scholarly journals Resilience of patients with coronary heart diseases in Jordan: A cross-sectional study

Author(s):  
Nahla M Al Ali ◽  
Ibrahim S. Al Ramamneh
2020 ◽  
Author(s):  
Yan Liu ◽  
Zhenwen Zhang ◽  
Binlan Xia ◽  
Liping Wang ◽  
Hengzhong Zhang ◽  
...  

Abstract Background: Evidence on the association between the non-high-density lipoprotein cholesterol (non-HDLc)-to-high-density lipoprotein cholesterol (HDLc) ratio (non-HDLc/HDLc) and carotid plaques is still limited. This study aims to assess the relationship between the non-HDLc/HDLc and carotid plaques in a population with a high risk of stroke.Methods: A cross-sectional study based on the community was conducted in Yangzhou, China. Residents (no younger than 40 years old) underwent questionnaire interviews, physical examinations, and laboratory testing during 2013-2014. The subjects with a high risk of stroke were further selected (at least three of eight risk factors including hypertension, atrial fibrillation, type 2 diabetes mellitus, dyslipidaemia, smoking, lack of exercise, overweight, and family history of stroke) or a transient ischaemic attack (TIA) or stroke history. Carotid ultrasonography was then performed on the high stroke risk participants. Carotid plaque was defined as a focal carotid intima-media thickness (cIMT) ≥1.5 cm or a discrete structure protruding into the arterial lumen at least 50% of the surrounding cIMT. Logistic regression was employed to evaluate the relationship between the non-HDLc/HDLc and carotid plaques.Results: Overall, 839 subjects with a high risk of stroke were ultimately included in the analysis, and carotid plaques were identified in 341 (40.6%) of them. Participants in the highest non-HDLc/HDLc tertile group presented a higher proportion of carotid plaques than did those in the other two groups. After adjustment for other confounders, each unit increase in the non-HDLc/HDLc was significantly associated with carotid plaques (OR 1.55, 95%CI 1.28-1.88). In the subgroup analysis, the non-HDLc/HDLc was positively and significantly associated with the presence of carotid plaques in most subgroups. Additionally, the non-HDLc/HDLc interacted significantly with three stratification variables, including sex (OR 1.31 for males vs. OR 2.37 for females, P interaction = 0.016), exercise (OR 1.18 for subjects without lack of exercise vs. OR 1.99 for subjects with lack of exercise, P interaction = 0.004) and heart diseases (OR 1.40 for subjects without heart diseases vs. OR 3.12 for subjects with heart diseases, P interaction = 0.033). Conclusion: The non-HDLc/HDLc was positively associated with the presence of carotid plaques in a Chinese high stroke risk population. A prospective study or randomized clinical trial of lipid-lowering therapy in the Chinese population is needed to evaluate their causal relationship.


2021 ◽  
Vol 35 ◽  
pp. 205873842110656
Author(s):  
Md. Rabiul Islam ◽  
Moynul Hasan ◽  
Waheeda Nasreen ◽  
Md. Ismail Tushar ◽  
Mohiuddin Ahmed Bhuiyan

Objectives Vaccination rollout against COVID-19 has started in developed countries in early December 2020. Mass immunization for poor or low-income countries is quite challenging before 2023. Being a lower–middle-income country, Bangladesh has begun a nationwide COVID-19 vaccination drive in early February 2021. Here, we aimed to assess the opinions, experiences, and adverse events of the COVID-19 vaccination in Bangladesh. Methods We conducted this online cross-sectional study from 10 February 2021, to 10 March 2021, in Bangladesh. A self-reported semi-structured survey questionnaire was used using Google forms. We recorded demographics, disease history, medication records, opinions and experiences of vaccination, and associated adverse events symptoms. Results We observed leading comorbid diseases were hypertension (25.9%), diabetes (21.1%), heart diseases (9.3%), and asthma (8.7%). The most frequently reported adverse events were injection site pain (34.3%), fever (32.6%), headache (20.2%), fatigue (16.6%), and cold feeling (15.4%). The chances of having adverse events were significantly higher in males than females ( p = 0.039). However, 36.4% of respondents reported no adverse events. Adverse events usually appeared after 12 h and went way within 48 h of vaccination. Besides, 85.5% were happy with the overall vaccination management, while 88.0% of the respondents recommended the COVID-19 vaccine for others for early immunization. Conclusion According to the present findings, reported adverse events after the doses of Covishield in Bangladesh were non-serious and temporary. In Bangladesh, the early vaccination against COVID-19 was possible due to its prudent vaccine deal, previous mass vaccination experience, and vaccine diplomacy.


