Epidemiology of Acute Poisoning in Mazandaran Province, Iran

Background: Poisoning is a critical medical emergency worldwide. The present study aimed to determine the characteristics and treatment outcomes of patients admitted to the poisoning department.Methods: This cross-sectional descriptive study was conducted from March 2015 to September 2016 (for 18 months). We explored the epidemiology of poisoned patients hospitalized at Razi and Imam hospitals in Mazandaran Province, Iran. The obtained results were described as the frequency of poisoning, percentages, confidence intervals (95% CI), and mean values. The standard deviation scores were also presented for quantitative variables. The Student t-test and Chi-squared test were used for data analysis.Results: The prevalence rate of poisoning equaled 4.98% of the total hospitalized patients. Of 71192 of the investigated cases, 3544 patients were hospitalized for acute poisoning. In terms of poisoning type, 65.2% belonged to drug toxicity, (95% CI) (64.7-77.2); 6.7% were related to methadone; 5.7% to an agricultural pesticide; 4.15% to aluminum phosphide (rice tablets); 2.2% to rat poison paste, and the remaining cases were caused by other poisons. There was a gender-wise significant difference in the poisoning method (P<0.001). The mortality rate in this study was calculated as 1.71% of all cases. The most frequent causes of death were aluminum phosphide (33.33%) and narcotics (16.16%) poisonings. Conclusion: Acute poisoning is a fundamental health problem in Mazandaran Province, i.e., located in the north of Iran. Pharmaceutical medications, opioid agents, and aluminum phosphide were the main means of poisoning in the investigated adult patients. Most cases of poisoning occurred in the young-adult groups. Aluminum phosphide and organophosphate agents consumption generated the most critical states and were the main causes of death. It is suggested that aluminum phosphate be recalled from the market, as appropriate training must be provided for its proper use

Global age-sex-specific mortality, life expectancy, and population estimates in 204 countries and territories and 811 subnational locations, 1950–2021, and the impact of the COVID-19 pandemic: a comprehensive demographic analysis for the Global Burden of Disease Study 2021

Background: Estimates of demographic metrics are crucial to assess levels and trends of population health outcomes. The profound impact of the COVID-19 pandemic on populations worldwide has underscored the need for timely estimates to understand this unprecedented event within the context of long-term population health trends. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 provides new demographic estimates for 204 countries and territories and 811 additional subnational locations from 1950 to 2021, with a particular emphasis on changes in mortality and life expectancy that occurred during the 2020–21 COVID-19 pandemic period. Methods: 22 223 data sources from vital registration, sample registration, surveys, censuses, and other sources were used to estimate mortality, with a subset of these sources used exclusively to estimate excess mortality due to the COVID-19 pandemic. 2026 data sources were used for population estimation. Additional sources were used to estimate migration; the effects of the HIV epidemic; and demographic discontinuities due to conflicts, famines, natural disasters, and pandemics, which are used as inputs for estimating mortality and population. Spatiotemporal Gaussian process regression (ST-GPR) was used to generate under-5 mortality rates, which synthesised 30 763 location-years of vital registration and sample registration data, 1365 surveys and censuses, and 80 other sources. ST-GPR was also used to estimate adult mortality (between ages 15 and 59 years) based on information from 31 642 location-years of vital registration and sample registration data, 355 surveys and censuses, and 24 other sources. Estimates of child and adult mortality rates were then used to generate life tables with a relational model life table system. For countries with large HIV epidemics, life tables were adjusted using independent estimates of HIV-specific mortality generated via an epidemiological analysis of HIV prevalence surveys, antenatal clinic serosurveillance, and other data sources. Excess mortality due to the COVID-19 pandemic in 2020 and 2021 was determined by subtracting observed all-cause mortality (adjusted for late registration and mortality anomalies) from the mortality expected in the absence of the pandemic. Expected mortality was calculated based on historical trends using an ensemble of models. In location-years where all-cause mortality data were unavailable, we estimated excess mortality rates using a regression model with covariates pertaining to the pandemic. Population size was computed using a Bayesian hierarchical cohort component model. Life expectancy was calculated using age-specific mortality rates and standard demographic methods. Uncertainty intervals (UIs) were calculated for every metric using the 25th and 975th ordered values from a 1000-draw posterior distribution. Findings: Global all-cause mortality followed two distinct patterns over the study period: age-standardised mortality rates declined between 1950 and 2019 (a 62·8% [95% UI 60·5–65·1] decline), and increased during the COVID-19 pandemic period (2020–21; 5·1% [0·9–9·6] increase). In contrast with the overall reverse in mortality trends during the pandemic period, child mortality continued to decline, with 4·66 million (3·98–5·50) global deaths in children younger than 5 years in 2021 compared with 5·21 million (4·50–6·01) in 2019. An estimated 131 million (126–137) people died globally from all causes in 2020 and 2021 combined, of which 15·9 million (14·7–17·2) were due to the COVID-19 pandemic (measured by excess mortality, which includes deaths directly due to SARS-CoV-2 infection and those indirectly due to other social, economic, or behavioural changes associated with the pandemic). Excess mortality rates exceeded 150 deaths per 100 000 population during at least one year of the pandemic in 80 countries and territories, whereas 20 nations had a negative excess mortality rate in 2020 or 2021, indicating that all-cause mortality in these countries was lower during the pandemic than expected based on historical trends. Between 1950 and 2021, global life expectancy at birth increased by 22·7 years (20·8–24·8), from 49·0 years (46·7–51·3) to 71·7 years (70·9–72·5). Global life expectancy at birth declined by 1·6 years (1·0–2·2) between 2019 and 2021, reversing historical trends. An increase in life expectancy was only observed in 32 (15·7%) of 204 countries and territories between 2019 and 2021. The global population reached 7·89 billion (7·67–8·13) people in 2021, by which time 56 of 204 countries and territories had peaked and subsequently populations have declined. The largest proportion of population growth between 2020 and 2021 was in sub-Saharan Africa (39·5% [28·4–52·7]) and south Asia (26·3% [9·0–44·7]). From 2000 to 2021, the ratio of the population aged 65 years and older to the population aged younger than 15 years increased in 188 (92·2%) of 204 nations. Interpretation: Global adult mortality rates markedly increased during the COVID-19 pandemic in 2020 and 2021, reversing past decreasing trends, while child mortality rates continued to decline, albeit more slowly than in earlier years. Although COVID-19 had a substantial impact on many demographic indicators during the first 2 years of the pandemic, overall global health progress over the 72 years evaluated has been profound, with considerable improvements in mortality and life expectancy. Additionally, we observed a deceleration of global population growth since 2017, despite steady or increasing growth in lower-income countries, combined with a continued global shift of population age structures towards older ages. These demographic changes will likely present future challenges to health systems, economies, and societies. The comprehensive demographic estimates reported here will enable researchers, policy makers, health practitioners, and other key stakeholders to better understand and address the profound changes that have occurred in the global health landscape following the first 2 years of the COVID-19 pandemic, and longer-term trends beyond the pandemic

