scholarly journals 2019 cardio-vascular risk and socioeconomic classification in central Portugal

2021 ◽  
Vol 31 (Supplement_2) ◽  
Author(s):  
Luiz Miguel Santiago ◽  
Maria Castro
Keyword(s):  
Primary Care ◽  
Cardiovascular Risk ◽  
Cross Sectional ◽  
Primary Care Population ◽  
Primary Care Health ◽  
Central Portugal ◽  
Care Health ◽  
Cardio Vascular ◽  
The Relationship ◽  
Very High

Abstract Background The relationship between Cardiovascular Risk (CVR) and the socio-economic family classification (SEC) by the Graffar Index in the Portuguese General and Family Medicine setting is still unknown being an impoirtant Health determinant. SEC interferes with disease perception altering possible health out-comes. Use of specific tools can improve patient’s guidance. So the knowledge of the frequency of estimation of CVR and SEC to understand how they were distributed and related in the Primary Care population of Central Portugal, according to sex, age and place of residence was made using Primary Care generated data. Methods Cross-sectional observational study based on informatics data in anonymity of the population attending all the National Health Service Primary Care Health Units in Central Portugal in December 31, 2019, aged [40–65] years with descriptive and non-parametric analysis at P < 0.05. Results In a Universe of 707 806 CVR was calculated for 27.9%, SEC for 2.5% and both simultaneously for 1.2%. CVR distribution was different by gender (P < 0.001), High/very high risk more prevalent in males. By age group, High/Very high CVR was more prevalent in those over 60 years of age (P < 0.001) and if residing in the southern and more in-land locations presenting a higher risk (P < 0.001). High/very high CVR was more frequent in SEC lower classes (P = 0.047). Conclusions Cardiovascular risk and socioeconomic status were simultaneously registered in 1.2% of the population. Highest Cardiovascular Risk is more frequent in lower SEC classes, males, older and residing in the southern region. Docotr's awareness on these themes mst be increased.

scholarly journals The Association between Serum Magnesium Levels and Depression in an Adult Primary Care Population

Nutrients ◽  
2019 ◽  
Vol 11 (7) ◽  
pp. 1475 ◽  
Author(s):  
Emily K. Tarleton ◽  
Amanda G. Kennedy ◽  
Gail L. Rose ◽  
Abigail Crocker ◽  
Benjamin Littenberg
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
Serum Magnesium ◽  
Magnesium Supplementation ◽  
Cross Sectional ◽  
Primary Care Population ◽  
Patient Health ◽  
Sectional Analysis ◽  
The Relationship ◽  
Univariate Analyses

Depression is common, places a large burden on the patient, their family and community, and is often difficult to treat. Magnesium supplementation is associated with improved depressive symptoms, but because the mechanism is unknown, it is unclear whether serum magnesium levels act as a biological predictor of the treatment outcome. Therefore, we sought to describe the relationship between serum magnesium and the Patient Health Questionnaire (PHQ, a measure of depression) scores. A cross-sectional analysis of medical records from 3604 adults (mean age 62 years; 42% men) seen in primary care clinics between 2015 and 2018, with at least one completed PHQ were included. The relationship between serum magnesium and depression using univariate analyses showed a significant effect when measured by the PHQ-2 (−0.19 points/mg/dL; 95% CI −0.31, −0.07; P = 0.001) and the PHQ-9 (−0.93 points/mg/dL; 95% CI −1.81, −0.06; P = 0.037). This relationship was strengthened after adjusting for covariates (age, gender, race, time between serum magnesium and PHQ tests, and presence of diabetes and chronic kidney disease) (PHQ-2: −0.25 points/mg/dL; 95% CI −3.33, −0.09; P < 0.001 and PHQ-9: −1.09 95% CI −1.96 −0.21; P = 0.015). For adults seen in primary care, lower serum magnesium levels are associated with depressive symptoms, supporting the use of supplemental magnesium as therapy. Serum magnesium may help identify the biological mechanism of depressive symptoms and identify patients likely to respond to magnesium supplementation.

scholarly journals Nicotine dependence levels in pre and during pandemic and its correlations with COVID-19 phobia among healthy men during controlled social life: a sample of primary care population

2021 ◽  
Author(s):  
GÜLAY YILMAZEL
Keyword(s):  
Primary Care ◽  
Nicotine Dependence ◽  
Social Life ◽  
Percentage Change ◽  
Intention To Quit ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Healthy Men ◽  
Primary Care Population ◽  
Very High

BACKGROUND: This study aims to determine nicotine dependence levels in pre and during pandemic and its correlations with COVID-19 phobia among healthy men during controlled social life: a sample of primary care population. METHODS: This cross-sectional study was conducted with 472 healthy men in Çorum, Black Sea Region, Turkey between February 2019 and October 2020. An online questionnaire was used to collect data including demographic profile, smoking behavior, intention to quit, Fagerström Nicotine Dependence test (FTND) pre and during COVID-19 pandemic and COVID-19 phobia scale. RESULTS: In this study, a percentage change of +6.2, +0.8, +1.9, -2.7, -5.1 was found in very low, low, medium, high and very high dependence categories respectively between pre-pandemic and during controlled social life in pandemic. A percentage change of +2.8 was seen in terms of intention to quit smoking. The mean score for COVID-19 phobia was 65.9 ± 15.8 and almost two-thirds of the participants (62%) had medium and high COVID-19 phobia. Men with high/very high dependence had significantly more COVID-19 phobia than the other two groups. There was a significant correlation between FTND scores and COVID-19 phobia. CONCLUSIONS: There were considerable changes in dependence levels and COVID-19 phobia was more common in high/very high dependence group. Controlled social life should be considered a golden opportunity for predicting levels of nicotine dependence and will bring benefit for lower smoking prevalence. COVID-19, Nicotine dependence, Phobia, men, Primary health care.

