RESUMO
Introduction: Depression is a common disorder and 1 of 5 women and 10 men are affected by depression during their life time. Depression in candidates of Coronary Artery Bypass Graft Surgery [CABG] may increase the rate of morbidity, re-hospitalization and death and it reduces quality of life after CABG
Objective: Determine the relative frequency of pre-operative depression in candidates of CABG in Heshmat Hospital in Rasht City, Iran
Materials and Methods: A descriptive cross-sectional study was performed on a representative sample of 250 candidates of CABG who admitted in Heshmat Hospital [from October 2006 to May 2007]. Patients were assessed by Beck Depression Inventory and those who scored more than 16 were interviewed considering DSM IV criteria for depressive disorders
Results: Among 250 patients, 67 cases [26.8%] acquired score more than 16 and 39 cases [15.6%] were depressed in structured clinical interview. Among them 12 cases [31%] were male and 27 cases [69%] were female, this difference was statically [p<0.001]. There was a significant relationship between educations and employment situation with depression [p<0.001] respectively. Depression was more in illiterates or primary schools education [p<0.008]. Unemployed and housewife women were statistically higher depressed [p<0.001]. There was a significant relationship between depression and co-morbid disorders while it was not associated with place of residence, marital status and diabetes mellitus
Conclusion: Regarding to The prevalence of pre-operative depression in candidates of CABG and its relationship with poor medical prognosis in these patients, it should be assessed before operation in order to reduce re-hospitalization and improve patients' quality of life
RESUMO
Xanthoma are benign cutaneous tumors. They can be isolated or associated to hyperlipidaemia. We report the observation of a 15-year-old patient, born from un inbred marriage, which presents a tuberous xanthoma of the right elbow associated to plan xanthoma which revealed a type IIa hyperlipoproteinemia. We shall call back the various aspects of xanthoma, as well as the clinical and biological particularities of the type IIa hypertipoproteinemia