172 research outputs found
Multi-center national population health examination survey (WOBASZ II study) : assumptions, methods and implementation
Trends in hypertension prevalence, awareness, treatment, and control among Polish adults 75 years and older during 2007–2014
Background: The aim of this study was to assess changes in the prevalence, awareness, and treatment of hypertension and its effectiveness between 2007 (WOBASZ Senior study) and 2013–2014 (WOBASZ II) in a sample of the Polish population over the age of 75 years. Methods: Sampling had three stages, stratified according to voivodeships, type of community, and gender. Finally, the WOBASZ II study included 467 persons (290 women and 177 men). For a comparison of the data, 1096 persons (538 women and 554 men) examined in the WOBASZ Senior study were used. Results: Systolic and diastolic blood pressures significantly decreased from 153.0 ± 23.9 mmHg to 142.9 ± 22.3 mmHg and from 85.2 ± 11.9 mmHg to 78.4 ± 11.3 mmHg, respectively, from 2007 to 2014 (p < 0.0001). Prevalence of hypertension among people included in WOBASZ studies slightly decreased from 83.8% to 77.9% (rate ratio [RR]: 0.95; 95% confidence interval [CI]: 0.78–1.16) in men, and from 75.4% to 71.8% (RR: 0.93; 95% CI: 0.8–1.09) in women. Hypertension awareness was improved from 59.2% to 72.9% (RR: 1.23; 95% CI: 0.97–1.56) in men, and from 74,8% to 93% (RR: 1.26; 95% CI: 1.01–1.58) in women. The proportion of men and women, with implemented hypertension treatment, increased from 48.4% to 61.1% (RR: 1.26; 95% CI: 1.01–1.58), and from 63.2% to 82.0% (RR: 1.3; 95% CI: 1.1–1.53), respectively. The effectiveness of the treatment was improved over two-fold, there was an increase from 10.3% to 26.8% (RR: 2.65; 95% CI: 1.81–3.89) in men, and from 13.8% to 33.5% in women (RR: 2.44; 95% CI: 1.81–3.3). Conclusions: The prevalence of hypertension in Polish seniors remains high, but has decreased slightly in the perspective of the last 7 years. Although treatment and control has improved over the last decade, it remains below expectations. Efforts to improve the diagnosis and effective treatment of hypertension in Polish seniors should be intensified
Do we know more about hypertension in Poland after the May Measurement Month 2017?-Europe
Elevated blood pressure (BP) is a worldwide burden, leading to over 10 million deaths yearly. May Measurement Month (MMM) is a global initiative organized by the International Society of Hypertension aimed at raising awareness of hypertension and the need for BP screening. An opportunistic cross-sectional survey of volunteers aged ≥18 was carried out in May 2017. BP measurement, the definition of hypertension and statistical analysis followed the globally approved MMM17 Study Protocol. In Poland 5834 (98.9%, Caucasian) individuals were screened. After multiple imputation, 2601 (35.3%) had hypertension. Of individuals not receiving anti-hypertensive medication, 976 (20.6%) were hypertensive. Of individuals receiving anti-hypertensive medication, 532 (49.1%) had uncontrolled BP. In the crude screened group, 81.4% declared to not receive any anti-hypertensive treatment, while the remaining 18.6% were on such medications. In overweight and obese patients both systolic and diastolic BP were significantly higher than in normal weight and underweight subjects. In addition, BP measured on Sundays was significantly lower than on Mondays. MMM17 was one of the largest recent BP screening campaigns in Poland. We found that over 1/3 of participants were hypertensive. Almost half of the treated subjects had uncontrolled BP. These results suggest that opportunistic screening can identify substantial numbers with raised BP
Systematics of Inclusive Photon Production in 158 AGeV Pb Induced Reactions on Ni, Nb, and Pb Targets
The multiplicity of inclusive photons has been measured on an event-by-event
basis for 158 AGeV Pb induced reactions on Ni, Nb, and Pb targets. The
systematics of the pseudorapidity densities at midrapidity (rho_max) and the
width of the pseudorapidity distributions have been studied for varying
centralities for these collisions. A power law fit to the photon yield as a
function of the number of participating nucleons gives a value of 1.13+-0.03
for the exponent. The mean transverse momentum, , of photons determined
from the ratio of the measured electromagnetic transverse energy and photon
multiplicity, remains almost constant with increasing rho_max. Results are
compared with model predictions.Comment: 16 pages including 4 figure
Search for DCC in 158A GeV Pb+Pb Collisions
A detailed analysis of the phase space distributions of charged particles and