Response of Some Physiological Parameters of Tomato (Lycopersicon esculentum Mill.) Varieties to Manure, Chemical Fertilizer and Their Combined Uses

To evaluate the effects of manure, chemical fertilizers and their combined uses on yield and some physiological parameters of tomato varieties, an experiment was conducted as split plot in a randomized complete block design with three replications at the Agricultural Faculty of the University of Birjand in 2014. In this experiment fertilizer with 3 levels (manure, chemical fertilizer and their combined uses) asseigned to main plots and three tomato varieties (Orbana, Super chief and Super majar) to sub plots. Physiological parameters under study were LAI, CGR, RGR and NAR which measured every 10 days after the seedling establishment. The results showed significant effects of fertilizer and varieties on these parameters. The highest leaf area index (3.56) was obtained by the used of chemical fertilizers and the lowest (3) by the application of manure. Orbana possessed the highest LAI (4) and Super chief the lowest LAI (2.78). In this experiment, the highest crop growth rate (CGR) belonged to Orbana by the use of combined application of fertilizers and the lowest to Super Chief by the use of manure. Plants treated with chemical fertilizer had the highest relative growth rate (RGR) and those treated with their combined application and manure stood in the lower categories. The highest total tomato yield was related to the use of chemical fertilizer and the lowest to the use of combined fertilizers. The results of this experiment can be used to emphasize the role of organic fertilizers to produce highest tomato yield, both in quantity and quality, in this region and other similar regions in the country

Comparing methods for calculating nano crystal size of natural hydroxyapatite using X-Ray diffraction

