ABSTRACT
Diet-related sources of ill health, including Fe-deficiency anaemia, are prevalent in the local South Asian population. This population also has a high prevalence of low-birth-weight babies. A need for preventative measures that take a holistic view to dietary change was identified in a South Asian community in Southampton, UK. A peer-led approach was used, training and developing a local workforce to become community food assistants. This workforce, drawn from local black and minority ethnic communities, ran practical 'hands-on' culturally-appropriate food-related activities within their communities that were successful in achieving long-term change in the diets of local women and their families. This model has the potential for achieving sustained behaviour change and is able to engage key target groups that can often be difficult to reach through more traditional routes.
Subject(s)
Diet , Health Education/methods , Health Promotion , Poverty , Women's Health , Adolescent , Adult , Aged , Anemia, Iron-Deficiency/epidemiology , Anemia, Iron-Deficiency/prevention & control , Asia/ethnology , Community Health Services , Community Networks , Cooking , Ethnicity , Female , Humans , Infant, Low Birth Weight , Infant, Newborn , Male , Middle Aged , Nutritional Physiological Phenomena , United Kingdom/epidemiologyABSTRACT
BACKGROUND: Primary health care workers have reported an impression that asthma is commoner among Asian than European children, and a cross sectional survey was designed to compare the prevalence in Asian and European children. METHODS: The survey was carried out in children aged 7-11 in eight primary schools in Southampton. Four schools contained predominantly children of European ancestry, two contained predominantly Asian children, and two contained a mixture of ethnic groups. Data were collected by means of parent completed questionnaire on recent asthma symptoms, diagnosis, morbidity, and treatment from 759 European and 274 Asian children. RESULTS: The prevalence of reported wheeze in the previous 12 months was higher among European (19.6%) than Asian children (11.9%), as was the prevalence of a night cough (European 64.2%, Asian 42.3%). Although the prevalence of diagnosed asthma was higher in European (12%) than Asian (6.2%) children, a slightly higher proportion of Asian than European children with current wheeze had visited their doctor (European 66.9%, Asian 78.1%, not significant) or been admitted to hospital for wheezing (European 4.8%, Asian 6.5%) in the previous 12 months. CONCLUSIONS: This study failed to demonstrate a higher prevalence of asthma among Asian than European children in Southampton.
Subject(s)
Asthma/ethnology , Asia/ethnology , Asthma/therapy , Child , England/epidemiology , Europe/ethnology , Female , Humans , Male , Prevalence , Respiratory Sounds , Socioeconomic FactorsABSTRACT
Left ventricular mural thrombi are a common complication of myocardial infarction, but right-sided mural thrombi have been reported only in blunt chest trauma, right ventricular catheterization, and pacemaker insertion. We describe a patient with AMI and subsequent right ventricular mural thrombi and ultimately pulmonary emboli. We believe a prospective study should be conducted first to evaluate the MI as a cause of right-sided mural thrombi and second to assess the right ventricle as a source of pulmonary emboli.
