scholarly journals Establishment of Population-Based Stroke Registry in Ludhiana City, Northwest India: Feasibility and Methodology

2015 ◽  
Vol 44 (2) ◽  
pp. 69-77 ◽  
Author(s):  
Jeyaraj Durai Pandian ◽  
Gagandeep Singh ◽  
Rajinder Bansal ◽  
Birinder S. Paul ◽  
Monika Singla ◽  
...  
Keyword(s):  
Medical Records ◽  
Urban Population ◽  
Task Force ◽  
Population Based ◽  
Public Hospitals ◽  
Stroke Patients ◽  
Stroke Registry ◽  
Who Steps ◽  
Northwest India ◽  
The City

Background/Aims: The Indian Council of Medical Research (ICMR) initiated the Task Force Project to evaluate the feasibility of conducting a population-based stroke registry in Ludhiana city, Punjab, Northwest India. Methods: All first-ever, stroke patients over 18 years from the city of Ludhiana were included in the study from March 26th 2010 to March 25th 2011. Stroke information was collected based on the WHO STEPS approach from the participating hospitals, scan centres and doctors. Modified Rankin Scale (mRS) was administered by telephonic interview at 28 days after stroke. The information on stroke deaths was obtained from the Municipal Corporation (MC) office. Results: A total of 905 first-ever stroke patients were documented. After excluding duplicate cases and patients from outside the city, 493 patients were included. The practical issues identified in data collection from these centres were reluctance to take informed consent, lack of willingness to share the data, difficulty to identify key persons from each centre, retrieving medical records from public hospitals and poor documentation of deaths in MC office. Conclusion: Population-based stroke registry was feasible in an urban population with the above methodology. The issues related to feasibility were identified and necessary changes were made for the main phase of the registry.

scholarly journals Stroke Patients with Atrial Fibrillation Treated with Oral Anticoagulants: Comparison of the Population-Based Stroke Registry of Dijon and the French National Health Databases

2020 ◽  
Vol 54 (6) ◽  
pp. 506-512
Author(s):  
Amélie Gabet ◽  
Valérie Olié ◽  
Yannick Béjot
Keyword(s):  
Atrial Fibrillation ◽  
National Health ◽  
Oral Anticoagulants ◽  
Population Based ◽  
Stroke Patients ◽  
Stroke Registry ◽  
Health Database ◽  
Administrative Health Databases ◽  
Almost All ◽  
The City

<b><i>Introduction:</i></b> The objective of this study was to evaluate the complementarity of the French national health database (<i>Système national des données de Santé</i>, SNDS) and the Dijon Stroke Registry for the epidemiology of stroke patients with anticoagulated atrial fibrillation (AF). <b><i>Methods:</i></b> The SNDS collects healthcare prescriptions and procedures reimbursed by the French national health insurance for almost all of the 66 million individuals living in France. A previously published algorithm was used to identify AF newly treated with oral anticoagulants. The Dijon Stroke Registry is a population-based study covering the residents of the city of Dijon since 1985 and records all stroke cases of the area. We compared the proportions of stroke patients with anticoagulated AF in the city of Dijon identified in SNDS databases to those registered in the Dijon Stroke Registry. <b><i>Results:</i></b> For the period 2013–2017 in the city of Dijon, 1,146 strokes were identified in the SNDS and 1,188 in the registry. The proportion of strokes with anticoagulated AF was 13.4% in the SNDS and 20.3% in the Dijon Stroke Registry. Very similar characteristics were found between patients identified through the 2 databases. The overall prevalence of AF in stroke patients could be estimated only in the Dijon stroke registry and was 30.4% for the study period. <b><i>Discussion/Conclusion:</i></b> If administrative health databases can be a useful tool to study the epidemiology of anticoagulated AF in stroke patients, population-based stroke registries as the Dijon Stroke Registry remain essential to fully study the epidemiology of strokes with anticoagulated AF.

