Longdom Conferences

Speaker

July 19, 2020    London, UK
Webinar on

Hypertension and Healthcare

Simon Manga
02:35 PM-03:35 PM

Simon Manga

Reproductive Health specialist , Cameroon Greater Boston Area

Title: Time-Driven Activity-Based Cost Analysis for Outpatient Anticoagulation Therapy: Direct Costs of Anticoagulation in a Primary Care Setting with Optimal Performance

Abstract:

Objective: Treatment of cervical precancer is the primary aim of cervical cancer secondary prevention. The objective of this study was to examine the determinants for treatment follow-up among women with cervical precancer in a cervical cancer prevention program in Cameroon.
Method: A five-year retrospective chart review from January 1, 2013 to December 31, 2018 of 755 women in Cameroon who screened positive for cervical precancer in 2013 was analyzed. 
Results: Of the dataset analyze, 422 (55.9%) followed up for treatment/biopsy either on same-day or at a later date (although only 344 actually received treatment). Of those who followed up at a later date, the lesions of 160 (37.9%) women were found to have regressed spontaneously and some were not provided treatment. Overall, 180 (42.7%) of the 344 women treated/biopsied had same-day treatment/biopsy and 164 (47.7%) were treated/biopsied after the initial visit.  Age and HIV status are the determinants that were most associated with treatment follow-up. Women aged 30-49 were more likely to follow-up for treatment than women less than 30 (AOR=1.61, p=0.006, 95% CI 1.14-2.26 and AOR=2.17, p<0.001, 95% CI 1.43-3.31). HIV positive women were more likely to follow up than their HIV negative counterparts (AOR).

Conclusion: Treatment follow-up for women diagnosed with cervical precancer is not optimal in Cameroon. Efforts to increase treatment rates are needed in this population.

Key Words: Cervical precancer, Follow-up Study, Cameroon, Cryotherapy, Thermal ablation, Loop Electric Excision Procedure

Biography:

Simon Manga is a Reproductive Health specialist who hails from Cameroon, Central Africa. He is in a postdoctoral program in reproductive health in the University of Alabama at Birmingham which he is doing remotely while working as a clinical consultant for the Cameroon Baptist Convention Health Services (CBCHS), a large faith-based health organization in Cameroon. Simon completed his PhD in Population Health/Nursing Sciences in the University of Massachusetts Boston. His major research interest is on cervical cancer prevention among women in Cameroon especially the most vulnerable women such as women living with HIV and female sex workers with an objective to reduce the health disparities between them and the general population. He hopes to extend his work to other sub-Saharan African countries with high prevalence of cervical cancer. He is also interested in family planning, sexually transmitted infections, infertility, and sexual dysfunctions.

Useful Links

News

Health: Worrying rise of hypertension in Indians

2019-10-17

Hypertension is the most important risk factor for chronic disease burden across the world. Global burden of diseases study in year 2017 reported high systolic blood pressure as the leading risk factor across the globe that accounted for 10.2 million deaths. Indians are more prone to hypertension and heart disorders, and are affected at a younger age than the Europeans. The fourth District Level Household Survey reports an overall prevalence 25.3 per cent for hypertension in India that translates to around 207 million individuals.

Hypertension in adults: summary of updated NICE guidance

2019-10-21

Hypertension is a leading global cause of morbidity and mortality. More than 25% of the adult UK population has hypertension, and in about 30% blood pressure remains uncontrolled.1 In August, the National Institute for Health and Care Excellence (NICE) published its updated guideline on the diagnosis and management of hypertension. The guideline reviews further evidence that has emerged since it was last updated in 2011 from randomised trials investigating the initiation, monitoring, and choice of antihypertensive treatment. The scope of the updated guideline has increased to also include people with type 2 diabetes, but does not make recommendations for people with chronic kidney disease, established cardiovascular disease, or hypertension in pregnancy. This article summarises the most recent recommendations from NICE and includes information considered to be most relevant to primary care clinicians. Key changes to current practice include offering drug treatment to people at a lower threshold for 10 year risk of cardiovascular disease, emphasis on maintaining blood pressure below target, and clarifying criteria for same day specialist review in people with accelerated hypertension.

Tobacco Use, Hypertension Make Rural Population Susceptible to Heart Disease

2019-11-03

A study undertaken over the course of eight years in five villages near Chennai has shown that cardiovascular diseases remain quite high even among a rural population, a report in The Hindu says. The study, carried out by Dr. Prabhdeep Kaur of Chennai’s National Institute of Epidemiology and published in the journal BMJ Open has challenged the commonly held notion that those living comparatively ‘stress-free’ lives in non-urban areas are immune to heart attacks and strokes. “The study involved 5,641 adults aged 25-64 years…There were 96 deaths — 79 from heart attacks and 17 from stroke. There were 59 adults who suffered but did not die from heart attack and stroke,” said the Hindu report.

Women with gestational hypertension have elevated cardiovascular risk later in life

2019-11-12

First, women with a history of hypertensive pregnancy had stiffer arteries and two to five times the rate of chronic hypertension later in life across age groups, compared to control subjects. Second, they were more likely to develop cardiovascular conditions over time, including coronary artery disease, which prior research suggested, heart failure, and two kinds of valvular heart disease -- aortic stenosis and mitral regurgitation -- that had not previously been associated with hypertensive pregnancy. Third, the study found that between half and one-third of the risk of coronary disease and heart failure was driven by chronic hypertension

Daily coffee can cut risk of high blood pressure and diabetes

2019-11-27

Drinking up to four coffees a day can significantly reduce the risk of type 2 diabetes, high blood pressure and obesity, according to a study. Even decaffeinated coffee gave the health boost, researchers said, though the effect from either type disappeared after four cups. The team from the universities of Navarre in Spain and Catania in Italy found that there was an “association between coffee consumption and a decreased risk of type 2 diabetes” and added that “long-term coffee consumption is associated with a decreased risk of hypertension”.

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