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 May Measurement Month 2019: an analysis of blood pressure screening results from Colombia

2021 ◽  
Vol 23 (Supplement_B) ◽  
pp. B46-B48
Author(s):  
Patricio Lopez-Jaramillo ◽  
Jose P Lopez-Lopez ◽  
Johanna Otero ◽  
Natalia Alarcon-Ariza ◽  
Margarita Mogollon-Zehr ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Antihypertensive Medication ◽  
Hypertension Detection ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Third ◽  
Hypertension Awareness ◽  
Low Levels ◽  
And Control ◽  
Implementing Strategies

Abstract Hypertension awareness and control is poor in low- and middle-income countries. Thus, implementing strategies to increase hypertension detection is needed. Colombia participated as one of the 92 countries involved in the third campaign of the May Measurement Month in 2019. Blood pressure (BP) was measured in 48 324 volunteers from 13 departments in Colombia. In total, 27.9% individuals were identified with hypertension. Of those with hypertension, 63.7% were aware of their condition, 60.0% were on antihypertensive medication, and 38.4% had controlled BP. These results showed low levels of awareness, treatment, and control of hypertension in this sample of subjects volunteered to participate, suggest the urgent necessity of implementing programmes to improve the diagnosis and management of hypertension in Colombia.

EDF Ageing Management: Status and Ongoing Developments

2011 ◽  
Author(s):  
Claude Faidy
Keyword(s):  
Short Review ◽  
Management Program ◽  
The Third ◽  
The Past ◽  
Basic Procedure ◽  
Balance Of Plant ◽  
Step Procedure ◽  
Ageing Management ◽  
And Control ◽  
Plant Components

During the past 15 years many works have been done on Ageing Management Program (AMP) of Safety classed components in EDF. The paper will describe all the different aspects concerning these programs, and in particular the EDF step by step procedure and the major results. To-day, EDF is starting the 3rd ten-year shutdown of all these 3-loop plants (34 plants). During the associated Safety Review, a specific task is devoted to ageing effects and control of all the safety concerned components. A large list of components has been reviewed: mechanical, civil engineering, instrumentation and control, cables, non metallic components. Few non safety but important in term of availability components are considered, like turbine or some balance of plant components. A general review of results and difficulties for 40 and 60 years are presented in the paper. The second part is devoted to a short review of our procedure with IAEA guidelines. The third part will shortly describe the associated R&D program for metallic components and knowledge management associated to AMP. The major conclusions are clearly supporting the needs of international basic procedure and harmonization on the major topics.

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 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 May Measurement Month 2019: an analysis of blood pressure screening results from China

2021 ◽  
Vol 23 (Supplement_B) ◽  
pp. B43-B45
Author(s):  
Xin Chen ◽  
Chang-Yuan Liu ◽  
Li-Ying Xu ◽  
Hong-Yu Wang ◽  
Min Liu ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Alcohol Intake ◽  
Linear Regression Models ◽  
Current Smoking ◽  
Hypertension In Pregnancy ◽  
Large Member ◽  
Public Areas ◽  
The Mean ◽  
Study Participants ◽  
And Control

Abstract To report the blood pressure (BP) data obtained in the May Measurement Month (MMM) 2019 in China. Study participants were recruited if ≥18 years of age and had ideally not had their BP measured for ≥1 year. BP was measured three times consecutively with a 1-min interval in the sitting position, using a validated electronic BP monitor. Trained volunteer investigators administered a questionnaire to collect information on lifestyle, medical history, and use of medications. The measurement was performed in 238 387 participants in 250 sites across 31 China provinces. The majority of screening took place in hospitals or clinics (78.7%), with 17.1% in outdoor public areas and 4.2% in other settings. The study participants included 127 853 women (53.6%) and had a mean (±SD) age of 48.9 ± 16.2 years. The mean (of readings two and three) systolic/diastolic BP was 121.8/73.8 mmHg. In all hypertensive patients (n = 66 181, 27.8%), the awareness, treatment, and control rates of hypertension were 51.5%, 48.4%, and 29.1%, respectively. Linear regression models showed differences in systolic and diastolic BP according to sex and age and several other major characteristics, such as previous stroke, myocardial infarction, and diabetes mellitus, antihypertensive medication use and known hypertension, previous hypertension in pregnancy and current pregnancy, alcohol intake and current smoking, and body mass index. The MMM 2019 campaign has been successful in measuring BP in a large member of participants in China.

