scholarly journals Stroke prevalence among the Turkish population in a rural area of Istanbul: A community-based study

2018 ◽  
Vol 6 ◽  
pp. 205031211879756 ◽  
Author(s):  
Ülkü Türk Börü ◽  
Ahmet Şükrü Kulualp ◽  
Ömer Faruk Tarhan ◽  
Cem Bölük ◽  
Arda Duman ◽  
...  

Background: The population-based information on the prevalence of stroke from rural areas of Middle East countries including Turkey is unknown. Our aim is to evaluate the prevalence of stroke in those ⩾18 years in the Turkish population in a rural area of Istanbul. Methods: A cross-sectional door-to-door study was conducted in a rural area of Istanbul between 1 March and 30 March 2013. A research protocol recommended by World Health Organization for developing countries was used. Each screening teams consisted of one neurologist, one local nurse, and five surveyors. Teams were trained about the survey and questionnaire. The patients, who claimed to have suffered a stroke, were examined, and the diagnosis was confirmed by a neurologist on site. The findings and medical records were documented. Results: In total, 2906 people ⩾18 years were screened. 50 stroke cases were detected. 80% of those were found to have had an ischemic stroke, 14% of those were hemorrhagic cases, and 6% of those had an unclassified stroke type. The overall prevalence rate in those ⩾ 18 years was 1.7%. The male/female ratio was 0.92. Young (<45) stroke prevalence was found to be 0.6%. Conclusion: This study was the first of its kind to show the stroke prevalence among Turkish population ⩾ 18 years in a rural area of Istanbul. When compared to other studies which investigate people ⩾45 years from Turkey, the result (in the same age group) was moderate high. The male/female ratio was low compared to many other studies.

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Cansu Köseoğlu Toksoy ◽  
Cem Bölük ◽  
Ülkü Türk Börü ◽  
Seydahmet Akın ◽  
Abdullah Yasir Yılmaz ◽  
...  

Background. This study aims to determine the stroke prevalence in Akçakoca which is a rural area in Turkey. Methods. The study was designed as a cross-sectional, door-to-door survey. The stroke questionnaire was completed by a trained team in the presence of the participants according to their answers. Based on the screenings, patients who had been diagnosed with stroke previously were reexamined by a neurologist and determined the prevalence values, risk factors, and stroke types. Results. A total of 3750 people over 44 years old were reached in the screenings. It was determined that 83 people had previously suffered a stroke. The prevalence rate of stroke in those above 44 years was found to be 2.2 (98% confidence level and ± 2% margin of error). 70 (84.3%) patients had suffered an ischemic stroke while 12 (14.5%) had suffered a hemorrhagic stroke. Male/female ratio was 1.1. Conclusion. The results of this study give the prevalence rate of stroke among the Turkish population living in a rural area. Due to a lack of other similar studies, it is impossible to make any data comparison. However, the results of this study help shed light on the stroke prevalence rate.


Author(s):  
Govind Maakhni ◽  
Shavinder Singh ◽  
Deepshikha Kamra

Background: In India, fast foods are becoming part of our daily lifestyle. Foods prepared in restaurants are very high in trans fats (TFs). Also, alarmingly about 400,000 tonnes of snacks, which are largely prepared in TFs are consumed every year. According to recent studies, TFs levels are 5 to 12 times higher in the oils consumed in India as compared to the world standard. The WHO recommends that TFs intake be less than 1 percent of total caloric intake. The objective of the study was to assess the consumption of TFs and fats in foods by the population in urban and rural areas.Methods: This was a community-based cross-sectional study. All adult females above 18 years of age who took an active part in kitchen were interviewed. Their dietary patterns were assessed. The sampling was done using a systematic random sampling technique and 200 participants each in rural and urban areas were selected.Results: 12 percent participants in the urban area and 9 percent participants in the rural area were exceeding WHO limit of less than 1 percent TFs consumption. The median value of TFs consumption was higher in urban area (0.575 grams/day) than in rural area (0.427 grams/day).Conclusions: The study concludes that 12 percent participants in the urban area and 9 percent participants in the rural area were exceeding TFs consumption. Therefore, a proactive approach to ensure that these WHO regulations have the full intended effect needs to be taken.


