scholarly journals May Measurement Month 2018: an analysis of blood pressure screening campaign results in India

2020 ◽  
Vol 22 (Supplement_H) ◽  
pp. H62-H65
Author(s):  
Anuj Maheshwari ◽  
Narsingh Verma ◽  
Shipra Bhardwaj ◽  
Arun P Jose ◽  
Sandeep Bhalla ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Large Scale ◽  
National Level ◽  
Treatment Control ◽  
Hypertensive Population ◽  
Public Health Screening ◽  
And Control ◽  
First Time ◽  
Crude Prevalence ◽  
Special Health

Abstract Hypertension (HTN) is the greatest attributable risk factor for cardiovascular disease in India. Recent studies have reported the crude prevalence of HTN in India to be 25.3%. In the May Measurement Month (MMM) screening campaign of 2017 conducted in India, 31.8% had HTN. In order to ratify earlier results, and further understand the awareness and control levels of HTN in India, organizations that participated in MMM 2017 decided to participate in the MMM global screening initiative of the International Society of Hypertension for a 2nd consecutive year. A total of 345 234 individuals were screened in MMM 2018. There were more than 1000 screening locations that included hospitals, clinics, workplaces, and special health camps organized across the country. After applying multiple imputation, a total of 111 462 (32.3%) individuals had HTN of whom 63 415 (55.6%) were aware of HTN and 61 646 (55.3%) were on antihypertensive medicines, out of which 15 583 (25.3%) were uncontrolled. Overall 57 864 (41.3%) hypertensives were uncontrolled. About half (44.7%) of hypertensive population in India were not on treatment. Around two-thirds (65.7%, n = 226 924) had not measured their blood pressure (BP) in last 12 months and 64% measured their BP for the first time in their life during the campaign, which strongly indicates the need for large scale awareness drives. This study suggests that opportunistic periodic public health screening at a national level is needed to increase HTN detection, treatment, control, and countrywide awareness in highly populated nations like India.

scholarly journals Prevalence, Awareness, and Control of Hypertension in Greater Beirut Area, Lebanon

2018 ◽  
Vol 2018 ◽  
pp. 1-15 ◽  
Author(s):  
Aya Noubani ◽  
Lara Nasreddine ◽  
Abla Mehio Sibai ◽  
Hani Tamim ◽  
Hussain Isma’eel
Keyword(s):  
Blood Pressure ◽  
National Level ◽  
The Third ◽  
The Past ◽  
Health Measures ◽  
Threefold Increase ◽  
Optimal Blood Pressure ◽  
Collection Form ◽  
Study Participants ◽  
And Control

Background. Hypertension (HTN) has been identified as the leading risk factor for mortality and the third cause of disability worldwide. Lebanon has witnessed a threefold increase in the prevalence of HTN in the past decade. The timely exploration and detection of the factors contributing to a higher prevalence of the disease among the Lebanese population is fundamental. The objectives of this study were to assess the prevalence, awareness, and control rates of HTN in Greater Beirut Area in Lebanon and to identify their respective predictors. Methods. A representative sample of 501 participants aged 18-79 years residing in Greater Beirut Area was examined. Data collection form was filled up, through interviews, physical exams, and lab tests. The analysis was done for three defined outcomes: blood pressure status (normotensive, prehypertension, and hypertension), unaware HTN, and uncontrolled HTN. These were compared for the various associated predictors. Results. The sample consisted of 64.3% women and mean age 45.4 ± 15 years and the subjects were predominantly from low educational income levels. The results showed that 36.4% of the study participants were hypertensive, 25.3% were prehypertensive, and 38.2% had optimal blood pressure, while the awareness rate was 65.4% and control rate was 61%. The independent predictors of HTN were age, gender, marital status, T2D, body fat, triglyceride (positive correlates), and income level (negative correlate). Moreover, unawareness of HTN was common among older age, men, single participants, and the obese. We could not identify any factor related to uncontrolled HTN. Conclusion. The trend in the prevalence of HTN in Greater Beirut Area is found to be consistent and relatively high, yet there was an observed improvement in the awareness and control of the disease. Public health measures on a national level are urgently needed to curb the increasing prevalence of HTN, achieve primary prevention, and better control the disease.

