scholarly journals Caracterización de las Crisis Hipertensivas en adultos de la Emergencia del Hospital José Félix Valdivieso, Enero 2016 a Diciembre 2018

2020 ◽  
Vol 12 (2) ◽  
pp. 119-124
Author(s):  
Braulio Saavedra Flores ◽  
Andrea Catalina Ochoa Bravo ◽  
Gabriel Aníbal Hugo Merino ◽  
Cristina Fernanda Iñiguez Chacha ◽  
Juan Fernando Gálvez Vallejo ◽  
...  
Keyword(s):  
Rural Areas ◽  
Initial Treatment ◽  
Hypertensive Crisis ◽  
Cross Sectional ◽  
Hypertensive Emergencies ◽  
Previous Diagnosis ◽  
Hypertensive Urgencies ◽  
Epidemiological Characteristics ◽  
The Brain ◽  
Diagnosis Of Hypertension

BACKGROUND: Hypertensive crisis is considered an acute complication of Hypertension, causing 9.4 million deaths annually. Another important problem is the resulting morbidity. Locally, data is limited, that is the importance of presenting the clinical and epidemiological characteristics of hypertensive crisis. The aim of this study was characterizing hypertensive crisis in adults, in Hospital José Félix Valdivieso, Santa Isabel, from January 2016 to December 2018. METHODS: Descriptive, cross-sectional study, the study universe were 151 patients diagnosed with hypertensive crisis in Hospital José Félix Valdivieso from January 2016 to December 2018, by simple random sampling we picked 122 patients. The information was obtained from the patient’s medical chart. The data was processed using Excel 2016, and later interpreted using tables and charts. RESULTS: 57% of the sample were female, 49% had between 40 to 65 years of age, 67% had primary education, 65% came from rural areas. About risk factors; 50% of the population was overweight, 70% had previous diagnosis of hypertension. About the type of hypertensive crisis; 93% were hypertensive urgencies, the most commonly affected organ in hypertensive emergencies was the brain, in 89% of the cases. Headache, was the most frequent symptom(59%), followed by neurological symptoms. Captopril was used as initial treatment in 61% of the cases. CONCLUSION: The majority of affected patients were female, middle aged adults. Most of the sample had overweight or obesity. 70% of the population had previous diagnosis of hypertension, of this patients only 80% had hypertensive treatment. Most of the crisis were hypertensive urgencies, in hypertensive emergencies the most commonly affect organ was the brain. Captopril was used in most of the cases for initial treatment. This study didn’t registered any deaths.

scholarly journals Epidemiological Study and Spatial Modeling of Cutaneous Leishmaniasis in Bushehr Province Using the Geographic Information System (GIS) from 2011 to 2015

2019 ◽  
Author(s):  
Ali Dehghani ◽  
Mohamad Hasan Lotfi ◽  
Hossein Falahzadeh ◽  
Katayon Vahdat ◽  
Zahra Shabani
Keyword(s):  
Information System ◽  
Geographic Information System ◽  
Cutaneous Leishmaniasis ◽  
Health Problem ◽  
Rural Areas ◽  
Urban Areas ◽  
Geographic Information ◽  
Cross Sectional ◽  
Important Health ◽  
Epidemiological Characteristics

Introduction: It is generally accepted that cutaneous leishmaniasis is considered as an important health problem all over the world which is caused by leishmaniasis protozoan. This disease is also known as a health problem in some regions of Iran including Bushehr province. The present study investigated the geographical dispersion and the epidemiological characteristics of subjects with the cutaneous leishmaniasis in this province from 2011 to 2015. Method: In this cross-sectional and analytical study, the epidemiologic data including the age, gender, residential area, and counties with this disease was analyzed and collected from 663 patients who were followed up and treated from 2011 to 2015. Results: 422 (63.7%) of studied people were residents of urban areas and 241 (36.3%) lived in rural areas. 59.4% (394 people) were male and 40.6% (269) were female. The mean age of the subjects was 21.91± 17.01 (ranging from 1 to 80). Kangan County with an average 5-year incidence of 17.72 per a hundred thousand people had the highest incidence, but Tangestan County with the incidence of 8.47 per a hundred thousand people had the lowest average incidence. Based on GIS results, Jam County, which was not recognized as the focus of this disease in the past, has been considered as a new focus of disease in recent years. Conclusion: The geographic information system (GIS) is regarded as an effective tool for the organization of diseases and health data. The crisis can be identified and controlled by taking proper measures with the discovery of spatial accumulation of diseases.

scholarly journals Self-poisoning with pesticides in Jiangsu Province, China: a cross-sectional study on 24,602 subjects