Author(s):  
Sohail Akhtar ◽  
Syed Wadood Ali Shah ◽  
Saleem Javed ◽  
Ayisham Alina

Abstract Objective: To determine the prevalence of pre-diabetes and diabetes and its associated risk factors in adult population. Methods: The cross-sectional population-based study was conducted from January to March 2018 in urban and rural areas of Swat, Pakistan, and comprised subjects aged 20-89 years. After a minimum 10-hour overnight fast, blood glucose was tested for pre-diabetes and diabetes according to the World Health Organization recommendations. Data was analysed using SPSS 21. Results: Of the 1447 subjects, 837 (58%) were females and 610 (42%) males. The largest age group was 20-29 years with 322 (22.3) subjects. Pre-diabetes was found in 309 (21.4%) subjects and diabetes in 138 (9.52%). Higher age, urbanisation, family history of diabetes, weight, exercise, hypertension, monthly income and education were found to be significant risk factors for pre-diabetes and diabetes (p<0.05). Conclusion: Every 10th resident of Swat was found to have diabetes, and every one in five had pre-diabetes. Key Words: Prevalence, Diabetes, Pre-diabetes, District Swat, Pakistan. Continuous...


2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.


Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 404
Author(s):  
Alejandro José Casanova-Rosado ◽  
Juan Fernando Casanova-Rosado ◽  
Mirna Minaya-Sánchez ◽  
José Luís Robles-Minaya ◽  
Juan Alejandro Casanova-Sarmiento ◽  
...  

Objective: To determine the association of edentulism with different chronic diseases and mental disorders in Mexicans aged 60 years and over. Material and Methods: A cross-sectional study was carried out using data from the World Health Survey for Mexico, in a probabilistic, multi-stage cluster sampling framework. Data for self-report of chronic diseases (diabetes, arthritis, angina pectoris and asthma), mental disorders (depression and schizophrenia) and edentulism were analyzed. Edentulism data were available for 20 of the 32 States of Mexico. Statistical analysis was performed in Stata 14.0 using the svy module for complex sampling (Complex nature under which individuals are sampled). Results: In total 4213 subjects were included, representing a population of 7,576,057 individuals. Mean age was 70.13 ± 7.82 years (range 60 to 98); 56.2% were women. Chronic diseases’ prevalence and mental disorders prevalence were as follows: diabetes 15.0% (N = 1,132,693); arthritis 13.2% (N = 1,001,667); depression 5.5% (N = 414,912); angina pectoris 4.5% (344,315); asthma 3.6% (N = 269,287); and schizophrenia 2.2% (N = 16,988). The prevalence of edentulism was 26.3%, which pertained to 1,993,463 people aged 60 years and over. Angina in women aged 60 to 69 years (p < 0.05) and depression in men aged 70 years and over (p < 0.0001) were associated with higher prevalence of edentulism. Conclusions: There was generally sparse association between edentulism on chronic diseases and mental disorders included in the study, except for women aged 60 to 69 years for angina, and in men aged 70 and over, for depression. Although our findings are misaligned with previous reports, longitudinal studies are required to test causal and temporal relationships between edentulism with chronic diseases and mental disorders.


Author(s):  
Henry Olayere Obanife ◽  
Nasiru Jinjiri Ismail ◽  
Ali Lasseini ◽  
Bello B. Shehu ◽  
Ega J. Otorkpa

