scholarly journals Influence of demographics on clinical outcome of dengue: a cross-sectional study of 6703 confirmed cases in Vitória, Espírito Santo State, Brazil

2016 ◽  
Vol 145 (1) ◽  
pp. 46-53 ◽  
Author(s):  
C. R. VICENTE ◽  
C. CERUTTI JUNIOR ◽  
G. FRÖSCHL ◽  
C. M. ROMANO ◽  
A. S. A. CABIDELLE ◽  
...  
Keyword(s):  
Age Groups ◽  
Signs And Symptoms ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Severe Dengue ◽  
Elderly Age ◽  
Cross Sectional ◽  
Disease Evolution ◽  
Espírito Santo ◽  
Espirito Santo

SUMMARYDengue presents a wide clinical spectrum of signs and symptoms, with characteristics of the host potentially influencing the disease evolution. Therefore, the purpose of this study was to evaluate the influence of gender and age on dengue clinical outcomes in a recent outbreak situation in Brazil, applying a cross-sectional design and including 6703 dengue cases with laboratory confirmation, occurring in Vitória, Espírito Santo State, Brazil, between 2007 and 2013. Data were obtained from the Information System for Notifiable Diseases. Overall, 11·3% of the sample presented with severe dengue, which affected 13·0% of males, 10·0% of females, 8·8% of children, 12·5% of adolescents, 10·5% of adults and 15·5% of the elderly. Age was higher in the severe dengue group (P = 0·03). Severe dengue was associated with males and the elderly (P < 0·01); however, considering only severe cases, children presented haemorrhage and plasma leakage more frequently than older age groups. The results emphasize the importance of a differentiated protocol for management of dengue cases, taking into consideration host factors like age. These findings also suggest the elderly and children as priority groups for immunization in a future implementation of a vaccine.

scholarly journals Epidemiological profile of home deaths due to stroke during the COVID-19 pandemic

2021 ◽  
Author(s):  
Gyovanna Rodrigues Cardoso ◽  
Gabriel David Camargo ◽  
Nikolas Lisboa Coda Dias ◽  
Priscila Anice Fernandes ◽  
Stefan Vilges de Oliveira
Keyword(s):  
Age Groups ◽  
Signs And Symptoms ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Access To Health Services ◽  
Medical Support ◽  
Cross Sectional ◽  
Access To Health ◽  
Excessive Alcohol ◽  
Epidemiological Profile

Background: Stroke is one of the main causes of death, disability and hospitalization. Although more prevalent in adults and the elderly, it has increased in young people for stress, poor diet, excessive alcohol and sedentary lifestyle. This study is justified because the restrictions in the pandemic, such as social isolation, reduced access to health services, have changed people’s behavior in relation to health care. This can cause the delay in medical care, leading to negative outcomes. Objectives: Analysis of home deaths for stroke, in Brazil, in the pandemic by age intervals. Design and Setting: Cross-sectional study in Federal University of Uberlândia. Methods: Study of home deaths from stroke, based on the Portal de Transparência do Registro Civil (ARPEN). Analyzing a previous context and during the pandemic, the percentage variations by age group between 2019 and 2020 were compared. Results: In 2020, 15,777 home deaths were recorded, while 2019 there were 12,349, representing an increase of 27.76%. In 2020, all age groups analyzed, there were increases in relation to 2019, the most expressive were: 0-9 years (76%), 10-19 (32.14%), 60-69 (28.12%), 70-79 (36.35%) and 80-89 (29.97%). Conclusions: Medical support in the first hours of symptoms is essential. The delay in care can delay the diagnosis, make the use of medications unfeasible, due to the door-to-needle times, as well as increasing home deaths. Thus, it is important to guide the population in the identification of signs and symptoms, to knowledge about the need for immediate hospital care, even in the pandemic.

scholarly journals Prevalence and Factors Influencing Elderly Abuse: A Descriptive Study of Jureli Village, Bakaiya