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Boshen Wang ◽  
Lei Han ◽  
Jinbo Wen ◽  
Juan Zhang ◽  
Baoli Zhu
Keyword(s):  
Rural Areas ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Jiangsu Province ◽  
Related Factors ◽  
Cross Sectional ◽  
Pesticide Management ◽  
Routine Surveillance ◽  
Control And Prevention ◽  
Epidemiological Characteristics

Abstract Background With an estimated > 800,000 suicide-related deaths and potentially several attempts for each death in the world. The purpose of this study was to determine the epidemiological characteristics of self-poisoning with pesticides within the Jiangsu province in China. Methods Suicide rate was calculated the Routine Surveillance System by Jiangsu Provincial Center for Disease Control and Prevention, stratified by gender, age and region, combined with socioeconomic and agriculture-related factors to investigate trends in suicide over the study period. A logistic regression model was used to investigate the associations between pesticide types and pesticide-related deaths. Results In recent years, Jiangsu Province has witnessed a decrease in pesticide self-poisoning cases and consequent deaths. Among all suicides by deliberate ingestion of pesticides, the proportion of cases were mainly in the age 40, accounting for 3.43% of all cases with pesticide suicide. The proportion of suicide due to pesticide poisoning in females was markedly higher than that in males (p < 0.001). Suicide using organophosphate and carbamate insecticides was most common, with 10,303 reported cases accounting for 42.02% of all suicides. Conclusions For national responses to be effective, the characteristics of pesticide suicides should be comprehensively investigated for the formulation of corresponding prevention strategies. At present, more pesticide suicide prevention policies for the elderly people and women should be implemented, and stronger pesticide management policies should be implemented for rural areas.

scholarly journals Self-poisoning with pesticides in Jiangsu Province, China: a cross-sectional study on 24,602 subjects

2020 ◽  
Author(s):  
Boshen Wang ◽  
Lei Han ◽  
Jinbo Wen ◽  
Juan Zhang ◽  
Baoli Zhu
Keyword(s):  
Rural Areas ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Jiangsu Province ◽  
Related Factors ◽  
Cross Sectional ◽  
Pesticide Management ◽  
Routine Surveillance ◽  
Control And Prevention ◽  
Epidemiological Characteristics

Abstract Background: With an estimated >800,000 suicide-related deaths and potentially several attempts for each death in the world. The purpose of this study was to determine the epidemiological characteristics of self-poisoning with pesticides within the Jiangsu province in China. Methods: Suicide rate was calculated the Routine Surveillance System by Jiangsu Provincial Center for Disease Control and Prevention, stratified by gender, age and region, combined with socioeconomic and agriculture-related factors to investigate trends in suicide over the study period. A logistic regression model was used to investigate the associations between pesticide types and pesticide-related deaths. Results: In recent years, Jiangsu Province has witnessed a decrease in pesticide self-poisoning cases and consequent deaths. Among all suicides by deliberate ingestion of pesticides, the proportion of cases were mainly in the age 40, accounting for 3.43% of all cases with pesticide suicide. The proportion of suicide due to pesticide poisoning in females was markedly higher than that in males ( p <0.001). Suicide using organophosphate and carbamate insecticides was most common, with 10,303 reported cases accounting for 42.02% of all suicides. Conclusions: For national responses to be effective, the characteristics of pesticide suicides should be comprehensively investigated for the formulation of corresponding prevention strategies. At present, more pesticide suicide prevention policies for the elderly people and women should be implemented, and stronger pesticide management policies should be implemented for rural areas.

scholarly journals An Updated Review of Hypertensive Emergencies and Urgencies

2018 ◽  
Vol 4 (2) ◽  
pp. 73-83 ◽  
Author(s):  
Katalin Makó ◽  
Corina Ureche ◽  
Zsuzsanna Jeremiás
Keyword(s):  
Target Organ Damage ◽  
Hypertensive Crisis ◽  
Organ Damage ◽  
Secondary Hypertension ◽  
Sudden Increase ◽  
End Organ Damage ◽  
Hypertensive Emergencies ◽  
Arterial Blood ◽  
Assessment And Treatment ◽  
Hypertensive Urgencies

Abstract A hypertensive crisis is an abrupt and severe rise in the arterial blood pressure (BP) occurring either in patients with known essential or secondary hypertension, or it may develop spontaneously. The most frequent cause for the severe and sudden increase in BP is inadequate dosing or stopping antihypertensive treatment in hypertensive patients. Severe hypertension can be defined as either a hypertensive emergency or an urgency, depending on the existence of organ damage. In hypertensive urgencies, there are no signs of acute end-organ damage, and orally administered drugs might be sufficient. In hypertensive emergencies, signs of acute end-organ damage are present, and in these cases, quickly-acting parenteral drugs must be used. The prompt recognition, assessment, and treatment of hypertensive urgencies and emergencies can decrease target organ damage and mortality. In this review, the definitions and therapeutic recommendations in a hypertensive crisis are presented in the light of the 2017 ACC/AHA Hypertension Guidelines.

