of Phytomedicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,case report,Espand,Harmalin,Peganum harmala
- چکیده:
- چکیده انگلیسی: Objective: Peganum harmala (P. harmala), “Espand” in Persian, has small seeds and has been used in traditional medicine as emmenagogue and an abortifacient. It has various pharmacological effects such as antifungal, antibacterial, hypothermic, anticancer, antinociceptive, and reversible monoamine oxidase inhibition.
Case details: This case was a 45 years old woman who ingested about 50 grams seed of P. harmala for hypermenorrhae. She suffered nausea, vomiting, dizziness, tremor, ataxia, and confusion. On physical examination, she had hypotension (BP=90/60 mmHg) with normal heart rate (60 beat/min) and impaired knee to heel test. Her consciousness was reduced without any hallucination. Her laboratory test was normal. She was discharged at good condition 18 hours later.
Conclusion: In conclusion, physicians working in Iran and other regions that P. harmala is prescribed or used illegally, should know signs and symptoms of its toxicity in order to be able to deal with the emergencies, however, prognosis of these toxicity is not bad.- انتشار مقاله: 11-09-1391
- نویسندگان: Mohammad Moshiri,Leila Etemad,Soheila Javidi,Anahita Alizadeh
- مشاهده
- جایگاه : پژوهشی
- مجله: Asia Pacific Journal of Medical Toxicology
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Poisoning,Epidemiology,Poison Control Centers
- چکیده:
- چکیده انگلیسی: Background: Acute poisoning has been reported to be the most common reason for hospitalization in Iran. This study was designed to delineate the toxic agents responsible for acute poisonings in Iran by reviewing poisoning cases treated at four major referral hospitals for treatment of poisoning across the country. Methods: This was a descriptive retrospective study on poisoned patients treated at four tertiary hospitals referral for poisoning in Iran, including Loghman Hakim Hospital (LHH) in Tehran, Imam Reza Hospital (IRH) in Mashhad, Noor and Ali Asghar Hospital (NAH) in Isfahan, and Ghaemshahr Razi Hospital (GRH) in Ghaemshahr, as reported to the National Drug and Poison Information Center during the years 2012 and 2013. Results: During the two-year study period, 61,187 poisoned patients (i.e. 32,107 patients in 2012 and 29,080 patients in 2013) were treated at the four hospitals. In these two years, 22,185 patients (36.3%) were treated at LHH, 22,160 patients (36.2%) at IRH, 10,897 patients (17.8%) at NAH and 5,945 patients (9.7%) at GRH. Cumulatively in all hospitals, the highest rate of admissions was due to drug poisoning (42,017, 68.7%), recreational substances overdose (7,302, 11.9%) and pesticide poisoning (5,217, 8.5%). Conclusion: Pharmaceutical products, substances of abuse and pesticides are the most common causes of poisoning-related admissions to referral Iranian poison treatment centers. Effective measures to reduce poisoning with these substances should be done.
- انتشار مقاله: 25-05-1394
- نویسندگان: Talat Ghane,Yasna Behmanesh,Anahita Alizadeh Ghamsari,Mina Amini,Fatemeh Siavashian,Atieh Yazdani-Rostam,Simin Mahdavi,Nader Haghi,Abdolkarim Pajoomand,Shahin Shadnia,Hossein Hassanian-Moghaddam,Mitra Rahimi,Nasim Zamani,Fardin Khazaei
- مشاهده