Assessment of Cardiovascular Risk – The Impact and Future of Non-traditional Cardiovascular Risk Markers

2010 ◽  
Vol 6 (2) ◽  
pp. 10 ◽  
Author(s):  
Michael Hecht Olsen ◽  
Keyword(s):  
Risk Assessment ◽  
Cardiovascular Risk ◽  
Young Patients ◽  
Future Research ◽  
Targeted Prevention ◽  
Risk Markers ◽  
Assessment And Treatment ◽  
Complex Mechanisms ◽  
The Impact ◽  
First Time

In relatively young patients (men <55 and women >65 years of age), first-time hospitalisation for cardiovascular disease (CVD) strikes without warning since the traditional cardiovascular risk factors are often normal or only slightly elevated. Therefore, we need non-traditional cardiovascular risk markers more closely related to CVD that can reliably predict future CVD in individuals, making better targeted prevention and more individualised treatment possible. However, it has been difficult to find non-traditional cardiovascular risk markers suitable for risk assessment, underlining the importance of future research into the complex mechanisms that lead to CVD. Better understanding of these complex mechanisms might enable us to find better risk markers and improve future cardiovascular risk assessment and treatment.

An evaluation of the implementation of Safewards on an assessment and treatment unit for people with an intellectual disability

2020 ◽  
pp. 174462952090163 ◽  
Author(s):  
Bronwen Davies ◽  
Jade Silver ◽  
Scarlett Josham ◽  
Emma Grist ◽  
Lewis Jones ◽  
...  
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Health Services ◽  
Future Research ◽  
Treatment Unit ◽  
Positive Approach ◽  
Shift Report ◽  
Assessment And Treatment ◽  
Containment Measures ◽  
The Impact

This study evaluates the implementation of Safewards on an assessment and treatment unit (ATU) for people with an intellectual disability. There are no previous studies evaluating this model in this context and previous research has focused largely on acute mental health services. The ‘Patient–Staff Conflict Shift Report’ was used at baseline for 1 month and 1 year later, after all the interventions had been implemented, to evaluate the impact of Safewards. Significant reductions were found in conflict and containment measures used within the service after the implementation of Safewards. Staff who led on the interventions were also asked to give feedback on their experiences, the challenges they faced and how they would like to move forward. Safewards was generally seen as a positive approach by the team. Limitations of this study are highlighted and suggestions for future research are made.

Pro-Environmental Purchasing Behaviour during the economic crisis

2014 ◽  
Vol 32 (2) ◽  
pp. 160-173 ◽  
Author(s):  
Irene Tilikidou ◽  
Antonia Delistavrou
Keyword(s):  
Economic Crisis ◽  
Geographical Area ◽  
Future Research ◽  
Consumer Engagement ◽  
Content Type ◽  
Purchasing Behaviour ◽  
Social Desirability Effect ◽  
The Impact ◽  
First Time ◽  
Practical Implications

Purpose – Examination of Pro-Environmental Purchasing Behaviour (PPB) and its potential components. Investigation of the number and the size of relevant consumer segments. Determining the factors able to describe the segment of frequent pro-environmental purchasers. This paper aims to discuss these issues. Design/methodology/approach – Investigation of PPB as a total multi-item variable. Disclosure of the PPB components. Examination of the Purchase component and disclosure of its clusters. Focus on the cluster of frequent purchasers. Estimation of the demographic, attitudinal and psychographic variables able to describe and predict these consumers. Findings – Two components of PPB were found, namely Conservation (high consumer engagement in this) and Purchase (low consumer engagement in this). Inside the Purchase component of PPB three clusters were found, indicating, respectively, low, average and relatively high consumers’ involvement. Consumers in Cluster 3 (frequent pro-environmental purchasers) are fewer than in the past. They were found to be negatively influenced by environmental unconcern attitudes and Materialism, while they were positively affected by locus of control over politics and Universalism. Research limitations/implications – No demographic profile of frequent purchasers. Geographical area limited (a potential) generalisation of results. Social desirability effect. Future research with reference to evolutions in pro-environmental post-purchasing or non-purchasing behaviours during the years of economic crisis. Practical implications – Fewer consumers would buy ecological products if these were not comparable enough with the conventional products in terms of price and efficacy. Originality/value – First effort to explore the impact of the economic crisis on PPB in Greece. Encompassed new categories of ecological products. Revealed two components inside PPB (Purchase and Conservation) as well as number and size of consumer segments inside the Purchase component. Formulation of a partial profile of the frequent pro-environmental purchasers. Impact of Universalism on PPB was for the first time examined.

