scholarly journals “We shall have gone to a higher standard”: Training village heath teams (VHTs) to use a smartphone-guided intervention to link older Ugandans with hypertension and diabetes to care

2021 ◽  
Vol 3 ◽  
pp. 25
Author(s):  
Joseph Okello Mugisha ◽  
Janet Seeley
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Older Adults ◽  
Blood Sugar ◽  
Smart Phone ◽  
Standard Training ◽  
And Control ◽  
Depth Interviews ◽  
Village Health ◽  
Village Health Teams

Background: It is not clear whether village health teams (VHTs) can be empowered to participate in interventions to prevent and control hypertension and diabetes in older adults in Uganda. We conducted this study in rural Uganda to establish if VHTs could be effectively trained to use a smart phone guided intervention to link older people with hypertension and diabetes to care. We also explored the experiences of VHTs in managing older adults with health problems, their knowledge of hypertension and diabetes and their understanding of referral systems. We also explored their experiences with smartphones. Methods: We conducted in-depth interviews (IDIs) with and trained 20 VHTs randomly selected from Bukulula sub-county in Kalungu district from October 2017-December 2018. We used interview guides to explore topics relevant to our study objectives. VHTs were trained to measure blood sugar and blood pressure using digital machines. VHTs were trained on identifying symptoms of diabetes mellitus. Data from IDIs were analysed using thematic content analysis. Competence tests were used to evaluate the training. Results: Most of the VHTs were female (75%). All VHTs had some knowledge on hypertension and diabetes and other chronic diseases. They did not have any experience in treating older adults since they had been trained to deal mainly with children. Half of the VHTs owned smartphones. All were willing to participate in an intervention using a smartphone to link older adults with hypertension and diabetes mellitus to care. By the end of the training, all but three participants could comprehend the symptoms of diabetes and measure blood sugar and blood pressure. Conclusion: Village health teams in the study setting need training in managing the health needs of older adults before engaging with an intervention using smartphones to link older adults with diabetes mellitus and hypertension to care.

scholarly journals “We shall have gone to a higher standard”: Training village heath teams (VHTs) to use a smartphone-guided intervention to link older Ugandans with hypertension and diabetes to care

2020 ◽  
Vol 3 ◽  
pp. 25
Author(s):  
Joseph Okello Mugisha ◽  
Janet Seeley
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Older Adults ◽  
Blood Sugar ◽  
Standard Training ◽  
And Control ◽  
Depth Interviews ◽  
Study Setting ◽  
Village Health ◽  
Village Health Teams

Background: It is not clear whether village health teams (VHTs) can be empowered to participate in interventions to prevent and control hypertension and diabetes in older adults in Uganda. We conducted this study in rural Uganda to establish the experiences of VHTs in managing older adults with health problems, their knowledge of hypertension and diabetes and their understanding of referral systems. We also explored their experiences with smartphones and whether VHTs could be effectively trained to use a smartphone-guided intervention to link older adults with hypertension and diabetes mellitus to care. Methods: We conducted in-depth interviews (IDIs) with and trained 20 VHTs randomly selected from Bukulula sub-county in Kalungu district from October 2017-December 2018. We used interview guides to explore topics relevant to our study objectives. VHTs were trained to measure blood sugar and blood pressure using digital machines. VHTs were trained on identifying symptoms of diabetes mellitus. Data from IDIs were analysed using thematic content analysis. Competence tests were used to evaluate the training. Results: Most of the VHTs were female (75%). All VHTs had some knowledge on hypertension and diabetes and other chronic diseases. They did not have any experience in treating older adults since they had been trained to deal mainly with children. Half of the VHTs owned smartphones. All were willing to participate in an intervention using a smartphone to link older adults with hypertension and diabetes mellitus to care. By the end of the training, all but three participants could comprehend the symptoms of diabetes and measure blood sugar and blood pressure. Conclusion: Village health teams in the study setting need training in managing the health needs of older adults before engaging with an intervention using smartphones to link older adults with diabetes mellitus and hypertension to care.