2017 ◽  
Vol 33 (1) ◽  
pp. 1
Author(s):  
Debsy Vonneke Pattilima ◽  
Anggoro Budi Hartono ◽  
Trisno Agung Wibowo

Smoking behavior of patients with coronary heart diseases: a study in the Saras Husada hospitalPurposeThis study aimed to examine the determinants of smoking behavior in patients with coronary heart disease (CHD) in Saras Husada hospital Purworejo.Methods A cross sectional study was conducted involving 205 respondents. Dependent variable was smoking behavior in patients with coronary heart diseases, while independent variables were knowledge about dangers of smoking, exposure to cigarette advertising and smoking behavior of family members with confounding variables: age, sex, and education. Data were collected through interviews using a structured questionnaire and analyzed using bivariate and multivariate tests.ResultsThis study found no correlation of cigarette advertisement exposure, smoking behavior of family members, gender, and education with smoking behavior in CHD patients. Multivariate analysis showed that gender variables influence the determinant of smoking behavior in CHD patients.ConclusionThis study provides knowledge that gender is the strongest determinant affecting smoking behavior in CHD patients. It is necessary to apply the local regulation ban on smoking, especially for men in public places, workplaces and schools.


2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Ristina R. Sijabat ◽  
Shane H.R. Ticoalu ◽  
George N. Tanudjaja

Abstract: Fast food contains high fat and sodium but limited or low nutrients such as calcium, riboflavin, vitamins, magnesium, vitamin C, folate, and fiber; therefore it is classified as poor-vegetable food. Excessive consumption of Kentucky fried chicken (KFC), a kind of fast food, can lead to obesity and further to various degenerative diseases such as coronary heart diseases, diabetes mellitus, and hypertension. This study was aimed to obtain the electro-cardiography profile of people who used to consume KFC. This was a descriptive study using a cross sectional study. There were 21 subjects in this study. The ECG examination showed that of the 21 subjects, 11 had abnormal ECG result. Conclusion: In this study, half of the subjects showed abnormal ECG.Keywords: fast food, KFC, ECG Abstrak: Makanan cepat saji (fast food) mempunyai kandungan lemak dan natrium yang cukup tinggi tetapi nilai zat gizinya terbatas atau rendah misalnya: kalsium, riboflavin, vitamin A, magnesium, vitamin C, folat, dan serat; oleh karena itu makanan cepat saji tergolong miskin sayur. Kebiasaan mengonsumsi makanan cepat saji, antara lain Kentucky fried chicken (KFC) secara berlebihan dapat menimbulkan masalah kegemukan yang berkelanjutan akan menimbulkan berbagai macam penyakit degeneratif seperti jantung koroner, diabetes melitus, dan hipertensi. Penelitian ini bertujuan untuk mendapatkan gambaran elektrokardiografi (EKG) pada individu dengan kebiasaan mengonsumsi KFC. Jenis penelitian ini ialah deskriptif dengan desain potong lintang. Hasil pemeriksaan EKG memperlihatkan dari 21 subyek penelitian didapatkan 11 orang dengan hasil EKG tidak normal. Simpulan: Separuh dari subyek penelitian memperlihatkan gambaran EKG yang abnormal.Kata kunci: makanan cepat saji, KFC, EKG


2017 ◽  
Vol 4 (3) ◽  
pp. 81
Author(s):  
Glaucia Helena Faraco De Medeiros ◽  
Vanessa Brüning

Aim: Appoint the main chronic diseases and the most frequent medications used by the patients by the graduation students of Dentistry between 2012 and 2014/A,through patients’dentistry records.Material and Methods: Two studies were performed: one retrospective in patients’ dentistry records, attended at the Clinical School of Dentistry and a cross-sectional study with the students enrolled between the 6th and 9th semester in 2014/B. After the record, the data were inserted on an Excel® spreadsheet to posterior analysis by simple frequency.Results: Eighty-eight charts were evaluated and applied a questionnaire to 61 students. The most prevalence disease in the attended patients at the clinic and mentioned by the students was the systemic arterial hypertension, 77.25% and 60.66% respectively. Fifty-eight students (95%) affirmed confirming the patients’ anamnesis with systemic arterial hypertension, mellitus diabetes and chronic disease. The most used medications by these patients are those to control the systemic arterial hypertension, mellitus diabetes and heart diseases. Seventy-two percent affirmed interest on the purpose of patients’ medication; 32.79% say to research about their interaction. By dentistry records analyzed we found that only 5.6% took notes about the time of use of the medications.Conclusions: The chronic diseases most found in patients were the arterial hypertension, mellitus diabetes and heart diseases. The main medications are used to control diseases previously mentioned. One update of anamnesis record is suggested by the students.


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