[ relationship of fatigue and hostility with health in patients with coronary artery disease]

Fatigue and hostility can be influence quality of life in patients with coronary artery disease. Investigation the relationship of fatigue and hostility with quality of life in patients with coronary artery disease. The samples consisted of 60 coronary heart disease patients which were selected among all coronary artery disease persons who had referred to Heshmat Hospital in Rasht. For gathering data were used. Choreic Fatigue Scale, Hostility Scale and Health survey. Data was analysed by using Pearson correlation coefficient and multiple regression analyses. The results of Pearson correlation coefficient showed that fatigue [r=-.64] and hostility [r= -.25] are related to quality of life [P<0.05]. The results of multiple regression showed that physical fatigue, is the best significant contribute in prediction of quality of life in patients with coronary artery disease. These results are in keeping with findings from other studies and indicated that the role of fatigue and hostility in quality of life in patients with coronary artery disease

Metabolic and clinical effects of Ramadan fasting in patients with type 2 diabetes

To evaluate the effects of fasting on anthropometric indices and carbohydrate and lipid metabolism in patients with type II diabetes. Design: Observational non-interventional study. Place and Duration of Study:: Diabetes clinic, Shariati Hospital, Tehran, Iran during Ramadan 1419 [winter 1998-99]. Patients and Fifty-seven volunteers with type II diabetes underwent anthropometric and biochemical evaluation before and on the 14th and 28th days of Ramadan. Biochemical markers were measured by standard laboratory methods and anthropometric indices by WHO criteria. Statistical analysis was done by ANOVA for repeated measurements and Friedman's two-way ANOVA using SPSSv6 software. Daily cholesterol intake increased in all subjects [p<0.03]. Body mass index increased in women [p<0.03], but BMI and waist-hip ratio both decreased in men [p<0.01]. Blood pressure, fasting blood glucose and serum fructosamine did not change during the study. Plasma insulin [p<0.05], C-peptide [p<0.01] and insulin resistance [p<0.01] decreased only in men. Total and LDL cholesterol increased significantly in all subjects during the study. Ramadan fasting does not alter carbohydrate metabolism or tissue insulin sensitivity in patients with type II diabetes given appropriate dietary education and rescheduling of oral hypoglycaemic medication. Lipid profile is unfavourably altered due to changes in both diet and biochemical response to starvation