Association of myocardial infarction with stressful life events and psychiatric symptoms: a population based survey

Psychosocial factors such as depression, hostility, social isolation are associated with increased risk of coronary heart disease. We aimed to determine the association of psychiatric symptoms and psychosocial factors with myocardial infarction [Ml]. We performed a secondary analysis of data from a population-based survey of Iranians aged 18-65 years using standardized psychosocial instruments. Of the 2158 participants, 51 had suffered an Ml. In univariate analysis; number of stressful life events, stressfulness, somatization, depression, anxiety, phobic anxiety and psychoticism were significantly associated with Ml [P< 0.05]. In multivariate logistic regression, interpersonal sensitivity [P = 0.047], phobic anxiety [P = 0.016], number of stressful life events [P =0.054], stressfulness [P= 0.057] and age [P= 0.001] remained at significantly associated with MI

Environmental management of coastal regions in the Caspian Sea

Considering rapid population growth and migration, higher accumulation of communities is noticed in coastal areas. This is especially true with the coastal areas of the Caspian Sea. In the present investigation coastal areas between Jouybar to Behshahr region is selected for their special geographical and ecological locations. Further, adverse impacts of human, agriculture and industrial activities was examined along side the above mentioned coasts. It should be pointed out that protected Miankaleh Wildlife zone which is an internationally recognized wetland, falls within area of study. In the present study strengths, weaknesses, opportunities and threats method is used for the evaluation of environmental management status. In this regard, internal and external factors gained 2.28 and 2.58 scores. This is indicative of the abundance of weaknesses over strengths and it also shows that opportunities are more than threats. Subsequently 27 strategies were developed and quantitative strategic planning matrix method was also used to score each strategies. The results of quantitative strategic planning matrix method analysis was programmed in strategic position and action evaluation matrix. The present situation falls within "competitive" classification. This is indicative of weakness in coordinating development and environmental strategic plans. The result of present investigation strongly emphasis on compilation of strategic environmental plans for the control of population, pollution emission and land use planning changes. The most important strategies include development of environmental regulations and better supervision on enforcement of laws