How is International Prospective Primary Prevention Study in Hypertension (European Journal of Clinical Pharmacology) abbreviated? IPPPSH stands for International Prospective Primary Prevention Study in Hypertension (European Journal of Clinical Pharmacology). IPPPSH is defined as International Prospective Primary Prevention Study in Hypertension (European Journal of Clinical Pharmacology) somewhat frequently.

Its not the years in your life that count. Its the life in your years. Abraham Lincoln. Implantable cardioverter defibrillators (ICDs) have one fundamental function the prevention of sudden unexpected arrhythmic cardiac death.. As Americans age and more baby boomers become eligible for a primary prevention ICD, it is important to ensure that treatments are appropriately and effectively applied to this growing segment of the population. Yet, enrollment of patients older than age 65 years in major primary prevention ICD trials is limited. A surprising 28% of Americans suitable for an ICD by conventional criteria are over age 79 years.1 Over 40% of primary prevention ICDs in the United States are placed in patients ≥70 years old. A review of over 115,000 Medicare patients in the National Cardiovascular Database ICD Registry revealed a mean age of 75 years at the time of ICD implantation, a trend that did not change between 2006 and 2010.2,9 Implantation rates are similar in other ...

Results 900 patients (87% men, mean age 64±10 years) were included in the analysis. During a median follow-up of 669 days (IQR 363-1322 days), 150 patients (17%) died and 191 (21%) patients received appropriate device therapy. 114 (13%) patients died without prior appropriate therapy. Stratification of the risk for death without prior appropriate therapy resulted in risk categorisation of patients as low, intermediate or high risk. NYHA ≥III, advanced age, diabetes mellitus, left ventricular ejection fraction ≤25% and a history of smoking were significant independent predictors of death without appropriate ICD therapy. 5-year cumulative incidence for death without prior appropriate therapy ranged from 10% (95% CI 6% to 16%) in low-risk patients to 41% (95% CI 33% to 51%) in high-risk patients. ...

Our study found that in both older women and men with HF and reduced LVEF, implantation or prescription of a primary prevention ICD on discharge was associated with improved survival. Relative to those not receiving an ICD, those receiving (or prescribed) an ICD had similarly improved survival in both women and men, with no significant sex-based interactions. These HRs are similar to those seen overall in the Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT; HR for mortality in ICD versus placebo groups, 0.77), which, among the landmark randomized clinical trials of primary prevention ICDs, most closely resembles the population studied here.1. Despite the survival benefits of primary prevention ICDs in patients with HF demonstrated in randomized clinical trials, benefit in the subgroup of women from these trials has not been definitively proved.7-9 This uncertainty on survival benefit may be one of several contributing factors to the lower rates of ICD referral and implantation in eligible ...

This paper describes the design of the West of Scotland Coronary Prevention Study WOSCOPS which is a primary prevention trial involving men aged 45-64 yr with raised plasma cholesterol levels. The principal aim is to test the hypothesis that reduction of serum cholesterol by treatment with pravastatin a competitive inhibitor of 3-hydroxy-3-...

The limitations of what physical therapists can differ from country to country. In Japan, physical therapists are national licensed health care professionals who can help patients improve or restore their mobility. Most Japanese physical therapists provide care for people in health care facilities, …

The online aspirin bleeding risk calculator tool, created by Dr. Vanessa Selaks team (Auckland University), helps estimate a patients own 5-year risk of a cardiovascular disease (CVD) event and the risk of a major bleed for primary prevention patients with and without aspirin.1,2 This enables the clinician to show the patient estimates of the benefits and harms of taking aspirin.. The tool informs and helps patients decide on taking aspirin, as it is a decision that only they can make. It takes into account if the patient is on medications and/or has co-morbid health conditions that can influence bleeding and CVD events.. It is based on a New Zealand cohort of 245,028 patients. The data may not be relevant to patients in countries outside of New Zealand.. References:. ...

This is a large, randomized trial of a Lyme disease primary prevention program for passengers on ferry boats going to Nantucket Island for the period from Memorial Day until Labor Day. Boats are randomized to experimental or control interventions.. The experimental intervention is a performance-based educational program on Lyme disease prevention, and uses supplemental materials. An entertainment troupe delivers the intervention using comedy, theater, and vaudevillian techniques. The entertainers present three shows in different locations on the boat. Each show is about 10 minutes and covers the severity and likelihood of acquiring Lyme disease and the benefits of tick avoidance and search and removal behaviors. When people on experimental boats enroll in the study they receive the following free materials: a wallet-sized tick ID card, a laminated shower card with tick-removal instructions, a map showing tick habitats, a tick-feeling card, and an educational pamphlet. Control boats do not have ...

TY - JOUR. T1 - The best usage of aspirin in primary prevention - Indication, dosage and ethnic issues. AU - Lin, Chung Sheng. AU - Sheu, Wayne H H. AU - Chern, Chang Ming. AU - Wu, Chau Chung. AU - Ho, Low Tone. AU - Hsu, Chung Y.. AU - Hsu, Tsui Lieh. AU - Lo, Yuk Keung. AU - Chen, Ming Fong. PY - 2007/2. Y1 - 2007/2. N2 - Aspirin is a well-known drug applied in clinical therapy. However, results of aspirin researches and clinical trials are different from traditional therapeutical guidelines. Some new conclusions emerged. Aspirin takes in a prevention role in some diseases, such as cardiovascular (CV) events, diabetes, and metabolic syndrome. However, how to apply aspirin in primary prevention still needs more discussion. In this article, we discuss the effect of aspirin in the field of cardiology, stroke, diabetes and pharmacology. We also discuss the dosage and appropriate usage of aspirin in Taiwans population. The content of this article included the view points of the benefit of aspirin ...

