Glasgow Coma Scale and Its Components on Admission: Are They Valuable Prognostic Tools in Acute Mixed Drug Poisoning?

Introduction. The verbal, eye, and motor components of Glasgow coma scale (GCS) may be influenced by poisoned patients' behavior in an attempted suicide. So, the values of admission GCS and its components for outcomes prediction in mixed drugs poisoning were investigated. Materials and Methods. A followup study data was performed on patients with mixed drugs poisoning. Outcomes were recorded as without complications and with complications. Discrimination was evaluated by calculating the area under the receiver operating characteristic curves (AUC). Results. There was a significant difference between the mean value of each component of GCS as well as the total GCS between patients with and without complication. Discrimination was best for GCS (AUC: 0.933 ± 0.020) and verbal (0.932 ± 0.021), followed by motor (0.911 ± 0.025), then eye (0.89 ± 0.028). Conclusions. Admission GCS and its components seem to be valuable in outcome prediction of patients with mixed drug poisoning

Factors Engaged With Women Performance in Doing Regular Breast Self-examination or Referring to Health Centers for Examination and Mammography

Aims: Breast cancer, as the most common cancer in women, will lead to death in case it is not diagnosed timely, and if the early diagnosis is timely, the chance of recovery will increase in the early stages. The aim of this study was to determine the factors engaged with women performance in doing regular breast self-examination or referring to health centers for examination and mammography. Materials and Methods: In this descriptive-analytic cross sectional study, in 2012, 9260 women aged 20 to 65 years old in Isfahan province, Iran were selected from different districts by multistage cluster sampling method. A researcher-made questionnaire was used for data collection. The underlying variables, knowledge of risk factors, signs and symptoms, and beliefs about breast cancer diagnosis were considered as predictors of women performance. The data were analyzed by STATA 13 software, using Pearson correlation coefficient test, univariate, and multivariate logistic regression. Findings: Generally, 55.7% of the patients had a poor knowledge of cancer risk factors. Knowledge about signs and symptoms of breast cancer was relatively good in 83.7% of the patients. Also, women belief in breast cancer diagnosis and treatment was poor. Knowledge of risk factors (OR=1.2), knowledge of signs and symptoms (OR=1.5), and beliefs (OR=1.3) were positive predictors of performance. Conclusion: The underlying variables, knowledge of cancer risk factors, knowledge of signs and symptoms of breast cancer, and belief in the effectiveness of examination increase the women performance (self- examination or referring to health centers for examination) for breast cancer examination

Glasgow Coma Scale and Its Components on Admission: Are They Valuable Prognostic Tools in Acute Mixed Drug Poisoning?

Introduction. The verbal, eye, and motor components of Glasgow coma scale (GCS) may be influenced by poisoned patients' behavior in an attempted suicide. So, the values of admission GCS and its components for outcomes prediction in mixed drugs poisoning were investigated. Materials and Methods. A followup study data was performed on patients with mixed drugs poisoning. Outcomes were recorded as without complications and with complications. Discrimination was evaluated by calculating the area under the receiver operating characteristic curves (AUC). Results. There was a significant difference between the mean value of each component of GCS as well as the total GCS between patients with and without complication. Discrimination was best for GCS (AUC: 0.933 ± 0.020) and verbal (0.932 ± 0.021), followed by motor (0.911 ± 0.025), then eye (0.89 ± 0.028). Conclusions. Admission GCS and its components seem to be valuable in outcome prediction of patients with mixed drug poisoning