Risk Factors of Noised Induced Hearing Loss in Workers at Beveling Unit in Industry X, Bekasi, West Java

2020 ◽  
Author(s):  
Annisaur Rohmatun Jannah ◽  
◽  
Aulia Chairani ◽  
Yanti Harjono ◽  
◽  
...  
Keyword(s):  
Risk Factors ◽  
Hearing Loss ◽  
Simple Random Sampling ◽  
Developed Countries ◽  
Living Environment ◽  
Noise Induced Hearing Loss ◽  
Length Of Service ◽  
West Java ◽  
Chi Square ◽  
Cross Sectional

ABSTRACT Background: Noise-induced hearing loss (NIHL) still remains a problem in developed countries Noise induced hearing loss is one of most common hearing deficit which is almost completely preventable. The hearing loss incurred would depend on the sound qualities, duration of exposure and individual susceptibility and protection. This study aimed to determine risk factors of noised induced hearing loss in workers at bevelling unit in industry x, Bekasi, West Java. Subjects and Method: This was a cross sectional. A sample of 27 respondents was selected using simple random sampling. The dependent variable was hearing loss. The independent variables were factors related to the onset of hearing loss. The data were collected by questionnaire and tuner check. This data were analysed by chi square. Results: Noise intensity (OR= 67.50; 95% CI 5.33 to 854.76; p< 0.001), length of service (OR= 12.25; 95% CI 1.79 to 83.95; p= 0.011), and noisy living environment (OR= 5.87; 95% CI 1.09 to 32.00; p= 0.034) has a relationship with hearing loss. Conclusion: Companies can carry out K3 enhancement and monitoring, carry out periodic scanning or audiometric checks, and create hearing conservation programs and timing or working duration in areas exposed to noise. Keywords: Hearing Loss, Noise, Manufacturing Workers Correspondence: Aulia Chairani. Department of Public Health, FK UPN “Veteran” Jakarta. [email protected],id/ [email protected] DOI: https://doi.org/10.26911/the7thicph.02.22

scholarly journals Prevalence of Hearing Loss in Military Aviators: The Audiometry and Risk Factors Analysis

2014 ◽  
Vol 9 (1) ◽  
pp. 19-24
Author(s):  
MR Alam ◽  
MA Wahab ◽  
MM Rahman ◽  
AKM Asaduzzaman ◽  
MAS Al-Azad ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hearing Loss ◽  
Noise Exposure ◽  
Health Hazard ◽  
Hearing Threshold ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Noise Induced Hearing Loss ◽  
Cross Sectional ◽  
Medical Checkup

Introduction: Noise Induced Hearing Loss (NIHL) is an occupational health hazard linked with noise exposure of more than 85 dB. Aircraft noise and other occupational noise exposure cause military aviators more susceptible to NIHL than commercial jet pilots. Aim: To find out the prevalence of noise induced hearing loss among different military aircrew population with special emphasis on identifying the associated risk factors. Materials and Methods: This cross sectional study was conducted on Kuwait Air force pilots those who came for annual medical checkup from July 2010 to July 2012. Audiometry of all subjects was done by ENT specialist and necessary data were collected by structured questionnaires. All data were analyzed by SPSS (Statistical Package for the Social Sciences) version 17.0 Results: Out of 221 aircrew 32 (14.48%) developed NIHL. Hearing loss was mild to moderate and predominately at high frequencies. Most affected group was helicopter pilots. Pilots of more than 40 years of age and those who had more than 1000 flying hours had mean hearing threshold more than other groups. The right ear was affected in majority of cases than left ear. Conclusion: Noise exposure to aircrew is inevitable so hearing loss prevention strategies might play a pivotal role to save aircrew hearing. Active surveillance of hearing protection practices might have beneficiary effect. Steps can be taken for early detection of NIHL and hearing conservation program. DOI: http://dx.doi.org/10.3329/jafmc.v9i1.18721 Journal of Armed Forces Medical College Bangladesh Vol.9(1) 2013: 19-24

scholarly journals Noise Effect of Gamelan Jegog to the Risk of Hearing Loss among Jegog Players in Sangkaragung Village, Negara, Jembrana

