The document discusses cardiovascular disease (CVD) epidemiology and prevention. It notes that CVD is a top global cause of death and discusses rising prevalence rates in India. The pathogenesis of ischemic heart disease involves atherosclerosis blocking blood flow to the heart. Primary prevention aims to prevent disease onset through risk factor reduction like controlling hypertension, diabetes, and hyperlipidemia. Secondary prevention prevents recurrence through strategies proven to lower risk like medication adherence, smoking cessation, and lifestyle modifications. National programs aim to implement population-wide prevention through guidelines, risk assessment, and community-based interventions.
Lifestyle Modification For The Prevention of Heart DiseaseAdarsha Neupane
Here's a Presentation made by GROUP C on Lifestyle Modification For The Prevention of Heart Disease. This slide was created for Problem Based Learning (PBL) wrap up session Held At Kathmandu University- Birat Medical College Teaching Hospital (BMCTH).
feel free to Download and share this slide. You can leave comments for further improvement on other presentations. Thankyou. Cheers!
د فيصل الناصر - Faisal Alnasir is a Professor and Chairman at Dept Of Family & Community Medicine at Arabian Gulf University.
http://www.faisalalnasir.com
Prof. DR. Dr. Rochmad Romdoni, SpJP(K), FINASIM, FIHA, FAsCC. 3rd Pekanbaru Cardiology Update, August 24th 2013. Pangeran Hotel Pekanbaru. Learn more at PerkiPekanbaru.com
CORONARY ARTERY DISEASE is a modern epidemic in india. due to changes in living conditions and habits its prevalence is increasing day by day . in this presentation i have explained the various risk factors and innovations in diagnosis of CAD. IT is very useful for primary health care physicians and community medicine specialist
Lifestyle Modification For The Prevention of Heart DiseaseAdarsha Neupane
Here's a Presentation made by GROUP C on Lifestyle Modification For The Prevention of Heart Disease. This slide was created for Problem Based Learning (PBL) wrap up session Held At Kathmandu University- Birat Medical College Teaching Hospital (BMCTH).
feel free to Download and share this slide. You can leave comments for further improvement on other presentations. Thankyou. Cheers!
د فيصل الناصر - Faisal Alnasir is a Professor and Chairman at Dept Of Family & Community Medicine at Arabian Gulf University.
http://www.faisalalnasir.com
Prof. DR. Dr. Rochmad Romdoni, SpJP(K), FINASIM, FIHA, FAsCC. 3rd Pekanbaru Cardiology Update, August 24th 2013. Pangeran Hotel Pekanbaru. Learn more at PerkiPekanbaru.com
CORONARY ARTERY DISEASE is a modern epidemic in india. due to changes in living conditions and habits its prevalence is increasing day by day . in this presentation i have explained the various risk factors and innovations in diagnosis of CAD. IT is very useful for primary health care physicians and community medicine specialist
prevention of heart attacks is the theme on this world heart day.heart disease is increasing in india like an epidemic & affecting younger people with more mortality
CAD is spreading like an epidemic in south east Asia,esp india where its affecting younger ppl with grave prognosis. due to limited resourses, primary prevention becomes the most important tool to arrest this epidemic
The American College of Lifestyle Medicine (ACLM) is the medical professional society for physicians and other professionals dedicated to clinical and worksite practice of lifestyle medicine as the foundation of a transformed and sustainable health care system.
Learn more about the risks of poor diet, and how changes in nutrition policy could better support the health of all Canadians. In this webinar Dr. Norman R.C. Campbell, MD, will review some of the issues Canadians face when trying to eat healthy food and what types of food policies are required to improve the food environment in Canada.
Watch the full webinar recording at https://explore.ucalgary.ca/let-food-be-thy-medicine-diet-and-disease
Dr Vivek Baliga - Chronic Disease Management In Heart Failure And DiabetesDr Vivek Baliga
Dr Vivek Baliga, Consultant Internal Medicine at Baliga Diagnostics discusses the management of 2 common problems in medical practice - heart failure and type 2 diabetes, including the link between the two. For more articles for patients, visit http://heartsense.in/author/dr-vivek-baliga-b/. For scientific articles and short reviews, visit http://drvivekbaliga.net/
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
2. OBJECTIVES
• 10th causes of death worldwide
• IHD death statistics
• According to UN reports numbers of of deaths
due to cvd in the year
• To know rising prevalence
• According NCHS
• Trends in various age group
• Pathogenesis CVD
• Facts CVD in India
3. Cont….
• Levels of prevention
• Risk factors in primary prevention
• Benefit of secondary prevention
• National program for prevention and control
of diabetes cvd and stroke
• Complementary alternative system (CAM)
7. Rising prevalence
Source : Report of the Registrar General of India.
