Isfahan University of Medical Sciences Journal of Isfahan Medical School 1027-7595 41 718 2023 06 22 Monitoring Scorpionism in Shush County of Khuzestan Province in the First Six Months of 2019 Monitoring Scorpionism in Shush County of Khuzestan Province in the First Six Months of 2019 319 325 30980 10.48305/jims.v41.i718.0319 FA Mohammad Shanavaz MSc Student, Department of Medical Entomology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran 0000-0002-9864-1513 Amir Hossein Zahirnia Associate Professor, Department of Medical Entomology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran 0000-0002-5451-378X Hassan Nasirian PhD, Department of Medical Entomology and Vector Control, School of Public Health AND Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran, Iran 0000-0002-9470-0184 Journal Article 2023 01 11 Background: Scorpionism is one of the unpleasant topics for people. The Shush County has a suitable living environment for scorpions. This research was conducted to monitor scorpionism in Shush to provide documents to health system decision-makers. Methods: In a cross-sectional study, all cases of scorpion stings were investigated who were referred to medical centers in Shush County in 2019. The data obtained from the amount of scorpion stings were classified according to gender, age groups, months of the year, type of region (urban or rural) and member exposed to scorpion stings and were analyzed using the Wilcoxon statistical test. Findings: The scorpion sting rates among women (50.3%) were higher than among men (49.7%). The highest and lowest scorpion sting rates were observed in the age groups under 15 years (30.4%) and over 65 years (1.5%), and in September (23.6%) and April (6.9%), respectively. The scorpioism rates were higher in rural areas (79.7%) compared to urban areas (20.3%). Hands (43.2%) were more likely to be stung by scorpions than legs (32.2%) and trunks (24.6%). The Wilcoxon signed-rank test did not show significant differences between scorpionism rates related to gender, age groups, urban or rural type, and organs exposed to scorpion stings. But it showed a significant difference between the scorpionism rates among months. Conclusion: The scorpionism trend gradually increased from April to September to reach its highest peak in September. Moreover, by increasing the age, scorpionism tends from its peak in the age group under 15 years, gradually achieving its minimum in the age group over 65. Background: Scorpionism is one of the unpleasant topics for people. The Shush County has a suitable living environment for scorpions. This research was conducted to monitor scorpionism in Shush to provide documents to health system decision-makers. Methods: In a cross-sectional study, all cases of scorpion stings were investigated who were referred to medical centers in Shush County in 2019. The data obtained from the amount of scorpion stings were classified according to gender, age groups, months of the year, type of region (urban or rural) and member exposed to scorpion stings and were analyzed using the Wilcoxon statistical test. Findings: The scorpion sting rates among women (50.3%) were higher than among men (49.7%). The highest and lowest scorpion sting rates were observed in the age groups under 15 years (30.4%) and over 65 years (1.5%), and in September (23.6%) and April (6.9%), respectively. The scorpioism rates were higher in rural areas (79.7%) compared to urban areas (20.3%). Hands (43.2%) were more likely to be stung by scorpions than legs (32.2%) and trunks (24.6%). The Wilcoxon signed-rank test did not show significant differences between scorpionism rates related to gender, age groups, urban or rural type, and organs exposed to scorpion stings. But it showed a significant difference between the scorpionism rates among months. Conclusion: The scorpionism trend gradually increased from April to September to reach its highest peak in September. Moreover, by increasing the age, scorpionism tends from its peak in the age group under 15 years, gradually achieving its minimum in the age group over 65.

