Rate and Causes of Suicide in Ilam: A Report of the Suicide Registry.

Objective: Suicide is one of the most important health problems in the world. Financial, academic, social, and environmental difficulties along with genetic, physical, and mental disorders affect suicide attempts. This study aimed to find risk factors for completed suicide in Ilam province according to the suicide registry in Ilam province. Method : This was a prospective study and was performed based on suicide case registration data, pre-determined checklist data, and death registration data in Ilam province from March 2019 to September 2020. Logistic regression models and the Chi-square test were used to determine the relationship between completed suicide and its risk factors. Results: Among 1,410 attempted suicides, 66 (4.7 %) were executed. Rate of completed suicides was higher in men (6.5%) compared to women (4.5%), (p = 0.005), age groups over 65 years (P < 0.001), retirees and farmers (P = 0.009), illiterate people (P < 0.001), villagers (P = 0.02), people motivated due to physical problems (P = 0.016), suicide by physical methods (P < 0.001) and self-immolation (P < 0.001). Logistic regression showed that incidence of completed suicide was significantly higher in the age group over 65 years, illiterate people, people using physical methods, villagers, and men. Multivariate logistic regression also showed that men and individuals using physical methods of suicide were significantly more successful in suicide. Conclusion: Men, the elderly, illiterates, villagers, and people who used physical suicide methods were in high-risk groups. Despite lower prevalence of suicide, a higher rate of completed suicide was demonstrated. To decrease completed suicide rates, we must pay attention to these groups.

Prevalence of Pediculosis Among Primary School-Aged Students in Iran: an Updated Comprehensive Systematic Review and Meta-Analysis.

In this study, a systematic investigation was performed to estimate the prevalence of head lice infestation, and to determine the factors affecting the prevalence of heterogeneity among primary school-aged children in Iran. A comprehensive search was fulfilled in international databases, including MEDLINE, Scopus, Web of Science, and Embase, to identify the articles on the prevalence of pediculosis. So, all the cross-sectional epidemiological studies evaluating the prevalence of pediculosis were covered without any restrictions. A random-effects model was used to assess the pooled prevalence. A meta-regression method was applied to determine the factors affecting the heterogeneity among the studied population. An analysis was performed on 67 studies with a total sample size of 358,053. The total pooled estimate for the prevalence of pediculosis in boys and girls was 7.52% (95% CI: 6.15-9.03), 1.99% (95% CI: 1.25-2.89), and 8.97% (95% CI: 721-10.91), respectively. The highest and lowest pooled prevalence was in Hormozgan (southern Iran) (29.21%; 95% CI: 8.89-55.34) and Isfahan (Central Iran) (0.69%; 95% CI: 0.59-0.80), respectively. Based on the results of the univariate meta-regression, gender and father's job showed a significant direct association with the prevalence of pediculosis, but the sample size had significant inverse relations with the prevalence of pediculosis. This study demonstrated that pediculosis is a common public health problem affecting school-aged children with a relatively high prevalence in Iran, especially among girls.

Molecular Monitoring of Knockdown Resistance in Head Louse (Phthiraptera: Pediculidae) Populations in Iran.

Knockdown resistance (kdr) is a common mechanism of insecticide resistance in head lice to the conventionally used pyrethroid pediculosis and can be the result of various amino acid substitutions within the voltage-sensitive sodium channel (VSSC). In this study, 54 sequences from varied specimens were investigated to monitor well-known resistance mutations and probable new mutations. The Pediculus humanus capitis de Geer specimens were collected from 13 provinces in Iran. The specimens were stored in 70% ethanol until DNA extraction and PCR amplification of ~900-bp fragment of VSSC. The sequences were analyzed using different bioinformatics software for the detection of well-known kdr substitutions and additional mutations potentially associated with kdr resistance in head lice. There were six new and an old (haplotype I) kdr haplotypes within the Iranian head louse population. K794E, F815I, and N818D amino acid substitutions were reported for the first time. The P813H mutation was the most prevalent amino acid substitution in eight provinces. Among 53 sequences, 26 (49%) were homozygous susceptible, and 27 (51%) were heterozygotes. Thus, 51% of the head lice collected in Iran harbored only the P813H allele. The exact test for the Hardy-Weinberg (H-W) equilibrium showed that genotype frequencies differed significantly from the expectation in East-Azerbaijan and Tehran provinces. Moreover, these populations had an inbreeding coefficient (Fis) <0, indicating the excess of heterozygotes. This observation suggests that the populations of head lice from Iran are currently under active selective pressure. For the rest of the populations, H-W equilibrium and the expectations were significantly in harmony. The results of the current study highlight molecular techniques in the accurate detection of resistance genotypes before their establishment within the head louse population. Accurate detection of resistant genotypes seems to be helpful in decision-making on lice control programs and resistance monitoring and management.