Acute Blood Pressure Response to High- and Moderate-Speed Resistance Exercise in Older Adults With Hypertension

2021 ◽  
pp. 1-8
Author(s):  
Carlos Leonardo Figueiredo Machado ◽  
Régis Radaelli ◽  
Clarissa Muller Brusco ◽  
Eduardo Lusa Cadore ◽  
Eurico N. Wilhelm ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Resistance Exercise ◽  
Blood Pressure Response ◽  
Individual Response ◽  
Older Individuals ◽  
Repetition Maximum ◽  
Control Protocol ◽  
The Individual ◽  
And Control

An increase in blood pressure (BP) occurs during resistance exercise; attention to this response may be necessary in older individuals with hypertension. We compared the BP responses following high- (HSRE) and moderate-speed resistance exercise (MSRE) (4 × 8 repetitions at 60% one-repetition maximum) and control protocol in 15 older adults with hypertension. HSRE and MSRE increased systolic BP (SBP) by the end of each set compared with preexercise and control protocol. Immediately after the fourth set, a higher SBP was observed in MSRE than HSRE (147 ± 14 vs. 141 ± 12 mmHg; p = .01). Taking an exploratory analysis of the individual response, we observed that MSRE resulted in greater mean changes and number of SBP exposures to values ≥150 mmHg (22-fold) than HSRE (10-fold). Diastolic BP increased (p < .05) with exercise, but only MSRE increased compared with the control condition (p < .05). HSRE may be an alternative for individuals in which SBP peak should be avoided.

scholarly journals Comparative Study of Level of Serum Uric Acid in Type 2 Diabetes Mellitus Associated with Hypertension

2018 ◽  
Vol 9 (2) ◽  
pp. 96-101
Author(s):  
Roksana Yeasmin ◽  
MA Muttalib ◽  
Nazneen Sultana ◽  
Md Jamil Hasan Karami ◽  
Ayatunnessa ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Uric Acid ◽  
Serum Uric Acid ◽  
Exercise Time ◽  
The Mean ◽  
And Control

Background: The role of uric acid in the progression of prediabetes to diabetes has been known. Serum uric acid has been shown to beassociated with cardiovascular disease, hypertension, and chronic kidney disease. However, conflicting data exist asregards the serum uric acid (UA) levels in type 2 diabetes mellitus, which are associated with risk factors andcomplications.Material & Methods: The present study was designed to look for any association of serum uric acid with hypertension in type 2diabetes mellitus, taking into consideration the relevant clinical, biochemical and the anthropometric data. 110 patientswith type 2 male diabetes mellitus as case and 100 healthy malecontrols were included in this study.Results: This study shows that there were significant differences in mean of age, duration of DM, exercise time, waist hip ratio, systolic blood pressure and diastolic blood pressure within case and control but no significant differences of mean BMI was found between and control. The mean age, duration of DM, exercise time, waist hip ratio, systolic blood pressure and diastolic blood pressure and BMI were (51.83±9.911 years, 6.87±5.54 years, 1.94±.831 hours, .92±.03, 140±6.75 mm of Hg,90±2.41 mm of Hg and 25.43±3.19 Kg/m2 respectively), where as in controls these were (44.81±9.66 yrs, 00 years, 1.12±.327 hours, .91±.03, 130±1.28 mm of Hg, 80±6.18 mm of Hg and 24.96±3.02 Kg/m2 respectively). This table also shows that significant differences in mean of FBS, ABF, HbA1C and S. Uric acid between case and control, but there was no significant differences of mean TG, Cholesterol, HDL and LDL. The mean of FBS, ABF, HbA1C and S. Uric acid among the cases were (8.19±2.48 mmol/L, 11.29±3.47 mmol/L, 7.96±6.04 mg%, 189.72±111.36 mg/dl, 179±43 mg/dl, 38.38±13.77 mg/dl, 102.10±35.79 mg/dl and 8.39±2.61 mg/dl respectively, on the other hand among the control these were 5.91±1.13 mmol/L, 9.19±1.95 mmol/L, 5.93±1.01 mg%, 200±104.49 mg/dl, 183±42.25 mg/dl, 38.14±5.52 mg/dl, 110±33.23 mg/dl and 5.14±.84 mg/dl respectively.Anwer Khan Modern Medical College Journal Vol. 9, No. 2: Jul 2018, P 96-101

scholarly journals HEADACHE

2016 ◽  
Vol 23 (02) ◽  
pp. 193-197
Author(s):  
Santosh Kumar
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Blood Sugar ◽  
Fasting Blood Glucose ◽  
Primary Headache ◽  
Normal Blood ◽  
Secondary Headache ◽  
Normal Body Mass Index ◽  
Cross Sectional ◽  
Relationship Of