2018 ◽  
Vol 11 (4) ◽  
pp. 2169-2174
Author(s):  
Eka Putra Setiawan ◽  
Made Riska Maryati
Keyword(s):  
Hearing Loss ◽  
Random Sampling ◽  
Prevalence Ratio ◽  
Simple Random Sampling ◽  
Target Population ◽  
Control Group ◽  
Noise Induced Hearing Loss ◽  
Cross Sectional ◽  
Sample Group ◽  
The Village

Jegog is a traditional Balinese music from the region of Jembrana. It consists of several sets of instruments made of big size bamboo tubes. When being played together, the instrument produce high intensity noise. This study examine the effect of this noise to the risk of hearing loss among the players. This study was conducted in the village of Sangkaragung, Negara, Jembrana. This study used a cross sectional method, being conducted in May-June 2016. The target population is all players of Jegog. The reachable target is Jegog players in the village of Sangkaragung. The sample group is the Jegog Players, who are residents of the Sangkaragung village those have been exposed to the noise of Jegog. The control group is Sangkaragung villagers who are not Jegog players and those have not been exposed to the noise of Jegog. Samples were chosen by total random sampling, while controls were taken by simple random sampling according to predetermined inclusion and exclusion rules. Jegog produces noise in the range of 86 – 105 dB. The players have been exposed to the Jegog noise for an average of 2 hours per day or 10 hours per week. Among the 37 players in the sample group, there were 13 (35.1%) players found to have noise induced hearing loss seen in their audiogram. In the control group consisting of 37 villagers, there were only 2 (5,4%) persons found to have noise induced hearing loss. This resulted in a 7 adjusted prevalence ratio, which means that Jegog players have risk of having noise induced hearing loss 7 times higher than the control group. Statistic test gives a confidence interval 95%(1.6-31.1) with p= 0.011 (p<5). Statistically, there is a significant correlation between the noise of Jegog with the hearing loss among the players.

scholarly journals Faktor Resiko Yang Berhubungan Dengan Kejadian Kanker Payudara Di Ruang Edelweis RSUD Ulin Banjarmasin

2019 ◽  
pp. 99-110
Author(s):  
Ika Avrilina Haryono ◽  
Adriana Palimbo ◽  
Difa Okti Al Kautsar
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Multiple Regression ◽  
Contraceptive Use ◽  
Developed Countries ◽  
Hormonal Contraceptive ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
History Of

ABSTRAKLatar Belakang : Kanker payudara merupakan salah satu penyebab kematian utama pada wanita di dunia. Sejauh ini, kanker payudara paling sering diderita oleh wanita dengan perkiraan 43,3% juta kasus kanker baru yang didiagnosis pada tahun 2012. Angka kejadian kanker payudara bervariasi secara global dimana terjadi peningkatan insiden di negara berkembang tetapi cenderung menurun dinegara maju, dengan kasus pada negara berkembang (883.000 kasus) negara maju (794.000 kasus). Tujuan: Menganalisis faktor resiko yang berhubungan dengan kejadian kanker payudara meliputi faktor umur, umur pertama menstruasi, menopause, umur pertama kali menikah, riwayat penggunaan kontrasepsi hormonal, riwayat pemberian ASI, da riwayat kanker payudara pada keluarga.Metode: Penelitian ini adalah penelitian kuantitatif menggunakan metode survey analitik dengan rancangan cross sectional. Populasi dalam penelitian ini berjumlah 760 orang dengan sampel 88 orang. Teknik pengumpulan data primer, teknik analisa data yang digunakan adalah uji chi square dan uji regresi berganda.Hasil: Hasil Uji Chi Square menunjukan bahwa terdapat hubungan signifikan antara umur (p=0.000) dan penggunaan kontrasepsi hormonal (p=0.002) dengan hasil uji regresi berganda (p-value0.05) menunjukan bahwa tidak ada pengaruh faktor risiko terhadap kejadian kanker payudara.Simpulan: Ada hubungan antara umur dan riwayat penggunaan kontrasepsi hormonal dengan kejadian kanker payudara. Tidak ada pengaruh faktor resiko terhadap kejadian kanker payudara. Kata Kunci: kanker payudara, riwayat penggunaan kontrasepsi hormonal, umur Risk Factors Related to Breast Cancer IncidenceIn the Edelweis Room of Ulin Hospital Banjarmasin AbstractBackground: Breast cancer is one of the leading causes of death in women in the world. So far, breast cancer most often affects women with an estimated 43.3% of new cancer cases diagnosed in 2012. The incidence of breast cancer varies globally where there is an increase in incidents in developing countries but tends to decrease in developed countries, with cases in the country developing (883,000 cases) developed countries (794,000 cases).Objective: Analyzing risk factors associated with breast cancer events include age, age at first menstruation, menopause, age at first marriage, history of use of hormonal contraception, history of breastfeeding, and history of breast cancer in the family.Method: This study is a quantitative study using analytical survey method with cross sectional design. The population in this study amounted to 760 people with a sample of 88 people. Primary data collection techniques, data analysis techniques used are chi square test and multiple regression test.Results: Chi Square test results showed that there was a significant relationship between age (p = 0,000) and hormonal contraceptive use (p = 0.002) with the results of multiple regression tests (p-value 0.05) indicating that there was no effect of risk factors on breast cancer incidence.Conclusion: There is a relationship between age and history of hormonal contraceptive use with the incidence of breast cancer. There is no effect of risk factors on the incidence of breast cancer. Keywords: breast cancer, history of hormonal contraceptive use, age