scholarly journals May Measurement Month 2019: an analysis of blood pressure screening results from Argentina

2021 ◽  
Vol 23 (Supplement_B) ◽  
pp. B12-B14
Author(s):  
Martin R Salazar ◽  
Fortunato Garcia Vazquez ◽  
Walter G Espeche ◽  
Diego Marquez ◽  
Pedro Becerra ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Public Spaces ◽  
Normal Weight ◽  
Prevention Strategies ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
The Third ◽  
The Mean ◽  
And Control

Abstract The Argentinean Society of Hypertension, in agreement with the May Measurement Month (MMM) initiative of the International Society of Hypertension, implemented for the third consecutive year a hypertension screening campaign. A volunteer cross-sectional survey was carried out in public spaces and health centres during the month of May 2019 across 33 cities in Argentina. Hypertension was defined as systolic blood pressure (BP) ≥140 mmHg and/or diastolic BP ≥90 mmHg based on the mean of the second and third BP measurements, or in those on treatment for high BP. A total of 94 523 individuals (53.9 ± 17.8 years old, 55 231women and 39 292 men), were evaluated. The age and sex standardized mean BP was 124.7/77.2 mmHg. Among participants, 34.7% were overweight (25-29.9 m/kg2) and 28.7% had obesity (≥30 m/kg2). Individuals identified as being overweight had BP 3/2 mmHg higher and individuals with obesity 6/4 mmHg higher than those with normal weight. The prevalence of hypertension was 52.5%. Although 81.1% were aware and 77.7% were on antihypertensive treatment, only 46.0% of all individuals with hypertension had their BP controlled. Moreover, 19.8% of those not on any antihypertensive medication were found with raised BP. The low level of control of hypertension generates the critical need for the development of community-based prevention strategies reinforcing strategies to increase the awareness and control of hypertension.

scholarly journals A quarterly update on food- and waterborne diseases in Europe - summary of data for the third quarter of 2007

2008 ◽  
Vol 13 (11) ◽  
pp. 7-8 ◽  
Author(s):  
J Denny ◽  
G Hernández Pezzi ◽  
J Threlfall ◽  
T Westrell ◽  
I Fisher
Keyword(s):  
Health Professionals ◽  
Waterborne Diseases ◽  
Surveillance Network ◽  
The Third ◽  
The Past ◽  
Public Health Professionals ◽  
Emerging Trends ◽  
Enteric Infections ◽  
One Year ◽  
And Control

This paper highlights findings from the first quarterly report on food- and waterborne diseases produced by the European Centre for Disease Prevention and Control (ECDC). In the past such reports had been generated by Enter-net, a Europe-based international surveillance network for the enteric infections. The quarterly reports are an important surveillance tool for the network participants and other public health professionals to use in order to identify emerging trends and changes taking place in a shorter interval than one year.

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 Efficacy of Postpartum Furosemide Therapy on Blood Pressure Recovery in Patients with Severe Preeclampsia: A Randomized Clinical Trial

2019 ◽  
Vol 18 (3) ◽  
pp. 636-640
Author(s):  
Talat Dabaghi ◽  
Mona Shariati ◽  
Fatemeh Laluha ◽  
Farideh Movahhed ◽  
Ameneh Barikani
Keyword(s):  
Blood Pressure ◽  
Antihypertensive Therapy ◽  
Severe Preeclampsia ◽  
Pressure Recovery ◽  
Control Groups ◽  
Mortality And Morbidity ◽  
The Third ◽  
Maternal Mortality And Morbidity ◽  
Duration Of Hospitalization ◽  
And Control

