Introduction: Medication non-adherence is a major hindrance in the treatment of hypertension in Sub Saharan Africa. It is a major modifi able contributor to poor blood pressure control and complications of the disorder. An understanding of the factors that are associated with drug adherence in hypertension will contribute positively to the overall planning of public health educational programs on hypertension. Methods: This study was cross sectional and descriptive in nature conducted in the medical outpatient clinic of Enugu State University Teaching Hospital, Enugu Nigeria. Data collection was done using a semi-structured questionnaire. The Morinsky-Green Medication adherence scale was used to estimate medication adherence. Statistical analyses was done using SPSS version 22 (IBM Corporation, New York, USA).

Introduction: Establishing a personalized health care system can enable elderly people to access health care in their familiar community or home environments to achieve aging in place. The aims of this study are twofold:1) to explore the relationship between heart rate variability (HRV analysis) and subjective self-rated health status among elderly people, and 2) to examine whether HRV parameters serve as lternative subjective-measure indices that can be used to detect and monitor the physical and mental health status of elderly people.

Background: Nursing profession is focused on caring individuals, families and communities with a view to helping them attain, maintain, or recover optimal health and quality of life in the society. Nurses are therefore on high demand in order to meet the defi cit and adequately combat health problems in the society. Objective: The objective of this study was therefore to evaluate the need to establish a training institution for nurses in Narok County in order to increase the nursing workforce. Materials and Methods: A baseline study was conducted by administering a well-structured questionnaire to key respondents who comprised health workers, particularly health managers within Narok County and its environs. A comprehensive literature review was conducted and contrastingly and analytically compared. Data analysis utilized descriptive statistics using SPSS version 22.

This article invites to a transdisciplinary refl ection, in which the policies should be part of the social benefi t in this health case, here are presented four elements of analysis, maternal mortality, homicide, chronic noncommunicable diseases and ecocide. Thus these elements show a state in fl ight that on the one hand, ignores the real social problems in health and on the other, signs perverse pacts and creates public policies out of context dictated by neoliberal interests. In this way a transdisciplinary refl ection on health is presented, where Mexico is present sailing in an infi nite sea of oblivion and political perversion.

A rising epidemic among Americans threatens to disrupt the new US administration’s promise of affordable health insurance for all. The epidemic consists of a dramatic and ongoing increase in the incidence of autoimmune diseases (AD) across the populations of nearly all Western countries, diagnosed under approximately 100 different disease labels, and currently estimated to affl ict up to 50 million Americans. One potential reason for the epidemic appears to be autoimmune reactions in people to immune ‘triggers’ in foods, a prime example of which may be the newly described GMO foods’ antigenic glyphosate-induced misfolded proteins. An analysis was undertaken, using a case study approach, to compare the relative cost/benefi t ratios of treating the oncoming AD epidemic among Americans using the standard medicine (SM) pharmaceutical immunosuppression drug treatment model as compared to treating AD using a functional medicine (FM) approach of probiotics, lifestyle modifi cation and improved diet choices along with governmental regulations to reduce consumption of trigger foods. We conclude that, for the American people over the next 10 years, applying only SM could cost up to $2 trillion more than a potentially equally or more effective diagnosis and treatment program emphasizing FM and government action to reduce trigger food consumption and avoid confounding infl uences from industry. While these two models are not mutually exclusive, our analysis suggests that the US government has a series of diffi cult choices ahead which will impact both its population’s health and the affordability of their health insurance over the next decade and beyond.

Natural history of disease refers to the progression of a disease process in an individual over time. Family medicine has important epidemiological connotations, presenting a unique opportunity to study natural history of a disease. We present an example case of the natural history of the disease: the continued care of a patient with thromboangiitis obliterans for 37 years, who was continuously attended over many years in family medicine level, with the aim of refl ecting and conceptualizing the importance that, for epidemiological knowledge of natural history of diseases have the data provide by family medicine, which can be classifi ed as biopsychosocial typologies of the natural history of diseases, according to their pattern of natural history, and through an epidemiological classifi cation directed by medical intervention. So, there are two complementary perspectives to characterize the natural history of the disease: that of the general practitioner, who through the medical records the entire process of each patient, and can determine both that there is a new health problem and its peculiarities; is an individualized vision. And the epidemiologist, who through the multiple health records he handles, and the support of biostatistics can discover a new disease and its evolution; is a population view. Future epidemiological strategies that use longitudinal study designs or “continuing care”, using homogeneous defi nitions of diseases, could play a pivotal role in better elucidating the controversies in natural history and the pathophysiology of subtypes of many common diseases, leading to improved clinical care. Cohort studies on the natural history of diseases should be enhanced in order to provide a basis for the development of health strategies and prevention and treatment measures. The ordinary general practitioners can make a signifi cant contribution to research on the basis of patients seen in routine practice.