Malaria among the Geriatric Population in Parts of South-Eastern Nigeria: Prevalence, Complications and Co-morbidity with Non-communicable Diseases

2016 ◽  
Vol 06 (02) ◽  
Author(s):  
Chukwuocha UM ◽  
Chukwuocha AN
BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e033320 ◽  
Author(s):  
Fantu Abebe Eyowas ◽  
Marguerite Schneider ◽  
Biksegn Asrat Yirdaw ◽  
Fentie Ambaw Getahun

IntroductionMultimorbidity is the coexistence of two or more chronic non-communicable diseases (NCDs) in a given individual. Multimorbidity is increasing in low- and middle-income countries (LMICs) and challenging health systems. Individuals with multimorbidity are facing the risk of premature mortality, lower quality of life and greater use of healthcare services. However, despite the huge challenge multimorbidity brings in LMICs, gaps remain in mapping and synthesising the available knowledge on the issue. The focus of this scoping review will be to synthesise the extent, range and nature of studies on the epidemiology and models of multimorbidity care in LMICs.MethodsPubMed (MEDLINE) will be the main database to be searched. For articles that are not indexed in the PubMed, Scopus, PsycINFO and Cochrane databases will be searched. Grey literature databases will also be explored. There will be no restrictions on study setting or year of publication. Articles will be searched using key terms, including comorbidity, co-morbidity, multimorbidity, multiple chronic conditions and model of care. Relevant articles will be screened by two independent reviewers and data will be charted accordingly. The result of this scoping review will be presented using the Preferred Reporting Items for Systematic Review and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist and reporting guideline.Ethics and disseminationThis scoping review does not require ethical approval. Findings will be published in peer-reviewed journal and presented at scientific conferences.


2019 ◽  
Vol 4 ◽  
pp. 110
Author(s):  
Rodrigo M. Carrillo-Larco ◽  
J. Gonzalo Acevedo-Rodriguez ◽  
Carlos Altez-Fernandez ◽  
Karol Ortiz-Acha ◽  
Cesar Ugarte-Gil

Background: Cutaneous leishmaniasis is a prevalent communicable disease in low- and middle-income countries, where non-communicable diseases like skin cancer are on the rise. However, the study of multi-morbidity or co-morbidity between communicable and non-communicable diseases is limited, and even null for some tropical or neglected diseases. Nevertheless, looking at these conditions together instead of as isolated entities in places where these illnesses exist, could show new prevention and treatment paths. We aimed to summarize and critically appraise the epidemiological evidence on the association between cutaneous leishmaniasis and skin cancer. Methods: Following the PRISMA guidelines, we conducted a systematic review using five search engines (Embase, Medline, Global Health, Scopus and Web of Science). We sought observational studies in which the outcome was skin cancer whilst the exposure was cutaneous leishmaniasis; these conditions should have had laboratory or pathology confirmation. Results: No epidemiological investigations have studied the association between cutaneous leishmaniasis and skin cancer. Most of the evidence about the association of interest is still based on case reports and other clinical observations rather than strong epidemiological observational studies. Conclusions: Research is much needed to verify the repeatedly clinical observation that cutaneous leishmaniasis may be a risk factor for skin cancer. This evidence could inform and guide early diagnosis or prevention of skin cancer in survivors of cutaneous leishmaniasis or where cutaneous leishmaniasis is still highly prevalent. Registration: PROSPERO ID CRD42018111230; registered on 16/10/18.


2021 ◽  
Vol 33 (1) ◽  
pp. 75-81
Author(s):  
Tushar Prabhakar ◽  
Manish Kumar Goel ◽  
Anita Shankar Acharya ◽  
Sanjeev Kumar Rasania

Background: With increasing proportion of geriatric population across societies, the occurrence and prevalence of non-communicable diseases has been steadily increasing as well. The study tries to showcase the pattern and proportion of NCDs among the elderly population in a sub-urban part of Delhi. Aim & Objective: To assess the prevalence and study the morbidity profile of NCDs among geriatric population of Delhi. Materials & Methods: A community based cross sectional study was done in 350 elderly participants in Mehrauli, Delhi. Data was collected using a semi-structured questionnaire. Detailed general and systemic examination was also done. Results: A total of 87.4% of the study population was suffering from at least one NCD; 68% were having an already known NCD(s) while 19.4% were newly diagnosed during the study. 2.41 NCDs were found per patient. The prevalence of hypertension was 58%, 49.4% suffered from senile cataract, 32.9% had osteoarthritis, 30.3% had diabetes mellitus, and 26.9% had obesity. Hypertension and diabetes mellitus together were present in 18.3% while the combination of hypertension, diabetes mellitus and obesity was seen in 9.4% of the study participants. Conclusion: Burden of NCDs among the elderly was notably high with a large proportion of them having multimorbidity. It gets important to focus on preventive measures to delay the onset and stem the progression of NCDs to facilitate healthy ageing.