Abstract Background Road traffic accident (RTA) is the eighth leading cause of death worldwide. Motorcycle-associated head injury is the leading cause of road traffic associated morbidity and mortality in developing countries. Even though the incidence and mortality of head injury from motor cycle crash is on the increase in developing countries, especially in the African continent, most of the studies published in the literature on this subject matter took place in the developed Western countries. Methods This is a retrospective cross-sectional study of data from patients managed in our institution between December 2014 and November 2016. Results One hundred and eighty-four patients were analyzed. None of the patients used safety helmet for protection. The mean age was 27.6 ± 17.2 years with male female ratio of 6.7:1. Lone crash by cyclists and collisions accounted for 66.8% and 33.1% of the cases, respectively. Passengers and riders comprised 75% of the patients, while 25% were vulnerable pedestrians. The most frequently abused substance by the patients was tramadol (65.52%). Severe head injury and pupillary abnormality were found in 23.9% and 45.5% of the patients, respectively. Cranial CT scan showed abnormalities in 40.2% of the patients. Surgery was done in 28.3% of the patients with mortality rate of 20.7%. Conclusions The use of motorcycle as a mean of transportation has caused significant negative impact on the society. Young people, who constitute the workforce, are majorly affected, and this invariably leads to a serious economic burden on the concerned families and communities.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohammad Hassan Emamian ◽  
Hossein Ebrahimi ◽  
Hassan Hashemi ◽  
Akbar Fotouhi

Abstract Background Previous studies have reported a high prevalence of hypertension in Iranian students, especially in rural areas. The aim of this study was to investigate the daily intake of salt in students and its association with high blood pressure. Methods A random sub-sample was selected from the participants of the second phase of Shahroud schoolchildren eye cohort study and then a random urine sample was tested for sodium, potassium and creatinine. Urine electrolyte esexcretion and daily salt intake were calculated by Tanaka et al.’s formula. Results Among 1455 participants (including 230 participants from rural area and 472 girls), the mean age was 12.9 ± 1.7 year and the mean daily salt intake was 9.7 ± 2.6 g (95% CI 9.5–9.8). The mean salt consumption in rural areas [10.8 (95% CI 10.4–11.2)] was higher than urban areas [9.4 (95% CI 9.3–9.6)], in people with hypertension [10.8 (95% CI 10.3–11.3)] was more than people with normal blood pressure [9.4 (95% CI 9.3–9.6)], and in boys [9.8 (95% CI 9.7–10.0)] was more than girls [9.3 (95% CI 9.1–9.6)]. Higher age, BMI z-score, male sex and rural life, were associated with increased daily salt intake. Increased salt intake was associated with increased systolic and diastolic blood pressure. Conclusion Daily salt intake in Iranian adolescents was about 2 times the recommended amount of the World Health Organization, was higher in rural areas and was associated with blood pressure. Reducing salt intake should be considered as an important intervention, especially in rural areas.


2014 ◽  
Vol 56 (4) ◽  
pp. 281-285 ◽  
Author(s):  
Evandro Monteiro de Sá Magalhães ◽  
Carla de Fátima Ribeiro ◽  
Carla Silva Dâmaso ◽  
Luiz Felipe Leomil Coelho ◽  
Roberta Ribeiro Silva ◽  
...  

This study aimed to estimate the prevalence of paracoccidioidal infection by intradermal reaction (Delayed-Type Hypersensitivity, DTH) to Paracoccidioides brasiliensis in rural areas in Alfenas, Southern Minas Gerais (MG) State, Brazil, and to assess risk factors (gender, occupation, age, alcohol intake and smoking) associated with infection. We conducted a population-based cross-sectional study using intradermal tests with gp 43 paracoccidioidin in 542 participants, who were previously contacted by local health agents and so spontaneously attended the test. Participants underwent an interview by filling out a registration form with epidemiological data and were tested with an intradermal administration of 0.1 mL of paracoccidioidin in the left forearm. The test was read 48 hours after injection and was considered positive if induration was greater than or equal to 5 mm. Out of 542 participants, 46.67% were positive to the skin test. Prevalence increased in accordance with an increase of age. There was statistical significance only for males. Occupation, alcohol intake and smoking habits were not significantly associated with the risk of paracoccidioidomycosis infection. There is relevance of paracoccidioidomycosis infection in such rural areas, which suggests that further epidemiological and clinical studies on this mycosis should be done in the southern part of Minas Gerais State.


2017 ◽  
Vol 6 (4) ◽  
pp. 7-13 ◽  
Author(s):  
V K Khanal ◽  
R Upreti ◽  
U Oli ◽  
A K Sunny ◽  
A Ghimire ◽  
...  

