scholarly journals Incidence, Age-Specific, and Regional Distribution of Myocardial Infarction in Zanjan Province, Iran, during 2014-2019

Background: Myocardial Infarction (MI) is one of the most important cardiovascular diseases and the leading cause of 39% of deaths in Iran. Due to the different geographical diversity in Zanjan province, Iran, this study aimed to investigate the incidence, age-specific, and regional distribution of myocardial infarction in Zanjan province, Iran. Methods: This cross-sectional study was conducted at Zanjan University of Medical Sciences (ZUMS), Zanjan, Iran, in 2020. Data were collected from nine hospital information systems. The incidence rate, age-specific, and regional distribution of MI were calculated for each county. Chi-square test, independent sample t-test, and binary logistic regression methods were used to investigate significant relationships between variables. All statistical analyses were performed using RStudio and R software. Results: In total, 3,723 MI patients were hospitalized in ZUMS hospitals during 2014-2019. The overall incidence rate of MI was 348 cases (95% CI, 337-359) per 100,000 population. Moreover, the prevalence of this condition was higher in males compared to females and at age 80 and over. The incidence rates of MI increased by 84% from 49 cases (95% CI: 47-55) in 2014 to 90 cases (95% CI: 88-99) in 2019 (P<0001). Moreover, the highest incidence rate of MI was observed in Khorramdareh and Ijrood counties. Conclusion: This study provided an overview of the current status of MI incidence in Zanjan province, Iran. The highest incidence of MI was observed in males and at the southeast of the studied area. This study can help health authorities and policymakers prioritize resource allocation and employ prevention programs to reduce the incidence rate of MI.

Author(s):  
Shamsoulmolouk Najafi ◽  
Nafiseh Sheykhbahaei ◽  
Maryam-Sadat Sadrzadeh-Afshar ◽  
Shahin Asadi-Ghalhari ◽  
Narges Gholizadeh

Background and Objectives: Temporomandibular joint dysfunction (TMD) is known as a chronic pain in the earsmanifested in the form of tinnitus, earache, hearingloss, vertigo, and other impairments. Although patients affected with this disorderundergo long-term treatmentsusing various medicines without significant pain relief,medical care is still possible with a correct diagnosis. This study investigated the incidencerate of TMD in patients suffering from earache. Materials and Methods:This cross-sectional study investigate theincidencerate of TMDin patients with earache referring todental clinics affiliated toTehran University of Medical Sciences (TUMS), Iran, including patients with over six months of earache or those having pain despite using medicines. The Diagnostic Criteria for TMD (DC/TMD) Axis I and II Protocol was used for examining TMD and stress, and also independent t-test and Chi-square test were employedto compare TMD patientsin terms of age and gender. Results:A total number of 100 individuals aged between 18 and 65 years, including 40 males and 60 females were examined in this study. The incidence rate of TMD in patients with earache was also reported by 76.5%. Conclusion:The results indicated a highincidence rate ofTMDin patients having earache. Accordingly, patients complaining about TMD required specialized earache evaluationsby dentists and medics.


2018 ◽  
Vol 25 (05) ◽  
pp. 759-763
Author(s):  
Raj Kumar Sachdewani ◽  
Lal Chand Dingra ◽  
Aijaz Hussain Memon

Objectives: To find a relationship between acute ST elevation myocardialinfarction (STEMI) and two major risk factors i.e. diabetes type 2 and hypertension in adultpatients admitted in cardiology department of Ghulam Muhammad Mahar Medical CollegeSukkur. Study Design: Cross-sectional study. Study Setting: Department of Cardiology,Ghulam Muhammad Mahar Medical College Sukkur. Period: October 2016 to March 2017. 6months. Material and Methods: Total of 764 patients aged 18-80 years were included in thestudy population on bases of history of chest discomfort and sudden ST elevation MI (STEMI).Those patients with unstable angina and those cases which presented with Q waves wereexcluded from study population. Blood pressure and blood sample were taken and analyzedin the institution laboratory. Results: Off 764 anterior wall Myocardial infarction (includingextensive) was seen in 367(48%) while inferior wall Myocardial infarction (including RV andposterior) was recorded in 397(52%) of the study population. 118 (15.44%) were hypertensiveand also had diabetes off which 8.11% were female and chi square test reveals a relationshipbetween sex and diabetes and hypertension in the study population. Conclusion: A relationshipof hypertension and diabetes with STEMI is there. Primary prevention and proper screenprogram needs to be in place to identify the submerge part of the iceberg.