The Impact of Using Documented but Uncharged Offense Data on JSORRAT-II Predictive Validity

Sexual Abuse ◽  
2016 ◽  
Vol 29 (2) ◽  
pp. 186-202 ◽  
Author(s):  
Christopher A. Ralston ◽  
Amar Sarkar ◽  
Grace T. Philipp ◽  
Douglas L. Epperson
Keyword(s):  
Risk Assessment ◽  
Predictive Validity ◽  
Assessment Tool ◽  
Sexual Offender ◽  
Future Research ◽  
Sexual Recidivism ◽  
Sexual Offenses ◽  
Sexual Offender Recidivism ◽  
Juvenile Sexual Offender ◽  
The Impact

Following the implementation of sexual offender notification laws, researchers have found a drop in the rate of prosecutions and an increase in plea bargains for sexual offenses committed by male juveniles. This type of prosecutorial hesitation has implications for the predictive validity of sexual recidivism risk assessments, such as the Juvenile Sexual Offender Recidivism Risk Assessment Tool–II (JSORRAT-II), that require data from officially adjudicated offenses in the scoring of several items. The present study sought to test the impact of including data from documented but uncharged (DBU) sexual offenses in the scoring of the JSORRAT-II on its predictive validity using an exhaustive sample of 1,095 juveniles who offended sexually from the states of Iowa and Utah. Although sexual recidivists had significantly more DBU data, the inclusion of those data did not improve the predictive validity of the tool. The authors discuss additional reasons why changes in prosecutorial practice might remain confound in risk assessment studies and suggest future research to investigate those hypotheses.

scholarly journals Cardiovascular risk assessment and treatment in chronic inflammatory disorders in primary care

Heart ◽  
2016 ◽  
Vol 102 (24) ◽  
pp. 1957-1962 ◽  
Author(s):  
G Emanuel ◽  
J Charlton ◽  
M Ashworth ◽  
M C Gulliford ◽  
A Dregan
Keyword(s):  
Risk Assessment ◽  
Primary Care ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Assessment ◽  
Inflammatory Disorders ◽  
Assessment And Treatment

Evaluation of exenatide versus insulin glargine for the impact on endothelial functions and cardiovascular risk markers

2014 ◽  
Vol 106 (3) ◽  
pp. 567-575 ◽  
Author(s):  
Eren Gurkan ◽  
Ilhan Tarkun ◽  
Tayfun Sahin ◽  
Berrin Cetinarslan ◽  
Zeynep Canturk
Keyword(s):  
Cardiovascular Risk ◽  
Insulin Glargine ◽  
Risk Markers ◽  
Endothelial Functions ◽  
The Impact

scholarly journals Preceptor Expectations and Experiences in a Longitudinal Integrated Clerkship

PRiMER ◽  
2018 ◽  
Vol 2 ◽  
Author(s):  
Zachary Tabb ◽  
Kristina Monteiro ◽  
Paul George
Keyword(s):  
Teaching Experience ◽  
Future Research ◽  
Program Participation ◽  
Chi Square ◽  
Area Of Interest ◽  
Before And After ◽  
Longitudinal Integrated Clerkship ◽  
Block Based ◽  
The Impact ◽  
First Time

Introduction: The Longitudinal Integrated Clerkship (LIC) as a pedagogical model in medical education is a burgeoning area of interest as an alternative to a traditional, rotation- (block) based curriculum and presents a distinct set of considerations. A large number of studies examine the impact on students participating in LIC programs, but fewer assessments exist for the preceptors involved. This study sought to understand changes in expectations and experiences following LIC program participation. Methods: We conducted a survey-based prospective cohort study of preceptors before and after first-time LIC program participation. Five-point Likert-type questions were grouped into four subscales determined by areas of practice and preceptor role: clinical, administrative, professional, and educational. For statistical analyses of the nonmatched responses we used Pearson Chi-Square measures of association and independent t-tests. Results: Forty-seven of 84 (56%) preceptors responded to the presurvey and 42% responded to the postsurvey (35/84), totaling 82 unique responses. Thirty-nine (48%) were female, 64 (79%) had over 5 years teaching experience, and 61 (74%) had prior rotation-based clerkship experience. Only the clinical subscale (evaluating aspects of physical exam, history taking, and patient relationship with physician and student) was significantly different pre- (M1= 3.09[SD=0.40]) to post-LIC (M2= 3.47[SD=0.29]) showing a positive change at post-LIC participation (P=0.03). Conclusion: For first-time LIC preceptors in a new LIC program, participation led to improvements in clinical practice without detriment to administrative, professional, or educational roles. Future research should examine changes among individual preceptors over time as well as assessments of students, including knowledge, skills, and attitude outcomes.

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