Interaction of Human Rights and Humanitarian Law on the Protection of Refugees

International legal system and international organizations have been engaged. International legal system, certain methods to deal with victims in certain circumstances has created. international committee of the red cross is responsible for the implementation of the four geneva conventions and their additional protocols. high commissioner for human Rights is responsible for dealing with victims of human rights violations and the UN high commissioner for Refugees (UNHCR) is responsible for handling the rush are mandatory. in this paper the interaction between human rights and humanitarian law on the protection of refugees in armed conflicts is investigated and analyzed. Keywords:Humanitarian law, International legal system,  Judicial guarantees, court opinions, UNHC

Reverse Sural Fascio-Cutaneous Flap for Management of Patients with Distal Third of Lower Limb Soft Tissue Defects Referring to the Emergency Department Following Traumatic Events; A Review of 13 Cases

Introduction: Soft tissue defects over the distal leg and/or heel are probable injuries that need a flap. Various coverage techniques have been described in this regard. It seems that applying Reverse Sural Fascio-Cutaneous Flap (RSFCF) for reconstructing soft tissue defects of lower limbs has superiorities over other techniques. Objective: We intend to present a case series with soft tissue defect over the distal third of lower limb, covered using RSFCF technique. Methods: This is a case series and longitudinal study in which patients with crush injuries who referred to the emergency department (Sina hospital, Tehran, Iran) from 2013 until 2020 and were treated with RSFCF technique were included. The data were collected using patients’ charts, by interviewing the patients, and from hospital records. The patients' wounds were prepared, examined, and the surgery was done. Tendon and bone defects were repaired, and wounds were closed using reverse sural Fascio-Cutaneous Flap. Results: A total of 13 patients were eligible during the 6-year study period. Men were more commonly affected with no conclusive gender trend. The posterolateral part of the foot of the right leg was the most frequently injured part (53.8%). Only 1 patient had mentioned complications after surgery including mild congestion and abnormal sensory and motor examination. Patients were followed by the surgeons until 3 months after the operation and all of them had been able to resume their daily life activities by then. Conclusion: According to our findings, almost all of the patients (except one) had received their flaps without any complications. All the patients had been able to resume their daily life activities three months after the surgery. This may show that RSFCF, which can be quickly performed and does not need microsurgical skills, could be a suitable option for the coverage of distal third of lower limb soft tissue defects caused mainly by trauma

Prevalence of Epilepsy in Iran: A Meta-Analysis and Systematic Review

How to Cite This Article: Sayemiri K, Tavan H, Sayemiri F, Mohammadi I, Carson KV. Prevalence of Epilepsy in Iran : A Meta-Analysis and Systematic Review. Iran J Child Neurol. 2014 Autumn; 8(4):9-17.AbstractObjectiveEpilepsy is one of the most common diseases in Iran contributing to an array of health problems. In light of this, the aim of the present study is to examine the prevalence of epilepsy in Iran through a systematic review and meta-analysis.Materials & MethodsA systematic search of several databases including PubMed, scientific information databases, Google, Google scholar, Elsevier and Scopus was conducted in June 2013. Observational studies were considered for inclusion ifthey were published in Iranian and examined epilepsy prevalence and/or related risk factors. Meta-analysis was conducted using a random effect model with the DerSimonian/Laird method. Heterogeneity was examined using the Breslow- Day test and inconsistency using the I2 statistic.ResultsA total of 45 studies were identified from the search strategy. Of these, nine published manuscripts with a total of 7,723 participants were included within the review. The pooled prevalence of epilepsy in Iran was estimated to be around 5% (95% confident interval (CI) 2 to 8). For each region the prevalence of epilepsy in central, northern and eastern Iran were 5% (95%CI 2 to 8), 1% (95%CI -1 to 3) and 4% (95%CI 3 to 11) respectively. The most common risk factors in order of prevalence were somatic diseases 39% (95%CI 15 to 62),convulsion 38% (95%CI 11 to 65), mental diseases 36% (95%CI 15 to 95) and hereditary development 26% (95%CI 9 to 42). A meta-regression model identified a declining trend in the prevalence of epilepsy within Iran for the last decade.ConclusionPooled analyses from the nine included publications in this review estimate the prevalence of epilepsy in Iran to be around 5%. Although this result is much higher than rates in other countries, a declining trend in prevalence over the pastdecade was also identified. References1. Valizadeh L, Barzegar M, Akbarbegloo M, ZamanzadehV, Rahiminia E, Ferguson CF. The relationship between psychosocial care and attitudes toward illness in adolescents with epilepsy. Epilepsy and Behavior 2013;27: 267–271.2. Widera E, LikusW, Kazek B, Niemiec P, Balcerzyk A,Aleksander L, Siero N, gak I. CYP3A5 * 3 and C3435TMDR1 Polymorphisms in Prognostication of Drug-Resistant Epilepsy in Children and Adolescents. Hindawi Publishing Corporation Biomed Research International 2013;12: 7 -10.3. Koochaki E, Daneshvar R. Evaluation of Seizure Attacksin Patients with Cerebrovascular Accident. Zahedan J ResMed Sci 2013; 15: 29-32.4. Asadi-PooyaA, Sharifzade M. Lennox–Gastaut syndrome in south Iran: Electro-clinical manifestations. Seizure 2012; 21: 760-763.5. Motamedi M, Sahraian M, Moshirzadeh S. A Cross Sectional Study Evaluating Perceived Impact of Epilepsy on Aspects of Life. Zahedan J Res Med Sci 2012; 14: 33-366. Scott RA, Lhatoo SD, Sander J. The treatment of epilepsy in developing countries: where do we go from here? Bull WHO 2001;79:344–345.7. Bharucha, N.E. Epidemiology of epilepsy in India. Epilepsia 2003;44: 9-11.8. Ronnie D. Horner.Racial/ethnic disparities in the treatment of epilepsy: What do we know? What do we need to know? Epilepsy & Behavior 2006; 9: 243–264.9. Nachvak M, Haghighat HR, Rezaei M. Prevalence and monitoring of retarded Childs in Tehran at 2002. Quarterly of science-research journal of Kermanshah University of Medical Sciences.2004; 3: 34-42.10. Etemadifar M, Mirabdolbaghe P. Demographic and clinical characteristics of young epilepsy mortalities in Isfahan. Two quarterly of south pediatric, Persian golf center of health researches in Boushehr University of Medical Sciences. 2005; 2: 160-164.11. Najafi MR, Rezaei F, Vakili Zarch N, Dehghani F, Barakatein M. Survey of pattern of personality and psychopathology in patients with Grandmal and complexpartial epilepsy and comparison with control group. Journal of Shaheed Sadoughi University of Medical Sciences. 2010; 2:84-91.12. Pashapour A, Sadrodini A. Grandmal epilepsy and EEG variations in primary school children at Tabriz. MedicalJournal of Tabriz University of Medical Sciences. 2001; 50: 23- 27.13. Mohammadi M, Ghanizadeh A, Davidian H, MohammadiM, Norouzian M. Prevalence of epilepsy and co morbidity of psychiatric disorders in Iran. Seizure. 2006; 15: 476-482.14. Nasehi M.M, Mahvalati Shamsabadi F, Ghofrani M. Associated Factors in Response to Treatment in Childrenwith Refractory Epilepsy. J Babol University Med Sci (4):2010; 12: 61-66.15. Kaheni S, Riyasi HR, Rezvani Kharashad MR, Sharifzadeh Gh, Nakhaei S. Prevalence of epilepsy in children at primary schools and awareness of teachers about epilepsy at primary schools of Birjand at 2010. Novel cares, Quarterly of science journal of nursing and midwifery in Birjand University of Medical Sciences. 2011; 3:135-142.16. Rezaei AK, Saeidi Sh. Survey of starting age and genderof epilepsy and effective parameters on the Sina and Ghaem hospitals patients at 1989 till 1995. Rehabilitation magazine. 2000; 2: 52-57.

