Incidence of Myocardial Infarction (MI) in Diabetic Women and Clinical information: A study in Southwestern Iran

Introduction: Diabetes is one of the leading causes of death in the world. Due to the fact that diabetes can be one of the causes of heart attack in diabetic patients, so this was done to determine the incidence of heart attack and its related factors in these people. Materials and Methods: The present study is a retrospective cross-sectional descriptive study whose information was extracted from the records of women with diabetes referred to public hospitals in Behbahan by reading. Then the data were entered into SPSS software version 19. And were analyzed using descriptive statistics tests and analytical tests with a significance level of P <0.05. Results: The present study included 1642 diabetic women with a mean age of 54.16 73 73.16 years. Mean BMI in these patients 31.24 ± 1.46, in this study, 248 (15.1%) diabetic women had a history of myocardial infarction after diabetes. Also, the relationship between BMI and history of myocardial infarction was significant (p = 0.09), so that patients with higher BMI had a higher history of myocardial infarction. Conclusion: The results of this study showed that the relationship between myocardial infarction history and job type, BMI and type of diabetes was significant in diabetic women. Therefore, it is better for the hospital staff to train diabetic patients to control blood sugar, reduce BMI, as well as reduce smoking and drug use to reduce the risk of heart attack

Investigating the Epidemiological Prevalence of Diabetes in Afghanistan from 2015 to 2019

Introduction: Diabetes is one of the most common metabolic disorders and is one of the top 10 leading causes of death in adults. Therefore, this study was conducted to investigate the epidemiological prevalence of diabetes in Afghanistan between 2015 and 2019. Methods: This descriptive cross-sectional study was performed using the information of diabetics registered in the system related to the Ministry of Health of Afghanistan from 2015 to 2019. Eventually, people's information, including age, gender, and place of residence, was entered into STATA software version 12 and analyzed using descriptive statistics tests. Results: The study, which was performed on 49,332 people with diabetes in 34 provinces and 8 regions of Afghanistan, found that most of the female studied were 55.2% (27,231) female and had the highest and lowest prevalence in the region. The order is related to South East and South. The average prevalence of diabetes per 10,000 people is about 62.13. Conclusions: The prevalence of diabetes in Afghanistan over a five-year period in men and women is on the rise, requiring more attention from relevant authorities to improve public health and prevent, control and treat chronic diseases such as diabetes

The impact of family-centered care and meeting the need to learn how much of global anxiety in parents of children with urinary tract infection: a randomized clinical trial

 Backgrounds and Objectives: About 30% of children hospitalized at least once during childhood, and about 5 percent hospitalized several times. The family is the most important source for support child patients so the family centered care is necessary. One of the main sources of stress and anxiety for the family is the crisis by the hospitalization ill children. Attention to the needs of mothers and reducing the anxiety from hospitalization is so important.   The purpose of the study was to investigate the effects of family-centered care and meeting the need to learn how much of global anxiety in parents of hospitalized children. Materials and Methods: In the present Randomized clinical trial study, 70 parents of children suffering from UTI   randomly divided in two groups: control (35) and intervention groups (35). family-centered care done by researcher and participating mothers. Control group received normal care. The data gathering tool was a three-part questionnaire: personal characteristics, Krastinzdottir questionnaire and Spiel Berger’s questionnaire. Information were analyzed by using of SPSS software and chi-squared and t test. Results: The result of this study showed that the anxiety of the both group are the same and both of them are at the midrange. Range of meet information need in intervention and control group had statistically significant differences (p<0.435). Conclusions: The family-centered care is effective at range of meet information needs of hospitalized children parent’s and increase their satisfaction. Keywords: Parent, Family Centered Nursing, Hospitalized Children; anxiety, Urinary Tract Infectio

Determine the most powerful predictor of the body image and its association with gender and body mass index in adolescent at school age in Ahvaz, South of Iran

Introduction: The body image focuses on how to understand, think, feel, body and appearance of the body. At the age of school and adolescence, girls and boys experience different situations, so this can affect their mental image. Therefore, the aim of this study was to determine the most powerful predictor of the body image and its association with gender and body mass index in adolescent at school age in Ahvaz. Methods: This is a descriptive-analytic epidemiologic study that examines body image in 458 high school girls and boys and its correlation with body mass index in Ahvaz city in 2018. Sampling was done by random cluster method. The data gathering tool was a demographic questionnaire , anthropometric information check list and self-body multi-dimensional relationship questionnaire to examine the mental image of the body. Data were collected using SPSS software version 17 and descriptive statistical tests and analytical at a significant level of 95%. Results: The results of this study showed that the mean weight and grade point average were significantly higher in female sex. Three dimensions of mental image had a significant correlation with BMI, but overall, the mental image did not have a significant correlation with BMI. It was also the strongest predictor of the student's image, so that there was an inverse and significant relationship between the level of education and the score of mental image. Conclusion: The results indicated. there was no difference in body satisfaction in female and male subjects and BMI, and also there was a significant and inverse relationship between education level and mental image score. &nbsp

