The Social Determinants of Risky Driving on the Intercity Roads of Tehran Province, Iran: A Case-Cohort Study

Background: Traffic accidents are the major cause of injuries that endanger the lives of many people annually. It seems that studying the factors and grounds of this type of event including risky driving contributes to the identification of groups at risk and development of preventive programs. Objectives: Given the importance of this issue, we decided to conduct a study to examine the social factors of risky driving. Methods: The present study was implemented based on a case-cohort design. The target community was all the drivers who drove on the intercity roads of Tehran Province. Each driver with and without a history of being guilty in a car accident leading to injury or death during the last 5 years was assigned to the case and control groups, respectively. The questionnaires were completed through a review of documents and interview within the groups. In the analytical analysis, a chi-square test and, if necessary, the odds ratio and confidence intervals were used to determine the relationship between the variables. In each case, the necessary investigation of confounding or interacting variables was performed using regression models and the final model of the factors affecting a risky driving was extracted. Results: From a total of 990 drivers studied, 54 cases (5.5%) were females and 936 (94.5%) were males. The mean and SD of the drivers’ ages were 39.4 and 11.8 years, respectively. People with a driving job, chronic disease, poor socio-economic status, having only a family dispute, without a religious attitude, and under medical supervision (all with P < 0.001), secondary education (P = 0.01), women (P = 0.01), using drugs (P = 0.03) were found to have a greater history of road traffic injuries or deaths. Conclusions: This study showed that gender, education level, occupation, socioeconomic status, medical care, health condition, lifestyle, family conflict, drug abuse history, and religious attitudes are the major social factors of risky driving on the intercity roads of Tehran Province

Microstructure and mechanical properties of Al-1050 during incremental ECAP

Incremental ECAP is a new method of ECAP process were the severe shear deformation is incrementally applied on the sample resulting in grain refining and new texture developing. The fundamental objective of the present work is an observation of effect of different passes of I-ECAP on microstructure and mechanical properties of AA1050 billet. To that end, 8 pass of I-ECAP have been carried out using Bc route and microstructure evolution and mechanical properties of the I-ECAPed samples have been studied. The EBSD and TEM analyses indicates that I-ECAP is as capable as conventional ECAP to grain refinements and a UFG structure is resulted after I-ECAP cycles. Tensile testing and hardness measurements indicates that mechanical properties of the Al-1050 billets increases dramatically by increasing the I-ECAP passes

Specific heat and magnetocaloric effect in Pr1-xAgxMnO3 manganites

The magnetocaloric effect in alternating magnetic fields has been investigated in Pr1-xAgxMnO3 manganites with x=0.05-0.25. The stepwise reversal of the sign of the magnetocaloric effect has been revealed in a weakly doped sample (x=0.05) at low temperatures (~80 K). This reversal is attributed to the coexistence of the ferromagnetic and canted antiferromagnetic phases with different critical temperatures.Comment: 4 pages, 4 figure

First-principles study of structural, electronic and thermodynamic properties of (ZnO)n_n(n=2-16) clusters

The structural, electronic, and vibrational thermodynamic properties of the (ZnO)$_n$ (n=2-16) clusters are studied using density functional - full potential computations. The results show, small clusters up to $n=9$ stabilize in the 2D ring shape geometries while the larger clusters prefer the 3D cage like structures. The ring to cage structural cross over in ZnO clusters is studied by investigating the behavior of the Zn-O-Zn bond angle, the Zn-O bond strength, and the number of bonds in the systems. It is argued that 12 is the lowest magic number of ZnO clusters at ground state, while finite temperature vibrational excitations enhance the relative stability of the (ZnO)$_9$ cluster and make it a magic system at temperatures above about 170 K. The obtained electronic structure of ZnO clusters before and after applying the many-body GW corrections evidence a size induced red shift originated from the ring to cage structural cross over in these systems. The behavior of the extremal points of electron density of the clusters along with the extrapolated cluster binding energies at very large sizes may be evidences for existence of a metastable structure for large ZnO nanostructures, different with the bulk ZnO structure.Comment: 8 pages, 8 figures and 1 tabl

Incidence of self-reported interpersonal violence related physical injury in Iran