For patients taking statins for prevention of cardiovascular disease (CVD), extended care with nurse-led cardiovascular risk-factor counseling improves statin adherence and reduces anxiety, with improvements seen in low-density lipoprotein cholesterol for primary prevention patients.

With the publication of MADIT II in 2002 and SCD-HeFT in 2004, primary device implant indications have expanded; and with the COMPANION trial in 2005 supporting the benefit of biventricular devices, the number of ICD implants has increased further. Since these trials, data on implant patterns in a large group of patients from multiple centers has not been reported. The Advancements in ICD Therapy (ACT) prospective implant registry is a non-consecutive patient study developed to track such a group undergoing device implantation. Data on device and lead performance, arrhythmic events and mortality are tracked.. Methods: Over a 19 month period from November 2004.to June, 2006, 5454 devices were implanted at 286 centers in 38 states in the United States. Patients where enrolled within 2 weeks of implant. Patients are being followed for a period of 2 years at 6 month intervals with device interrogations performed at each visit. Primary prevention patients are those who met MADIT II, SCD-HeFT or ...

The program focuses on primary preventive measures: encouraging Americans to take aspirin if they are found to be at risk for heart disease, get their high blood pressure under control, manage blood cholesterol levels, and stop smoking.. Cardiovascular disease is a big problem and Million Hearts is a big solution, says Thomas Frieden, M.D., director of the CDC.. If the program is successful, Dr. Frieden estimates that 10 million more Americans will get their high blood pressure under control; 20 million more Americans will be treating their high cholesterol effectively; 4 million fewer Americans will smoke; and consumption of artificial trans fat will be cut by half and sodium consumption by 20 percent.. I am confident we can save a million hearts, Dr. Frieden says.. Always talk with your health care provider to find out more information.. ...

The USPSTF recommends initiating low-dose aspirin use for the primary prevention of cardiovascular disease (CVD) and colorectal cancer (CRC) in adults aged 50 to 59 years who have a 10% or greater 10-year CVD risk, are not at increased risk for bleeding, have a life expectancy of at least 10 years, and are willing to take low-dose aspirin daily for at least 10 years.

The American Heart Association evaluated the results of large cohort studies and primary and secondary prevention trials. Large observational studies have shown that consumption of antioxidant-rich foods or supplements reduces the risk of coronary artery disease. The largest of these cohort studies is the Nurses Health Study, in which 85,000 participants were followed for approximately eight years. The risk of coronary disease was lowest among women with the highest intake of vitamin E. None of the studies reviewed found a link between disease risk and consumption of vitamin C. Even though observational studies support a relationship between disease risk and consumption of dietary antioxidants, evidence from randomized trials on primary prevention is lacking. However, results from secondary prevention trials have been more supportive. For example, the Cambridge Heart Antioxidant Study showed that the risk of myocardial infarction was reduced up to 77 percent in patients who took high dosages of ...

To assess the value of the latest recommendations, it is worth considering what new evidence has emerged since those issued in 2009. In that year, the Antithrombotic Trialists (ATT) Collaboration reported a collaborative meta-analysis of individual-patient data from 6 primary prevention trials of 95 000 persons, which included a detailed assessment of how the cardiovascular benefits and bleeding risks compared in different prognostic groups (3). The latest recommendations from the USPSTF consider 5 more primary prevention trials of about 25 000 persons, most of whom were at low risk for CVD. The relative risk estimates for nonfatal MI (22% reduction), stroke (no significant effect), mortality (no significant effect), and serious gastrointestinal bleeding (58% increase) were almost identical to those reported by the ATT. Perhaps not surprisingly, the ATT and USPSTF both find that aspirin yields small cardiovascular benefits (that is, a reduction in nonfatal MI) and small bleeding risks (serious ...

USPSTF 2016 recommendations on statin use for primary prevention of CVD Clinical Question:What are the benefits and harms of statin treatment for dyslipidemia in adults 21 years and older?Bottom Line:The United States Preventive Services Task Force (USPSTF) now recommends that adultswithout a history of cardiovascular disease (CVD) use a low- to moderate-dose statin for the…

Choice of generic antihypertensive drugs for the primary prevention of cardiovascular disease - A cost-effectiveness analysis ...

A new genetic test could help predict which individuals will develop coronary heart disease among those with similar conventional risk factors. The length of the terminating structures of chromosomes, telomeres, can be used to predict cardiovascular mortality in middle-aged men, according to a study from Leicester in the UK which analysed blood samples collected for the West of Scotland Primary Prevention Study, (WOSCOPS). Nilesh Samani gave Helen Morant the details ...

Nearly 13 million new cancer cases and 7.6 million cancer deaths occur worldwide each year; 63% of cancer deaths occur in low and middle-income countries. A substantial portion of all cancers are attributable to carcinogenic exposures in the environment and the workplace. The objective of this study was to develop an evidence-based global vision and strategy for the primary prevention of environmental and occupational cancer. The study concluded that opportunities exist to revitalize comprehensive global cancer control policies by incorporating primary interventions against environmental and occupational carcinogens.