Prevalence and prognostic value of headache on early mortality in acute stroke: The Dijon Stroke Registry

Cephalalgia ◽  
2014 ◽  
Vol 34 (11) ◽  
pp. 938-939 ◽  
Author(s):  
Victor Abadie ◽  
Agnès Jacquin ◽  
Benoit Daubail ◽  
Anne‐Laure Vialatte ◽  
Claire Lainay ◽  
...  
Keyword(s):  
Regression Models ◽  
Cox Regression ◽  
Multivariable Analysis ◽  
Population Based ◽  
Early Mortality ◽  
Stroke Patients ◽  
Stroke Registry ◽  
All Cause Mortality ◽  
Undetermined Etiology ◽  
Population Based Registry

Objective To evaluate the prevalence of headache at onset and its association with 1-month mortality in stroke patients. Methods All patients with stroke in Dijon, France (2006–2011), were prospectively identified using a population-based registry. Cox regression models were used to evaluate the association between headache and 30-day all-cause mortality. Results Among 1411 stroke patients, data about headache were obtained for 1391 (98.6%) of whom 1185 had an ischemic stroke (IS), 201 had an intracerebral hemorrhage (ICH) and five had a stroke of undetermined etiology. Headache was found in 253 (18.2%) patients and was more frequent in those with ICH than in those with IS (46.3% vs 13.5%, p < 0.001). Overall 30-day mortality was 11.7%, and was greater for patients with than those without headache (17.0% vs 10.5%, unadjusted HR 1.70; 95% CI 1.20–2.41, p = 0.003). In multivariable analysis, an association between headache and 30-day mortality was observed (HR 1.51; 95% CI 1.02–2.25, p = 0.042). In stratified analyses, headache was associated with 30-day mortality in ICH (HR 2.09; 95% CI 1.18–3.71, p = 0.011) but not in IS (HR 1.01; 95% CI 0.53–1.92, p = 0.97). Conclusion Headache at stroke onset is associated with a higher risk of early mortality in patients with ICH.

scholarly journals A waste of space? Unbuilt land in the Babylonian cities of the first millennium BC

Iraq ◽  
2009 ◽  
Vol 71 ◽  
pp. 89-98 ◽  
Author(s):  
Heather D. Baker
Keyword(s):  
Physical Properties ◽  
Urban Population ◽  
Population Based ◽  
Living Conditions ◽  
Residential Areas ◽  
Archaeological Evidence ◽  
Urban Living ◽  
First Millennium ◽  
The City

AbstractThis article uses both textual and archaeological evidence to examine the role of unbuilt land in the Babylonian city. Detailed study of such land is vital not only for understanding urban living conditions but also for any attempt to estimate urban population based on density of occupation of residential areas. By classifying and investigating unbuilt land according to its physical properties, modes of use and conditions of ownership, it is possible to reassess its role in the lives of the city-dwellers.

scholarly journals Population-based Cross-sectional Analysis of the Epidemiology of the Surgical Correction of Hyperhidrosis in 1216 Patients over 11 years

2021 ◽  
Author(s):  
Marcelo Fiorelli Alexandrino da Silva ◽  
Andressa Cristina Sposato Louzada ◽  
Marcelo Passos Teivelis ◽  
Nickolas Stabellini ◽  
Dafne Braga Diamante Leiderman ◽  
...  
Keyword(s):  
Intensive Care ◽  
Population Based ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Public Hospitals ◽  
Hospital Death ◽  
São Paulo ◽  
Cross Sectional ◽  
Thoracic Sympathectomy ◽  
The City

AbstractBackgroundEndoscopic thoracic sympathectomy is the definitive surgical treatment for hyperhidrosis, and a nationwide study suggested that it has been performed in a higher rate than which could have been expected due to climate characteristics, comparing to the national statistics.ObjectivesTo study the epidemiology of sympathectomy to treat hyperhidrosis in São Paulo, the largest city in the Southeast.Design and settingpopulation-based cross-sectional study.Methodsdata on sympathectomies to treat hyperhidrosis between 2008 and 2018 were assessed from the database of the Municipal Health Secretary of São Paulo, Brazil.Results65.29% of the patients were female, 66.2% aged between 20 and 39 years and 37.59% had addresses registered outside São Paulo. 1216 procedures were performed in the city of São Paulo from 2008 to 2018, 78.45% of which in only two public hospitals. The number of procedures significantly declined over the years (p = 0.001). 71.63% of the procedures were associated with 2 to 3 days of hospital stay, only 78 intensive care unit days were billed and we did not observe any intra-hospital death.Conclusionssympathectomies for the treatment of HH were widely performed in the city of São Paulo (1216 procedures), mainly in young (20 -39 years) and female patients, with more than one third of the patients having addresses registered outside the city. This is a very safe surgery, with low need for intensive care units and no mortality in our series. There was a decreasing trend in the number of surgeries over the years.

