Masoumeh Sadeghi; Kiyan Heshmat-Ghahdarijani; Nizal Sarrafzadegan; Mohammad Talaei; Minoo Dianatkhah; Mehrbod Vakhshoori; Hamidreza Roohafza
Volume 21, Issue 6 , June 2019, , Pages 1-8
Abstract
Background: Trends of major cardiovascular risk factors are less investigated in Middle-Eastern countries.Objectives: This study aimed to assess the trend of major cardiovascular risk factors among Iranian individuals.Methods: This Longitudinal population-based study was performed by multistage random ...
Read More
Background: Trends of major cardiovascular risk factors are less investigated in Middle-Eastern countries.Objectives: This study aimed to assess the trend of major cardiovascular risk factors among Iranian individuals.Methods: This Longitudinal population-based study was performed by multistage random sampling on 6504 participants aged at least 35 years for 12 years initiating in 2001 until 2013 in three phases. Cardiovascular risk factors including systolic blood pressure (SBP), diastolic blood pressure (DBP), waist circumference (WC), waist to hip ratio (WHR), body mass index (BMI), fasting blood sugar (FBS) and lipid indices were measured for each subject in 2001, 2007 and 2013 and were analyzed using repeated measure analysis of variance using Bonferroni correction.Results: Mean value of SBP, DBP, BMI and FBS increased significantly in both genders during follow-up (SBP: 119.3 ± 18.7 to 128.4 ± 17.5 mmHg, P value < 0.001, DBP: 76.7 ± 11.8 to 82.8 ± 12.5 mmHg, P value < 0.001, BMI: 27.4 ± 4.4 to 28 ± 4.6 kg/m2, P value < 0.001, FBS: 86.7 ± 29.6 to 106.5 ± 38 mg/dL, P value < 0.001). Lipid profiles including total cholesterol (TC), triglyceride (TG), low- density lipoprotein cholesterol (LDL-C) and TG/ high-density lipoprotein cholesterol (HDL-C) showed favorable downward patterns in population (TC: 219.5 ± 51.3 to 200.1 ± 40.9 mg/dL, P value < 0.001, TG: 200.2 ± 110.3 to 155.1 ± 85 mg/dL, P value < 0.001, LDL-C: 132.6 ± 42.4 to 111.7 ± 27.8 mg/dL, P value < 0.001, TG/HDL-C: 4.5 ± 2.8 to 3.9 ± 2.8, P value < 0.001) with an exception of HDL-C showingless desirable results. In spite of controversial results in terms of WC and WHR changes relative to gender, total population changes of those variables were not significant.Conclusions: Although favorable patterns were observed in most lipid indices, other risk factors showed an inverse or insignificant trend. Several health-promoting strategies are required in order to improve lifestyle in a way that those raising cardiovascular risk factor trends would decline.
Tahmine Tavakoli; Peyman Adibi; Mohammad Hossein Sanei; Kiyan Heshmat-Ghahdarijani
Volume 19, Issue 10 , October 2017, , Pages 1-3
Abstract
Introduction: Mucormycosis of the gastrointestinal tract is a rare invasive fungal infection and due to late diagnosis, it is associated with a high mortality rate.Case Presentation: The studied patient was a 20-year-old woman, known case of Ulcerative colitis, admitted to emergency unit of Alzahra hospital ...
Read More
Introduction: Mucormycosis of the gastrointestinal tract is a rare invasive fungal infection and due to late diagnosis, it is associated with a high mortality rate.Case Presentation: The studied patient was a 20-year-old woman, known case of Ulcerative colitis, admitted to emergency unit of Alzahra hospital of Isfahan University Of Medical Sciences, Iran, in May of 2013 by abdominal pain, fever, and leucopenia. With possible diagnosis of typhlitis, she underwent laparotomy. Gangrene, inflammation, and obstruction of 30 centimeter of jejunum and momentum were detected. Pathology reported neutropenic enteritis due to zygomatic infection consist with intestinal mucormycosis.Conclusions: In patients with high clinical suspicion of gastrointestinal tract mucormycosis, the emergence of early diagnosis, correction of underlying risk factors, and treatment are of great importance.