Findings of the ASPREE trial show no benefit, at all, of aspirin in primary prevention of disability-free survival, cardiovascular events and death, or all-cause death in healthy elderly people.

Cerebro/cardiovascular (CV) death accounts for approximately 30% of total deaths in Japan and therefore it is important to establish a preventive treatment for CV events from the point of public health. The guidelines proposed by a joint study group centering on the Japanese Circulation Society, recommend administration of aspirin to patients with multiple risk factors for primary prevention of arteriosclerotic diseases. In addition, the 2002 AHA guidelines recommend use of aspirin in patients with a 10% or higher 10-year risk of CV events. However, these descriptions are founded on randomized, comparative study results and epidemiological data obtained outside Japan, while no epidemiological data are available in Japan that would allow prediction and selection of patients who could benefit from primary prevention with aspirin. Although the benefit of aspirin for secondary prevention has been proven in Japanese patients, the benefits of primary prevention are still controversial ...

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. ...

Dr. Kelly helped establish the Womens Heart Program of NorthShore University HealthSystem, the only program devoted to womens heart care on the North Shore. The program provides heart care to women in every stage of life, by offering comprehensive care for women with existing heart disease and primary prevention strategies for patients at risk for heart disease. Dr. Kelly is a clinical cardiologist with a decade of experience in treating heart disease in women. She is dedicated to encouraging women to better understand and manage their heart risk factors with the guidance of their primary care physicians ...

Organized by Dr. Michael Ozner, the Cardiovascular Disease Prevention Symposium is an annual gathering of visionary cardiologists focused on conquering heart disease. Topics included PCSK9 to reduce cholesterol, benefits of fish oil and biomarkers of coronary artery disease.

Three major trials of aspirin for primary prevention of cardiovascular events, viewed together, suggest its benefits are largely outweighed by the bleeding risk, according to a leading Harvard specialist. The results from the three studies should be considered in the context of findings from statin trials, according to Professor Paul Ridker, from the Centre for Cardiovascular Disease Prevention at the Brigham and Womens Hospital in Boston. Primary prevention specialist mulls the latest evidence

Cardiovascular disease is the one the major causes of death among in the indian population. Use of aspirin is known to play an important role in reducing the risk of CVD as well as CRC .. Recently, Use of Aspirin has been once again guidelined, to be used as a primary prevention of Cardiovascular Disease and Colorectal Cancer. For quite some time, there has been ongoing debate regarding the utility of this important in a younger age group. While this issue is still resolved in the guidelines, the general usage and utility of this drug in other groups has been reconfirmed with clarifications.. On April 12th, 2016, U.S. Preventive Services Task Force has issued the Recommendation Statement on Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: ...

The rate of myocardial infarctions, strokes, and heart disease-related deaths in persons at high risk may be reduced by about 30%.

This study is assessing the efficacy of aspirin in preventing cardiovascular events in patients with type 2 diabetes mellitus. The primary endpoint is the

Despite the considerable efforts and funds devoted to cancer research over several decades, cancer still remains a mainly lethal disease. Cancer incidence and mortality have not declined at the same rate as other major causes of death, indicating that primary prevention remains a most valuable approach to decrease mortality. There is general agreement that environmental exposures are variously involved in the causation of the majority of cancer cases and that at least half of all cancers could be avoided by applying existing etiologic knowledge. There is disagreement, however, regarding the proportion of cancer risks attributable to specific etiological factors, including diet, occupation and pollution. Estimates of attributable risks are largely based today on unverified assumptions and the calculation of attributable risks involves taking very unequal evidence of various types of factors and treating them equally. Effective primary prevention resulting in a reduction of cancer risk can be ...

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If we go on the internet, we find no end of positive claims for TM. The official TM website, for instance, claims that more than 350 peer-reviewed research studies on the TM technique have been published in over 160 scientific journals. These studies were conducted at many US and international universities and research

Its low-risk patients also had access to great CV therapies. Once youve dealt with the lipids, and once youve dealt with the hypertension, Im really not sure whats left for aspirin, said an observer.

This page was last edited 14:45, 10 September 2019 by wikidoc user Ifeoma odukwe. Based on work by mahshid mir, Haytham Allaham, Jyostna Chouturi, Aditya Govindavarjhulla, Lakshmi Gopalakrishnan and Varun Kumar ...

Laura Semple, Programme Director, Diabetes & Stroke Prevention, reflects on how new prevention techniques might have changed her grandparents lives.

Cardiovascular disease is any disease of the heart or blood vessels. It can take many forms, but in many cases, it is preventable. To learn how to keep your heart healthy and prevent development of cardiovascular disease, see a healthcare professional in Tarzana, CA.

Even though this study was conducted in a complex population of patients, a set of 5 process indicators were found to have good predictive validity based on the hybrid method.

I have just been diagnosed with a slightly! enlarged heart. I am 65 and have had severe asthma since I ws 2. Although it is under control and I lead a fairly normal active life. It was very bad when...

36yo female, not overweight,healthy,good colestherol etc... While watching telly and having A drink, and a smoke I have experienced out of nowhere palpitations. I have never had them before. Had EKG,...

If you are experiencing difficulty accessing this website or finding the information you need, please call us at (530) 332-7300 to be directed. ...

