Evaluation of effective indexes on quality of life related to health in western Iran in 2013

Background: Today, indexes regarding longevity and life expectancy have increased; the most important issue now is how to spend time loving or in other words quality of life. Objectives: This study was aimed to evaluate effective indexes on quality of life related to health in western Iran in 2013. Materials and Methods: In this cross-sectional research, 918 families were selected among different counties of Ilam Province by multi-stage clustering sampling. The data collection instrument was a questionnaire used to measure the general economic and quality of life: the SF-36 health status questionnaire. Data were analyzed using multivariate regression models. Results: The mean age of the study participants was 32.97±9.5 years, and the mean score for their quality of life was 61.74±12.31. There was a significant statistical relationship between people�s quality of life and their marital status, province of residency, income, economic situation, and life satisfaction (P < 0.05). Also, there was a significant and inverse correlation between people�s age and quality of life (r = 0.21), physical health summary (r = 0.21) and mental health summary (r = 0.08). Conclusions: The mean quality of life among the individuals studied was in the middle level, however, it is important to consider the different dimensions of their living situations, such as economic protections, social cooperation, ability to present suitable behaviors to solve problems, and living situation, especially among deprived people. © 2016, Iranian Red Crescent Medical Journal

The role of socioeconomic status on health-related quality of life in the west of Iran

Introduction: The quality of life involves different dimensions of people�s social mental, physical welfare and health. Aim: This study aimed to determine the effects of economic-social factors on quality of life in 2013 in the west of Iran. Materials and Methods: In this cross-sectional study, we selected cases among different counties of Ilam province by multi-stage cluster sampling. Data collection tools were general economic questionnaires and the quality of life questionnaire SF-36. Data analysed using multiple regression models. Results: Nine hundred and eighteen participants were selected mean±sd age for the studied participant was 32.97±9.5 years and mean±sd scores for their quality of life were 61.74±12.31. Based on results of logistic regression, the good quality of life among women was 1.2 more than men and among married was 1.47 more than single. After adjustments on other covariates, the odds of good quality of life for people with good and median economic condition was respectively 1.8 and 3.4 more than groups with bad economic condition. Conclusion: Therefore, the general improvement of people�s quality of life can be influenced by increasing social cooperation, improving health care services and providing counseling services about obtained policies by health care. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved

Volatile Anesthetic and Outcome in Acute Trauma Care: Planned Secondary Analysis of the PROPPR Study

BACKGROUND: This retrospective analysis of prospectively collected data from the PROPPR study describes volatile anesthetic use in severely injured trauma patients undergoing anesthesia. METHODS: After exclusions, 402 subjects were reviewed of the original 680, and 292 had complete data available for analysis. Anesthesia was not protocolized, so analysis was of contemporary practice. RESULTS: The small group who received no volatile anesthetic (n = 25) had greater injury burden (Glasgow Coma Scale CONCLUSION: In this acutely injured trauma population, choice of volatile anesthetic did not appear to influence short-term mortality and morbidity. Subjects who received no volatile were more severely injured with greater mortality, representing hemodynamic compromise where volatile agent was limited until stable. As anesthetic was not protocolized, these findings that choice of specific volatile was not associated with short-term survival require prospective, randomized evaluation

Lithium side effects and toxicity: prevalence and management strategies

Despite its virtually universal acceptance as the gold standard in treating bipolar disorder, prescription rates for lithium have been decreasing recently. Although this observation is multifactorial, one obvious potential contributor is the side effect and toxicity burden associated with lithium. Additionally, side effect concerns assuredly play some role in lithium nonadherence. This paper summarizes the knowledge base on side effects and toxicity and suggests optimal management of these problems. Thirst and excessive urination, nausea and diarrhea and tremor are rather common side effects that are typically no more than annoying even though they are rather prevalent. A simple set of management strategies that involve the timing of the lithium dose, minimizing lithium levels within the therapeutic range and, in some situations, the prescription of side effect antidotes will minimize the side effect burden for patients. In contrast, weight gain and cognitive impairment from lithium tend to be more distressing to patients, more difficult to manage and more likely to be associated with lithium nonadherence. Lithium has adverse effects on the kidneys, thyroid gland and parathyroid glands, necessitating monitoring of these organ functions through periodic blood tests. In most cases, lithium-associated renal effects are relatively mild. A small but measurable percentage of lithium-treated patients will show progressive renal impairment. Infrequently, lithium will need to be discontinued because of the progressive renal insufficiency. Lithium-induced hypothyroidism is relatively common but easily diagnosed and treated. Hyperparathyroidism from lithium is a relatively more recently recognized phenomenon