Complexions therapy and severe intoxication by Thallium salts

Rayisyan, Maria; Zakharova, N. G.; Babaskina, L. I.

doi:10.1080/10934529.2021.1885905

Cited by 5 publications

(5 citation statements)

References 22 publications

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“…Nurses who were working in emergency and intensive care units have twice the odds of good practice than those who were working in outpatient departments. This is in line with the previous study conducted by Degu et al (2021 ), Rayisyan et al (2021 ), and Tassew et al (2021 ).…”

Section: Discussionsupporting

confidence: 93%

“…This study found that approximately 243 (57.6%) of nurses had a positive attitude toward the initial management of poisoned patients. This result is comparable with the study conducted by Rayisyan et al (2021) and Al-Jelaify and AlHomidah (2021), allowing that 55.7% and 56.3% of nurses had positive attitudes, respectively, toward the management of poisoned patients.…”

Section: Discussionsupporting

confidence: 89%

“…For instance, 65% of nurses who had a good understanding of the effect and characteristics of poison substances in the human body had a positive attitude toward the initial management of acute poisoning ( Anderson, 2021 ). The past study, also showed that providing consistent training and accessing updated guidelines (poisoning management protocol) improved the knowledge and practice of nurses on the initial management of acute poising ( Mohammed et al, 2021 ; Rayisyan et al, 2021 ).…”

Section: Review Of Literaturementioning

confidence: 97%

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Knowledge, Attitude, and Practice of Nurses Toward the Initial Managements of Acute Poisoning in Public Hospitals of Bahir Dar City, Northwest Ethiopia 2022: Cross-Sectional Study

et al. 2023

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Introduction Poisoning is a common cause of medical visits and hospitalizations around the world. The knowledge, attitude, and practice of nurses in the management of acute poisoning are very poor in developing countries, such as Ethiopia. According to the previous study, 75% and 45% of nurses had unsatisfactory knowledge and practice, respectively. Objectives This study aimed to assess the knowledge, attitude, and practice of nurses toward the initial management of acute poisoning. Method An institution-based cross-sectional study design was used to recruit 422 nurses from public hospitals of Bahir Dar city in Ethiopia. A systematic random sampling method and an English version of self-administered questionnaires were used to collect the data. The data were entered into Epi Data and analyzed using SPSS version 25. Results The study recruited 422 nurses, with a response rate of 100%; 248 (58.8%) and 264 (62.2%) of the nurses had good knowledge and practice, respectively. Slightly more than half (57.6%) of the nurses had a positive attitude. Nurses who worked in an emergency and intensive care unit had twice the odds of having more knowledge and practice than those who worked in an outpatient department (AOR = 2.1, CI: (1.019, 4.540), p = 0.001). Nurses who have MSc degree were twice (AOR = 2.1, CI: (1.019, 4.540), p = 0.001) and three times (AOR = 3.1, CI: (1.012, 7.140), p = 0.002) to have good knowledge and practice than those who have a diploma. Conclusion Slightly more than half of nurses had good knowledge, practice, and a positive attitude. Educational status, working in an emergency department, and having training in poison management have been significantly associated with the knowledge and practice of nurses. The authors recommended that there is a need to empower the attitude, knowledge, and practice of nurses through consistent training, accessing, and updating guidelines (poisoning management protocol). The author also suggested that the poison management protocol be incorporated into the Ethiopian nursing curriculum (certificates).

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 89%

Section: Review Of Literaturementioning

confidence: 97%

See 1 more Smart Citation

Knowledge, Attitude, and Practice of Nurses Toward the Initial Managements of Acute Poisoning in Public Hospitals of Bahir Dar City, Northwest Ethiopia 2022: Cross-Sectional Study

et al. 2023

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“…Смерть настає при вживанні всередину 10-15 мг розчиненої солі Tl на 1 кг маси тіла, але описано смертельні випадки й за нижчих доз. Вирішальну роль у порятунку хворого відіграють антидоти [11][12][13][14][15][16][17][18].…”

