Missed Opportunities for Diagnosis of Post‐traumatic Thrombosis: A Case Series and Literature Review

Thrombosis is caused by abnormalities in the composition of the blood, the quality of the vessel wall, and the nature of the blood flow. Herein, we present four cases of fatal thrombus formation after a trauma, which were missed at clinical diagnosis as the symptoms were misinterpreted. We stress that a blunt trauma can be fatal because of its direct and indirect kinetic energy effects at the subacute phase. This report highlights the importance of considering thrombosis in the diagnosis of closed trauma, which is usually missed because of lack of awareness for early diagnosis and treatment or is detected too late for any therapeutic intervention, which can result in avoidable morbidity and mortality.     

The Buffering Effect of Social Support between Domestic Violence and Self-Esteem in Pregnant Women in Tehran,Iran

The study aimed to investigate the prevalence of domestic violence (DV) in pregnant women and to explore relationships of self-esteem and social support (SS) relating to DV. Six hundred young mothers were investigated. 28.2 % reported that they experienced some type of DV during pregnancy. The occurrence of physical abuse was not related to self-esteem or SS. When verbal violence was reported, satisfaction with SS was lower and self-esteem was lower by trend. Self-esteem was substantially lower when sexual violence was indicated. The number of people available for support did not provide a substantial buffering effect, but the perceived quality of SS did. Higher education in the mother and husband, and women’s employment represented protective conditions against the occurrence of DV.