https://jims.mui.ac.ir/article_30980_b54f0f8b3b75a8b7486c9adedf28f361.pdf

Isfahan University of Medical Sciences Journal of Isfahan Medical School 1027-7595 41 718 2023 06 22 Frequency of Macroscopic and Microscopic Findings from Autopsy in the Deceased Caused by Poisoning with Aluminum Phosphide, Zinc Phosphide and Super Warfarin Rodenticides Frequency of Macroscopic and Microscopic Findings from Autopsy in the Deceased Caused by Poisoning with Aluminum Phosphide, Zinc Phosphide and Super Warfarin Rodenticides 326 333 30981 10.48305/jims.v41.i718.0326 FA Arman Otroshi Assistant Professor, Clinical Toxicology Department, School of Medicine, Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran 0000-0001-7185-4562 Mohammad Mohebbi General Practitioner, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran 0000-0001-9393-9671 Gholamali Dorooshi Associate Professor, Clinical Toxicology Department, School of Medicine, Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences , Isfahan, Iran 0000-0003-2552-0961 Ali Soleymanpour Forensic Medicine Specialist, Legal Medicine Research Center, Isfahan, Iran 0000-0002-6642-8128 Nastaran Eizadi-Mood Professor, Clinical Toxicology Department, School of Medicine, Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran 0000-0001-9792-8160 Journal Article 2022 08 11 Background: Poisoning with super-warfarin, zinc phosphide (ZnP) and aluminum phosphide (ALP) are among the most prevalent types of rodenticide poisonings. The purpose of this study was to investigate the frequency of macroscopic and microscopic findings obtained from autopsy in the deceased due to poisoning with these rodenticide poisons. Methods: This cross-sectional study was conducted in 2020 at the Isfahan Forensic Medical Center and the referral poisoning emergency center at Khorshid Hospital, Isfahan, Iran. Autopsy and pathological findings in deceased cases due to phosphides and super warfarin poisoning were evaluated from March 21, 2018 to February 20, 2021. Findings: During the study period, 165 patients were hospitalized due to super warfarin and ZnP; and 105 patients with ALP poisoning. No deaths were reported from super-warfarin. One patient died from ZnP poisoning who did not undergo autopsy. 37(35.2%) individuals died from ALP of which 33 cases underwent postmortem examination. 24(72.7%) of the deceased were men. And the average age was 29.39 years. In the autopsy findings, pulmonary edema (69.6%) and pleural effusion (21.2%) were the most common findings in ALP poisoning. The pathological findings were liver degeneration, pulmonary edema, and pulmonary hemorrhage. There was a significant relationship between serum bicarbonate levels at admission and liver autopsy findings. The time from ingestion to hospital admission also correlated with liver pathology findings. Conclusion: Considering the prevalence of pulmonary edema and pleural effusion in deceased patients with ALP poisoning, fluid therapy guidance through central venous pressure monitoring should be considered. Background: Poisoning with super-warfarin, zinc phosphide (ZnP) and aluminum phosphide (ALP) are among the most prevalent types of rodenticide poisonings. The purpose of this study was to investigate the frequency of macroscopic and microscopic findings obtained from autopsy in the deceased due to poisoning with these rodenticide poisons. Methods: This cross-sectional study was conducted in 2020 at the Isfahan Forensic Medical Center and the referral poisoning emergency center at Khorshid Hospital, Isfahan, Iran. Autopsy and pathological findings in deceased cases due to phosphides and super warfarin poisoning were evaluated from March 21, 2018 to February 20, 2021. Findings: During the study period, 165 patients were hospitalized due to super warfarin and ZnP; and 105 patients with ALP poisoning. No deaths were reported from super-warfarin. One patient died from ZnP poisoning who did not undergo autopsy. 37(35.2%) individuals died from ALP of which 33 cases underwent postmortem examination. 24(72.7%) of the deceased were men. And the average age was 29.39 years. In the autopsy findings, pulmonary edema (69.6%) and pleural effusion (21.2%) were the most common findings in ALP poisoning. The pathological findings were liver degeneration, pulmonary edema, and pulmonary hemorrhage. There was a significant relationship between serum bicarbonate levels at admission and liver autopsy findings. The time from ingestion to hospital admission also correlated with liver pathology findings. Conclusion: Considering the prevalence of pulmonary edema and pleural effusion in deceased patients with ALP poisoning, fluid therapy guidance through central venous pressure monitoring should be considered.

https://jims.mui.ac.ir/article_30981_3d2515739e79e2d0700e7b6b75f6b2a1.pdf

Isfahan University of Medical Sciences Journal of Isfahan Medical School 1027-7595 41 718 2023 06 22 A Clinical Case Report of Nephrogenic Adenoma in the Bladder of a 2-Year-Old Child Following Vesicostomy Site Prolapse A Clinical Case Report of Nephrogenic Adenoma in the Bladder of a 2-Year-Old Child Following Vesicostomy Site Prolapse 334 337 30982 10.48305/jims.v41.i718.0334 FA Narjes Saberi Assistant Professor, Department of Urology, Isfahan Kidney Disease Research Center, Isfahan University of Medical Sciences, Isfahan, Iran 0000-0003-3697-6331 Farzaneh Sharifiaghdas Professor, Department of Urology, Shahid Beheshti University of Medical Sciences, Shahid Labafinejad Hospital, Urology and Nephrology Research Center, Tehran, Iran 0000-0003-2197-1247 Journal Article 2023 03 22 Background: Nephrogenic adenomas in children, similar to adults, are rare benign lesions that often occur in patients with a history of previous surgery or chronic irritation of the urinary tract. These lesions often appear with hematuria and appear as polypoid or papillary lesions in cystoscopy and may have a differential diagnosis with malignant lesions. Most of the patients have a history of bladder augmentation, recurrent urinary tract infections, and urinary stones. So far, no case of nephrogenic adenoma has been reported in children following vesicostomy site prolapse. Case Report: We report a case of nephrogenic adenoma in the bladder of a 2-year-old boy with a history of vesicostomy and vesicostomy prolapse and repeated surgery on the bladder. Vesicostomy was performed due to bilateral vesicoureteral reflux and posterior vesicoureteral valve. After performing two surgeries to correct the vesicostomy site, the vesicostomy was closed at the age of 18 months following resection of the posterior urethral valve, and in the follow-up ultrasound at the age of 2 years, a 2 cm mass was seen in the posterior wall of the bladder, and in the pathology report of the resected mass Nephrogenic adenoma is reported. Conclusion: Prolapse of the vesicostomy and continuous irritation of the bladder mucosa can cause nephrogenic adenoma in the child's bladder. Background: Nephrogenic adenomas in children, similar to adults, are rare benign lesions that often occur in patients with a history of previous surgery or chronic irritation of the urinary tract. These lesions often appear with hematuria and appear as polypoid or papillary lesions in cystoscopy and may have a differential diagnosis with malignant lesions. Most of the patients have a history of bladder augmentation, recurrent urinary tract infections, and urinary stones. So far, no case of nephrogenic adenoma has been reported in children following vesicostomy site prolapse. Case Report: We report a case of nephrogenic adenoma in the bladder of a 2-year-old boy with a history of vesicostomy and vesicostomy prolapse and repeated surgery on the bladder. Vesicostomy was performed due to bilateral vesicoureteral reflux and posterior vesicoureteral valve. After performing two surgeries to correct the vesicostomy site, the vesicostomy was closed at the age of 18 months following resection of the posterior urethral valve, and in the follow-up ultrasound at the age of 2 years, a 2 cm mass was seen in the posterior wall of the bladder, and in the pathology report of the resected mass Nephrogenic adenoma is reported. Conclusion: Prolapse of the vesicostomy and continuous irritation of the bladder mucosa can cause nephrogenic adenoma in the child's bladder.

https://jims.mui.ac.ir/article_30982_d70f093b1afc45db0022c13d1acba36e.pdf