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Jacobien C. Verhave Stéphan Troyanov Frédéric Mongeau Lorraine Fradette Josée Bouchard Philip Awadalla Fran?ois Madore 《Clinical journal of the American Society of Nephrology》2014,9(4):713-719
Background and objectives
It is uncertain how many patients with CKD and cardiovascular risk factors in publicly funded universal health care systems are aware of their disease and how to achieve their treatment targets.Design, setting, participants, & measurements
The CARTaGENE study evaluated BP, lipid, and diabetes profiles as well as corresponding treatments in 20,004 random individuals between 40 and 69 years of age. Participants had free access to health care and were recruited from four regions within the province of Quebec, Canada in 2009 and 2010.Results
CKD (Chronic Kidney Disease Epidemiology Collaboration equation; <60 ml/min per 1.73 m2) was present in 4.0% of the respondents, and hypertension, diabetes, and hypercholesterolemia were reported by 25%, 7.4%, and 28% of participants, respectively. Self-awareness was low: 8% for CKD, 73% for diabetes, and 45% for hypercholesterolemia. Overall, 31% of patients with hypertension did not meet BP goals, and many received fewer antihypertensive drugs than appropriately controlled individuals; 41% of patients with diabetes failed to meet treatment targets. Among those patients with a moderate or high Framingham risk score, 53% of patients had LDL levels above the recommended levels, and many patients were not receiving a statin. Physician checkups were not associated with greater awareness but did increase the achievement of targets.Conclusion
In this population with access to publicly funded health care, CKD and cardiovascular risk factors are common, and self-awareness of these conditions is low. Recommended targets were frequently not achieved, and treatments were less intensive in those patients who failed to reach goals. New strategies to enhance public awareness and reach guideline targets should be developed. 相似文献3.
4.
J.C. Oosthuizen R.R. Ramli O.M. Aworanti S. Awadalla T.P. O’Dwyer 《International journal of pediatric otorhinolaryngology》2014
Esophageal atresia and tracheo-esophageal fistula (TEF) occur in 1/2400–4500 births. Whilst the diagnosis of esophageal atresia is readily made shortly after birth, patients with an isolated H type TEF can present with varying degrees of symptomatology which can pose a diagnostic challenge. A combination of contrast esophagogram and endoscopic evaluastion is the most commonly employed localization strategy. Despite accurate pre-operative localization, intra-operative identification of the TEF can prove substantially more challenging. The authors of this report describe a novel approach in the management of a proximal TEF, which allows direct visualization and cannulation via a trans-cervical, trans-tracheal approach. 相似文献
5.
Abid R Assali Ali Moustapha Stefano Sdringola Joseph Salloum Hany Awadalla Sangeeta Saikia Mohammad Ghani Susan Hale G Schroth Oscar Rosales H Vernon Anderson Richard W Smalling 《Catheterization and cardiovascular interventions》2003,59(2):195-199
Elderly patients are increasingly referred to percutaneous coronary interventions (PCIs). Recent reports suggest complications rates are declining in the elderly. We sought to determine whether procedural and in-hospital outcomes are different in patients aged > or = 75 years undergoing nonemergent PCI as compared to patients age < 75 years. The outcome of 266 consecutive patients age > or = 75 years undergoing nonemergent PCI was compared to that of 1,681 consecutive patients age < 75 years. Compared with younger patients, greater proportions of elderly patients were women and had a history of hypertension, peripheral vascular disease, and cerebral vascular events. Elderly patients had more extensive coronary involvement. Procedural success was similar in both groups (94%). The in-hospital cardiac death rate was significantly higher in the elderly patients (2.3% vs. 0.7%; P = 0.03). Aged patients also had a significantly higher incidence of vascular and bleeding complications. Blood transfusion was required more often in the elderly group (4.5% vs. 2.6%; P = 0.07). The hospitalization length was significantly higher in the elderly group (4.1 +/- 6.0 vs. 2.5 +/- 4.3 day; P = 0.0004). By multivariate logistic regression (adjusted for baseline clinical and angiographic variables), age > or = 75 years was found to be an independent predictor of in-hospital cardiac death (odds ratio = 3.9; 95% CI = 1.3-11.5; P = 0.015). Although PCI is technically successful in patients aged > or = 75 years; it is associated with more acute cardiac and vascular complications and higher in-hospital cardiac mortality. 相似文献
6.
Heitham Awadalla Sufian K. Noor Wadie M. Elmadhoun Sarra O. Bushara Ahmed O. Almobarak Amel Abdalrhim Sulaiman Mohamed H. Ahmed 《Diabetes & Metabolic Syndrome: Clinical Research & Reviews》2018,12(6):961-964
Background
Diabetes mellitus (DM) is a major health problem in Sudan and is a leading cause of morbidity and mortality. Dyslipidemia is a major complication of diabetes and an important risk factor for cardiovascular disease (CVD). The objective of this study was to determine the prevalence of dyslipidemia and its co-relation with the glycemic control in individuals with diabetes in River Nile State, Sudan.Methods
Individuals with diabetes attended, Naserudin Karamalla Diabetic (NKDM) Centre, in Atbara teaching hospital during study period, who volunteered to participate were included. Only those on treatment for DM for at least one year were included. Venous samples were collected for cholesterol, triglycerides, HDL, LDL, blood glucose and Glycosylated hemoglobin. Participants were interviewed using standardized pretested questionnaire to record medical history and sociodemographic characteristics. Blood pressure, body mass index (BMI) and waist circumference were measured.Results
A total of 188 individuals were included. The mean age was 49.5?+?13.9 and (128) 68.1% were females. Most patients were having DM for at least 3–5 years 69 (36.7%). Poor diabetes control (HbA1c >7) was recorded in 87.2%, hypercholesterolemia, hypertriglyceridemia and high LDL were identified in 36.6%, 27.7% and 26.6% respectively. In addition, HDL was low in 61.2% of patients.Conclusion
Low HDL is a prominent feature in two thirds of individuals with diabetes, while high cholesterol and high triglyceride were seen in over one quarter. 相似文献7.
8.
Henry Marshall Sean Mullany Ayub Qassim Owen Siggs Mark Hassall Bronwyn Ridge Thi Nguyen Mona Awadalla Nicholas H. Andrew Paul R. Healey Ashish Agar Anna Galanopoulos Alex W. Hewitt Stuart MacGregor Stuart L. Graham Richard Mills Angela Shulz John Landers Jamie E. Craig 《Ophthalmology》2021,128(1):58-69
9.
Murphy Rachel A. Darvishian Maryam Qi Jia Chen Yixian Chu Quincy Vena Jennifer Dummer Trevor J. B. Le Nhu Sweeney Ellen DeClercq Vanessa Grandy Scott A. Keats Melanie R. Cui Yunsong Awadalla Philip Brenner Darren R. Bhatti Parveen 《Cancer causes & control : CCC》2022,33(6):913-918
Cancer Causes & Control - Although smoking is the primary risk factor for lung cancer, 15–25% of lung cancers occur in never smokers. Emerging evidence suggests lifestyle factors are... 相似文献
10.
Murphy Rachel A. Darvishian Maryam Qi Jia Chen Yixian Chu Quincy Vena Jennifer Dummer Trevor J. B. Le Nhu Sweeney Ellen DeClercq Vanessa Grandy Scott A. Keats Melanie R. Cui Yunsong Awadalla Philip Brenner Darren R. Bhatti Parveen 《Cancer causes & control : CCC》2022,33(6):919-919
Cancer Causes & Control - 相似文献