27 research outputs found
Failures to Cure and Diagnose Cervical Cancer
Background: Cervical cancer is one of the most common cancers in developing countries and the second most common cancer in women worldwide. Using the screening test, cancer can be detected in the early stages and, thus, mortality will be reduced. Also, the early detection of cervical cancer could affect survival rate and time. But, the diagnostic and therapeutic methods of this disease are usually accompanied by errors that deduct the success rate.Methods: In this study, a variety of common errors in the detection and treatment of cervical cancer were investigated by reviewing and evaluating scientific resources.Results: Studies show the different medical failures during sampling, preparation, review, and interpretation of the sample. On the other hand, inappropriate operation and errors in the treatment pathway are common errors after diagnosis. Because of the types of these errors, preparing the information of papers investigating the possible types of errors and observing accuracy will play a significant role in reducing the failures.Conclusion: Because of the fact that cervical cancer is fully curable with proper and timely diagnosis, the early diagnosis is important and it is the responsibility of doctors, pathologists, and surgeons in this area. Therefore, monitoring and preventing errors in the diagnosis and treatment is directly associated with a reduction in the mortality rate of the disease
The Modification of the Education System in a Medical Faculty in Iran During the COVID-19 Outbreak
Background: The coronavirus disease 2019 (COVID-19) pandemic has had an important effect on medical education. Universities around the world responded to the crisis by announcing the immediate closure and substituted the in-person sessions with online ones.Methods: Iran University of Medical Sciences designed a platform for medical students. To maintain the social distance, only onethird of students living in the dormitory were present at the dormitory in this condition. Some training courses were divided into two parts and each group was supposed to participate in given courses in-person for 15 days. The crash courses were trained on all days of the week. Then, the first group left the dormitories and was replaced with the second group, and they used dormitories for 15 days after being disinfected. Besides, for the best use of time, students who could not present in these 15-day training courses took part in virtual training programs.Results: It is depopulate the educational sessions at hospitals and classes in educational sectors. Besides, using the virtual classroom software given by the university, students can take part in virtual training programs.Conclusion: Using this platform, the number of trainees, as well as the gathering of students at dormitories, was reduced
A Concise Review of Intellectual Disability and Puberty Problems Based on the Laws of Different Countries
Intellectual Disability (ID) is characterized by limitations in intellectual functioning and behavioral adaptations. Patients with ID have a wide range of problems affecting the quality of life in these cases and their parents, as well
Prognosis and Complications of Attempted Suicidal Hanging
Background: Hanging is a form of strangulation, in which the body is suspended through the neck and the weight of the body acts as a constricting force. This study assessed various factors on the outcome of hanging and identification of prognostic factors related to the outcomes.Methods: Ninety-nine hanging victims from 1995 to 2015 in Iran were evaluated; then, variables such as the cause of death, distribution of mortality, duration of hospitalization, substance abuse consumption, respiratory distress, and cerebral edema were studied in these people. Finally, the data were analyzed.Results: Major cases of suicide by hanging were men. In connection with prognosis, about 12% of the deaths occurred in men and about 21% were represented in women. More importantly, in the matter of suspension, the model was largely incomplete to complete. Also, the outcomes of pulmonary stress and cerebral edema were recognized in association with the type of hanging and mortality prognosis.Conclusion: Only two risk factors, including loss of consciousness at the time of entry into the medical center, as well as the complete suspension, would be predictive operations of death and unsuccessful revival
Gender Identification Based on the Parameters of the Sternum Bone in the Cadavers
Background: Identifying identity in the absence of large bones becomes more difficult and complicated; accordingly, it is highly beneficial to use the features of the sternum. The present study aimed to evaluate the dimensions of the sternum and its relation with gender in the Iranian population.Methods: This cross-sectional study was conducted on 200 cadavers (100 men and 100 women). By performing an autopsy, the sternum bone was first cut in the midline using a vibrating saw, and the different dimensions were measured using a caliper.Results: Among different dimensions related to the sternum, the mean length of manubrium, mesosternum, the largest width of manubrium, and the shortest width of manubrium were significantly higher in men compared to women. Regarding the value of each sternal diameter in discriminating male and female gender, the highest discriminative value was specified to the shortest width of manubrium (cutoff: 26.75, sensitivity: 100%, specificity: 84.0%), followed by the length of sternebrae 1 (cutoff: 8.45, sensitivity: 76.0%, specificity: 21.0%).Conclusion: Measuring various indices of sternum bone, particularly the shortest width of the manubrium and the length of sternebrae 1, leads to gender identity accurately
The Measurement of Height Via 3D Scans of the Seventh Cervical Vertebra in Iranian Adults
