[Evaluation the relation between coronary risk factors, metabolic syndrome and 10 year ischemic event according to BMI in women above 19 years in central part of Iran]

Introduction: Coronary artery disease [CAD] is the most common etiology of mortality in women. Some risk factors other than obesity involved in it

Objective: Evaluation the relation between obesity, metabolic syndrome and 10 -year's cardiac event according to BMI in women above 19 years old in central part of IRAN

Materials and Methods: In this cross sectional study, 6054 women over 19 years old in Isfahan, Najaf - Abad and Arak were studied by stratified sampling [in 2001]. Demographic details, such as: weight, height, blood pressure and smoking status were considered. Then blood chemistry was done in same manner in three regions and all biochemistry data were collected in a central laboratory. Data was entered in SPSS-11 and analyzed by T-Student and the prevalence was studied

Results: The mean age of women was 38.75 +/- 14.55 years. By increasing the Body Mass Index [BMI], disorder in blood sugar, lipids, waist circumference and blood pressure were increased [p<0.05]. There was no significant in cigarette smoking in different group of BMI [p>0.05] besides, by increasing the Body Mass Index [BMI] metabolic syndrome, 10 years cardiac event were more prevalent in obese women [P<0.05]

Conclusion: By regarding to attention to correlation between obesity with other cardiovascular risk factors and metabolic syndrome, body weight control is necessary in studied women to decrease cardiovascular risk factors

effect of couple's dialogue technique on marital conflicts and child behavior in Iranian couples

Marital conflicts have great impact on social, economic and cultural aspects of the couples and their children. New Psychological interventions like [Imago Relationship Therapy] [IRT] have been widely used for resolving these conflicts. This study examined the efficacy of couple dialogue technique on marital relationship and children's behavior in Iranian society. In a Clinical Trial study eighty consecutive couples refered to general pediatric clinics due to their children's diseases, randomly allocated to intervention group [couple dialogue technique] and control group [consult usual treatment method] in consultation center. They filled [Distance and Isolation Questionnaire] and [Gottmann Love and Respect Scale] at baseline, post treatment and three months after intervention as follow up all of them. General linear Model with Repeated Measurements was used to analyze the data. In this study, scores of mutual love and respect in marital relationship [Gottmann scale] and scores in Flooding, Loneliness and Retreatment subscales of Distance and Isolation Questionnaire had a better condition in IRT group just after the trial [P < 0.05]; but after three months, the differences between two groups were only marginal significant [P < 0.1]. In Parallel lives subscale, scores were decreased in two groups, but right after trial there was not significant scores of the groups did not difference between scores. Scores after three months in IRT group was significantly lower in compare to control group. Scores of CBCL have not statistically significant differences in both groups at any time [P > 0.05]. This study revealed couple dialogue technique was an effective intervention in solving marital conflicts in Iranian population but had not a significant effect on children's behavioral profile. This may be due to other factors or insufficient duration of intervention and needs more investigation and needs more investigation

[Predictive value of ST-T change of avR lead in detection of coronary artery involvement inferior MI patients]

In inferior MI, both circumflex [CX] and Right coronary artery [RCA] can be involved. Application of noninvasive paramedical evaluations in predicting of such events is considered to be worthwhile. Detection of coronary artery [RCA or CX] involvement in inferior myocardial infarction based on avR change. In 100 patients with inferior MI, 12-lead standard ECG was recorded in first 6 hours and ST-T change of avR evaluated. T-P segment was considered as isoelectric line. Data were analyzed using SPSS-12 and the sensitivity, specificity, positive and negative predictive values evaluated. RCA disease was seen in 72 patients and CX in 28. Isoelectric ST, ST depression and ST elevation in avR were seen in 61, 22 and 17 patients, respectively. Positive predictive value [PPV] of isoelectric ST for RCA disease was 78.7% compared with 21.3% for CX. PPV of ST elevation for RCA and CX diseases were 70.6% and 29.4%, respectively. PPP of ST depression for RCA disease was 54.5% compared to 45.5% for CX. Regarding the higher PPV of isoelectric ST, clinicians are suggested to employ this criterion in addition to other findings for RCA involvement prior to invasive procedure

[Serum lipids in patients with mixed anxiety depressive disorder]

