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Heart disease in the developing world is mainly due to nonischemic causes-hypertensive heart disease, valvular and myocardial damage from rheumatic fever, and heart muscle diseases caused by certain infectious agents, for example, cardiomyopathy from HIV infection. Peripartum cardiomyopathy is also a well-recognized cause of heart disease in developing countries. However, there is evidence of epidemiological transition toward the increasing prevalence of atherosclerotic cardiovascular disease in Sub-Saharan Africa largely because of the increasing prevalence of traditional risk factors, such as hypertension, diabetes mellitus, dyslipidemia, obesity, and cigarette smoking.
The aim of this study was to determine the pattern of heart diseases among patients undergoing transthoracic echocardiographic evaluation between February 2012 and February 2017 at the Cardiology Unit of the Department of Medicine, Federal Teaching Hospital, Gombe, Gombe State.
Echocardiographic data of patients from February 2012 to Fs, although rare in certain regions of Nigeria, are quite common in Northeast Nigeria.
Hypertension is a global cause of significant morbidity, ranking top as a cause of increased disability-adjusted life years. Patients who do not take their prescribed medication show almost a fourfold increase in the risk of dying from stroke by the second year after being prescribed treatment and a nearly threefold increased risk in the 10
year when compared to patients who take their prescribed medication. Medication adherence is a key factor in the control of high blood pressure.
The objective of the study was to assess the antihypertensive medication adherence rate of patients attending the outpatient clinics at the University of Uyo Teaching Hospital (UUTH) and to explore factors that affect their adherence to the medications.
This was a descriptive cross-sectional study of adult hypertensive patients attending the outpatient clinics at UUTH, from May to July 2018, who had been placed on antihypertensive medication(s) for at least 6 months. A standardized Morisky Medication Adherence 8 Questionna should pay more attention to their patient's drug adherence, educate them on medication adherence, and get them involved in their care.
With improved understanding of disease mechanism in sickle cell disorder, many persons living with sickle cell disease (SCD) are surviving unto adulthood. There is a growing concern that SCD may impair the psychosocial health-related quality of life (HRQoL), with a resultant lack of psychosocial stability and integration. The objective of this study was to assess the determinants of psychosocial quality of life (QoL) among adults with SCD.
This was a cross-sectional study of adults with SCD. A multidimensional self-administered instrument, prevalidated for use in adults with chronic disease, was used. It consisted of 31 items that assessed physical function, physical and emotional role function, bodily pain, vitality, social function, mental health, and general health within 2 weeks prior to the time of survey. Questionnaires were administered to adults with sickle cell anemia who presented for their routine visit to the Sickle Cell Clinic at the Hematology Clinic in University of Nigeria Teaching Hospital, Ituku-Ozalla Enugu, or during sickle cell support group meetings. Psychosocial HRQoL was the primary outcome measured. Sociodemographic features such as marital status, gender, educational qualification, and SCD were the primary independent variables of interest.
A total of I16 adults with SCD were participated in the study. After adjusting for marital status, gender, and educational qualification of adults with SCD, gender and marital status did not significantly affect psychosocial HRQoL (
= 0.619 and
= 0.146), respectively, while educational status significantly affected their HRQoL (
= 0.013).
Adults with SCD have impaired psychosocial HRQoL. There is a need to upscale patient-focused interventions to improve self-esteem and overall QoL.
