Showing 2 results for Ilam
Farshad Forouzandeh, Alireza Aziz Ahari, Farid Abolhasani, Bagher Larijani,
Volume 4, Issue 4 (6-2005)
Abstract
Background: Foot complications are among the important problems of diabetic patients. Vascular and neurological involvements are two major causes for such complications.
Methods: We studied 142 diabetic outpatients referred to diabetes clinic of Dr.Shariati Hospital from Dec. 2003 to Sep. 2004. We performed different neurological and vascular tests to assess the diabetic foot and data were analyzed by SPSS software.
Results: 54.9% of the cases reached the symptom score of 5 and upper so they had neuropathy regarding the Michigan Neuropathy Disability Score (MNDS). By analyzing the overall symptom and sign scores, 61% had neuropathy. Regarding MNDS, 42.7% of the subjects were neuropathic. Finally 23.9% were unable to sense at least one point from 12 points of monofilament examination. 16.9% of the patients had the complaint of intermittent claudication, in 8.8% at least one of the peripheral pulses was not palpable, whereas 10.6% had some degree of PAD regarding to ABI and toe pressure.
Conclusion: Using a monofilament is the most reliable method for screening of the neuropathy in diabetic patients. On the other hand, relying on symptoms like intermittent claudication and physical examination in order to find peripheral arterial disease in diabetic patients may lead to miss many cases, thus, performing some more precise diagnostic tests, such as ABI and toe pressure are highly recommended and reliable.
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Volume 13, Issue 6 (9-2014)
Abstract
Background: The world population is aging and it is expected that in 2020 more than one billion people in the world be elderly. The aim of this study was the evaluation of socioeconomic and physical health of elderly people in Ilam province in 2011.
Methods: This study was a cross - sectional study in which 1012 elderly people residing in the city of Ilam and eight townships participated by proportional allocation methods. Data collected by using a standard questionnaire and the Data were analyzed by using SPSS statistical software.
Results: The mean age of the study population was 70/1 ± 8/02 years. The differences between employment status and job type of elderly in each township was Significant. Mean systolic and diastolic blood pressure in subjects was 133/03±28/38 and 11/76±8/02 excursively, and mean body of BMI was 25/72±4/48. 36/1% of the elderly had a history of heart disease, 15% are living with diabetes, and 22/5% had respiratory problems. 45/3% have surgery history, 72/8% experienced joint pain, 64/6% experienced musculoskeletal pain and 12/6% had a history of stroke. 23/8% had problems of knowing the time, 22/8% had problems recognizing the place, 22/2% had problems recognizing people and 25/9 % Shake hands and head.
Conclusion: Common problems with physical health problems reported by elderly of Ilam the same in the rest of the country and major differences in socioeconomic status. Due to lower per capita income in Islam compared to other provinces of Iran, the health status of the elderly has been lowered in Ilam rather to another province.