Psychiatric disorders especially depression has known association with coronary artery disease but the relationship with other psychological conditions still obscure. To evaluate the lipids profile in patients with anxiety and depressive disorder. This cross-sectional study was performed on 100 patients arranged in four groups using random sampling. Group 1 [25 patients] with major depressive disorder; group 2 [25 patients] with generalized anxiety disorder; group 3 [25 patients] with mixed anxiety and depression; and group 4 [25 patients] as control group. Data was collected using a questionnaire including demographic information, past history of patient, and also Beck and Kettel questionnaire. Blood samples were collected to measure total cholesterol, triglycerides, HDL and LDL-C. The data were analyzed using SPSS10 and t-test, X[2], and ANOVA tests. Out of 100 patients, 75% were females. Means of TC [226.75 +/- 45.35], TG [189.37 +/- 69.84], HDL-C [45.51 +/- 10/48] and LDL-C [150.35 +/- 36.65] were higher in mixed anxiety depressive disorder. Regarding the data obtained in our study, high lipid levels were found in mixed anxiety depressive disorder. To reduce the chance of atherosclerosis, measurement of lipids level in such patients is recommended

[Investigating the relation between lifestyle and chronic obstructive pulmonary disease]

Introduction: In studies or lifestyle of patients with [Chronic Obstructive Pulmonary Disease COPD], physical and, social activities, nutrition and smoking are the behavioral patterns, which aggravate this disorder and cause a dysfunctional circle, which prevents healing

Objectives: This study aimed to compare the lifestyle of patients with COPD and control group and then the two groups according to severity and length of disease

Materials and Methods: This descriptive-analytical study was done on 70 patients with COPD as the case group, which was selected, based on American Thoracic Society and also on 70 healthy persons as the control group. Patients with any psychiatric or chronic disorder or those who didn't cooperate were excluded from this study. The questionnaire included demographic information such as age, sex, education level, duration of affliction to this disease and FEV1 and Miller-Smith lifestyle questionnaire were filled for all patients. All data were statistically analyzed by t-student and ANOVA tests

Results: The mean age of case and control groups were 66.3 +/- 9.2 and 64.2 +/- 11.6 respectively. Thirty-six persons [51%] in case group and 35 persons [50%] in control group were male. The means of education level in case and control groups were 8.3 +/- 4.1 and 9.2 +/- 3.4 respectively. The mean score of lifestyle in case group was 66.64 +/- 18.6 and in control group was 32.01 +/- 6.49, which was statistically significant [P<0.013]. The mean score of Miller-Smith questionnaire was significantly increased as the severity of the disease [based on FEV1] and the duration of the disease increased [P<0.003]

Conclusion: Lifestyle is an important factor in patients with COPD. Suitable management and effective pulmonary rehabilitation can be effective in the treatment of patients with COPD. So it is necessary to consider lifestyle change as a part of patients' treatment

Assessment of anxiety in 12-18 years old overweight and obese students in Isfahan

Childhood obesity has become a health hazard in different communities. In addition to organic disorders, it can also lead to some psychological disturbances such as anxiety. To compare the mean anxiety score between overweight and obese adolescents with controls, and to assess the correlation between the anxiety of adolescents with their school performance and the jobs of their parents. This case-control study was performed in 2003 among 266 students aged between 12-18. They were selected by multi-stage random sampling from among guiding-and high schools of Isfahan. Ninety three overweight and obese students [body mass index or BMI>85th age and gender specific percentile] were considered as the case group and 176 students with a BMI<85th percentile as controls. Two questionnaires, validated in a pilot study on 50 students, were completed by each subject. Data were analyzed by SPSS 11 software using the t-Student Chi-Square, ANOVA and Pearson correlation at p<0.05. The mean anxiety score and the school performance were not significantly different between two groups. A significant correlation was found between the parents' jobs and the mean anxiety score and school performance of their children. The students whose parents were an employee or teacher had a lower anxiety score and a better school performance. In spite of higher anxiety score in obese adolescents found in western countries, the present study was not indicative of any significant difference between two groups which is supposed to be mainly associated with a public opinion in which many people in our society yet believe that the obesity is an indicator of health. Larger longitudinal studies are recommended

prevalence of cardiovascular risk factors among women of central parts of Iran: Isfahan healthy heart programme

Among the leading causes of mortality in women is the cardiovascular disease [CVD] and the control of CVD risk factors prevents CVD and the associated mortality. To determine the prevalence of CVD risk factors in women of central part of Iran. This descriptive cross sectional study was performed on 6391 women in three cities located in central parts of Iran [Isfahan, Najaf-Abad and Arak]. The subjects were 20 years old or above. Demographic data and blood samples for glucose and lipid measurements were collected. Determination of blood pressure for three consecutive periods and also weight and height were performed for each subject. Hypertriglyceridemia, smoking and overweight were more prevalent in urban areas while hypertension, high LDL-C and hypercholesterolemia more prevalent in rural parts. Hypercholesterolemia, high LDL-C and diabetes increased with aging. Based on our results, the prevalence of risk factors was high among the study group. More education and also recommendations on changing of women lifestyle are suggested