A cross-sectional study on the role of laughter therapy on regulation of blood pressure in Visakhapatnam population

Background: Despite the availability of effective drugs, blood pressure (BP) control rate is sub-optimal in individuals with hypertension in low- and middle-income countries (LMICs). The role of self-care in the management of BP is less studied in LMIC settings. Methods: We conducted a community-based, cross-sectional study in individuals with hypertension in Kollam district, Kerala. A multistage cluster sampling method was used for the selection of study participants. We measured self-care by using an adapted Hypertension Self-Care Activity Level Effects (H-SCALE) scale. Descriptive statistics were used to summarise the data and logistic regression analysis was conducted to identify factors associated with BP control. Results: In total, 690 individuals with hypertension (women=60%) and a mean age of 57±8 years participated in the study. More than half (54%) of the participants were adherent to anti-hypertensive medications. However, the adherence rate was much lower for the dietary approach to stop hypertension (DASH) diet (12.8%), recommended level of physical activity (24%) and weight management (11.4%). Overall BP control was achieved in two of five individuals (38.4%, 95% CI: 34.7-42.0%). Among self-care activities, adherence to medications (AOR: 1.8, 95% CI: 1.3-2.5), DASH diet (AOR: 1.5, 95% CI: 1.0-2.4), and non-smoking status (AOR: 3.3, 95% CI: 1.7-6.4) were associated with control of BP. Additionally, good family support to self-care (AOR: 1.9, 95% CI: 1.1-3.1) was associated with better control of BP. Conclusion: In individuals with hypertension, the BP control rate is achieved in two of five individuals. Adoption of self-care activities are sub-optimal. Both family support and adherence to self-care activities are associated with BP control. Family based interventions to improve adherence to self-care activities could have a significant public health impact in achieving better population-level BP control rates in Kerala, India.

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Association between HIV and blood pressure in adults and role of body weight as a mediator: Cross-sectional study in Uganda

Journal of Clinical Hypertension ◽

10.1111/jch.13092 ◽

2017 ◽

Vol 19 (11) ◽

pp. 1181-1191 ◽

Cited By ~ 12

Author(s):

Samson Okello ◽

Peter Ueda ◽

Michael Kanyesigye ◽

Emmanuel Byaruhanga ◽

Achilles Kiyimba ◽

...

Keyword(s):

Blood Pressure ◽

Body Weight ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Hypertension: a cross-sectional study of the role of multimorbidity in blood pressure control

BMC Family Practice ◽

10.1186/s12875-015-0313-y ◽

2015 ◽

Vol 16 (1) ◽

Cited By ~ 6

Author(s):

Chandra Sarkar ◽

Hiten Dodhia ◽

James Crompton ◽

Peter Schofield ◽

Patrick White ◽

...

Keyword(s):

Blood Pressure ◽

Blood Pressure Control ◽

Pressure Control ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Role of Ambulatory Blood Pressure Monitoring in Chronic Hypertensive Patients on Antihypertensive Therapy-A Cross-sectional Study

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2018/37103.12081 ◽

2018 ◽

Cited By ~ 1

Author(s):

J Sankar ◽

NK Mahesh ◽

Prafull Sharma ◽

Lekshmi Sankar ◽

Arjun Balasubramanian

Keyword(s):

Blood Pressure ◽

Antihypertensive Therapy ◽

Ambulatory Blood Pressure ◽

Blood Pressure Monitoring ◽

Cross Sectional Study ◽

Sectional Study ◽

Pressure Monitoring ◽

Cross Sectional ◽

Hypertensive Patients

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Role of Sildenafil in the Treatment of Persistent Pulmonary Hypertension of Newborn (PPHN) - Should it Be Withdrawn from Market of Bangladesh due to Threat of being Misuses

Dhaka Shishu (Children) Hospital Journal ◽

10.3329/dshj.v35i2.49688 ◽

2020 ◽

Vol 35 (2) ◽

pp. 100-104

Author(s):

Maksudur Rahman ◽

Mohammad Abdullah Al Mamun ◽

MAK Azad Chowdhury ◽

Abu Sayeed Munsi

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cardiac Intensive Care Unit ◽

Cross Sectional ◽

Cardiac Intensive Care ◽

Hospital Protocol

Background: Recently it has been apprehended that sildenafil, a drug which has been successfully using in the treatment of PPHN and erectile dysfunction in adult, is going to be withdrawn from the market of Bangladesh due to threat of its misuses. Objective: The aim of this study was to see the extent of uses of sildenafil in the treatment of PPHN and importance of availability of this drugs in the market inspite of its probable misuses. Methods: This cross sectional study was conducted in neonatal intensive care unit (NICU), special baby care unit (SCABU) and cardiac intensive care unit (CICU) of Dhaka Shishu (Children) Hospital from June, 2017 to May 2018. Neonates with PPHN were enrolled in the study. All cases were treated with oral sildenefil for PPHN along with others management according to hospital protocol. Data along with other parameters were collected and analyzed. Results: Total 320 patients with suspected PPHN were admitted during the study period. Among them 92 (29%) cases had PPHN. Male were 49(53 %) cases and female were 43(47%) cases. Mean age at hospital admission was 29.7±13.4 hours. Based on echocardiography,13(14%) cases had mild, 38 (41%) cases moderate and 41(45%) cases severe PPHN. Mean duration of sildenafil therapy was 11.9±7.1 days. Improved from PPHN were 83 (90%) cases. Mortality was 10% (9). Conclusion: In this study it was found that the incidence of PPHN is 29% among the suspected newborns. Sildenafil is successfull in improving the oxygenation of PPHN and to decrease the mortality of neonates. DS (Child) H J 2019; 35(2) : 100-104

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