Publications by authors named "Morteza Rahbar-Taramsari"

9 Publications

  • Page 1 of 1

Hidden aspects of child abuse.

J Forensic Leg Med 2022 Aug 4;91:102408. Epub 2022 Aug 4.

Dental Surgery, Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address:

Child abuse related to witchcraft and exorcism phenomena is not limited to specific cultures, religious beliefs, races and geographic areas and it can be seen in all periods of human culture and civilization. Despite the widespread consequences of harm, due to the limited reports and announced statistics, the scope of the problem in comparison to other forms of child abuse seems minor. The legal and judicial services are often unaware of these cases and it is not highlighted in police and social service databases as a significant factor in child abuse. In spite of global programs on children's peace and activities of child rights committee of United Nations, this type of hidden child abuse continues. In this study, we have discussed seven cases of child abuse related to these phenomena and address the psychological dimensions of the injury by The Revised Children's Anxiety and Depression Scale and Subscales (RCADS) that showed clinically significant anxiety and depression. In addition, we have tried to look at the historical background, risk factors, extent of damage and challenges in the reporting field. Children are the future makers of the world, and any type of child abuse has adverse effects on their growth, physical and mental health. To confront this issue, strengthening partnerships between child protection institutions and multimodal approaches in collaboration with local, national and international organizations also imposing strict punishment on the people who played a role in this action should be pursued more seriously.
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http://dx.doi.org/10.1016/j.jflm.2022.102408DOI Listing
August 2022

Aluminum Phosphide Poisoning In The North Of Iran: A Register-Based Research.

Curr Drug Saf 2022 Jun 27. Epub 2022 Jun 27.

Department of Microbiology, School of Medicine, Guilan University of Medical Sciences.

Background: Aluminum phosphide (ALP) poisoning is considered one of the health care issues in Iran, which is associated with the mortality outcome of patients.

Introduction: ALP poisoning and deaths leading to deaths with aluminum phosphide, we try to evaluate the prevalence of ALP pill poisoning by register-based research.

Methods: In this descriptive cross-sectional study, all selected patients diagnosed and confirmed with ALP poisoning by a specialist who was referred to the poisoning ward from the beginning of April 2016 to the end of October 2017 were enrolled, and data were registered in the Disease Registration System by a technical expert for daily follow up during hospitalization.

Results: About 12.4% of patients had neurological problems with the majority of paresis (68.3%). Self-poisoning for 96.2% of cases was documented as a suicide with the most common cause of family problems (54.1%). In 97.3% of cases, the method of contact with the toxic substance was oral. Hypotension, cardiac, and respiratory complications were observed in 25.2%, 30.8%, and 25%, respectively. The most gastrointestinal symptoms were nausea/vomiting (86.7%).

Conclusion: The results show that the rate of ALP pill poisoning is relatively high. Suicide is the most important cause of ALP poisoning, which is more common in men under 40 years of age.
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http://dx.doi.org/10.2174/1574886317666220627112353DOI Listing
June 2022

A cross-sectional multicenter linkage study of hospital admissions and mortality due to methanol poisoning in Iranian adults during the COVID-19 pandemic.

Sci Rep 2022 06 13;12(1):9741. Epub 2022 Jun 13.

Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

A methanol poisoning outbreak occurred in Iran during the initial months of coronavirus disease 2019 (COVID-19) pandemic. We aimed to evaluate the epidemiology of the outbreak in terms of hospitalizations and deaths. A cross-sectional linkage study was conducted based on the hospitalization data collected from thirteen referral toxicology centers throughout Iran as well as mortality data obtained from the Iranian Legal Medicine Organization (LMO). Patient data were extracted for all cases aged > 19 years with toxic alcohol poisoning during the study period from February until June 2020. A total of 795 patients were hospitalized due to methanol poisoning, of whom 84 died. Median [interquartile ratio; IQR] age was 32 [26, 40] years (range 19-91 years). Patients had generally ingested alcohol for recreational motives (653, 82.1%) while 3.1% (n = 25) had consumed alcohol-based hand sanitizers to prevent or cure COVID-19 infection. Age was significantly lower in survivors than in non-survivors (P < 0.001) and in patients without sequelae vs. with sequelae (P = 0.026). Twenty non-survivors presented with a Glasgow Coma Scale (GCS) score > 8, six of whom were completely alert on presentation to the emergency departments. The time from alcohol ingestion to hospital admission was not significantly different between provinces. In East Azerbaijan province, where hemodialysis was started within on average 60 min of admission, the rate of sequelae was 11.4% (compared to 19.6% average of other provinces)-equivalent to a reduction of the odds of sequelae by 2.1 times [95% CI 1.2, 3.7; p = 0.009]. Older patients were more prone to fatal outcome and sequelae, including visual disturbances. Early arrival at the hospital can facilitate timely diagnosis and treatment and may reduce long-term morbidity from methanol poisoning. Our data thus suggest the importance of raising public awareness of the risks and early symptoms of methanol intoxication.
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http://dx.doi.org/10.1038/s41598-022-14007-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9189800PMC
June 2022