Occurrence and Impact of IPV in Men Attending Primary Care Health Clinics: A Cross Sectional Survey

2014 ◽  
Author(s):  
Marianne Hester ◽  
Emma Williamson ◽  
Sue K. Jones ◽  
Giulia Ferrari ◽  
Tim Peters ◽  
...  
Keyword(s):  
Primary Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Clinics ◽  
Primary Care Health ◽  
Care Health

scholarly journals Meta Salud Diabetes study protocol: a cluster-randomised trial to reduce cardiovascular risk among a diabetic population of Mexico

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020762 ◽  
Author(s):  
Samantha Sabo ◽  
Catalina Denman Champion ◽  
Melanie L Bell ◽  
Elsa Cornejo Vucovich ◽  
Maia Ingram ◽  
...  
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Cardiovascular Risk ◽  
Randomised Trial ◽  
Cvd Risk ◽  
Cluster Randomised ◽  
Primary Care Health ◽  
Care Health ◽  
Diabetic Population ◽  
The University

IntroductionNorthern Mexico has among the highest rates of cardiovascular disease (CVD) and diabetes in the world. This research addresses core gaps in implementation science to develop, test and scale-up CVD risk-reduction interventions in diabetics through a national primary care health system.Methods and analysisThe Meta Salud Diabetes (MSD) research project is a parallel two-arm cluster-randomised clinical behavioural trial based in 22 (n=22) health centres in Sonora, Mexico. MSD aims to evaluate the effectiveness of the MSD intervention for the secondary prevention of CVD risk factors among a diabetic population (n=320) compared with the study control of usual care. The MSD intervention consists of 2-hour class sessions delivered over a 13-week period providing educational information to encourage sustainable behavioural change to prevent disease complications including the adoption of physical activity. MSD is delivered within the context of Mexico’s national primary care health centre system by health professionals, including nurses, physicians and community health workers via existing social support groups for individuals diagnosed with chronic disease. Mixed models are used to estimate the effect of MSD by comparing cardiovascular risk, as measured by the Framingham Risk Score, between the trial arms. Secondary outcomes include hypertension, behavioural risk factors and psychosocial factors.Ethics and disseminationThis work is supported by the National Institutes of Health, National Heart Lung and Blood Institute (1R01HL125996-01) and approved by the University of Arizona Research Institutional Review Board (Protocol 1508040144) and the Research Bioethics Committee at the University of Sonora. The first Internal Review Board approval date was 31 August 2015 with five subsequent approved amendments. This article refers to protocol V.0.2, dated 30 January 2017. Results will be disseminated via peer-reviewed publication and presentation at international conferences and will be shared through meetings with health systems officials.Trial registration numberNCT0280469; Pre-results.

scholarly journals Training needs for Ugandan primary care health workers in management of respiratory diseases: a cross sectional survey

2020 ◽  
Author(s):  
Rebecca Nantanda ◽  
Gerald Kayingo ◽  
Rupert Jones ◽  
Frederik van Gemert ◽  
Bruce Kirenga
Keyword(s):  
Primary Care ◽  
Respiratory Diseases ◽  
Health Workers ◽  
Cross Sectional ◽  
Respiratory Illnesses ◽  
Knowledge And Skills ◽  
Chronic Respiratory Diseases ◽  
Primary Care Health ◽  
Service Training ◽  
Care Health

Abstract Background Respiratory diseases are among the leading causes of morbidity and mortality in Uganda, but there is little attention and capacity for management of chronic respiratory diseases in the health programmes. This survey assessed gaps in knowledge and skills among healthcare workers in managing respiratory illnesses. Methods A cross sectional study was conducted among primary care health workers, specialist physicians and healthcare planners to assess gaps in knowledge and skills and, training needs in managing respiratory illnesses. The perspectives of patients with respiratory diseases were also sought. Data were collected using questionnaires, patient panel discussions and review of pre-service training curricula for clinicians and nurses. Survey Monkey was used to collect data and descriptive statistical analysis was undertaken for quantitative data, while thematic content analysis techniques were utilized to analyze qualitative data. Results A total of 104 respondents participated in the survey and of these, 76.9% (80/104) were primary care health workers, 16.3% (17/104) specialist clinicians and 6.7% (7/104) healthcare planners. Over 90% of the respondents indicated that more than half of the patients in their clinics presented with respiratory symptoms. More than half (52%) of the primary care health workers were not comfortable in managing chronic respiratory diseases like asthma and COPD. Only 4% of them were comfortable performing procedures like pulse oximetry, nebulization, and interpreting x-rays. Majority (75%) of the primary care health workers had received in-service training but only 4% of the sessions focused on respiratory diseases. The pre-service training curricula included a wide scope of respiratory diseases, but the actual training had not sufficiently prepared health workers to manage respiratory diseases. The patients were unsatisfied with the care in primary care and reported that they were often treated for the wrong illnesses. Conclusions Respiratory illnesses contribute significantly to the burden of diseases in primary care facilities in Uganda. Management of patients with respiratory diseases remains a challenge partially because of inadequate knowledge and skills of the primary care health workers. A training programme to improve the competences of health workers in respiratory medicine is highly recommended. Key words: respiratory diseases, primary care, health workers, knowledge, skills

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