scholarly journals Detailed Contribution Analysis of Various Medical Conditions on Risk Probability Percentage of Having Cardiovascular Disease or Stroke Using GH-Method: Math-Physical Medicine (No: 315)

2020 ◽  
pp. 1-4
Author(s):  
Gerald C Hsu ◽  

The author uses his developed GH-Method: math-physical medicine approach to investigate a more detailed contribution analysis of three medical condition sub-categories on his risk probability percentages of having cardiovascular disease (CVD) or stroke for over a period of 10+ years

2020 ◽  
Vol 4 (2) ◽  

The author uses the GH-Method: math-physical medicine (MPM) approach to investigate his risk probability on metabolic disorders induced cardiovascular disease (CVD) or stroke (“Risk”). This article focuses on a specific period from 2018 through 2020 by using glucoses and their associated energies to compare the existing results utilizing his overall metabolism conditions.


2020 ◽  
Vol 4 (2) ◽  

The author uses the GH-Method: math-physical medicine (MPM) approach to investigate his risk probability on metabolic disorders induced cardiovascular disease (CVD) or stroke (“Risk”). This article focuses on a specific period from 2018 through 2020 by using glucoses and their associated energies to compare the existing results utilizing his overall metabolism conditions.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Bhaskar Thakur ◽  
Pallavi Dubey ◽  
Joseph Benitez ◽  
Joshua P. Torres ◽  
Sireesha Reddy ◽  
...  

AbstractSeveral comorbidities have been shown to be associated with coronavirus disease 2019 (COVID-19) related severity and mortality. However, considerable variation in the prevalence estimates of comorbidities and their effects on COVID-19 morbidity and mortality have been observed in prior studies. This systematic review and meta-analysis aimed to determine geographical, age, and gender related differences in the prevalence of comorbidities and associated severity and mortality rates among COVID-19 patients. We conducted a search using PubMed, Scopus, and EMBASE to include all COVID-19 studies published between January 1st, 2020 to July 24th, 2020 reporting comorbidities with severity or mortality. We included studies reporting the confirmed diagnosis of COVID-19 on human patients that also provided information on comorbidities or disease outcomes. We used DerSimonian and Laird random effects method for calculating estimates. Of 120 studies with 125,446 patients, the most prevalent comorbidity was hypertension (32%), obesity (25%), diabetes (18%), and cardiovascular disease (16%) while chronic kidney or other renal diseases (51%, 44%), cerebrovascular accident (43%, 44%), and cardiovascular disease (44%, 40%) patients had more COVID-19 severity and mortality respectively. Considerable variation in the prevalence of comorbidities and associated disease severity and mortality in different geographic regions was observed. The highest mortality was observed in studies with Latin American and European patients with any medical condition, mostly older adults (≥ 65 years), and predominantly male patients. Although the US studies observed the highest prevalence of comorbidities in COVID-19 patients, the severity of COVID-19 among each comorbid condition was highest in Asian studies whereas the mortality was highest in the European and Latin American countries. Risk stratification and effective control strategies for the COVID-19 should be done according to comorbidities, age, and gender differences specific to geographical location.


2012 ◽  
Vol 24 (9) ◽  
pp. 1409-1418 ◽  
Author(s):  
Senyeong Kao ◽  
Yun-Chang Wang ◽  
Ya-Mei Tzeng ◽  
Chang-Kuo Liang ◽  
Fu-Gong Lin

ABSTRACTBackground: It is well documented that fall risk among elderly people is associated with poor health and depression. In this study, we set out to examine the combined effects of medical condition and depression status on fall incidents among community-dwelling elderly people.Methods: A cross-sectional study was carried out to investigate the fall history of community-dwelling elders involving 360 participants. Those who had experienced at least two falls over the previous year, or one injurious fall, were defined as “fallers.” The Geriatric Depression Scale-15 was used as a screening instrument for depression status.Results: Based on a multivariate logistic regression and stratification analysis, depression was found to interact with various medical conditions on fall risk. In comparison with the non-depressive reference group, a six-fold fall risk was discernible among depressed elders with polypharmacy, while a five-fold risk was found among depressive elders using ancillary devices, along with a four-fold risk among depressive elders with diabetes or cardiovascular disease. Finally, arthritis was found to produce a nine-fold risk of falls among such populations.Conclusions: These findings suggest that greater emphasis should be placed on the integration of depression screening as an element of fall risk assessment in elderly people.


2021 ◽  
Vol 7 ◽  
pp. 205032452110349
Author(s):  
Edward James ◽  
Thomas L Robertshaw ◽  
Michael J Pascoe ◽  
Fiona M Chapman ◽  
Andrew D Westwell ◽  
...  

Background Despite rescheduling of cannabis to Schedule 2 and amendments to the law permitting legal availability of cannabis for the treatment of medical conditions, access to cannabis for medical use remains challenging for patients in the United Kingdom (UK). Recreational use is widespread despite laws stating users can be sentenced to prison for up to 5 years for possession. Objective The aim of the study was to develop a model for a legal cannabis market in the UK building upon the results of a preceding study in which a UK population sample determined that pharmacies are the most suitable primary legal vendor of cannabis as opposed to regulated shops or the black market. Methods An online survey was developed using Qualtrics software and advertised via the Multidisciplinary Association for Psychedelic Studies’ Facebook, Twitter and Instagram social media accounts and monthly newsletter. Results Three hundred and ninety seven individuals, a majority having used cannabis at least once, consented to participate in the study. The participants concluded that there is enough evidence for cannabis to be prescribed to treat a range of medical conditions. In addition to pharmacies providing cannabis to patients with a prescription, a majority of participants supported cannabis being sold in pharmacies for harm reduction purposes and allowing access to medicinal cannabis in cases where supporting evidence is insufficient to merit a prescription. Participants supported greater integration between dispensing pharmacies and mental health services. Overall, the participants did not oppose a consultation or screening for potential cannabis users prior to obtaining access from licensed vendors. UK participants were supportive of the concept of a cannabis card, which users can present to licensed vendors such as pharmacies, with specific recommendations (such as strains relevant to a patient’s medical condition) being coded into the card. A majority of participants supported the existence of shisha-type bars for the purchase and onsite consumption of cannabis and determined that such vendors should not be part of a pharmacy chain of stores or regulated by pharmacy regulators. The participants generally preferred that laws regarding public consumption are in line with existing smoking legislation. Participants determined that it should be legally permitted to grow cannabis at home for personal medical and non-medical purposes but not to sell for profit. Conclusion The results are suggestive of a regulatory system that medical and non-medical cannabis users can use which aims to maximise therapeutic applications, minimise harms and respect individual liberty.


