THE STUDY OF EPIDEMIOLOGY AND HYDATID CYST PRIMARY AND FINAL DIAGNOSIS IN PATIENTS HOSPITALIZED IN THE SURGERY UNIT OF SHAHID DANESHVARI HOSPITAL, TEHRAN, IRAN 2007 TO 2017

Hydatid cyst disease is of great importance; it infects very critical organs in humans, especially liver and lungs, and as for animals, it inflicts significant losses on animal husbandry economy. Thus, providing accurate diagnosis is of great importance for treating this disease and preventing its complications. The present study aimed at studying the epidemiology and hydatid cyst first and final diagnosis in patients hospitalized in the surgery unit of Daneshvari Hospital, Tehran from 2007 to 2017. The present study is retrospective cross-sectional study. The statistical population of the present study was all the patients suffering from hydatid cyst who were hospitalized at Daneshvari Hospital and underwent surgery from 2007 to 2017. From the 110 patients suffering from hydatid cyst hospitalized, 48 were male, and 62were female. With respect to the infected organ, 53 patients were infected in liver, 48 patients were infected in lungs, and 9 patients were infected in both liver and lungs. As many as 98 patients had one cyst, and 12 patients had more than one cyst. 52 patients with medical ultrasound, 47 patients with medical ultrasound and CT scan, 10 patients with chest x-ray, and one patient with serological testing. The total findings of the study indicate that given the patients profiles and clinical symptoms, the diagnosis of this disease was desirable and is consistent with other studies. In cases, where it was impossible to diagnose hydatid cyst with clinical and Para clinical evidence, it is of great help to the geographical as well as epidemiological status of the disease in the region

ASSESSING THE PREVALENCE OF DISABILITY AND ITS RELATIONSHIP WITH DEMOGRAPHIC CHARACTERISTICS OF THE ELDERLY IN ZAHEDAN CITY IN IRAN

Aging is among the phenomena more commonly discussed in world health in recent years. Disability is a good indicator to measure health status in the aging population. Accordingly, the primary objective of this study was to determine the prevalence of disability and its relationship with demographic characteristics of the elderly in Zahedan city in Iran in 2016. This is a cross-sectional descriptive-analytic study. Using two-stage random sampling, 400 seniors were selected in Zahedan and were studied. A researcher made questionnaire was used to collect demographic information and disability study instruments included WHODAS - 36 items without time code. Collected data were analyzed using the SPSS version 16 software using the chi-square test. Of 400, 218 individuals were female and 182ones were male and the mean age of the participant's was 73.21 +/- 6.82 years old. The overall prevalence of disability among the elderly in Zahedan was 62.3. The prevalence of disability had a significant relationship with age, education, occupation and income level (p 0.05). The highest prevalence of disability was in the areas of understanding, communication and getting around, whereas the lowest cases were in the areas of getting along and living with others, and self-care. According to the findings of this study, welfare policies and providing service packages for the elderly of higher age, lower education, and lower income level as well as the unemployed and disabled elderly can help both the individuals and the community

Nonresolving pneumonia in the setting of malignancy

© 2019 Wolters Kluwer Health, Inc. All rights reserved. Purpose of reviewThis article reviews recent literature and experience in the diagnosis of nonresolving and slowly resolving pneumonia as it pertains to malignancy.Recent findingsMalignancy must be considered as an important cause of pneumonia that resolves slowly or has incomplete resolution. Airway obstruction is more common than malignant infiltration as a cause of pneumonia that does not resolve appropriately. Infection due to resistant or unusual organisms must also be considered in the differential diagnosis.SummaryNonresolving pneumonia remains an important clinical challenge. Bronchoscopic evaluation in conjunction with computed tomography and PET scanning is still the most important technique for diagnosis