Transfusion audit of blood products using the World Health Organization Basic Information Sheet in Qazvin, Islamic Republic of Iran

We assessed the practicality of using the transfusion basic Information Sheet [BIS] for data collection, to determine the overall adequacy of physician documentation of Blood product transfusion, and to make an audit of the appropriateness of blood product transfusion. The transfusion process and clinical indications for transfusions administered to adult hospitalized patients in 3 tertiary care teaching hospitals in Qazvin were prospectively reviewed. Adequate documentation was achieved in transfusion episodes, range 41%-73%, depending on the medical specialty; 15.7% of red blood cells and whole blood requests, 40.8% of platelet requests and 34.1% of fresh frozen plasma requests were inappropriate. BIS-based information along with data collection can be used to provide feedback regarding the effectiveness of and compliance with local and national transfusion guidelines

[Survey of precipitating factors of suicide attempts in persons who referred to emergency department]

Abstract Introduction: Survey of suicide attempts and its precipitating factors is important because 30% to 60% of suicides were preceded by an attempt, and 10% to 40% of suicide attempters eventually kill themselves

Objective: to assess the precipitating factors of suicide attempts and to evaluate relation between general psychiatric symptoms and repetition of suicidal attempts

Materials and Methods: This is a cross sectioned study which included 575 suicide attempts patients who referred to Boali sina hospital in Qzvin between 2004 and 2005 years. All patients completed a self- report questionnaire and questionnaire about socio-demographic and family variables and other general and specific characteristics

Results: The mean age of patients who attempted suicide ware 23.2 +/- 8.2 years [the ratio of female to male was 1:2.4 and range of 13 to 74 years old]. The most suicide attempt was between 15 to 24 years-old in both sexes. The most common method of suicide attempts was drug-poisoning for both sexes in all areas, Self-poisoning with agricultural pesticides in rural areas. The most common precipitating problems that were reported by the patients were conflict between married couples and parents, break up of a love relationship and mental illnesses. Mean total and subscales scores on GHQ was significantly higher in patients with history of previous attempt

Conclusion: According to Economic - cultural and social difference there are pivotal differences in suicidal behaviors and suicide precipitating factors in different countries. And prevention of suicidal behaviors and control of its precipitating factors need a comprehensive multi-sectoral approach rather than an intervention inside the health sector