National Commission on Macroeconomics and Health (NCMH) Background Papers 1996.
8. Largest share in non communicable
diseases
Source : National Council of Health Science data India 2005.
9. Trend in various age groups
Source : National Commission on Macroeconomics and Health (NCMH)
background papers , Sept 2005.
10. Pathogenesis of CVD
• Ischemic heart disease occurs when flow of
oxygen rich blood to the myocardium is
blocked.
• Atherosclerosis is commonest cause.
12. Facts about CVD In India
• Public health estimate indicate –
– 60% of the world’s CVD burden.
– Involves relatively younger age.
– Smaller coronary arteries : High incidence of CVD.
– Diffuse distal disease
– Multi vessel disease
– High incidence in women.
High Mortality rate
13. Primary and Secondary Prevention
• Primary prevention : Prevention of onset of disease
in persons without symptoms.
• Primordial prevention : Prevention of risk factors
causative of the disease, thereby reducing the
likelihood of development of the disease.
• Secondary prevention : Prevention of death or
recurrence of disease in those who are already
symptomatic.
14. Risk Factors in Primary Prevention
• Non modifiable risk factors :
– Age.
– Gender.
– Race.
– Family history of CVD.
• Behavioral risk factors :
– Sedentary lifestyle.
– Unhealthy diet.
– Heavy alcohol or cigarette consumption.
• Physiological risk factors :
– Hypertension.
– Obesity.
– Hyperlipidemia.
– Diabetes.
Modifiable risk factors
15. Population & community wide risk reduction approach
• Populations with high rates of CVD :
– Western lifestyle.
– High-fat diet.
– Physical inactivity.
– Tobacco use.
• Requires public health services :
– Surveillance.
– Education.
– Organizational partnerships.
– Legislation/policy.
•Activities in a variety of community settings:
– Schools.
– Worksites.
– Healthcare facilities.
– Community worship places.
Targets of a population-
wide approach
16. Individual and High-Risk Approaches
• Primary Prevention Guidelines (1995) and Secondary
Prevention Guidelines (Revised 2001) released by the
American Heart Association provide advice regarding
risk factor assessment, lifestyle modification, and
pharmacologic interventions for specific risk factors.
• Barriers exist in the community and healthcare setting
that prevent efficient risk reduction.
• Surveys of CVD prevention-related services show
disappointing results regarding cholesterol reduction
therapy, smoking cessation etc.
17. Individual Risk Assessment
Careful assessment of medical history, physical
examination, laboratory examinations.
– Tobacco, diet, and physical activity history.
– Blood pressure, height/weight, waist/hip
circumference, BMI, lipid profile.
– Determination of global risk score.
18. Framingham Risk Algorithms
• Provides 10-year estimated risk of CHD :
Applicable to specific ages and persons.
• Different versions published: –
– Wilson 1998 version includes LDL-C (Age limit 30-74).
– NCEP III 2001 version :- Wider age range but does not
include diabetes.
– D’Agastino 2001 version includes diabetes. Applicable to
other ethnic groups.
NCEP : National Cholesterol Education Programme
19. Considerations for Secondary Prevention
• Framingham algorithms can be used for
prediction of recurrent CHD events over next 2
years.
• Important predictors of reinfarction /CHD death
over 10-years post-MI (Wong et al. 1989).
– Blood Pressure.
– Total cholesterol.
– Diabetes.
20. Secondary Prevention Strategies of
Proven Benefit
• AHA Secondary Prevention Statement outlines
recommended assessment, management, and
risk factor goal levels.
• Proven strategies include: –
– Cholesterol-lowering therapy.
– Blood pressure reduction.
– Antiplatelet therapy.
– Smoking cessation.
– Dietary therapy.
– Exercise.
AHA : American Heart Association
21.
22. Tobacco quitting
• Number one preventable risk factor
• Health benefits of quitting smoking begin immediately
– Most effective is combined pharmacologic and behavioral
strategies
• Governmental prevention programs including package health
warning labels and graphics.
