scholarly journals Association between the Use of Alternative Medicine and Adherence to Treatment in Patients with Type 2 Diabetes

2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Perez-Sosa Abigail M ◽  
Keyword(s):  
Risk Factors ◽  
Alternative Medicine ◽  
Medical Treatment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Adherence To Treatment ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
The Cost

Background: Diabetes mellitus 2 (T2D) is the leading cause of morbidity and mortality in northern Mexico. Various treatments are used to control the disease; however, the cost of these and the difficulty of dietary management have as a consequence that the patient abandons them and looks for cheaper and easier-to-use alternatives. Aim: The purpose of this study is to determine the relationship between the use of alternative medicine and adherence to medical treatment in patients with T2D. Design and Setting: Analytic cross-sectional study. Methods: An analytical cross-sectional study was designed between March and July 2019 including 464 patients with T2D from the family medicine unit #48 Ciudad Juarez, Mexico. We used the Morisky-Green scale for adherence to treatment and the use of Alternative Medicine (CAM) was evaluated with a holistic complementary and alternative medicine questionnaire. The Chi-Square test was used for comparison of proportions and risk factors were calculated using odds ratio with 95% confidence intervals. Results: 53% of patients use CAM; biological therapy (herbs and supplements) is the most frequent (94%). The association between CAM use and adherence to medical treatment was 2.1 (95% CI 1.4-3.1, p= 0.001). The risk factors for the use of CAM were female sex, basic level education, uncontrolled disease and a time of evolution greater than 10 years. Conclusion: CAM users are 2.1 times more at risk of having a regular or bad adherence to medical treatment.

scholarly journals Faktor Risiko Terjadinya Epilepsi pada Anak Palsi Serebral

2020 ◽  
Vol 9 (2) ◽  
pp. 225
Author(s):  
M Luthfi Suhaimi ◽  
Iskandar Syarif ◽  
Eva Chundrayetti ◽  
Rahmi Lestari
Keyword(s):  
Risk Factors ◽  
Cerebral Palsy ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Consecutive Sampling ◽  
Fisher’S Exact Test ◽  
Chi Square Test

Pada anak yang menderita palsi serebral kemungkinan akan mengalami peningkatan risiko terjadinya epilepsy. Setiap perubahan pada otak dapat menjadi faktor risiko terjadinya epilepsi dengan berbagai manifestasi klinis. Tujuan: Mengetahui hubungan antara faktor risiko dengan terjadinya epilepsi pada anak palsi serebral di RSUP Dr. M. Djamil Padang. Metode: Desain peneltian ini adalah cross-sectional study yang dilaksanakan pada Agustus 2018 sampai Desember 2019. Subjek palsi serebral diperoleh secara consecutive sampling, dengan jumlah minimal 60 subjek. Faktor risiko yang diteliti meliputi asfiksia, persalinan vakum ekstraksi, berat badan lahir rendah, prematuritas dan kejang neonatal. Uji statistik menggunakan Chi-square test dan Fisher’s exact test, dengan batas kemaknaan p<0,05. Hasil: Pada 60 pasien palsi serebral, ditemukan 39 pasien (65%) menderita epilepsi dan 21 pasien (35%) tidak menderita epilepsi. Perbandingan jenis kelamin perempuan dan laki-laki 1,2:1. Epilepsi umum merupakan tipe epilepsi yang paling banyak ditemukan (76,9%), pengobatan secara politerapi hampir sama banyak dengan monoterapi. Asfiksia, persalinan vakum ekstraksi, berat badan lahir rendah, prematuritas dan kejang neonatal tidak bermakna sebagai faktor risiko epilepsi pada anak palsi serebral. Simpulan: Tidak terdapat hubungan antara asfiksia, persalinan vakum ekstraksi, berat badan lahir rendah, prematuritas dan kejang neonatal dengan terjadinya epilepsi pada anak palsi serebral.Kata kunci: cerebral palsy, epilepsy, risk factors

scholarly journals Hubungan Status Gravida dan Usia Ibu terhadap Kejadian Preeklampsia di RSUP Dr. M. Djamil Padang Tahun 2012-2013