scholarly journals Prevalence, Awareness and Control of Hypertension in a Well-Educated Professional Group in Nepal

2017 ◽  
Vol 14 (1) ◽  
pp. 21-24
Author(s):  
Mani Prasad Gautam ◽  
Usha Ghimire ◽  
Krishna Maya Shrestha ◽  
Bijaya Paudel ◽  
Prakash Khatiwada ◽  
...  
Keyword(s):  
Blood Pressure ◽  
National Level ◽  
Premature Death ◽  
Cross Sectional Study ◽  
Professional Group ◽  
Blood Pressure Goal ◽  
Hypertension Status ◽  
Cross Sectional ◽  
Authentic Data ◽  
And Control

Background and Aims: Hypertension continues to be the major modifiable risk factor leading to premature death due to cardiovascular diseases. Therefore awareness, timely diagnosis, treatment and control of hypertension in primary care are crucial for reducing disease burden. In this respect, authentic data on these issues are paramount of importance. The aim of this study was to address this gap in a well-educated group of Nepalese subjects.Methods: A cross-sectional study in the delegates of the national level meeting of a professional group - lawyers was conducted in 2015 February. Standard criteria were used to define hypertension and blood pressure goal. Awareness and treatment were based on self-report.Results: A total of 249 subjects were included in the study. The prevalence of hypertension was 18.88%. Among hypertensive, 70% subjects were newly detected and they were unaware of their blood pressure status before. Remaining 30% were known cases of hypertension and among them only 64% were on medicine and 36% were not despite awareness of hypertension. Only 55.5% of them on medicine had achieved blood pressure goal.Conclusion: The scenario of hypertension in Nepal even in educated group is very alarming with majority of them being unaware of the hypertension status, more than one third not taking medicine and nearly half on medicine not achieving desired blood pressure goal. From this, the situation obviously seems more warning in general population and needs well-designed assessment.Nepalese Heart Journal 2017; 14(1): 21-24

scholarly journals An atlas of tsetse and animal African trypanosomiasis in Zimbabwe

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
William Shereni ◽  
Luis Neves ◽  
Rafael Argilés ◽  
Learnmore Nyakupinda ◽  
Giuliano Cecchi
Keyword(s):  
At Risk ◽  
Large Scale ◽  
Animal Movement ◽  
National Level ◽  
Glossina Pallidipes ◽  
Glossina Morsitans Morsitans ◽  
African Trypanosomiasis ◽  
Animal African Trypanosomiasis ◽  
The North ◽  
And Control

Abstract Background In the 1980s and 1990s, great strides were taken towards the elimination of tsetse and animal African trypanosomiasis (AAT) in Zimbabwe. However, advances in recent years have been limited. Previously freed areas have been at risk of reinvasion, and the disease in tsetse-infested areas remains a constraint to food security. As part of ongoing control activities, monitoring of tsetse and AAT is performed regularly in the main areas at risk. However, a centralized digital archive is missing. To fill this gap, a spatially explicit, national-level database of tsetse and AAT (i.e. atlas) was established through systematic data collation, harmonization and geo-referencing for the period 2000–2019. Methods The atlas covers an area of approximately 70,000 km2, located mostly in the at-risk areas in the north of the country. In the tsetse component, a total of 33,872 entomological records were assembled for 4894 distinct trap locations. For the AAT component, 82,051 samples (mainly dry blood smears from clinically suspicious animals) were collected at 280 diptanks and examined for trypanosomal infection by microscopy. Results Glossina pallidipes (82.7% of the total catches) and Glossina morsitans morsitans (17.3%) were the two tsetse species recorded in the north and northwest parts of the country. No fly was captured in the northeast. The distribution of AAT follows broadly that of tsetse, although sporadic AAT cases were also reported from the northeast, apparently because of transboundary animal movement. Three trypanosome species were reported, namely Trypanosoma brucei (61.7% of recorded infections), Trypanosoma congolense (28.1%) and Trypanosoma vivax (10.2%). The respective prevalences, as estimated in sentinel herds by random sampling, were 2.22, 0.43 and 0.30%, respectively. Discussion The patterns of tsetse and AAT distributions in Zimbabwe are shaped by a combination of bioclimatic factors, historical events such as the rinderpest epizootic at the turn of the twentieth century and extensive and sustained tsetse control that is aimed at progressively eliminating tsetse and trypanosomiasis from the entire country. The comprehensive dataset assembled in the atlas will improve the spatial targeting of surveillance and control activities. It will also represent a valuable tool for research, by enabling large-scale geo-spatial analyses.