photons have been carried out using two independent methods. The results
indicate the presence of nonstatistical fluctuations in localized regions of
phase space.Comment: Talk at the PANIC99 Conference, June 9-16, 199
Interferometry of Direct Photons in Central 280Pb+208Pb Collisions at 158A GeV
Two-particle correlations of direct photons were measured in central
208Pb+208Pb collisions at 158 AGeV. The invariant interferometric radii were
extracted for 100<K_T<300 MeV/c and compared to radii extracted from charged
pion correlations. The yield of soft direct photons, K_T<300 MeV/c, was
extracted from the correlation strength and compared to theoretical
calculations.Comment: 5 pages, 4 figure
Scaling of Particle and Transverse Energy Production in 208Pb+208Pb collisions at 158 A GeV
Transverse energy, charged particle pseudorapidity distributions and photon
transverse momentum spectra have been studied as a function of the number of
participants (N_{part}) and the number of binary nucleon-nucleon collisions
(N_{coll}) in 158 A GeV Pb+Pb collisions over a wide impact parameter range. A
scaling of the transverse energy pseudorapidity density at midrapidity as
N_{part}^{1.08 \pm 0.06} and N_{coll}^{0.83 \pm 0.05} is observed. For the
charged particle pseudorapidity density at midrapidity we find a scaling as
N_{part}^{1.07 \pm 0.04} and N_{coll}^{0.82 \pm 0.03}. This faster than linear
scaling with N_{part} indicates a violation of the naive Wounded Nucleon Model.Comment: 13 pages, 16 figures, submitted to European Physical Journal C
(revised results for scaling exponents
Multiplicity Distributions and Charged-neutral Fluctuations
Results from the multiplicity distributions of inclusive photons and charged
particles, scaling of particle multiplicities, event-by-event multiplicity
fluctuations, and charged-neutral fluctuations in 158 GeV Pb+Pb
collisions are presented and discussed. A scaling of charged particle
multiplicity as and photons as have been observed, indicating violation of naive wounded nucleon model.
The analysis of localized charged-neutral fluctuation indicates a
model-independent demonstration of non-statistical fluctuations in both charged
particles and photons in limited azimuthal regions. However, no correlated
charged-neutral fluctuations are observed.Comment: Talk given at the International Symposium on Nuclear Physics
(ISNP-2000), Mumbai, India, 18-22 Dec 2000, Proceedings to be published in
Pramana, Journal of Physic
Azimuthal Anisotropy of Photon and Charged Particle Emission in Pb+Pb Collisions at 158 A GeV/c
The azimuthal distributions of photons and charged particles with respect to
the event plane are investigated as a function of centrality in Pb + Pb
collisions at 158 A GeV/c in the WA98 experiment at the CERN SPS. The
anisotropy of the azimuthal distributions is characterized using a Fourier
analysis. For both the photon and charged particle distributions the first two
Fourier coefficients are observed to decrease with increasing centrality. The
observed anisotropies of the photon distributions compare well with the
expectations from the charged particle measurements for all centralities.Comment: 8 pages and 6 figures. The manuscript has undergone a major revision.
The unwanted correlations were enhanced in the random subdivision method used
in the earlier version. The present version uses the more established method
of division into subevents separated in rapidity to minimise short range
correlations. The observed results for charged particles are in agreement
with results from the other experiments. The observed anisotropy in photons
is explained using flow results of pions and the correlations arising due to
the decay of the neutral pion
Centrality Dependence of Neutral Pion Production in 158 A GeV Pb + Pb Collisions
The production of neutral pions in 158AGeV Pb+Pb collisions has been studied
in the WA98 experiment at the CERN SPS. Transverse momentum spectra are studied
for the range 0.3 GeV/c < mT-m0 < 4.0 GeV/c. The results for central collisions
are compared to various models. The centrality dependence of the neutral pion
spectral shape and yield is investigated. An invariance of the spectral shape
and a simple scaling of the yield with the number of participating nucleons is
observed for centralities with greater than about 30 participating nucleons
which is most naturally explained by assuming an equilibrated system.Comment: 5 pages, Latex, including 3 eps figures, submitted to Phys.Rev.Lett;
updated pQCD comparison due to new input from the author, updated references,
corrected plotting error in figure
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