The routine use of aspirin for the primary prevention of vascular events in people with asymptomatic disease cannot be supported, according to results from the Aspirin for Asymptomatic Atherosclerosis study.

This session will demonstrate how to use systematic screening data in conjunction with other data collected as part of regular school practices to inform intervention efforts in schools. Specifically, the presenters will illustrate how to analyze screening data within Comprehensive, Integrated, Three-Tiered (CI3T) models of prevention to inform primary, Tier 1 intervention efforts, low-intensity, teacher-level supports, and Tier 2 and Tier 3 efforts for whom primary prevention efforts are insufficient ...

Ower: 8.2 - Technical support and guidance provided to Member States for the implementation of primary prevention interventions that reduce environmental hazards to health, enhance safety and promote public health, including in specific settings (e.g. workplaces, homes or urban settings) and among vulnerable population groups (e.g. children). ...

Our mission is to build a culture of health for all Californians, reduce disparities and contain health costs through education and state level advocacy for new and sustained funding to promote health equity and prevent the leading causes of illness and injury, particularly through upstream primary prevention.

Antony F. Chu, MD presents a case in which after implantation of a BIOTRONIK DX System for primary prevention indication, examination of the IEGM obtained via the ICD revealed an atrial flutter. In this particular case, a diagnosis of atrial flutter ...

diabetes OR diabetic Exclude a word using the minus sign. Virchow -triad Use Parentheses. water AND (cup OR glass) Add an asterisk (*) at end of a word to include word stems. Neuro* will search for Neurology, Neuroscientist, Neurological, and so on Use quotes to search for an exact phrase. primary prevention of cancer ...

diabetes OR diabetic Exclude a word using the minus sign. Virchow -triad Use Parentheses. water AND (cup OR glass) Add an asterisk (*) at end of a word to include word stems. Neuro* will search for Neurology, Neuroscientist, Neurological, and so on Use quotes to search for an exact phrase. primary prevention of cancer ...

Article, see p 1772. Early randomized clinical trials of primary prevention implantable cardioverter defibrillators (ICDs) in patients with nonischemic cardiomyopathy failed to establish survival benefit from this therapy; however, those trials were too small to provide definitive results.1,2 When the SCD-HeFT (Sudden Cardiac Death in Heart Failure Trial) was published in 2005, it was practice changing. SCD-HeFT showed that primary prevention ICDs significantly improve the survival of patients with a left ventricular ejection fraction ≤35% attributable to ischemic or nonischemic cardiomyopathy and New York Heart Association class II or III heart failure symptoms despite optimal medical therapy.3 Patients with nonischemic cardiomyopathy constituted about half of the 2521 total enrolled patients in SCD-HeFT.3 The results of SCD-HeFT formed the basis of a class I guideline recommendation for primary prevention ICDs in patients with New York Heart Association class II or III heart failure symptoms ...

The evidence suggested that current primary preventive interventions are insufficient in reducing transmission of HCV infection in Pakistan. The incidence and prevalence of HCV infection in Pakistan are quite high despite the implementation of different apparent primary preventive programmes. The following key primary preventive measures would be helpful in decreasing HCV transmission in Pakistan.. Safe medical/surgical practices. The most important primary preventive strategy for reducing HCV infection, as evident from literature, is safe surgical and medical practices. In Pakistan, most of the clinicians prescribe unnecessary therapeutic injections for common ailments that can be treated with oral medications [10-12]. Unsterilized medical/surgical equipment [13], and lack of professional skill and attitude of health care workers [12] are other major components of unsafe medical/surgical practices.. By encouraging safe medical/surgical practices, incidence of HCV infection can be significantly ...

The primary objective is to assess the 18-month incidence of shocks in subjects implanted with the EMBLEM Subcutaneous Implantable Defibrillator (S-ICD) programmed with zone cutoffs at 200 bpm and 250 bmp and: - an indication for implantation of a defibrillator for primary prevention of sudden cardiac death; - a left ventricular ejection fraction ≤ 35%. The 18-month incidence rate will be compared to an Objective Performance Criteria derived from transvenous ICDs programmed to minimize shocks in the MADIT RIT study. The secondary objective is to assess perioperative complications. Device and procedure related complications at 6 months and implant success rate at 3 months will be assessed to fulfill Post Market Clinical Follow-up (PMCF) requirements.. ...

Low-dose aspirin may be considered for the primary prevention of cardiovascular disease (CVD) in patients with autoimmune systemic rheumatic diseases who are at particularly high risk because of their individual cardiovascular risk profile, according to authors of a new review article in the journal Rheumatology who acknowledge the controversial nature of the issue, because while significant cardiovascular benefit from aspirin for secondary prevention is well established, it has not been for primary prevention.. Secondary prevention with daily, low-dose aspirin is part of aggressive, comprehensive risk modification in patients who have experienced an MI or stroke or are considered at high risk for CVD. But when it comes to primary prevention of the onset of disease, the authors, led by Serena Fasano, MD, PhD, of the rheumatology unit at the University of Campania, Naples, Italy, acknowledged the contradictory positions of international guidelines and uncertainty over balancing benefit versus ...

