scholarly journals The slowdown in the reduction rate of premature mortality from cardiovascular diseases puts the Americas at risk of achieving SDG 3.4: A population trend analysis of 37 countries from 1990 to 2017

2020 ◽  
Vol 22 (8) ◽  
pp. 1296-1309 ◽  
Author(s):  
Ramon Martinez ◽  
Patricia Soliz ◽  
Oscar J. Mujica ◽  
Ludovic Reveiz ◽  
Norm R. C. Campbell ◽  
...  
Keyword(s):  
At Risk ◽  
Cardiovascular Diseases ◽  
Trend Analysis ◽  
Reduction Rate ◽  
Premature Mortality ◽  
Population Trend

Epidemiology of Hypertension and Diabetes Mellitus in Latin America

2020 ◽  
Vol 16 ◽  
Author(s):  
Patricio Lopez-Jaramillo ◽  
Jose Lopez-Lopez ◽  
Daniel Cohen ◽  
Natalia Alarcon-Ariza ◽  
Margarita Mogollon-Zehr
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Latin America ◽  
Cardiovascular Diseases ◽  
Latin American ◽  
Premature Mortality ◽  
Increased Risk ◽  
And Control

: Hypertension and type 2 diabetes mellitus are two important risk factors that contribute to cardiovascular diseases worldwide. In Latin America hypertension prevalence varies from 30 to 50%. Moreover, the proportion of awareness, treatment and control of hypertension is very low. The prevalence of type 2 diabetes mellitus varies from 8 to 13% and near to 40% are unaware of their condition. In addition, the prevalence of prediabetes varies from 6 to 14% and this condition has been also associated with increased risk of cardiovascular diseases. The principal factors linked to a higher risk of hypertension in Latin America are increased adiposity, low muscle strength, unhealthy diet, low physical activity and low education. Besides being chronic conditions, leading causes of cardiovascular mortality, both hypertension and type 2 diabetes mellitus represent a substantial cost for the weak health systems of Latin American countries. Therefore, is necessary to implement and reinforce public health programs to improve awareness, treatment and control of hypertension and type 2 diabetes mellitus, in order to reach the mandate of the Unit Nations of decrease the premature mortality for CVD.

scholarly journals Self-assessed and self-reported lifestyle of people at risk of cardiovascular diseases

2014 ◽  
Vol 4 (9) ◽  
Author(s):  
Eeva-Leena Ylimäki ◽  
Outi I. Kanste ◽  
Hanna P. Heikkinen ◽  
Risto Bloigu ◽  
Helvi A. Kyngäs
Keyword(s):  
At Risk ◽  
Cardiovascular Diseases

Prevalence of Carnitine Deficiency and Decreased Carnitine Levels in Patients on Hemodialysis

2019 ◽  
Vol 47 (Suppl. 2) ◽  
pp. 38-44 ◽  
Author(s):  
Yoshinari Hatanaka ◽  
Terumi Higuchi ◽  
Yurie Akiya ◽  
Tomomi Horikami ◽  
Ritsukou Tei ◽  
...  
Keyword(s):  
At Risk ◽  
High Risk ◽  
Multivariate Regression ◽  
Reduction Rate ◽  
Carnitine Deficiency ◽  
Free Carnitine ◽  
Prevalence Rates ◽  
Carnitine Level ◽  
Serum Free ◽  
Free Serum

Background: Patients on hemodialysis (HD) are known to be at risk of carnitine deficiency. The aims of this study were to investigate the prevalence of carnitine deficiency in patients on dialysis and to compare the likelihood of a reduction in the serum carnitine level on HD with that on hemodiafiltration (HDF). Methods: The prevalence of carnitine deficiency, defined as a serum free carnitine level < 20 μmol/L, and that of carnitine insufficiency, defined as an acyl/free carnitine ratio > 0.4, was investigated in 150 patients on dialysis. The reduction rate of serum carnitine was then compared between HD and HDF. Results: The prevalence of carnitine deficiency and that of carnitine insufficiency was 25.3 and 86.7%, respectively. Patients at high risk of carnitine deficiency accounted for 64.7%. Multivariate regression identified an association of duration of dialysis with the free serum carnitine level. The reduction rates of serum free carnitine in HD and HDF were 64 ± 4 and 75 ± 7%, respectively (p < 0.0001). Conclusion: The prevalence rates of carnitine deficiency and carnitine insufficiency were high in patients on dialysis. The serum carnitine reduction rate was greater with HDF than with HD.