scholarly journals Prevalence of Infections Bronchities Virus at Four Selected Districts (Damot Gale, Sodozuri, Humbo and Kindokoy) In Southern Nations, Nationalities and Peoples

2021 ◽  
pp. 1-6
Author(s):  
Abebe Garooma Gichile ◽  
Keyword(s):  
Risk Factors ◽  
Simple Random Sampling ◽  
Epidemiological Studies ◽  
Cross Sectional Study ◽  
Sampling Procedure ◽  
Economic Losses ◽  
Poultry Production ◽  
Chi Square ◽  
Cross Sectional ◽  
Infectious Bronchitis

Infectious bronchitis is an important virial disease affecting poultry production which causes significant economic losses. A cross-sectional study was carried out from November 2019 to January 2020. To estimating the prevalence of infectious bronchitis and determines the risk factors. A total 420 poultry were by a simple random sampling procedure. Data was analyzed using STATA version 11. Chi square test and logistic regression analysis were used to determine the association between prevalence of infectious bronchitis and potential risk factors. From the total 420 poultry examined for infectious bronchitis were found positive. There was significance difference between the risk factors and bronchitis infections. More infectious bronchitis infected poultry were found in kindokoy 90.4%, odd ratio: 0.3 Confidence Interval :0.1-0.7, p = 0.00 than humbo, sodozuri and damotgale. There was high prevalence of infectious bronchitis in gerater than 6 months than less than 3 months and between 3 and 6-month age of poultry. The presence of infectious bronchitis in poultry production might entail morbidity and mortality. Therefore, further detailed molecular epidemiological studies are warranted. Good hygienic and husbandry practices are essential to limit the spread of infection

Faktor Risiko yang Mempengaruhi Kejadian Stroke

2019 ◽  
Vol 11 (4) ◽  
pp. 251-260
Author(s):  
Putra Agina Widyaswara Suwaryo ◽  
Wahyu Tri Widodo ◽  
Endah Setianingsih
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Blood Pressure ◽  
Blood Pressure Control ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
Pressure Control ◽  
Chi Square ◽  
Cross Sectional ◽  
Routine Blood