scholarly journals May Measurement Month 2018: an analysis of blood pressure screening results from Nepal

2020 ◽  
Vol 22 (Supplement_H) ◽  
pp. H92-H95
Author(s):  
Tara Ballav Adhikari ◽  
Harikrishna Bhattarai ◽  
Kamal Ranabhat ◽  
Pratik Khanal ◽  
Shiva Raj Mishra ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Antihypertensive Treatment ◽  
National Level ◽  
Cross Sectional Survey ◽  
Hypertension Detection ◽  
Cross Sectional ◽  
Raising Awareness ◽  
Global Initiative ◽  
Definition Of ◽  
And Control

Abstract Raised blood pressure (BP) is a leading risk factor for mortality globally and in Nepal. May Measurement Month (MMM) is a global initiative aimed at screening for hypertension and raising awareness on high BP worldwide. This study provides the results of the 2018 MMM (MMM18) in Nepal. An opportunistic cross-sectional survey of volunteers aged ≥18 years was carried out in May 2018 nationwide. The standard MMM protocol was followed for BP measurement, the definition of hypertension, and statistical analysis. The campaign was publicized through various social media for recruiting volunteers and inviting participation. A total of 15 561 (58.7% male) from 35 districts of Nepal were screened in MMM18, of which 4 321 (27.8%) had hypertension. A total of 2 633 (19.0%) of 13 873 individuals who were not on antihypertensive treatment were found to be hypertensive. Of those on medication, 799 (47.4%) had uncontrolled BP. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were significantly higher in people on antihypertensive treatment, smokers, and alcohol drinkers compared with those who were not on antihypertensive treatment, smokers, and alcohol drinkers, respectively. Likewise, SBP and DBP steadily increased across increasing body mass index categories. MMM18 was the largest BP screening campaign undertaken in Nepal. MMM has highlighted the importance of a periodic public health program at the national level to increase awareness on hypertension detection and control rate, and thus, the prevention of cardiovascular diseases.

scholarly journals Prevalence, Awareness, Treatment, Control, and Related Factors of Hypertension among Tajik Nomads Living in Pamirs at High Altitude

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Lin Wang ◽  
Nanfang Li ◽  
Mulalibieke Heizhati ◽  
Suofeiya Abulikemu ◽  
Delian Zhang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
High Altitude ◽  
Antihypertensive Medication ◽  
Angiotensin Receptor Blockers ◽  
Treatment Control ◽  
Cross Sectional Survey ◽  
Hypertension Status ◽  
Related Factors ◽  
And Control