An investigation of risk factors of in-hospital death due to COVID-19: a case-control study in Rasht, Iran.

Ir J Med Sci 2021 Nov 15;190(4):1321-1333. Epub 2021 Jan 15.

Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

Background: Identifying the non-survived patients' characteristics compared to survived subjects and introducing the critical risk factors of COVID-19 mortality would help enhance patients' prognosis and treatment.

Methods: In the current case-control study, medical records of 103 non-survived COVID-19 patients (cases) and 147 sex-matched survivors (controls) who admitted to Razi University Hospital in Rasht, Guilan, Northern Iran from April 21 to August 21, 2020, were explored. Data on demographic, anthropometric, clinical, and laboratory assessment was extracted from the electronic medical records. To estimate the association between variables of interest and mortality odds due to COVID-19 logistic regression was carried out.

Results: The patients who died (mean age = 62.87 years) were older than the discharged patients (57.33 years; P value = 0.009). According to the results of multivariable regression adjusted for potential confounders, elevated BMI (OR = 2.49; 95% CI = 1.15-5.41), higher CRP levels (OR = 2.28; 95% CI = 1.08-4.78), increased FBS levels (OR = 2.88; 95% CI = 1.35-6.17), higher levels of total cholestrol (OR = 2.55; 95% CI = 1.19-5.45) and LDL (OR = 2.27; 95% CI = 1.07-4.79), elevated triglyceride (OR = 5.14; 95% CI = 2.28-11.56), and raised levels of D-dimer (OR = 5.68; 95% CI = 2.22-14.49) were identified as independent risk factors of COVID-19 mortality. No significant association was detected regarding HDL level, QTc interval or heart size, and COVID-19 fatality odds.

Conclusion: The present findings demonstrated that obesity, higher levels of CRP, blood sugar, D-dimer, and lipid markers were likely to be predictive factors of COVID-19-related mortality odds.
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http://dx.doi.org/10.1007/s11845-020-02455-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7809240PMC
November 2021

Mechanisms of cancer stem cell therapy.

Clin Chim Acta 2020 Nov 11;510:581-592. Epub 2020 Aug 11.

Section of Surgery Room, Razi hospital, Guilan University of Medical Sciences, Rasht, Iran.

Cancer stem cells (CSCs) are responsible for carcinogenesis and tumorigenesis and are involved in drug and radiation resistance, metastasis, tumor relapse and initiation. Remarkably, they have other abilities such as inheritance of self-renewal and de-differentiation. Hence, targeting CSCs is considered a potential anti-cancer therapeutic strategy. Recent advances in the identification of biomarkers to recognize CSCs and the development of new techniques to evaluate tumorigenic and carcinogenic roles of CSCs are instrumental to this approach. Elucidation of signaling pathways that regulate CSCs colony progression and drug resistance are critical in establishing effective targeted therapies. CSCs play a central key role in immunomodulation, immune evasion and effector immunity, which alters immune system balancing. These include mTOR, SHH, NOTCH and Wnt/β-catering in cancer progression. In this review article, we discuss the importance of these CSCs pathways in cancer therapy.
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http://dx.doi.org/10.1016/j.cca.2020.08.016DOI Listing
November 2020

Management of COVID-19 Crisis in Guilan Province in Northern Iran.