Objective and aims: To determines relationship of age, gender, hypertension,diabetes mellitus and obesity with primary and secondary headache in a tertiary carehospital. Study design: A cross-sectional study. Place and duration of study: Medical OPDof Liaquat University of Medical and Health Sciences, Hyderabad from 10January to 10 July2015. Methodology: Patients (male and female) with complaint of headache in medical OPDwere included in this study. Patients with acute emergency, stroke, meningitis, encephalitisand severe infection were excluded. After taking informed consent, history, examination andlaboratory test (like fasting blood glucose, blood urea nitrogen) were sent. Data was recordedin a proforma. Data was entered and analyzed using SPSS version 20. Results: A total of 100patients of headache were included in this study. The mean age of enrolled participants was33.6±2 years. Forty percent were male and 60% female with male to male ratio was 0.7:1. Eightynine percent of patients have normal blood pressure, 82% normal blood sugar and 48% normalbody mass index. Eighty six percent patients had primary and 14% had secondary headaches.Normal blood pressure was observed in 93% cases of primary headache compared to 64.3%in secondary headache (p-0.006). Normal blood sugar was observed in 14% cases of primaryheadache compared to 42.9% in secondary headache (p-0.018).normal body mass index wasobserved in 51.2% cases of primary headache compared to 28.6% in secondary headache (p-0.002). Conclusion: There is strong relationship of primary headache with age, gender, obesitybut not associated with hypertension and diabetes mellitus. Hypertension and diabetes aremore strongly related with secondary headache

scholarly journals Community overview on the differential prevalence of Hepatitis E in two Sub Counties in Kitgum District: A qualitative study

2021 ◽  
Author(s):  
Judith Aloyo ◽  
Juliet Kiguli ◽  
Christopher Orach Garimoi ◽  
David Lagoro Kitara
Keyword(s):  
Prevention And Control ◽  
Infection Prevention ◽  
Hepatitis E ◽  
Control Measures ◽  
Infection Prevention And Control ◽  
Community Control ◽  
Community Members ◽  
And Control ◽  
Village Health ◽  
Village Health Teams

Abstract Background There was an epidemic of Hepatitis E infection in Kitgum District in 2007. More than 10,422 people were infected, and over 166 deaths were registered due to the Hepatitis E virus. Kitgum District Health Management Information Systems (HMIS) showed that Hepatitis E cases continued to occur more in Mucwini than Kitgum Matidi Sub County despite instituting similar epidemic control measures in the two communities. The tenacity of the virus in Mucwini Sub County had remained unclear. Objective To assess communities’ views and perspectives on the differential prevalence of Hepatitis E in the two Sub Counties of Kitgum Matidi and Mucwini in Northern Uganda. Methods A cross-sectional study using qualitative methods was conducted. Four Focus Group discussions and six key informant interviews were conducted with village health teams, local council chairpersons, health workers, and community members. These persons were chosen purposively because of their expertise and experience in community and health services. Face-to-face interview guides were administered to obtain detailed information on factors associated with the differential occurrence of Hepatitis E in the two Sub Counties. This study was approved by a local IRB and Uganda National Council of Science and Technology (UNCS&T). Results The most significant findings from this study were the differences in prevention and control practices in the two communities. Residents of Mucwini were less compliant to infection, prevention, and control guidelines, and disagreements between local councilors and village health teams in Mucwini led to poor implementation and non-adherence to guidelines on community control of Hepatitis E. Conclusion A differentially higher prevalence of Hepatitis E in Mucwini than Kitgum Matidi Sub County resulted from poor personal and community hygiene and non-adherence to behavior change communication among residents Mucwini compared to their counterparts in Kitgum Midi. The authors recommend a more proactive approach in managing the epidemic by securing the willingness of the affected community to adopt appropriate infection prevention and control guidelines. In addition, disagreements among stakeholders should be resolved timely so that all community members adhere to control measures.

scholarly journals Intervensi Keperawatan pada Pasien Terkonfirmasi COVID-19 dengan Komorbid DM Tipe 2 dan Hipertensi: Studi Kasus

2021 ◽  
Vol 16 (2) ◽  
pp. 126-137
Author(s):  
Alif Khanifudin ◽  
Arifin Triyanto ◽  
Dwi Asih Rohmawati
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Data Collection ◽  
Blood Sugar ◽  
Blood Sugar Level ◽  
Oxygen Therapy ◽  
Health Workers ◽  
Anxiety Reduction ◽  
High Morbidity