2021 ◽  
Vol 2 (2) ◽  
pp. 38-49
Author(s):  
Keshab Prasad Timalsina
Keyword(s):  
Health Status ◽  
Family Environment ◽  
Age Groups ◽  
Household Survey ◽  
The Elderly ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Elderly Abuse ◽  
Policies And Programs

The elderly abuse in a family is one of the most challenging problems in a society. The present study aims to assess the prevalence of elderly abuse in the family environment of JureliTole of Bakaiya Rural Municipality. The study also presents various risk factors that influence the prevalence of Elderly abuse. A descriptive cross-sectional study was carried out among 103 elders taken from household survey by using census method. The data were collected through a face-to-face structured interview schedule. The descriptive and regression analysis of the collected data showed that the prevalence of elderly abuse was 46.6% in the study population. This study measured significant association (p<0.05) of overall abuse against the elder with only two socio-demographic variables (literacy status and health status) among the variables (gender, age groups, living with or without spouse, literacy status, health status, dependency status, and income level). The results showed that the elders with/without spouse had the highest odds ratio to be abused (2.19 times) followed by gender (1.64 times), and health status (1.25 times). Although this study found lower prevalence than many previous studies, it is still significant and needs to be prevented. Based on the study, it can be said that living without a spouse, with poor health, and being female are the major predictive descriptors for elderly abuse.The policies and programs are needed for the prevention of elderly abuse which may require collective action from social, health and justice sectors. 

scholarly journals Cerebrovascular diseases mortality in the elderly in the state of São Paulo

2021 ◽  
Author(s):  
Isaac Rêgo Purificação ◽  
Allêh Kauãn Santos Nogueira ◽  
Matheus Araújo de Souza ◽  
Camila de Almeida Costa Alencar ◽  
Sancha Mohana Brito Goes Rios
Keyword(s):  
Age Groups ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cerebrovascular Diseases ◽  
Sao Paulo ◽  
Primary Objective ◽  
The State ◽  
São Paulo ◽  
Cross Sectional ◽  
Lack Of Information

Background: Cerebrovascular disease (CVD) is the world 2nd death cause and the main cause of disability. Nevertheless, there is a lack of information regarding the mortality profile for this etiology in the last decade. Objective and Methods: Using prospectively collected data available in TabNet (DataSUS) platform, a descriptive and cross-sectional study was conducted. The primary objective is to access the demographic information most associated with DCV mortality in individuals older than 50 years-old, in São Paulo (SP), from 2010 to 2019. Results: The highest mortality in the state of SP was in 2019 (16,945 deaths), according to the growing trend; in the 2010-2019 period, the annual mean by city of deaths (± standard deviation [SD]) was 14,885 (± 1,341). During these years, the number of deaths was higher in the municipality of São Paulo (57,013; 31%). The annual mean deaths (± SD) in the capital and in the interior cities were, respectively: 4,684 (± 269) and 31 (± 58). The age groups from 70 to 79 years and over 80 years were the most affected. Caucasian race represents 71% of deaths. Individuals with 1 to 3 years of school were more affected (38%). The ratio of male deaths to female deaths was 1.02. Conclusion: In the last decade, there was an increasing mortality by CVD among the elderly population, and the city of São Paulo leads the number of cases.

scholarly journals Association between Self-Reported Fatigue and Sarcopenia Measures among Elderly in Selangor, Malaysia

2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Maria Justine ◽  
Aliff Latir ◽  
Nadhirah Noor ◽  
Angelbeth Joanny ◽  
Izzaty Iskandar ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Gait Speed ◽  
The Elderly ◽  
Cross Sectional Study ◽  
P Value ◽  
Physical Endurance ◽  
Elderly Age ◽  
Cross Sectional ◽  
Severe Fatigue ◽  
Fatigue Severity

