[Evaluation of short-term survival of patients with acute myocardial infarction and the differences between the sexes in Isfahan and Najaf Abad between [1378 - 1387]]

The purpose of this study is detecting short-term survival of all hospitalized patients with acute myocardial infarction in Isfahan and Najaf Abad based on sex. The data of all patients who were hospitalized with acute myocardial infarction between 1378 to 1387 in Isfahan and Najaf Abad were collected by trained nurses of the surveillance department in a research center. Using these information and Cox proportional hazard method, Kaplan-Meier method and log Rank test, the survival by sex in different subgroups of patients, was determined and compared between two sexes. Short-term 28 days survival following the occurrence of acute myocardial infarction is 90.9%. A significant difference was seen between overall women and men survival [Respectively, 86.7% vs. 92.5% p<0.001]. It decreases significantly with increasing age and increases with thrombolytic use. The survival rate of acute myocardial infarction in Iranian women is less than men. Physicians should pay more attention to the treatment and care of patients at higher risk of mortality, especially women and older patients

[Management of an interventional community-based program based on information resulted from process evaluation: Isfahan healthy heart program]

Evaluation of interventional community-based initiatives is a basic issue for improvement and management of programs toward the goals of the health system. This paper presents the qualitative part of the process evaluation [PE] of a community-based educational program entitled Isfahan Healthy Heart Program [IHHP] conducted for prevention and control of non-communicable diseases. PE of IHHP aimed to shed insight about implementing interventions; guiding program management and corrective decision makings have been done respectively. In this qualitative survey, the study population consisted of policy-makers, managers, principal practitioners and their coworkers as well as stakeholders of IHHP. The study was directed in the same place as practicing interventional projects located in Isfahan province. It was begun in 2005 and data analysis phase was completed in 2008. The data were collected through conducting interview with a purposive sample of 60 participants and were analyzed using qualitative content analysis method. Qualitative data were categorized in several headings. Four of the most important headings were as experiences of resources, attitude towards interventions, motivating factors and consistent partnership. Emphasizing on usefulness of qualitative data in process evaluation of IHHP, findings of the present study disclosed some of the effective underpinning factors that the most important of them was described as [executive level human factors]. The study findings emphasized on the vital role of the resources, nevertheless [accepting] the used resources as well interventions specifically on behalf of managers and executive agents were primarily affected by their humanistic qualities such as attitude and willingness to moving towards aimed change. Accepting the program in behalf of users, specifically executive agents, must be considered in such a vast community-based educational program