scholarly journals Prevalence of Hypertension and Associated Factors Among Residents in Cyprus

2021 ◽  
Vol 6 (2) ◽  
Keyword(s):  
Blood Pressure ◽  
Associated Factors ◽  
Early Stage ◽  
Age Groups ◽  
Policy Makers ◽  
Major Health Problem ◽  
Major Health ◽  
Medical Office ◽  
High Prevalence ◽  
The Mean

Background: Hypertension is a major health problem that physicians have to face globally. It is known as the most important risk factor for cardiovascular disease. Objectives: This study searched for the prevalence of hypertension among the residents of Cyprus. Methods: The study involved 195 patients with or without treatment for arterial hypertension with age ranged among 34-93 years, patients examined and followed for 2 years at the medical office. Hypertension was defined as Systolic blood pressure (SBP) ≥ 140 and/or Diastolic blood pressure (DBP) ≥ 90mm Hg. Data were analysed using statistics. Results: The overall prevalence of hypertension was 38.1% (male 42.7% and female 33.4%). The mean age of the respondents was 66.6 ± 12.4 years. 26.8% of the patients who enrolled in the study were obese. Alcohol and tobacco use were found in 33.2% and 42.2% of the population studied. Hypertension was significantly associated in age groups 45-85 years, and also being overweight or obese. Conclusion: The above data show a high prevalence of hypertension, even in patients under anti-hypertensive treatment. Policy makers should study the need for further awareness at the primary sector preventively and implement interventions for early detection and care of hypertension, in early stage.

scholarly journals Paracoccidioidomycosis mortality in Brazil (1980-1995)

2002 ◽  
Vol 18 (5) ◽  
pp. 1441-1454 ◽  
Author(s):  
Ziadir Francisco Coutinho ◽  
Delson da Silva ◽  
Márcia Lazéra ◽  
Valéria Petri ◽  
Rosely Magalhães de Oliveira ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Age Groups ◽  
Sequential Data ◽  
Major Health Problem ◽  
Major Health ◽  
Low Visibility ◽  
The Mean ◽  
Long Term Trend ◽  
Annual Mortality

This study analyzes 3,181 deaths from paracoccidioidomycosis in Brazil, based on 16 years of sequential data (from 1980 to 1995). During this period paracoccidioidomycosis showed considerable magnitude and low visibility, representing the eighth most common cause of death from predominantly chronic or recurrent types of infectious and parasitic diseases. It also had the highest mortality rate among the systemic mycoses. The mean annual mortality rate was 1.45 per million inhabitants, indicating a downward long-term trend (reduction of 31.28%), while spatial distribution among the different regions and States of Brazil was non-homogenous. The South (with the highest regional rate) and the Southeast showed a downward trend, while the Central West had the second highest rate in the country. At least one-fifth of Brazilian municipalities (or 22.71% of the country's total area) reported deaths from paracoccidioidomycosis. Overall nationwide mortality per area was 3.73/10,000km². The disease was endemic in non-metropolitan areas. The majority of deaths occurred in males (84.75%), and there was a sex ratio of 562 men/100 women. The 30-59-year and over-60-year age groups were the most affected. The study showed that the mortality rate justifies classifying this disease as a major health problem in Brazil.

Bovine trypanosomosis in Gimbi district of Western Oromia, Ethiopia

2010 ◽  
Vol 60 (2) ◽  
pp. 123-131 ◽  
Author(s):  
Ashenafi Hagos ◽  
Hailu Yacob ◽  
Asoke Basu ◽  
Degneh Efrem
Keyword(s):  
Sea Level ◽  
Rainy Season ◽  
Age Groups ◽  
Trypanosoma Congolense ◽  
Dry Season ◽  
Major Health Problem ◽  
Major Health ◽  
Glossina Morsitans Submorsitans ◽  
Bovine Trypanosomosis ◽  
Significant Difference