Author(s):  
Owen Stafford ◽  
Anna Berry ◽  
Laura K. Taylor ◽  
Sinead Wearen ◽  
Cian Prendergast ◽  
...  

Abstract Objective: The unprecedented occurrence of a global pandemic is accompanied by both physical and psychological burdens that may impair quality of life. Research relating to COVID-19 aims to determine the effects of the pandemic on vulnerable populations who are at high risk of developing negative health or psychosocial outcomes. Having an ongoing medical condition during a pandemic may lead to greater psychological distress. Increased psychological distress may be due to preventative public health measures (e.g. lockdown), having an ongoing medical condition, or a combination of these factors. Methods: This study analyses data from an online cross-sectional national survey of adults in Ireland and investigates the relationship between comorbidity and psychological distress. Those with a medical condition (n128) were compared to a control group without a medical condition (n128) and matched according to age, gender, annual income, education, and work status during COVID-19. Participants and data were obtained during the first public lockdown in Ireland (27.03.202008.06.2020). Results: Individuals with existing medical conditions reported significantly higher levels of anxiety (p<.01) and felt less gratitude (p.001). Exploratory analysis indicates that anxiety levels were significantly associated with illness perceptions specific to COVID-19. Post-hoc analysis reveal no significant difference between the number of comorbidities and condition type (e.g. respiratory disorders). Conclusion: This research supports individualised supports for people with ongoing medical conditions through the COVID-19 pandemic, and has implications for the consideration of follow-up care specifically for mental health. Findings may also inform future public health policies and post-vaccine support strategies for vulnerable populations.


2021 ◽  
pp. 1-8
Author(s):  
Natalie C. Momen ◽  
Oleguer Plana-Ripoll ◽  
Cynthia M. Bulik ◽  
John J. McGrath ◽  
Laura M. Thornton ◽  
...  

Background Comorbidity with general medical conditions is common in individuals with eating disorders. Many previous studies do not evaluate types of eating disorder. Aims To provide relative and absolute risks of bidirectional associations between (a) anorexia nervosa, bulimia nervosa and eating disorders not otherwise specified and (b) 12 general medical conditions. Method We included all people born in Denmark between 1977 and 2010. We collected information on eating disorders and considered the risk of subsequent medical conditions, using Cox proportional hazards regression. Absolute risks were calculated using competing risks survival analyses. We also considered risks for prior medical conditions and subsequent eating disorders. Results An increased risk was seen for almost all disorder pairs (69 of 70). Hazard ratios for those with a prior eating disorder receiving a subsequent diagnosis of a medical condition ranged from 0.94 (95% CI 0.57−1.55) to 2.05 (95% CI 1.86−2.27). For those with a prior medical condition, hazard ratios for later eating disorders ranged from 1.35 (95% CI 1.26–1.45) to 1.98 (95% CI 1.71–2.28). Absolute risks for most later disorders were increased for persons with prior disorders, compared with reference groups. Conclusions This is the largest and most detailed examination of eating disorder–medical condition comorbidity. The findings indicate that medical condition comorbidity is increased among those with eating disorders and vice versa. Although there was some variation in comorbidity observed across eating disorder types, magnitudes of relative risks did not differ greatly.


2020 ◽  
Vol 1 (5) ◽  
pp. 1-11
Author(s):  
E.I. Akinyemi ◽  
◽  
B.A, Aina

Background: Hypertension and diabetes are two chronic medical conditions which require aggressive management. When both diseases coexist with hyperlipidaemia, it poses a greater risk for cardiovascular disease than with either of the diseases alone. Self-management, a pillar of chronic disease management, is unachievable if patients are unaware or inadequately informed about their medical condition. Adequate information about a disease and its management will empower patients to manage their medical conditions better Objective: To assess hyperlipidaemia knowledge and practices among hypertensive/diabetic patients with hyperlipidaemia. Method: This study was conducted in a secondary healthcare facility in Lagos State. A cross-sectional study design was used. Data collection was done using researcher-administered questionnaires. An educational intervention was thereafter carried out. Verbal feedback on impact of intervention was received from all respondents. Frequency distribution and cross tabulations were generated using SPSS version 23.0 at significance level set at p<0.05. The knowledge-related questions were scored and converted to percentages. Scores below 50% were considered poor, while scores of 50 % and above were considered good. Results: The overall knowledge scoring revealed that more than half of the patients had poor knowledge of hyperlipidaemia. A significant association was observed between gender and knowledge of hyperlipidaemia (p<0.05); males having better knowledge. Patients had good practices such as good level of medication adherence and appropriate dietary and lifestyle choices necessary for effective hyperlipidaemia management. Conclusion: This study showed that knowledge of hyperlipidaemia is poor in this patient population, especially among the females though patients emonstrated good hyperlipidaemia practices.


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