Suicide and Repeated Suicide Attempt in Intoxicated Patients: An Epidemiological Survey in a Tertiary Center

Background: Suicide is one of the most important psychological emergencies and it is necessary to deal with it. The goal of this study was to evaluate the frequency of suicide attempts, suicide re-attempt, and guesstimated risk factors in suicidal patients in the poisoning ward of Loghman Hakim Hospital.Methods: This study was performed on suicidal patients in Loghman Hakim hospital in 2021 (January to August). The suicide attempt and the type of mental disorder were confirmed by a psychiatrist and the data sheets were completed. The sample size was 500 cases based on previous similar studies. Results: Three hundred fifteen cases attempted suicide for the first time and 185 had a history of suicide. In both groups, the numbers of women were significantly more than men. In addition, 196 cases of the first group and 121 cases of the second group were under 30 years old and 65.1% of cases with first-time suicides and 62.2% of cases with suicide re-attempts were unemployed. In both groups, the most common drug for suicide was benzodiazepines (30.5% and 21.6%). Unfortunately, two patients died. Also, 67.6% in the first-time suicide attempt group and 57.3% in the suicide re-attempt group had adjustment disorder. No significant differences were observed between both groups in terms of gender, age, marital status, education, chronic disease, drug and habit history, employment status, diagnosed mental disorder, and type of drug used for the current suicide.Conclusion: Young age, unemployment, mental disorders (especially adjustment disorder), and female gender are the most important risk factors for a suicide attempt and re-attempt

The Carotid Artery Thrombosis Following Blunt Neck Trauma; a Case Report

Introduction: This case emphasizes on the importance of detecting thrombosis and carotid artery injuries and the need for rapid treatment of blunt neck traumas. Case presentation: A 43-year-old male motorcyclist rider, rode into a rope and suffered blunt neck trauma. At admission to the emergency department (ED), he was fully conscious with Glasgow coma scale of 15. The biochemical tests and X-rays were normal, but initial examination revealed paresthesia in the right-hand fingertips, which exacerbated over the first 24 hours of admission. Doppler ultrasound of the neck arteries and computed tomography (CT) angiography reports showed thrombosis of the right common carotid artery, which spread to the right subclavian and vertebral arteries. Treatment was initiated with heparin injection followed by daily administration of oral warfarin, and seven days later, symptoms were relatively improved. Conclusion: Considering possible vascular injuries following blunt neck trauma should be kept in mind when dealing with such patients, and necessary physical examination required to rise the impression. By reviewing the literature, it seems that although CT angiography is usually used in screening carotid injuries, this modality appears to have poor sensitivity in this regard, and digital subtraction angiography (DSA) is still considered the gold standard for detecting carotid artery injury

Response rate to the vaccination with hepatitis b vaccine among cardiovascular health staff in Tehran

This descriptive cross-sectional study was designedand carried out among 260 hospitalpersonnel working in educational and medicalcenters of Shahid Mustafa Khomeini hospital, Tehran,Iran in 2013. The demographic data of the subjects andquestions related to the history of vaccination were alsocollected. Hepatitis B surface antibody (Anti-HBS) titrationwas carried out by ELISA. Finally, the relationships betweendifferent variables and hepatitis B antibody levelswere evaluated. The results of the present study showedthat 83.8% of the hospital personnel in Tehran, as thecapital of Iran, showed a good response to hepatitis B vaccination,which was almost similar to the results of otherstudies conducted in the country. There was a significantrelationship between the and smoking, the history ofneedlestick exposures and lower years of work experience,while anti-HBs titer of the hospital personnel wasnot statistically associated with BMI, age, gender, educationlevel, occupation, interval since last vaccination, andinjection method. Enhancing the level of protection in Cardiovascularhealth staff against hepatitis B virus can leadto a decrease in the incidence of infection cases amongthe hospital personnel. Therefore, it is essential to performthe primary vaccination followed by an assessment of theresponsiveness to it. Therefore, the aim of this study wasto investigate the effect of the demographic factors onthe response rate to hepatitis B vaccination among hospitalpersonnel in Tehran. The lower response rate to hepatitisB vaccination obtained in the present study comparedto the global average necessitates further investigation onthe hospital personnel dealing with the patients directlyor indirectly in Tehran, therefore, it is essential to designlarge-scale plans to identify and treat at-risk individuals

Response rate to the vaccination with hepatitis b vaccine among cardiovascular health staff in Tehran

This descriptive cross-sectional study was designedand carried out among 260 hospitalpersonnel working in educational and medicalcenters of Shahid Mustafa Khomeini hospital, Tehran,Iran in 2013. The demographic data of the subjects andquestions related to the history of vaccination were alsocollected. Hepatitis B surface antibody (Anti-HBS) titrationwas carried out by ELISA. Finally, the relationships betweendifferent variables and hepatitis B antibody levelswere evaluated. The results of the present study showedthat 83.8% of the hospital personnel in Tehran, as thecapital of Iran, showed a good response to hepatitis B vaccination,which was almost similar to the results of otherstudies conducted in the country. There was a significantrelationship between the and smoking, the history ofneedlestick exposures and lower years of work experience,while anti-HBs titer of the hospital personnel wasnot statistically associated with BMI, age, gender, educationlevel, occupation, interval since last vaccination, andinjection method. Enhancing the level of protection in Cardiovascularhealth staff against hepatitis B virus can leadto a decrease in the incidence of infection cases amongthe hospital personnel. Therefore, it is essential to performthe primary vaccination followed by an assessment of theresponsiveness to it. Therefore, the aim of this study wasto investigate the effect of the demographic factors onthe response rate to hepatitis B vaccination among hospitalpersonnel in Tehran. The lower response rate to hepatitisB vaccination obtained in the present study comparedto the global average necessitates further investigation onthe hospital personnel dealing with the patients directlyor indirectly in Tehran, therefore, it is essential to designlarge-scale plans to identify and treat at-risk individuals

The Carotid Artery Thrombosis Following Blunt Neck Trauma; a Case Report

Introduction: This case emphasizes on the importance of detecting thrombosis and carotid artery injuries and the need for rapid treatment of blunt neck traumas. Case presentation: A 43-year-old male motorcyclist rider, rode into a rope and suffered blunt neck trauma. At admission to the emergency department (ED), he was fully conscious with Glasgow coma scale of 15. The biochemical tests and X-rays were normal, but initial examination revealed paresthesia in the right-hand fingertips, which exacerbated over the first 24 hours of admission. Doppler ultrasound of the neck arteries and computed tomography (CT) angiography reports showed thrombosis of the right common carotid artery, which spread to the right subclavian and vertebral arteries. Treatment was initiated with heparin injection followed by daily administration of oral warfarin, and seven days later, symptoms were relatively improved. Conclusion: Considering possible vascular injuries following blunt neck trauma should be kept in mind when dealing with such patients, and necessary physical examination required to rise the impression. By reviewing the literature, it seems that although CT angiography is usually used in screening carotid injuries, this modality appears to have poor sensitivity in this regard, and digital subtraction angiography (DSA) is still considered the gold standard for detecting carotid artery injury