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https://www.readbyqxmd.com/read/29130065/metabolic-syndrome-in-apparently-healthy-ghanaian-adults-a-systematic-review-and-meta-analysis
#1
REVIEW
Richard Ofori-Asenso, Akosua Adom Agyeman, Amos Laar
Background: Metabolic syndrome (MetS) is a major public health problem in Sub-Saharan Africa. We systematically reviewed the literature towards estimating the prevalence of MetS among apparently "healthy" Ghanaian adults. Methods: We searched PubMed, Web of Science, Scopus, Africa Journals Online, African Index Medicus, and Google scholar as well as the websites of the Ministry of Health and Ghana Health service through September 2016. Only studies conducted among apparently "healthy" (no established disease, e...
2017: International Journal of Chronic Diseases
https://www.readbyqxmd.com/read/29129906/correlation-of-maternal-serum-homocysteine-in-the-first-trimester-with-the-development-of-gestational-hypertension-and-preeclampsia
#2
Feng Sun, Wei Qian, Chen Zhang, Jian-Xia Fan, He-Feng Huang
BACKGROUND This study investigated the relationship of serum homocysteine in early pregnancy with the risk of gestational hypertension (GH) and preeclampsia (PE) and with the severity of preeclampsia. MATERIAL AND METHODS In a retrospective cohort study, we identified 147 confirmed cases of preeclampsia (103 with mild PE and 44 with severe PE) and 147 confirmed cases of GH; 4418 women who remained normotensive and nonproteinuric throughout pregnancy served as controls. Maternal blood samples were collected at between 11 and 13 weeks of gestation to test serum concentrations of homocysteine (Hcy), folic acid, and VitB12...
November 13, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29125668/distribution-and-related-factors-of-cardiometabolic-disease-stage-based-on-body-mass-index-level-in-chinese-adults-the-national-diabetes-and-metabolic-disorders-survey
#3
Xuhong Hou, Peizhu Chen, Gang Hu, Yue Chen, Siyu Chen, Jingzhu Wu, Xiaojing Ma, Lei Chen, Zhaojun Yang, Wenying Yang, Weiping Jia
BACKGROUND: It is important to characterize distribution of cardiometabolic disease (CMD) based on different BMI levels in a population. This information remains scarce in China, so we investigated the proportions and related factors of CMD stages based on different BMI levels in Chinese adults. METHODS: We included 45,093 participants aged ≥20 years from the National Diabetes and Metabolic Disorders Survey. CMD (central obesity, elevated triglycerides, elevated blood pressure, elevated plasma glucose, reduced high-density lipoprotein cholesterol, and cardiovascular disease [CVD]) was classified as Stage 0 (no CMD), Stage 1 (mild-to-moderate CMD), or Stage 2 (severe CMD)...
November 10, 2017: Diabetes/metabolism Research and Reviews
https://www.readbyqxmd.com/read/29119817/factors-affecting-self-reported-medication-adherence-and-hypertension-knowledge-a-cross-sectional-study-in-rural-villages-yogyakarta-province-indonesia
#4
Riana Rahmawati, Beata Bajorek
Objectives This study assessed medication adherence and hypertension knowledge, and their predictive factors, in people with hypertension, living in rural communities in Indonesia. Methods Data were acquired from 384 people living in eight rural villages via a researcher-administered questionnaire, a validated adherence scale, and a standardized hypertension knowledge survey. Multivariate analysis was used to identify the predictors of adherence and knowledge. Results Fifty-nine (15%) participants had good hypertension knowledge (score ≥ 8 out of 10)...
January 1, 2017: Chronic Illness
https://www.readbyqxmd.com/read/29111025/orthostatic-hypotension-associated-with-executive-dysfunction-in-mild-cognitive-impairment
#5
Christian Bocti, François Pépin, Maxime Tétreault, Philippe Cossette, Francis Langlois, Hélène Imbeault, Nadia Duval, Guy Lacombe, Tamas Fulop
INTRODUCTION: Midlife hypertension is associated with dementia in longitudinal studies while chronic hypotension in the elderly is associated with dementia onset. Orthostatic hypotension could influence cognitive performance in the elderly. The objective of this study was to assess the relationship between orthostatic hypotension and cognitive functions. METHODS: Consecutive participants with complete neuropsychological evaluation from a Memory Clinic were included...
