Prostate cancer incidence in Golestan province, Iran (2004)

Prostate cancer is the most common cancer in men and therefore represents a major problem in public health.The aim of this study was to find and evaluate province-specific estimate of incidence in males by age groups for prostate cancer in Golestan province, Iran. The data used in this study were collected in a cancer registry program that was conducted by Health Deputy of Golestan province in IRAN for a period of 1 year (2004). Prostate cancer data was identified and collected in the population based cancer registries through the 18 Pathology Laboratories (where male populations referred to these centers) and using a structured questionnaire, trained personnel conducted in-person interviews to collect information on prostate cancer in Golestan province. Prostate cancer incidence among males in Golestan province was 5.17/100000 in gerenal. But the highest rate (ASR: 215.87/100,000) among males were showen to be in age 80-85. The incidence of prostate cancer in age 80-84 has risen sharply and it was the lowest in age 50-54 (ASR: 5.18/100,000). According to this information Golestan province harbor a rather incidence for prostate cancer (in age 80-84), comparable to the lower incidence rate reported in the world. For the present time it can be said that prostate cancer in males appear to be one of the most prevalent and serious type of cancer in Golestan province. © 2008 Science Publications

Incidence of thyroid cancer in Golestan province of Iran: Some initial observations

Objectives: The incidence of thyroid cancer is increasing in several countries. The main aim of this study was to find and describe province-specific estimates of incidence in males and females by age groups for thyroid cancer. Methodology: The data used in this study were collected from a cancer registry that was established by Health Deputy of Golestan province for a period of one year (2004), in different age groups. Thyroid cancer data was identified and collected through the eighteen Pathology Laboratory centers (where males and female populations is referred) in Golestan province. Results: A total of 348 females and 409 males cases with cancer representing all sites were identified during the study period. It included seventeen females and five male thyroid cancer patients. In female's thyroid cancer, there were twelve papillary carcinoma (70.6%), two medullary carcinoma, one carcinoma anaplastic and one carcinoma (5.9%). In male's, there were two papillary carcinoma (40%) and one follicular carcinoma. The incidence of thyroid cancer in 70-79 age groups for females and males was the highest and lowest in age group 10-19 years' in females and 30-39 years in males. Conclusion: The incidence of thyroid cancer is higher in females when compared with males as per this one year study. However since this is just one year data, it needs to be studied further to confirm these findings

Male skin cancer incidence in Golestan province, Iran

Objective: To evaluate province-specific estimates of incidence in males by age groups for skin cancer in the Golestan province, Iran. Methods: Data was collected from a cancer registry that was conducted by Health Deputy of Golestan province for a period of one year (2004). Age-specific rate and age-standardized incidence rate (ASR) were determined. Age-specific rate and age-standardized incidence rate (ASR) of skin cancer was compared with Mazanderan province and Iran. The age distribution was collected according to the following age strata: 0-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84 and 85 above. Skin cancer data was identified and collected through 18 Pathology Laboratory centers, where the cases had been referred in the Golestan province. Results: A total of 409 primary cancer cases were captured. From these 64 cases were skin cancer. ASR skin cancer incidence among males in Golestan province was: 13.23/100000. But skin cancer with the highest ASR (ASR: 161.90/100,000) among males were in the age group 80-84 years. The lowest incidence was in age 30-34 years. (ASR: 1.88/100,000). Conclusion: The incidence of skin cancer in Golestan Province is rising especially in the age group 80-84 years. It is the highest incidence reported in the world

Performance of family physicians (FPS) from viewpoint of managers and experts of northern provinces of Iran

BACKGROUND AND OBJECTIVE: Family physicianis (FPs) responsible for the health team have five duty to health management, external c00peration, Health Promotion, Prevention and Health Services and treatment care and referral. This study evaluated viewpoint of managers, supervisors and experts of Northern Provinces of Iran from the level of performance of Family physicians (FPs) in five basic task. METHODS: This cross-sectional study was performed in winter 2013. The study population includes managers, supervisors and experts at Health Network from the total of 47 cities in 3 provinces of Gilan, Mazandaran and Golestan which were censuses selected. A researcher-made questionnaire was used for data gathering. In this questionnaire, personal characteristics and performance level of FPs from five main task of the Likert scale. Validity and reliability of the questionnaire were approved. FINDINGS: From the perspective of 557 managers, supervisors and experts of Staff in the study, the average performance level of FPs, in the field of health management (of 5 score) was 3±0.8, external c00peration 2.7±0.9, Health Promotion 2.8±0.9, Prevention and Health Services 3.2±0.9 and health care and referral 3±0.8. There was a significant relationship between job experience and performance level of FPs (p0.05). CONCLUSION: The results of this study showed that from the perspective of managers, supervisors and experts the performance level of FPs' was in two task lower moderate and in three task moderate. © 2015, Babol University of Medical Sciences. All Rights Reserved

Concept and challenges of delivering preventive and care services in prehospital emergency medical service: A qualitative study