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Oktaria Denantika ◽  
Joserizal Serudji ◽  
Gusti Revilla
Keyword(s):  
Risk Factors ◽  
Medical Records ◽  
Maternal Age ◽  
Cross Sectional Study ◽  
High Morbidity ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Age Category

AbstrakPreeklampsia merupakan penyakit dengan angka morbiditas dan mortalitas yang tinggi. Penyebab pasti terjadinya preeklampsia belum diketahui, namun terdapat faktor risiko yang mempengaruhi kejadian preeklampsia. Tujuan penelitian ini adalah untuk mengetahui hubungan status gravida dan usia ibu terhadap kejadian preeklampsia di RSUP Dr. M. Djamil Padang pada tahun 2012-2013. Penelitian ini dilaksanakan pada bulan Januari 2014 sampai Februari 2014 di bagian Rekam Medis dengan menggunakan desain cross sectional study komparatif terhadap 81 pasien preeklampsia dan 81 ibu hamil tidak preeklampsia yang bersalin di RSUP Dr. M. Djamil Padang pada tahun 2012-2013. Hasil penelitian menunjukkan proporsi primigravida yang menderita preeklampsia 1,52 kali lebih banyak daripada primigravida yang tidak preeklampsia. Proporsi ibu yang berusia dalam kategori usia risiko tinggi (< 20 tahun dan > 35 tahun) dan menderita preeklampsia 4,43 kali lebih banyak daripada yang tidak menderita preeklampsia. Setelah dilakukan analisis melalui uji chi square, disimpulkan bahwa terdapat hubungan yang signifikan antara status gravida dan usia ibu dengan kejadian preeklampsia (p < 0,05).Kata kunci: preeklampsia, status gravida, usia ibuAbstractPreeklampsia is a disease with high morbidity and mortality. The exact cause of preeklampsia still unknown, but there are risk factors that affect the preeklampsia’s incident. The objective of this study was to determine the correlation between gravidity and maternal age with preeklampsia’s incident in RSUP Dr. M. Djamil Padang on 2012 – 2013.The research was did in January 2014 to February 2014 at Medical Records department using cross sectional study comparative’s design toward 81 preeclamptic patients and 81 pregnant women who didn’t preeklampsia, which gave birth in RSUP Dr. M. Djamil Padang on 2012 - 2013. The results showed that the proportion of primigravidae who suffer from preeklampsia is 1.52 times more than primigravidae who do not. Proportion of mother who is in the age category of high risk (< 20 years and > 35 years) and suffer from preeklampsia is 4.43 times more than who don’t .After analyzed by chi square test, it is concluded that there are significant correlation between gravidity and maternal age with preeklampsia’s incident in RSUP Dr. M. Djamil Padang on 2012 – 2013 (p < 0.05). Keywords: preeklampsia, gravidity, maternal age

scholarly journals Hubungan Usia dan Paritas dengan Kejadian Preeklampsia Berat di Rumah Sakit Achmad Mochtar Bukittinggi Tahun 2012 - 2013

2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Siqbal Karta Asmana ◽  
Syahredi Syahredi ◽  
Noza Hilbertina
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Significant Relationship ◽  
Protective Factor ◽  
Cross Sectional Study ◽  
Severe Preeclampsia ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