scholarly journals “Enterocytozoon bieneusi and Cryptosporidium: a cross-sectional study conducted throughout Thailand”

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Rapeepun Prasertbun ◽  
Hirotake Mori ◽  
Yaowalark Sukthana ◽  
Supaluk Popruk ◽  
Teera Kusolsuk ◽  
...  
Keyword(s):  
Rural Areas ◽  
Its Region ◽  
Epidemiological Data ◽  
Cross Sectional Study ◽  
Small Subunit ◽  
Enterocytozoon Bieneusi ◽  
Rrna Gene ◽  
Intestinal Protozoa ◽  
Cross Sectional ◽  
Epidemiological Characteristics

Abstract Background Enterocytozoon bieneusi and Cryptosporidium spp. are prevalent zoonotic parasites associated with a high burden among children. To date only limited molecular epidemiological data on E. bieneusi and Cryptosporidium spp. in humans living in Thailand has been published. Methods PCR-based tools were used to detect and characterize E. bieneusi and Cryptosporidium spp. The internal transcribed spacer (ITS) region of the rRNA gene was used to investigate E. bieneusi, and the small subunit (SSU) rRNA gene was used to investigate Cryptosporidium spp., and 697 fecal samples from villagers and school children in rural areas in Thailand were analyzed. Results The infection rates were 2.15% (15/697) for E. bieneusi and 0.14% (1/697) for Cryptosporidium spp. The prevalence of E. bieneusi was significantly high in Loei province. Sequence analysis indicated that the Cryptosporidium isolate was C. parvum. Nine E. bieneusi genotypes were identified, EbpC, Peru12, TMH6, TMH3, TMH7, H, D, and two novel genotypes TMLH1 and TMLH2. E. bieneusi prevalence was significantly higher in male participants than in female participants, and in children aged 3–15 years than in participants aged > 15 years. Conclusions The prevalence, genotypes, and zoonotic potential of E. bieneusi were found to vary significantly high even in one country. Transmission routes and key animal carriers of E. bieneusi may be associated with differences in hygiene, sanitation, and cultural behaviors. Further molecular studies including longitudinal studies will be required to unveil epidemiological characteristics of these opportunistic intestinal protozoa in all over the countries.

scholarly journals Self-poisoning with pesticides in Jiangsu Province, China: a cross-sectional study on 24,602 subjects

2020 ◽  
Author(s):  
Boshen Wang ◽  
Lei Han ◽  
Jinbo Wen ◽  
Juan Zhang ◽  
Baoli Zhu
Keyword(s):  
Rural Areas ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Jiangsu Province ◽  
Related Factors ◽  
Cross Sectional ◽  
Pesticide Management ◽  
Routine Surveillance ◽  
Control And Prevention ◽  
Epidemiological Characteristics

Abstract Background: With an estimated >800,000 suicide-related deaths and potentially several attempts for each death in the world. The purpose of this study was to determine the epidemiological characteristics of self-poisoning with pesticides within the Jiangsu province in China. Methods: Suicide rate was calculated the Routine Surveillance System by Jiangsu Provincial Center for Disease Control and Prevention, stratified by gender, age and region, combined with socioeconomic and agriculture-related factors to investigate trends in suicide over the study period. A logistic regression model was used to investigate the associations between pesticide types and pesticide-related deaths.Results: In recent years, Jiangsu Province has witnessed a decrease in pesticide self-poisoning cases and consequent deaths. Among all suicides by deliberate ingestion of pesticides, the proportion of cases were mainly in the age 40, accounting for 3.43% of all cases with pesticide suicide. The proportion of suicide due to pesticide poisoning in females was markedly higher than that in males (p<0.001). Suicide using organophosphate and carbamate insecticides was most common, with 10,303 reported cases accounting for 42.02% of all suicides. Conclusions: For national responses to be effective, the characteristics of pesticide suicides should be comprehensively investigated for the formulation of corresponding prevention strategies. At present, more pesticide suicide prevention policies for the elderly people and women should be implemented, and stronger pesticide management policies should be implemented for rural areas.