Background: Violence is the cause of death for 1.5 million people in a year. Objectives: Our study aimed to estimate the incidence rate of self-reported interpersonal violence related physical injury (VRPI) and its associated factors in Iran. Patients and Methods: The sample included people ranged from 15 to 64 years old who were residing in Iran. A total of 1525 clusters were selected from the whole country. Six families were selected from each cluster via a systematic random sampling method. Then, the residential units were identified and the interviewers contacted the inhabitants. In the next step, one of the family members was selected by using Kish grid method. The instrument was a researcher-made questionnaire and consisted of two sections; demographics and project related data. Face validity and content validity of our questionnaire were investigated based on expert opinions and the reliability was confirmed by a pilot study, as well. The inclusion criteria were considered for choosing the interviewers. An interviewer was assigned for each 42 participants (7 clusters). An educational seminar was held for the administrative managers (54 persons) and interviewers (230 persons) for a week. The field work was distributed among all 46 Medical Sciences universities in Iran. In each university, administrative issues were related to an executive director. Mann-Whitney U test and odds ratio were used to analyze the data with 95 confidence interval. α value was considered less than 5. Results: The frequency of VRPI among 7886 participants was 24 during the last three months. The incidence rate of interpersonal VRPI was estimated at 3.04 per 1000 population (95 CI: 2.66-3.42) during a three-month interval in Iran. The incidence was 4.72 per 1000 population (95 CI: 4.01-5.43) for males and 1.78 per 1000 population (95 CI: 1.39-2.17) for females during a three-month interval. The mean (SD) of age of the participants with and without a history of VRPI were 26.5 (7.21) and 33.05 (12.05) years, respectively (P = 0.008). Considering the participants� gender, 66.7 were males (OR = 2.66, 95 CI: 1.14-6.23). Khuzestan Province had the most VRPIs (25 of all VRPIs). Streets and roads were the places with the highest frequency of injury (50). The most frequent injured organ was the upper limb (54.17). The most prevalent type of injury was a superficial wound (50). Finally, the most common place of treatment was home (45.83). Conclusions: We determined the incidence rate of self-reported interpersonal VRPI for the first time in Iran based on a national survey. The injuries were more common among young men. We suggest consecutive national surveys with different data gathering methods and more sample sizes. © 2015, Iranian Red Crescent Medical Journal

Treatment-related complications in childhood acute lymphoblastic leukemia: Results of medical research council UKALL X

Background: Acute lymphoblastic leukemia (ALL) is a heterogeneous group of lymphoid neoplasms resulting from the proliferation of malignant lymphoid cells. The aim of this study was to evaluate treatment-related complications in children with ALL receiving the Medical Research Council (MRC) UKALL X protocol. Methods: In this retrospective cross-sectional study, children with ALL receiving the MRC UKALL X protocol from 2008 to 2015 in Bahrami University Hospital, Iran, were enrolled. The clinical and morphological features were analysed and treatment-related complications were assessed. Results: Out of 67 children with ALL receiving the MRC UKALL X protocol, 44 (65.6 ) were boys and 23 (34.4) were girls. Seven patients (10.7) relapsed in the three years of diagnosis, and 50 children (74.6) had an overall survival of three years. Average age in three-year-survival group and mortality group was 6.92 (SD: 3.96) and 6.35 (SD: 7.47), respectively (P= 0.38). Conclusion: Overall survival and relapse rates in this study confirm that this protocol is an appropriate treatment strategy. © 2020, Shiraz University of Medical Sciences. All rights reserved

Burden of injury along the development spectrum: Associations between the Socio-demographic Index and disability-adjusted life year estimates from the Global Burden of Disease Study 2017

Background: The epidemiological transition of non-communicable diseases replacing infectious diseases as the main contributors to disease burden has been well documented in global health literature. Less focus, however, has been given to the relationship between sociodemographic changes and injury. The aim of this study was to examine the association between disability-adjusted life years (DALYs) from injury for 195 countries and territories at different levels along the development spectrum between 1990 and 2017 based on the Global Burden of Disease (GBD) 2017 estimates. Methods: Injury mortality was estimated using the GBD mortality database, corrections for garbage coding and CODEm-the cause of death ensemble modelling tool. Morbidity estimation was based on surveys and inpatient and outpatient data sets for 30 cause-of-injury with 47 nature-of-injury categories each. The Socio-demographic Index (SDI) is a composite indicator that includes lagged income per capita, average educational attainment over age 15 years and total fertility rate. Results: For many causes of injury, age-standardised DALY rates declined with increasing SDI, although road injury, interpersonal violence and self-harm did not follow this pattern. Particularly for self-harm opposing patterns were observed in regions with similar SDI levels. For road injuries, this effect was less pronounced. Conclusions: The overall global pattern is that of declining injury burden with increasing SDI. However, not all injuries follow this pattern, which suggests multiple underlying mechanisms influencing injury DALYs. There is a need for a detailed understanding of these patterns to help to inform national and global efforts to address injury-related health outcomes across the development spectrum