Background and purpose: Prehospital emergency medical service (EMS) is an important part of the health care system. Today, the need for integrated emergency care services and delivering qualified preventive and care services felt more than before in accidents and emergencies. This survey aimed to investigate the views of emergency medical personnel on the concept and nature of preventive and care services and current challenges in delivering these services in prehospital EMS centers in Golestan province, Iran. Materials and methods: A qualitative study was done with 16 emergency medical personnel working in EMS sites in Golestan province using purposeful sampling. Data was collected by semistructured interview guide and framework analysis was implemented to analyze the data. Results: Two general themes were identified including 1) the concept of preventive and care services in the EMS and 2) the challenges in providing qualified services in the EMS sites in Golestan province. Also, five sub-themes and 12 subclasses were determined. Conclusion: To enhance and promote services, the EMS system of Golestan province need reforms in organizational structure, laws and administrative regulations, training programs, the system of monitoring and evaluation of personnel, also provision of equipment and manpower and provision of personnel amenities to improve the staff performance. Furthermore, it is necessary to boost emergency services at the community level through training people and enhancing collaboration and participation with other organizations. © 2015, Mazandaran University of Medical Sciences. All rights reserved

Can we rely on public data as a source of information for cancer registry in developing countries?

Background/aims: Although a "hospital-based cancer registry" is important in improving patient care, a "population-based cancer registry" with emphasis on epidemiology is important in allocating health care resources and prioritizing public health programs. Because of its reliance on retrieved clinical and para-clinical documents, there is some limitation in registering all cancer incidents in this system, especially in developing countries. In this study we examined the possibility of using public data as a complementary source of information for recording cancers in a population-based cancer registry. Methods: Along with the annual census in rural areas, a survey was performed in Golestan province in March 2004 to identify public awareness about cancer incidents in the community. Individuals were questioned about history of cancer in their close relatives during the last two years. Those who reported cancer in their relatives were also asked to name the main organ of involvement. A similar list was retrieved from the cancer registry at the Ministry of Health in Gorgan, and cases with upper GI (esophagus and gastric) cancer diagnosis from 21 March 2002 through 20 March 2004 were selected for this study. Finally, these two lists were compared for examining accuracy of the collected data. Results: We included 137 cases in our study with rural residence and known addresses. Only 35 (25.5%) cases were reported by the relatives and among them only 20 (57.1%) relatives correctly reported the tumor location. Although we found a difference in accurate reporting of cancer incidents by year of diagnosis (more correct cases reported during the second versus the first year), the difference was not statistically significant between the two years. Conclusion: In this study, we examined the possibility of using public awareness about cancer incidents as a complementary source of information for a population-based cancer registry. We found that this approach is not ideal for reducing limitations. Therefore, we recommend a nationwide cancer registry to record all cancer-related information at the time of diagnosis. This strategy will reduce the need for performing retrospective surveys in collecting cancer-related information

Characteristic of pulmonary tuberculosis patients in Golestan province of Iran, 2002-2005

As the Golestan province has been known as a high prevalent region for TB in Iran; present study was conducted to evaluate TB status in the province. Samples of sputum were obtained from 1205 pulmonary patients. All isolates initially confirmed by ziehl-neelsen's staining. The collected data were analyzed by SPSS analytical software. A total of 1205 cases of pulmonary TB patients were identified during the study period. 642(53%) were males and 563(47%) females. Eighty present (80%) of cases had fever. Sputum had been shown to be in 79.6% of cases that in 20% of them it was bloody. Ninety-three present (93%) of cases had a history of coughing for more than 3 weeks. Twenty-five present (25%) had a history of TB in their families. BCG vaccination related scar was seen in forty-five present (45%) of cases. Tuberculosis has a higher incidence rate in the area and is more common in females than in males. Reoccurrence (recurrence) of TB seems to be higher in females than males. So it is essential to health care deputies to consider this group (females) as a high-risk group and to consider each contracted family; because of high family history of TB as a major risk factor. In addition to low occurrence of scar lesion following BCG vaccination, it is also needed to conduct better popular trends on vaccination strategies

Stomach cancer incidence among males in Golestan province, Iran

[No abstract available

SEPARATION AND IDENTIFICATIONOF NORMAL HYDROCARBON, NONADECANE IN THE CABBAGE VEGETABLES SAMPLES (Brassica o/eracea VAR. CAPITATA F. ALBA) BY GAS CHROMATOGRAPHY-MASS SPECTROMETRY

ABSTRACT Toxic normal hydrocarbon (NH), nonadecane in the methanolic extract of the whole of cabbage samples collected from different districts of Bangladeshwas analyzed by GC-MS. It was observed that NH deposition on the samples takes place in different morphological parts of the biological materials. The NH, nonadecane, was found in the cabbage samples collected from the highway road side by the extraction of methanol. The identification and quantification of the title compounds have not been reported previously in the cabbage sample. Keywords: Cabbagebrassica oleracea var. capitata f. albaquantificationnormal hydrocarbon, nonadecane, GCMS