Typical features of cutaneous leishmaniasis in the Ilam province, Iran.

Since Cutaneous leishmaniasis is a problematic parasitic infection in the west of Iran, this study was carried out to clarify the epidemiological aspects of Cl. Our database includes all Cl cases with detailed information during 2014-2018 in Ilam province, west of Iran. Patients referred to health and clinical centers in our study areas then health providers and laboratory technicians took smears to detect leishmania parasites under light microscope. SPSS24 software used for analyzing data by the Chi square test. Mehran and Dehloran districts were alone accounted for 50% of all reported cases. ≥ 36 age group was dominant cases also housekeepers were at the top of categories in case of occupation. Hand and leg entangled with this infection more than other organs. Moreover, most cases observed in the winter season, and lesions were 1-3 cm in size. Apart from decreasing Cl cases in our study location compared to 2014, building debris around the urban area should be cleaned up concerning standards of hygiene in each phase to keep rodents away. Additionally, citizens at the land border of Iran-Iraq should protect themselves from sand fly biting at least by insect repellent at peak travel times.

Fauna and Geographical Distribution of Scorpions in Ilam Province, South Western Iran.

BACKGROUND: Scorpions' stings and their own mortalities place them among the most important health and medical problems. The dreadful features and especially their poisonous stings are considered a major cause of human stress and abhorrence/phobia. The current study aimed to study the scorpion fauna of Ilam Province, south western Iran in order to manage scorpionism related problems. METHODS: In this field-laboratory investigation during March 2014 to February 2015, different parts of Ilam Province were surveyed. Nine sampling parts were selected based on geographical situation, scorpionism reports, weather, flora, and local data. Capturing scorpion was done employing a black light, and a long forceps from dusk to midnight. The collected scorpions were placed to 70% ethyl alcohol. All specimens were determined based on the valid taxonomic keys, furthermore their sexes were studied. RESULTS: Out of the 391 collected scorpions, 11 species were identified as follows: Hottentotta saulcyi, Mesobuthus eupeus, Compsobuthus matthiesseni, Razianus zarudnyi, Hemiscorpius lepturus, Androctonus crassicauda, Orthochirus iranus, Odontobuthus bidentatus, Buthacus macrocentrus, Scorpio maurus, and Polisius persicus. CONCLUSION: Eleven species of Buthidae, Scorpionidae and Hemiscorpiidae families from high risk areas were identified. Despite the low surface of the province, such different species reveals a diverse scorpion fauna that, in turn, shows good and suitable habits of scorpions, as considered by health staff.

Patients' bill of rights and effective factors of workplace violence against female nurses on duty at Ilam teaching hospitals.

BACKGROUND: Workplace violence against female nurses is an increasing problem. In addition, recognition the rights of patients can reduce such violence against female nurses. Therefore, the aim of the current study was to investigate workplace violence against female nurses in respect with patients' bill of rights at two public hospitals of Ilam in 2012. METHODS: In a descriptive cross-sectional research, workplace violence against female nurses was studied. Data were gathered employing a researcher made questionnaire filled out by 106 female nurses. The questionnaire was on workplace, physical and verbal violence of patients and their attendants, and also the patient's rights as respected by nursing staff. Permission of university ethics committee was obtained. Data analyses were done by T-test and ANOVA in SPSS software. RESULTS: Totally, 90.6 % and 15.1 % of the participants were subjected to verbal and physical assaults by patients, respectively during last year of the study. Further, 92.5% and 11.3% of nurses experienced verbal and physical assaults by the patients' attendants, respectively. Most of the nursing staff believed that reporting aggressive attacks to the concerned officials would not be useful. A negative significant correlation was found between the aggressions of patients with age as well as marital status of nurses, (P= 0.04). Furthermore, a significant association was seen between physical violence of patients and the nurses' recognition of the patients' bill of rights (P= 0.03). CONCLUSIONS: Due to high rate of violence against female nurses, some proper and effective actions such as employing a trained security force along with legal punitive charges against violators through responsible officials are highly suggested.

Larvicidal activity of oak Quercus infectoria Oliv. (Fagaceae) gall extracts against Anopheles stephensi Liston.

There is a growing interest in the use of botanical insecticides to reduce the use of synthetic pesticides in order to avoid environmental side effects. Anopheles stephensi is the primary vector of urban malaria, an endemic disease in India. So, an effort to assay An. stephensi larvae with gall extracts of Quercus infectoria was made under laboratory conditions at Mysore. Ethyl-acetate extract was found to be the most effective of all the five extracts tested for larvicidal activity against the fourth instar larvae, with LC(50) of 116.92 ppm followed by gallotannin, n-butanol, acetone, and methanol with LC(50) values of 124.62, 174.76, 299.26, and 364.61 ppm, respectively. The efficacy in killing mosquito larvae may make this plant promising for the development of new botanical larvicide.