Adults with SCD have impaired psychosocial HRQoL. There is a need to upscale patient-focused interventions to improve self-esteem and overall QoL.Coronavirus-19 pandemic has impacted significantly on global social, economic, financial, and health institutions. Otolaryngologic (ORL) practice has also been affected by the scourge with the need for modification of practice. The risks of contracting COVID-19 with the regular "patient-doctor physical contact" method of management of cases in ORL practice are high, given the routine examination of nose and throat. The desirability of telemedicine in the handling of most patients is appealing despite the limitations in the technology, especially in the developing countries like Africa. Therefore, otorhinolaryngologists in Sub-Saharan Africa, within limits of applicability, should leverage on telemedicine in their clinical practice during this COVID-19 pandemic and beyond. see more COVID-19, being a disease of second chance, has provided us with the opportunity to harness this technologically driven method of supportive care in our clime.Hygroscopic growth models are currently of interest as aids for targeting the deposition of inhaled drug particles in preferred areas of the lung that will maximize their pharmaceutical effect. Mathematical models derived to estimate hygroscopic growth over time have been previously developed but have not been thoroughly validated. For this study, model validation involved a comparison of modeled values to measured values when the growing droplet had reached equilibrium. A second validation process utilized a novel system to measure the growth of a droplet on a microscope coverslip relative to modeled values when the droplet is undergoing the initial rapid growth phase. Various methods currently used to estimate the water activity of the growing droplet, which influences the droplet growth rate, were also compared. Results indicated that a form of the hygroscopic growth model that utilizes coupled-differential equations to estimate droplet diameter and temperature over time was valid throughout droplet growth until it reached its equilibrium size. Accuracy was enhanced with the use of a polynomial expression to estimate water activity relative to the use of a simplified estimate of water activity based on Raoult's Law. Model accuracy was also improved when constraining the film of salt solution surrounding the dissolving salt core at saturation.This study examines the effects of message framing and information presentation on tourists' carbon offsetting behaviors within the theoretical framework of heuristic-systematic processing. The interactive effects of message framing and information presentation are assessed on both static and dynamic outcome variables employing a mixed between-within group methodology utilizing two sets of data through a longitudinal 2 × 2 × 2 experimental design. The results reveal that a gain-framed messaging combined with objective climate change information and objective carbon offsetting information results in significantly more positive impacts on changes in purchase intention of carbon offsetting products and increases willingness to pay for carbon offsetting. Conversely, the combination of loss-framed messages and subjective information presentation are shown not only to be ineffective in increasing carbon offsetting behavior but results in declines in tourists' purchase intention of carbon offsetting products and willingness to pay for carbon offsetting.Concern for the psychological health of people affected by the COVID-19 pandemic is necessary. Previous studies suggested that self-compassion contributes to life-satisfaction. However, little is known about the mechanism underlying this relation. This study investigated the relationship between self-compassion and life-satisfaction among Chinese self-quarantined residents during the COVID-19 pandemic. Furthermore, we examined the mediating effect of positive coping and the moderating role of gender in this relation. Participants consist of 337 self-quarantined residents (129 men, 208 women) from a community in China, who completed measures of demographic information, Self-Compassion Scale, Satisfaction with Life Scale, and Simplified Coping Style Questionnaire. The results revealed that self-compassion was positively linked with life-satisfaction. Moreover, positive coping partially mediated the relationship between self-compassion and life-satisfaction for males and not females. In the female group, self-compassion was positively linked with positive coping and life-satisfaction; however, positive coping and life-satisfaction were not significantly linked. These findings indicated that intervention focus on self-compassion could increase life-satisfaction in self-quarantined people during the COVID-19, and self-compassion may contribute to life-satisfaction via positive coping only in the male.Prior research has shown that routines and beneficial habits largely explain high self-control people's success at goal pursuit. However, COVID-19 self-quarantine measures and country-level lockdowns have largely challenged people's ability to stick to their daily routines and habits. How successful at goal pursuit are people with high self-control when the world around them is not as it used to be? We examined if self-control passes the 'quarantine test'. In an online study (N = 271), we measured trait self-control, goal progress, continued engagement in pre-pandemic goal-directed behaviors, development of new goal-directed behaviors and turning these new behaviors into habits. Results showed that during lockdown, people with higher (vs. lower) trait self-control were not only more likely to continue engaging in pre-pandemic goal-directed behaviors, but also found it easier to develop new goal-directed behaviors and were more likely to turn these behaviors into habits. High self-control people's ability to continue performing pre-pandemic goal-directed behaviors and to turn new behaviors into habits explained their success at goal attainment despite the major disruptions caused by the pandemic.The current study examined the size and connectedness of egocentric Facebook networks as predictors of exposure to risky content among a sample of maltreated and comparison youth (n=118). Social network measures (i.e., size, density, average degree, percent of isolates) were computed from the mutual friend list. A content analysis of posts by friends captured references to alcohol use, marijuana use, partying, and sexual content. Multiple-group path models showed that the larger size of the Facebook network and higher average degree predicted references to marijuana use only for comparison youth, whereas for maltreated youth a higher percent of isolates predicted more references to sexual content by Facebook friends. Structural measures of online networks may have potential utility for identifying those at risk.With outbreak of the novel coronavirus disease (COVID-19), immediate prevention and control actions were imposed in China. Here, we conducted a timely investigation on the changes of air quality, associated health burden and economic loss during the COVID-19 pandemic (January 1 to May 2, 2020). We found an overall improvement of air quality by analyzing data from 31 provincial cities, due to varying degrees of NO2, PM2.5, PM10 and CO reductions outweighing the significant O3 increase. Such improvement corresponds to a total avoided premature mortality of 9410 (7273-11,144) in the 31 cities by comparing the health burdens between 2019 and 2020. NO2 reduction was the largest contributor (55%) to this health benefit, far exceeding PM2.5 (10.9%) and PM10 (23.9%). O3 instead was the only negative factor among six pollutants. The period with the largest daily avoided deaths was rather not the period with strict lockdown but that during February 25 to March 31, due to largest reduction of NO2 and smallest increase of O3.
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