نشریه مراقبت اورژانس
پیاپی 1 (بهار 1396)

The establishment of priorities has a significant role in the management of healthcare-related researches in countries. This importance doubles when financial and human resources are limited. This study aimed to sort out research priorities of the emergency units of teaching hospitals affiliated to Zanjan University of Medical Sciences in 2015.
Materials and Methods This study used the three-round Delphi survey. Using purposive sampling, 44 subjects comprising the director of emergency departments, faculty members of the emergency medical and nursing departments, director of the emergency units, head nurses of the emergency units, educational supervisors of the hospitals, and physicians, nurses, and midwives with at least 1year experience in emergency units were selected. Qualitative Data was analyzed by content analysis and quantitative data by descriptive statistics using SPSS Ver. 22 software.
Qualitative and quantitative data analysis resulted in 51 research priorities which categorized into three areas, namely educational area with 16 topics, management area with 26 topics, and clinical area with 9 topics.
The prioritized research topics can be used as a suitable guide for stakeholders in selecting research topics and steering their research activities. Also, the prioritized research topics let the directed allocation of research resources and budgets.

The incidence of overweight and obesity among children and adolescents is increasing. obesity and overweight in adolescence have several effects on health, So they have become a matter of urgency for children and parents. This study aimed to compare the food-related emotions between normal weight and overweight adolescents in Mashhad.
In this descriptive-comparative study, a sample of 253 male and female students of Mashhad secondary schools were selected by cluster sampling and their body mass index was calculated. To determine eating behaviors, the Dutch eating behavior questionnaire was used. Participants were then asked to rate their feelings in relation to 24 food images on a 5-point scale in 10 words. Data were analyzed using SPSS Ver. 16 software.
The severity of positive emotions towards harmful foods in adolescents with overweight was higher than those with normal weight (P=0.046) and the severity of negative emotions towards useful foods in overweight adolescents were more than normal-weight adolescents (P=0.048). Also, the severity of the relationship between eating emotions and eating behaviors was different in the gender groups. The greatest association was found between external stimulation for eating and eating behaviors in overweight male adolescents and the greatest association was noticed between eating emotions and eating behaviors in overweight female (r=0.74, P=0.048) and male(r=0.66, P=0.041) adolescents.
Study showed that overweight adolescents had more positive emotions to harmful foods and more negative emotions to useful foods.

The prevalence of cardiovascular diseases is increasing in the world. Different factors can influence the incidence of cardiovascular diseases, due to the special situation and sensitive work environment and too much caring for patients, nurses may be at greater risk of heart diseases. This study aimed to determine the frequency of cardiovascular diseases and some of their risk factors and their relationship to gender among nurses.
This cross-sectional descriptive research carried out at 2012 in emergency and intensive wards of Kermanshah University of Medical Sciences hospitals. Using stratified sampling 400 out of 650 nurses were selected. The data collection tool included two parts, one questionnaire for personal and family history of the disease and one checklist for blood tests results. Collected data were analyzed by SPSS Ver. 13 and descriptive and analytical statistics.
According to the result of this study 57.5% of samples were female With the mean age of 30.8±6.25 years, 88.8% had bachelor’s degree, and.8%were working at rotating shifts. Triglyceride and diastolic hypertension were the maximum (30.8%) and the minimum (10.8) cardiac risk factors among samples, respectively. Also, the frequency of hypertension, hypertriglycemia, and hyperglycemia in women was more than men. No significant relationships were found between cardiovascular risk factors and nurses gender.
The frequency of cardiovascular risk factors among female nurses was more than males. Participation in screening and educational programs is recommended for nurses in order to modify the cardiovascular risk factors especially hypertension.

Each year nearly one million people die due to suicide that makes this issue one of the most imperative medical urgency subjects. This study aimed to assess the relationship among Death Anxiety, Mattering, Perceived Burdensomeness and Thwarted Belongingness with Suicidal Behavior in college students.
In this descriptive correlation study, using convenience sampling 331 students of Mohaqeqe Ardebili university were selected. After Project approval at the scientific research deputy office of the university, the participants completed the Interpersonal Needs Questionnaire (INQ), Suicidal Behavior Questionnaire-Revised, Mattering Inventory and Death Anxiety Questionnaire. Research data were analyzed by descriptive statistics indices, Pearson correlation analysis, and multivariate regression by using SPSS ver. 22.
The result showed that there is a significant relationship between Perceived Burdensomeness and Thwarted Belongingness with Suicidal Behavior in college students, but Perceived Burdensomeness could explain and predict Suicidal Behavior better than Thwarted Belongingness. Also, there is a significant and negative relationship between mattering and Suicidal Behavior but by controlling interpersonal needs via partial correlation this relationship disappeared. Moreover, there is no significant relationship between death anxiety with Suicidal Behavior, Perceived Burdensomeness and Thwarted Belongingness.
Generally, our findings suggested that The Interpersonal-Psychological Theory could explain moderately Suicidal Behavior and ideation.

