scholarly journals An enquiry based on a standardised questionnaire into knowledge, awareness and preferences concerning the care of familial hypercholesterolaemia among primary care physicians in the Asia-Pacific region: the “Ten Countries Study”

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e017817 ◽  
Author(s):  
Jing Pang ◽  
Miao Hu ◽  
Jie Lin ◽  
Takashi Miida ◽  
Hapizah M Nawawi ◽  
...  

ObjectiveTo determine physicians’ knowledge, awareness and preferences regarding the care of familial hypercholesterolaemia (FH) in the Asia-Pacific region.SettingA formal questionnaire was anonymously completed by physicians from different countries/regions in the Asia-Pacific. The survey sought responses relating to general familiarity, awareness of management guidelines, identification (clinical characteristics and lipid profile), prevalence and inheritance, extent of elevation in risk of cardiovascular disease (CVD) and practice on screening and treatment.ParticipantsPractising community physicians from Australia, Japan, Malaysia, South Korea, Philippines, Hong Kong, China, Vietnam and Taiwan were recruited to complete the questionnaire, with the UK as the international benchmark.Primary outcomeAn assessment and comparison of the knowledge, awareness and preferences of FH among physicians in 10 different countries/regions.Results1078 physicians completed the questionnaire from the Asia-Pacific region; only 34% considered themselves to be familiar with FH. 72% correctly described FH and 65% identified the typical lipid profile, with a higher proportion of physicians from Japan and China selecting the correct FH definition and lipid profile compared with those from Vietnam and Philippines. However, less than half of the physician were aware of national or international management guidelines; this was significantly worse than physicians from the UK (35% vs 61%, p<0.001). Knowledge of prevalence (24%), inheritability (41%) and CVD risk (9%) of FH were also suboptimal. The majority of the physicians considered laboratory interpretative commenting as being useful (81%) and statin therapy as an appropriate cholesterol-lowering therapy (89%) for FH management.ConclusionsThe study identified important gaps, which are readily addressable, in the awareness and knowledge of FH among physicians in the region. Implementation of country-specific guidelines and extensive work in FH education and awareness programmes are imperative to improve the care of FH in the region.

Author(s):  
V. Kondrat’ev

Banking and financial collapse of late 2008 extremely heavily hit the automotive industry in most countries. In 2009, the production of cars in the world dropped to 57 million units compared to 68 million in 2007. At the same time, recent statistics show that the industry is rapidly recovering from the worst crisis in its history. In the 1st quarter of 2010 car production in the world increased by 57% compared to the same period of 2009. In China, Canada, Mexico and Great Britain it increased by more than 70%. Volkswagen, Ford Motor Company and FIAT announced major investment plans, particularly in China and Latin America. Accordingly, it is expected that in 2010 the global car production will grow to 70 million units, and to 88 million by 2016, 40% of all sales will be in the Asia-Pacific region. Reduction of the automotive industry in Russia turned out to be deeper than anywhere else – 49% in 2009 against the previous year's level. For comparison: in the United States reduction amounted to 21%, in Spain – to18, in Japan – to10, in the UK – to 6.4, in Italy – to 0.2; while in China the production grew by 44%. Nevertheless, the Russian automotive industry is also showing signs of recovery, primarily because of the governmental program of recycling old cars.


Sexualities ◽  
2016 ◽  
Vol 20 (1-2) ◽  
pp. 143-158 ◽  
Author(s):  
Vera Mackie

The term ‘sexual citizenship’ was largely developed in the Anglophone capitalist liberal democracies of the UK, the USA, Canada, Australia and New Zealand. The concept is thus inflected by broader understandings of politics in these places. In this article, the author first considers the specificities of ‘sexuality’ and ‘citizenship’ in these Anglophone capitalist liberal democracies. She argues that we need to provincialize these local understandings, for configurations of sexuality and citizenship in the UK, North America, New Zealand or Australia are just as contingent and locally specific as they are in the Asia-Pacific region. She then considers whether the term ‘sexual citizenship’ can be transplanted into places in the Asia-Pacific region with different political and economic systems, welfare systems and social structures, distinctive cultural understandings of sexuality and citizenship and different taxonomies of sexes, genders and sexualities.


1995 ◽  
Vol 40 (4) ◽  
pp. 383-384
Author(s):  
Terri Gullickson

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