AbstrakPreeklampsia dapat menimbulkan berbagai komplikasi yang membahayakan bagi ibu dan janin, sehingga dapat menimbulkan kematian.  Beberapa faktor risiko seperti usia yang ekstrem (<20 &>35 tahun) dan nuliparitas. Keduanya merupakan faktor risiko yang tidak dapat dimodifikasi. Tujuan  penelitian ini adalah menentukan hubungan usia dan paritas dengan kejadian preeklampsia berat. Telah dilakukan penelitian di Bagian Rekam Medis Rumah Sakit Achmad Mochtar Bukittinggi terhadap data semua pasien rawat inap obstetri dan ginekologi tahun 2012 – 2013.  Penelitian menggunakan metode analitik dengan desain cross sectional study. Analisis penelitian menggunakan ratio prevalence dan chi-square test dengan derajat kepercayaan 95%. Penelitian ini menemukan 162 kasus (4,99%) preeklampsia berat. Proporsi kasus terbesar ditemukan pada kelompok usia ekstrem (9,90%) dan kelompok multiparitas (8,68%). Analisis ratio prevalence menyimpulkan bahwa usia ekstrem merupakan faktor risiko preeklampsia berat (RP= 1,476; CI= 1,094 – 1,922), dan nuliparitas belum dapat ditentukan apakah merupakan faktor risiko atau faktor protektif (RP= 0,765; CI= 0,565 – 1,034). Berdasarkan analisis dengan chi-square test, disimpulkan bahwa terdapat hubungan yang bermakna antara usia dengan preeklampsia berat (p= 0,014<0,05) dan tidak terdapat hubungan yang bermakna antara paritas dengan preeklampsia berat (p= 0,096>0,05).Kata kunci: preeklampsia, faktor risiko, usia, paritas AbstractPreeclampsia can cause the complication that endanger maternal and fetal, until death. There are many risk factors like extreme age (<20 & >35 years) and nuliparity that can not modify. The objective of this study was to  determine the relationship of maternal age and parity to the incidence of severe preeclampsia.  The research conducted at Medical Record Division of Achmad Mochtar Hospital Bukittinggi about data of all hospitalized patients of obstetrics and gynecology on 2012 – 2013. This research used the analytical method with cross sectional study. Analysis of this research used ratio prevalence and chi-square test with degree of confidence 95%. This research  found 162 case (4.99%) severe preeclampsia. The highest proportion of this case was the extreme age groups (9.90%) and multiparity group (8.68%). Analysis with the ratio prevalence concluded that extreme age is a risk factor for severe preeclampsia (RP=1.476; CI= 1.094 – 1.922) and nuliparity can not determined wheather a risk factor or protective factor (RP= 0.765; CI= 0.565 – 1.034). Analysis with chi-square test concluded that there is a significant relationship between age with severe preeclampsia (p= 0.014<0.05) and there is no significant relationship between parity with severe preeclampsia (p= 0.096>0.05).Keywords: preeclampsia, risk factors, age, parity

Faktor Yang Berhubungan Dengan Kinerja Tenaga Kesehatan Di Rawat INAP RSUD Batusangkar

2018 ◽  
Vol 3 (3) ◽  
pp. 440
Author(s):  
Sri Handayani ◽  
Puteri Fannya ◽  
Putri Nazofah
Keyword(s):  
Health Personnel ◽  
Poor Performance ◽  
Cross Sectional Study ◽  
The Philippines ◽  
Bivariate Analysis ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Master Level

<p><em>Based on data from the Indonesia Ministry of Health in 2015, In Indonesia, new professional nurses were just 2% of the total nurses. This figure was much lower than the Philippines which has reached 40% with bachelor and master level as their education. The purpose of this study was to determine the relationship between age, and leadership with the performance of health personnel</em><em>. </em><em>The design of this research was analytical research with Cross Sectional Study. The population in this study was all nurses and doctors who served in the internal room, children, surgery and midwifery</em><em>. </em><em>Sampling using total sampling</em><em> </em><em>by questionnaires. The data was processed by univariate and bivariate analysis using Chi-square test</em><em>. </em><em>The result showed that 57,8% nurses had poor performance, 56,3% doctors had poor performance, 64,4% nurses had average age 26-35 years, 56,2% doctors had average age  36-45 years, 64.4% nurses have poor leadership, </em><em>and </em><em>50.0% of doctors have less good leadership</em><em>.</em><em> There is a relationship between age</em><em> and </em><em>leadership with the performance of health personnel.</em><em></em></p><p><strong><em> </em></strong></p><p>Berdasarkan data kemenkes RI tahun 2015 jumlah tenaga kesehatan terbanyak yaitu perawat sebanyak 147.264 orang (45,65%). Di Indonesia, perawat profesional baru mencapai 2% dari total perawat yang ada. Angka ini jauh lebih rendah dibandingkan dengan Filipina yang sudah mencapai 40% dengan pendidikan strata satu dan dua. Tujuan penelitian ini untuk mengetahui hubungan antara umur, kepemimpinan dengan kinerja tenaga kesehatan. Jenis penelitian yang digunakan adalah desain penelitian analitik dengan Cross Sectional Study. Populasi pada penelitian ini adalah semua perawat dan dokter. Pengambilan sampel dengan menggunakan Total Sampling. Pengambilan data menggunakan kuesioner. Data diolah dengan analisis univariat menggunakan statistik deskriptif dan analisis bivariat menggunakan uji Chi-square. Hasil penelitian didapatkan 57,8% perawat memiliki kinerja kurang baik, 56,3% dokter memiliki kinerja kurang baik, 64,4% perawat memiliki umur rata-rata 26-35 tahun 64,4%, 56,2% dokter memiliki umur rata-rata 36-45 tahun, 64,4% perawat memiliki kepemimpinan kurang baik, 50,0% dokter memiliki kepemimpinan kurang baik. Terdapat hubungan antara umur dan kepemimpinan dengan kinerja tenaga kesehatan.</p>

