Background: The highest prevalence of depression is observed in the elderly, and the cultural difference in each region causes a difference in the incidence of this disorder. Objectives: Therefore, this study aimed to investigate the prevalence of depression and its associated demographic factors in the elderly with electronic health records in Zanjan during 2018. Methods: A total of 400 elderly people with electronic health records participated in this descriptive crosssectional study, who were selected by the cluster random sampling method from 18 urban community health centers of Zanjan. The data were collected using a demographic questionnaire and the geriatric depression scale(. Finally, data entered the SPSS software and analyzed utilizing descriptive statistics, as well as Chisquare, ANOVA, and logistic regression tests. Results: The mean age of the elderly was 77.7±5.56 and 68.5% of them had some degrees of depression, including mild (40.5%), moderate (19.2%), and severe (8.8%) depression. Mild depression was more prevalent among younger adults while moderate to severe depression was common in older adults over 75. The results revealed that depression had a significant relationship with age and educational level while not having any significant relationship with sex, marital status, and the dwelling place. Conclusion: Considering the high prevalence of depression among the elderly in Zanjan, health managers re suggested to prioritize educational programs and social support for this group of individuals and monitor the performance of supportive institutions such as insurance in this rgard. Eventually, they are recommended to pay attention to the geographical and cultural diversity of different regions of the country to reduce the elderly's depression level.
Breast cancer early diagnosis increases treatment chances, and self-examination is one of the commonest screening methods employed by women. The case of a 24-year-old Iranian woman with a history of mild mental retardation and chest pain was reported. A large lump was detected in the breast during visitation to the surgical clinic. The parents stated the lump was noticed due to a shape change in the clothes covering the patient's chest area. Therefore, the patient had mastectomy surgery after a biopsy and a malignant breast lump was confirmed. The registration and identification of people with mental disorder histories or various mental retardation degrees in each region's health centers to periodically assess their breast health tend to reduce the risk of late breast cancer detection in women.
Background: Substance abuse as a major social and medical problem can be job-dependent. Objectives: Among various occupations, medical personnel have greater access to narcotic drugs, leading to mood, behavior, and occupational disorders and ultimately death due to lack of control. Methods: The present study reported a death of medical personnel with migraines owing to colleagues' inattention to substance abuse. Results: The case was a 44-year-old man with 24 years of clinical experience, good social relationship, no symptoms of psychiatric disorder, an expert in the field of anesthesiology, and a popular manager among hospital colleagues. Diagnosed with migraine headaches one year ago, he worked for several treatment centers. According to some reports, he showed ataxia in some cases due to the exacerbated headache. Additionally, ataxia and drowsiness after a headache attack were not considered the cause of drug abuse so that they were always attributed to the disease. Eventually, in a shift, he had a respiratory failure and then died of the overdose or non-control of fentanyl abuse. Conclusion: Medical personnel with migraine are at high risk of substance abuse in therapeutic settings. Therefore, it is suggested that periodic and intangible examinations be conducted for medical personnel, especially those with migraines in the field of substance abuse, and preventive counseling be provided.
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