The association between fatigue and sarcopenia is not well understood, therefore, this study aimed to compare the sarcopenia measures among elderly with mild and severe fatigue and to determine whether fatigue severity is associated with sarcopenia measures. This was a cross-sectional study conducted on201 elderly (age = 68.45±6.30 years). The elderly was classified into either mild or severe fatigue based on the Fatigue Severity Scale (FSS), meanwhile, sarcopenia measures include SARC-F score, muscle mass (ASM/height2), calf circumference (CC), upper (handgrip) and lower limb muscle strength, as well as physical performance (gait speed). Data were analyzed using independent t-tests and logistic regression. The results showed that elderly with severe fatigue were significantly older, with lower muscle strength, and slower gait speed (all p-value <0.05). After adjusting for age, fatigue severity remained significantly associated with SARC-F score (OR = 1.583, 95% CI = 1.262-1.986, p-value = 0.001) and CC (OR = 1.103, 95% CI = 1.014-1.200, p-value = 0.022). Moreover,when the SARC-F score was removed from the regression model, fatigue severity was significantly associated with CC (OR = 1.088, 95% CI = 1.006-1.178, p-value = 0.036) and gait speed (OR = 0.011, 95% CI = 0.001-0.168, p-value = 0.001). Based on the results, fatigue severity is associated with SARC-F score, CC, and gait speed, therefore, interventions targeted at sarcopenia measures is recommended to optimize physical endurance in the elderly.

scholarly journals Eating Habits of Elderly in Aceh-Indonesia and the Associated Demographic Factors

2021 ◽  
pp. 36-42
Author(s):  
Sufyan Anwar ◽  
Maiza Duana ◽  
. Marniati
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Eating Habits ◽  
Demographic Factors ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Sectional Study ◽  
Elderly Age ◽  
Cross Sectional

Aims: The study aims to prove the correlation between demographic factors and the eating habits of the elderly in Aceh, Indonesia. Study Design:  A cross-sectional study. Place and Duration of Study: The study was conducted in Aceh Barat district, Aceh province-Indonesia between June and October 2019. Methodology: This cross-sectional study was carried out by involving the elderly (age of 60 years or above) in 483 participants. Bivariate analysis was conducted through a chi-square test using SPSS version 21 to answer the research hypothesis. Results: Four hundred and eighty three (483) elderly people with mean age of 69.76 years were enrolled, of these, 68.9% were women and 58.2% were unemployed. Fifty-nine percent of respondents live in rural areas and 64.39% had good eating habits. Finding unveiled that age had a significant correlation with eating habits (P=0,05), gender did not correlate with eating habits (P>0,05). Occupation correlated with eating habits (P=0.05), and area of residence correlated with eating habits (P=0,05).. Conclusion: The study concluded that younger age (60-69 years old), employed, and living in urban areas positively contribute to establishing healthy eating habits in the elderly in Aceh. Furthermore, it is necessary to conduct intervention studies in the occupation variable as a modifiable variable.

scholarly journals Pattern of morbidity among elders attending general practice: health needs assessment of geriatric patients in Oman

2018 ◽  
Vol 4 (4) ◽  
Author(s):  
Shaikh Muhammad Naeem ◽  
Firdous Jahan ◽  
Muhammad Asadullah Siddiqui ◽  
Muhammad Moazzam Khan
Keyword(s):  
Age Groups ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Male Predominance ◽  
Face To Face ◽  
High Prevalence ◽  
History Of ◽  
Walking Difficulty ◽  
Outpatient Settings