Section: клінічна токсикологія Clinical Toxicologyunclassified

“…Death occurs when 10-15 mg of dissolved Tl salt is taken orally per 1 kg of body weight, but fatal cases have also been described at lower doses. Antidotes play a crucial role in saving the patient's life [11][12][13][14][15][16][17][18].…”

Section: клінічна токсикологія Clinical Toxicologymentioning

confidence: 99%

Іmprovement of the differential diagnostics of acute oral and inhalation poisoning by thalium compounds, pathohistology and treatment strategy (based on group cases)

Balan,

Sheyman,

Zhminko

et al. 2023

UJMTA

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Analysis of literature data and own research showed an increase in the number of criminal and accidental acute poisonings with Tl compounds (Tl+) in all countries, in particular in Ukraine, which, including, is due to the availability of Tl+ on the Internet. Most often, these are group cases, often with fatal consequences or subsequent disability of patients, which is due to delayed diagnosis and late appointment of antidote therapy. It must be taken into account that in the conditions of war in Ukraine, the potential risk of using Tl+ for terrorist purposes is increased. Aim. Based on the analysis of the daily dynamics of the development of clinical manifestations, chemical-toxicological, biochemical, electroneuromyographic indicators and pathohistological data, improve the differential diagnosis of the main clinical syndromes in patients with acute oral and inhalation Tl+ compounds poisoning. Materials and Methods. A scientific analysis of literature data was carried out using reference databases of scientific libraries and own research on the daily increase of clinical, especially neurological symptoms specific for Tl+ poisoning against the background of gastrointestinal disorders. Clinical, laboratory, electroneuromyographic, toxicoanalytical and pathogistological research methods were used. Results. The daily sequence of the occurence and development of the main specific symptoms of acute Tl+ poisoning with low and high doses has been determined, which makes it possible to suspect poisoning in the first days and conduct a toxicological examination in a timely manner and prescribe antidote and detoxification therapy: in the first 2 days, the victims, against the background of gastrointestinal pathology, develop painful paresthesias not so much in the limbs, but in the oral cavity in case of oral poisoning and along the course of the upper respiratory tract, along with burning pains behind the sternum and a hoarse voice - in case of inhalation poisoning; on the 3rd-4th day before the appearance of alopecia, permanent paresthesias of the hair part of the head appear with the simultaneous appearance of focal pigmentation of the skin and darkening of the hair roots; in the first days of intoxication, intense burning symmetrical pains and paresthesias appear not only in the extremities, especially in the area of the feet, calf muscles, muscles of the inner surface of the thighs, shoulder girdle, chest, but also especially the scrotum in men and mammary glands in women. A comparison of clinical-toxicological and pathohistological indicators proved multi-organ damage to the body in case of poisoning with high doses of Tl+. Conclusions. The high toxicity of Tl+ compounds, the growth of criminal incidents, the potential risk of their use as terrorist purposes in the conditions of the war in Ukraine, determine the need for special control over the circulation of Tl+, blocking sites on the Internet that advertise the sale of highly toxic chemicals. The problem of ensuring the availability of a specific Ferrocin antidote in the pharmacy network, as well as the creation of an antidote reserve to eliminate the consequences of emergency situations, requires attention. Keywords: Tl compounds, acute criminal poisoning, sequence of symptoms, pathogistology.

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Repeated poisoning of the life partner by thallium — a case of questionable Munchausen by adult proxy syndrome with ensuing attempted murder

Pragst

Härtwig

2022

Int J Legal Med

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Complexions therapy and severe intoxication by Thallium salts

Cited by 5 publications

References 22 publications

Knowledge, Attitude, and Practice of Nurses Toward the Initial Managements of Acute Poisoning in Public Hospitals of Bahir Dar City, Northwest Ethiopia 2022: Cross-Sectional Study

Knowledge, Attitude, and Practice of Nurses Toward the Initial Managements of Acute Poisoning in Public Hospitals of Bahir Dar City, Northwest Ethiopia 2022: Cross-Sectional Study

Іmprovement of the differential diagnostics of acute oral and inhalation poisoning by thalium compounds, pathohistology and treatment strategy (based on group cases)

Repeated poisoning of the life partner by thallium — a case of questionable Munchausen by adult proxy syndrome with ensuing attempted murder

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