[Inflammatory markers, the metabolic syndrome and body mass index in adults]

Our objective was to study the association between inflammatory markers and the metabolic syndrome and body mass index in adults. This case control study was conducted on 80 subjects with metabolic syndrome as cases and 160 controls without metabolic syndrome. The metabolic syndrome in patients was defined based on Adult Treatment Panel III. Anthropometries, biochemical profiles, and inflammatory markers [high sensitive C reactive protein and serum amyloid A] were documented. The study included 39 women and 41 men with metabolic syndrome as cases, and 78 women and 82 men in the control group, with average ages of 41.4 +/- 8.3 and 41.3 +/- 7.7 years, respectively. In subjects with the metabolic syndrome, high sensitive C reactive protein and serum amyloid A concentrations were higher than in those without the metabolic syndrome. In women of both the case and control groups, high sensitive C reactive protein concentration was positively associated with body mass index. In women without metabolic syndrome a positive association was found between serum amyloid A and body mass index. In men with metabolic syndrome, a positive association was found between high sensitive C reactive protein and waist circumference. High sensitive C reactive protein concentration increased in subjects with the metabolic syndrome and was positively associated with BMI in women and with waist circumference in men

Study of the demography of transferred patients to Tehran Imam Khomeini hospital by relief helicopter

Using of airplane or helicopter could play an important role in decreasing patients' mortality regarding the importance of reducing time of transmission and treatment. This paper aims to study the transferred patients' demography to Imam Khomeini hospital of Tehran by relief helicopter in order to make good use of facilities for injured triage. In this research patients files transferred to the Imam Khomeini hospital by air rescue and relief, were studied in terms of trauma epidemiology and how emergency services were done since the established air emergency on June 2000 to the end of March. About 92% of 158 patients were hurt in the accident. According to the results, the most common injured organs were the extremities, head and neck. And the worst damage was seen in multiple trauma patients who suffered from the injury to head, neck and thorax. Also, it takes about 23 minutes between the arrival of a patient to the emergency and her/his first visit. Most patients were treated with general surgery and orthopedic services. It is necessary to use appropriate criteria for patients screening in air rescue and relief. The large number of patients are in urgent need of orthopedic and general surgery services, so it is essential that the air rescue and relief should be equipped with facilities