scholarly journals Stroke profile and outcome between urban and rural regions of Northwest India: Data from Ludhiana population-based stroke registry

2017 ◽  
Vol 2 (4) ◽  
pp. 377-384 ◽  
Author(s):  
Paramdeep Kaur ◽  
Shweta J Verma ◽  
Gagandeep Singh ◽  
Rajinder Bansal ◽  
Birinder S Paul ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rural Areas ◽  
Urban Areas ◽  
Multivariable Analysis ◽  
Haemorrhagic Stroke ◽  
Population Based ◽  
Primary Data ◽  
Stroke Patients ◽  
Stroke Registry ◽  
Rural Patients

Introduction The objective of this study is to compare the clinical profile, risk factors, type and outcome of stroke patients in urban and rural areas of Punjab, India. Methods The primary data source was from the Ludhiana urban population-based stroke registry. The data of first-ever stroke patients with age ≥18 years were collected using WHO stepwise approach from all hospitals, general practitioners, physiotherapy and scan centres between 26 March 2011 and 25 March 2013. Results A total of 4989 patients were included and out of 4989 patients, 3469 (69%) were from urban areas. Haemorrhagic stroke was seen more in rural as compared to urban regions (urban 1104 (32%) versus rural 552 (36%); p = 0.01). There were significant differences seen in stroke risk factors; hypertension (urban 1923 (84%) versus rural 926 (89%); p = 0.001) and hyperlipidaemia (urban 397 (18%) versus rural 234 (23%); p = 0.001) between two groups. In the multivariable analysis the rural patients were more likely to be younger (age < 40 years) (OR: 1.82; 95% CI: 1.24–2.68; p = 0.002), Sikhs (OR: 2.57; 95% CI: 1.26–5.22; p = 0.009), farmers (OR: 9.41; 95% CI: 5.36–16.50; p < 0.001), housewives (OR: 2.71; 95% CI: 1.45–5.06; p = 0.002), and consumed alcohol (OR: 1.57; 95% CI: 1.19–2.06; p = 0.001) as compared to urban patients. In addition, use of imaging was higher in rural patients (OR: 1.99; 95% CI: 1.06–3.74; p = 0.03) as compared to urban patients. Discussion and Conclusion In this large cohort of patients, rural and urban differences were seen in risk factors and type of stroke. Stroke prevention strategies need to take into consideration these factors including regional sociocultural practices.

Impact of the urban construction solutions on the safety population

2020 ◽  
Vol 17 (2) ◽  
pp. 66-73
Author(s):  
R. D. Oktyabrskiy
Keyword(s):  
Traffic Congestion ◽  
Urban Population ◽  
Road Network ◽  
Residential Development ◽  
Emergency Situations ◽  
Urban Construction ◽  
Safety Population ◽  
Peace And War ◽  
The City

The article is devoted to the justification of the need to reduce the population density in the residential development of cities. The analysis of vulnerability of the urban population from threats of emergency situations of peace and war time, and also an assessment of provision of the city by a road network is given. Proposals have been formulated to reduce the vulnerability of the urban population in the long term and to eliminate traffic congestion and congestion — jams.

PROBLEMS OF STRAY ANIMALS IN NOVOSIBIRSK

2020 ◽  
Vol 4 (2) ◽  
pp. 85-91
Author(s):  
Elena E. Rinchinova ◽  
Diyara A. Takumova ◽  
Irina I. Bochkareva
Keyword(s):  
Urban Population ◽  
Domestic Animals ◽  
Legal Documents ◽  
Quantitative Indicators ◽  
The City

The article discusses main issues of organizing activities for the treatment of stray and street animals in the city of Novosibirsk. The important role of successful solving the problem of stray animals in ensuring environmental comfort and safety of the urban population is noted. Definitions of the concepts “stray animals” and “street animals” are given, the differences between them are emphasized. The main regulatory and legal documents governing the handling of stray and street animals are listed. The ways in which domestic animals get into a stray state are described briefly. The results of the collection and analysis of information on the activities of shelters for stray animals in Novosibirsk are described. The information on the quantitative indicators of the shelters are given. Conclusions on how to solve the problem of stray animals, relying on the latest regulations are drawn.

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