scholarly journals Malaria Incidence and Associated Risk Factors in and Around Anger Gute Town, Western Ethiopia

2020 ◽  
Author(s):  
Mebrate Dufera ◽  
Oljira Kenea ◽  
Geleta Tadele
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Malaria Transmission ◽  
Health Center ◽  
Trend Analysis ◽  
Malaria Incidence ◽  
Sub Saharan Africa ◽  
Significant Difference ◽  
Associated Risk Factors ◽  
Western Ethiopia

Abstract Background: Malaria is one of the most important causes of morbidity and mortality in sub-Saharan Africa including Ethiopia. About 75% of the total area of the country is an area of malaria transmission and an estimated 68% of the Ethiopian population is at risk from malaria. Therfore, this study was aimed to evaluate local malaria incidence and associated risk factors in and around Anger Gute town, East Wollega Zone,Oromia Regional State, Western Ethiopia. Methods: Health-facility based cross-sectional study was carried out from June to December 2018. 462 malaria suspected patients attending three health posts and one health center were included in the study. Data were collected using structured questionnaire and laboratory diagnosis of malaria. Data analysis was performed using SPSS version 20.0 for windows. Logistic regression was used to examine the effect of each independent variable on incidence of malaria. P values of less or equal to 0.05 were considered significant. Results : Of 462 malaria suspected cases, 122 (26.4%) had Plasmodium infection which was confirmed by microscopy or RDT. 64.75 %, 32 % and 3.75% of malaria was caused by P. falciparum, P. vivax and mixed infections respectively. Malaria incidence in and around Anger Gute town from June to December 2018 was found to be 0.343 % (122/ 35, 585). No significant difference in incidence of malaria was found by sex and age categories of study participants (P>0.05). Incidence of malaria was significantly lower in urban kebeles compared to rural kebeles (COR= 0.359, P=0.00). Incidence of malaria was significantly associated with presence of stagnant water nearby living house (AOD=186.3, P=0.000), utilization of bed net (AOD=0.08, P=0.000), and IRS (AOD=0.056,P=0.03). Six years malaria trend analysis at Anger Gute Health Center showed that number of confirmed malaria cases was significantly decreased in 2014 - 2018 as compared to 2013. Since 2014; numbers of confirmed malaria cases have been more or less constant in Anger Gute health center. Conclusions: Incidence of malaria in and around Anger Gute town was 3.43 per 1000 population at risk of the disease during the study period and was lower than recent incidence of malaria reported from Ethiopia. Trend analysis of malaria from 2014 to 2018 indicated nearly unchanged numbers of malaria cases. This shows presence of low sustained malaria transmission. Integrated vector control efforts are needed to suppress transmission that lead to elimination of the disease in the study setting. Key words: Anger Gute, malaria, malaria incidence

scholarly journals Prevention Considerations in Cardiovascular Diseases regarding the premature mortality reduction

2020 ◽  
pp. 55-59
Author(s):  
Elena RAEVSCHI
Keyword(s):  
Cardiovascular Disease ◽  
Cardiovascular Diseases ◽  
Good Practice ◽  
Cardiovascular Prevention ◽  
Premature Mortality ◽  
Tertiary Prevention ◽  
Noncommunicable Disease ◽  
World Health ◽  
Republic Of Moldova ◽  
The Republic