AbstractA study on the epidemiology of bovine trypanosomosis was conducted from September 2006 to April 2007 in six villages of the Gimbi district in west Wollega zone of Ethiopia. The prevalence of the disease, the apparent densities and distribution of tsetse and other biting flies in two seasons, the dry and rainy, were determined. The results of a questionnaire survey from 80 farmers revealed that trypanosomosis was a major health problem affecting animals and impeding agricultural activities.A total of 568 blood samples were collected from randomly selected animals (280 animals in rainy and 288 in dry season) and revealed the presence of Trypanosoma congolense Broden, 1904 and T. vivax Zieman, 1905 in the area. Trypanosoma congolense was the dominant species that accounted for 66.2% of the infections. The mean packed cell volume (PCV) concentrations were 22.77% (95% CI =19.99-21.55) in parasitaemic and 25.25% (95% CI=24.88-25.61) in aparasitaemic animals with a significant difference (P<0.005). There was a significant (P<0.012) difference in trypanosome infection between age groups of cattle, being higher in adults. The overall prevalence of trypanosomosis was 12.5%, while the disease prevalence was higher during the rainy season (15 %) than the dry season (10.1%). In three villages of lowland areas (below 1600 meter above sea level), a higher prevalence was recorded 20.9% and 7.9% as compared to three villages of midland areas (≥ 1600 meter above sea level) 11.8% and 8.3% in late rainy and dry season, respectively.A fly-survey was conducted by using 80 monoconical pyramidal traps and revealed that two tsetse species, namely Glossina morsitans submorsitans Newstead and Glossina tachinoides Westwood were found along with other biting flies (Tabanus, Haematopota and Stomoxys species). Higher numerical catches of Glossina were recorded in late rainy season and the apparent density was positively correlated (r=0.5171) with the prevalence of infection.

Abstract P125: Hypertension, Awareness, Treatment, And Control In Nepal: Results From May Measurement Month 2020 Blood Pressure Screening

Hypertension ◽  
2021 ◽  
Vol 78 (Suppl_1) ◽  
Author(s):  
Pawan Acharya ◽  
Sweta Koirala ◽  
Pabitra Babu Soti ◽  
Sneha Sharma ◽  
Abhishek Sapkota ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Smoking Status ◽  
Blood Pressure Measurement ◽  
Age Groups ◽  
Hypertension Status ◽  
Safety Measures ◽  
Treatment Of Hypertension ◽  
Hypertension Awareness ◽  
The Mean ◽  
And Control

Background: May Measurement Month (MMM) 2020 was not officially executed globally due to the COVID-19 pandemic. But in Nepal, the MMM 2020 was conducted by following COVID-19 safety measures. Methods: We used an opportunistic screening campaign for blood pressure measurement among individuals ≥18 years in Nepal. Of the three measurements, the second and third measurements were used to estimate the mean systolic and diastolic blood pressure(BP). We defined hypertension as the systolic BP ≥ 120 or diastolic BP≥90 mmHg and or currently taking antihypertensive medicine. Results: Among the total 11,486 participants, 57%(6568/11486) were females. The mean age of the screenees was 45years(SD=17.0). The mean systolic and diastolic BP were 125.8(SD= 18.0) and 81.6(SD=10.5) respectively. About 31.3%(3592/11481) participants had hypertension. Among the hypertensive persons, 40.2%(1444/3592) were aware of their hypertension status. Among these who were aware, 79.4%(1146/1444) were taking antihypertensive medicine. However, the overall proportion of hypertensive patients taking medicine was 32.0%(1146/3592). The BP was controlled among 46% ( 527/1444) of participants who were under medication. Logistic regression analysis adjusting age, sex, body mass index(BMI), and smoking status found males, higher age groups, higher BMI, and smokers had higher odds of being hypertensive. (Figure 1) Conclusion: The results suggest a need to address the gap in awareness, diagnosis, and treatment of hypertension in Nepal. The results are limited due to the non-random participation of screenees. Figure 1. Odds ratio plot

Survey of management practices used by Brazilian dairy farmers and recommendations provided by 43 dairy cattle nutritionists

2019 ◽  
Vol 99 (4) ◽  
pp. 890-904 ◽  
Author(s):  
Diego P. Silva ◽  
Alexandre M. Pedroso ◽  
Murillo C.S. Pereira ◽  
Gustavo P. Bertoldi ◽  
Daniel H.M. Watanabe ◽  
...  
Keyword(s):  
Dairy Cattle ◽  
Health Problem ◽  
Management Practices ◽  
Primary Source ◽  
Dairy Farmers ◽  
Web Based ◽  
Major Health Problem ◽  
Major Health ◽  
Nutritional Recommendations ◽  
The Mean