Comorbidities in COVID-19 patients with the highest percentage are hypertension and diabetes mellitus. Patients with comorbid hypertension and DM have high morbidity and mortality. This study aims to determine the interventions in COVID-19 patients with comorbid DM and hypertension. The method used is a case study with data collection through patient and family interviews, medical record studies and direct observation or through CCTV. The studies showed that the patient was diagnosed with severe COVID-19 by  oxygen therapy (NRM 15 L/min), treating COVID-19 and managing comorbid hypertension and DM with medication and monitoring and reducing anxiety. During treatment, the patient was desaturated, blood pressure and blood sugar level had not been controlled, and the anxiety was quite high. It can be said that interventions that can be given to COVID-19 patients with comorbid hypertension and DM are oxygen therapy, medication, anxiety reduction, and comorbid management. Comorbid hypertension and DM were controlled with medication and regular monitoring. the patient's blood pressure and blood sugar level had not been controlled, it is possible that the patient's anxiety is still experienced. So that as health workers in providing care are expected to pay attention to the biopsychosociospiritual aspects so that the patient's problems are resolved.

Effectiveness of Gita Gymnastics on Blood Sugar Level Among Elderly With Diabetes Mellitus in Kediri

2020 ◽  
Vol 4 (1) ◽  
pp. 60
Author(s):  
Anindini Winda Amalia ◽  
Paramita Ratna Gayatri ◽  
Hartati Tuna
Keyword(s):  
Diabetes Mellitus ◽  
Blood Sugar ◽  
The Elderly ◽  
Fasting Blood Sugar ◽  
Control Group ◽  
Mean Deviation ◽  
Significant Difference ◽  
Group 10 ◽  
Sugar Levels ◽  
And Control

The Elderly has a high risk of degenerative diseases. Diabetes Mellitus is a degenerative disease that occurred in the elderly. Excercise regularly can reduce blood sugar levels in the elderly. GITA gymnastic is a mild exercise that can be applied and not burdensome if done routinely by elderly. The purpose of this study was to determine the effect of GITA gymnastic on blood sugar levels in the elderly with diabetes mellitus. This research is an experimental design of the field with pre-post group design. Respondents are elderly with diabetes mellitus in Clinic Bandar Lor Kediri. Respondent 20 people, divided into two groups, gymnastic group 10 people and control group 10 people. In gymnastic group is given training of GITA gymnastic for 8 weeks, 3 times a week, with a duration of 30 minutes each session. The control group did not have treatment. The result of this study indicates the post-test of fasting blood sugar levels in the gymnastic group is significantly lower than the pre-test of fasting blood sugar levels (p= 0.003). In the independent T test, there was a significant difference in the mean deviation of fasting blood sugar levels in the gymnastic group and control group (p=0,001). GITA gymnastic for eight weeks is effective in reducing blood sugar levels among the elderly with diabetes mellitus.

scholarly journals Effect of a Comprehensive Health Care Program on Blood Pressure, Blood Glucose, Body Composition, and Depression in Older Adults Living Alone: A Quasi-Experimental Pretest–Posttest Study

2019 ◽  
Vol 17 (1) ◽  
pp. 220
Author(s):  
Eun Jeong Hwang ◽  
In Ok Sim
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Health Care ◽  
Blood Glucose ◽  
Care Program ◽  
Control Groups ◽  
Comprehensive Health Care ◽  
Comprehensive Health ◽  
Quasi Experimental ◽  
And Control

This study explored the effects of a comprehensive health-care program (CHCP) on blood pressure, blood glucose, body composition, and depression in older adults living alone. We used a quasi-experimental, two-group, pretest–posttest design. The CHCP consisted of open lectures, health counseling, exercise classes, nutrition counseling, and self-help group meetings at a local senior welfare center. Fifty-eight subjects participated in this study, with thirty subjects in the experimental group and twenty-eight subjects in the control group. Data were analyzed by using the descriptive statistics, χ2-test, and t-test. Comparisons of the pretest and posttest systolic blood pressure (t = −2.530, p < 0.016) and blood glucose (t = 3.089, p < 0.004) between the experimental and control groups showed significant differences. In both the experimental (t = 3.949, p < 0.001) and control groups (t = 3.816, p < 0.002), depression symptoms showed a significant decrease posttest, compared with pretest. Our findings infer that older adults require physical and psychosocial health care and that more efforts must be made to improve the general health and well-being of this population group.

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