Arch Iran Med 2020 07 1;23(7):511-513. Epub 2020 Jul 1.

Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

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http://dx.doi.org/10.34172/aim.2020.52DOI Listing
July 2020

Malnutrition Status and Associated Factors in Cardiac Patients Admitted to Heart Hospital, in the North of Iran.

Hosp Top 2019 Apr-Jun;97(2):60-65. Epub 2019 May 3.

c Department of Forensic Medicine , School of Medicine, Razi Teaching Hospital, Guilan University of Medical Sciences , Rasht , Iran.

The objective of study was to evaluate the prevalence of malnutrition and associated factors in cardiac patients in the north of Iran. This cross-sectional study was done on 430 cardiac patients, who were admitted to the only heart hospital in the north of Iran. The malnutrition status was assessed based on "Malnutrition Universal Screening Tool" (MUST). The data was analyzed using SPSS software. The mean age of patients was 63.5 ± 12.67 years. The commonest cause of hospitalization was acute coronary syndrome. 31.4% patients had history of admission in the past 12 months. The prevalence of malnutrition was 14%, 7.7%, and 6.3% had medium and high risk of malnutrition, respectively. Patients with history of one time admission were 2.7 times more likely to be malnourished. The odds ratio for more than one time of hospital admission was 3.54. Malnutrition is likely to be present when the cardiac patients are admitted to hospital in Gilan province, in northern Iran.
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http://dx.doi.org/10.1080/00185868.2019.1605864DOI Listing
September 2019

Assessment of Care and its Associated Factors in Traumatic Patients in North of Iran.

Bull Emerg Trauma 2018 Oct;6(4):334-340

Nursing Education (Medical-Surgical), Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.

Objective: To determine the status of pre-hospital emergency care and its associated factors in traumatic patients.

Methods: In across-sectional study, 577 traumatic patients who were transferred to Poursina hospital by EMS (Emergency Medical Services) personnel were selected by simple random sampling method. Pre-hospital emergency services were observed. Then the mean of taken measures scores for each domain was determined in percent and evaluated in terms of associated factors (age, working experience of staff and number of missions per day) and compared using Spearman's test.

Results: Out of 577 patients, 454 were men (78.7%) and 123 women (21.3%). Their mean age was 35.1 years old. Accident (82.7%) was the most common mechanism of injury. Most vehicles involved in the accident were light -weight cars (48.5%) and motorcycles (32.2%). A significant relationship was found between age, general domain (p=0.039) and hemodynamic (p=0.019) as well as between work experience and general domain (p=0.018).

Conclusion: Given that pre-hospital emergency services provided in most of the domains are relatively far from world standard, results of this research can provide information for managers to improve strategic planning on care and medical services, appropriation of budget, knowledge of personnel and necessary equipment.
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http://dx.doi.org/10.29252/beat-060411DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215078PMC
October 2018

Assessment of Care and its Associated Factors in Traumatic Patients in North of Iran.

Bull Emerg Trauma 2018 Oct;6(4):334-340

Nursing Education (Medical-Surgical), Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.

Objective: To determine the status of pre-hospital emergency care and its associated factors in traumatic patients.

Methods: In across-sectional study, 577 traumatic patients who were transferred to Poursina hospital by EMS (Emergency Medical Services) personnel were selected by simple random sampling method. Pre-hospital emergency services were observed. Then the mean of taken measures scores for each domain was determined in percent and evaluated in terms of associated factors (age, working experience of staff and number of missions per day) and compared using Spearman's test.

Results: Out of 577 patients, 454 were men (78.7%) and 123 women (21.3%). Their mean age was 35.1 years old. Accident (82.7%) was the most common mechanism of injury. Most vehicles involved in the accident were light -weight cars (48.5%) and motorcycles (32.2%). A significant relationship was found between age, general domain (p=0.039) and hemodynamic (p=0.019) as well as between work experience and general domain (p=0.018).

Conclusion: Given that pre-hospital emergency services provided in most of the domains are relatively far from world standard, results of this research can provide information for managers to improve strategic planning on care and medical services, appropriation of budget, knowledge of personnel and necessary equipment.
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http://dx.doi.org/10.29252/beat-060411DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215078PMC
October 2018
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