RESUMEN
Background: The reduction of suicidal attempts as one of the most important goals is improvement of societies' health status. The present study aimed to assess the epidemiologic aspects of suicide cases in Fars province in 2010-2011
Methods: A total of 9714 suicide cases in Fars province, south of Iran, in 2010-2011 were enrolled in this cross-sectional study through census. The study data were collected using suicide registry forms in the health centers affiliated to Fars province department of health services and analyzed using SPSS, version 17
Results: The rate of suicide attempts was 116.5 per 100,000 population in Fars province [93per 100,000 among men and 141.5 per 100,000 among women]. The results showed significant differences between the suicide rates based on sex, age group, place of living, and season of the year [P<0.001]. Most of these cases were female [59.4%], single [52.9%], 15-24 years old [56.4%], had high school education [25.8%], lived in urban areas [69.6%] and were female homemakers [30.3%]. Based on the data, however, the largest number of suicide deaths resulted from self-immolation [56.7%]
Conclusion: The present study findings revealed different rates of suicidal attempts based on sex and age group. Also, the importance of education and mental support, especially among women and singles, and also preventive measures in the context of uncontrolled immigration from the countryside to the large cities seems to essential more than ever. Yet, defects in some findings, particularly information about etiology, suggest that more researches should be conducted and suicide data registry and reporting systems should be improved
RESUMEN
Twenty percent of pulmonary arteriovenous malformations [PAVM] are type II PAVMs. This type of PAVM is characterized by less than 5 AVMs in the body and no other vascular anomalies such as AV fistulas or aneurisms. We studied seven cases of type II PAVMs in which surgical resection was the mainstay of treatment. All were free of symptoms and without relapse after the surgery. During a 26-year period, 7 subjects proven to have PAVM by imaging studies were entered in this cross-sectional study. Demographic, clinical and imaging findings along with results of catheterization and angiography were collected. All cases were operated on and followed to assess the results of surgery, complications and recurrence. Seven cases were entered in this study [five males and two females]. Seventy-one percent of our patients were in the first decade of life. Dyspnea and cough were present in 6[85%] and 5 cases [71%], respectively. Physical exam showed polycythemia in 5 [71%], clubbing in 4[57%] and arterial bruit over the chest in 2 [28%] cases. Two paradoxical emboli were seen, [one to the brain and one to the coronary artery]. Family history was negative. Chest x-rays revealed large PAVMs in 5 cases [71%]. Diagnosis was made by CT-scan, catheterization, angiography, and histopathology. Location of lesions was in the lower lobes in all cases. Surgical approach was lobectomy in 5 cases and segmentectomy in two cases. Operations were without any compilcation and the patients were symptom-free thereafter. Surgical resection of large PAVMs was completely curative without any early or late complications