This work aimed to survey management practices used by dairy farmers and to report nutritional recommendations adopted by 43 dairy cattle nutritionists in Brazil. The web-based survey consisted of 80 questions. Almost 50% of the participants had clients that produce <1000 kg of milk daily and 48.8% had clients who own fewer than 100 dairy cows. Corn was the primary source of grain (97.4%), and 43.9% of the nutritionists included from 41% to 50% concentrate in lactation diets. The mean roughage inclusion in lactation diets was 50.5% and 79% of the nutritionists reported corn silage as the primary roughage source. Average crude protein and rumen-degradable protein concentrations recommended by the nutritionists for lactation diets were 15.7% and 9%, respectively. Average Ca and P concentrations recommended for lactation diets were 0.70% and 0.41%, respectively. The major health problem reported by 83.9% of the nutritionists was mastitis. The present survey provides an overview of management practices adopted by dairy farmers and nutritional recommendations currently applied by dairy cattle nutritionists in Brazil. The most critical points identified were low milk yield, mastitis as the major health problem, lack of proper mixing and delivery of rations, and destination of male calves.

Prevalence and Risk Factors of Undetected Elevated Blood Pressure in an Elderly Southeast Asian Population

2007 ◽  
Vol 19 (2) ◽  
pp. 3-9 ◽  
Author(s):  
V. Joshi ◽  
J. Lim ◽  
M. Nandkumar
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Elderly Population ◽  
Asian Population ◽  
The Elderly ◽  
Southeast Asian ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
High Prevalence ◽  
The Mean

Data on the prevalence of Hypertension (HTN) among elderly Asians is limited. We investigated the prevalence of elevated blood pressure (EBP) and its risk factors in a multiracial Southeast Asian elderly population who participated in the National Kidney Foundation Singapore nationwide screening programme. Among 19,848 subjects ≥ 65 years (approximately 6% of the total Singapore population), the mean age was 70.6 ± 5.26 yrs. After excluding 36.6% with known HTN, analysis revealed that 5,889 (46.8%) of the remaining population had previously undetected EBP >140/ 90. Increasing age, male gender, BMI ≥ 23 kg/m2 and pre-existing diabetes were significantly associated with previously undetected EBP on multivariate analysis. 6% of cases with undetected EBP had proteinuria suggestive of longstanding EBP and renal damage. We conclude that there is a high prevalence of undetected EBP in elderly Asians, suggesting the need for increased e forts in screening in the elderly population. Asia Pac J Public Health 2007; 19(2): 3—9.

Poor blood pressure control in adults with repaired coarctation of the aorta and hypertension: a register-based study of associated factors

2017 ◽  
Vol 27 (9) ◽  
pp. 1708-1715 ◽  
Author(s):  
Daniel Rinnström ◽  
Mikael Dellborg ◽  
Ulf Thilén ◽  
Peder Sörensson ◽  
Niels-Erik Nielsen ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pressure Gradient ◽  
Associated Factors ◽  
Coarctation Of The Aorta ◽  
Prescription Medication ◽  
Reference Interval ◽  
Pressure Control ◽  
Poor Blood Pressure Control ◽  
The Mean ◽  
Low Levels

AbstractBackgroundArterial hypertension is common in adults with repaired coarctation of the aorta, and is associated with several severe complications.AimsThis study aimed to investigate the prevalence of poorly controlled (⩾140/90 mmHg) blood pressure among patients with diagnosed hypertension and to identify associated factors.MethodsIn the national register for CHD, adults with repaired coarctation of the aorta and diagnosed hypertension – defined as a registry diagnosis and/or use of anti-hypertensive prescription medication – were identified. Logistic regression analysis was used to identify variables associated with poorly controlled blood pressure.ResultsOf the 243 included patients, 27.2% were female, the mean age was 45.4±15.3 years, and 52.3% had poorly controlled blood pressure at the last registration. In a multivariable model, age (years) (OR 1.03, CI 1.01–1.06, p=0.008) was independently associated with poorly controlled blood pressure and so was systolic arm–leg blood pressure gradient in the ranges [10, 20] mmHg (OR 4.92, CI 1.76–13.79, p=0.002) to >20 mmHg (OR 9.93, CI 2.99–33.02, p<0.001), in comparison with the reference interval [0, 10] mmHg. Patients with poorly controlled blood pressure had, on average, more types of anti-hypertensive medication classes prescribed (1.9 versus 1.5, p=0.003).ConclusionsPoorly controlled blood pressure is common among patients with repaired coarctation of the aorta and diagnosed hypertension, despite what seems to be more intensive treatment. A systolic arm–leg blood pressure gradient is associated with poorly controlled blood pressure, even at low levels usually not considered for intervention, and may be an indicator of hypertension that is difficult to treat.

