Research progress of early screening and clinical prevention services for high-risk population with cardiovascular diseases / 公共卫生与预防医学

Cardiovascular diseases are preventable and controllable, and the disease burden caused by them can be reduced after preventive intervention. Attentions should be paid to the prevention of disease causes. For high-risk population, it is necessary to conduct early screening of cardiovascular diseases, control risk factors, reduce exposure level, prevent and control the occurrence or progression of diseases. Clinical prevention services are to evaluate risk factors of health in clinical sites, which can prevent diseases by personalized intervention measures. Clinical prevention services for high-risk population with cardiovascular diseases are generally at a low level in China. This article reviews the early screening, risk factors and clinical prevention services for high-risk population with cardiovascular diseases.

Expert consensus for clinical prevention and treatment of corona virus disease 2019 (COVID-19) for neurologists / 中华神经科杂志

The epidemic of coronavirus disease2019 (COVID-19) has presented as a grim and complex situation recently.Novel coronavirus may also involvethe nervous systemother than lung. Therefore, especially patients whosefirst symptoms are nervous system symptomsin the early stage, may easilybe misdiagnosed and their treatment may be delayed. Moreover, these patients are also invisible communicators. In order to help neurologists understand the occurrence, development and outcome of this disease, and be familiar with the relevant prevention and treatment process, wewrite this expert consensus for clinical prevention and treatment of COVID-19for neurologists.

Prevención clínica de mortalidad prematura por enfermedades no transmisibles / Clinical prevention of premature deaths from noncommunicable diseases

Introducción: el impacto de la morbimortalidad por Enfermedades no transmisibles, ha magnificado la importancia del cuidado y mejoramiento de la salud de la población (contando con su participación), evidenciándose resultados optimistas de la gestión preventiva clínica de estas enfermedades, pero aún existen barreras por superar para su desarrollo adecuado e impacto exitoso en la reducción de la mortalidad prematura. Objetivo: identificar barreras para el normal desarrollo e impacto favorable de la prevención clínica de mortalidad prematura por enfermedades no transmisibles. Material y Método: se realizó búsqueda bibliográfica en base de datos CUMED, usando tesauro DeCS, procurando información sobre este tema. Se sintetizaron luego afirmaciones de diversos autores al respecto, para satisfacer la interrogante científica planteada. Resultados: se identificó falta de cientificidad profesional ante el proceso salud-enfermedad (motivación, concientización preventiva, descuido del enfoque de riesgo, el método clínico y la atención multidisciplinaria), así como deficiencia en su trascripción. Consecuente deterioro de la relación médico-paciente, con desnutrida e infértil comunicación, incapaz de persuadir, motivar e influir favorablemente en la actitud de los atendidos. Resultante subvaloración y deficiente autocuidado de la salud, que explica la subestimación, devaluación y rechazo de muchos atendidos al servicio ofertado en perjuicio de sus vidas. Conclusiones: la falta de cientificidad e ineficiente comunicación profesionales, así como valoración y autocuidado inadecuados de la salud, son las principales barreras para el desarrollo exitoso de la prevención clínica de mortalidad prematura por enfermedades no transmisibles.

Introduction: the impact of morbidity and mortality due to noncommunicable diseases, has magnified the importance of caring and improving the health of the population (with their participation), showing good results of the clinical preventive management of these diseases, but there are still barriers for overcome for their proper development and a successful impact in reducing premature mortality. Objective: to identify barriers to normal development and favorable impact of a clinical prevention for premature death from noncommunicable diseases. Material and Methods: the literature search was by performed database CUMED using MeSH thesaurus, seeking information on this topic. Thes tatements were synthesized through various authors concerning the meeting of thes cientific question posed. Results: He identified lack of scientific training to the health-disease (motivation, awareness, prevention, risk oversight approach, the method clinical and multidisciplinary care) and deficient transcription. Consequent deterioration of the phisician-patient relationship, with malnourish and infertile communication, unable to persuade, motivate and positively influence the attitude taken care of. Resulting under cutting and poorself-care, which explains the understatement, devaluation and rejection of many attended the service offered in prejudice to their lives. Conclusions: the lack of scientific and professional communication in efficient and inadequate assessment and self-care are the main barriers to the successful development of clinical prevention of premature death from noncommunicable diseases.