Alborz University

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Background: Promoting health and providing a sense of well-being in any woman's life cycle would improve quality of life and bring great benefits to a community. Lifelong change and increased life expectancy have led women to spend more years in postmenopausal women. In this research, self-care consulting on women’s screening behavior during perimenopause has been investigated.
Methods: The samples of this quasi-experimental study were 42 eligible women from 39-51 years who were selected by convenience sampling. Data collection tools included demographic questionnaire and perimenopause self-care researcher-made questionnaire. Screening behavior change was measured before, one month and three months after consulting. This study was approved by the Ethics Committee of Alborz University of Medical Sciences (Abzums.Rec.1395, 12). SPSS v19 was used to analyze the data.
Results: Friedman non- parametric test showed that screening counseling behavior of participants increased significantly after one and three months after self-care counseling (p<0.0001).
Conclusion: The results of this study suggest the effectiveness of a health behavior change counseling designed based on individual self-care levels.

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Background: Trauma is the leading cause of mortality and its unfavorable outcomes. This study was conducted to assess the mortality rate of trauma and its related factors among the patients traumatized elderly in patients of karaj shahid Madani hospital.
Methods: We conducted a retrospective analysis of 240 aged traumatic patients from the shahid Madani training hospital, Alborz University of Medical Sciences, Karaj, Iran, from 2015 to 2018. Date were collected by Emergency Medical Doctor by a questionaire. Data was analyzed be SPSS.
Results: In total, 240 elderly patients with trauma were included in the study. The average age of patients was 76.04 ± 7.46 years. Seventy-seven percent of the patients had at least one co morbid condition. Majority of the falls occurred at home. More than half of the patients fell from ground level. Overall, the in-hospital mortality rate was 16 %. Multiple organs failure constituted the most common injury sustained in patients who died (77 %).
Discussion: The geriatric patient is often defined as a "frail elderly", for the presence of a greater “injury sensitivity". This is due to the simultaneous presence of co morbidity, progressive loss of full autonomy and exposure to a high risk of traumatic events. Optimal management of the trauma patient can considerable reduce mortality and morbidity.
Conclusions: Although there is a downward trend in mortality in elderly patients with complex pelvic fractures, hemodynamic instability still has a significant impact on survival of those patients.

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Introduction: Rhabdomyolysis is a clinical and biochemical syndrome that occurs in some patients with acute chemical or drug poisoning. The aim of this study was to evaluate the rate of rhabdomyolysis in patients with acute toxicity due to different chemicals or overdose.
Materials and Methods: After approval by the University Medical Research Committee, in this cross-sectional retrospective study, all patients with acute intoxication who had been treated in the Poisoning ward of Shahid Rajaei Hospital in Karaj between March 2019 and March 2020 with high serum creatinine phosphokinase (>1000 UI/I) were studied.
Results: Out of 4190 hospitalized patients in poisoning ward, 80 patients (3.6%) had rhabdomyolysis. Opium (32.5%) was the most common drug in these patients. About 60% of patients had high creatine and ARF.
Discussion and Conclusion: Patients with acute poisoning are at increased risk of rhabdomyolysis. Acute drug poisoning (opium) is the most common cause of rhabdomyolysis in patients with poisoning, and ARF is a major complication.