Translation and validation of the Persian version of the treatment adherence questionnaire for patients with hypertension

BACKGROUND: Hypertension is a global public health crisis. Poorly controlled high blood pressure is one of the major factors contributed to this crisis. As lack of treatment adherence is often considered the main reason for this failure, the Treatment Adherence Questionnaire for Patient with Hypertension (TAQPH) was developed. Since this questionnaire should be reliable and strongly valid to be used in clinics and research, this study was performed to test the reliability and validity of the TAQPH. METHODS: A cross-sectional study was conducted to validate the Persian version of TAQPH after using a modified forward/backward translation procedure. A total of 330 hypertensive patients were participated in this study. Construct and criterion validity, Cronbach¢s alpha, and test-retest reliability were used to validate the Persian scale. RESULTS: Data analysis showed that the scale had excellent stability (intraclass correlation = 0.95) and good acceptability of internal consistency (α = 0.80). The exploratory factor analysis (EFA) was meaningful but was not confirmed with confirmatory factor analysis (CFA). The scale score was correlated with Morisky Medication Adherence Scale (MMAS) score (Ρ = 0.27). CONCLUSION: In total, most of the psychometric properties of the 25-item P-TAQHP achieved the standard level and were sufficient to recommend for general use

Small Cell City

Traditionally, mobile operators have planned their networks to accommodate mobile terminals at ground level. Increasingly, mobile users communicate while stationary from within high-rise buildings. With mobiles operating at a variety of different heights and mobilities, plus the requirement to accommodate increasing teletraffic and multimedia services, there is a need to compact small cells into the three-dimensional city space. This article is concerned with using city buildings to act as electromagnetic molds that define the size and shape of each three-dimensional cell. Issues related to using these cells to form a mobile radio network are discussed

Water quality determination in Khuzestan creeks, northwest of Persian Gulf using WQS Index

Water quality was studied in Mahshahr creeks from 2005-2006. Due to special characteristics of Mahshahr creeks, high fisheries potential and sever exploitation and human pressure, WQS index was selected for determination of ecological health status of the area. Eight creeks Ghannam, Zasngy, Doragh,Ahmady, Darvish, Patil, Ghazaleh and Bihad were selected and monthly sampling of physical and chemical parameters was done by bottle sampler. Six primary water quality parameters were used to develop an integrated measure of overall water quality. The parameters included Dissolved Oxygen (DO), Biochemical Oxygen Demand (BOD _(5)), Total nitrogen (TN), Total phosphorus (TP), pH and Ammonia (NH_3). The results of two ways ANOVA showed that differences were significant only for nitrite between seasons and for pH, ammonium, nitrite and total phosphorus between creeks. Based on index description, parameters pH, NH_ and DO were placed in grade five indicating good quality for water. Total nitrogen was in grade three indicating poor quality and BOD5 and total phosphor were in grade one showing bad quality for water. According to the index, high similarity was found in studied creeks and the total value was found to be 3.33 for the whole studied area, indicating poor water quality

Mucocutaneous manifestations and nail changes in patients with end-stage renal disease on hemodialysis.

Mucocutaneous manifestations are common among patients on hemodialysis (HD). This study was undertaken to determine the prevalence of mucocutaneous manifestations in patients with end-stage renal disease (ESRD) who are on HD. In this cross-sectional, descriptive and analytic study conducted in 2009, 100 patients on HD at the Five Azar Hospital in Gorgan city were randomly selected. All the patients underwent detailed examination by a dermatologist to look for lesions in the skin, hair, nail and mucous membranes; if felt necessary, biopsy was obtained from the lesions. The findings were statistically analyzed using SPSS-13 software. For evaluation of normality of distribution, Kolmogorov-Smirnov was used, for quantitative variables Mann-Whitney and T-test (abnormal distribution) were used and for qualitative variables, Chi-2 and Fisher were used. In this study, P-value less than 0.05 was considered significant. Fifty-one males and 49 females were enrolled. The mean age was 49 ± 12 years. Diabetes was the most common cause of ESRD. In 95% of the patients, at least one mucocutaneous manifestation was present. Xerosis (78.3%) was the most common lesion, followed by pruritus (39.1%), lentigo (34.8%), skin discoloration (32.6%), leukonychia (32%) and thinning of the nail bed (24%). Xerosis, scaling, lentigo, folliculitis, idiopathic guttate hypopigmentation, leukonychia and half and half nail were associated with age. A significant relationship was seen between duration on dialysis and skin discoloration and leukonychia. Clubbing had a significant association with calcium-phosphorus product (Ca � P). There was a significant association between serum ferritin level and pruritus and tinea versicolor lesions. Our study shows that mucocutaneous manifestations are common among patients with ESRD. Identification of these manifestations and their association with causative factors are useful for preventing the lesions