1.How Much to Lower Serum LDL-Cholesterol for the Primary and Secondary Prevention of Coronary Heart Disease?.
Korean Circulation Journal 2000;30(3):251-259
No abstract available.
Coronary Disease*
;
Secondary Prevention*
2.Effectiveness of the Otago Exercise Programme in falls reduction among community-dwelling older people in Southeast Asia: a systematic review
Amal Azimah Haji Johar ; Hjh Asmah Haji Husaini ; Shyh Poh Teo
Philippine Journal of Internal Medicine 2020;59(2):133-136
BACKGROUND: Falls are common in older people and a leading cause of injury. Exercise programmes are available for falls prevention, including the Otago Exercise Programme (OEP). The Southeast Asia region has a rapidly ageing population with unique aspects to consider in falls prevention. This systematic review aims to explore the effectiveness of OEP in Southeast Asia for falls prevention.
METHODS: A literature search conducted in April 2020 of PubMed and Google Scholar databases was performed to identify randomised controlled trials on OEP in Southeast Asia.
RESULTS: Three studies met inclusion criteria for the systematic review. The studies in Malaysia and Thailand did not identify any differences in the rate of falls with the modified OEP intervention compared to conventional treatment. The study from Indonesia inferred a reduced fall risk with improved Timed Up and Go with the intervention, but did not quantify fall rates.
CONCLUSION: The three studies identified used a modified OEP, with limited evidence of efficacy or reduction in fall rates. Further research is required, particularly randomized controlled trials to evaluate OEP for falls prevention in Southeast Asia.
Accidental Falls
;
Secondary Prevention
;
Asia, Southeastern
3.Application prospects of blood biomarkers in secondary prevention of ischemic stroke.
Chinese Journal of Preventive Medicine 2022;56(8):1062-1068
With an increasing incidence rate, ischemic stroke has become a major public health problem. Early and effective secondary prevention is a key strategy for reducing its high morbidity, high recurrence and high mortality. Combined with the clinical phenotypes and imaging features, the application of potential blood biomarkers can provide the scientific basis for early screening and treatment monitoring to assess stroke recurrence risk stratification, then guide individualized secondary prevention. This article describes and analyzes the current clinical application, existing challenge, and the future development model of blood biomarkers in the field of secondary stroke prevention.
Biomarkers
;
Humans
;
Incidence
;
Ischemic Stroke
;
Secondary Prevention
;
Stroke/prevention & control*
5.Focused Update of 2009 Korean Clinical Practice Guidelines for the Antiplatelet Therapy in Secondary Prevention of Stroke.
Hyung Min KWON ; Kyung Ho YU ; Keun Sik HONG ; Joung Ho RHA ; Ji Hoe HEO ; Sun Uck KWON ; Chang Wan OH ; Hee Joon BAE ; Byul Chul LEE ; Byung Woo YOON
Journal of the Korean Neurological Association 2010;28(2):81-84
The aim of this update of Korean clinical practice guidelines for stroke is to provide timely evidence-based recommendations on the antiplatelet therapy in secondary prevention of stroke. Evidence-based recommendations are included for the use of antiplatelet agents for noncardioembolic stroke. Changes in the guidelines necessitated by new evidence will be continuously reflected in the new guideline.
Aspirin
;
Platelet Aggregation Inhibitors
;
Secondary Prevention
;
Stroke
;
Ticlopidine
6.Physicians' Attitudes Toward Guidelines for Stroke: A Survey of Korean Neurologists.
Hyung Min KWON ; Mi Sun OH ; Hye Yeon CHOI ; A Hyun CHO ; Keun Sik HONG ; Kyung Ho YU ; Hee Joon BAE ; Juneyoung LEE ; Byung Chul LEE
Journal of Stroke 2014;16(2):81-85
BACKGROUND AND PURPOSE: Clinical practice guidelines (CPGs) are regarded as an essential guidance tool for practicing physicians. We surveyed physicians in Korea in order to evaluate their attitudes toward the Korean CPGs for stroke. METHODS: We obtained participation agreement for our survey from 27 centers of the 33 most actively contributing to the Korean Stroke Registry. A total of 174 neurologists participated in a questionnaire interview regarding their attitudes toward CPGs for stroke. RESULTS: Of 174 participating neurologists, 65 (37.4%) were stroke neurologists. The average age was 33.6+/-7.1 and 49 (28.2%) were female. Most of the respondents held positive attitudes and opinions regarding the use of the guidelines, whereas only a small percentage (14.9%) responded negatively. More than 60% of the physicians in the survey reported adherence to the Korean CPGs in dyslipidemia management for the secondary prevention of stroke. CONCLUSIONS: The positive attitudes and opinions toward the guidelines imply that physicians' attitudes should not be regarded as a potential barrier to the implementation of Korean CPGs for stroke practiced by general physicians.
Surveys and Questionnaires
;
Dyslipidemias
;
Female
;
Humans
;
Korea
;
Secondary Prevention
;
Stroke*
7.Five Cases of Polypectomy using Endoscopic " O " -ring Ligation.
