Aims and objectives:To investigate the impact of domestic violence-related factors on suicide attempt in married women.Background: Suicide is a global public health concern that poses significant burden on individuals, families and communities. There is limited research on factors predicting suicide attempt in women. Design:A retrospective case-control design was adopted.Methods: Using a convenience sampling method, 610 participants, admitted to a teaching referral hospital in Northwest of Iran, were recruited to the study and assigned to case or control groups based on whether or not they had attempted suicide.The participants in two groups were matched in the terms of important demographic characteristics. Domestic violence-related factors were considered as independent variables and suicide attempt as dependent variable. Descriptive statistics, and simple and multivariate logistic regression analysis were used to analyse the data. Odds ratios (OR) of domestic violence-related factors were compared between the groups.We used STROBE checklist as an EQUATOR in this study. Results:The mean age of participants in the case and control groups was 28.4 and 29.45 years, respectively. The infidelity was the strongest predictor of suicide attempt in women (OR 44.57, 95%CI 6.08-326. 63, p < 0.001), followed by being threatened to physical assault by husband (OR 37.01, 95%CI 11.54-118.67, p < 0.001), jealousy of husband (OR 23.46,, p < 0.001), and previous attempts to divorce (OR 16.55,.31, p < 0.001). Suicide attempt was significantly lower in women who reported a sense of peace in life or lived with their mother or father-in-law (p < 0.001). Conclusions:To reduce the risk of suicide in women, violence against women should be condemned and appropriate prevention measures be taken by health professionals. Relevance to clinical practice: Recognising risk, assessment and referral of victims of domestic violence should be an integral part of healthcare systems. K E Y W O R D S domestic violence, family, suicide attempt, women | 3253 RAHMANI et Al.
: Since December 2019, the outbreak of coronavirus disease 2019 (COVID-19) has spread worldwide. Although the majority of patients show mild symptoms, the disease can rapidly progress in severe cases and develop acute respiratory distress syndrome (ARDS) that may lead to therapeutic interventions, including oxygenation, tracheal intubation, and mechanical ventilation. It is suggested that the new coronavirus spreads mostly via droplets, surface contact, and natural aerosols. Hence, high-risk aerosol-producing procedures, such as endotracheal intubation, may put the healthcare workers at a high risk of infection. In the course of managing patients with COVID-19, it is essential to prioritize the safety of healthcare workers. Hence, this review study aimed to summarize new guidelines and proper airway management in adult and pediatric COVID-19 patients.
Introduction : Do Not Resuscitate (DNR) order has been studied ethically, legally, and religiously in different countries after presentation by the American Medical Association (AMA) in 1974. This study was conducted to investigate the attitude of nurses in intensive care units (ICUs) of hospitals of Tabriz University of Medical Sciences, Tabriz, Iran, towards DNR order. Methods: 255 nurses working in ICUs were included in a descriptive-analytical study at Tabriz University of Medical Sciences in 2018. The utilized checklist contained two sections: demographic information and 11 questions with a 5-point Likert scale about the attitude towards the DNR order. The scores relating to each question were collected and analyzed. Results: The average of the total score of the questionnaire was 29.97 8.39. The attitudes of participants were negative in all questions except for the 8th and 11th questions. The total score of the questionnaire was 29.49 8.09 in the group with work experience of 15 years and less and 32.49 9.50 (P = 0.036) in the group with a more than 15 years of work experience; which indicates more positive attitude towards the DNR order in individuals with more work experience. Conclusion: The results showed that in general, the participant nurses did not have positive attitudes concerning the DNR order; however, people with more than 15 years of work experience had more positive attitude towards this order and the investigation of this factor and the causes of its impact on the change of people’s attitude should be carried out in further studies.
Introduction: Trauma has been recognized as the leading cause of mortality and morbidityamong children in developed countries. Therefore, it is highly desirable to have a controlprogram in this area. The aim of this study was determining epidemiologic feature and diagnosticoutcome of traumatic pediatric patients referred to emergency department in 2016-2017. Methods: This descriptive cross-sectional study was conducted at emergency department,Imam-Reza hospital of Tabriz University of Medical Sciences in 2016-2017 on a total of 518traumatic children. Variables of interest were age, gender, location of trauma, mechanism oftrauma, type of transfer to emergency department, time of trauma, and outcome of the incident. Results: Among 518 traumatic children involved in the study, the most common age for traumawas 3-6 years, and 66.4% and 33.6% of the studied population were boys and girls, respectively.Falling (42.5%) was the most common mechanism of trauma, and the most of traumas occurredduring evening (56.9%) and spring (38.8%) time. In additions, 75.5% of traumatic children weretransferred to the emergency department by their family, and among them, only for two casessafety instructions had been considered. Conclusion: In general, the results of this study demonstrated that boys with the age of 3-6 yearsare the most vulnerable group against trauma. Falling and traffic accidents are the main causesof trauma in children, whereas safety devices were not used in the majority of accident cases.Thus, it is highly recommended to use safety equipment for children inside vehicles.
Objective: According to the definition of World Health Organization (WHO), attempting suicide is an act that a person intentionally and without others' interference shows an abnormal behavior (such as harming themselves or eating a drug higher than treatment dose) and his objective is realizing his expected changes. The purpose of this study was to investigate the demographic characteristics of married women with suicidal attempt and a variety of methods used to suicide among them who referred to the emergency department of Sina hospital in Tabriz. Methods: In a cross-sectional study 472 married female patients with suicide attempt who referred to the emergency department of Sina hospital in Tabriz in 2014 entered the study and relevant information was collected. Obtained information was analyzed using SPSS version 17.0. Results: Findings showed that the most frequent method of suicide was drug use (99.8%). A significant relationship was found between the type of drug used and seasons of the year. The majority of the population (90.5%) lived in urban areas and based on statistical analyses, a significant relationship was found between residency and type of drug used. Conclusion: According to the results of this study it can be concluded that drug use is the most frequent method of suicide that is done with a higher frequency in summer. Thus, rational prescription of drugs by physicians can be considered as one of the factors that can prevent suicide.
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