Comparative study of porting complications by implantation under and on the pectoral muscle in cancer patients at Shahid Beheshti and Hazrat Masoumeh hospitals during the years 2010-2014: Comparative study of porting complications by implantation under and on the pectoral muscle in cancer patients

Introduction: Porting is one of the invasive processes that is usually associated with significant complications in patients. Therefore, this study was conducted to compare the effects of porting in two ways: implanted under the muscle and on the pectoralis muscle of cancer patients. Materials and Methods: In this retrospective cohort study, a comparison was made between patients whose ports were implanted under the muscle and patients whose ports were implanted on the pectoralis muscle. The level of significance was considered to be 0.05. Results: The mean age of the patients was 17.83±19.1 months. 51.2% (42 patients) were boys and 48.8% (40 patients) were girls. Comparison of the average success (percentage) of the ports (P = 0.419), the incidence of infection (P = 0.241), the incidence of skin necrosis (P = 0.077) and the rate of displacement (P = 0.005). P) In patients between the two groups, there was no significant statistical difference in terms of port location. Conclusion: The present study showed that there was no statistically significant difference in the amount of successful porting and comparison of infection, skin necrosis and port displacement in the studied patients, despite the higher incidence of porting group effects on the pectoralis muscle compared to the sub muscular

Investigation of the Circadian Rhythm of Blood Pressure in Patients with Metabolic Syndrome and its Association with Metabolic Parameters

Background and Objectives: Many diseases, such as metabolic syndrome, cancer and cardiovascular diseases, are associated with circadian rhythm. This study was performed with the aim of assessing blood pressure in individuals with metabolic syndrome and association of metabolic parameters of this syndrome with blood pressure rhythm.   Methods: This cross-sectional study was conducted on patients referred to the clinics of Shahid Beheshti and Vali-asr hospitals in Qom city. Among them, 109 patients were selected using census method from April 2014 to completion of the sample size. Data collection was performed using a demographic characteristics checklist and results of 24-hour blood pressure monitoring. data were analyzed using t-test and chi square.   Results: In this study, the age range of patients was between 30 to 85 years old with the mean of 53.08±13.82, which 65.1% (71 subjects) were female and 34.9% (38 subjects) were male. Among the woman, 76.1% (54 subjects) and among the men, 71.1% (27 subjects) had non-dipper blood pressure (p=0.569). The mean of fasting blood sugar in non-dipper group was 108.39±32.66 and in dipper group was 104.35±18.74 (p=0.537). The prevalence of non-dipper hypertension in patients with diabetes (87%) was significantly higher than non-diabetic patients (65.1%) (p=0.015).   Conclusion: The findings of this study showed that distribution of age, sex, and metabolic syndrome parameters, such as blood glucose, obesity (BMI) and plasma lipids in the non-dipper group, were not significantly different from the dipper group, but the prevalence of non-dipper hypertension in diabetic patients was higher. &nbsp

Self-Care Assessment of Patients with Hypertension in Qom City in 2016 (Iran)

Background and Objectives: Nutritional awareness and other factors affecting blood pressure, and also perception of self-care in hypertension are important factors for controlling blood pressure. This study aimed to determine the factors affecting self-care in patients with hypertension. &nbsp; Methods: In this descriptive analytical cross-sectional study, 315 hypertensive patients in Qom city, were selected from patients referring to health centers using multistage sampling. The data collection tool was a two-part questionnaire: demographic information and self-care. Data were analyzed using independent t-test, Pearson correlation coefficient, ANOVA, and Duncan's test. &nbsp; Results: The mean age of the patients was 53.59 years and the duration of the disease was 7.54 years. Only 5.1% of the patients had removed salt from their diet during the whole week, and 27.9% of the patients had performed no sport activities during the week; 4.1% had never used their medicines on time; Self-care status was reported to be poor in 27.9% of the subjects, in 68.6% moderate, and in 3.5% good. The mean self-care score was not significantly different from gender and marital status, and family history, but had a significant difference with education, occupation, family history of high blood pressure, and history of receiving educational program (p<0.05). Moreover, there was a significant reverse correlation between age and self-care (r=-0.273, p<0.001) and between the duration of high blood pressure and self-care (r=-0.28, p=-0.041). &nbsp; Conclusion: According to the results, the status of self-care behaviors in patients with hypertension is not at appropriate level. Therefore, it is necessary to emphasize the severity and seriousness of these behaviors and possible complications in the educational program with taking into account the above issue. &nbsp; &nbsp