Prediction of Highway Noise Pollution Level by Model FHWA -TNM (Case Study: Vakilabad Highway in Mashhad-Iran)

This study aimed to model the noise pollution level in 9th and 11th districts of Mashhad municipality (Vakilabad highway) by using Traffic Noise Model (TNM 2.5). To this end, the equivalent sound level measurement of the 25 high-traffic stations selected along the Vakilabad highway in Mashhad was carried out by the TES-1358 sound level meter, for 6 months and each month for 1 working day in the year’s 2017. Traffic volume data was also measured to level the day by the wood line method and then the total data was introduced to model the traffic noise volume in the area. The assessment of the traffic noise of the study area in the model showed that the average equivalent sound level calculated by the model for the stations measured at Vakilabad highway is 6.51 dB less than the recorded values by the sound meter in the real environment by the average of 78 dB. In addition, the results of this study indicated that the TNM could provide a reasonable prediction of traffic volume and its distribution on the Vakilabad highway in Mashhad, due to providing a similar ranking of areas with low or high noise pollution and also displaying acceptable values of Leq calculated as compared to recorded sound values in the real environment

The relationship between reserves of oil endowment and economic growth from the resource curse viewpoint: a case study of oil producing countries

This research investigated the effective economic growth determinants using a panel data set over the period 1995 to 2010 in oil-rich countries divided by the level of democracy into two groups: countries with low and high democracy. The result of OLS method rejects the curse hypothesis; however, TSLS method reveals the reserves of oil endowment has a negative effect on economic growth of low democracy countries and the curse hypothesis is approved

Removal of Cephalexin From Aqueous Solutions Using Magnesium Oxide/Granular Activated Carbon Hybrid Photocatalytic Process

In the present study, magnesium oxide/granular activated carbon (MgO/GAC) composite as a catalyst was synthesized using the sol-gel method and its catalytic potential was investigated in the presence of ultraviolet (UV) irradiation for the removal of cephalexin (CLX) in a batch mode reactor. Then, the characterization of the MgO/GAC composite was determined by X-ray diffraction (XRD) and scanning electron microscopy (SEM). Next, the effect of operational parameters was evaluated, including the pH of the solution (3-11), the dosage of composite (1-6 g/L), initial CLX concentration (20-100 mg/L), and contact time (10-60 minutes). The maximum CLX degradation with an initial concentration of 20 mg/L was as high as 98% at pH=3, 4 g/L of MgO/GAC composite with UV irradiation within 60-minute contact time. In addition, the removal process of CLX could be described by the pseudofirst-order kinetic. Further, the chemical oxygen demand (COD) and total organic carbon (TOC) removal rate were 78% and, 62.3% in optimum conditions, respectively. The results indicated that the UV/MgO/GAC hybrid photocatalytic process can be considered as an efficient alternative for treating the wastewater containing CLX