Jung Myung CHUNG ; Sang Hyuk LEE ; Sang Yong SEOL ; Dae Sik KOO ; Kyung Seok OH ; Hyen Jung JANG ; Chan Hwan KIM
Korean Journal of Gastrointestinal Endoscopy 1994;14(4):442-449
Endoscopic polypectomy was firstly introduced by Tsuneoka in 1969, and till now this method has been widely used for the treatment of benign and malignant polyps with the advent of technical improvement. This method is a very important modality as secondary prevention of malignancy because polyps in gastraintestinal tract are now being considered as precancerous lesion. Polypectomy with snare and electrocautery is mainly used for pedunclated polyps (eg. Yamada Class III, IV), but sessile polyps pose technical difficulty and occasionally cause serious gastrointestinal hemorrhage when resection margin adjacent polyp base. We performed polypectomy with "O"-ring used in endocopic variceal ligation (EVL) to make sessile polyp as semipedunclated form, and also to control bleeding, and then successfully remove it with conventional snare polypectomy. We report these 5 cases with the review of the literature.
Electrocoagulation
;
Gastrointestinal Hemorrhage
;
Hemorrhage
;
Ligation*
;
Polyps
;
Secondary Prevention
;
SNARE Proteins
8.Secondary fracture prevention: plucking the low hanging fruit.
Manju CHANDRAN ; Kristina AKESSON
Annals of the Academy of Medicine, Singapore 2013;42(10):541-544
It is well known that one fragility fracture begets another. Fracture Liaison Services have been shown to narrow the care gap that exists in the care of patients with fragility fractures. A secondary fracture prevention programme "OPTIMAL" (Osteoporosis Patient Targeted and Integrated Management for Active Living) has been in existence in the public restructured hospitals and polyclinics of Singapore since 2008 and this is beginning to show significant beneficial results in terms of identification and management of fragility fractures. However, significant obstacles in the path of appropriate management of the patient with a fragility fracture still exist. A concerted, multipronged and interdisciplinary approach is needed to overcome these barriers.
Disease Management
;
Hospitals, Public
;
Humans
;
Osteoporosis
;
Secondary Prevention
;
Singapore
9.Predictors of Persistence and Adherence with Secondary Preventive Medication in Stroke Patients.
Young Taek KIM ; Ki Soo PARK ; Sang Geun BAE
Journal of Agricultural Medicine & Community Health 2015;40(1):9-20
OBJECTIVES: This study aimed to explore the persistence and adherence to secondary preventive medication of stroke patients after discharge and to assess the reasons for persistence and nonadherence. METHODS: Four hundred twenty-nine patients with stroke were surveyed to determine their behaviors from discharge. Reasons for stopping medications were ascertained. Persistence was defined as continuation of all secondary preventive medications prescribed at hospital discharge, and adherence as continuation of prescribed medications according to health care provider instructions. RESULTS: Of the 429 patients, 86.5% were treatment persistent and 41.2%(non-intentional nonadherence=39.4%, intentional nonadherence=19.4%) were adherent. Independent predictors of persistence included having experience about health education. Independent predictors of non-intentional nonadherence were modified Rankin Scale(mRS) (Exp(B)=2.858, p=0.001) and health education experience (Exp(B)=0.472, p=0.032), and independent predictors of intentional nonadherence were mRS (Exp(B)=2.533, p=0.006), depressive symptoms (Exp(B)=1.113, p=0.016), beliefs about medications questionnaire(necessity, Exp(B)=0.879, p=0.011, concern, Exp(B)=1.098, p=0.019). CONCLUSIONS: Although up to one-ninth of stroke patients continued secondary prevention medications, nonadherence is common. Several potentially modifiable patient, provider, and system-level factors associated with persistence and adherence may be targets for future interventions. Specially, interventions to improve adherence should target patients' beliefs about their medication.
Depression
;
Health Education
;
Health Personnel
;
Humans
;
Secondary Prevention
;
Stroke*
10.Aspirin Usage Based on Evidence for the Prevention of Cardio-Cerebrovascular Disease.
Young Sang KIM ; Kyoung Kon KIM ; In Cheol HWANG
Korean Journal of Family Medicine 2009;30(4):249-260
Aspirin is well known for its central role in preventing cardio cerebrovascular diseases as an antiplatelet agent. However besides its favorable effects, one must also be fully aware of its side effects such as gastrointestinal complications or cerebral hemorrhage. Particularly when prescribing to Koreans, one must be highly cautious, considering the higher prevalence of helicobacter pylori infection and the contribution of hemorrhagic stroke as a major part of cerebral disease in Korean. Currently the guideline for secondary prevention of cardio cerebrovascular diseases is relatively well established, while the consensus for primary prevention is still controversial. The purpose of this paper would be to summarize the evidence of aspirin usage in preventing cardio cerebrovascular diseases, examine the additional factors one must consider, and help primary physician prescribing aspirin appropriately.
Aspirin
;
Cerebral Hemorrhage
;
Consensus
;
Helicobacter pylori
;
Prevalence
;
Primary Prevention
;
Secondary Prevention
;
Stroke