2 research outputs found
Risk Factors of High Blood Pressure in Older South Africans
High blood pressure (HBP) is a worldwide concern in many countries (Keamey, et al., 2005). HBP is likely to be higher in underdeveloped countries, specifically in Africa (Addo, Smeeth, & Leon, 2007; Kearney, et al.,2005; World Health Organization [WHO], 2015). The prevalence of HBP in South Africa is 21%, which is about 6 million individuals (Steyn, Gaziano, Bradshaw, Laubscher, & Fourier, 2001). The purpose of the study is to examine the predictive factors of HBP among older adults in South Africa. This cross-sectional study used secondary data from the World Health Organization (WHO & Phaswana-Mafaya, 2008). The total number of participants included in this sample was 2,145 adults age 60 and over, of which females comprise 59%. The average age was 69.50 years (SD= 7.63). The prevalence of reporting HBP among respondents was 37%. The multivariate analysis shows that, when other factors are controlled, being female, having a larger waist circumference, having a diagnosis of diabetes and depression, and urban residence significantly predicted HBP among older South Africans. When comparing men and women, the results of the logistic regression shows that the decrease of odds of having HBP among men who have diabetes and depression is less than the decrease of odds of having HBP among women who have diabetes and depression. These findings indicate that the risk factors, diabetes and depression, have a bigger effect on females compared to males. The results of the study will help to implement primary HBP prevention targeting South African older adult females who have been diagnosed with diabetes, depression, and who live in urban areas
Epidemiological, clinical and therapeutic aspects of chronic lymphoid hemopathies observed at the National Reference University Hospital Center (CHU- RN) of N'Djamena
Aim. This study aimed to determine the epidemiological, clinical, therapeutic profile of
chronic lymphoid hemopathies (CLH) and the viral factors linked to the genesis of HLCs at
the CHU-RN of Ndjamena in Chad. Methods. A descriptive cross-sectional study over two
and a half years, from October 2017 to March 2020 at the Hematology Unit of the National
Reference University Hospital Center (CHU-RN) of Ndjamena. Were included patients in
whom the diagnosis of chronic lymphoid hemopathy had been made. Results. Ninety-eight
(98) cases of hematological malignancies were recorded out of 531 hematological
consultations including 66 (12.43%) CLH and 67.35% of hematological malignancies with an
annual incidence of 26.4 cases. Chronic lymphocytic leukemia (CLL) was 56.06% (n=37)
followed by 25.76% (n=17) Malignant non-Hodgkin's lymphoma, 15.15% (n=10) Hodgkin's
lymphoma and 3.03 % (n=2) cutaneous lymphoma. A male predominance was observed for
all types of CLH. The most represented age groups were those of 51 to 60 years for CLL and
11 to 20 years for lymphomas. Conclusion: This study made it possible to have a better
epidemiological knowledge and the viral factors related to the genesis of CLH at the CHU-
RN of Ndjamena. It revealed difficulties in biological diagnosis and management, in
particular the initiation of chemotherapy
