ABSTRACT
Obstructive sleep apnea syndrome [OSAS] is a common sleep disorder. Insomnia complaint is the most common sleep disorders in the general population. The association between OSAS and insomnia symptom has received little attention from sleep investigators in the past few decades. This study investigates the prevalence of insomnia symptoms and related factors in patients with OSAS. This is a retrospective study of 151 consecutive patients with OSA who underwent sleep polysomnography. Patients were interviewed about their detailed sleep history. Insomnia and subjective daytime sleepiness was assessed using the Insomnia Severity Index and Epworth Sleepiness Scale. Polysomnographic recordings were compared in patients with and without insomnia symptom. Insomnia was a common complaint in patients being evaluated for obstructive sleep apnea. Among 151 patients with OSAS diagnosis, 81.7% of patients complained from one of the four insomnia symptom, 33.4% reported difficulty in falling sleep, 38.8% difficulty in sleep maintenance and 31.4% early morning awakening. Only 29.3% of patients were satisfied with their sleep quality. No significant association found between the insomnia symptom and mean nocturnal saturation of oxygen [P>0.05]. Insomnia is a common complaint in the patients suffering from OSAS. There was no relationship between insomnia symptom and severity of apnea or oxygen desaturation. Thus, nocturnal hypoxia is less likely to explain the high prevalence of insomnia among patients with OSAS
ABSTRACT
Diagnosis and treatment of asthma is of particular importance. To determine the prevalence of asthma among Qazvin school age children. This was a descriptive cross sectional study carried out in April 2003. The study was performed using [ISAAC] first phase questionnaires using a selected method for 5936 subjects. The data were analyzed using chi-square test. Out of a total of 5936 questionnaires sent to the same numbers of selected children only 5068 responses [2518 primary and 2550 secondary] were received. The prevalence of self reported asthma was 2% and 2.02% in these two groups, respectively. The prevalence of the life long wheezing history [asthma symptom] was 10% in the primary school children and 26% in the high school students. Asthma has a moderate prevalence in Qazvin. The regional asthma detection rate is low and this leads to difficulties in accurate treatment of disease. More education recommended for both the members of the public and the clinicians
Subject(s)
Humans , Prevalence , Schools , ChildABSTRACT
One of the quality assessing indices for providing medical services to patients in different hospital wards is to determine the level of patient's satisfaction on quality of such cares given to them. To determine the level of patients' satisfaction admitted to Bu-Ali hospital emergency unit, Qazvin, following the implementation of newly established service improvement protocol. Through a cross-sectional research, 149 patients admitted to emergency unit were randomly selected and further studied. The data was collected using a questionnaire designed to reflect the level of patients' satisfaction. Results indicated that there were high levels of satisfaction among patients including 79%, 78.3%, 79.4%, 87.4%, 79.4%, and 77.2% on timing of medical cares, medical examinations, paramedical services, filing process, physicians' behavior, and nursing skills, respectively. There was only a moderate level of satisfaction [46.6%] on access to drugs and medical instruments. The patients' satisfaction in emergency unit of Bu-Ali hospital increased following the implementation of service improvement protocol