The main purpose of this study was to identify specific problems and pattern of morbidities that is common in the elderly. A cross sectional study surveying the health status and needs of targeted population was conducted in selected primary health care (PHC) outpatient settings. All consenting individuals aged 60 years and above who visited the selected PHC clinics were interviewed. Information was collected using face-to-face interviews based on a structured, pre-tested questionnaire. A total of 185 people were evaluated in this study. About 75% of participants were age 60-70 years. Overall, male predominance was noted with 137 (74.1%) males and among all participant’s 80% were married. The mean BMI was 26.47±4.98 kg/m2 and mean waist circumference was 90.16±12.97 cm. The prevalence of smoking, DM, HTN, dyslipidaemia and history of IHD among participants were 7.6%, 37.8%, 49.7%, 27.6% and 8.1%, respectively and males showed a significantly higher prevalence than females in smoking and HTN (p<0.05). Hypertension was common comorbid ailment with 29.2% of stage I and 19.5% of stage II hypertension among 60-70 age groups. The majority of the participants were taking shower; using toilet, feeding and get dressed independently, 88.6%, 87.6%, 87% and 87.6% respectively. These findings provide important information on high prevalence of overweight, hypertension, diabetes, smoking and dyslipidaemia among elders. The other common morbidities were impaired vision, walking difficulty, and hearing problems. The activity of daily living (bathing dressing toileting feeding) is preserved in most of older people.

Epidemiology of Children with Severe Dengue Infection in Dr. Soetomo General Hospital

2020 ◽  
Vol 70 (4) ◽  
pp. 41-47
Author(s):  
Aulia Nur Fadilla ◽  
Dominicus Husada ◽  
Budi Utomo
Keyword(s):  
Dengue Infection ◽  
Age Groups ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Severe Dengue ◽  
Hospital Data ◽  
Cross Sectional ◽  
Severe Hemorrhage ◽  
Plasma Leakage ◽  
Moderate Malnutrition

Introduction: Dengue infection is endemic to Indonesia and remains a public health problem. Severe dengue infection can cause rapid death, especially in children. Aim: To determine the epidemiology of children with severe dengue infection in Dr. Soetomo Hospital. A cross-sectional study was conducted at the pediatric ward of Dr. Soetomo Hospital. Data were derived from medical records of children aged ≤18 years which hospitalized with severe dengue from March to April 2019. Of 135 children admitted with DHF, obtained 48 samples with characteristics >5–12 years old (72.9%), male (58.3%), residence Surabaya (89.6%), elementary school (60.3%), referral (81.3%), hospitalized ≤5 days (66.7%), day of illness ≥4 days (89.6%), moderate malnutrition (35.4%), had severe plasma leakage consisting of DHF grade III (73%) and IV (27%). Two patients died (4.2%). No patient with congenital disease and malignancy. This study is not in line with the tendency of shifted dengue incidence to older age groups (>15 years old) in Indonesia. All patients had severe plasma leakage. No severe dengue patient with severe hemorrhage and organ impairment. Most patients were male, had moderate malnutrition, from referral, day of illness ≥4 days, hospitalized ≤5 days.

scholarly journals Knowledge and Awareness of Rural People About Currently Emerging Disease Bird Flu

1970 ◽  
Vol 22 (1) ◽  
pp. 54-58
Author(s):  
M Jahangir Alam ◽  
K Mohammad Ali ◽  
ABM Selimuzzaman
Keyword(s):  
Strong Association ◽  
Age Groups ◽  
Sampling Technique ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Poultry Meat ◽  
Cross Sectional ◽  
Bird Flu ◽  
Modes Of Transmission ◽  
The People

A descriptive type of cross-sectional study was conducted in a village Gohordo of Gabtoli Upazila, Bogra to assess the knowledge and awareness of people of age above 18 years and above about "bird flu", its modes of transmission and prevention, by an interviewer administered questionnaire. The questionnaire was pretested and data were collected using purposive sampling technique. In this study it was found that out of 418 people, 231(55.26%) were female and the rest 187 (44.74%) were male. Majority of the respondents 226 (54.06%) were in the age group of 20-40 years, followed by 29.19%, 8.85% and7.89% were in the age groups of 40-60,<20 and above>60 years respectively. More than half; 226 (54.06%) of the people heard the term ‘bird flu'; majority of them (95.13%) as a disease. Among 226, 193(85.39) respondents know that the disease may transmit to human population. But only 32, (30%) people think that this disease is transmitted by keeping infected birds & suspected poultry, followed by 19.02% who think that it transmitted by caring & culling poultry. Among the people who heard the name of the disease,95 (42%) people had no knowledge about the signs and symptoms of the disease and only 20.35% respondents knew poultry carrying people and poultry meat eaters as "susceptible groups" getting infection. About 195 (77.43%) people know that this disease is preventable. About 55.31% and 37.16% people think, partially cooked meat and half boiled egg respectively may spread the disease to man. There is a strong association of literacy with the knowledge of the disease (p<0.05). This study will emphasize the proper health education to create awareness of the people for prevention of bird flue. DOI: 10.3329/taj.v22i1.5019 TAJ 2009; 22(1): 54-58