Stroke adalah suatu penyakit cerebrovascular dimana terjadinya gangguan fungsi otak yang berhubungan dengan penyakit pembuluh darah yang mensuplai darah ke otak. Seperempat dari seluruh kejadian stroke adalah stroke. Faktor yang mempengaruhi stroke diantaranya kebiasaan meminum kopi, perilaku merokok, kurangnya aktifitas fisik, tidak melakukan kontrol tekanan darah secara rutin,  dan stres. Tujuan penelitian ini untuk mengetahui faktor-faktor risiko yang mempengaruhi kejadian stroke di RS PKU Muhammadiyah Sruweng. Penelitian ini menggunakan metode korelasional dengan pendekatan cross-sectional. Sampel dalam penelitian ini adalah 38 pasien yang diambil secara simple random sampling. Instrumen berupa lembar kuesioner. Data dianalisa menggunakan analisa deskriptif dan korelatif menggunakan uji chi square. Hasil penelitian didapatkan tidak ada pengaruh kebiasaan meminum kopi dan merokok dengan kejadian stroke. Ada pengaruh pengaruh aktifitas fisik, kontrol tekanan darah secara rutin, dan stres dengan kejadian stroke. Penelitian selanjutnya dapat dikembangkan dengan melakukan penelitian intervensi seperti memberikan penyuluhan terkait cara meningkatkan aktifitas fisik, dan menurunkan stres serta keteraturan minum obat.  Kata kunci: faktor risiko, aktifitas fisik, tekanan darah, stres, stroke THE RISK FACTORS THAT INFLUENCE THE INCIDENCE OF STROKE   ABSTRACT Stroke is a cerebrovascular disease in which the occurrence of brain function disorders associated with vascular disease that supplies blood to the brain. A quarter of all stroke events are strokes. Factors affecting stroke include coffee drinking habits, smoking behavior, lack of physical activity, not exercising routine blood pressure control, and stress. The purpose of this study was to determine the risk factors that influence the incidence of stroke in PKU Muhammadiyah Sruweng Hospital. This study uses a correlational method with a cross-sectional approach. The sample in this study was 38 patients taken by simple random sampling. The instrument was in the form of a questionnaire sheet. Data were analyzed using descriptive and correlative analysis using chi square test. The results showed there was no effect of the habit of drinking coffee and smoking with the incidence of stroke. There is an influence of physical activity, routine blood pressure control, and stress with the incidence of stroke. Further research can be developed by conducting intervention studies such as providing counseling related to how to increase physical activity, and reduce stress and regular medication.  Keywords: risk factors, physical activity, blood pressure, stress, stroke

scholarly journals Effect of the Living Environment on falls among the Elderly in Urmia

2018 ◽  
Vol 6 (11) ◽  
pp. 2233-2238 ◽  
Author(s):  
Seyed Saeed Mazloomy Mahmoodabad ◽  
Moradali Zareipour ◽  
Mohsen Askarishahi ◽  
Alireza Beigomi
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Elderly People ◽  
Physical Space ◽  
The Elderly ◽  
Living Environment ◽  
Cluster Sampling ◽  
Living Room ◽  
Chi Square ◽  
Cross Sectional

BACKGROUND: The living environment has an impact on the health of the elderly, and the safety of the house is one of the concerns of the elderly. Disregarding the safety concerns increases the falling. AIM: This research was conducted with the aim of influencing the living environment on falls among elderly people in Urmia city. METHODS: This is a cross-sectional (descriptive-analytic) study which 200 elderly people were selected by random cluster sampling. Data were collected by using a two-part questionnaire including demographic information, and home safety assessment checklist. Data were analysed by using chi-square test and logistic regression in SPSS v. 21 software. RESULTS: The incidence of falling in the elderly was 30%. There was a significant statistical association with age, sex, marital status and history of chronic disease. Results of logistic regression showed non-safe stairs (OR = 1.1, p = 0.002), unsafe toilet/bath (OR = 1.3, p = 0.001), unsafe bedrooms (OR = 1.7, p = 0.05) unsafe living room (OR = 1.4, p = 0.02) increase the falls in the elderly, as well as male gender (OR = 1.14, p < 0.001) and living with other people (OR = 0.19, p = 0.002) reduce the falls in the elderly. CONCLUSION: By identifying the risk factors of the physical space of the home, we can plan for implementing necessary interventions according to the risk factor or risk factors to prevent and reduce the falls in the elderly community.

scholarly journals Factors of Organophosphate Pesticide Exposure on School Children in An Agricultural Area, Indonesia