Injury is a serious public health threat as it is one of the leading cause of death globally. This study aims to assess the prevalence of injury, pattern of injury and its associated factors among people residing in a rural area of Aurabani VDC of Eastern Nepal. A population based cross sectional study was carried out among 552 people residing in selected wards with door to door visit. The prevalence of minor injury was 3.1% and major was 0.4% per year in the study.Most common mode of injury was fall and most common type was incised wound. Injuries mostly occurred in extremities, in morning time, autumn season and in roads while most of the injuries were accidental in nature. 


e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Indo Mamesah ◽  
Josefien S. M. Saerang ◽  
Laya M. Rares

Abstract: Visual impairment is defined as a functional limitation of the eye/eyes or visual system and can manifest in decreased visual acuity or contrast sensitivity, visual field loss, photophobia, visual distortion, visual perceptual difficulties, or a combination of them. Examination of the eye and vision assessment are very important to detect conditions that can cause blindness and serious systemic conditions, which cause problems in school performance, or at a more severe level, life threatening. This study aimed to obtain the occurence of refractive anomalies among junior high school students in rural areas. This was an analytical observational study with a cross-sectional design. The study was conducted in SMP I Wori (rural area) and SMP I Airmadidi (urban area). There were 60 respondents; 30 respondents of each school. Distributions of respondent genders were nearly the same for both schools; the number of females was higher than males. The majority of SMP I Airmadidi students were 11 years old (36.7%), meanwhile the majority of SMP Wori students were 13 years (50%). Most student complaints in SMP I Airmadidi were itchy eyes and drowsiness (16.7%), meanwhile in SMP I Wori was headache (18.4%). Visual impairment was found in 16.6% of students of SMP I Airmadidi, meanwhile in SMP I there was no student with refractive anomaly. Conclusion: There was no refractive anomaly found among students of rural area, however, among students of urban area myopia was the refractive anomaly found.Keywords: refractive anomalyAbstrak: Gangguan penglihatan didefinisikan sebagai suatu keterbatasan fungsional pada mata atau kedua mata atau sistem visual yang dapat bermanifestasi terhadap penurunan ketajaman penglihatan atau sensitifitas kontras, hilangnya lapangan penglihatan, photofobia, distorsi visual, kesulitan perseptual visual atau kombinasi dari semua diatas. Pemeriksaan mata dan penilaian penglihatan sangat penting untuk mendeteksi kondisi yang dapat menyebabkan kebutaan dan kondisi sistemik serius, yang memicu masalah performa di sekolah, atau pada tingkat yang lebih berat, mengancam kehidupan anak. Penelitian ini bertujuan untuk mengetahui gambaran kelainan refraksi pada anak SMP di daerah pedesaan. Jenis penelitian ini analitik observasional dengan desain potong lintang. Penelitian dilakukan di SMPN I Wori (daerah luar Minahasa Utara/pedesaan) dan SMPN I Airmadidi (kota Kabupaten Minahasa Utara), dan diperoleh 60 responden penelitian. Distribusi jenis kelamin responden kedua sekolah hampir sama dimana jumlah perempuan lebih banyak dari laki-laki. Usia terbanyak di SMPN I Airmadidi ialah 11 tahun (36,7%) sedangkan di SMPN Wori 13 tahun (50%). Keluhan terbanyak siswa di SMPN I Airmadidi ialah mata gatal dan rasa kantuk (16,7%), sedangkan di SMPN I Wori ialah sakit kepala (18, 4%). Gangguan penglihatan ditemukan pada responden di SMPN I Airmadidi sebanyak 16,6 % sedangkan di SMPN I tidak ditemukan kelainan visus. Simpulan: Tidak ditemukan adanya gangguan refraksi pada siswa SMP di daerah pedesaan. Kelainan refraksi miopia ditemukan pada siswa SMP di perkotaan.Kata kunci: gangguan refraksi


Sign in / Sign up

Export Citation Format

Share Document