Frailty and Associated Risk Factors in Elderly People with Health Examination in Rural Areas of China

2020 ◽  
Author(s):  
Jie GU ◽  
Haiying CHEN ◽  
Xiaoqing GU ◽  
Xiaomin SUN ◽  
Zhigang PAN ◽  
...  
Keyword(s):  
Risk Factors ◽  
Elderly People ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Advanced Age ◽  
Health Examination ◽  
Frailty Phenotype ◽  
Cross Sectional ◽  
Healthy Elderly ◽  
Epidemiological Characteristics

Background: Frailty is a common syndrome in elderly people, but has not been fully studied in China. We aimed to investigate the epidemiological characteristics of frailty and analyze its risk factors in elderly people in rural areas of China. Methods: This cross-sectional study was conducted between September and October 2016. Overall, 4323 elderly people over 60 yr were enrolled by cluster random sampling method from the Fengxian District of Shanghai, China. These subjects voluntarily participated in the health examination of the 2016 National Basic Public Health Service Program. In addition to regular examination items, frailty assessment was performed on the basis of Fried frailty phenotype criteria. Results: The prevalence of pre-frailty and frailty was 49.4% and 6.8%, respectively. Advanced age (OR=1.44 for pre-frailty and OR=2.01 for frailty, 65-74 years old; OR=3.02 for pre-frailty and OR=14.13 for frailty,75-84 years old; OR=8.17 for pre-frailty and OR=71.71 for frailty, ≥85 years old), female (OR=1.32 for pre-frailty and OR=1.97 for frailty), stroke history (OR=1.75 for pre-frailty and OR=2.43 for frailty), vision decrease (OR=1.98 for pre-frailty and OR=2.70 for frailty), and anemia (OR=1.95 for pre-frailty and OR=3.64 for frailty) were common risk factors for both pre-frailty and frailty. Conclusion: Healthy elderly people in the rural areas of Shanghai have relatively high prevalence of pre-frailty and frailty. Advanced age, female, stroke history, decreased vision, and anemia are the risk factors for pre-frailty and frailty.

Recent Advances in the Treatment of Hypertensive Emergencies

2010 ◽  
Vol 30 (5) ◽  
pp. 24-30 ◽  
Author(s):  
Pamela L. Smithburger ◽  
Sandra L. Kane-Gill ◽  
Breanne L. Nestor ◽  
Amy L. Seybert
Keyword(s):  
Hypertensive Crisis ◽  
Acute Hypertension ◽  
Hypertensive Emergencies ◽  
Recent Advances ◽  
Hypertensive Urgencies

This review defines hypertensive crisis, hypertensive urgencies, and hypertensive emergencies, and provides recent updates on the management of acute hypertension.

scholarly journals Self-poisoning with pesticides in Jiangsu Province, China: a cross-sectional study on 24,602 subjects

2020 ◽  
Author(s):  
Boshen Wang ◽  
Lei Han ◽  
Jinbo Wen ◽  
Juan Zhang ◽  
Baoli Zhu
Keyword(s):  
Rural Areas ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Jiangsu Province ◽  
Related Factors ◽  
Cross Sectional ◽  
Pesticide Management ◽  
Routine Surveillance ◽  
Control And Prevention ◽  
Epidemiological Characteristics

Abstract Background: With an estimated >800,000 suicide-related deaths and potentially several attempts for each death in the world. The purpose of this study was to determine the epidemiological characteristics of self-poisoning with pesticides within the Jiangsu province in China. Methods: Suicide rate was calculated the Routine Surveillance System by Jiangsu Provincial Center for Disease Control and Prevention, stratified by gender, age and region, combined with socioeconomic and agriculture-related factors to investigate trends in suicide over the study period. A logistic regression model was used to investigate the associations between pesticide types and pesticide-related deaths. Results: In recent years, Jiangsu Province has witnessed a decrease in pesticide self-poisoning cases and consequent deaths. Among all suicides by deliberate ingestion of pesticides, the proportion of cases were mainly in the age 40, accounting for 3.43% of all cases with pesticide suicide. The proportion of suicide due to pesticide poisoning in females was markedly higher than that in males ( p <0.001). Suicide using organophosphate and carbamate insecticides was most common, with 10,303 reported cases accounting for 42.02% of all suicides.Conclusions: For national responses to be effective, the characteristics of pesticide suicides should be comprehensively investigated for the formulation of corresponding prevention strategies. At present, more pesticide suicide prevention policies for the elderly people and women should be implemented, and stronger pesticide management policies should be implemented for rural areas.

Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Rural Areas ◽  
Geographic Location ◽  
Sub Saharan Africa ◽  
World Health ◽  
Cross Sectional ◽  
Danger Signs ◽  
In Pregnancy

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.

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