Death caused by poisoning is one of the serious health problems in the world. this study aimed to survey of demographic features and causes of death due to poisoning among vulnerable groups in Golestan province.
This descriptive cross-sectional study was carried out on 174 cases in vulnerable groups (children, adolescents, women of reproductive ages and the elders) who had died due to poisoning and were taken to Golestan department of forensic medicine from March 2010 to March 2016. Data were collected from cases’ files and analyzed using SPSS 16 software.
174 cases, 71.8% were women (n=125) and most of them belonged to the women of reproductive age groups (n=92, 52.9) intentional poisoning in the form of suicidal attempts was identified as the main cause of poisoning death (n=118, 67.8%). Also, aluminium phosphide (n=69, 39.7%) was the most common cause of death among women of reproductive ages (n=40, 58%) and adolescents (n=25, 2/36%).
Intentional poisoning in the form of suicidal attempt was identified as the main cause of poisoning death among vulnerable groups especially women of reproductive age in Golestan province.

The Emergency Department is the first line of the communication channel between the patient and the patient care system and the main entrance of the patient to the healthcare system. In case of lack of knowledge and awareness of the clients about the type of services provided and admission to the treatment centers, the complications and irreparable consequences Will bring. the aim of this study was to determine the causes and demographic factors of patients referred to emergency departments of educational and therapeutic centers of Zanjan University of Medical Sciences.
This study was a descriptive cross-sectional study. The study environment of the triage unit of the emergency wards of two hospitals, Ayatollah Mousavi and Valiasr, and all of the patients who were referred to the emergency department during one year. Data collecting tool The registered individuals from September 1390 to September 2012 in the triage card, which included demographic characteristics and information about the reason for referral to the treatment center. Data were analyzed by descriptive and analytical methods.
Of 56493 patients referred to the emergency departments of Ayatollah Mousavi and Vali-e-Asr medical centers, 33843 were referred to Mousavi center and 22650 to Vali Asr center. Most of the patients referred to Vali-e-Asr center (87.4%) were women with joint problems and in the muscular center of men (75%) were respiratory problems.
Collecting the causes of referrals to educational and therapeutic centers will be of great help in gaining the knowledge and awareness of people about the type of service provided in these types of centers and transferring these statistics to the relevant authorities will lead to the identification of the type of provision of services in medical centers Managing people and upgrading hospital equipment with the high number of referrals to centers in different seasons and hours will be provided to provide the best services with full citizen satisfaction.

Today, prehospital care is an essential component of emergency patient treatment. The proper performance of different parts of this system leads to prevention of death and disability, so this study aimed to determine the performance of prehospital emergency in Birjand.
This descriptive study conducted in five prehospital emergency stations of Birjand in 2015. Data on staffs and equipment of these emergency stations were examined using check-list and the mission reports in recorded information in the central database. The status of human resources and also their response time was compared with the Iranian Ministry of Health Standards; as well the equipment status is compared with Iranian Institute of Standards and Industrial Research.
The study showed that none of the stations had adequate human resources and no emergency ambulance had all the necessary equipment. The best situation was diagnostic equipment (94.17%) and the most shortage of equipment was related to personal protection (63.96%).
The elimination of human resources shortages and the provision of ambulances to emergency equipment especially in terms diagnostic equipment seems to be necessary.

Drug and substance abuse is one of the most common causes of hospitalization for poisoning. This study aimed to investigate the characteristics of poisoned cases with drug and substance abuse in Gorgan, Iran.
A cross-sectional study was done on patients with acute poisoning who had been hospitalized in 5 Azar hospital of Gorgan, during March 2008 to March 2015. Data were collected from patient records and then analyzed by Stata V.11 and Chi-square test.
Poisoning with drug and substance abuse included 17% (n=136) of the total poisoning cases. Among 136 cases, 81.6% were male and the average age of cases was 41.19±16.75 years. In this study, the prevalence of substance abuse and also drug abuse were 62.5% and 37.5%, respectively. Opium and its derivatives were the first substance abuse agents (71.7%) and also Tramadol was the first agent for drug abuse (51%). Finally, 13 patients (9.6%) died, among whom 10 (76.9%) died due to opium and its derivatives and also crack.
Opium and its derivatives and also Tramadol were the most common causes of hospitalization for substance and drug abuse in Gorgan that were seen most commonly among younger men.