Arch Iran Med
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Violence against women and threat of violence are some of the main barriers to women's empowerment and equal participation in the society. However, they often go unnoticed and undocumented and therefore unresolved. For women, one of every five years of healthy life lost because of injury, disease, or premature death is attributable to violence. The aim of this study was to identify the prevalence of domestic violence in women attending three obstetric and gynecologic clinics in Tehran, and to determine the association between domestic violence and demographic factors. ⋯ With the high prevalence of domestic violence, health workers should not ignore the seriousness of domestic violence. Health and social personnel should be appropriately trained before "asking all cases" becomes a policy within health and social services.
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To evaluate the processes of care and outcomes of injured patients, many different models have been devised and "Trauma and Injury Severity Score" and "A Severity Characterization of Trauma" score have been among the most widely used models. We conducted this study to determine the effectiveness of these systems of evaluation to our setting in Iran, which is substantially different from the North American trauma centers, where these models were developed. Using our data registry on trauma patients, we derived new coefficients for Trauma and Injury Severity Score and A Severity Characterization of Trauma scoring systems to calculate the probability of survival of patients. ⋯ Discrimination in blunt injuries was a little lower, yet satisfactory. In pediatric patients the discrimination was also good and A Severity Characterization of Trauma had a better performance. Both models can be used reliably to predict outcome of trauma patients in our setting.
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Pigmented Bowen's disease is an uncommon in situ squamous cell carcinoma of the skin, which has been rarely reported on the finger. Herein, we report an unusual case of pigmented Bowen's disease of the pulp of the fourth finger in a 20-year-old white woman, which was clinically presented as a superficial, spreading malignant melanoma. Physical examination revealed a solitary hyperpigmented patch, measuring 1 cm in its greatest diameter. ⋯ Histological examination was compatible with the diagnosis of pigmented Bowen's disease. Surgical treatment was then considered and the patient underwent complete excision of the lesion. In spite of its rarity, Bowen's disease should be considered in the differential diagnosis of pigmented lesions, particularly malignant melanoma.
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We present a case of renal stone associated with bilateral pelvic diverticula. The initial diagnosis by ultrasonography and plain abdomen radiography (KUB) was urolithiasis with a 15-mm calculus in the right renal pelvis. ⋯ So, further evaluations were performed by using repeated ultrasonography, intravenous urography, and computerized tomography, which revealed the presence of diverticula in both right and left renal pelvises with stone fragments within the right sided diverticulum. We concluded that intravenous urography and contrast-enhanced computerized tomography are essential for confirmation of diagnosis when ultrasonographic findings suggest the presence of renal cystic lesions, or when stone fragments are not yielded after extracorporeal shock wave lithotripsy.