Financial burden of burn injuries in iran: A report from the burn registry program Le coût du traitement des brûlures en iran: Un rapport du registre des brûlés

Understanding the cost of burn treatment is very important for patients, their families, governmental authorities and insurance companies. It alleviates patient and familial stress, provides a framework for better use of resources, and facilitates better performance between burn centers. Hospital burn costs can provide a basis for authorities to budget for acute burn treatment, for further management of chronic complications, and for planning prevention and public educational programs in Iran. To identify costs we used data from our burn registry program. Over the two-year assessment period, we treated roughly 28,700 burn patients, 1,721 of whom were admitted, with a mortality rate of 5.9. The male to female ratio was 1.7:1 (63 male; 37 female). Flame burns were most frequent (49.8) followed by scalds (35.7). Mean hospital stay was 14.41 days (range 0-64 days). Mean TBSA was 17.39. Skin grafts were carried out in 65.4 of the patients, with a mean of 5.2 surgeries per patient. The total cost of all patient admissions over the two years was US 4,835,000. The maximum treatment cost for one patient was US 91,000. The mean cost per patient was US 2,810 (29,500,000 Rials). The mean cost for each percent of burn was US 162. The mean cost for a one-day stay in hospital was US 195. The mean cost of each operation was US 540. Patients who contracted infections endured longer hospital stays, meaning increased costs of US 195 per day. With comparable outcome and results, the cost of burn treatment in Iran is cheaper than in the US and Europe. © 2015, Mediterranean Club for Burns and Fire Disasters. All rights reserved

The first case series of malaria overlapped with COVID-19 in Iran

Introduction: Although indigenous malaria cases have dramatically declined over the past decades, the COVID pandemic has continued to affect the programs designed to combat malaria, particularly in those countries where hydroxychloroquine and chloroquine have been used as medications for treating COVID. Two immigrants entered Iran illegally from neighboring countries (i.e., Afghanistan and Pakistan). This study mainly aimed to assess the effects of coronavirus disease (COVID-19) on these cases from all aspects (i.e., case-finding, diagnosis, and treatment). Case Presentation: Both cases presented with common symptoms such as fever and shaking chills. In addition, they had no sign of COVID-19, and their oxygen level and CT images were normal in some cases, but they were mistakenly treated as COVID-19 patients long after the onset of malaria symptoms. One of the suspected coronavirus cases was given chloroquine on a voluntary basis for one day, which may have been responsible for the possible relapse in vivax or resistance of plasmodium vivax to chloroquine and the recurrence of parasitemia in falciparum. Conclusions: The active case detection of malaria was affected by the COVID-19 pandemic. Case finding was dramatically decreased with the onset of coronavirus, thereby causing a spurt in malaria incidence. Moreover, the malaria treatment strategy was negatively affected by the misdiagnosis of COVID-19

LA50 in burn injuries Surface létale 50% des patients brûlés

Burn injuries put a huge financial burden on patients and healthcare systems. They are the 8th leading cause of mortality and the 13th most common cause of morbidity in our country. We used data from our Burn Registry Program to evaluate risk factors for mortality and lethal area fifty percent (LA50) in all burn patients admitted over two years. We used multiple logistic regressions to identify risk factors for mortality. LA50 is a reliable aggregate index for hospital care quality and a good measure for comparing results, also with those of other countries. 28,690 burn patients sought medical attention in the Emergency Department, and 1721 of them were admitted. Male to female ratio was 1,75:1. 514 patients were under 15 years old. Median age was 25 (range: 3 months � 93 years). Overall, probability of death was 8.4. LA50 was 62.31 (CI 95: 56.57-70.02) for patients aged 15 and over and 72.52 (CI 95: 61.01-100) for those under 15. In the final model, we found that Adjusted OR was significant for age, female sex, TBSA and inhalation injury (P < 0.05). LA50 values showed that children tolerate more extensive burns. Female sex, burn size, age and inhalation injury were the main risk factors for death. Authorities should pay special attention to these variables, especially in prevention programs, to reduce mortality and improve patient outcome. Children have better outcome than adults given equal burn size. Suicide rates are higher for women than men in our country. © 2016, Mediterranean Club for Burns and Fire Disasters. All rights reserved

Urban solid waste landfill selection by SDSS. Case study: Hamadan

One of the major problems human beings are confronted with in urban setting is the removal of urban waste. This problem has persuaded the urban authorities to use various tools such as Geographic Information System (GIS) to locate landfills. To do that, Sloan Digital Sky Survey (SDSS) has been used in which or multi-criteria decision making (MCDM) methods and GIS are combined. The selection of the burial place and landfill has great importance and different criteria must be considered. SDSS, using MCDM is able to investigate locating landfill using various criteria simultaneously and it determines its importance. This research aims at presenting suitable solution through using computer and GIS related to solid urban waste and their locating in Hamadan based on standard criteria. A comprehensive model based on GIS, to get the suitable burial place and landfill can help to save time and cost. The model of locating burial place of urban solid waste has been presented