scholarly journals Cross-sectional study of prevalence and risk factors, and a cost-effectiveness evaluation of screening and preventive treatment strategies for latent tuberculosis among migrants in Singapore

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e050629
Author(s):  
Vanessa W Lim ◽  
Hwee Lin Wee ◽  
Phoebe Lee ◽  
Yijun Lin ◽  
Yi Roe Tan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cost Effectiveness ◽  
Length Of Stay ◽  
Latent Tuberculosis ◽  
Cross Sectional Study ◽  
Secondary Outcome ◽  
Sectional Study ◽  
Cross Sectional ◽  
Ltbi Prevalence ◽  
The Cost

ObjectivesWHO recommends that low burden countries consider systematic screening and treatment of latent tuberculosis infection (LTBI) in migrants from high incidence countries. We aimed to determine LTBI prevalence and risk factors and evaluate cost-effectiveness of screening and treating LTBI in migrants to Singapore from a government payer perspective.DesignCross-sectional study and cost-effectiveness analysis.SettingMigrants in Singapore.Participants3618 migrants who were between 20 and 50 years old, have not worked in Singapore previously and stayed in Singapore for less than a year were recruited.Primary and secondary outcome measuresCosts, quality-adjusted life-years (QALYs), threshold length of stay, incremental cost-effectiveness ratios (ICERs), cost per active TB case averted.ResultsOf 3584 migrants surveyed, 20.4% had positive interferon-gamma release assay (IGRA) results, with the highest positivity in Filipinos (33.2%). Higher LTBI prevalence was significantly associated with age, marital status and past TB exposure. The cost-effectiveness model projected an ICER of S$57 116 per QALY and S$12 422 per active TB case averted for screening and treating LTBI with 3 months once weekly isoniazid and rifapentine combination regimen treatment compared with no screening over a 50-year time horizon. ICER was most sensitive to the cohort’s length of stay in Singapore, yearly disease progression rates from LTBI to active TB, followed by the cost of IGRA testing.ConclusionsFor LTBI screening and treatment of migrants to be cost-effective, migrants from high burden countries would have to stay in Singapore for ~50 years. Risk-stratified approaches based on projected length of stay and country of origin and/or age group can be considered.

scholarly journals Bacteriological Safety of Blood Collected for Transfusion at University of Gondar Hospital Blood Bank, Northwest Ethiopia