2015 ◽  
Vol 24 (1) ◽  
pp. 47-54 ◽  
Author(s):  
Nayara Paula Fernandes Martins ◽  
Darlene Mara dos Santos Tavares

The objective was to describe socioeconomic, demographic and morbidity and compare the prevalence and odds of prevalence of health behaviors, overweight, abdominal circumference and indicative of depression among those with and without hypertension. It is cross-sectional study of rural elderly. We conducted descriptive analysis, chi-square test and multiple binary logistic regression (p<0,05). Predominated, for both groups, age 60├70, married, 4├8 years, income of a minimum wage and living with their spouse. Elderly patients with hypertension had lower odds of prevalence for alcohol and smoking and higher odds of overweight, abdominal circumference inappropriate and indicative of depression compared to those without hypertension. Reinforces health actions directed to the rural elderly, through the cessation of smoking and alcohol consumption, weight control and reduction of abdominal circumference among those with hypertension.


2018 ◽  
Author(s):  
Payam Saadat ◽  
Alijan Ahmadi Ahangar ◽  
Soraya Khafri ◽  
Mandana Kalantar ◽  
Azin Dariaie ◽  
...  

Introduction: Stroke recognized as the third most common cause of death. Stroke survivors often suffer a large amount of physical and mental disability. Due to assess difference between stroke types, progression and distribution of risk factors according to residential status, to get the correct information for prevention planning and management, this study was conducted. Methods: This descriptive cross-sectional study on stroke patient from 2016 to 2017 that admitted to Ayatollah Rohani Hospital of Babol was conducted. Type of stroke, their severity, risk factors, and urban or rural area of residence of patients were recorded in the checklist. The chi-square test was used to compare frequencies of gender, and stroke risk assessment between the urban and rural residents. Binary logistic regression modeling was used to estimate the association of risk factors with living in urban and rural areas. The results were expressed as multivariable-adjusted odds ratios (ORs) and 95 % confidence intervals (95 % CIs). A two-sided p < 0.05 was considered statistically significant. All data analyses were performed, using SPSS statistical analysis software. Results: Of 241 stroke patients, 133 patients (55 %) were female and 213 patients (88.4 %) were  ischemic.  Also,  140 cases were (58  %)  rural.  Embolic strokes more in urban population and thrombotic strokes were more in rural populations. Hyperlipidemia was more in urban than rural p = 0.01. Severity of stroke in admission time (p = 0.03) and at discharge (p = 0.005) was more in rural than urban. The mortality was higher in rural 12 (8.6) vs. 2 (2) urban resident,( p = 0.03). Conclusion: Rural patients had more severity, thrombotic type and mortality than urban. Suitable policy regard to residential parameter is suggested.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Pratima Pathak ◽  
Bijaya Ghimire

Background. Respectful care during childbirth has been described as “a universal human right that encompasses the principles of ethics and respect for women’s feelings, dignity, choices, and preferences.” Many women experience a lack of respectful and abusive care during childbirth across the globe. Objective. This study aimed to determine women’s perception of respectful maternity care (RMC) during facility-based childbirth. Method. A descriptive cross-sectional study was conducted among 150 mothers admitted to the maternity ward of Nepal Medical College and Teaching Hospital using a purposive sampling technique. Data were collected through an interview technique by using a validated tool containing 15 items each measured on a scale of 5. Statistical Package for Social Science (SPSS) version 16 was used for data analysis. Frequency, percentage, mean score, standard deviation, chi-square test, and binary logistic regression were used to analyze descriptive and inferential statistics. Results. In total, 84.7% of the women reported that they have experienced overall RMC services with a mean score ± SD (61.70 ± 12.12). Though the majority of the women reported that they have experienced RMC services, they also revealed that they have experienced disrespectful care in various forms such as being shouted upon (30.0%), being slapped (18.7%), delayed service provision (22.7%), and not talking positively about pain and relief during childbirth (28.0%). Likewise, length of stay, parity, and time of delivery were found as factors that influenced friendly care (COR = 0.383, 95% CI: 0.157–0.934), abuse-free care (COR = 3.663, 95% CI: 1.607–8.349), and timely care (COR = 2.050, 95% CI: 1.031–4.076) dimensions of RMC, respectively. Conclusion. Even though RMC emphasizes eliminating disrespectful and abusive environment from health facilities, 15.0% of participants perceived that they have not experienced overall RMC services. So, the health facility should focus on the interventions which ensure that every woman receives this basic human dignity during one of the most vulnerable times in their lives.


2020 ◽  
Vol 10 (3) ◽  
pp. 85-91
Author(s):  
Daniel Vicentini de Oliveira ◽  
Sônia Maria Marques Gomes Bertolini ◽  
Ellis Gilson Chatalov ◽  
Maura Fernandes Franco ◽  
Maria do Carmo Correia de Lima ◽  
...  