Background. Hypertension is a global problem, for which high-altitude residents exhibit higher burden. Hypertension in Tajik nomads from Pamirs with an average altitude above 4000 m remains less studied. We aimed to determine the prevalence, awareness, treatment, control, and risk factors associated with hypertension among Tajik population in Pamirs. Methods. A cross-sectional survey was conducted between August and September 2015 using stratified three-stage random sampling in Taxkorgan county, Pamirs, China. Hypertension is defined as mean systolic and/or diastolic blood pressure (SBP, DBP) ≥140/90 mmHg and/or taking antihypertensive medication within the past two weeks. The prevalence (SBP ≥130 or DBP ≥80 mmHg) was also estimated using the 2017 American College of Cardiology (ACC)/American Heart Association (AHA) High Blood Pressure Guideline. The awareness, treatment, and control of hypertension and associated factors were evaluated. Results. Totally, 797 subjects aged ≥18 years were enrolled with 46.3% men and 88.8% nomads with the mean age of 42.3 ± 15.2 years. The prevalence of hypertension was 24.2% (140/90 mmHg), and the prevalence was as high as 40.3%, based on the 2017 ACC/AHA guideline. Overall awareness, treatment, and control of hypertension were 52.8%, 40.9%, and 9.3%, respectively. In multivariate logistic regression, BMI ≥24.0 kg/m2 (OR: 2.41, 95% CI: 1.44–4.04) was a risk factor for prehypertension, and age ≥60 years (OR: 2.04, 95% CI: 1.15–3.61), BMI ≥24.0 kg/m2 (OR: 2.04, 95% CI: 1.15–3.61), and abdominal obesity (OR: 1.87, 95% CI: 1.09–3.22) were risk factors for hypertension. Angiotensin-converting enzyme inhibitors/angiotensin receptor blockers were the most commonly used antihypertensive medication (45.4%) as monotherapy, and 13.6% of treated hypertensive patients used two drugs. Conclusions. There is a considerable prevalence of hypertension with low awareness, treatment, and control rates among Tajik nomads in Pamirs, where health programs improving the hypertension status are urgently needed, with the excess weight loss as a strategy.

scholarly journals Diseases in insects produced for food and feed

2015 ◽  
Vol 1 (2) ◽  
pp. 87-102 ◽  
Author(s):  
J. Eilenberg ◽  
J.M. Vlak ◽  
C. Nielsen-LeRoux ◽  
S. Cappellozza ◽  
A.B. Jensen
Keyword(s):  
Prevention And Control ◽  
Large Scale ◽  
Production Systems ◽  
Insect Species ◽  
Human Food ◽  
Food And Feed ◽  
Insect Pathogens ◽  
And Control ◽  
First Time ◽  
Selection Of

Increased production of insects on a large scale for food and feed will likely lead to many novel challenges, including problems with diseases. We provide an overview of important groups of insect pathogens, which can cause disease in insects produced for food and feed. Main characteristics of each pathogen group (viruses, bacteria, fungi, protists and nematodes) are described and illustrated, with a selection of examples from the most commonly produced insect species for food and feed. Honeybee and silkworm are mostly produced for other reasons than as human food, yet we can still use them as examples to learn about emergence of new diseases in production insects. Results from a 2014 survey about insect diseases in current insect production systems are presented for the first time. Finally, we give some recommendations for the prevention and control of insect diseases.

Maintaining Difference and Managing Change: Female Agrarian Clientelist Relations in a Gambian Community

Africa ◽  
2004 ◽  
Vol 74 (3) ◽  
pp. 361-382 ◽  
Author(s):  
Pamela Kea
Keyword(s):  
Large Scale ◽  
National Level ◽  
Dry Season ◽  
Processes Of Change ◽  
Social Difference ◽  
Managing Change ◽  
Female Farmers ◽  
Set Up ◽  
And Control ◽  
Vegetable Cultivation