Introduction. Cardiovascular diseases are recognized as worldwide (1) and national public health issue (2, 3). This is argued by having a leading position in the structure of general mortality and disability, the substantial loss of quality of life and the health system needs for increased costs. Prevention and control of cardiovascular disease has become one of the priority directions for global and national noncommunicable disease control strategies developed to reduce premature mortality (1, 5). The major cardiovascular diseases mortality was identified some aspects of premature mortality among the adult population in the Republic of Moldova. Overall decrease of mortality due to cardiovascular diseases among adults (-5.9%) has been accompanied by a relatively slower decrease in premature mortality (-2.4%) in the Republic of Moldova (6). Primary, secondary and tertiary prevention measures are essential in reducing the burden of cardiovascular disease and contribute to improving cardiovascular health at the population level. Nature is helping people to maintain their health through mechanisms much closer to them than pharmaceutical ones through the curative action of the various natural factors that form the climate of the respective territorial area. Material and method. There is a descriptive study based on statistical data of the World Health Organization and official vital statistics of the Republic of Moldova. Results and discussions. The climatic conditions of Moldova are favorable to cardiovascular prevention and rehabilitation. Moldova is located in the temperate continental climate influenced by the proximity of the Black Sea and the interference of warm-humid air from the Mediterranean. The annual air temperatures average in the country is 9,30C. In the Republic of Moldova the warm weather with a confortable temperature lasts 175 days and the relative humidity oscillates in the average from 66 to 87%. The country's thermal regime is the most important curative factor for treating chronic diseases and opportunity for the amplification of medical rehabilitation programs for patients with cardiovascular diseases. Application of methods based on the action of climatic factors in cardiovascular rehabilitation process contributes to its efficiency. Increasing the role of tertiary prevention is a good practice for the quality improvement of medical services for this category of patients. By making appropriate, timely and complex measures of primary, secondary and tertiary prevention cardiovascular disease can be substantially prevented. Conclusions. Strengthening cardiovascular prevention centered on a complex approach to all its primary, secondary, and tertiary components is an opportunity to reduce premature mortality in the population. Key words: Cardiovascular diseases, prevention, premature mortality,

scholarly journals Patient pathways for cardiovascular diseases in Malaysia and the Philippines: a systematic review

2021 ◽  
Vol 6 ◽  
pp. 43
Author(s):  
Maureen Seguin ◽  
Gideon Lasco ◽  
Khairuddin Bin Idris ◽  
Jhaki Mendoza ◽  
N.H. Hanani Mohd Kadri ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Cardiovascular Diseases ◽  
Grey Literature ◽  
Healthcare Providers ◽  
Premature Mortality ◽  
The Philippines ◽  
Health Concern ◽  
Bibliographic Databases ◽  
Middle Income ◽  
Patient Pathways

Background: Cardiovascular diseases (CVDs) are the leading cause of premature mortality in the world and are a growing public health concern in low- and middle-income countries (LMICs), including those in South East Asia. Their management requires coordinated responses by a range of healthcare providers, which should preferably be based on knowledge of the national context. We systematically review evidence on the pathways followed by patients with CVD in Malaysia and the Philippines to understand patient journeys, along with the barriers at each stage. Methods: We searched seven bibliographic databases and grey literature sources to identify material focused on the pathways followed by patients with CVD in Malaysia and the Philippines, and performed a narrative synthesis. Results: The search yielded 25 articles, 3 focused on the Philippines and 22 on Malaysia. Most articles were quantitative analyses that focused on hypertensive patients. Three examined secondary prevention post myocardial infarction, and one each examined acute myocardial infarction, heart failure, and atrial fibrillation. Reported barriers reflected capability (knowledge of behaviours to achieve control or the capacity to conduct these behaviours), intention (attitudes or motivations toward the behaviours to achieve control), and aspects of the health care system (availability, accessibility, affordability and acceptability of services). Conclusions: There are large gaps in our understanding of patient pathways in Malaysia and the Philippines that limit the development of evidence-based strategies to effectively address the CVD burden in South East Asian countries and in LMICs more broadly. Addressing these evidence gaps will require longitudinal mixed-methods studies following patients from initial diagnosis to long-term management.

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