Background: Cardiovascular disease (CVD), mainly heart attack and stroke, is the
leading cause of premature mortality in low and middle income countries (LMICs).
Identifying and managing individuals at high risk of CVD is an important strategy to prevent and control CVD, in addition to multisector...al population-based interventions to reduce CVD risk factors in the entire population.
Methods: We describe key public health considerations in identifying and managing individuals at high risk of CVD in LMICs.
Results: A main objective of any strategy to identify individuals at high CVD risk is to maximize the number of CVD events averted while minimizing the numbers of
individuals needing treatment. Scores estimating the total risk of CVD (e.g. ten-year risk of fatal and non-fatal CVD) are available for LMICs, and are based on the main CVD risk factors (history of CVD, age, sex, tobacco use, blood pressure, blood cholesterol and diabetes status). Opportunistic screening of CVD risk factors enables identification of persons with high CVD risk, but this strategy can be widely applied in low resource settings only if cost effective interventions are used (e.g. the WHO Package of Essential NCD interventions for primary health care in low resource settings package) and if treatment (generally for years) can be sustained, including continued availability ofaffordable medications and funding mechanisms that allow people to purchase medications without impoverishing them (e.g. universal access to health care). Thisalso emphasises the need to re-orient health systems in LMICs towards chronic diseases management.
Conclusion: The large burden of CVD in LMICs and the fact that persons with high
CVD can be identified and managed along cost-effective interventions mean that
health systems need to be structured in a way that encourages patient registration, opportunistic screening of CVD risk factors, efficient procedures for the management of chronic conditions (e.g. task sharing) and provision of affordable treatment for those with high CVD risk. The focus needs to be in primary care because that is where most of the population can access health care and because CVD programmes can be run effectively at this level.
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Guidelines for diagnosis, acute care and post-COVID-19 follow-up for children and adolescents
Estas imágenes pertenecen al CONSENSO COLOMBIANO DE ATENCIÓN, DIAGNÓSTICO Y MANEJO DE LA INFECCIÓN POR SARS- CoV2/COVID-
19 EN ESTABLECIMIENTOS DE ATENCIÓN DE LA SALUD 29/08/2020
• provide scientific information on the safety, efficacy, and quality control/ quality assurance of widely used medicinal plants, in order to facilitate their appropriate use in Member States;
• provide models to assist Member States in developing their own mono- graphs or formularies for these... or other herbal medicines; and
• facilitate information exchange among Member States.
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What are the local beliefs and practices around illnesses and death, the transmission of disease and spirituality, which affect decision-making (around health-seeking behaviour, caring for relatives and nature of burials) and can inform effective behaviour change interventions for preventing Ebola i...n Sierra Leone?
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Armed Forces Pest Management Board Technical Guide No. 47
Leitfaden für Fachpersonen des Gesundheitswesens. Grundlage des vorliegenden Handbuchs sind die aktuellen internationalen Leitlinien zur Diagnose und Behandlung der Tuberkulose.
Die vorliegende gekürzte Fassung ergänzt und aktualisiert das «Handbuch Tuberkulose 2012
Stellungnahme der Arbeitsgruppe AWMFLeitlinie Tuberkulose im Kindes- und Jugendalter: Diagnostik, Prävention und Therapie unter Federführung der Deutschen Gesellschaft für Pädiatrische Infektiologie.
Monatsschr Kinderheilkd 2015 · 163:1287–1292 DOI 10.1007/s00112-015-0007-5 © Deutsche Gesel...lschaft für Pädiatrische
Infektiologie 2015
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carnet de santé health booklet cuaderno de salud здравствена књижица zdravstvena knjižica libreza shëndetësor knjižica
Beitrag aus dem Handbuch "Biologische Gefahren II - Entscheidungshilfen zu medizinisch angemessenen Vorgehensweisen in einer B-Gefahrenlage".
Das Kompendium setzt sich mit der medizinischen Versorgung von Personen auseinander, die biowaffenfähigen Erregern vermutlich oder gesichert ausgesetzt war...en. Es richtet sich in erster Linie an Ärzte, sonstiges medizinisches Personal, Hilfsorganisationen und Personen aus öffentlichen Einrichtungen sowie an die Bevölkerung, die aus beruflichen oder privaten Gründen an dem Thema interessiert ist.
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Key populations brief.
Краткое руководство