Thoroughly revised and updated, the sixth edition ofPrimary Preventive Dentistrycontinues to emphasize the clinical application of preventive procedures in controlling plaque disease. This book begins with the discussion of the basics of prevention, shifts to the methods used in prevention and finally applies the preventive methods in different dental environments. Included is the latest information on nutrition, school-based dental health clinics (SBHC) and health promotion. Updated references, including Internet resources, keep readers up to date and informed about the rapidly changing practice of dentistry. Features: Companion Website - www.prenhall.com/harris - provides interactive self-assessment with instant feedback. Increased emphasis on school programs due to the rising number of school based health clinics (SBHC) that are developed to care for children. Discussion of remineralization of incipient carieshighlights this new preventive strategy for clients seeking to maintain intact teeth ...

Abstract: The increasing burden of stroke and dementia emphasizes the need for new, well-tolerated and cost-effective primary prevention strategies that can reduce the risks of stroke and dementia worldwide, and specifically in low- and middle-income countries (LMICs).. This paper outlines conceptual frameworks of three primary stroke prevention strategies: (a) the polypill strategy; (b) a population-wide strategy; and (c) a motivational population-wide strategy.. (a) A polypill containing generic low-dose ingredients of blood pressure and lipid-lowering medications (e.g. candesartan 16 mg, amlodipine 2.5 mg, and rosuvastatin 10 mg) seems a safe and cost-effective approach for primary prevention of stroke and dementia.. (b) A population-wide strategy reducing cardiovascular risk factors in the whole population, regardless of the level of risk is the most effective primary prevention strategy. A motivational population-wide strategy for the modification of health behaviors (e.g. smoking, ...

TY - JOUR. T1 - An update of HNPCC (Lynch syndrome). AU - Lynch, Henry T.. AU - Smyrk, Thomas. AU - Lynch, Jane. PY - 1997/1/1. Y1 - 1997/1/1. N2 - Genetic epidemiology studies of colorectal cancer (CRC) can identify persons who are at inordinately high risk and who thereby might benefit from targeted early detection and primary prevention programs, inclusive of prophylactic surgery in selected cases. The discipline of molecular genetics has identified germline mutations that include APC in familial adenomatous polyposis (FAP) and mutator genes, namely MSH2, MLH1, PMS1, and PMS2 in hereditary nonpolyposis colorectal cancer (HNPCC). These discoveries have significantly enhanced our ability to identify individuals whose cancer destiny can literally be determined at birth. This review updates HNPCCs differential diagnosis, heterogeneity, tumor spectrum, newly found evidence of accelerated colonic adenoma to CRC, survival advantage, and currently available surveillance and management programs. ...

Schools and other organizations that serve children in Georgia are able to take advantage of the powerful educational opportunity of Childhelp Speak Up Be Safe. The engaging primary prevention program informs children about strategies to stay safe in any situation and helps build and strengthen communities devoted to their protection.. Children and families in Georgia can also count on the Childhelp National Child Abuse Hotline for help. The hotline is staffed 24 hours a day, 7 days a week, with professional crisis counselors who have access to a database of tens of thousands of emergency, social service, and support resources. The service is available to anyone with a telephone: children who face confusion, parents in despair, mandatory reporters and other adults who are uncertain about the next best step when faced with questions related to abuse and neglect.. All calls are anonymous. Contact them at 1.800.4.A.CHILD (1.800.422.4453).. ...

The new ACC and American Heart Association (AHA) primary prevention guideline provides a comprehensive roadmap of strategies that can be used and tailored to help prevent or slow the development of atherosclerotic cardiovascular disease (ASCVD). The guideline, released today during ACC.19 in New Orleans, LA, also emphasizes the need to identify and address personal or social barriers (e.g., income and education levels, cost concerns, lack of health insurance, access to healthy foods or safe places to exercise, life stressors) as part of overall prevention, and sets a new tone for aspirin use, saying it should rarely be used.. The most important way to prevent cardiovascular disease … is by adopting heart healthy habits and to do so over ones lifetime, said Roger S. Blumenthal, MD, FACC, co-chair of the 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease. More than 80 percent of all cardiovascular events are preventable through lifestyle changes, yet we often fall ...

Primary Prevention Home Care provides the best in Connecticut Registered Nurses, physical therapists, occupational therapists, home health aides, social workers, and speech pathologists. Primary Prevention Home Care lets you age with dignity in the comfort of your own Connecticut home thanks to skilled nursing and behavioral health experts.

The European Atrial Fibrillation Trial (EAFT) results represent the first instance of trial-proved efficacy of warfarin in any setting of secondary stroke prevention. The rate of the composite end point for patients in the placebo group is remarkably high at 17%/y. Most events were stroke recurrences at 12%/y. For perspective, the placebo rate of initial stroke in the primary prevention trials in atrial fibrillation was about 5%/y (1). Considering the results of the primary prevention trials, it was not surprising that warfarin was effective in secondary prevention, although, interestingly, overall mortality was not improved. The greater issue was whether it could be used safely because these patients have risks for general and intracranial bleeding, including atrial fibrillation itself, previous stroke, and advanced age (2). Moreover, the EAFT anticoagulation target (INR 2.0 to 4.0) exceeded that of 3 of the 5 primary prevention trials as well as current American College of Chest Physicians ...