Drugs abuse and increase in referral to hospital to prevent recurrence of diabetic foot ulcer infection

Introduction: Diabetic foot ulcer is one of the complications of diabetes. This study was aimed to determine drugs abuse and increase in referral to hospital to prevent recurrence of diabetic foot ulcer infection. Materials and Methods: In this retrospective cross-sectional analytical descriptive study, 1693 patients with diabetes between 2015-17 were enrolled. Files of this number of diabetic patients admitted to khatam-ol-Anbia hospital in shoushtar city were studied. Data were entered into SPSS software version 18 and analyzed using descriptive statistics, analytical tests. Results: In this study 1693 patients with diabetes mellitus with a mean age of 52.13 ± 53.22 years. In the case of diabetic foot ulcers, 9.5% of the patients had diabetic foot ulcers and 4.8% had a history of amputation and 2.4% of the patients had a history of surgery on their diabetic ulcer. In this study, a significant relationship was found between education level and diabetic foot ulcer (p <0.003). Also, there was a significant relationship between limb amputation and drug abuse or smoking (P = 0.009). In this study, patients who had drug and smoking or smoking 4.3% more than those who did not consume, they were referred to the hospital to prevent recurrence of foot ulcer infection. In this study, there was a significant relationship between drug abuse or smoking and the rate of surgery in diabetes mellitus (P = 0.007). Conclusion: Given that in this study, patients who had drug and smoking or smoking 4.3% more than those who did not consume, they were referred to the hospital to prevent recurrence of foot ulcer infection. In this study, there was a significant relationship between drug abuse or smoking and the rate of surgery in diabetes mellitus. Therefore, there is a suggestion to reduce the consumption or abandonment of drugs and smoking. &nbsp

Some influential factors on severity of diabetic foot ulcers and Predisposing of limb amputation: A 7-year study on diabetic patients

Introduction: Diabetes is the most common metabolic disease and a major global challenge that is the leading cause of death in the industrialized and developing world. Therefore, this study was performed on some influential factors on severity of diabetic foot ulcers and predisposing of limb amputation. Materials and Methods: In this cross-sectional descriptive-analytic study, 4436 cases of diabetic patients admitted to Khatam-ol-Anbia hospital of Shoushtar from 2010 to 2016 were studied. The data in this study included three sections: demographic information, ulcer severity based on Wagner’s criterion, and clinical and laboratory data. Then data were analyzed using descriptive and analytical statistical tests. Results: This study included 4436 patients with diabetes with a mean age of 54.36 ± 42.68 years. 421 patients (9.4 percent) had a history of diabetic foot ulcers. Also, 385 patients (8.6%) had a history of limb amputation. In this study, 596 patients (13.4%) had a history of smoking and the relationship between smoking and drug use with the severity of ulcer was significant (p = 0.006). In this study, in the majority of patients with diabetic foot ulcers (60.3%) had severity of ulcer based on Wagner’s criterion was second grade. In terms of bacteriology, 57.7% of the patients during the admission period had cultures of the ulcer site discharge, that the most commonly of mass in 26.7% of cases was Staphylococcus aureus. In this study, the relationship between type of bacteria and severity of ulcer and limb amputation was significant (P <0.05), This means that the ulcers that had negative coagulase-staphylococcus bacteria, were higher the severe ulcer and amputations.  Conclusion: In this study, the relationship between type of bacteria and severity of ulcer and limb amputation was significant, this means that the ulcers that had negative coagulase-staphylococcus bacteria, were higher the severe ulcer and amputations. &nbsp

Hypertension and Risk of Acute Coronary Syndrome (ACS) in Patients with ACS: A Study on 926 patients with ACS