Background: Hypertensive disorders are an important cause of maternal mortality and morbidity, and severe preeclampsia is the most common cause [Baha M. Sibia, AJOG (2012)]. The blood pressure rises progressively during the first 5 days after delivery, and it is due to mobilization of 6-8 liters of liquid, and 950 meq of accumulated sodium,from interstitial and extravascular space to intravascular space[Davison JM and Dunlop W, Seminars in Nephrology,4:198–207 (1984)].Severe rising of blood pressure may lead to complications, such as renal failure, pulmonary edema, eclampsia, intracranial hemorrhage, stroke, coma and death [Baha M. Sibia, AJOG (2012)].Therefore, postpartum anti-hypertensive therapy can prevent these complications and diminishes maternal mortality and morbidity rate. Objective: This investigation was done to evaluate whether a short course of postpartum furosemide therapy in patients with severe preeclampsia accelerates blood pressure recovery, reduces antihypertensive drugs usage, prevents complications such as eclampsia and finally diminishes hospitalization. Study design: In a randomized clinical trial, 90 patients with severe preeclampsia participated. After spontaneous onset of diuresis and discontinuation of sulfate magnesium, patients were randomly allocated to receive either no therapy or 20 mg oral furosemide daily for five days with oral potassium supplementation. Postpartum blood pressure, the need for antihypertensive therapy, rate of complications and duration of hospitalization between treatment and control groups were compared. Results: Mean systolic blood pressure on the third day after delivery was not different significantly between treatment and control groups(127.9±10.2 compared with 130 ± 11.5 mm-Hg, P=0.36). Mean diastolic blood pressure on the third day after delivery was not different between two groups. Patients in treatment group required less antihypertensive therapy during hospitalization (26.7% compared with 33.3%, P=0.64) but the difference was not significant. Eclampsia occurred in two patients in control group and not occurred in treatment group. Duration of hospitalization was not affected by the intervention. Conclusion: Brief postpartum furosemide therapy in patients with severe preeclampsia may not be effective in postpartum blood pressure recovery and reducing the need for antihypertensive therapy. It may be useful to prevent complications such as eclampsia. Duration of hospitalization was not affected by the intervention. Bangladesh Journal of Medical Science Vol.18(3) 2019 p.636-640

scholarly journals A cross-sectional study on the impact of the prevention and control response of the COVID-19 pandemic on minor’s orthopedic trauma in Shanghai

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Chuang Qian ◽  
Yiming Zheng ◽  
Junrong Meng ◽  
Hao Li ◽  
Dahui Wang
Keyword(s):  
Radial Head ◽  
Prevention And Control ◽  
Chinese Government ◽  
Orthopedic Trauma ◽  
The Third ◽  
The Past ◽  
Control Response ◽  
Open Injuries ◽  
And Control ◽  
The Impact

Abstract Background The Chinese government has taken strong prevention and control measures against the COVID-19 pandemic. Although the pandemic is far from over, it has been effectively controlled in China. The outbreak of COVID-19 pandemic provides an opportunity to study the influence of governmental prevention and control response on orthopedic trauma in minors. Methods We collected and reviewed data and information on minor’s orthopedic trauma from 1 January to 30 June of the past three year (2018, 2019 and 2020). The data were divided according to the time of prevention and control response level in 2020 (the first level response is from January 24 to March 22, the second level response is from March 23 to May 7, and the third level response is May 8 to now). By comparing the relevant data from orthopedic emergency and operating rooms from the past three years, the influence of governmental pandemic prevention measures on orthopedic trauma in minors was analyzed. Results A total of 36,301 minors were included in the study cohort. Before the prevention and control response, the data of the orthopedic emergency department of National Children Medical Center (Shanghai) in 2020 was the same as the previous two years. The condition of children undergoing surgery at the time of injury is significantly different under different levels of prevention and control response. Under the first-level response, the number of fractures, open injuries, radial head subluxation, and surgery were significantly reduced, and the severity of patients with surgery was also significantly reduced. Under the second-level response, the number of operations began to increase, and the severity of the disease also began to rise. Under the third-level response control, the number of fractures, open injuries, and operations have returned to the levels of the previous two years. The severity of the operation has also returned to its previous level. The number of subluxations of the radial head is still different from before. Conclusion The prevention and control response for the pandemic of COVID-19 can reduce the incidence of orthopedic trauma in minors by strengthening the guardian’s care and restricting children’s outdoor activities. With the control of the pandemic, the amount of orthopedic trauma in minors will not be affected by low-level prevention and control.

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