Aims: To evaluate factors associated with the practice of transcendental meditation (TM) in the elderly. Methods: Cross-sectional study, with the inclusion of 113 older adults and women, 60 of them practitioners and 53 non-MT practitioners. A semi-structured questionnaire was used as an instrument, composed of sociodemographic, health and TM practice data. Data analysis was performed using the chi-square test and binary logistic regression. Results: The average age of practitioners was lower than that of non-practitioners (63.7 ± 4.0 vs. 69.1 ± 6.6 years). Most of the sample had completed higher education (f = 45; 75%; p = 0.001) and received more than three minimum wages (f = 40; 67.8%; p = 0.001). In the group of TM practitioners there was a greater proportion of individuals with excellent / good self-perceived health (91.7% vs 77.4%; p = 0.034), and less hospitalization in the last semester (5% vs 24.5 %; p = 0.003). Older adults who denied hospitalization or the presence of diabetes mellitus (DM) presented, respectively, 5.7 (95% CI OR 1.1 - 28.9) and 4.9 (95% CI OR 1.3 - 19.2) times chance to practice MT. The practice of TM is 80% more likely to be practiced by older adults with better self-perceived health (OR 0.17; 95% CI 0.03 - 0.96). Conclusion: The practice of a holistic activity such as TM is associated with better self-perceived health than older adults of the same age, and less chance of hospitalization in the last semester and the presence of DM.


2019 ◽  
Vol 7 (2) ◽  
pp. 115
Author(s):  
Dini Yuliansari

The well is one of the source water used for bathing, washing, and drinking by the citizens in Jiken Hamlet, Rarang Village, Terara Sub-District. Poor dug well construction conditions can affect the amount of coliform bacteria contained in the dug well water. The purpose of this study is to identify the construction of dug wells and the content of coliform bacteria in dug well water and determine the relationship between dug well construction and the content of coliform bacteria. This research is analytic with a cross sectional study design. The results were obtained from 11 samples of dug wells which were observed in construction and the coliform content was known that all samples did not requirements as good dug well construction. Coliform content test results showed that as many as 5 dug well water samples did not pass the clean water quality standards. The results of data analysis with the chi-square test variable construction of dug wells with coliform content variable  showed 0,172 > 0,05, then the concluded is the dug well not suitable to use by people in that area as a source of water for daily needs.


GIS Business ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. 359-370
Author(s):  
Dr. Ravi S. Dalawai

Indian population is in growing trend from 942.2 million in 1994 to 1.36 billion in 2019.Among this six per cent of India's population was of the age 65 and above (UNFPA, 2019). Today the work culture is totally changed. Both husband and wife are forced to work in the current scenario and unable to take care of their parents. The changing structure created increased problems for old age people leads to loneliness, psychological, physical health and financial insecurity. The study paper provides insight into the social and demographic factor and health related sickness of the oldest people. This research explained the cross-sectional study included a representative sample (n=116) of adults aged ≥60 years. The sample was chosen using a four-stage stratified random-cluster survey sampling method .The Chi Square test and ANOVA test was analyzed using SPSS20.


2006 ◽  
Vol 67 (3) ◽  
pp. 143-147 ◽  
Author(s):  
Foyez Haque ◽  
Alberto G. de la Rocha ◽  
Betty Ann Horbul ◽  
Patricia Desroches ◽  
Craig Orrell

Purpose: In Canada, the incidence of childhood obesity has tripled within the past 20 years. The prevalence of obesity in the Timmins, Ontario, student population was studied to gain knowledge for program planning and resource allocation, and to compare Centers for Disease Control and Prevention (CDC) criteria with Cole’s international criteria for childhood obesity. Methods: Anthropometric measurements of 801 students were taken. Students were chosen from randomly selected schools for each grade. Data were analyzed according to age, gender, and ethnicity. Data were also compared with other studies. Intragroup comparisons were performed using hypothesis testing for significance with the z table and chi-square test. Results: Overweight and obesity prevalence was 28% according to CDC criteria. No statistical difference was found between genders or among ethnic groups, or between this study and other Canadian studies. In comparison with the CDC criteria, Cole’s international criteria indicated less obesity and increased overweight prevalence. These differences were not statistically significant. Conclusions: The findings suggest that in the northern Ontario community of Timmins, the prevalence of childhood obesity is of epidemic proportions. When the findings are shared with different agencies, this study will help the health unit to take necessary public health measures to curb the epidemic.


Author(s):  
Dur-e- Nishat

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.


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