Introduction: According to the World Health Organization (WHO), 1 billion people have been affected by hypertension (HTN). Since the role of HTN and its effects on patients with ACS is still unclear, the aim of this study was to determine whether HTN is a risk factor for patients with acute coronary syndrome admitted to ShahidZadeh hospital in Behbahan. Materials and Methods: This is a retrospective cross-sectional descriptive study. In this study, 926 cases of patients with acs with or history of the disease who were referred to ShahidZadeh Hospital in Behbahan during 2016-2017 were studied. The required information was collected through a researcher checklist from the records. Data were then entered into SPSS software version 18. Data were analyzed by descriptive statistics and Chi-square and Chi-square test at a significant level of P <0.05. Results: 926 patients with ACS with an average age of 59.15 ± 15.5 were included in this study. In this study there was no significant correlation between gender and history of HTN (p = 0.17). Among the qualitative demographic variables, only the relationship between marital status and history of HTN was significant. There was a significant relationship between history of HTN with history of MI, history of angina, history of smoking and history of family history of cardiovascular problems (P <0.05). Conclusion: Considering the high prevalence of cardiovascular problems and the relationship between HTN and cardiovascular problems, especially acute coronary syndrome in this study, it is necessary to provide training and prevention to prevent further cardiovascular disease through Educational class, mass media and cyberspace and improve the level of knowledge of these patients and reduce cardiovascular risk factors. &nbsp

Evaluation of Nursing stress and its effective factors in nurses of Shahidzadeh Hospital in Behbahan in 2019: Challenges in Nursing

Background and Aim: Nursing is one of the occupations that face a lot of stress in medical settings, especially hospitals. Job stress can negatively affect a nurse's performance and how she cares for her patient. Therefore, the present study was performed to evaluate the level of job stress in nurses of Shahidzadeh Hospital in Behbahan. Materials and Methods: The present study was a descriptive cross-sectional analytical study. The instruments used in the study included demographic information and an expanded nursing stress scale questionnaire. The study was performed on 220 nurses of Shahidzadeh Hospital in Behbahan by census method. Statistical data were performed using SPSS software version 22 using descriptive and inferential statistics at a significant level of p <0.05. Results: The mean age of participants was 31.02 ± 06.68. The mean scores of participants in occupational stress and its subscales showed that about half of the subjects (55.9%) in the study had poor job stress. There was no significant relationship between job stress and demographic variables of gender and marital status using independent t-test and there was no significant relationship between job stress and the above variables. Conclusion: Due to the existence of stress as a negative factor in patient care and the gap between discrimination between physicians and nurses as one of the factors aggravating stress, it is recommended that nursing managers take measures to prevent and support nurses

The Incidence of Stroke with Different BMI Ranges in Diabetic Patients

Introduction: Identifying the risk factors of stroke as an initial prevention is the best step to prevent it from happening. One of the risk factors for stroke in diabetic patients seems to be the presence of high BMIs in these patients, so given the importance of this issue and that little studies have been done so far, this 7 -year study on files has been done. Diabetic patients in Behbahan were performed with the aim of determining the incidence of stroke with different BMI areas in diabetic patients. Materials and Methods: In this study, which examines 1714 patients with diabetes and a detailed cross -sectional descriptive study. The case of these patients, which was diagnosed with diabetes and history of the disease and referred to Shahidzadeh Hospital in Behbahan from 2014 to 2020, was extracted in the medical evidence of the hospital. In this study, the demographic and clinical information of patients. The data then entered the SPSS 17 software and used the descriptive statistics tests of the metaphor, mean, standard deviation and variance and analytical tests and analytical tests, Anova, Pearson and a significant level p <0/ 05 were analyzed. Results: This study consisted of 1714 people with diabetes with an average age of 18.62 ± 58.56 years. Of these, 984 (57.4 %) were male and the rest were females. In the present study, 314 people (18.3 %) had a history of stroke. Of which 26 (8.2 %) have BMI between 25.5, 51 (16.2 %) with BMI more than 25 and less than 30, 71 (22.6 %) with BMI in 30-35, 77 (24.5 %) It had BMI between 35 and 40, and 89 (28.3 %) had a BMI of more than 40. In this study, a statistical relationship was found between BMI levels and a history of stroke (P = 0.008), with patients with higher BMIs more likely to have a stroke. Conclusion: In this study, a statistical relationship was found between BMI levels and a history of stroke (P = 0.008), as patients with higher BMI had a higher incidence of stroke. Therefore, given the relationship between BMI and stroke, it is necessary to give diabetic and high BMI patients at risk of stroke, training necessary weight loss and healthy diet with proper diet. Further studies are also needed to investigate the risk of stroke factors. Keywords: Stroke, Different BMI ranges, Diabetes, Diabetic Patients, BM