23. Dietary Strategies
Home cooked meals.
Preferred versus restaurant and fast food.
Carbohydrates.
Recommend whole grains, barley, oats
Roti is healthier option versus processed white rice.
Proteins – Veg preferred.
Veg Options include Soy, Tofu.
White meats preferred over red meats.
Fat - Prefer unsaturated fats like EPA/DHA & Alpha-Linoleic Acid.
Nuts and fresh fish are excellent sources
Avoid saturated fats such as ghee, margarine, coconut oils
Don’t reuse cooking oil-this is unfortunately a common practice in India.
24. Cholesterol goals
• Diet and exercise are key!
• Total cholesterol goal: <200 mg/dL
• LDL (bad cholesterol) goal: <100 mg/dL
• Triglycerides Goal: <150 mg/dL
• HDL (good cholesterol) goal:
– >40 mg/dL in men, >50 mg/dL for women
National Heart Lung and Blood Institute: www.nhlbi.nih.gov/guidelines/cholesterol/index.htm
25. Exercise
• 30 minutes of moderate activity most days of
week.
– Helps lower BP.
– Diabetes.
– Raises good cholesterol (HDL).
– Manages stress.
– Improves bone health.
– Helps control weight.
26. Blood Pressure
• Quick screening recommended during all
healthcare visits .
• Controlling hypertension reduces risk of heart
disease by 25%
– Strategies include weight loss (i.e. via weight loss,
exercise, diet), low sodium in diet, limit alcohol
• Goal BP: <120 systolic and <80 diastolic
pressures
American Heart Association website: www.americanheart.org
27. Diabetes
• Optimal fasting blood sugar is< 100 mg/dL
• Criteria for Diagnosis of Diabetes -
– Fasting glucose 126 mg/dL or higher
– Random glucose of 200 mg/dL or higher + symptoms
• Goal to detect patients at level of impaired fasting
glucose of 100-125 mg/dL
• Individuals at risk of developing the disease can
prevent it by modest diet and exercise plan.
American Diabetes Association website: www.diabetes.org
28.
29. National Programme for Prevention and Control
of Diabetes, Cardiovascular Disease and Stroke
• The evidence-based recommendations given in these
guidelines provide guidance on specific preventive actions to
initiate, and with what degree of intensity.
• The accompanying World Health Organization/ International
Society of Hypertension (WHO/ISH) risk prediction charts
enable the estimation of total cardiovascular risk .
30. National Programme for Prevention and Control
of Diabetes, Cardiovascular Disease and Stroke
• Settings –
Primary care and other levels of care including low resource settings.
• Resource Needs -
• Human resources: Medical doctors and health workers.
• Equipment:
– Stethoscope.
– Blood pressure measurement device.
– Measuring tape.
– Weighing machine.
– Equipment for testing urine glucose and urine albumin.
– Assay of blood glucose and lipid profile.
–
• Drugs:
– Thiazide diuretics.
– Beta blocker.
– Angiotensin converting enzyme inhibitors.
– Calcium channel blockers.
– Aspirin.
– Metformin, Glibenclamide, Insulin.
– Statins.
31. 10 year risk of cardiovascular event Risk classification Intervention
Risk <10% Low risk
Encourage for lifestyle modification
(promote healthy diet, physical activity,
say no to tobacco and alcohol) Risk
assessed after 5 years unless significant
change in health status. Refer to
medical doctors for evaluation and
management
Risk 10% to <20% Moderate risk
Monitor risk profile every 2 years.
Encourage for lifestyle modification
(promote healthy diet, physical activity,
say no to tobacco and alcohol) Refer to
medical doctors for evaluation and
management
Risk 20% to <30% High risk
Monitor risk profile yearly. Encourage
for lifestyle modification (promote
healthy diet, physical activity, say no to
tobacco and alcohol) Refer to medical
doctors for evaluation and
management
Risk ≥30% Very High risk
Individuals in this category are at very
high risk of fatal or non-fatal vascular
events Monitor risk profile every 3–6
months Encourage for lifestyle
modification (promote healthy diet,
physical activity, say no to tobacco and
alcohol) Refer to medical doctors for
evaluation and management
32. Complementary and Alternative
Medicine (CAM)
• Biologically-based therapies.
• Mind-body therapies.
• Manipulative and body-based therapies.
• Whole medical systems.
• Energy medicine.