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Community Based Epidemiological Study Of Chagas Disease In Rural Peru, Paul Walker Jan 2008

Community Based Epidemiological Study Of Chagas Disease In Rural Peru, Paul Walker

Yale Medicine Thesis Digital Library

The purpose of this study was to evaluate the epidemiology of Trypanosoma cruzi infection, to valuate the TESA blot, and to characterize cardiac findings of patients with Chagas disease in a rural setting near Arequipa, Peru. The study site was the town of Quequeña, Peru with a population of 774 with 236 inhabitants under the age of 18 according to the 2005 census conducted by Peru. A fumigation/insect collection campaign was done in December of 2006 to quantify household infestation levels, document housing characteristics, and GPS household locations. Of the 602 people surveyed to be living in Quequeña, blood samples …


Older Adults' Understanding Of Cardiovascular Risk And Preventive Medication Benefit, Elizabeth R. Wahl Jan 2008

Older Adults' Understanding Of Cardiovascular Risk And Preventive Medication Benefit, Elizabeth R. Wahl

Yale Medicine Thesis Digital Library

Medication decision making in older adults with multiple chronic conditions is complicated; communication between patients and physicians to establish concordant treatment goals can enhance this process. While patients' ability to make informed decisions about treatment priorities depends on their ability to understand the risks and benefits of medications and the likelihood of disease outcomes, patients' knowledge of medication-related benefits is unexplored. We examined older adults' estimation of their 10-year risk of myocardial infarction (MI) and stroke, and the degree to which they thought common medications were able to prevent these outcomes. 150 male veterans age 65 or older and taking …