BackgroundMethamphetamine (meth) is a stimulant used illegally around the world, including in Iran. Cardiomyopathy and cardiac failure may occur following chronic meth use and may cause the patients referred to the emergency department.Case reportsA 28-year old man and two women, ages 29 and 31-year-old, with a history of meth use, were admitted to the emergency department with severe dyspnea at rest. Each had sinus tachycardia with tachypnea and an echocardiogram that showed severe systolic dysfunction consistent with heart failure. Additional evaluation in the hospital revealed cardiomyopathy with no other etiology other than the meth use.ConclusionThere are several reports that show an increase in frequency of meth use, suggesting that cardiomyopathy and acute heart failure may be a new medical concern.

No abstract

No abstract

Focusing on biochemical abnormalities and clinical toxicity symptoms is essential for screening organs in paint thinner toxicity. In addition, they provide good information for physicians/clinical toxicologists to perform appropriate conservative treatments in adult paint thinner-intoxicated patients.

No abstract

Background and aim: Early maladaptive schemas are effective in the formation of attitude toward substance abuse according to cognitive models. Our aim was assessment of the relationship between attitude toward substance abuse and early maladaptive schemas in medical students of "Shaheed Beheshti University of Medical Sciences". Materials and methods: This research has a correlational-descriptive method. We used the Young Schema Questionnaire-Short Form and the Drug Attitude Scale test then we selected 157 medical students by available sampling method to fill the questionnaires. Data were analyzed using the SPSS software. Results: Result indicated that there is a relationship between early maladaptive schemas and attitude toward substance abuse, in both genders. Furthermore, there are correlations between subscales of attitude toward substance test and early maladaptive schemas. The Mistrust/Abuse schema and the Unrelenting standards/Hypercriticalness schema are able to anticipate the attitude toward addiction. Conclusion: Early maladaptive schemas have a role in formation of attitude toward substance abuse. Further studies on cognitive content of attitude toward substance abuse are needed.

Asthma is a chronic inflammatory disease of the respiratory tract which includes inflammation and obstruction of the airways. Modern medical treatment has side effects in addition to therapeutic effects. According to the high incidence of asthma, the use of complementary therapies has risen, such as compound honey syrup in Traditional Persian medicine and Integrative medicine as a treatment for asthma. Therefore, the aim of this study was to evaluate the effect of compound honey syrup in improving the clinical symptoms of adult asthma referred to Loghman hospital. This randomized, double-blinded, controlled trial was performed on 80 patients with asthma symptoms. Patients were divided into two groups of 40 and the study was conducted for 12 weeks. The intervention group received classic asthma treatment and compound honey syrup. The control group also received classic asthma treatments plus placebo. The questionnaire was done by individuals at the beginning and end of the study. At the end of study some factors like night symptoms, morning symptoms, activity limitation, shortness of breath, wheezing, and use of Short Acting Beta Agonist (SABA) were significantly decreased in both groups, but it had a greater extent in the intervention group than in the control group. Difference in total scores and some items of Asthma Control Test (ACT) were significant between groups (P < 0.05). No serious adverse effects were observed in any of the groups. The results of this study demonstrate that compound honey syrup can be a safe and effective drug for the treatment of asthma in adults.

Background: Firefighting is a high-risk occupation. The firefighters can be involved in acute and chronic diseases. The study was conducted to investigate the acute symptoms of pulmonary problems, chest radiography, and pulmonary function testing among the professional firefighters of Tehran Firefighting Stations in active firefighting of the Plasco trade center disaster.Methods: A call was announced by the national Fars news agency to examine the firefighters in the Plasco trade center disaster.Results: A total of 56 firefighters completed the study design. They were male, commonly at a young age, and less than their 3rd decade. Upper respiratory tract symptoms were at a higher frequency than a lower airway tract; 98% of the subjects complained of respiratory symptoms. Chest abnormality was 24% and normal acute short-term spirometry was 87%. Acute occupational bronchitis was a prominent respiratory disease.Conclusion: Acute toxic inhalation respiratory diseases, including acute bronchitis, asthma-like disease, and laryngitis were found in our study. Medical monitoring is necessary for the detection of adverse health effects in the exposure, post-exposure, and long lifetime.