Pattern of intra-peritoneal intra-abdominal injuries in polytrauma patients admitted to general surgery department at El-Demerdash Hospital

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ahmed Mohamed Kamal Ahmed ◽  
Mohammad Ahmad Abd-erRazik Awad-Allah ◽  
Joseph Ellia Fahmy Hermina
Keyword(s):  
General Surgery ◽  
University Hospital ◽  
Organ Injury ◽  
Abdominal Organ ◽  
Abdominal Injuries ◽  
Major Health Problem ◽  
Major Health ◽  
Polytrauma Patients ◽  
The Mean ◽  
Surgery Department

Abstract Background Severe or major trauma is a worldwide pandemic and one of the leading causes of death and disability. Polytrauma always involves young, productive individuals and represents a substantial burden on the society. Aim of the Work To detect the incidence and the pattern of intra-abdominal injuries in polytraumatized patients admitted to the general surgery department at El-Demerdash Hospital and to estimate the trauma burden in General Surgery Department Ain Shams University. Patients and Methods Retrospective study of records of polytrauma patients admitted to general surgery department at El-Demerdash Hospital from the period of January 2018 to June 2018. Results In the specified study period of 6 months from 1/1 /2018 to 31/6 /2018, the ER department of Ain Shams University hospital (El-Demerdash hospital) received 3,328 cases of trauma out of which 40 cases were admitted at General Surgery Department with incidence rate 1.2% of total polytrauma patients admitted in the hospital in various departments. There were 37.5% of patients with intra-abdominal collection with no documented organ injury. Most common intra-abdominal organ injured was spleen 17.5% then liver the largest intra-abdominal organ 5% and stomach 5%, least to be injured were bowel loops 2.5%. Conclusion Polytrauma is a major health problem and a major cause of death in Egypt. 40 trauma cases were admitted to general surgery department. 80% of them were males and 20% were females. The mean age of trauma victims was 33.3 years old. 42.5% of them had surgeries. The study recorded 7.5% fatalities.

Abstract P154: Blood Pressure and Lipid Control Variation in Faculty versus Trainee Clinics

Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Sarina Sachdev ◽  
Bassam A Omar ◽  
Christopher Malozzi ◽  
G. Mustafa Awan
Keyword(s):  
Blood Pressure ◽  
Ldl Cholesterol ◽  
Preventive Therapy ◽  
Lipid Lowering ◽  
Lipid Lowering Therapy ◽  
Major Health Problem ◽  
The Mean ◽  
The Difference ◽  
Student’S T ◽  
Lipid Control

