ABSTRACT
Background: In the case of the COVID-19 outbreak, misinformation seems to travel far faster than the outbreak itself. This study aimed to evaluate the factors affecting individuals' attitudes toward rumor-producing media in Iran.Methods: An online survey was conducted in Iran in March 2020 on the source of trusted information and misinformation along with individuals' perception of the cause of misinformation propagation during the COVID-19 pandemic. Results: The results showed that social media were considered as the primary rumor source from the perspective of a majority of the participants (59.3%). Lack of a reliable and formal news source was also introduced as the most common cause of a rumor formation by the participants (63.6%). To identify which media is the main source of rumors, the male participants who had high levels of education and were employed by the government proposed foreign media (P<0.01); however, the male participants aged 30-50 years with middle-income level believed that social media (P<0.01) were producing rumors. In this regard, the highly educated participants (P<0.001), government employees, and middle-income individuals (P<0.008) believed that national media produced rumors.Conclusion: Although these findings were obtained during the first encounter with the Corona pandemic, the authorities immediately introduced the national media as a reliable news source, which allowed the media and its journalists to reduce the gap between themselves and the public sphere. It is suggested that social networks and foreign media be more accountable in pandemics.
Subject(s)
COVID-19ABSTRACT
Background: Methanol is widely used in industry; however, methanol poisoning is not common. In this regard, a number of outbreaks have been recently reported due to inappropriate processing of alcoholic beverages. Shiraz, a city located in the southern part of Iran, faced one of such outbreaks in 2020 during COVID-19 pandemic. There is no sufficient literature on the electrocardiographic findings in methanol toxicity. This study aimed to address this gap in the literature. Method : A total of 356 cases with methanol toxicity referred to Shiraz University of Medical Science Tertiary Hospitals (Faghihi and Namazi) in March and April, 2020. The clinical findings of blindness and impaired level of consciousness, lab data such as arterial blood gas, electrolytes, and creatinine, and the most common findings from ECGs were collected. Results : The most common ECG findings were J point elevation (68.8%), presence of U wave (59.2%), QTc prolongation (53.2% in males and 28.6% in females), and fragmented QRS (33.7%). An outstanding finding in this study was the presence of myocardial infarction in 5.3% of the cases. This finding, to the best of our knowledge, has only been reported in a few case reports. Brugada pattern (8.1%) and Osborn wave (3.7%) were the other interesting findings. In multivariate analysis, when confounding factors were adjusted, myocardial infarction, atrioventricular conduction disturbances, sinus tachycardia, and the prolonged QTC>500 msecond were four independent factors correlated with methanol toxicity severity measured with arterial blood PH on arterial blood gas measurements, with odds ratios of 12.82, 4.46, 2.32 and 3.15 (P<0.05 for all) , respectively. Conclusion : Electrocardiographic variations during methanol intoxication are remarkable and well-correlated with poisoning severity. Myocardial infarction was an egregious and yet a common concerning finding in this sample, which need to be ruled out in methanol toxicity.
Subject(s)
COVID-19 , Leber Congenital Amaurosis , Hematologic Diseases , Tachycardia, SinusABSTRACT
Background The first cases of coronavirus disease 2019 (COVID-19) were reported in Iran on February 20, and then the virus spread rapidly in all parts of the country, so that over 95000 positive cases and approximately 6000 deaths have been confirmed in this region until May 1, 2020. Even if measures taken in this respect have had significant impacts on reducing the incidence rate of COVID-19, a large number of other problems have arisen. Following this situation, people have been also drawn against many concerns, especially Iranian population with their own previous socioeconomic and cultural problems. Therefore, this nation-wide project aimed to investigate common concerns regarding COVID-19 outbreak in Iran.Methods This qualitative study was conducted in Iran from February to March 2020 via an online open-ended questionnaire. The participants were also selected using convenience and snowball sampling methods. As well, the data collection process continued until data saturation was achieved. In addition, thematic content analysis was utilized to analysis the transcribed texts.Results The statements retrieved also represented the most challenging psychological stress experienced by the participants. Four themes were accordingly recognized based on the content analysis including stressful conditions, health concerns, social and political concerns, and economic concerns. Throughout the study, a major proportion of the participants commented that psychological disorders such as fear, anxiety, stress, and ennui were their main challenges regarding this pandemic. Furthermore, lack of social responsibility, worries about high-risk and susceptible groups, decreased economic power of the public, financial hardships for low-income groups, shortage of healthcare facilities, and adverse effects of disinfectants were expressed as the main concerns.Conclusions As a whole, it is evident that people have confronted with several challenges and need help together with effective policies and strategies during and after this pandemic to reduce their current concerns. The study findings provided a favorable ground to develop and adopt the required policies in Iran and other countries. It was concluded that creating local, national, and global solidarity in such epidemics is an inevitable necessity.