November 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/29110187/outcomes-from-a-community-based-hypertension-educational-programme-the-west-of-ireland-hypertension-study
#6
M Darrat, A Houlihan, I Gibson, M Rabbitt, G Flaherty, F Sharif
BACKGROUND: Hypertension is a leading modifiable risk factor for premature cardiovascular disease. Research indicates a growing prevalence of hypertension among adults worldwide, with accompanying low levels of patient knowledge, and sub-optimal clinical management. AIMS: This study aims to explore the impact of a structured hypertension educational intervention on patient knowledge, lifestyle behaviours and blood pressure control. DESIGN: An observational, prospective cohort design was selected...
November 6, 2017: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29108814/waist-to-height-ratio-and-sedentary-lifestyle-as-predictors-of-metabolic-syndrome-in-children-in-ecuador
#7
F Aguirre P, A Coca, M F Aguirre, G Celis
OBJECTIVE: To determine the predictors and prevalence of metabolic syndrome (MS) and the presence of vascular inflammation in apparently-normal children (10-15 years) of both sexes in Guayaquil, Ecuador. STUDY DESIGN AND METHODS: We included 395 apparently-healthy students from a middle-income school in a cross-sectional survey. Informed consent was obtained from students and parents. Anthropometric measurements including blood pressure (BP), body mass index (BMI) and waist-to-height ratio (WHtR), and blood tests were recorded...
November 3, 2017: Hipertensión y Riesgo Vascular
https://www.readbyqxmd.com/read/29108205/-investigation-and-analysis-of-the-knowledge-of-nonalcoholic-fatty-liver-disease-among-residents-in-hebei-province-china
#8
Q F Liang, Y D Wang, C Y Zhao
Objective: To investigate the knowledge of nonalcoholic fatty liver disease (NAFLD) among medical staff and general population in Hebei Province, China, understand the degree of awareness of NAFLD among residents, standardize the diagnosis and treatment of NAFLD, improve the correct awareness of NAFLD among general population, promote the establishment of a reasonable lifestyle, and scientifically and effectively control the incidence and mortality rates of NAFLD. Methods: The investigation was performed in 30 hospitals and neighboring schools and communities in Hebei Province, and a questionnaire survey on the knowledge of NAFLD was performed for 1 300 medical workers and 2 000 persons from the general population...
October 20, 2017: Zhonghua Gan Zang Bing za Zhi, Zhonghua Ganzangbing Zazhi, Chinese Journal of Hepatology
https://www.readbyqxmd.com/read/29107565/rubber-stamp-templates-for-improving-clinical-documentation-a-paper-based-m-health-approach-for-quality-improvement-in-low-resource-settings
#9
Bernadette Kleczka, Anita Musiega, Grace Rabut, Phoebe Wekesa, Paul Mwaniki, Michael Marx, Pratap Kumar
BACKGROUND: The United Nations' Sustainable Development Goal #3.8 targets 'access to quality essential healthcare services'. Clinical practice guidelines are an important tool for ensuring quality of clinical care, but many challenges prevent their use in low-resource settings. Monitoring the use of guidelines relies on cumbersome clinical audits of paper records, and electronic systems face financial and other limitations. Here we describe a unique approach to generating digital data from paper using guideline-based templates, rubber stamps and mobile phones...
October 23, 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29105504/emotional-reactivity-and-blood-pressure-elevations-anxiety-as-a-mediator
#10
Chuka Mike Ifeagwazi, Helen Eleh Egberi, JohnBosco Chika Chukwuorji
There is a strong link between emotional reactivity and hypertension, yet little research to date has examined mediators of this relationship. Our study  investigated the mediating role of anxiety on the relationship between emotional reactivity and blood pressure elevations. Participants were 226 hypertensive patients (93 men and 133 women, Mean age = 53.09, SD = 13.88 years), purposively drawn from the General Outpatient Department in University of Calabar Teaching Hospital, Calabar, Nigeria.  Measures for data collection were Emotional Reactivity Scale, State Trait Anxiety Inventory, and the Mercury Sphygmomanometer...
November 6, 2017: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/29104122/early-tips-for-portal-hypertensive-related-bleeding-is-resource-or-education-the-reason-for-failure-to-show-clear-survival-benefit
#11
EDITORIAL
Peter Hayes, Rajeshwar P Mookerjee
No abstract text is available yet for this article.