We report on a comparison of methods based on XRD patterns for calculating crystal size. In this case, XRD peaks were extracted from hydroxyapatite obtained from cow, pig, and chicken bones. Hydroxyapatite was synthesized through the thermal treatment of natural bones at 950 °C. XRD patterns were selected by adjustment of X-Pert software for each method and for calculating the size of the crystals. Methods consisted of Scherrer (three models), Monshi-Scherrer, three models of Williamson-Hall (namely the Uniform Deformation Model (UDM), the Uniform Stress Deformation Model (USDM), and the Uniform Deformation Energy Density Model (UDEDM)), Halder-Wanger (H-W), and the Size Strain Plot Method (SSP). These methods have been used and compared together. The sizes of crystallites obtained by the XRD patterns in each method for hydroxyapatite from cow, pig, and chicken were 1371, 457, and 196 nm in the Scherrer method when considering all of the available peaks together (straight line model). A new model (straight line passing the origin) gave 60, 60, and 53 nm, which shows much improvement. The average model gave 56, 58, and 52 nm, for each of the three approaches, respectively, for cow, pig, and chicken. The Monshi-Scherrer method gave 60, 60, and 57 nm. Values of 56, 62, and 65 nm were given by the UDM method. The values calculated by the USDM method were 60, 62, and 62 nm. The values of 62, 62, and 65 nm were given by the UDEDM method for cow, pig, and chicken, respectively. Furthermore, the crystal size value was 4 nm for all samples in the H-W method. Values were also calculated as 43, 62, and 57 nm in the SSP method for cow, pig, and chicken tandemly. According to the comparison of values in each method, the Scherrer method (straight line model) for considering all peaks led to unreasonable values. Nevertheless, other values were in the acceptable range, similar to the reported values in the literature. Experimental analyses, such as specific surface area by gas adsorption (Brunauer-Emmett-Teller (BET)) and Transmission Electron Microscopy (TEM), were utilized. In the final comparison, parameters of accuracy, ease of calculations, having a check point for the researcher, and difference between the obtained values and experimental analysis by BET and TEM were considered. The Monshi-Scherrer method provided ease of calculation and a decrease in errors by applying least squares to the linear plot. There is a check point for this line that the slope must not be far from one. Then, the intercept gives the most accurate crystal size. In this study, the setup of values for BET (56, 52, and 49 nm) was also similar to the Monshi-Scherrer method and the use of it in research studies of nanotechnology is advised

Biocompatible Piezoelectric PVDF/HA/AgNO₃ Thin Film Prepared by the Solvent Casting Method

In this study, new composites based on polyvinylidene fluoride (PVDF) were ornamented and prepared with hydroxyapatite (HA) and silver nitride (AgNO3). Taking into account the polarity of the solvent dimethyl sulfoxide, this solvent was used to disperse the particles. The aim of using DMSO was to create amorphous phases and the strong dipoles of the C–F bond to reduce the energy barrier and improve the electrical properties. The PVDF played the role of matrix in HA, and AgNO3 was used as reinforcing elements. X-ray diffraction of the samples directly showed the amorphous phase and mixed amorphous and crystalline phases when all three materials were used simultaneously for preparing the composite. The scanning electron microscopy (SEM) images of the samples confirmed the role of PVDF, HA, and AgNO3. Furthermore, the energy dispersive X-ray (EDX) analysis was performed and proved that the HA structure did not change when the ratio of CaP was equal to the ratio of natural HA. The electrical properties were investigated, and the amount of energy ranged from 56.50 to 125.20 mV. The final results showed that a designed device consisting of an active layer made of 0.1 g HA:0.5 g PVDF showed the highest energy barrier, the highest polarity, and surface energy, thus proving its relevance as potential material for energy harvesting applications

Relationship between Young’s Modulus and Planar Density of Unit Cell, Super Cells (2 × 2 × 2), Symmetry Cells of Perovskite (CaTiO3) Lattice

Calcium titanate-CaTiO3 (perovskite) has been used in various industrial applications due to its dopant/doping mechanisms. Manipulation of defective grain boundaries in the structure of perovskite is essential to maximize mechanical properties and stability; therefore, the structure of perovskite has attracted attention, because without fully understanding the perovskite structure and diffracted planes, dopant/doping mechanisms cannot be understood. In this study, the areas and locations of atoms and diffracted planes were designed and investigated. In this research, the relationship between Young’s modulus and planar density of unit cell, super cells (2 × 2 × 2) and symmetry cells of nano CaTiO3 is investigated. Elastic constant, elastic compliance and Young’s modulus value were recorded with the ultrasonic pulse-echo technique. The results were C11 = 330.89 GPa, C12 = 93.03 GPa, C44 = 94.91 GPa and E = 153.87 GPa respectively. Young’s modulus values of CaTiO3 extracted by planar density were calculated 162.62 GPa, 151.71 GPa and 152.21 GPa for unit cell, super cells (2 × 2 × 2) and symmetry cells, respectively. Young’s modulus value extracted by planar density of symmetry cells was in good agreement with Young’s modulus value measured via ultrasonic pulse-echo

