Résumé
Background: The relation between the extent and progression of baldness and coronary heart disease is not totally clarified yet. Some study reveals that male patients with male pattern baldness are at higher risk of CVD than those without male pattern baldness.The aim of this study was to find the prevalence of Acute Coronary Syndrome in male patients with or without vertex baldness.Material & Methods:This cross-sectional observational study was conducted in the Department of cardiology, Mymensingh Medical College Hospital, Mymensingh from October 2014 to September 2015. A total 100 male patients with or without vertex baldness were included in this study from male patients with a first lack of acute coronary syndrome admitted in the coronary care unit (CCL) of MMCH within 24 hours of onset of symptoms.Results:Mean age was found 45.3±7.2 years in group A and 44.5±6.7 years in group B. The mean age difference was not significant (>0.05). STEMI and NSTEMI were higher in group A than group B on contrast UA was higher in group B than group A. The total mean BMI was observed 22.8±3.0 kg/m2. The mean difference was statistically insignificant in both groups (p=0.31). The mean waist circumference was observed 89.4±8.7 vas 84.5±8.4 cm in group A and group B respectively. The mean was higher in group A than group B with statistically significantly difference (p=0.005). Biochemical status of the study that the mean FBS, total cholesterol, triglyceride and HDL cholesterol level were statistically significant between two groups (p=0.01), but the mean difference of LDL cholesterol was not statistically significant between the two groups (p=0.20).Conclusion:The patients with vertex baldness or male pattern baldness are associated with more risk of CVD than without vertex baldness. Vertex baldness may be a marker for Acute Coronary Syndrome.
Résumé
Background@#The patient’s intention to engage in diabetes care is the hallmark of role acceptance as a health manager and implies one’s readiness to change. The study aimed to understand the process of having the intention to engage in diabetes care. @*Methods@#A qualitative study using narrative inquiry was conducted at a public primary care clinic. Ten participants with type 2 diabetes of more than a 1-year duration were selected through purposive sampling. In-depth interviews were conducted using a semi-structured protocol guide and were audio-taped. The interviews were transcribed and the texts were analyzed using a thematic approach with the Atlas.ti ver. 8.0 software (Scientific Software Development GmbH, Berlin, Germany). @*Results@#Three themes emerged from the analysis. The first theme, “Initial reactions toward diabetes,” described the early impression of diabetes encompassing negative emotions, feeling of acceptance, a lack of concern, and low level of perceived efficacy. “Process of discovery” was the second overarching theme marking the journey of participants in finding the exact truth about diabetes and learning the consequences of ignoring their responsibility in diabetes care. The third theme, “Making the right decision,” highlighted that fear initiated a decision-making process and together with goal-setting paved the way for participants to reach a turning point, moving toward engagement in their care. @*Conclusion@#Our findings indicated that fear could be a motivator for change, but a correct cognitive appraisal of diabetes and perceived efficacy of the treatment as well as one’s ability are essentially the pre-requisites for patients to reach the stage of having the intention to engage.
Résumé
Background@#The patient’s intention to engage in diabetes care is the hallmark of role acceptance as a health manager and implies one’s readiness to change. The study aimed to understand the process of having the intention to engage in diabetes care. @*Methods@#A qualitative study using narrative inquiry was conducted at a public primary care clinic. Ten participants with type 2 diabetes of more than a 1-year duration were selected through purposive sampling. In-depth interviews were conducted using a semi-structured protocol guide and were audio-taped. The interviews were transcribed and the texts were analyzed using a thematic approach with the Atlas.ti ver. 8.0 software (Scientific Software Development GmbH, Berlin, Germany). @*Results@#Three themes emerged from the analysis. The first theme, “Initial reactions toward diabetes,” described the early impression of diabetes encompassing negative emotions, feeling of acceptance, a lack of concern, and low level of perceived efficacy. “Process of discovery” was the second overarching theme marking the journey of participants in finding the exact truth about diabetes and learning the consequences of ignoring their responsibility in diabetes care. The third theme, “Making the right decision,” highlighted that fear initiated a decision-making process and together with goal-setting paved the way for participants to reach a turning point, moving toward engagement in their care. @*Conclusion@#Our findings indicated that fear could be a motivator for change, but a correct cognitive appraisal of diabetes and perceived efficacy of the treatment as well as one’s ability are essentially the pre-requisites for patients to reach the stage of having the intention to engage.