بیتا دادپور

[ 1 ] - گزارش یک مورد اختلال هوشیاری عمیق در خانمی باردار با مسمومیت با سم آمیتراز

مقدمه: مسمومیت با سموم حشره کش در ایران به خصوص در جوامع روستایی شایع می باشد. آمیتراز، نوعی سم حشره کش از دسته فرمامیدین ها است که شیوع مسمومیت با آن از سموم ارگانوفسفره کمتر است و علائم خفیف تری هم ایجاد می کند. در این مطالعه، بیماری گزارش می شود که متعاقب مسمومیت با این سم، دچار ادم مغزی شد. معرفی بیمار: بیمار خانمی باردار، 15 ساله و در هفته 18 بارداری بود که حدود 5 ساعت قبل از رسیدن به بیما...

[ 2 ] - A 3-Year Survey of Mushroom-Poisoned Patients: Clinical Features, Management and Outcomes

[ 3 ] - Brain MRI Findings in Tramadol Poisoning

[ 4 ] - Concomitant Drug Use in Patients on Methadone Maintenance Therapy

Background: Methadone maintenance therapy (MMT) is considered as an efficient and effective treatment in management of high risk opioids addiction; although, concomitant use of other drugs may interfere with treatment course and outcome in MMT cases. This study aimed at evaluating patterns of drug use along with methadone based on self reported and urine analysis data in two MMT clinics. Method...

[ 5 ] - A Rare Case of Acute Myocardial Infarction Associated with Arsenic Poisoning

Background: Arsenic toxicity as a result of consumption of hair removal agent has been rarely seen in last few years in comparison with the past. Case Presentation: In this case report, we presented a middle age woman referred to medical toxicology department due to epigastric pain and diarrhea following ingestion of hair removal agent. Urinary test for arsenic was positive. ECG changes and ele...

[ 6 ] - Structural Findings in the Brain MRI of Patients with Acute Carbon Monoxide Poisoning

Background: Carbon monoxide (CO) poisoning may lead to hypoxic/anoxic injury and eventually ischemic encephalopathy. Magnetic resonance imaging (MRI) has a well-recognized role in assessment of the severity of brain damage caused by CO poisoning. In this study, we aimed to present and analyze the structural abnormalities in the brain MRI and especially in diffusion weighted MRI (DWI) images in ...

[ 7 ] - The Composition of Alcohol Samples in Mashhad and Suburbs Based On Records of Forensic Medicine Organization

Background: Public health burden from hazardous and harmful use of alcohol warrants drastic action throughout the world. Although less alcohol related harm is anticipated in Islamic countries, unrecorded alcohol remains a considerable concern which needs intelligent and realistic policy options. Methods: In a descriptive study, records  of chemically analyzed samples of alcohol obtained from Ma...

[ 8 ] - Snakebite Prognostic Factors: Leading Factors of Weak Therapeutic Response Following Snakebite Envenomation

Background: The goal of antivenom administration for snake-bitten patients is to achieve therapeutic response (initial control), which means reversal of the venom-induced effects through neutralizing the venom. The aim of this study was to identify snakebite prognostic factors of weak therapeutic response prior to antivenom administration. Methods: This was a retrospective study of patients wit...

[ 9 ] - Internal Medicine Residency Program in Iran: Exclusive Features and an International Comparison

Background: Internal Medicine (IM) is one of the main medical specialties. In this paper, the features of the Iranian IM residency training program, duties and salary were evaluated and compared with some countries. Methods: Using the Iranian Ministry of Health and Medical Education (IMHME) directive, the features of educational curriculum, compulsory working hours, duties and salary were extra...

[ 10 ] - The Feasibility of Evidence- based Decision Making in a Toxicology Emergency Case

Evidence- Based Medicine (EBM) aims to bring the best available evidence into clinical practice.  Different clinical methods of education such as in-patient rounds, follow up rounds, out-patients rounds, group sessions, grand rounds, lectures, and journal clubs could be held by EBM approach. The current text presents two interrelated case reports; a case report of EBM decision making in an emer...