New Approach for Preparing In Vitro Bioactive Scaffold Consisted of Ag-Doped Hydroxyapatite + Polyvinyltrimethoxysilane

Recently, researchers have focused on the biocompatibility and mechanical properties of highly porous structures of biomaterials products. Porous composites are a new category of bioengineering that possess excellent functional and structural properties. In this study, the physical and mechanical properties of prepared doped silver (Ag)-hydroxyapatite (HA) by the mechanochemical and spark plasma sintering (SPS) methods were investigated. The influence of dopant on phase formation, structural properties, mechanical properties and morphological characteristics was investigated. Furthermore, in this case, as a new approach to produce a porous scaffold with an average size of >100 µm, the hair band was used as a mold. According to the Monshi–Scherrer method, the crystal size of scaffold was calculated 38 ± 2 nm and this value was in the good agreement with average value from transmission electron microscopy (TEM) analysis. In addition, the stress–strain compression test of scaffold was considered, and the maximum value of compressive strength was recorded ~15.71 MPa. Taking into account the XRD, TEM, Fourier-transform infrared (FTIR), scanning electron microscope (SEM) and energy dispersive X-Ray analysis (EDAX) analysis, the prepared scaffold was bioactive and the effects of doped Ag-HA and the use of polyvinyltrimethoxysilane (PVTMS) as an additive were desirable. The results showed that the effect of thermal treatment on composed of Ag and HA were impressive while no change in transformation was observed at 850 °C. In addition, PVTMS plays an important role as an additive for preventing the decomposition and creating open-microporous in the scaffold that these porosities can be helpful for increasing bioactivity

Classification of Poisonings and Natural Toxins in Iranian Medicine and its Comparison with Modern Classification

poisoning is an essential public health issue that causes deaths worldwide yearly. This study aims to determine the Classification of poisonings and natural toxins in the Eighth to twelfth centuries AD in Iranian medicine primary sources and compare it with modern medicine. This research is a review study based on the library method. In this study, the terms in Persian and Arabic languages were extracted from the Al-Sumum section of Iranian medicine's primary sources. Current medical literature (using PubMed, Scopus, Google Scholar, Web of Science, Magiran and SID databases) was also searched with equivalent terms. Then, the obtained results were expressed separately. The results showed that poisoning in Iranian medicine, in terms of entry; includes two categories of gastrointestinal and injectable, based on the type of toxic substance; it consists of three categories; plants, animals, and minerals, based on their habitat: They are divided into two categories; marine and terrestrial, and based on their temperament, they are divided into two categories: hot-tempered and cold-tempered. Poisonous animals such as snakes are divided into three classes: poisonous, semi-venomous and harmless. In modern medicine, the types of poisoning include two kinds of poisoning with medicinal and non-medicinal substances. These recommendations, which result from hundreds of years of experience of Iranian physicians, could be helpful; however, future experimental investigations are needed to approve their safety and efficacy along with the possible mechanisms of action

Measurement modulus of elasticity related to the atomic density of planes in unit cell of crystal lattices

Young’s modulus (E) is one of the most important parameters in the mechanical properties of solid materials. Young’s modulus is proportional to the stress and strain values. There are several experimental and theoretical methods for gaining Young’s modulus values, such as stress–strain curves in compression and tensile tests, electromagnetic-acoustic resonance, ultrasonic pulse echo and density functional theory (DFT) in different basis sets. Apparently, preparing specimens for measuring Young’s modulus through the experimental methods is not convenient and it is time-consuming. In addition, for calculating Young’s modulus values by software, presumptions of data and structures are needed. Therefore, this new method for gaining the Young’s modulus values of crystalline materials is presented. Herein, the new method for calculating Young’s modulus of crystalline materials is extracted by X-ray diffraction. In this study, Young’s modulus values were gained through the arbitrary planes such as random (hkl) in the research. In this study, calculation of Young’s modulus through the relationship between elastic compliances, geometry of the crystal lattice and the planar density of each plane is obtained by X-ray diffraction. Sodium chloride (NaCl) with crystal lattices of FCC was selected as the example. The X-ray diffraction, elastic stiffness constant and elastic compliances values have been chosen by the X’Pert software, literature and experimental measurements, respectively. The elastic stiffness constant and Young’s modulus of NaCl were measured by the ultrasonic technique and, finally, the results were in good agreement with the new method of this study. The aim of the modified Williamson–Hall (W–H) method in the uniform stress deformation model (USDM) utilized in this paper is to provide a new approach of using the W–H equation, so that a least squares technique can be applied to minimize the sources of errors