AbstractThe introduction of dry-season vegetable cultivation on a large scale in Brikama, The Gambia in the early 1970s has led to the development of a new labour system amongst female farmers whereby strangers or clients are given access to land primarily in the dry season for vegetable cultivation in exchange for providing unremunerated labour for hosts for the cultivation of rice in the rainy season. Hosts, who either claim descent from the founding families or have married into founding families, have access to land and control its distribution for women's crops. This article examines the way in which social difference is played out in the acquisition of land and labour through the establishment of agrarian clientelist relations. Agrarian clientelist relations are about the maintenance of host–stranger distinctions and the management of social difference within a rapidly changing Gambian political economy. The nature of these clientelist relations is changing because of the changing relations of agrarian production, related in turn to the introduction of cooperative gardens in the region, the increasing scarcity of farming land and the increasing political power of strangers on a local and national level. The youth, particularly those who are educated, are moving out of farming altogether. Consequently, female hosts are increasingly reliant on their clients' labour. I argue that female hosts attempt to manage these processes of change out of a need to maintain the particular power relations that form the basis for host–stranger distinctions and their existing claims to land and labour. The article examines the tensions and the intra-gender struggles that emerge between female hosts and their client-strangers. In refusing to take the initiative to set up cooperative gardens, female hosts have maintained what they see as their rightful claims to their land and their clients' labour. Hegemonic notions of ‘the correctness of practices’, associated with host–stranger identities, have informed hosts' behaviour and that of their clients, and ultimately influenced the nature of resource allocation.

Collaboration, Power, Participation and Control on a Large Scale Research Team: Multiple Perspectives from the Oxford House Research Project

2001 ◽  
Author(s):  
Bradley Olson ◽  
Leonard Jason ◽  
Joseph R. Ferrari ◽  
Leon Venable ◽  
Bertel F. Williams ◽  
...  
Keyword(s):  
Large Scale ◽  
Research Team ◽  
Multiple Perspectives ◽  
Research Project ◽  
Oxford House ◽  
And Control

Interference mitigation in point to point wireless sensor networks using LSP protocol and time division multiplexing approach

2020 ◽  
Vol 39 (4) ◽  
pp. 5449-5458
Author(s):  
A. Arokiaraj Jovith ◽  
S.V. Kasmir Raja ◽  
A. Razia Sulthana
Keyword(s):  
Energy Consumption ◽  
Large Scale ◽  
Control Parameter ◽  
Interference Mitigation ◽  
Wireless Sensor ◽  
Point To Point ◽  
A Minor ◽  
Two Stages ◽  
Time Division ◽  
And Control

Interference in Wireless Sensor Network (WSN) predominantly affects the performance of the WSN. Energy consumption in WSN is one of the greatest concerns in the current generation. This work presents an approach for interference measurement and interference mitigation in point to point network. The nodes are distributed in the network and interference is measured by grouping the nodes in the region of a specific diameter. Hence this approach is scalable and isextended to large scale WSN. Interference is measured in two stages. In the first stage, interference is overcome by allocating time slots to the node stations in Time Division Multiple Access (TDMA) fashion. The node area is split into larger regions and smaller regions. The time slots are allocated to smaller regions in TDMA fashion. A TDMA based time slot allocation algorithm is proposed in this paper to enable reuse of timeslots with minimal interference between smaller regions. In the second stage, the network density and control parameter is introduced to reduce interference in a minor level within smaller node regions. The algorithm issimulated and the system is tested with varying control parameter. The node-level interference and the energy dissipation at nodes are captured by varying the node density of the network. The results indicate that the proposed approach measures the interference and mitigates with minimal energy consumption at nodes and with less overhead transmission.

Scheming

2018 ◽  
Author(s):  
Seán Damer
Keyword(s):  
Social Class ◽  
Housing Policy ◽  
Large Scale ◽  
Class Structure ◽  
Local Council ◽  
Housing Scheme ◽  
Post War ◽  
First Time ◽  
The Voice ◽  
House Building

This book seeks to explain how the Corporation of Glasgow, in its large-scale council house-building programme in the inter- and post-war years, came to reproduce a hierarchical Victorian class structure. The three tiers of housing scheme which it constructed – Ordinary, Intermediate, and Slum-Clearance – effectively signified First, Second and Third Class. This came about because the Corporation uncritically reproduced the offensive and patriarchal attitudes of the Victorian bourgeoisie towards the working-class. The book shows how this worked out on the ground in Glasgow, and describes the attitudes of both authoritarian housing officials, and council tenants. This is the first time the voice of Glasgow’s council tenants has been heard. The conclusion is that local council housing policy was driven by unapologetic considerations of social class.

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