scholarly journals A Prospective Comparative Study between Three Chemical Markers for Predicting Delayed Neurological Sequelae in Patients with Acute Carbon Monoxide Poisoning of Poison Control Center in Minia University Hospital.

Author(s):  
Osama Hassan ◽  
Shereen Abdelaleem ◽  
Lamiaa Hamdy
1994 ◽  
Vol 13 (7) ◽  
pp. 493-495 ◽  
Author(s):  
Dong-Zong Hung ◽  
Jou-Fang Deng ◽  
Chen-Chieh Yang ◽  
Li-Yu Jen

Taiwan is an island situated in the subtropics. The lowest average temperature is around 15°C (59°F) during winter). Despite the mild climate, carbon monoxide intoxication still occurs frequently, especially during the winter. We studied which meteorological factor(s) affected the occurrence of carbon monoxide poisoning in Taiwan. Retrospective data over a period from December 1, 1986, to December 31, 1991, from patients who reported with carbon monoxide poisoning to the Poison Control Center, together with meteorological data were analysed. We found that a lower daily average temperature, especially while a special regional circulation pattern, called a 'cold front' or 'cold surge' (during winter) covers the Taiwan area, is strongly related to the occurrence of CO poisoning.


Diagnostics ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. 698
Author(s):  
Sangun Nah ◽  
Sungwoo Choi ◽  
Han Bit Kim ◽  
Jungbin Lee ◽  
Sun-Uk Lee ◽  
...  

Introduction: Carbon monoxide (CO) poisoning can result in delayed neurological sequelae (DNS). Factors predicting DNS are still controversial. This study aims to determine whether acute brain lesions observed using diffusion-weighted magnetic resonance imaging (MRI) following acute CO poisoning are related to the subsequent development of DNS. Methods: This prospective study was conducted on patients with CO poisoning treated at a university hospital in Bucheon, Korea. From August 2016 to July 2019, a total of 283 patients visited the hospital because of CO poisoning. Exclusion criteria included age under 18 years, refusing hyperbaric oxygen therapy, refusing MRI, being discharged against medical advice, being lost to follow-up, having persistent neurological symptoms at discharge, and being transferred from another hospital 24 h after exposure. Results: Of the 154 patients included in the final study, acute brain lesions on MRI (ABLM) were observed in 49 patients (31.8%) and DNS occurred in 30 patients (19.5%). In a logistic regression analysis, lower Glasgow coma scale score and higher exposure time were associated with DNS, and the presence of ABLM in white matter was significantly associated with DNS (OR 6.741; 95% CI, 1.843–24.660; p = 0.004). Conclusion: The presence of ABLM in white matter was significantly related to the occurrence of DNS. Early prediction of the risk of developing DNS through MRI may be helpful in treating patients with CO poisoning.


QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Eman Ibrahim Abo EL Ella ◽  
Mahmod Lotfy Sakr ◽  
Walaa Mohamed Sabry Abd El-hamed ◽  
Hagar saad Ali

Abstract Background Suicide is a major cause of death all over the world with increasing risk especially in adolescents. Multiple studies have been conducted to study the risk factors and the underlying causes that lead to suicide. However, there is scarcity of data regarding suicide in adolescents. As it’s well known that most of psychiatric illnesses can be complicated with suicide especially those related to personality and substance use disorders. For Egypt, adolescents represent almost one third of the total population, hence the importance of studying the risk factors and associated psychiatric comorbidities that may lead to adolescence suicide in order to reach proper intervention plans. One of the most powerful double-sided weapons in that matter is the internet and social media use, as there has been a debate around whether it’s beneficial in seeking professional help or harmful as it may introduce methods of suicide and block any means of getting help Hence, was the hope of this study to provide an understanding of the prevalence of suicide among adolescents and the underlying psychiatric comorbidities to reach proper intervention and prevention plans. Aim of the Work This study aimed at detecting the occurrence rate of suicide and suicide related behaviors and the underlying psychiatric comorbidities among a sample of 241 suicidal adolescents aged 12-18 presenting to poison control center, Ain Shams University and also To identify factors which are associated with high suicidal intent And compare the sociodemographic variables and the increase in electronic device /social use among adolescents with suicidal attempts versus non-suicidal adolescents. Patients and Methods This is a descriptive Cross-sectional study hospital-based study conducted in poison control center of Ain Shams University hospital. The present study aimed at detecting the occurrence rate of suicide among 241 adolescents, over six months period from February 2019 to July 2019. The socioeconomic status was assessed using Socioeconomic status scale (SES), the suicide intent was assessed using the beck suicide intent scale and the psychiatric comorbidities were assessed using the MINI International Neuropsychiatry Interview for children and adolescents kid scale


2020 ◽  
Author(s):  
Paolo Maurizio Soave ◽  
Simone Grassi ◽  
Antonio Oliva ◽  
Bruno Romanò ◽  
Enrico Di Stasio ◽  
...  

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
M. Marano ◽  
F. Rossi ◽  
L. Ravà ◽  
M. Khalil Ramla ◽  
M. Pisani ◽  
...  

Abstract Introduction Acute pediatric poisoning is an emerging health and social problem. The aim of this study is to describe the characteristics of a large pediatric cohort exposed to xenobiotics, through the analysis of a Pediatric Poison Control Center (PPCc) registry. Methods This study, conducted in the Pediatric Hospital Bambino Gesù of Rome, a reference National Pediatric Hospital, collected data of children whose parents or caregivers contacted the PPCc by phone (group “P”), or who presented to the Emergency Department (group “ED”), during the three-year period 2014–2016. Data were prospectively and systematically collected in a pre-set electronic registry. Comparisons among age groups were performed and multivariable logistic regression models used to investigate associations with outcomes (hospital referral for “P”, and hospital admission for “ED”group). Results We collected data of 1611 children on group P and 1075 on group ED. Both groups were exposed to both pharmaceutical and non-pharmaceutical agents. Pharmaceutical agent exposure increased with age and the most common route of exposure was oral. Only 10% among P group were symptomatic children, with gastrointestinal symptoms. Among the ED patients, 30% were symptomatic children mostly with gastrointestinal (55.4%) and neurologic symptoms (23.8%). Intentional exposure (abuse substance and suicide attempt), which involved 7.7% of patients, was associated with older age and Hospital admission. Conclusions Our study describes the characteristics of xenobiotics exposures in different paediatric age groups, highlighting the impact of both pharmacological and intentional exposure. Furthermore, our study shows the utility of a specific PPCc, either through Phone support or by direct access to ED. PPCc phone counselling could avoid unnecessary access to the ED, a relevant achievement, particularly in the time of a pandemic.


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