November 2, 2017: Journal of Hepatology
https://www.readbyqxmd.com/read/29102084/prevalence-awareness-treatment-and-control-of-hypertension-in-china-data-from-1%C3%A2-7-million-adults-in-a-population-based-screening-study-china-peace-million-persons-project
#12
Jiapeng Lu, Yuan Lu, Xiaochen Wang, Xinyue Li, George C Linderman, Chaoqun Wu, Xiuyuan Cheng, Lin Mu, Haibo Zhang, Jiamin Liu, Meng Su, Hongyu Zhao, Erica S Spatz, John A Spertus, Frederick A Masoudi, Harlan M Krumholz, Lixin Jiang
BACKGROUND: Hypertension is common in China and its prevalence is rising, yet it remains inadequately controlled. Few studies have the capacity to characterise the epidemiology and management of hypertension across many heterogeneous subgroups. We did a study of the prevalence, awareness, treatment, and control of hypertension in China and assessed their variations across many subpopulations. METHODS: We made use of data generated in the China Patient-Centered Evaluative Assessment of Cardiac Events (PEACE) Million Persons Project from Sept 15, 2014, to June 20, 2017, a population-based screening project that enrolled around 1·7 million community-dwelling adults aged 35-75 years from all 31 provinces in mainland China...
October 25, 2017: Lancet
https://www.readbyqxmd.com/read/29100908/quality-of-life-in-children-participating-in-a-non-selective-inr-self-monitoring-vka-education-programme
#13
Pascal Amedro, Fanny Bajolle, Helena Bertet, Radhia Cheurfi, Dominique Lasne, Erika Nogue, Pascal Auquier, Marie-Christine Picot, Damien Bonnet
BACKGROUND: The quality of life (QoL) of children receiving vitamin K antagonist (VKA) treatment has been scarcely studied. AIM: To assess QoL of children, and its evolution, throughout our non-selective international normalized ratio (INR) self-monitoring education programme. METHODS: Children and parents completed QoL questionnaires (Qualin, PedsQL) during education sessions. Scores were compared with those from controls. RESULTS: A total of 111 children (mean±standard deviation age 8...
October 31, 2017: Archives of Cardiovascular Diseases
https://www.readbyqxmd.com/read/29099819/an-educational-strategy-that-promotes-healthy-habits-in-elderly-people-with-hypertension-in-a-municipality-of-colombia-a-participatory-action-research-study
#14
María Carolina López-Mateus, Erwin Hernando Hernández-Rincón, Camilo Alejandro Correal-Muñoz, Gina Paola Cadena-Buitrago, Ingrid Johanna Galvis-Díaz, Génesis Esmeralda Romero-Prieto
OBJECTIVE: To identify resources of the municipality of Sopó-Cundinamarca, Colombia, that are also opportunities to strengthen the development of an educational strategy that promotes healthy habits (healthy diet and exercise) as part of the comprehensive management of hypertension in the elderly. METHODS: A qualitative study of a participatory-action research initiative in the Community Day Center of Sopó in the second semester of 2015. It was developed in three stages: first, a community diagnosis showed the need to integrate the culture, traditions and resources of the municipality as inputs that allow the adherence of healthy styles by the elderly for the control of hypertension; in the second stage, a work plan was established based on actions provided by the community; and in the third stage, we reflected on the results...
October 30, 2017: Medwave
https://www.readbyqxmd.com/read/29097724/health-related-quality-of-life-among-adults-with-and-without-hypertension-a-population-based-survey-using-eq-5d-in-shandong-china
#15
Li Zhang, Xiaolei Guo, Jiyu Zhang, Xi Chen, Chengchao Zhou, Dandan Ge, Yangyang Qian
Previous studies have focused on health-related quality of life (HRQoL) in hypertensive individuals, but few studies have attempted to compare HRQoL between hypertensive and normotensive individuals using the EQ-5D in China. Based on a survey of 3509 adults aged 18 + years, we compared HRQoL between hypertensive and normotensive individuals using a chi-square test, t-test and multi-linear regression model. The results indicated that HRQoL in hypertensive individuals was poorer than that of normotensive individuals in all domains of the EQ-5D and its utility index...