scholarly journals Prevalence of influenza and adherence to the anti-flu vaccination among elderly

2012 ◽  
Vol 45 (6) ◽  
pp. 670-674 ◽  
Author(s):  
Eduardo Yukio Nakamura ◽  
Luane Marques de Mello ◽  
Anderson Soares da Silva ◽  
Altacílio Aparecido Nunes
Keyword(s):  
Confidence Interval ◽  
Prevalence Ratio ◽  
Signs And Symptoms ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Flu Vaccination ◽  
Structured Questionnaire ◽  
The Ideal

INTRODUCTION: The flu, a condition that can affect the elderly by increasing the risk of serious complications can be prevented through vaccination. Estimate the prevalence of signs and symptoms suggestive of influenza in a group of elderly either vaccinated or unvaccinated against influenza was the objective this study. METHODS: This is a cross-sectional study performed in a Brazilian City. A structured questionnaire was employed to identify the presence of signs and symptoms of influenza in individuals aged 60 years or over. For analysis of associations between variables the prevalence ratio (PR) and its 95% confidence interval (95% CI) were used. RESULTS: One hundred ninety-six participants were interviewed, of whom 57.7% were female. The average age was 69.7 years. About 25% of the vaccinated and 20% of the unvaccinated in 2009, and 25% of the vaccinated and 22.5% of the unvaccinated in 2010 reported having the flu. Among the vaccinated and unvaccinated in 2009 and 2010, there was no verified association between vaccination and influenza (PR=1.24; [95% CI: 0.63-2.43] and PR=1.11; [95% CI: 0.59-2.09], respectively). CONCLUSIONS: This study suggests that, among the elderly selected, the vaccination coverage for influenza is below the ideal, even with projection of the best indices for 2011 (~ 84%). The data on vaccination and disease protection needs further research; however, the results point to the need for measures to better clarify to this population about the disease, its complications and the benefits of vaccination, in addition to combatting the stigma related to low adherence.

scholarly journals Association between BMI, Blood Pressure, and Age: Study among Tangkhul Naga Tribal Males of Northeast India

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
N. K. Mungreiphy ◽  
Satwanti Kapoor ◽  
Rashmi Sinha
Keyword(s):  
Blood Pressure ◽  
Age Groups ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Northeast India ◽  
Elderly Subjects ◽  
Cross Sectional ◽  
Socioeconomic Environment ◽  
Obese Subjects ◽  
Older Subjects

Purpose. To find the prevalence of overweight/obesity and hypertension, and to study the association between BMI, blood pressure, and age. Methods. Cross-sectional study was carried out among 257 Tangkhul Naga males of Northeast India, age ranging from 20–70 years. The subjects were divided into five different age groups to study age trend. Results. Mean systolic, and diastolic BP was higher among subjects with elevated BMI and among older subjects. Minimum BP was found among underweight and maximum among obese. BP was found lowest among the youngest age group and higher among the elderly subjects. BMI was also found to be associated with age independently. Although the magnitude of correlation differed, there was significant positive correlation among BMI, age, systolic and diastolic BP. Odd ratios showed overweight/obese subjects to be more likely to have hypertension than those with normal BMI. Changing socioeconomic environment intensifies the prevalence of overweight/obesity and hypertension among the Tangkhul Nagas.

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