Screening Test For Hypertension Research Articles

Steps towards Universal Health Coverage through Health and Wellness Center under Ayushman Bharat Programme Delivering Comprehensive Primary Health Care in Bhandara District

Background: In 2018-19 as recommended by National Health Policy an Ambitious health care scheme as Ayushman Bharat programme was started by Government of India steps toward the Universal health coverage. Ayushman Bharat is also known as Healthy India having two major component. Creation of Health and Wellness Centres and Pradhan Mantri Jan Arogya Yojana (PM-JAY). Comprehensive primary health care services will be delivered up gradation of existing health facility in various 10 core area and 13 different types of health services will be delivered at HWC health facility.
 Progress in Health and Wellness under Ayushman Bharat Programme: First HWC was inaugurated by GOI in state of Chhattisgarh within Bijapur district at jangla village of Bhairamgarh Taluka on On 18th April 2018. Till 06th Feb 2021 total 58961 Health and wellness cneters are operational in India and In Maharashtra total 8423 Health and wellness cneters are operational where in Bhandara district total 177 Health and wellness cneters are operational which include 143 SHC Health and wellness center, 33 PHC Health and wellness center and 1 UPHC Health and wellness center.
 Achievements in Health and Wellness Center: In Bhandara district 98% of Medical Officer, 90% of Staff Nurse, 93% of MPW Female, 88% of MPW Male and 99% of ASHA trained NPCDCS Programme. Where 10,69,219 screening test for Hypertension and 10,81,901 screening test for Diabetes conducted in HWC health facility. Total 4097 Yoga sessions conducted at HWC health facility.
 Conclusion: 13 different types of health services which are delivered at Health and Wellness Centres health facility under Ayushman Bharat is step towards the Unvarsal health coverage provision in rural area of bhandara district.

Examining Stress and Corresponding Health Indicators on Safety for Commercial Drivers in Abuja, Nigeria

Background: Chronic stress can contribute to poor health (including cardiovascular health), and vice versa. Both can impact job performance, which in the case of CMVDs impacts public safety. Objective: This study examines causal and correlative relationships between self-reported stress level, cardiovascular health, and safety for commercial motor vehicle drivers (CMVDs) in Abuja, Nigeria. Methods: A cross sectional study was conducted among 509 CMVDs in Abuja, Nigeria. Various lifestyle habits, working conditions and demographic factors were considered. Treatment rates among hypertensives were also measured. Multivariate models (logistic multivariate regression) and univariate relative risks were computed. Results: Higher self-reported stress was associated with tobacco use, high alcohol consumption, and lower weight. Prevalence of mid- to high-stress was 28% (140/509). Increased hypertension risk was associated with elevated pulse rate, higher pulse rate, higher alcohol consumption (for CMVDs over 40) and higher weight (for drivers under 40). Overall prevalence of hypertension was 39% (198/507), with 26% (63/246) for drivers under 40 and 47% (124/261) for drivers over 40. Screening tests for hypertension are common (234/260 or 90% for drivers over 40), but less than half (46%, or 74/158) of previously-tested hypertensive drivers had tested positive. Out of all drivers who had previously tested positive, 65% (68/104) were receiving treatment. No significant factor correlations with accident frequency were discovered.

Cold Pressor Response in First M.B.B.S Students a Month Before Send-Up Examinations

Psychological stressors like examinations lead to stimulation of autonomic nervous system resulting in effects in heart, blood pressure, respiratory rate etc. Cold pressor test (CPT) is a validated test for sympathetic activity. The objective of the study was to study the sympathetic activity using CPT, 5 months prior and 1 month prior to send- up examination in first professional MBBS students. 90 first professional MBBS students (55 females, 35 males) in the age group of 18-22 years were subjected to CPT at two instances, 5 months before and 1 month before their send-up examinations. The collected data was statistically analysed. In male as well as female students, resting systolic blood pressure (SBP) and diastolic blood pressure (DBP) did not show significant change both 5 months and 1 months prior to examinations. The value of both SBP and DBP after CPT in males showed a highly significant increase but while comparing the two time periods, the increase was not significant. The value of SBP and DBP in females increased significantly after CPT in both instances and while comparing the values, i.e, 5 months prior and 1 month prior to examinations, the increase was highly significant. There does occur increase in sympathetic activity in students who were to appear in their send up examination consequent to the psychological stress faced by them. This change was more evident in female subjects as compared to male subjects. This test can also be used as a screening test for hypertension amongst the subjects.

Surgical treatment for an asymptomatic and unruptured sinus of Valsalva aneurysm: report of a case

A 70-year-old male underwent a transthoracic echocardiography as a screening test for hypertension and an unruptured aneurysm was detected in the right sinus of Valsalva. The right sinus of Valsalva aneurysm obstructed the right ventricle outflow tract but he did not have any symptoms. The sinus of Valsalva aneurysm was treated successfully by a patch closure with a bovine pericardial patch.

Doppler ultrasound of the uteroplacental circulation as a screening test for severe pre-eclampsia with intra-uterine growth retardation

Two hundred primiparae underwent continuous-wave Doppler investigation of the uteroplacental circulation at 18–20 weeks gestation as a possible screening test for hypertension in pregnancy. Seventy-five women with abnormal waveforms suggestive of the high uteroplacental resistance were tested again at 24 weeks when 21 demonstrated a persistent abnormality. Only nine (43%) of these went on to have an uncomplicated pregnancy, as compared with 150 (84%) of the remainder. Seventeen (8.5%) of the women in the study developed a hypertensive disorder of pregnancy, five of whom had abnormal waveforms at 18–20 weeks and at 24 weeks. These five women had a more severe degree of hypertension with proteinuria or intra-uterine growth retardation, and two required clinical intervention before term. The remaining 12 women were delivered at term of average, or heavier than average babies. Doppler investigation of the uteroplacental circulation at 24 weeks may prove to be a sensitive screening test for later severe pre-eclampsia with intra-uterine growth retardation.

Stimulated renin: a screening test for hypertension.

Abstract The usefulness of the furosemide screening test in ambulant hypertensive patients was prospectively studied. Outpatients were given 60 mg of furosemide by mouth, and 5 hours later plasma r...