To find stimuli for getting young students interested in the primary prevention of cancer and a healthy lifestyle, internet resources have been searched that may motivate and facilitate this study. Teachers interested in teaching this subject can download for free and use them with the method felt as most appropriate; they consist of text, graphs, tables, images, quizzes and an interactive atlas. According to a personal experience, the use of these educational resources helps teachers in teaching and students in learning about cancer prevention. According to the World Health Organisation, cancer is a leading and growing cause of mortality with 10 and 14 million new cases worldwide respectively in 2000 and 2012. Several risk factors have been identified; if they are avoided, more than 30% of the cancers can be prevented. The five most important modifiable risk factors, among many others, are: smoking, alcohol, overweight, physical inactivity, low consumption of vegetables and fruit. Cancer may also have

TY - JOUR. T1 - Primary prevention of coronary heart disease. T2 - Integrating risk assessment with intervention. AU - Grundy, Scott M. N1 - Copyright: Copyright 2017 Elsevier B.V., All rights reserved.. PY - 1999/8/31. Y1 - 1999/8/31. KW - Coronary disease. KW - Prevention. KW - Risk factors. UR - http://www.scopus.com/inward/record.url?scp=0033621070&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0033621070&partnerID=8YFLogxK. U2 - 10.1161/01.CIR.100.9.988. DO - 10.1161/01.CIR.100.9.988. M3 - Review article. C2 - 10468531. AN - SCOPUS:0033621070. VL - 100. SP - 988. EP - 998. JO - Circulation. JF - Circulation. SN - 0009-7322. IS - 9. ER - ...

TY - JOUR. T1 - Rationale for a trial of low-dose aspirin for the primary prevention of major adverse cardiovascular events and vascular dementia in the elderly. AU - Nelson, Mark Raymond. AU - Reid, Christopher M. AU - Beilin, Lawrence J. AU - Donnan, Geoffrey A. AU - Johnston, Colin Ivor. AU - Krum, Henry. AU - Storey, Elsdon. AU - Tonkin, Andrew M. AU - McNeil, John J. PY - 2003. Y1 - 2003. M3 - Article. VL - 20. SP - 897. EP - 903. JO - Drugs & Aging. JF - Drugs & Aging. SN - 1170-229X. IS - 12. ER - ...

Rosenzweig, J., Ferrannini, E., & Grundy, S. (2008). Primary prevention of cardiovascular disease and type 2 diabetes in patients at metabolic risk: An endocrine society clinical practice guideline. The Journal of Clinical Endocrinology and Metabolism, 93(10), 3671 - 3689 ...

The incidence and prevalence of type2 diabetes mellitus is increasing worldwide. Many believe that type 2 diabetes mellitus is a disease that can be prevented by appropriate interventions in individuals at high risk for the disease. A number of studies have therefore looked at primary prevention during the past decade. Irans diabetic population ...

A Personal Care Assistant is able to perform the same activities as a homemaker and companion, but they can also assist with bathing and other personal care needs. A Personal Care Assistant will spend larger blocks of time with the patient than a homemaker or companion, allowing more one-on-one assistance. All of Primary Prevention Homecare s staff have background checks, are fingerprinted, insured, and bonded.. We strive to place our patients with members of our team who are compatible with the patient to preserve the patients dignity, keep them out of the hospital and maintain health at home.. ...

This post is a look into what kind of issues arise with mandatory reporting laws as it relates to the primary prevention of child sexual abuse.

OBJECTIVE--To determine the effects of lowering cholesterol concentrations on total and cause specific mortality in randomised primary prevention trials. DESIGN--Qualitative (meta-analytic) evaluation of total mortality from coronary heart disease, cancer, and causes not related to illness in six primary prevention trials of cholesterol reduction (mean duration of treatment 4.8 years). PATIENTS--24,847 Male participants; mean age 47.5 years. MAIN OUTCOME MEASURES--Total and cause specific mortalities. RESULTS--Follow up periods totalled 119,000 person years, during which 1147 deaths occurred. Mortality from coronary heart disease tended to be lower in men receiving interventions to reduce cholesterol concentrations compared with mortality in control subjects (p = 0.06), although total mortality was not affected by treatment. No consistent relation was found between reduction of cholesterol concentrations and mortality from cancer, but there was a significant increase in deaths not related to ...

Lifestyle and risk factor results clearly demonstrate a challenging gap between what is recommended in scientific guidelines and what is achieved in daily practice in high risk individuals in primary prevention of CVD.. Primary prevention of heart disease needs a comprehensive, multidisciplinary approach involving the high-risk population, their GPs and other health professionals, a health insurance system dedicated to prevention and all this complemented by a population strategy involving the community at large.. The European Society of Cardiology together with other partner Societies has engaged in a comprehensive programme of prevention of cardiovascular disease (CVD) since 1994. Guidelines on this important topic have been developed and updated at regular intervals over the last 13 years, most recently in 2007. The implementation of these guidelines is facilitated by the Joint European Prevention Committee and the new European Association for Cardiovascular Prevention and Rehabilitation ...

