ABSTRACT
Metabolic syndrome is highly prevalent in type 2 diabetics and is a strong risk factor for cardiovascular diseases in such patients. The aim of this study was to determine the prevalence of metabolic syndrome according to the three criteria of ATPIII, IDF and the new criteria for metabolic syndrome diagnosis in Kerman, Iran. This cross-sectional study was performed on 950 diabetic type 2 patients. Data was analyzed by independent t-test, chi-square and logistic regression using the SPSS [revision 20] software. The prevalence of metabolic syndrome in Kerman was 73.4, 64.9, and 70.4%, according to the above criteria. Fasting blood sugar, gender, triglyceride, HDL, waist circumference, and systolic blood pressure were related to the prevalence of metabolic syndrome according to the abovementioned criteria.The prevalence of metabolic syndrome is high in type 2 diabetic patients and the above-mentioned factors exacerbate the situation
ABSTRACT
There are few quantitative documents about the seasonal incidence of tuberculosis [TB] among immigrant populations. Concerning the significant role of recognizing seasonal changes of TB in improving the TB control program, this study determines the trend and seasonal temporal changes of TB among immigrants entering Iran. In this longitudinal study, data from the Iranian TB register Program [from 2005 to 2011] was used. The aggregated number of monthly and seasonal TB cases was obtained by adding the daily counts. Data was analyzed by Chi-square, Independent T-test, ANOVA, and Poisson regression using Stata 11 and SPSS 20 software. Among 74,155 registered patients with TB, 14.3% [10,587] were non-Iranian who had immigrated to Iran from 29 different countries. The highest aggregated number of seasonal and monthly incidence of TB in immigrants was observed in spring [2824, P= 0.007] and in May [1037, P< 0.001]. The number of non-Iranian patients with TB increased significantly over the years [beta= 0.016, P= 0.001]. This study shows that immigrants constitute a significant portion of TB patients recorded in Iran and this trend is increasing. Also, the peak incidence of this disease is the second month of the spring
ABSTRACT
Most studies indicate that increased plasma homocysteine level is a risk factor for coronary artery disease. However, data concerning the role of homocysteine in young patients with acute myocardial infarction [AMI] is scanty. The aim of this study was to study the possible association between homocysteine plasma levels and early-onset AMI. This case-control study included 83 AMI patients and 83 healthy controls. Biochemical parameters were determined and homocysteine was measured by enzyme immunoassay. Multivariate logistic regression analysis was used to test the association of homocysteine with the occurrence of AMI Homocysteine concentration in patients with AMI was higher than in controls [19.54 +/- 13.3 and 15.54 +/- 8.9 micro mol/l, respectively, P=0.002]. Hyperhomocysteinemia was associated with early myocardial infarction [odds ratio=5.05]. Hypercholesterolemia [OR=4/21], opium addiction [OR=4/78] and age [OR=1/24] also had associations with AMI. Our results showed that homocysteine levels are elevated in young patients with AMI, and hyperhomocysteinemia is associated with early myocardial infarction; hence it should be evaluated in all young patients with AMI