RESUMEN
Background: Patients with long-term complications of sulfur mustard (SM) poisoning are often less able to undertake optimum levels of physical activity and adequately control their dietary intake. The aim of present study was to investigate the dietary intake of patients with SM poisoning in comparison to a control group. Methods: The study was undertaken on 55 Iranian male veterans, who had > 25% disabilities due to long-term complications of SM poisoning and 55 men age-matched healthy subjects. A previously validated food frequency questionnaire (FFQ) was used for measuring dietary macro/micro nutrient intake for both groups; and the results were analysed using Dietplan6 software. Results: Analysis of macro/micro nutrients in dietary intakes of the patients versus the controls showed a significantly lower intake of several nutrients including selenium and carbohydrate. On the other hand, the dietary intake of trans-fatty acids and iodine were significantly higher in these patients. Conclusion: Long-term complications of SM poisoning in the Iranian veterans induce both chemical and physical disabilities. Macro/micro nutrient intake in these patients was significantly different in comparison with matched, healthy subjects. Dietary advice for these patients should be strongly recommended to these patients in order to prevent other chronic diseases.
RESUMEN
Cardio-Pulmonary Resuscitation [CPR[has been used by medical professionals to save the life of dying patients. To achieve more success rates in CPR, the timing factor is of great importance; as any delay in starting CPR will reduce the success rate. The aim of this study was to examine the impact of the time elapsed between CPR code announcement and start of resuscitation on CPR outcome. In this cross-sectional study, data was collected from June 2004 till June 2005 using checklists that were routinely used in CPR protocol. A total number of 327 cases of CPR were studied and the data was analyzed by SPSS software. Our results showed that 163 cases of CPR [49.9%] were immediately successful. Of those cases with immediate successful CPR, only 46 cases [28.2%] discharged from hospital and 117 cases [71.8%] died afterwards. In the other words, only 46 cases [14.06%] out of 327 patients who underwent CPR, discharged from hospital and the rest [85.94%] died. The mean time elapsed between CPR code announcement and the start of CPR operations was 1.63 minute and 1.87 minute in immediate successful and unsuccessful CPRs, respectively. This difference is statistically significant [P = 0.001]. The mean time elapsed between CPR code announcement and the start of CPR protocol in ultimate successful CPRs [the patients discharged] was 1.28 minute against 1.76 min for total of unsuccessful CPRs [P = 0.001]. This study showed that seconds of delay in starting CPR operations reduce the success rate and that the basic CPR should be started as soon as possible within the first 4 minutes followed by advanced CPR. So, reducing the delay time may lead to better outcome. This study also showed that there is a statistically significant relationship between delay time and outcome of CPR