Background Suboptimal use of cardiovascular prevention medications has been reported. We report recent trends in secondary cardiovascular disease prevention drug use in Europe. Design We used the 2004-2013 data from the Survey of Health, Ageing and Retirement in Europe (SHARE), a large longitudinal cohort study in middle-aged and elderly Europeans. Methods Cross-sectional and panel data logistic regression models were used to study trends in cholesterol- and blood pressure-lowering drug use and effects of participant characteristics on the likelihood of drug use among participants with histoty of cardiovascular disease in SHARE. Results In SHARE 21,388 participants reported history of cardiovascular disease and provided data on cholesterol- and blood pressure-lowering drug use. At initial report, 40% and 60% of them used cholesterol- or blood pressure-lowering drugs, respectively. Increasing cross-sectional time trends were observed for both medication classes (odds ratios of use in 2013 vs. 2004, 1.6

On 29 November, the Environment, Public Health and Food Safety Committee (ENVI) of the European Parliament organised a workshop on Health Promotion and Primary Prevention. The workshop was chaired by MEP Alojz Peterle (EPP, SL).. The first session focused on the state of primary prevention and health promotion in Europe. The floor was given to participants from NGOs. Dr. Aldo Lupo represented the European Union of General Practitioners/Family Physicians (UEMO). Dr. Lupo informed the participants that structured clusters do not exist in all of the Member States. He added that where structured clusters exist, it is easier to share guidelines. On the issue of registered lists, Dr. Lupo emphasised that in cases there is a registered list proactive interventions are ethically justified since patients share a close relationship with their doctor. Dr. Lupo added that changing the behaviour is the most difficult thing. He further underlined that the focus should be on primary prevention were the ...

Cardiovascular disease is the leading cause of death and disability in more developed countries and contributes substantially to healthcare spending.1 2 Several clinical trials and meta-analyses have shown the beneficial effects of statins in reducing mortality and cardiovascular morbidity in a range of different populations and risk groups.3 4 Four recent systematic reviews focused on the efficacy of statins in primary prevention populations at high risk, and concluded that statin treatment was associated with a significant reduction in the risk of major vascular events, but it had no benefit on all cause mortality.5 6 7 8. In view of the large treatment effects on major vascular events, a considerable number of people in high risk primary prevention populations could probably benefit from long term statin use. Recently, the introduction of generic statins has led to sharp price reductions. Consequently, statin use today could come at a reasonable price in lower risk primary prevention ...

2 people interested. Check out who is attending ✭ exhibiting ✭ speaking ✭ schedule & agenda ✭ reviews ✭ timing ✭ entry ticket fees. 2020 edition of ASPC Congress on CVD Prevention will be held at Online starting on 25th July. It is a 2 day event organised by ASPC and will conclude on 26-Jul-2020.

The 2016 European Guidelines on cardiovascular disease prevention in clinical practice have been released. These are comprehensive excellent guidelines.

Georgousopoulou, Ekavi, Mellor, Duane, Naumovski, Nenad, Polychronopoulos, Evangelos, Tyrovolas, Stefanos, Piscopo, Suzanne, Valacchi, Giuseppe, Anastasiou, Foteini, Zeimbekis, Akis, Bountziouka, Vassiliki, Gotsis, Efthimios, Metallinos, George, Tyrovola, Dimitra, Foscolou, Alexander, Tur, Josep-Antoni, Matalas, Antonia-Leda, Lionis, Christos, Sidossis, Labros and Panagiotakos, Demosthenes 2017, Mediterranean lifestyle and cardiovascular disease prevention, Cardiovascular diagnosis and therapy, vol. 7, no. Sup 1, pp. S39-S47, doi: 10.21037/cdt.2017.03.11. ...

Cainzos-Achirica M., Desai C.S., Wang L., Blaha M.J., Lopez-Jimenez F., Kopecky S.L., Blumenthal R.S., Martin S.S. (2015). Pathways Forward in Cardiovascular Disease Prevention One and a Half Years After Publication of the 2013 ACC/AHA Cardiovascular Disease Prevention Guidelines. Mayo Clin Proc. 90(9):1262-1271.. Costa, M.W., Guo, G., Wolstein, O., Vale, M., Castro, M.L., Wang, L., Otway, R., Riek, P., Cochrane, N., Furtado, M., Semsarian, C., Weintraub, R.G., Yeoh, T., Hayward, C., Keogh, A., Macdonald, P., Feneley, M., Graham, R.M., Seidman, J.G., Seidman, C.E., Rosenthal, N., Fatkin, D., Harvey, R.P. (2013). Functional characterization of a novel mutation in NKX2-5 associated with congenital heart disease and adult-onset cardiomyopathy. Circ Cardiovasc Genet. 6(3):238-247.. Chrispin, J., Martin, S.S., Hasan, R.K., Joshi, P.H., Minder, C.M., McEvoy, J.W., Kohli, P., Johnson, A.E., Wang, L., Blaha, M.J., Blumenthal, R.S. (2013). Landmark lipid-lowering trials in the primary prevention of ...

Symptomatic treatment during the dementia stage of Alzheimers disease(AD) cannot delay or halt the progression of this disease. Therefore, prevention in the preclinical stage is likely the most effective way to decrease the incidence of this age-associated neurodegenerative condition, and its associated burden for individuals and society. Age, gender, family history, ApoE4, systolic blood pressure, body mass index, total cholesterol level and physical activity are all used as component of dementia risk score. There have been numerous challenges in conducting primary prevention trials in AD. Enrichment strategies for prevention studies include studying those subjects with more risk factors for AD, such as older age, those with a positive family history of late onset AD, and those who are ApoE4 positive. Each of these strategies is designed to increase the probability of developing AD thereby decreasing the sample size or the duration of follow up. Another strategy would be to target directly the ...

In a Journal of the American College of Cardiology state of the art review published today, researchers from the division of cardiology and the Center for the Prevention of Cardiovascular Disease at the New York University Medical Center in New York City, examine evidence and guidelines for the prevention of heart disease in Type 2 Diabetes patients.

