فهرست مطالب morteza saberifar

Considering the growing prevalence of diabetes type II, more effective decisions should be made for appropriate service prioritization for prevention and treatment of common complications. Thus, this study was intended to evaluate the effect of demographic factors on hospitalizations of patients with diabetes type II in Tonekabon.

This is a descriptive-analytic study with purposive sampling on 201 medical profile of hospitalized patients with diabetes type II in Shahid Rajaei Hospital in Tonekabon in 2016. Data were extracted and analyzed with SPSS v.23 according to variables include age, sex, living place, marital status, education level, and admission cause.

Results of this study showed that there was not significant difference between mean admission cause and living place (P=0.174). Moreover, no significant difference was observed between mean admission cause and marital status (p=0.061). Contrarily, in terms of different age groups, a significant difference was observed between 40-50 and above 70 years age group. Additionally, a significant difference was not observed between admission causes and different occupational and educational groups. (P>0.05).

Results of this study suggests that the psychological or behavioral factors involved in the treatment of diabetes type II should be investigated. In addition, considering the significant difference in different mean age groups and insignificant difference in patients living in urban or rural area, it is suggested that the behavior and diet of these patients should be evaluated.

Cough is a defense mechanism to ward off foreign bodies that suddenly enter the airways, and clean the natural secretion, remove particles in the inhaled air. Cough in adults could be divided into three groups based on duration. Up to three weeks as Acute, between 3 and 8 weeks as prolonged and more than 8 weeks is considered as chronic cough. According to the high fequency of patients with this complaint in Mazandaran, the purpose of this study is investigating causes of chronic cough in patients that referred to the clinic of ENT of Tonekabon Shahid Rejaei hospital between 2013 and 2014.
In the current descriptive cross-sectional study 100 patients were interviewed who referred to the specialized clinic of ENT; Tonekabon Shahid Rajaei hospital, using random sampling. Variables including type of disease, age, gender, occupation, place of residence, and smoking were analyzed with the help of SPSS software and chi-square tests.
Of the 100 people that were studied in the sample, 52% were female. 39% of respondents aged over 60 years. A noticeable percentage of patients (41%) were unemployed and 75% were urban residents. In addition, 72% of the participants’ answers to the consumption of tobacco were negative. Chronic pneumonia (P=0/003), gastroesophageal reflux (P=0/001), and COPD (P=0/001) were significantly correlated with the age variable. There was no relationship between disease and job, and smoking was the only variable that had statistically significant relationship with COPD (P=0/0001). Most people with pneumonia were rural residents (P=0/016).
In accordance with the results, gastroesophageal reflux, asthma and COPD are the leading cause of chronic cough among visitors (73%). It is necessary to study the causes of chronic cough in other cities in the country in order to examine all of the factors affecting chronic cough in large scale.

Hemodialysis is the most common method of renal replacement therapy for treatment of acute and chronic kidney failure. Helicobacter pylori (H. pylori) plays a major role in development of peptic ulcer, gastric neoplasms, and lymphoma as well as increased risk of cardiovascular disorders in hemodialysis patients.. In this study the diagnostic values of noninvasive tests [i.e. urea breath test (UBT), helicobacter pylori stool antigen test (HPSA) and serology] in diagnosis of H. pylori infection in hemodialysis patients have been studied..Patients and All patients undergoing hemodialysis in Fatemieh Hospital, Semnan, Iran, were enrolled in the study, and their H. pylori status were assessed by using non-invasive tests including UBT, HPSA and serology. Patients with at least two out of 3 positive tests were considered infected with H. pylori.. The sensitivity, specificity, and positive and negative predictive values of the tests used in diagnosing H. pylori infection were 62.5%, 65.4%, 62.5% and 65.4% for UBT, 100%, 72.2%, 58.3% and 100% for serology, and 100%, 75%, 60.9% and 100% for fecal antigen test, respectively.. This study showed that H. pylori serology and stool antigen tests have higher diagnostic values than UBT, and they are more reliable than UBT in diagnosis of H. pylori infection in hemodialysis patients..