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Background: Ischemic Heart Disease (IHD) is the leading cause of mortality in both developed and developing countries. It accounts for more than 15% of the total mortality worldwide. At the global scale, the massive occurrence of this disease can have tremendously negative effects on economy, especially among young people. Objective: The present study aimed to investigate the relationship between IHD and several important risk factors involved. It also looked into the prevalence of IHD among patients between 20 and 40 years of age. Methods: The present cross-sectional, retrospective survey was conducted in three referral heart hospitals affiliated to Mashhad University of Medical Sciences, Iran. The required data were extracted from integrated Hospital Information System (HIS) from 2010 to 2012. The data included clinical and demographic information, such as age, gender, marital status, occupation, diabetes, blood pressure, blood cholesterol, cigarette smoking, and family history. In the next phase, clustering technique and k-means algorithm were applied using the WEKA (3-6-9) software. Results: Totally, 88623 patients suffered from heart diseases between 2010 and 2012. When the specific inclusion and exclusion criteria were considered, the number of records was restricted to 776, which included 548 males. The clustering technique was done in two phases. Firstly, there were four clusters extracted and secondly, cluster analysis was done in terms of age and gender. According to the findings, cigarette smoking in males aged between 20 and 40 years was the main risk factor. Conclusion: The present research aimed to investigate the risk factors of heart diseases among patients between 20 and 40 years of age. Those below 40 years old were known as the main human resource in the community. The early prevalence of IHD in this population disabled them for the rest of their lives. This disability could also lead to irreparable physiological effects along with financial costs. It could also impose high costs on the society. Recognition of the risk factors of heart diseases at younger ages could contribute to healthcare policies. [ABSTRACT FROM AUTHOR]

Background: The main goal of physical therapy is to help the patient gain a better health status. Several studies have investigated the use of reminders to prevent such failures on the patients' side. This article presents a systematic review of the literature concerning reminders in physical therapy., Methods: Databases were searched until May 2017 and literatures were found from April 1992 until 2017. The literature recruitment strategy was based on applying several keywords and Medical Subject Heading (MeSH) combination running against title and abstract, including concepts such as reminder, physical therapy. The finally selected articles were categorized through reminder aspects such as how, who feedback. Data were extracted according to PRISMA guidelines., Results: In 47% of studies, the reminder was sent to the patients, 29% to the physical therapists and 12% to the caretaker team. In 24% of the studies, paper-based letters were main medium for reminders while the rest were various types of media like emails and SMS mobile text messages. 35% of the articles showed positive effects of the reminders., Conclusions: Many reminder methods consisted of SMS, phone calls, letters, emails and notices on the wall were used in physical therapy. Reminders may be used to improve patients' adherence to exercise programs.

Introduction: Delay in diagnosis of bleeding can be due to underestimation of the actual amount of blood loss during delivery. Therefore, this research aimed to compare the efficacy of web-based, simulation-based, and conventional training on the accuracy of visual estimation of postpartum hemorrhage volume., Materials and Methods: This three-group randomized clinical trial study was performed on 105 midwifery students in Mashhad School of Nursing and Midwifery in 2013. The samples were selected by the convenience method and were randomly divided into three groups of web-based, simulation-based, and conventional training. The three groups participated before and 1 week after the training course in eight station practical tests, then, the students of the web-based group were trained on-line for 1 week, the students of the simulation-based group were trained in the Clinical Skills Centre for 4 h, and the students of the conventional group were trained for 4 h presentation by researchers. The data gathering tool was a demographic questionnaire designed by the researchers and objective structured clinical examination. Data were analyzed by software version 11.5., Results: The accuracy of visual estimation of postpartum hemorrhage volume after training increased significantly in the three groups at all stations (1, 2, 4, 5, 6 and 7 (P = 0.001), 8 (P = 0.027)) except station 3 (blood loss of 20 cc, P = 0.095), but the mean score of blood loss estimation after training did not significantly different between the three groups (P = 0.95)., Conclusion: Training increased the accuracy of estimation of postpartum hemorrhage, but no significant difference was found among the three training groups. We can use web-based training as a substitute or supplement of training along with two other more common simulation and conventional methods.