Hypertension Associated with Atherosclerosis Risk Factors in Patients of Family Health Strategy Highlighting the Framingham Risk Score

The Systemic Arterial Hypertension (SAH) stands out among the chronic non-transmissible pathologies that impact the cause and/or aggravation of cardiovascular diseases (CVD) on a global level, as the disease is an underestimated disorder due to non-perceptive symptoms and associated with factors and risk markers of another CVD. Therefore, establishing the risk of progression and aggravation of the SAH, according the Framingham Risk Score (FRS), allows to reducing morbidity and improving preventative measures for DCVs. This observational and transversal study approaches the data collection of patient records at the Health Family Strategy of Senhor do Bonfim, BA, which established differences by descriptive and inferential statistical analysis (correlation and regression). The aspects of hypertension associated with risk factors for atherosclerosis were analyzed, determining the risk of developing cardiovascular events in 10 years by FRS. From 432 families, 746 patients were selected, of which 340 are hypertensive individuals (SAH = 45.57%) and 406 (NSAH = 54.42%) non-hypertensives. Among the SAH the majority (31.17%) was in the age range of 63 - 77, but, in both groups, women were in stronger number. There was greater prevalence in SAH for all the characteristics analyzed, smoking (13.20%), sedentary (29.41%) and cardiovascular accident (22.60%). The SAH group is more susceptive to the CVD progress in 10 years by FRS (P < 0.0001 ANOVA). In the NSAH group, there were significant associations among all the variables analyzed as was expected, without differences between the linear correlation and regression, indicating the physio-metabolic equilibrium of the factors and markers evaluated by FRS. Already in SAH group, despite the correlations have been significant too, the regression analysis revealed that only Total Cholesterol (P = 0.0086);LDL (P < 0.0001), Glucose (P < 0.0006) and Age (P < 0.0001) have significative association with FRS. So, these factors and markers deserve more attention upon the health staff of Health Family Strategy, in the SAH course at studied population, attempt the highest cardiovascular risk by FRS (2.5 to 2.8 times) to SAH. The monitoring of high-risk patients should prioritize the lifestyle changes, employing preventive measures to SAH and CVD and atherosclerosis.

Study on Environmental Health Strategy after Earthquake

The first task in prevention of diseases after an earthquake is to quickly provide an adequate source of safe drinking water.Otherwise,the incidence of infectious intestinal diseases in the disaster area residents will increase rapidly.Additional health measures,such as disinfecting drinking water,protecting the water source,and treating disaster area residents,must be taken at the same time.The sensory test of meat is a useful index of meat decomposition levels.Corpse alkali is a kind of toxic chemical,and personal protective measures must be taken in handling corpses.In general,all of these measures are important not only for achieving the goal of“no severe epidemic after strong earthquake disaster”in the affected areas,but also for enriching knowledge of disaster medicine.1989 Academic Press.Inc.

How to improve the COVID-19 health education strategy in impoverished regions:a pilot study

Background:It is of great challenge to raise the public coronavirus disease 2019(COVID-19)related health literacy(CRHL)in impoverished regions due to the limits of poor infrastructure,large proportion of vulnerable groups,etc.However,those limits cannot be solved in the short term.Therefore,this study chose Liangshan Yi Autonomous Prefecture,one of the poorest areas in China,as a pilot,to reveal the quantitative relationships among diferent dimensions under the COVID-19 health education framework,clarify the key points for health promotion,and provide specifc suggestions for COVID-19 health education strategy in impoverished regions.Methods:A cross-sectional questionnaire survey was conducted in fve regions of Liangshan Yi Autonomous Prefecture in 2020.There were 2,100 individuals sampled by multi-stage method.This survey mainly measured the four dimensions:CRHL,COVID-19 related tense psychological reactions(CRTPR),COVID-19 related information report acquisition(CRIRA),and general health literacy(GHL).The multivariate logistic regression was used to explore the infuence of demographic characteristics on each dimension.Furthermore,to quantify the relationships among different dimensions,this study employed the structural equation model(SEM),and analyzed the mediating efects of CRHL and CRIRA as well as the moderating efects of regional characteristic variables.Results:The CRHL played an important role in promoting COVID-19 health education,reaching 52.5%in Liangshan Yi Autonomous Prefecture.The GHL(β=0.336)and age(β=0.136)had statistically positive impacts on CRHL.The CRHL afected CRTPR negatively(β=−0.198)and CRIRA positively(β=0.052).The CRHL played signifcant mediating roles among the four dimensions(P<0.05).Efectiveness of government prevention and control as well as the ethnicity moderated not only the relationships between CRHL and other dimensions,but also the mediating efect of CRHL(P<0.05).People with lower income and education levels had lower GHL(β=0.286,1.292).The youth were more likely to show CRTPR(β=−0.080).Conclusions:By proposing and verifying the theoretical framework,this study put forward specifc suggestions on how to improve COVID-19 health education strategies in impoverished regions via implementation methods,key groups and efect evaluation,which also provided references about future public health emergencies for other impoverished regions of the world.