Reorganization and Coordination of Existing Resources Through High Risk Approach For the Care of Pregnant Mothers in Tonami City, Toyama Prefecture, Japan

1984 ◽  
pp. 558-560
Author(s):  
N. Matsumoto ◽  
M. Masaki ◽  
A. Koizumi
Keyword(s):  
High Risk ◽  
Risk Approach ◽  
Pregnant Mothers

scholarly journals Cardiovascular risk prediction in India: Comparison of the original and recalibrated Framingham prognostic models in urban populations.

2019 ◽  
Vol 4 ◽  
pp. 71 ◽  
Author(s):  
Priti Gupta ◽  
David Prieto-Merino ◽  
Vamadevan S. Ajay ◽  
Kalpana Singh ◽  
Ambuj Roy ◽  
...  
Keyword(s):  
Cardiovascular Diseases ◽  
High Risk ◽  
Local Population ◽  
Outcome Data ◽  
Prognostic Models ◽  
Risk Scores ◽  
Cvd Risk ◽  
Resource Setting ◽  
Risk Approach ◽  
The Impact

Introduction: Cardiovascular diseases (CVDs) are the leading cause of death in India. The CVD risk approach is a cost-effective way to identify those at high risk, especially in a low resource setting. As there is no validated prognostic model for an Indian urban population, we have re-calibrated the original Framingham model using data from two urban Indian studies. Methods: We have estimated three risk score equations using three different models. The first model was based on Framingham original model; the second and third are the recalibrated models using risk factor prevalence from CARRS (Centre for cArdiometabolic Risk Reduction in South-Asia) and ICMR (Indian Council of Medical Research) studies, and estimated survival from WHO 2012 data for India. We applied these three risk scores to the CARRS and ICMR participants and estimated the proportion of those at high-risk (>30% 10 years CVD risk) who would be eligible to receive preventive treatment such as statins. Results: In the CARRS study, the proportion of men with 10 years CVD risk > 30% (and therefore eligible for statin treatment) was 13.3%, 21%, and 13.6% using Framingham, CARRS and ICMR risk models, respectively. The corresponding proportions of women were 3.5%, 16.4%, and 11.6%. In the ICMR study the corresponding proportions of men were 16.3%, 24.2%, and 16.5% and for women, these were 5.6%, 20.5%, and 15.3%. Conclusion: Although the recalibrated model based on local population can improve the validity of CVD risk scores our study exemplifies the variation between recalibrated models using different data from the same country. Considering the growing burden of cardiovascular diseases in India, and the impact that the risk approach has on influencing cardiovascular prevention treatment, such as statins, it is essential to develop high quality and well powered local cohorts (with outcome data) to develop local prognostic models.

scholarly journals Comparison of two caries prevention programs among Thai kindergarten: a randomized controlled trial

2020 ◽  
Author(s):  
Pagaporn Pantuwadee Pisarnturakit ◽  
Palinee Detsomboonrat
Keyword(s):  
High Risk ◽  
Controlled Trial ◽  
Low Risk ◽  
Kindergarten Children ◽  
Primary Molar ◽  
Permanent Molar ◽  
Carious Lesions ◽  
Caries Increment ◽  
Risk Approach ◽  
Clinical Trials Registry

Abstract Background: Intensified preventive regimen based on a ‘high-risk’ approach has been proposed instead the routine prevention that is generally given to the whole population. The effectiveness of these regimens may still be an issue. Therefore, the aim of this study was to compare two preventive programs carried out in a Public School for kindergarten children. Methods: The data from clinical examinations were used to assess the caries risk for 121 children. Children with at least 2 carious lesions were considered as high risk for dental caries development. These children were randomized into two groups. Half (High risk basic-HRB group) were provided the basic prevention regimen (oral-hygiene instruction and hands-on brushing practice for teachers and caregivers, daytime tooth brushing supervised by teachers at least once a week, newly erupted first permanent molar sealant, provision of toothbrush, fluoride-containing dentifrice, and a guidebook), which was also given to low-risk children (Low risk basic-LRB group). The other half (High risk intensive-HRI group) were additionally given an intensified preventive regimen (F-varnish application, primary molar sealant, and silver diamine fluoride (SDF) application on carious lesions). Clinical examinations were performed semiannually to determine the dmfs caries increment of the three groups. Results: The 89 children completed the 24-month examination were 3- to 5-year-old with 19, 35, and 35 children in the LRB, HRB, and HRI group, respectively. The new caries development at 24 months of the HRB group (75%) was higher than that of the HRI group (65.7%) and the LRB group (21.1%). One-way analysis of variance (ANOVA) indicated no significant differences of caries increment between the HRB and HRI groups at the end of our study ( p =0.709). Conclusions: The negligible difference in caries increment between the HRI and HRB groups implies that intensified prevention produced minimal additional benefit. Offering all children only basic prevention could have obtained virtually the same preventive effect with substantially less effort and lower cost. Trial registration: Thai Clinical Trials Registry (TCTR), TCTR20180124001. Registered 24 January 2018 - Retrospectively registered, https://www.clinicaltrials.in.th/TCTR20180124001.

