Background and Objectives: Investigating the changes in CT scans of patients is one of the most important methods to determine the prognosis of patients with head trauma, which has been considered by researchers. The aim of this study was to determine the findings of delayed CT scan in blunt head trauma patients referred to Shahid Bahonar Hospital of Kerman in 2020. Methods This was a descriptive-analytical study. All patients with blunt head trauma underwent the initial Brain CT based on indications according to the guideline after six Hour of monitoring in the emergency room if they hadn't any discharge conditions based on the indications in the guideline The brain controls CT was performed. Findings were analyzed by SPSS v. 25 software. Chi-square, Independent T test, ANOVA and logistic regression were used. ResultsThe results showed that 98.5% of the participants had no changes in their control CT scan. In the change group, 40% of cases had decreased hemorrhage, 35% of cases had increased hemorrhage and 25% of them had new intracranial hemorrhage. There was not also a statistically significant relationship between gender, drug history, outcome, initial CT-Scan findings, age, GCS score, systolic blood pressure, heart rate and duration with CT changes (in unchanged, exacerbated, recovered groups) (P> 0.05). But the results showed that the frequency of exacerbation of symptoms in people with underlying cranial disease was significantly higher than other groups (P=0.05). Conclusion According to the results, it is possible that performing a primary CT scan in patients with head trauma in EDs is a good method for assessing the general condition of patients with mild to moderate trauma. However, evaluation of the necessity of control CT scan requires research with a larger sample size and longer follow-up

Lineage B.1.1.7 (the British variant) is a new variant of SARS-CoV-2. The virus was first identified in the UK in October 2020. Since Iran is one of the most disaster risk countries in the world, disaster management is one of the most important issues. One of the effective approaches of this field is community-based disaster management (CBDM). Altogether, planning and policymaking through using various cultural-religious role models with emphasis on the cultural points can be useful to reduce the mortality and morbidity rate caused by the fourth wave of coronavirus in Iran.

IntroductionOne rare cause of appendicitis is mucocele which may have a neoplastic or non-neoplastic source. Simple appendectomy or right hemicolectomy may be necessary, sometimes medication may be prescribed to manage symptoms. In this study, we reported a rare case with Mucocele of the Appendix managed by antibiotic therapy and simple appendectomy.Case PresentationA 60-year-old female with a seven-month history of right lower quadrant pain. A physical exam showed tenderness and rebound tenderness in the McBurney’s point. In her CT-Scan tubular mass measured 105 * 37 mm in RLQ is noted suggested for mucocele appendicitis. Appendectomy performed through McBurney incision and the pathology was mucocele of the appendix with mucin-secreting mucosal hyperplasia.ConclusionMalignancy of the appendix is extremely rare. Appendiceal tumors have a low prevalence; But due to the nature of these tumors, which can also be malignant, they should be given importance and careful follow-up is mandatory. As the Surgical community continues to learn more about this condition, it is essential that patients remain informed and proactive about this situation. With timely diagnosis and treatment, mucocele appendix can be successfully managed and treated.