2021 ◽  
Vol 16 (3) ◽  
pp. 428-438
Author(s):  
Budiyono Budiyono ◽  
Suhartono Suhartono ◽  
Apoina Kartini
Keyword(s):  
Risk Factors ◽  
School Children ◽  
Pesticide Exposure ◽  
Public Health Problem ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Agricultural Area ◽  
Organophosphate Pesticide ◽  
Chi Square ◽  
Cross Sectional

Organophosphate is widely used in agriculture in Indonesia and contributes to a public health problem. However, the risk factors of organophosphate exposure, particularly in children living in the agricultural area, have not been described. The research aimed to assess the risk factors associated with organophosphate pesticide exposure on school children living in the agricultural area. This work was a cross-sectional study in 2017 with 166 school children were selected by simple random sampling. Structured questionnaires identified risk factors. Organophosphate metabolites detected by using LC-MS/MS. While chi-square and binary logistic tests as statistical analysis (α=0.05; 95%CI). In 28.9% of subjects, organophosphate metabolites were detected. Cut the onion leaves (p=0.002, OR=3.33, 95% CI:1.55−7.15), the onion, pesticide equipment, or pesticide in their neighbors (p=0.007; OR=2.67; 95%CI:1.31−5.46) was associated with organophosphate pesticide exposure. Involvement in agriculture activities and the onion, pesticide equipment, or pesticide in the neighbor.

scholarly journals Garbage collectors, far from health: A study of dermatitis in Middle Java, Indonesia

2020 ◽  
Vol 12 (2) ◽  
pp. 124
Author(s):  
Grefima Pramudani ◽  
Ipop Sjarifah ◽  
Yusuf Ari Mashuri
Keyword(s):  
Significant Relationship ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Length Of Service ◽  
Chi Square ◽  
Cross Sectional ◽  
Garbage Collector ◽  
Frequent Use ◽  
Chi Square Test ◽  
The Relationship

Household garbage collectors are one of the groups who are at risk of getting dermatitis due to their work. This study aims to determine the relationship between the length of service and the use of long-sleeved work clothes and gloves with dermatitis on the household garbage collector in Surakarta. This was an observational analytic study using a cross-sectional study. The subjects of the study were household garbage collector in Jebres sub-district, Surakarta. A total of 134 respondents was recruited as samples using simple random sampling. A questionnaire sheet was used to collect individual data and dermatitis status was determined by the doctor’s diagnosis. A Chi-square test was used to investigate the relationship between the length of service and the use of long-sleeved work clothes and gloves with dermatitis. Logistic regression was used to determine factors associated with dermatitis. There was a significant relationship between the length of service with dermatitis p=0.000 (p<0.05). There was also a significant relationship between long-sleeve work clothes and gloves with dermatitis p=0.003 (p<0.05). The multivariable test showed that workers with a long length of service had a higher risk of having dermatitis compared to a short length of service (OR=6,701, p=0.000). It was also showed that more frequent use of long-sleeved work clothes intensity reduces the risk of getting dermatitis compared to sometimes use (OR=0.341, p=0.017). There is a significant association between the length of work and the use of long-sleeved work clothes and gloves with dermatitis on household garbage collectors in Surakarta.

scholarly journals Hubungan Kepatuhan Penggunaan Ear Plug terhadap Keluhan Gangguan Pendengaran pada Pekerja PT Anugrah Bungo Lestari

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Fitria Hazmi Sholihah ◽  
Tety H Rahim ◽  
Susan Fitriyana
Keyword(s):  
Hearing Loss ◽  
Hypothesis Test ◽  
Noise Induced Hearing Loss ◽  
Test Results ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Cross Sectional Design ◽  
Relationship Of ◽  
The Relationship