[ 11 ] - Curriculum Development in regard to Illicit Drug Abuse

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[ 12 ] - Identification of priorities for medication safety in the neonatal intensive care unit via failure mode and effect analysis

Prevention of medication errors in neonatal intensive care units (NICUs) is of paramount importance due to age-specific and physiological conditions of neonates. This study aimed to evaluate the risk of medication prescription and administration via failure mode and effects analysis (FMEA), which was carried out at the Research and Medical Teaching Center of Imam Reza Hospital in Mashhad, Iran....

[ 13 ] - Abnormal cerebral blood flow in methamphetamine abusers assessed by brain perfusion single emission computed tomography

Introduction:Amphetamines are central nervous system (CNS) stimulant substances and amphetamine abuse is considered a growing problem in our country. Previous studies revealed destructive effects of amphetamines on metabolism, perfusion and structure of brain. The aim of current study was evaluating regional cerebral blood flow (rCBF) disturbances in methamphetamine (MA) abuser...

[ 14 ] - Lead Poisoning: a 12-year Report from North East of Iran

Background: Lead poisoning is an issue of concern in developing countries and high levels of lead in blood could be resulted following occupational and environmental exposures. Several reports have raised concerns on the increasing prevalence of lead intoxication among opioid addicts. This study investigated the clinical manifestations and demographic data of subjects who were ...

[ 15 ] - Spatial Analysis of Poisoning in Mashhad, Iran

[ 16 ] - گزارش مورد؛ مسمومیت با سنگ مرداب (اکسید سرب)

پودر سنگ مرداب به نام‌های مردار سنگ، پودر سنگ مردار،  پودر سنگ نقره،  سنگ مرده نیز معروف می‎باشد، در بسیاری از عطاری‎ها ‎به عنوان ماده‎ای  جهت رفع بوی عرق دست وپا بفروش می‎رسد. چنانچه پودرسنگ مرداب برای قسمتی ازبدن نظیرزیربغل، کف پا، کشاله ران استفاده شود، ترکیبات اکسیدسرب موجود در این ماده، باتوجه به خاصیت جذب بالای آن ازطریق پوست وارد بدن می‎شوند. در این مطالعه خانمی میانسال که بدنبال مصرف ای...

[ 17 ] - Hepatic Failure in a Young Woman Following Ingestion of Tribulus Terrestris

[ 18 ] - Key point sessions, a knowledge sharing method in clinical toxicology education

Medical management, is a team work and the nature of clinical toxicology is multidisciplinary. Internal organs problems following intoxications are included in field of internal medicine; similar problems in poisoned children brings pediatric medicine into the arena. The emergency nature of many acute intoxications, the legal problems of poisoned patients, respiratory assist in unconscious case...

[ 19 ] - Therapeutic effects of HESA-A (a herbal-marine compound) in acute organophosphorus pesticide poisoning

Objective: Organophosphorus compounds (OPs) are common causes of poisonings. Atropine and oximes are pharmacological antidotes of OPs. However, because of their adverse effects and insufficient performance, several other compounds have been evaluated as adjuvant therapy. HESA-A is a herbal-marine drug that contains material from Carum carvi (Persian cumin), Penaeus latisculatus...

[ 20 ] - Supratherapeutic Dosing of Acetaminophen in Iranian Hospitalized Adult Patients

Background: Acetaminophen is the most commonly used analgesic and fever-lowering agent that is prescribed in a high percentage of patients. Due to the high prevalence of the administration of this drug, even a small percentage of errors in prescription can be significant and have important implications. The aim of the present study was to determine the frequency of supratherapeutic dosing of ac...

[ 21 ] - Comparison of four prognostic markers in opioid poisoned patients admitted in ICU

Background: Opioid poisoning is the most common type of poisoning in intensive care units (ICUs). This group usually includes patients who have been drug abusers for a long time and now require hospitalization either because of acute overdose or due to side effects of routine opioid use. This study aimed to compare the severity and prognosis of patients using common mortality predictors Sequent...