November 2, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29097386/cholesterol-control-among-uninsured-adults-did-not-improve-from-2001-2004-to-2009-2012-as-disparities-with-both-publicly-and-privately-insured-adults-doubled
#16
Brent M Egan, Jiexiang Li, Sara M Sarasua, Robert A Davis, Kevin A Fiscella, Jonathan N Tobin, Daniel W Jones, Angelo Sinopoli
BACKGROUND: Low-density lipoprotein cholesterol (LDL-C) control is higher among insured than uninsured adults, but data on time trends and contributing factors are incomplete and important for improving health equity. METHODS AND RESULTS: Awareness, treatment, and control of elevated LDL-C were compared among insured versus uninsured and publicly versus privately insured adults, aged 21 to 64 years, in National Health and Nutrition Examination Surveys from 2001 to 2004, 2005 to 2008, and 2009 to 2012 using Adult Treatment Panel-3 criteria...
November 2, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29096615/control-of-cardiovascular-risk-factors-and-its-determinants-in-the-general-population-findings-from-the-staab-cohort-study
#17
Theresa Tiffe, Martin Wagner, Viktoria Rücker, Caroline Morbach, Götz Gelbrich, Stefan Störk, Peter U Heuschmann
BACKGROUND: While data from primary care suggest an insufficient control of vascular risk factors, little is known about vascular risk factor control in the general population. We therefore aimed to investigate the adoption of adequate risk factor control and its determinants in the general population free of cardiovascular disease (CVD). METHODS: Data from the Characteristics and Course of Heart Failure Stages A-B and Determinants of Progression (STAAB) Cohort Study, a population-based study of inhabitants aged 30 to 79 years from the general population of Würzburg (Germany), were used...
November 2, 2017: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/29089775/practical-management-of-adverse-events-associated-with-cabozantinib-treatment-in-patients-with-renal-cell-carcinoma
#18
REVIEW
Benjamin S Gerendash, Patricia A Creel
Cabozantinib is an oral tyrosine-kinase inhibitor whose targets include VEGFR, MET, and AXL. Cabozantinib is approved for the treatment of patients with advanced clear-cell renal-cell carcinoma (RCC) who have received prior antiangiogenic therapy. In the pivotal Phase III trial of second-line RCC, cabozantinib was associated with a significant improvement in overall survival, progression-free survival, and antitumor response compared with everolimus. Adverse events (AEs) were common for patients receiving cabozantinib, but were effectively managed with supportive care and dose modifications, as discontinuations of cabozantinib due to an AE were infrequent...
2017: OncoTargets and Therapy
https://www.readbyqxmd.com/read/29082466/perception-knowledge-and-attitude-toward-physical-activity-behaviour-implications-for-participation-among-individuals-with-essential-hypertension
#19
Fatai Adesina Maruf, C C Ojukwu, M O Akindele
INTRODUCTION: Understanding lifestyle behavior among individuals with hypertension is important for achieving hypertension control. AIM: This study explored perception, knowledge, attitude and participation in physical activity (PA) among individuals with hypertension attending tertiary hospitals in a south-eastern Nigerian state. METHODS: This cross-sectional survey involved 200 individuals with hypertension from the Out-Patient Departments of the two teaching hospitals in Anambra State, Nigeria...
October 29, 2017: High Blood Pressure & Cardiovascular Prevention: the Official Journal of the Italian Society of Hypertension
https://www.readbyqxmd.com/read/29081673/a-3-year-retrospective-review-of-mortality-in-women-of-reproductive-age-in-a-tertiary-health-facility-in-port-harcourt-nigeria
#20
Ngozi C Orazulike, Justina O Alegbeleye, Christopher C Obiorah, Tamunomie K Nyengidiki, Samuel A Uzoigwe
PURPOSE: To determine the causes of death and associated risk factors among women of reproductive age (WRA) in a tertiary institution in Port Harcourt, Nigeria. PATIENTS AND METHODS: This was a retrospective survey of all deaths in women aged 15-49 years at the University of Port Harcourt Teaching Hospital that occurred from January 1, 2013 to December 31, 2015. Data retrieved from ward registers, death registers, and death certificates were analyzed with Epi Info version 7...
2017: International Journal of Women's Health
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