Paparan kebisingan di tempat kerja adalah salah satu bahaya yang paling sering terjadi. Diperkirakan 22,4 juta pekerja di seluruh dunia terpapar pada kebisingan yang berpotensi menyebabkan gangguan pendengaran akibat bising. Gangguan pendengaran akibat bising dapat dicegah dengan memakai ear plug. Penelitian ini bertujuan mengetahui hubungan kepatuhan penggunaan ear plug dengan keluhan gangguan pendengaran pada karyawan PT Anugrah Bungo Lestari. Penelitian ini bersifat deskriptif analisis dengan metode cross sectional. Variabel kepatuhan dan keluhan gangguan pendengaran diukur dengan menggunakan kuesioner yang diisi oleh responden. Sampel yang diteliti adalah pekerja bagian mesin dengan sampel sebanyak 100 responden dipilih secara total sampling dan dilakukan uji chi-square sebagai uji hipotesis. Penelitian dilakukan pada bulan September—Desember 2020 di PT Anugrah Bungo Lestari, Kabupaten Bungo, Provinsi Jambi. Hasil penelitian ini menunjukkan sebanyak 80% pekerja PT Anugrah Bungo Lestari sudah patuh dalam menggunakan ear plug. Terdapat pekerja yang mengeluhkan gangguan pendengaran, 45% pekerja mengeluhkan gangguan pendengaran tidak mengganggu aktivitas, 24% pekerja mengalami keluhan gangguan pendengaran yang mengganggu aktivitas, sedangkan sisanya tidak mengeluhkan gangguan pendengaran. Hasil uji diperoleh pada pekerja yang tidak patuh menggunakan ear plug terdapat keluhan gangguan pendengaran (p<0,001). Simpulannya adalah terdapat hubungan penggunaan ear plug dengan keluhan gangguan pendengaran. The Compliance Relationship of Using Ear Plugs to Complaints of Hearing Loss among Employees PT Anugrah Bungo LestariNoise exposure in the workplace is one of the most frequent hazards. It is estimated that 22.4 million workers worldwide are exposed to noise levels that have the potential to have noise induced hearing loss. Noise induced hearing loss can be prevented by wearing ear plugs. This study aims to determine the relationship of compliance with the use of ear plugs to complaints of hearing loss among employees of PT Anugrah Bungo Lestari. This research is descriptive analytic with cross sectional design. The compliance and hearing loss complaints variables were measured using a questionnaire filled out by the respondents. The sample studied were workers in the machine part, with a sample of 100 respondents chosen by total sampling and performed chi-square test as a hypothesis test. The research was conducted in September—December 2020 at PT Anugrah Bungo Lestari, Bungo Regency, Jambi Province. Resulting of this study indicate as many as 80% employees PT Anugrah Bungo Lestari was already obedient in using ear plugs. There are workers who complain about hearing loss, 45% of workers had complaints of hearing loss but did not interfere with activities, 24% of workers have complaints of hearing loss and interfere with activities, while the rest do not complain about hearing problems. The test results were obtained in workers who did not comply with using ear plugs who had complaints of hearing loss (p <0.001). The conclusion is that there is a relationship between the use of ear plugs and complaints of hearing loss.

scholarly journals Faktor - Faktor Yang Berhubungan Dengan Hipertensi Pada Usia Dewasa

JKEP ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 61-73
Author(s):  
Ni Luh Putu Ekarini ◽  
Jathu Dwi Wahyuni ◽  
Dita Sulistyowati
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Communicable Disease ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Chi Square ◽  
Cross Sectional ◽  
Adult Age ◽  
Salt Consumption ◽  
History Of

Hypertension is a non-communicable disease with an increasing number of events every year. There are two risk factors for hypertension, namely risk factors that cannot be modified, such as age, sex and genetics, and modifiable risk factors such as obesity, smoking, lack of physical activity, excessive salt consumption, dyslipidemia, alcohol consumption and psychososis and stress. This study aims to obtain an overview of the factors associated with hypertension in adulthood. The research design used was descriptive analytic research with cross-sectional studies. The number of samples is 70 people with simple random sampling technique. Data analysis used univariate, bivariate (chi square) and multivariate (multiple logistic regression) component analyzes. Multivariate analysis showed that the variable that was significantly related to the occurrence of hypertension was the age variable (pvalue = 0.009). Variable overweight and physical activity as confounding variables. The analysis results obtained OR from the age variable is 2.9, meaning that patients in middle to upper adult age will experience hypertension 2.9 times higher than young adult patients after being controlled by obesity and physical activity variables. Recommendations from the results of this study are expected to be able to provide health care institutions that emphasize the promotive and preventive aspects of patients who have a history of hypertension.

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