ABSTRACT
Coronary heart diseases (CHD) have reached epidemic proportions among Indians. The recently concluded INTWERHEART study emphasizes the role of behavioural and conventional risk factors in the prediction of CHD risk among Indians. These findings have implication for the health care providers and policy makers in the country due to the fact that all these conventional risk factors are potentially modifiable and are good starting points for prevention. The policy measures by means of legislation and regulatory approaches on agriculture and food industry or tobacco or physical activity will have large impact on CHD risk factor reduction in the population. In addition, the health system needs to focus on: (i) providing information for increasing awareness and an enabling environment for adoption of healthy living habits by the community; (ii) early detection of persons with risk factors and cost-effective interventions for reducing risk; and (iii) early detection of persons with clinical disease and cost-effective secondary prevention measures to prevent complications. The evidence from INTERHEART provides rationale for developing treatment algorithms and treatment guidelines for CHD at various levels of health care. In addition, INTERHEART provides answer for the quest for a single reliable biomarker, Apo B/ApoA 1 ratio that can predict the future CHD risk among individuals. Further to this, the INTERHEART study also opens up several unanswered questions on the pathobiology of the premature onset of myocardial infarction among Indians and calls for the need to developing capacity in clinical research in CHD in India.
Subject(s)
Apolipoprotein A-I/blood , Apolipoproteins B/blood , Biomarkers/blood , Coronary Disease/epidemiology , Coronary Disease/prevention & control , Humans , India/epidemiology , Life Style , Practice Guidelines as Topic , Primary Prevention/legislation & jurisprudence , Primary Prevention/methods , Public Policy , Risk FactorsSubject(s)
Cross Infection/complications , Cross Infection/diagnosis , Cross Infection/prevention & control , Infection Control , Primary Prevention/instrumentation , Primary Prevention/legislation & jurisprudence , Primary Prevention/methods , Primary Prevention/standards , Primary Prevention , Primary Prevention/trendsABSTRACT
El presente documento contiene la Ley N§ 1674 promulgada el 15 de diciembre de 1995, y el Decreto Reglamentario N§ 25087 del 6 de julio de 1998. La violencia intrafamiliar y doméstica constituye un serio problema social y de salud pública que depende de diversos factores, pero que predominantemente se origina en una estructura social basada en la desigualdad
Subject(s)
Legislation/trends , Domestic Violence/legislation & jurisprudence , Bolivia , Primary Prevention/legislation & jurisprudence , Violence , Women's RightsABSTRACT
Las recomendaciones enbozadas en este programa son ambiciosas pero la naturaleza del problema en Chile lo requiere. Hay pocos problemas de salud pública que tocan a tantos chilenos como lo hacen los accidentes. Algo que también hace diferente el tema, es el amplio número de disciplinas interrelacionadas en el control de esta epidemia. Una intervención, comienza con el conocimiento capitalizado durante las fases de vigilancia e investigación, para determinar el cómo, quién y porqué de un accidente. Todos tenemos nuestra parte en este gran desafío. Como comunidad, debemos proveernos los recursos y apoyar a nuestros líderes, creando conciencia en el núcleo que nos rodea
Subject(s)
Accident Prevention , National Health Programs , Program Development , Accidents, Traffic/prevention & control , Accidents, Home/prevention & control , Accidents, Occupational/prevention & control , Rehabilitation Centers/legislation & jurisprudence , Chile , Primary Prevention/legislation & jurisprudenceABSTRACT
Sem sectarismo algum, o presente volume abre suas páginas a opiniões e tendências diversas, tanto na teoria como na prática. Esse é o encaminhamento correto, porque nossa atuaçäo tem necessidade de confrontações livres e näo de cortesäos servis. Mas o que talvez seja mais importante é a percepçäo que emana do conjunto. Talvez possamos ver aí um pouco da nossa própria percepçäo: o toxicômano é sujeito e näo objeto, ele deve ser respeitado na sua liberdade desviante. Näo se trata de modificar um comportamento para torná-lo adequado às normas da sociedade, trata-se de, no e durante o percurso terapêutico, fazer com que ele tome consciência de sua história e do porquê de sua viagem através das drogas