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Hailegebriel Wondimu ◽  
Zelalem Addis ◽  
Feleke Moges ◽  
Yitayal Shiferaw
Keyword(s):  
Risk Factors ◽  
Bacterial Contamination ◽  
Standard Procedure ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Blood Bank ◽  
Bacterial Isolation ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Background. Transfusion associated bacterial infection has remained more frequent with a sever risk of morbidity and mortality. This study assessed the bacteriological safety of blood collected for transfusion. Method. A cross-sectional study was conducted at University of Gondar hospital blood bank from December 2011 to June 2012. Bacterial isolation, identification, and antimicrobial susceptibility tests were done as per the standard procedure. Chi-square test and P value were used to assess associations between risk factors and the bacterial isolation rate. Results. Twenty-one (15.33%) blood units were found contaminated with bacteria, and 95.24% contamination was due to external sources. The commonly isolated bacteria were Staphylococcus aureus, Coagulase negative Staphylococci, Escherichia coli, Klebsiella species, Streptococci species, Enterobacter species, and Citrobacter species. All of the bacteria isolated were 100% sensitive to Gentamicin, Chloramphenicol, Amoxicillin, and Doxycycline. Multiple antimicrobial resistances were observed in 66.7% of the isolates. Not using glove by phlebotomist, touching disinfected phlebotomy site and double puncture at the same hand or both hands of a donor were found to be risk factors for bacterial contamination. Conclusion. Bacterial contamination of blood to be transfused is a common problem in the hospital. So attention should be given to activities performed at the blood bank for safe transfusion practices.

scholarly journals Systemic disorders and the prognosis of stroke in Congolese patients: a cross-sectional study

2020 ◽  
Vol 54 (4) ◽  
pp. 225-230
Author(s):  
Marc Tshilanda ◽  
Ulrick S. Kanmounye ◽  
Remy Kapongo ◽  
Michel Tshiasuma
Keyword(s):  
Stroke Patient ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Arterial Hypotension ◽  
Sectional Study ◽  
Stroke Event ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
The Mean

Objectives: Stroke is one of the leading causes of death, disability, and dementia in developing countries. Our study aimed to evaluate the systemic disorders associated with mortality in patients admitted within 72 hours of the initial stroke event. Setting: The study took place at a tertiary hospital in Kinshasa. Participants: Patients admitted within 72 hours of the initial stroke event. Interventions: This cross-sectional study consisted of a retrospective review of stroke patient records from January 2016 to December 2018. The Pearson-Chi square test and odds ratios were calculated with a threshold of significance of 0.05. Main outcome measures: Mortality Results: We recruited 114 cases. The mean age was 61.8 ± 2.4 years, and the sex ratio was 1.78 in favor of men. Hypertension (76.3%), dyslipidemia (71.1%), and diabetes mellitus (58.8%) were the most frequent comorbidities. Most patients had hypoxia (85.9%), hypertension (82.4%), hyperglycemia (57.8%), and fever (28.1%). We registered thirty-two deaths (28.1%): 20 (62.5%) from the ischemic strokes, and 12 (37.5%) from hemorrhagic strokes. Systemic disorders with the worst prognosis during were arterial hypotension (OR=3.87, p >0.001), and fever (OR = 1.56, p = 0.047). Conclusion: Arterial hypotension and fever adversely affect stroke patient outcomes, and strokes are responsible for high mortality in Congo

scholarly journals ANALISIS HUBUNGAN KEBIASAAN JAJAN DENGAN TERJADINYA PENYAKIT DIARE PADA ANAK DI SD INPRES AMARO KABUPATEN BARRU

2020 ◽  
Vol 15 (1) ◽  
pp. 6-9
Author(s):  
Irmayani
Keyword(s):  
Cross Sectional Study ◽  
Personal Hygiene ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Chi Square Test

Diare adalah pengeluaran kotoran (tinja) dengan frekuensi yang meningkat (tiga kali dalam 24 jam) disertai dengan perubahan konsistensi tinja menjadi lembek atau cair, dengan atau tanpa darah/lendir dalam tinja.(Wijoyo, yosef 2013). Penelitian ini bertujuan untuk mengetahui hubungan kebiasaan jajan dengan terjadinya penyakit diare pada anak di SD Inpres Amaro Kabupaten barru. Penelitian ini dilakukan dengan menggunakan jenis penelitian Analitik Correlative dengan desain Cross Sectional Study, populasi dalam penelitian ini adalah siswa yang ada di SD Inpres Amaro Kabupaten Barru sebanyak 109 orang. Pengambilan sampel menggunakan teknik purposive sampling, didapatkan 51 responden sesuai dengan kriteria inklusi. Pengumpulan data dilakukan dengan menggunakan kuesioner. analisa data mencakup analisis univariat dengan mencari distribusi frekuensi, analisis bivariat menggunakan uji Chi- Square Test dengan interval kemaknaan α 0,05. Dari hasil analisis bivariat pada kebiasaan jajan didapat nilai ρ = 0,004 dan personal hygiene didapat nilai ρ = 0,008. Kesimpulan dalam penelitian ini adalah terdapat hubungan antara kebiasaan jajan dengan terjadinya penyakit diare pada anak di SD Inpres Amaro Kabupaten Barru