This distinction is important because individuals in the secondary prevention category are at generally high risk of further problems, and stand to benefit most from statin therapy. On the other hand, individuals in the primary prevention category are at generally low risk of cardiovascular disease issues (such as heart attack and stroke), and may therefore not benefit much from a strategy or treatment intended to prevent cardiovascular disease. This primary prevention category is particularly important when one considers that the vast majority of people taking statins are in this category, and if the pharmaceutical industry and some of its hired hands in the scientific and medical community have their way, increasing numbers of people will be taking statins in the future ...

Way back in 2003 there was a very contentious article published in the BMJ, A strategy to reduce cardiovascular disease by more than 80% along with an editorial A cure for cardiovascular disease? The proposed polypill had six ingredients and the editorial claimed that the combination treatment has enormous potential, especially in developing countries. It has since been patented.. Since then it has been talked about a lot including an editorial in the Australian Prescriber in 2005 asking whether a polypill would be friend or foe and would a one size fits all approach be beneficial to patients. The use of a polypill as primary prevention from cardiovascular death was contentious.. Moving along to the present and a number of polypill trials are commencing or are planned, including in India, and a six country trial including England, NewZealand and Australia.This trial will include people who have a raised risk of heart attack or stroke, but are not on any medication and have no other ...

The Lancet has published the results of a meta-analysis that aimed to assess the benefits and risks of aspirin therapy in the primary prevention of vascular events. This study has been reported in the general media (BBC) and builds on previous analyses.. The analysis was conducted by the Antithrombotic Trialists Collaboration and included data from six trials with 95,000 participants. Aspirin therapy produced a 12% relative risk reduction (absolute risk of 0·51% with aspirin versus 0·57% control per year) in serious vascular events mainly driven by reductions in non-fatal heart attacks. Aspirin treatment also increased major gastrointestinal and extra-cranial bleeds (0·10% versus 0·07% per year). These figures equate to a number needed to treat (NNT) of 1,667 for one year to prevent a serious vascular event compared to a number needed to harm (NNH) of 3,334 for major gastrointestinal and extra-cranial bleeds in the same time period.. The authors conclude that in primary prevention aspirin ...

A framework created to promote the emotional, psychological, and physical wellbeing of San Mateo County. Includes strategies to promote policy and organizational practice changes and interdisciplinary partnerships.. ...

Director of Clinical Research, Ciccarone Center for the Prevention of Heart Disease. Expertise, Disease and Conditions: Cardiovascular Disease, Preventive Cardiology. Research Interests: Primary prevention of heart disease and stroke, Primary prevention of heart... [more]. ...

Studies on the impact of risk factors in childhood and on the effect of potentially beneficial interventions have been facilitated by the development of a number of non-invasive diagnostic techniques that can detect atherosclerosis at a preclinical stage (or at least the changes in arterial structure and/or function indicative of vascular damage). For example, the arterial endothelium plays a key role in atherogenesis, and clinical evaluation of the function of the endothelium is now possible through the assessment of nitric oxide-mediated vasodilatation produced by sheer stress (flow mediated dilatation (FMD)). FMD can be measured … ...

Comment. Despite the large number of high-quality trials included in this meta-analysis, the data on aspirin for primary prevention remains lacking, said editorialist Dr. M Pignone. Specifically, more information is needed on the impact of aspirin on all-cause mortality and cancer incidence, along with better information on women, people with diabetes, and those using other cardiovascular risk-reducing medications, particularly statin drugs. Until then, modeling studies that consider not just the number of events prevented and bleeds caused, but also the health effects of events, indicate that aspirin for primary prevention should be reserved for those with the greatest potential net benefit-adults with increased CV risk but not at increased risk of bleeding.. ...

Comment. Despite the large number of high-quality trials included in this meta-analysis, the data on aspirin for primary prevention remains lacking, said editorialist Dr. M Pignone. Specifically, more information is needed on the impact of aspirin on all-cause mortality and cancer incidence, along with better information on women, people with diabetes, and those using other cardiovascular risk-reducing medications, particularly statin drugs. Until then, modeling studies that consider not just the number of events prevented and bleeds caused, but also the health effects of events, indicate that aspirin for primary prevention should be reserved for those with the greatest potential net benefit-adults with increased CV risk but not at increased risk of bleeding.. ...

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Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Pediatrics. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Barn. ...

Latest 2009 recommendations for the use of aspirin in the prevention of cardiovascular disease. These recommendations were issued by the U.S. Preventive

With a little effort on each of our parts and a willingness to change, we can make a big difference in the incidence of this nations number one killer, cardiovascular disease (CVD). Heart and blood vessel disease are not inevitable; in fact, they are preventable in most cases.

Dr. Fadi Alfayoumi, a cardiologist at Valley Baptist Medical Center, said he recently performed a procedure to save a patient suffering from a massive heart attack. The man weighed 300...

In addition to services within the health system, interventions at the population and community levels are also important for the promotion of mental health, primary prevention of mental, neurological and substance use (MNS) disorders, identification and case detection of MNS disorders; and to a lesser degree treatment, care and rehabilitation. This study aims to identify best practice and good practice interventions that can feasibly be delivered at these population- and community-levels in low- and middle-income countries (LMICs), to aid the identification of resource efficiencies and allocation in LMICs ...