Background: Clinics run by trainees are often composed of indigent patients with challenging problems as to implementation of preventive measures. Methods: Charts were selected based on the inclusion of hypertension as a diagnosis; 100 visits were reviewed in each of two groups. The first group (clinic 1) included patients seen by a cardiologist faculty; all patients had insurance. The second group (clinic 2) included visits seen by cardiology fellows, and directly supervised by the same faculty physician; with the majority of these patients lacking insurance. The difference between the groups with regards to age, systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and LDL cholesterol were analyzed using Student's t-Test. Results: The mean age of patients in clinic 1 was 62±14 years compared with 52±9 years in clinic 2 (P < 0.01). There was 100% documentation of weight, BP and HR on every visit. The mean weight in clinic 1 was insignificantly lower compared with clinic 2 (202±61 vs 218±60 lbs respectively; P = 0.06). SBP was similar in both clinics (132±18 vs 130±21 mmHg respectively; P = 0.38). HR was lower in clinic 1 compared with clinic 2 (67±10 vs 77±15 BPM respectively; P < 0.01). Lipid profiles, which required a separate visit to the lab and extra charge, were documented in 93% of patients in clinic 1 versus only 34% of patients in clinic 2. LDL cholesterol was lower in clinic 1 compared with clinic 2 (88±34 vs 106±35 mg/dL respectively; P=0.01). While HDL was similar in both clinics (48 ± 14 in clinic 1 versus 46 ± 15 mg/dL in clinic 2; P = NS), non-HDL was lower, at 115 ± 38 in clinic 1 versus 136 ± 40 mg/dL in clinic 2 (P < 0.01). Discussion: Hypertension and dyslipidemia are major health problem. Adequate control of blood pressure and LDL cholesterol correlate with better cardiovascular outcomes. Our data demonstrate that both faculty and fellow clinics achieved mean BP of < 140/90 mmHg, with 100% documentation. However, documentation and control of lipids appear to be more challenging in indigent patients due to the extra burden and cost of undergoing lab tests. Compliance with medications and the prescription of affordable generic, often less potent, lipid-lowering therapy to indigent patients in the fellow clinic may also play a role in the higher LDL levels compared with the faculty clinic. Efforts at improving the adherence of all patients to preventive therapy aimed at achieving guideline-based BP and lipid targets should be included in quality improvement projects during residency training.

Livestock diseases in sub-Himalayan temperate region: A Garrett’s ranking analysis

2016 ◽  
Vol 50 (3) ◽  
Author(s):  
Hans Ram Meena ◽  
B. S. Meena ◽  
Gopal Sankhala
Keyword(s):  
Animal Health ◽  
Parasitic Infections ◽  
Parasitic Infestation ◽  
Major Health Problem ◽  
Major Health ◽  
Urinary Problem ◽  
The Mean ◽  
Ranking Analysis ◽  
Livestock Diseases ◽  
Ranking Technique

Fifteen clusters of villages were identified and selected for the purpose of study. In general, these villages are located at 32.6°N (latitude); 76.3°E (longitude); 1,290.8 m (altitude). The area is characterized by mild summer and moderate to severe winter having the mean monthly minimum temperature varying from 5.0±0.9 °C in January to 20.4±1.2 °C in June. Garett’s ranking technique was followed to analyse the particular problem or disease perceived by the farmers as well as identify by the multidiscipline teams in livestock. In cattle, highest incidence of haematuria (16.74%) was recorded followed by repeat breeding (14.97%). Whereas in case of buffalo emaciation / weakness (17.24%), GI parasitic infections (16.09%), and tick/ lice infestation (16.09%) were the major problems. Parasitic infections (36.84%), diarrhoea/ dysentery (31.57%) and tick / lice infestation (14.03%) were recorded as major problem in goats. The major disease/ disorder observed in bullocks were haematuria (28.23%), urinary problem (24.70%) and parasitic infestation (16.47 %). In the horse/ ponies parasitic infestation (37.93%) followed by weakness (24.13%) and tick/ lice infestation (17.24%) and parasitic infections (31.81%) followed by mange (27.27%) were the major health problem in the pet’s animals. The study enlighted the animal health scenario in the region.

Suicidality and suicide in older people

2009 ◽  
Vol 19 (4) ◽  
pp. 271-294 ◽  
Author(s):  
Anke Bonnewyn ◽  
Ajit Shah ◽  
Koen Demyttenaere
Keyword(s):  
Older People ◽  
Health Problem ◽  
Help Seeking ◽  
Age Groups ◽  
Later Life ◽  
Research Literature ◽  
Major Health Problem ◽  
Major Health ◽  
Help Seeking Behaviour ◽  
Significant Health

SummarySuicide is accepted as a major health problem worldwide, especially in the young and middle aged. It is, however, a significant health problem in older people as well, and those aged 65 years and over generally have the highest suicide rates compared with all other age groups. In research literature from the last decade, there has been an increased interest in disentangling the phenomenon of suicide in later life. This paper aims to critically review the literature on suicide and suicidality in later life published from 2000 to 2009. Prevalence rates as well as risk and protective factors are mapped and correlates reviewed. The association between suicidality and help-seeking behaviour is considered. Finally, potential prevention strategies are reviewed.

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