scholarly journals Relationship Between Undernutrition and Periodontal Diseases Among Yemen Population: a Cross-sectional Study

2020 ◽  
Author(s):  
Milad Al-kalisi ◽  
Manal Al-Hajri ◽  
Sarah Al-Rai
Keyword(s):  
Periodontal Diseases ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
Fisher Exact Test ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Mean Values ◽  
Khat Chewing ◽  
Chi Square Test

Abstract Background: Undernutrition is an inadequate supply of energy and nutrients. Periodontal diseases (PDs) defined as a broad form of chronic inflammatory diseases of the gingiva, bone and ligaments supporting the teeth. This study aimed to reveal the effect of undernutrition, using body mass index (BMI) and serum albumin level (Alb) on PDs and other risk factors as age, smoking and khat chewing. Methods: This was a cross-sectional study conducted at the faculty of dentistry, Sana’a University. Of 1920 patients attended to clinics, only 229 matched the study criteria. Oral examination was performed to assess the periodontal clinical parameters measurements. BMI and Alb was measured. Statistical analysis was used to present the association between categorical variables was assessed using Chi square test and Fisher-Exact test. ANOVA was used to assess the differences in the mean values of the quantitative outcomes. Chi square test was used to evaluate the association between BMI and age, gender, occupation, education level, smoking, khat chewing as well as BMI with PDs. Results: Most of participants (58.5%) were males and most of the study sample (91.3%) was at the age group of (18-35). Among all subjects, (81.2%) of cases were diagnosed with gingivitis. (60.7%) of study participants were mildly undernourished according to BMI. (93%) of participants showed normal Alb level. Regarding to habits, only (18.2%) of patients were smokers and more than half of participants (59.4%) were khat chewers. Conclusion: There was a relationship between PDs and undernutrition which was obviously seen between gingivitis and mild undernutrition.

scholarly journals CLINICAL PROFILE OF ISOLATED SYSTOLIC HYPERTENSION AND IT'S CARDIOVASCULAR AND RENAL COMPLICATIONS AT AIIMS, PATNA, BIHAR

2020 ◽  
pp. 40-42
Author(s):  
Rajeev Ranjan Kumar ◽  
Shiv Kumar ◽  
Ravikirti Ravikirti ◽  
Debarshi Jana
Keyword(s):  
Risk Factors ◽  
Creatinine Clearance ◽  
Systolic Hypertension ◽  
Cross Sectional Study ◽  
Clinical Profile ◽  
Isolated Systolic Hypertension ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Associated Risk Factors

Hypertension, its risk factors and complications is very poorly understood therefore it goes undiagnosed and untreated for a long time. The present study was undertaken to study the clinical profile of isolated systolic hypertension (systolic > 140 and diastolic ≤ 90 mmHg ) in elderly (above the age of 60 years)and to find out any other associated risk factors, any end organ complications, specially cardiac through electrocardiography and echocardiography and on kidney through creatinine clearance. The present cross-sectional study was undertaken on patients attending the outdoor department and indoor department of medicine. The study group comprised of 75 elderly patients who had isolated systolic hypertension (ISH). Using Chi square test correlation of age with stage of BP, association of risk factors with ISH and Stage III BP and ECG changes with LVH calculated. It concluded that ISH associated with risk factors has definite effect mainly on cardiac in terms of LV hypertrophy and on kidney in terms of reduced creatinine clearance and is an even better predictor of mortalityand morbidity than is diastolic blood pressure.

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