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Background: Pediatric hypertension is the main cause of morbidity and mortality in pediatric populations.Purpose: To examine pediatric hypertension in a clinical setting, we used the percentile rank approach and defined hypertension as that above the 95th percentile.Methods: The present study was linked to the a national analytical cross-sectional community-based Iranian Children and Adolescents’ Psychiatric Disorders (IRCAP) survey. The survey was nationwide and funded by the National Institute of Medical Research Development. The IRCAP survey included 31,000 children and adolescents aged 6–18 years in all 31 Iran provinces. The current study included 1,035 children and adolescents and linked the data of the risk factors of cardiovascular disease only in Yazd province via random cluster sampling.Results: Of the total participants, 456 (44.1%) were male and 579 (55.9%) were female. The mean age was 11.2±3.8 years (11.7±3.7 years for males, 11.0±3.6 years for females), while mean height was 146±20.0 cm overall, 147.2±22.0 cm for males, and 144.6±17.0 cm for females (P=0.009). The blood pressure distributions and percentiles were evaluated.Conclusion: Here we determined age- and height-specific 50th, 90th, 95th, and 99th percentiles of systolic and diastolic blood pressures in Yazd boys and girls using 10-cm height intervals.

BackgroundThis study aimed at investigating the coping strategies with stress in patients with acute myocardial infarction (MI) and individuals without a history of fixed MI and cardiovascular disorders.MethodsThis case-control crossover study was conducted from March 2015 to February 2016 on 220 patients with acute MI (MI patients) as case group and 220 patients without any history of MI and cardiovascular diseases as the control group using availability sampling method. To collect the required data, demographic information questionnaire, Holms-Raheh life stress inventory, perceived stress questionnaire, and coping inventory for stressful situations (CISS) were applied.ResultsOn the basis of our findings, 118 patients (53.6%) with MI used emotion-focused coping strategy. Ninety-seven patients (82.2%) with MI who used emotion-focused coping strategy had negative perceived stress. Additionally, 71 patients (60.2%) with MI who had used emotion-focused coping strategy suffered from very high level of stress.ConclusionThe most MI patients had very high level of stress while most people in control group had high level of stress. Most MI patients that had very high level of stress cope with it in emotion-focused coping strategy and it proves that people with higher levels of stress are more likely to use inefficient coping strategies.

Introduction: Due to significant social, economic, cultural, and lifestyle changes in Iran during past decades and the relationship among the unstable social and economic status and mental complications the study of psychiatric disorders has become important and necessary, the aim of this study was epidemiology of psychiatric disorders in children and adolescents. Methods: A total of 1035 children aged 6-18 years from Yazd Province, Iran were enrolled in this cross-sectional study in 2017 using a multistage cluster sampling method. Data were collected using the following inventories for school-age children (6-18 years): Kiddie-SADS-Present and Lifetime Version (K-SAD-SPL). Logistic regression and SPSS version 16 software were used for data analysis. Results: 44.1% of participants were boys and 55.9% were girls. The mean age of the participants was 11.3±3.9 years. The prevalence of psychiatric disorders in children and adolescents was 35.5%. Meanwhile, anxiety disorders had the highest prevalence rate (22.2%) and among anxiety disorders, separation anxiety disorder (8.7%) and generalized anxiety (8.6%) were the most prevalent. There was a significant difference in all psychiatric disorders based on gender, more evident in the high rate of obsessive-compulsive disorder, enuresis, tic, attention deficit hyperactivity disorder, hyperactivity, oppositional defiant disorder, conduct disorder, smoking disorder, and epilepsy were more evident in boys (P-value < 0.05). Conclusion: The prevalence rate of psychiatric disorders in young population of Yazd Province is relatively high and because of its impact on individuals' social and personal function, it could have substantial implications for mental health services.

Background As a result of its unique lifestyle, culture, and genetic characteristics, central Iran exhibits differences in coronary heart disease (CHD) risk factor prevalence and impact. Therefore, investigating the epidemiology of CHD risk factors and their effects on CHD events in this region is of particular significance. Methods Two-thousand participants of a community-based Iranian population, aged 20–74 years, were investigated with a mean follow-up of 9.9 years (range: 7.6 to 12.2). An analysis of Cox regression was conducted to determine the association between CHD development and classic risk factors like age, gender, smoking, socioeconomic status, physical activity, education, obesity, dyslipidemia, hypertension, and diabetes. For risk factors and protective factors, attributed risk percentages and absolute risk reductions were calculated. Results After a follow-up period of nearly 10 years, a total of 225 CHD events were reported, accounting for 14.5% of the participants. Most participants had more than one risk factor. Age was the most critical risk factor. In comparison to females, male gender had a HR of 1.45 (CI: 1.11–1.90, p-value = 0.006) for developing CHD. Socioeconomic status and BMI were not significantly associated with CHD. Nearly 80% of the patients had dyslipidemia with a hazard ratio of 2.19 (CI: 1.40–3.44, p = 0.01). Hypertension with prevalence of 28.9% and pre-hypertension with prevalence of 52% were significant risk factors. Diabetes with a prevalence of 19.76% had a HR of 2.70 (CI: 2.07–3.53), but pre-diabetes was not significantly associated with CHD. Awareness of diabetes, dyslipidemia, and hypertension were 81%, 27.9%, and 48.1%, respectively. Regarding medication usage, the corresponding percentages were 51% for diabetes, 13.2% for dyslipidemia, and 41% for hypertension. Conclusions Compared to neighboring countries and other parts of the world, classical CHD risk factors are highly prevalent in Iran. This can prompt Iranian healthcare policy makers to change their strategies.