ABSTRACT
The causes of non traumatic abdominal pain are varied from mild to severe onset. This study was carried out to assess the outcome of the patients with non-specific abdominal pain discharged from the emergency department. This cohort study was carried out on 247 patients [68.4% female, 31.6% male] with non-specific abdominal pain which referred to the emergency department of Imam Hossain hospital in Tehran, Iran during 2010-11. The existence or improvement of pain, readmission to hospital and possible subsequent complications diagnose and death was recorded after four-week through telephone follow-up. 247 patients with non-specific abdominal pain were enrolled. Out of 158 patients with recurrence pain, 71 [45%] patients were admitted to the hospital again that finally, cause of pain was diagnosed in 45 [28.5%] patients. The most common cause of abdominal pain was irritable bowel syndrome [3.2%]. History of similar pain [OR=4.04, P<0.05], abnormal findings in abdominal ultrasonography [OR=8.2, P<0.05], abnormal urine analysis [OR=7.4, P<0.05] and abdominal pain persisted for more than 2 days [OR=4.04, P<0.05] were independent factors to identifying the causes of abdominal pain. Nonspecific abdominal pain will not lead to appropriate recognition and most of them recover without any complication
ABSTRACT
The harms resulted from home injuries are a major factor in child mortality. The current study aims to evaluate the factors associated with the knowledge and performance level of mothers in terms of adopting preventive behaviors to avoid home injuries. The target population of this descriptive - analytical study is all mothers of preschool children suffering from home injuries referring to Imam Hossein and Haft-E-Tir hospitals. Mothers' data were collected using a valid and reliable questionnaire. After dividing the knowledge level and the status of mothers' preventive behaviors into two groups, the relationship between factors was assessed by using Chi-square and multivariate logistic regression and the status of mothers preventive behaviors were studied as well. Finally, 230 mothers [mean age 5.2 +/- 29.4] were studied. 75.0 of them had good awareness, and 56.0% also had a good performance. Mother's absence for at least 8 hours per day [0.12 = OR], increase of the number of preschool children [0.03 = OR] and employed mother [0.01 = OR] are the things that hinder preventive behaviors in home injuries.While the history of home injuries during the past 3 weeks [13.3 = OR], mother's appropriate awareness of preventive behaviors [28.9 = OR] and high-income families [2.4 = OR] lead to the adoption of preventive behaviors by mothers. Awareness is the only modifiable factor and it can be improved by educational interventions. Support of assistance and social welfare agencies for employed mothers can improve the current status of preventive behaviors in home injuries.
ABSTRACT
Magnesium [Mg] ion has possible role in protecting neurons and glia from ischemic damage through the cerebral blood flow and neuronal action. This study was done to evaluate the correlation of total serum Mg level with clinical outcomes in stroke patients. This cross sectional study was done on 316 patients whom diagnosed with stroke in Imam Hossein hospital, Tehran, Iran during 2010-11. Mg levels in all patients were measured. Also, recurrent transient ischemic attack [TIA], recurrent myocardial infarction or stroke, unstable angina and death as clinical outcomes were follow-up for period of 3 and 6 months after admission. Data were analyzed using SPSS-18, Chi-Square, Fisher and Pearson correlation tests. The mean age of patients was 65 +/- 15.8 year. Limb weakness [69.9%] and haemoplasia with 63.6% were the most common clinical complaints. Death was the most common finding in 3 month [16.8%] and recurrent stroke was the most common finding in 6 month follow up [2.5%]. There was no significant difference between the total serum Mg and the first and second three-months follow up of clinical outcomes. This study can not show a significant correlation between total serum Mg levels and clinical outcomes after 3 and 6 month follow up in stroke patients