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1.
Mater Sociomed ; 26(2): 109-11, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24944534

RESUMO

INTRODUCTION: Hypertension (high blood pressure) is one of the most widely spread diseases of our time and one of the leading risk factors for heart and vascular diseases, particularly stroke and coronary heart disease. According to the World Health Organization (WHO) cardiovascular diseases are the leading cause of death in the world of who dies each year about 17 million persons, of which 5 million in Europe. The World Health Organization estimates based on monitoring of demographic trends, trends in mortality and morbidity as economic models, further growth of cardiovascular diseases, especially in developing countries. GOAL: Correlate the success of antihypertensive therapy and provoking factors, and to determine the degree of satisfaction with the effect of antihypertensive therapy of the patient. MATERIAL AND METHODS: The study was conducted at the Primary Health Care Center Stari Grad - Sarajevo. Conducted is study that included 80 patients. Data for this study were collected by a questionnaire. The questionnaire was completed by the examiner using interviews with patients and their relatives (parents, guardians).After sorting, control and grouping the data were imported into the statistical software package SPSS 20.0, where after defining variables was performed statistical analysis. RESULTS: The average age of male respondents was 60.80±13.03 and 63.50 ± 7.48 years of female respondents. The average value of systolic blood pressure amounted to 148mmHg (130-180), while the average value of diastolic blood pressure was 88.75mmHg (70-120). Student's t test showed that the average value of systolic pressure was statistically significantly different from the reference value (t=2.387, DF=19, p=0.028), and also the average values of diastolic blood pressure were statistically significantly different compared to baseline (p=3.561, DF=19, p=0.002). Of the total number of subjects included in this study good blood pressure control had 58 participants, and the average value of systolic blood pressure was 122mmHg and diastolic 74mmHg. With poor regulation of blood pressure were 22 patients, with average values of systolic pressure of 155.5mmHg and diastolic 92 mmHg. The most common additional factor influencing the increase in blood pressure of patients surveyed was stress is 65 % (n=52), followed by heat 20% (n=16), and salty foods was a provoking factor in 15% (n=12) subjects. By analyzing the frequency of controlling blood pressure has been determined that respondents on average control blood pressure once a week, and control frequency is in range from daily to monthly. The average value of the blood pressure of subjects who regularly used antihypertensive therapy amounted to 125/69 mmHg, while the respondents who did not regularly use the antihypertensive therapy that value was 157/96 mmHg.

2.
Mater Sociomed ; 25(3): 210-2, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24167439

RESUMO

INTRODUCTION: Hypertension (high blood pressure) is one of the most widely spread modern diseases and one of the leading risk factors for heart and blood vessel diseases, particularly stroke and coronary heart disease. The prevalence of hypertension is about 25% in adults. Many studies show that blood pressure tends to have lower values among people with higher education levels. GOAL: To determine the frequency of measurement and control of blood pressure in relation to the level of education of the active working population of the Sarajevo Canton. MATERIAL AND METHODS: The study was conducted on 443 subjects randomly selected from the categories of the active working population of the Sarajevo Canton. The study was conducted at the Center for Heart, Clinical Center University of Sarajevo University through the project "Prevention of risk factors for cardiovascular disease in the active working population of the Sarajevo Canton". Respondents were at age in range from 18-65 years, who have voluntarily joined the study. RESULTS: Of 443 (100%) of the respondents 153 (34.5%) were males compared to females whose participation in the sample was 290 (65.5%). Regarding the structure of respondents, the majority of them 213 (48.1%) graduated faculty, 142 (32, 1%) graduated secondary vocational schools and 66 (14.9%) with a higher degree, with the lowest number with completed grammar school (1.4%) and secondary school (0.5%). Blood pressure never measure 16 (3.6%) of respondents, which is not insignificant number, more than 5 years ago 23 (5.2%), within last 1-5 years 90 (20.3%), in the past 12 months 88 (19.9% ) and 226 (51%) measured the blood pressure in the past 6 months. Blood pressure never controlled 4.33% of respondents with secondary or higher education and 2.82% of the respondents with university education. Chi-square test showed a difference between education and the prevalence of blood pressure, χ2=7.812; DF=8; p=0.045. CONCLUSION: Monitoring of blood pressure and frequent measurement can in large number prevent progression of hypertension, which can often remain unnoticed if the blood pressure is not measured regularly. Lower levels of education may be associated with lower socioeconomic status of healthy subjects, as well as the low level of health education, which may be factors that contribute to improper diet, lack of physical activity, smoking, so indirectly affect the occurrence of the disease. Education can be a potential risk factor for high blood pressure during their lifetime and thus the risk factor for other cardiovascular diseases.

3.
Med Arch ; 67(4): 286-8, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24520756

RESUMO

INTRODUCTION: Premature baby (praematurus, neonatus praetemporarius) indicates infant that is born before 37 full weeks of gestation, calculated from the first day of the last mother's menstruation. Premature baby is characterized by immaturity of its organs and tissues, which can lead to an immediate or later threat. Premature children cannot keep the body temperature and very quickly gets hypothermia. This is due to the low creation of heat, but also because of the great loss of heat through the thin skin, which lacks fat. Nervous system in premature children is immature, and therefore has little control on breathing and often "forget to breathe". Also, they have underdeveloped reflexes, among other the feeding reflex. GOAL: The main goal of the research was to show the incidence of hospitalization in premature infants during examined period, the most common complications and to show the degree of matureness. Also, during the research are presented and the frequency of premature born infant mortality. MATERIAL AND METHODS: The study included a period of 6 months and was conducted at the Pediatric Clinic, Clinical Center University of Sarajevo. The clinical study included 81 premature newborns, which in the period from June 1, 2012 to December 31, 2012 hospitalized at the Department of Neonatal Intensive Care Unit. On the basis of data from the history of the disease, were analyzed all newborns, gestation age, diagnosis for which they were hospitalized and flow with existing complications during treatment and recovery. RESULTS: In the second half of the 2012 at the Pediatric Clinic CCUS was hospitalized 81 premature born children. Gestational age ranged from 27 to 37 weeks and the body weight from 810 to 2500g. These children generally had respiratory problems during hospitalization and in nearly 1/3 of premature infants developed respiratory distress syndrome. In the study period there were 15 deaths in children whose average gestational age was 27 weeks and the body weight of 1050 grams. CONCLUSION: The incidence of premature infants and their mortality and morbidity has an important role in the provision of information needed to improve the health of pregnant women, mothers and newborns. It is also an important indicator of concern for the health of the mother and the quality of gynecological and pediatric care. Adequate approach to antenatal care and a high degree of frequency of neonatal care the premature delivery can be reduced and premature mortality minimized.


Assuntos
Peso ao Nascer , Mortalidade Infantil , Nascimento Prematuro/mortalidade , Síndrome do Desconforto Respiratório do Recém-Nascido/epidemiologia , Bósnia e Herzegóvina/epidemiologia , Feminino , Idade Gestacional , Hospitalização/estatística & dados numéricos , Humanos , Incidência , Lactente , Recém-Nascido , Masculino
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