Efficacy of multifactorial lifestyle interventions in patients with established cardiovascular diseases and high risk groups

2010 ◽  
Vol 11 (1) ◽  
pp. 97-104 ◽  
Author(s):  
Anneke Blokstra ◽  
Ineke van Dis ◽  
WM Monique Verschuren

According to WHO cardiovascular disease (CVD) is the major cause of death in the worldwide. In India too, it has gone through a drastic lifestyle modification from traditional to western one and adapting sedentary lifestyle, consequently prone the people for CVDs. The present study was undertaken to identify the high risk individuals for CVDs in the next 10 years by using the cardiovascular risk assessment tools such as FRS and SCORE and recommendation of lifestyle modification and initiation of pharmacotherapy. A prospective observational study was conducted in patients with all possible risk factors (age, sex, high blood pressure, high HDL, TC, Smoking, and Obesity) for CVD over a period of six month in a tertiary care hospital. A total numbers of patients selected for the study was 90 among, 49 were males and 41 were females. The patients were categorized in to different risk groups. According to FRS tool, 35.5% individuals were at high risk and with SCORE tool, it was 41.1%. Whereas 33.3% individual who were under the high risk for CVDs by both the tools. The individuals’ lies between mild to moderate risk for CVDs were recommended for lifestyle modification to attenuate the triggering risk factors. Whereas high risk individual by both the FRS and SCORE tools were recommended for lifestyle modification along with pharmacotherapy in order to keep the risk factors under control. Keywords: Cardiovascular diseases; Risk factors; Assessment tools; Primary prevention.


Crisis ◽  
1999 ◽  
Vol 20 (2) ◽  
pp. 64-70 ◽  
Author(s):  
Tamás Zonda

The author examined completed suicides occurring over a period of 25 years in a county of Hungary with a traditionally low (relatively speaking) suicide rate of 25.8. The rates are clearly higher in villages than in the towns. The male/female ratio was close to 4:1, among elderly though only 1.5:1. The high risk groups are the elderly, divorced, and widowed. Violent methods are chosen in 66.4% of the cases. The rates are particularly high in the period April-July. Prior communication of suicidal intention was revealed in 16.3% of all cases. Previous attempts had been undertaken by 17%, which in turn means that 83% of suicides were first attempts. In our material 10% the victims left suicide notes. Psychiatric disorders were present in 60.1% of the cases, and severe, multiple somatic illnesses (including malignomas) were present in 8.8%. The majority of the data resemble those found in the literature.


2012 ◽  
Vol 153 (17) ◽  
pp. 649-654
Author(s):  
Piroska Orosi ◽  
Judit Szidor ◽  
Tünde Tóthné Tóth ◽  
József Kónya

The swine-origin new influenza variant A(H1N1) emerged in 2009 and changed the epidemiology of the 2009/2010 influenza season globally and at national level. Aims: The aim of the authors was to analyse the cases of two influenza seasons. Methods: The Medical and Health Sciences Centre of Debrecen University has 1690 beds with 85 000 patients admitted per year. The diagnosis of influenza was conducted using real-time polymerase chain reaction in the microbiological laboratories of the University and the National Epidemiological Centre, according to the recommendation of the World Health Organization. Results: The incidence of influenza was not higher than that observed in the previous season, but two high-risk patient groups were identified: pregnant women and patients with immunodeficiency (oncohematological and organ transplant patients). The influenza vaccine, which is free for high-risk groups and health care workers in Hungary, appeared to be effective for prevention, because in the 2010/2011 influenza season none of the 58 patients who were administered the vaccination developed influenza. Conclusion: It is an important task to protect oncohematological and organ transplant patients. Orv. Hetil., 2012, 153, 649–654.


Author(s):  
L. V. Lukovnikova ◽  
G. I. Sidorin ◽  
L. A. Alikbaeva ◽  
A. V. Galochina

When examining the population exposed to organic and inorganic compounds of mercury, a comprehensive approach is proposed, including chemical monitoring of environmental objects, biological monitoring, clinical examination of persons exposed to mercury, identification of high-risk groups.


2019 ◽  
Vol 8 (2) ◽  
pp. 252 ◽  
Author(s):  
Miguel de Araújo Nobre ◽  
Francisco Salvado ◽  
Paulo Nogueira ◽  
Evangelista Rocha ◽  
Peter Ilg ◽  
...  

Background: There is a need for tools that provide prediction of peri-implant disease. The purpose of this study was to validate a risk score for peri-implant disease and to assess the influence of the recall regimen in disease incidence based on a five-year retrospective cohort. Methods: Three hundred and fifty-three patients with 1238 implants were observed. A risk score was calculated from eight predictors and risk groups were established. Relative risk (RR) was estimated using logistic regression, and the c-statistic was calculated. The effect/impact of the recall regimen (≤ six months; > six months) on the incidence of peri-implant disease was evaluated for a subset of cases and matched controls. The RR and the proportional attributable risk (PAR) were estimated. Results: At baseline, patients fell into the following risk profiles: low-risk (n = 102, 28.9%), moderate-risk (n = 68, 19.3%), high-risk (n = 77, 21.8%), and very high-risk (n = 106, 30%). The incidence of peri-implant disease over five years was 24.1% (n = 85 patients). The RR for the risk groups was 5.52 (c-statistic = 0.858). The RR for a longer recall regimen was 1.06, corresponding to a PAR of 5.87%. Conclusions: The risk score for estimating peri-implant disease was validated and showed very good performance. Maintenance appointments of < six months or > six months did not influence the incidence of peri-implant disease when considering the matching of cases and controls by risk profile.


2006 ◽  
Vol 24 (4) ◽  
pp. 349-352
Author(s):  
RN Swapna ◽  
U Tuteja ◽  
L Nair ◽  
J Sudarsana
Keyword(s):  

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