Effects of Telestroke on Thrombolysis Times and Outcomes: A Meta-analysis.

Objective: Telestroke systems are tools, used to provide an advanced stroke care in regions without sufficient neurologic services. We performed this meta-analysis to assess the effects of telemedicine on treatment times and clinical outcomes of acute stroke care.

Methods: A literature search of PubMed, SCOPUS, and Cochrane CENTRAL was conducted for original studies investigating telemedicine applications in acute stroke care.

Socioeconomic determinants and metabolic syndrome: Results from the Isfahan Healthy Heart Program.

Unlabelled: Introduction: The prevalence of metabolic syndrome (MetS) is increasing in Iran. We assessed the relationship between socioeconomic status (SES) and Mets components in the Iranian population.

Materials And Methods: The sample for this study comprised a random cross-section of men and women from two province districts who participated in the Isfahan Healthy Heart Program (IHHP) in 2007.

Efficacy of measuring procalcitonin levels in determination of prognosis and early diagnosis of bacterial resistance in sepsis.

Background: Rapid and proper diagnosis of sepsis is one of the daily challenges of emergency department (ED) and intensive care units. The general aim of the present study was to determine the efficacy of measuring procalcitonin levels in the early diagnosis of bacterial resistance to antibiotics administered empirically in patients with sepsis.

Materials And Methods: The present cross-sectional study consisted of patients with clinical evidence of sepsis or systemic inflammatory response syndrome (SIRS), referring to the ED of a third-level hospital in Tehran, Iran in 2012.

Effects of pain relief on arterial blood o2 saturation.

Background: Pain management with the use of sedatives and analgesics has several advantages and few complications or side effects.

Objectives: In this study, we planned to evaluate the effects of pain control on oxygen saturation independent of other factors, such previous cardio-pulmonary conditions or respiratory rate.

Patients And Methods: Sixty-seven adult patients with direct trauma to extremities, who were referred to Imam Hossein Educational Hospital emergency room were enrolled in this study.

Interpretation of Computed Tomography of the Head: Emergency Physicians versus Radiologists.

Background: Many patients are brought to crowded emergency departments (ED) of hospitals every day for evaluation of head injuries, headaches, neurologic deficits etc. CT scan of the head is the most common diagnostic measure used to search for pathologies. In many EDs the initial interpretation of images are performed by emergency physicians (EP).

Matrix metalloproteinase enhances big-endothelin-1 constriction in mesenteric vessels of pregnant rats with reduced uterine blood flow.

Preeclampsia is a leading cause of maternal and fetal morbidity/mortality; however, the pathophysiological mechanisms are unclear. Vascular endothelial dysfunction in preeclampsia has been partially attributed to changes in endothelin-1 (ET-1). Several enzymes, including matrix metalloproteinases (MMPs; particularly MMP-2), cleave the inactive precursor big ET-1 (bET-1) to active ET-1.

Gender differences in the prevalence of hypertension in a representative sample of Iranian population: the Isfahan Healthy Heart Program.

Background: Management and control of hypertension is an important potential health challenge that may result in considerable cardiovascular adverse events especially for women. In this population-based survey, we sought to determine the epidemiology of hypertension among women compared with men in a community sample of Iranians in the 2008s.

Methods: Data were originated from the Isfahan healthy heart program (IHHP) that was designed and launched in 2000 in order to assess the efficacy of lifestyle interventions such as determining the cumulative prevalence of hypertension in a representative sample of Iranian women and to compare it to men.

Lectin-like oxidized low-density lipoprotein 1 receptor in a reduced uteroplacental perfusion pressure rat model of preeclampsia.

Preeclampsia is a major cause of maternal and fetal morbidity and mortality that has been associated with endothelial dysfunction attributed, in part, to dyslipidemia, an imbalance in angiogenic factors and oxidative stress. One of the many factors that have been shown to be elevated in women with preeclampsia is low-density lipoprotein (LDL) and the more oxidizable, small dense LDL, which can lead to increased vascular oxidative stress and decreased bioavailability of NO. Lectin-like oxidized LDL-1 receptor (LOX-1) is a specific receptor for oxidized LDL.

Status epilepticus after myelography with iohexol (Omnipaque).

Myelography has been of great use as a diagnostic modality, especially when other modalities were not conclusive.However, considering the invasive nature of myelography, it should receive the attention of medical personnel for them to be aware of its possible complications, especially when newer agents are applied as the contrast media. Myelography could lead to some common adverse effects and complications, but in this case report, we will present one of the most serious and uncommon complications accompanied with myelography using Omnipaque, a nonionic second-generation contrast agent.

Epidemiologic study of road traffic injuries by road user type characteristics and road environment in Iran: a community-based approach.

Objective: Crash injuries in traffic accidents are affected by a variety of factors. In this study we analyzed road user type information based on different contributing factors.

Method: Data from all of the road traffic victims on a road extending from the east of the city of Tehran to Mazandaran province were included prospectively over a one-year period (May 2008 to May 2009).

Evaluation of the Acute Physiology and Chronic Health Evaluation III in predicting the prognosis of patients admitted to Emergency Department, in need of intensive care unit.

Introduction: Many of critically ill patients receive medical care for prolonged periods in emergency department (ED). This study is the evaluation of efficiency of Acute Physiology and Chronic Health Evaluation (APACHE) III scoring system in predicting mortality rate in these patients.

Methods: This study was conducted between 2008 and 2009 in Tehran, Iran.

Necessity of an integrated road traffic injuries surveillance system: a community-based study.

Objectives: A prerequisite to improving the situation of traffic accidents and injury prevention is to set up a road traffic accident and victim information system (RTAVIS), which does not exist in Iran. The objective of this study was to compare the 3 major sources of information, including police, emergency medical services (EMS), and hospitals, to show the necessity of an integrated road traffic injury surveillance system.

Method: This prospective cohort study was performed by pursuing all road traffic accident (RTA) cases during one year (May 2008 to May 2009) within 30 days of their occurrence by a draft questionnaire and data pooling from participating sources.

Troponin utilization in patients presenting with atrial fibrillation/flutter to the emergency department: retrospective chart review.

Background: There are few recommendations about the use of cardiac markers in the investigation and management of atrial fibrillation/flutter. Currently, it is unknown how many patients with atrial fibrillation/flutter undergo troponin testing, and how positive troponin results are managed in the emergency department. We sought to look at the emergency department troponin utilization patterns.

Tetanus Quick Stick as an applicable and cost-effective test in assessment of immunity status.

Introduction: Tetanus vaccine and immunoglobulin administration are challenging decisions mostly because of the fact that the current protocol for immunization against tetanus is based on 2 variables: the vaccination status of the patient and the nature of wound and its exposure. To solve this problem, Tetanus Quick Stick (TQS; Nephrotek Laboratory, Rungis, France), an immunochromatographic dipstick test, was developed to determine the tetanus immunity of the patients. The aim of this present study was to investigate the sensitivity, specificity, and the positive and negative predictive values and cost-effectiveness of TQS in the emergency department (ED) setting.