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        Risk factors contributing to the incidence and mortality of acute childhood poisoning in emergency department patients in Iran: a hospital-based case-control study

        Hamideh Feiz Disfani,Mostafa Kamandi,Seyed Mohammad Mousavi,Sayyed Majid Sadrzadeh,Roohie Farzaneh,Najme Doolabi,Kazem Rahmani 한국역학회 2019 Epidemiology and Health Vol.41 No.-

        OBJECTIVES: Since poisoning is one of the most important preventable factors contributing to the hospitalization and death of children who present to emergency departments, this study was carried out to investigate the risk factors contributing to the incidence and mortality of acute childhood poisoning. METHODS: This hospital-based case-control study included 243 cases and 489 controls, drawn from daily admissions to the emergency departments of the included hospitals according to the inclusion and exclusion criteria. RESULTS: Gastrointestinal poisoning was the most common poisoning type, found in 87.7% of subjects, and medications were the most common cause of poisoning (49.8%). Multiple logistic regression analysis showed that a history of poisoning (odds ratio [OR], 10.44; 95% confidence interval [CI], 5.58 to 19.51; p<0.001) and the availability of poisonous substances (OR, 8.88; 95% CI, 5.41 to 14.56; p<0.001) were among the most important predictors of childhood poisoning. Respiratory poisoning (OR, 6.72; 95% CI, 1.40 to 32.07; p<0.05) and the presence of addiction in the family (OR, 4.54; 95% CI, 1.10 to 18.68; p<0.05) were the most important predictors of mortality among children with poisoning. CONCLUSIONS: Addiction and the presence of physical or psychological disorders in family members, a history of poisoning, and the availability of poisonous substances were significantly associated with the incidence of childhood poisoning and resultant mortality.

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        Analyzing consolidation data to obtain elastic viscoplastic parameters of clay

        Le, Thu M.,Fatahi, Behzad,Disfani, Mahdi,Khabbaz, Hadi Techno-Press 2015 Geomechanics & engineering Vol.8 No.4

        A nonlinear creep function incorporated into the elastic visco-plastic model may describe the long-term soil deformation more accurately. However, by applying the conventional procedure, there are challenges to determine the model parameters due to limitation of suitable data points. This paper presents a numerical solution to obtain several parameters simultaneously for a nonlinear elastic visco-plastic (EVP) model using the available consolidation data. The finite difference scheme using the Crank-Nicolson procedure is applied to solve a set of coupled partial differential equations of the time dependent strain and pore water pressure dissipation. The model parameters are determined by applying the algorithm of trust-region reflective optimisation in conjunction with the finite difference solution. The proposed method utilises all available consolidation data during dissipation of the excess pore water pressure to determine the required model parameters. Moreover, the reference time in the elastic visco-plastic model can readily be adopted as a unit of time; denoting creep is included in the numerical predictions explicitly from the very first time steps. In this paper, the settlement predictions of thick soft clay layers are presented and discussed to evaluate and compare the accuracy and reliability of the proposed method against the graphical procedure to obtain the model parameters. In addition, comparison of the available experimental results to the numerical predictions confirms the accuracy of the numerical procedure.

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