Cardiovascular prevention in the Hartslag Limburg project: Effects of a high-risk approach on behavioral risk factors in a general practice population

2006 ◽  
Vol 43 (5) ◽  
pp. 372-378 ◽  
Author(s):  
Janneke Harting ◽  
Patricia van Assema ◽  
Patrick van Limpt ◽  
Ton Gorgels ◽  
Jan van Ree ◽  
...  
Keyword(s):  
Risk Factors ◽  
General Practice ◽  
High Risk ◽  
Cardiovascular Prevention ◽  
Behavioral Risk Factors ◽  
Behavioral Risk ◽  
Practice Population ◽  
Risk Approach

scholarly journals The role of the high-risk approach in suicide prevention

2012 ◽  
Vol 201 (3) ◽  
pp. 175-177 ◽  
Author(s):  
Alexandra Pitman ◽  
Eric Caine
Keyword(s):  
High Risk ◽  
Suicide Prevention ◽  
Population Approach ◽  
Prevention Strategies ◽  
Risk Approach ◽  
Methodological Problems ◽  
Recent Evaluation

SummaryEvidence favours the population approach over high-risk approaches to suicide prevention, but methodological problems may have obscured the contribution of the latter. This editorial uses the findings of a recent evaluation of a high-risk approach used in England to consider the role of high-risk interventions in national suicide prevention strategies.

scholarly journals Screening for hypertension among older adults: A primary care "High Risk" approach

2010 ◽  
Vol 35 (1) ◽  
pp. 67 ◽  
Author(s):  
Jacob John ◽  
Jayaprakash Muliyil ◽  
Vinohar Balraj
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
High Risk ◽  
Risk Approach

The Ultra High Risk Approach to Define Psychosis Risk

2012 ◽  
Vol 18 (4) ◽  
pp. 346-350 ◽  
Author(s):  
Alison R. Yung ◽  
Paolo Fusar-Poli ◽  
Barnaby Nelson
Keyword(s):  
High Risk ◽  
Psychosis Risk ◽  
Ultra High Risk ◽  
Risk Approach

scholarly journals The Intervention of Community Role for Improving Health Status of Pregnant Women Suffering HIV-AIDS in Medan

2018 ◽  
Vol 6 (9) ◽  
pp. 1768-1772
Author(s):  
Siti Saidah Nasution ◽  
Erniyati Erniyati
Keyword(s):  
Health Status ◽  
High Risk ◽  
Data Collection ◽  
Healthcare Service ◽  
Pregnant Mother ◽  
Risk Detection ◽  
Expectant Mothers ◽  
Pregnant Mothers ◽  
Selection Of ◽  
Hiv Aids

AIM: This research was aimed to analyse the influence of the intervention towards the pregnancy health status of the HIV-AIDS patients. METHODS: The type of the experiment is a quasi-experiment, and statistically analysed with SPSS 17. The data collection was held by spreading questionnaires and conducting interviews. The sample of the research consists of 39 pregnant mothers with HIV-AIDS in Medan, Indonesia. The intervention provided counselling about the treatment for expectant mothers with HIV-AIDS involving the community. RESULTS: The result of the research generally shows that intervention potentially increase the knowledge and the attitude of the pregnant mother. Intervention has a significant result which is p < 0.05, high-risk detection, ANC, selection of birth assistance and healthcare service provider. CONCLUSION: Intervention has an impact in increasing the knowledge, attitude and health status of the pregnant mothers. The involvement of the society takes an important role in the healthcare of the expectant mothers with HIV-AIDS.

Primary stroke prevention: refining the “high risk” approach

2002 ◽  
Vol 176 (7) ◽  
pp. 303-304 ◽  
Author(s):  
Christopher R Levi ◽  
Parker J Magin ◽  
Balakrishnan R Nair
Keyword(s):  
High Risk ◽  
Stroke Prevention ◽  
Risk Approach
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