فهرست مطالب masoumeh mobaraki

Scorpion bite is an important health issue that in many cases occurs in Sistan and Baluchistan province. Severe complications of scorpion bite include: decreased renal blood flow, renal failure, severe hemolysis, pancreatitis, hepatitis, DIC, miscarriage, and death. In this study, a case of mother's death due to DIC caused by scorpion bite is reported.

A 19-year-old primigravid woman with the gestational age of 33 weeks, 5 days after being bitten by a scorpion, following a decrease in the level of consciousness with GCS: 3/15, intubation,undergoing blood transfusion was transferred from Rusk Hospital and admitted to the ICU ward. After being sent to Iranshahr, the patient was examined by anesthesiologist and gynecologist. In the examinations, severe lung rales were heard and bruises caused by scorpion bite were observed on the left side. In ultrasound, a fetus without heartbeat, biliary edema and hydronephrosis were evident. Induction and antiserum treatment started for scorpion stings. Four hours later, mother suddenly had bradycardia and asystole, CPR was performed and despite 45 minutes of CPR, the patient died.

In this patient, due to delay in transferring her to the medical center caused the doctors to fail to save her in time. If the patient bitten by scorpion does not come to hospital within the first 6 hours, she will lose the chance of treatment, and if the more time passes, she will face the risk of death due to the infiltration of poison into the bloodstream, so a person bitten by scorpion should refer to the hospital at the first opportunity and special tests should be performed.

Conjoined twins are the rarest anomalies of twins and its reporting is an important event, due to the handful of reports of their birth in the world, as well as the high mortality of these twins, in this article Cohesive, who was born in June 2021in the hospital of Sarbaz province.

A 34-year-old woman in her fifth pregnancy with a gestational age of 32 weeks and 2 days gave birth to conjoined twins by cesarean section. The twins had two heads, two necks, which were attached to each other in the chest and abdomen area and had a common umbilical cord, both males died shortly after birth.

About 1% of monozygotic twins present as conjoined twins, most of these twins are female and most of them are prone to premature birth and high mortality, due to which early diagnosis of abnormalities and adhesions using Early ultrasound examinations and prevention of continued pregnancy can be a good solution in such cases.

The prevalence of nipple pain is reported to be 34-96% which is among the common causes of early breastfeeding stopping. Lanolin is the recommended treatment to improve nipple pain. The anti-inflammatory and analgesic properties of boswellia have been approved. Therefore, this study was performed with aim to determine the effect of boswellia and lanolin ointment on nipple pain intensity in lactating women.

This triple-blind randomized clinical trial was performed in 2018 on 68 lactating women with pain intensity of > 3 in pain visual scale in Mashhad. The subjects were placed in two groups of lanolin and boswellia ointment. The correct method of lactation and drug use were taught to the two groups. The score of nipple pain was recorded by the researcher before the intervention, on day three and eight after the intervention. Data were analyzed by SPSS software (version 21) and T, Fisher, Chi-square and Wilcoxon statistical tests. P<0.05 was considered statistically significant.

Before the intervention, mean pain severity in the two groups of lanolin and boswellia ointment was not significantly different (P = 0.23). On the seventh day after the intervention, mean pain severity was not significantly different in the two groups of lanolin and boswellia ointment (P = 0.40). But on the third day, mean of pain severity was significantly different between the two groups of lanolin and boswellia ointment (p <0.001) and pain intensity was lower in boswellia group than lanolin group. In intra-group comparison, mean pain intensity after the intervention (3rd and seventh day) was lower than the pre-intervention stage, which was statistically significant (P <0.001).

Boswellia ointment and lanolin are same effective in reducing nipple pain.