2021 ◽  
Vol 19 (3) ◽  
pp. 150-154
Author(s):  
Sanjay B Jagtap ◽  

Background: The geriatric population is defined as population aged 60 years and above. The mixed profile of communicable and non-communicable diseases among the elderly population in developing countries places a huge burden on the existing health care delivery system. Present hospital based cross-sectional study was focused on the morbidity profile of the elderly and improve the health care services so as to enable them to lead a productive life. Material and Methods: Present study was single centre, descriptive observational study, conducted in subjects above 60 years and both gender, visiting to OPD and IPD, willing to participate in study after written consent. Results: We included total 200 geriatric population in our study. Majority of them were from 60-70 years age group (50 %) followed by 71-80 years (37%) and 81-90 years age group (13%). Mean age was 70.75±7.25 years. Males were 56.5% and females were 43.5%. Males were predominant in our study with male to female ratio 1.29:1. Most common addiction seen among the patients are tobacco chewing (49.5%) followed by smoking (27%), followed by pan (24.5%), nut (21.5%) and alcohol (10.5%). Family history of diabetes and hypertension was present in 63.5% and 72% cases respectively. Prevalence of cataract as commonest observed morbidity in our study was 60%, DM 37%, hypertension 34%, IHD 33.5%, anemia 21%, hearing loss 11.5% and cancer was 4%. Out of 45 deaths, 44.4% deaths occurred in patients with IHD as risk factor, 26.6% deaths occurred in patients with COPD as risk factor, 22.2% deaths occurred in patients with CVA/stroke as risk factor and 17.8% deaths occurred in patients with AKI as risk factor. So IHD, COPD, CVA and AKI were significantly associated with mortality. Conclusion: Commonly observed morbidities were cataract (60%), diabetes mellitus (37%), hypertension (34%), ischemic heart disease (33.5%) Significant association of mortality was seen with ischemic heart disease, chronic obstructive pulmonary disease, cerebrovascular accident and acute kidney injury.


2021 ◽  
Vol 2 (6) ◽  
pp. 1-4
Author(s):  
Iffat Ara Begum ◽  
Zannatul Raiyana ◽  
Md Abdul Mazid Azad ◽  
Mohammad Shamsul Huda ◽  
Afsana Anwar ◽  
...  

Introduction: Diseases of elder people are a global problem. The prevalence of disease in elderly people is increasing day by day as old people often have limited regenerative abilities and are more susceptible to disease, syndromes, injuries, and sickness than younger adults. Objective: This study was conducted to identify the disease pattern of geriatric people of the host community in Cox's Bazar, Bangladesh. Method: A descriptive type of cross-sectional study was conducted among 381 geriatric persons in 5 selected hospitals of Cox's Bazar. The sample size was calculated in a 95% confidence interval and with a 5% level of significance. Data collection was done by using a semi-structured pre-tested questionnaire. Data quality was ensured through multiple procedures of review and cross-checking. Results: The findings revealed that a total of 32.0% had heart disease and 31% had arthritis. More than one-fifth (22.0%) of the respondents had diabetes and 18% of the total respondents had different types of communicable diseases. The occurrence of non-communicable diseases in geriatric people is significantly associated with their age and sex. Conclusion: The findings from this study illustrate that non-communicable disease is very much prevalent among the geriatric population as well as a threat to public health. The hospitals and health service providers should emphasize the management and prevention of these diseases. Also, lifestyle modification can play a vital role in preventing non-communicable diseases.


2017 ◽  
Vol 4 (1) ◽  
pp. 32-37 ◽  
Author(s):  
Paras Acharya ◽  
Noora R Manandhar ◽  
Samita Acharya

Introductions: As the life expectancy of people of Nepal rises, geriatric population is also on constant rise. Prevalence of diseases in this population is not well studied in Nepal. This study is carried out to assess the disease burden in geriatric in-patients and the cause of death in Patan Hospital to inform the planning process. Methods: A retrospective prevalence survey of geriatric in-patients in Internal Medicine Department in Patan Hospital was carried out using the data base record and patient's files over a period of one year. The demographics of patients, disease entity and the cause of death were recorded in Microsoft XL and were analyzed. Results: There were 1,587 patients’ charts available for analysis (out of total 1,599 admissions, 12 were excluded because charts were not found). There were 840 (52.93%) diseases of the respiratory system followed by cardio-vascular diseases 184 (11.59%) and infectious diseases 122 (7.68%). Of the 89 deaths (5.61% of 1587), 58 (65%) were due to non-communicable diseases while 31 (35%) were due to communicable diseases. The commonest cause of death was due to diseases of respiratory system 44 (COPD 20, pneumonia 18, others 6), followed by cerebrovascular accidents in 14. Conclusions: Respiratory disease was common findings in more than half of geriatric patients admitted to Patan Hospital and was also the major cause of death. Overall, non-communicable diseases accounted for two thirds of the death.


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