[Epidemiologic study of Organophosphate and Organochlorate pesticides poisoning in hospitalized patients in Khorramabad Shohada Ashayer hospital from Mars to August 2006]

Poisoning is one of the most common medical emergencies. Every year many people refer to emergency wards due to poisoning and some of them are treated and some die because of severe complications. Most patients who refer to emergency wards are those who commit intentionally to suicide. This study is conducted to determine the prevalence of poisoning with pesticide [organophosphate and organochlorine] in persons referred to Shohada Ashaier hospital of Khorramabad in the first six months in 2006. Required information of poisoned people with poisoning pesticide [organophosphate and organochlorine] were collected using questionnaires which were distributed among the subjects. In this study 153 patients including 118 patients who poisoned with organophosphate and 35 patents with organochlorine were studied. Most of the patients [34.6%] aged between 21-71 years including 57.5% female and 42.5% male and their education was about under secondary school, 91.5% of them attempted to suicided. The total mortality rate was 12 that 7 of them died by toxifications with organochlorine and 5 cases by organophosphate, which in turn was due to their respiratory complications like ARDS and aspiration pneumonia. Findings indicate that due to high prevalence and mortality of poisoning with pesticides, this problem should be taken into consideration

[Prevalence of delirium in hospitalized internal medicine and surgical adult patients in Shohadaye Ashayer hospital of Khoramabad]

Delirium is common in elderly persons and in hospitalized patients especially after surgical procedures. But many of them are undetected and don't receive treatment so they involve with increased mortality and morbidity, adverse outcomes, length of hospital stay and mental disability sequels. Unfortunetly, despite the importance of this syndrome, physicians and staff are able to diagnose only one thirtd of the patients. In this cross sectional study, 240 inpatiants [120 from surgery ward and 120 from miernal medicine ward] from Shohadaye Ashayer hospital of Khorramabad were selected randomly. The diagnostic criteria for delirium were Mini-Mental state examination [MMSE] questionnaire, and patients daily examination for 4 days by MMSE. Delirium was observed in 37 [30.8%] of the patients of internal medicine ward and 25 [20.8%] of the patients of surgery ward. 27 [22.5%] of the patients of internal medicine ward and 37 [30.8%] of the patients of surgery ward were suspicious for delirium. In age group of 58-77 years in surgery ward and patients over 77 years in internal medicine ward had the most frequency of delirium. There was significant relationship [p=0.01] between two sex in surgery ward. But there was not significant difference [p=0.92] between two sex in internal medicine ward for delirium. Reading the results of this study and frequency of delirum in surgery and internal medicine wards, presence of a psychiatrist in mentioned wards is necessary of early diagnosis and control of delirium