Background: The cervical vertebrae are more durable than other skeletal components, and maybe the only remains of a deceased, and their role in determining the height of the deceased has been underestimated. The present study investigated the role of linear differential dimensions of the seventh cervical vertebrae in determining the height of the Iranian adult population using CT scans.Methods: In this cross-sectional study, height were evaluated by 10 indices of the seventh cervical vertebra. The indices were obtained through a CT scan of 66 adult patients, ≥18 years of age, who referred to Rasoul Akram and Firoozgar hospitals for spine CT scan. The sampling method was random, and the study was performed during the first six months of 2018. Results: Four indices of the Length of the Inferior Facets) LIF, (Length of the Inferior Surface of the Vertebral Body) LIVB, (Width of the Inf surface of the Vertebral Body) WIVB, (Length of Spinous Process ) LSP. were statistically significant differences.Conclusion: The results of this study show the accuracy of linear dimensions of the seventh cervical vertebrae for determining height from skeletal remains in the Iranian adult population
Estimating Stature and Gender by the Length of the Third, Fourth, and Fifth Fingers of Dominant Hand in Iranian Adults
Background: Stature and gender are essential parameters of forensic anthropology. Moreover, their estimation is critical for medico-legal investigations to identify unknown remains. The present study aimed to estimate stature and gender by the anthropometric dimensions of the Iranian population’s third, fourth, and fifth fingers.Methods: In this cross-sectional study, 199 individuals (99 men & 100 women) were included. Individuals’ demographic information was recorded. A caliper measured the length of the fingers. An anthropometer was used for the measurement of stature. The obtained data were analyzed using SPSS. A multivariate linear regression test was used to predict the stature of individuals based on finger length.Results: In males and females, a solid and positive direct relationship was observed between the length of the third, fourth, and fifth fingers of the hand with the stature of individuals and between the length of the fingers with each other. In the coefficient table of the regression model of this study, in males, the length of the fingers was not predictive of stature, and only the length of the third finger in females had a predictive effect on stature.Conclusion: According to the obtained results, stature is predictable in women through the third finger length using the derived regression equation
Investigating Emergency Nurses’ Awareness on the Differentiation Between Acute Methanol and Ethanol Intoxication
Background: Alcohol intoxication is among the leading and preventable causes of death, disability, and injury in numerous societies. Ethanol and methanol are the most commonly used types of alcohol. Increasing nurses’ awareness about the difference between intoxication with these two alcohol types will prevent the occurrence of dangerous and deadly complications of intoxication. We investigated the awareness of the nurses respecting the difference between acute methanol and ethanol intoxication in clinical manifestations, diagnosis, and treatment.Methods: A cross-sectional study was performed in 2020 on the emergency nurses from two educational hospitals. A total of 100 nurses participated in this study. The data collection tool was a researcher-made questionnaire, including demographic characteristics and questions concerning the identification and differentiation of acute methanol from ethanol intoxication. Moreover, the obtained data were analyzed using SPSS v. 20 at the significance level of P<0.05. Results: The present research results suggested that 21% of the examined nurses had a low level of awareness (<7) and 79% had a moderate level of awareness (8-13). The mean score of awareness was measured as 8.71 (range: 2-12). Nurses’ awareness was not related to age, gender, the duration of working experience, and educational level (P>0.05).Conclusion: The awareness of nurses regarding alcohol poisoning is moderate. Due to the importance of differentiating ethanol from methanol toxicity, considering the outcomes of the patients, nurses’ awareness should be increased
Demographic Assessment of Burn Injuries in Iranian Patients
Objective: This study investigated the demographic characteristics and factors influencing burn injuries,primarily in low socioeconomic societies where such incidents are prevalent due to factors such as illiteracyand poverty.Methods: This cross-sectional study included all burn patients admitted to Shahid Motahari Hospital inTehran, Iran. Demographic data such as age, sex, occupation, education level, and residence as well as detailedinformation about the burn incidents such as date, time, location, number of people present at the scene, andreferral place was collected. Additionally, comprehensive burn details such as cause, extent, severity, previoushistory, and need for hospitalization directly at the emergency department were documented.Results: The study included 2213 patients (mean age 34.98±19.41 years; range 1-96), with a men predominance(60.6%). The majority of burns (64.4%) occurred at home, primarily due to accidents (99.6%), with boilingwater being the most common cause (39.2%). The most frequent burns were second-degree burns (91.8%),with an average injured body area of 6.31±6.67%. There were significant correlations between burn severityand demographic factors such as age, sex, occupation, cause of burn, hospital admission, outcome, and lengthof stay. Remarkably, the extent of burns was negatively correlated with the distance to the hospital, whilepositively correlated with the length of hospital stay.Conclusion: Burn injuries were significantly influenced by demographic factors. Enhancing treatment facilitiesand reducing the time and distance to medical care could be crucial in high-risk cases