Epidemiological study of suicide attempt in dashtestan region in 2004

Among adolescents, Suicide is the third injuries and 7[th] death causes. Considering young population and suicidal rate increasing, this study is done with the aim to determine the frequency and way of suicidal attempt according to age, sex, marriage situation, education level, etc. This is a descriptive and analytical study. Data was collected through a questionnaire containing demographic and social objects and it was analyzed by SPSS software and X[2] test. Out of 144 cases of suicidal attempt, 42 cases [29.0%] male and 102 [71.0%] were female. Most cases [52.0%] were 15-19 years and 92.0% were educated. Mean age of all cases was 22 +/- 3.7 with range of 13-49. This index for females was 22 +/- 3.4 with range of 13-44 and for males, 23 +/- 3.6 with range of 14-49 years. In this study, females were more than males in all age groups. There was significant difference between married and non-married [p<0.05]. Familial discord is the major risk factor in suicide attempt necessitate the founding of consultation centers for adolescents and youths in order to meet their needs, answer their questions and give them guidance and support. Love-related emotional problems constituted the second most important factor that threatens young people. Thus, they should be persuaded to seek professional help and encouraged to frankly express their feelings to specialist in order to appropriate guidance be provided

[Survival rate and its related factors in patients with acute myocardial infarction]

It has been noted that the myocardial infarction is an increasing episode in Islamic Republic of Iran and there are many procedures and methods which can help to reduce the number of death from this ongoing event. The aim of this study was to determine the survival rate in those patients who have had acute myocardial infarction and its association with different variables. This descriptive analytic study evaluates 111 cases of acute myocardial infarction admitted in Yasuj Imam Sajjad hospital during the year 2004 and 2005. Data were collected using a questionnaire which was completed through direct interviewing by trained personnel. The data were analyzed by standard statistical tests using SPSS software. The mean age of patients was 57 +/- 12 years. The mean time of having access to physician after MI was 4 +/- 2.2 hours. The mean time of reaching hospital after physician order was 5 +/- 4.9 hours. The mean time of hospitalization was 4 +/- 1.67 days. Considering the past history of these patients revealed that 31 percent were smokers, 16 percent had the history of previous ischemic heart disease, 63 percent had hypertension, 8 percent had diabetes mellitus, 95 percent had clip I, 95 percent had no previous block, 82 percent had Ml with Q wave. The survival rate in our study was found to be 0.91 in the first 10 hours, 0.847 in the first day, 0.829 in the first 28 days, 0.820 in the first third months, 0.792 in the first six months and 0.771 in the first 10 months of disease. The mortality rate during the first month among the patients with heart failure turned out to be higher than that of the other similar studies performed in other parts of the country; however, the annual survival rate proved to be less. The most important causes of survival after the stroke are being single, smoking, fatness and angina pain

[Related factors with intervals between pregnancies in women who referred to health center of Boushehr city in 2005]

Short intervals between pregnancies will be dangerous and will have some undesirable results like low birth weight, small for gestational age, still birth and neonatal death for the child and death danger, third trimester bleeding, premature rupture of membrane, endometritis and anemia for the mothers. This matter caused many countries specially Iran to accept proper intervening strategies between births. Therefore, present study has been done with the aim to determine related causes with pregnancy intervals in women at Boushehr city. This is a descriptive analytical study. Samples were women who had more than one child and referred to health centers of Boushehr city in 2005. Cluster sampling consisting of 311 samples was carried out. There were six clusters each of 50 samples selected from six centers. To collect data' a questionnaire including 26 demographic variable and questions like parent's educational level and accupation, marriage age of mother, age of mother at first pregnancy, number of children, etc was used. The interval of last two deliveries of 20[6.5%], 25 [8.0%], 41 [13.2%] and 225 [72.3%] women was less than one year, one to two years, two to three years and more than three years respectively. Among effective factors on pregnancy intervals, job, age at the first pregnancy and age at the time of last delivery of mother showed significant relation with their pregnancy intervals. Considering the risks of short interval pregnancies and their effective factors, suitable planning by authorities to provide educational program is suggested

Prognostic factors in the relapse of Graves' disease following treatment with antithyroid drugs

Patients with Graves' disease exhibit a considerable rate of relapse after treatment with antithyroid drugs and require ablative therapy. The purpose of this study was to evaluate variables which can be used as prognostic factors in predicting the outcome of Graves' disease after treatment with antithyroid drugs. Age, sex, duration of antithyroid drug therapy, pretreatment T3 and T4 values, T3 to T4 ratio, size of thyroid gland before and after treatment, and the effect of salt iodination were determined in 439 patients at an endocrine clinic in southern Iran during a 15- year period. The patients included 338 [77%] females and 101[23%] males with a mean age of 34.1 11.2 years. Overall, the relapse rate was 62%. The relapse rates were 58% and 76% in females and males, respectively [P=0.001]. The mean age was 35.0 11.6 years in the relapse group [n=275] and 32.6 +/- 11.3 in the remission group [n=164] [P=0.03]. T4 was 20.4 6.3 and 18.1 5.4 g/dl in the relapse and remission groups, respectively [P=0.000]. In the relapse group, T3 was 443.0 189.5 ng/dl and in the remission group, it was 373.4 182 ng/dl [P=0.009]. T3 to T4 ratio was higher in the relapse group [21.8 8.3 vs 18.6 7.0 ng/ g, P<0.005]. Larger pre- and post-treatment thyroid size were associated with higher relapse rate [P<0.05 and P=0.001, respectively]. Logistic regression analysis showed that male sex, old age, higher pretreatment T4, T3, and T3 to T4 ratio, and larger pre- and post-treatment thyroid size were associated with higher relapse rates. Iodinated salt consumption and duration of treatment beyond 12 months had no effect on the relapse rate. Patients with male gender, older age, higher pretreatment T3, T4 higher T3/T4 ratio, and larger thyroid size before and after treatment have higher risk of relapse