راضیه سادات میرمعینی

Gestational diabetes mellitus (GDM) is the most common metabolic disorders in pregnancy. Identifying risk factors for GDM helps to better understand the disorder and develop appropriate screening Strategies. This study aims to identify risk factors for GDM among pregnant women in rural areas of Hamadan province. This was a case-control study. GDMs were extracted in rural areas of Hamadan province during the year 2011. After removing those who migration out of the province، died cases and those with a history of diabetes deaths، 112 pregnant women with GDM were identified. The control group was selected and necessary matches between the two groups were performed. After referring to their pregnancy files، The checklist were completed. Statistical analysis was performed using Stata software، version 11، an and error level less than 5% was considered. Most cases were in the age group 30-40 (57. 1%)، Their mean age was 33. 3±0. 5 years. 37. 5% of cases had experienced third pregnancy. Body Mass Index (P=0. 03)، history of hypertension before pregnancy (P=0. 03) and a history of high-risk pregnancies (P=0. 003) had a significant relationship with GDM. According to the results of the present study، high BMI، history of high-risk pregnancy، history of hypertension before pregnancy had a significant relationship with GDM. Because of the differences in some of the relevant factors for GDM in different locations، prospective studies with larger sample size and standard criteria for the diagnosis of GDM is necessary.

Complications of national program vaccination have great importance, because widespread use of vaccines and expanded age range of vaccinees increases the percentage of side effects. Present study was performed for evaluating the complications of national measles and rubella vaccination in Hamedan province. This cross-sectional descriptive study was done from December sixth to January fifth 2003 and two months after termination of vaccination program. The study was performed by filling complication forms that were distributed in the vaccination centers. The data was analyzed by SPSS software. A total of 827468 persons had been vaccinated in Hamedan, 260 out of them showed different complications. They had occurred mostly in 10 to 14 year old age group and had reported mainly by vaccination teams. 61.41 % of complications had been occurred in the first 24 hour after vaccination. 86 % of them had reactions to vaccination. 91 % of cases were outpatient. The complications with incidence rate more than were urticaria, fever, head ache, vomiting, lymphadenopathy, cough, skin rash, myalgia, pharyngitis, arthritis, rhinitis, restlessness and occular complications in decreasing order. The complications with incidence rate less than were sever dyspnea, seizure, diarrhea, paresthesia, anaphylaxis, encephalitis, thrombocytopenia, and Gillan – Barre syndrome. Mild complications were more frequent than severe ones. Most of the complications were related to reaction to vaccine, we didn’t have any program fault. Therefore we suggest a potent and flexible care system for reacting to side effects.