7 research outputs found
Factors influencing patient satisfaction with dental appearance and treatments they desire to improve aesthetics
Background: We assessed factors influencing patients’ satisfaction with their dental appearance and the
treatments they desired to improve dental aesthetics.
Methods: A cross-sectional study was performed out among 235 adult patients who visited the Hospital Universiti
Sains Malaysia dental clinic. A structured, interviewer-guided questionnaire was used to identify patient satisfaction
with their general dental appearance, cosmetic elements and desired treatments.
Results: The 235 patients consisted of 70 males (29.8%) and 165 females (70.2%), of mean age 31.5 years (SD 13.0).
Of these patients, 124 (52.8%) were not satisfied with their general dental appearance. In addition, 132 patients
(56.2%) were not happy with the color of their teeth, 76 (32.3%), regarded their teeth were poorly aligned, 62
(26.4%), as crowded and 56 (23.4%) protruded. Dissatisfaction with tooth color was significantly higher in female
than in male patients (odds ratio [OR] of 1.99 (95% confidence interval [CI] 1.13-3.50). Tooth whitening was the
treatment most desired by patients (48.1%). Results of multiple logistic regression analysis showed that patient
dissatisfaction with general dental appearance was significantly associated with female gender (OR = 2.18; 95% CI:
1.18-4.03), unhappiness with tooth color (OR = 3.05; 95% CI: 1.74-5.34) and the opinion that their teeth protruded
(OR = 2.91, 95% CI: 1.44-5.91)
Individual- and area-level characteristics associated with alcohol-related mortality among adult Lithuanian males: A multilevel analysis based on census-linked data
Spatial and temporal variation of fluvial islands and sandbars in River Ganga from Bhagalpur to Farakka during 1955–2019
the European trial on Reduction of Cardiac Events with Perindopril in Stable Coronary Artery Disease Investigators. Efficacy of perindopril in reduction of cardiovascular events among patients with stable coronary artery disease: randomised, double-blind, placebo-controlled, multicentre trial (the EUROPA trial).
Background Treatment with angiotensin-converting-enzyme
(ACE) inhibitors reduces the rate of cardiovascular events
among patients with left-ventricular dysfunction and those at
high risk of such events. We assessed whether the ACE
inhibitor perindopril reduced cardiovascular risk in a low-risk
population with stable coronary heart disease and no apparent
heart failure.
Methods We recruited patients from October, 1997, to June,
2000. 13 655 patients were registered with previous
myocardial infarction (64%), angiographic evidence of coronary
artery disease (61%), coronary revascularisation (55%), or a
positive stress test only (5%). After a run-in period of 4 weeks,
in which all patients received perindopril, 12 218 patients
were randomly assigned perindopril 8 mg once daily (n=6110),
or matching placebo (n=6108). The mean follow-up was
4·2 years, and the primary endpoint was cardiovascular death,
myocardial infarction, or cardiac arrest. Analysis was by
intention to treat.
Findings Mean age of patients was 60 years (SD 9), 85% were
male, 92% were taking platelet inhibitors, 62% blockers, and
58% lipid-lowering therapy. 603 (10%) placebo and 488 (8%)
perindopril patients experienced the primary endpoint, which
yields a 20% relative risk reduction (95% CI 9–29, p=0·0003)
with perindopril. These benefits were consistent in all
predefined subgroups and secondary endpoints. Perindopril
was well tolerated.
Interpretation Among patients with stable coronary heart
disease without apparent heart failure, perindopril can
significantly improve outcome. About 50 patients need to be
treated for a period of 4 years to prevent one major
cardiovascular event. Treatment with perindopril, on top of
other preventive medications, should be considered in all
patients with coronary heart disease
Efficacy of perindopril in reduction of cardiovascular events among patients with stable coronary artery disease: randomised, double-blind, placebo-controlled, multicentre trial (the EUROPA study)
BACKGROUND: Treatment with angiotensin-converting-enzyme (ACE) inhibitors reduces the rate of cardiovascular events among patients with left-ventricular dysfunction and those at high risk of such events. We assessed whether the ACE inhibitor perindopril reduced cardiovascular risk in a low-risk population with stable coronary heart disease and no apparent heart failure. METHODS: We recruited patients from October, 1997, to June, 2000. 13655 patients were registered with previous myocardial infarction (64%), angiographic evidence of coronary artery disease (61%), coronary revascularisation (55%), or a positive stress test only (5%). After a run-in period of 4 weeks, in which all patients received perindopril, 12218 patients were randomly assigned perindopril 8 mg once daily (n=6110), or matching placebo (n=6108). The mean follow-up was 4.2 years, and the primary endpoint was cardiovascular death, myocardial infarction, or cardiac arrest. Analysis was by intention to treat. FINDINGS: Mean age of patients was 60 years (SD 9), 85% were male, 92% were taking platelet inhibitors, 62% beta blockers, and 58% lipid-lowering therapy. 603 (10%) placebo and 488 (8%) perindopril patients experienced the primary endpoint, which yields a 20% relative risk reduction (95% CI 9-29, p=0.0003) with perindopril. These benefits were consistent in all predefined subgroups and secondary endpoints. Perindopril was well tolerated. INTERPRETATION: Among patients with stable coronary heart disease without apparent heart failure, perindopril can significantly improve outcome. About 50 patients need to be treated for a period of 4 years to prevent one major cardiovascular event. Treatment with perindopril, on top of other preventive medications, should be considered in all patients with coronary heart disease
The European Trial On Reduction of Cardiac Events with Perindopril in Stable Coronary Artery Disease
Background
Treatment with angiotensin-converting-enzyme (ACE) inhibitors reduces the rate of cardiovascular events among patients with left-ventricular dysfunction and those at high risk of such events. We assessed whether the ACE inhibitor perindopril reduced cardiovascular risk in a low-risk population with stable coronary heart disease and no apparent heart failure.
Methods
We recruited patients from October, 1997, to June, 2000. 13 655 patients were registered with previous myocardial infarction (64%), angiographic evidence of coronary artery disease (61%), coronary revascularisation (55%), or a positive stress test only (5%). After a run-in period of 4 weeks, in which all patients received perindopril, 12 218 patients were randomly assigned perindopril 8 mg once daily (n=6110), or matching placebo (n=6108). The mean follow-up was 4·2 years, and the primary endpoint was cardiovascular death, myocardial infarction, or cardiac arrest. Analysis was by intention to treat.
Findings
Mean age of patients was 60 years (SD 9), 85% were male, 92% were taking platelet inhibitors, 62% β blockers, and 58% lipid-lowering therapy. 603 (10%) placebo and 488 (8%) perindopril patients experienced the primary endpoint, which yields a 20% relative risk reduction (95% Cl 9–29, p=0·0003) with perindopril. These benefits were consistent in all predefined subgroups and secondary endpoints. Perindopril was well tolerated.
Interpretation
Among patients with stable coronary heart disease without apparent heart failure, perindopril can significantly improve outcome. About 50 patients need to be treated for a period of 4 years to prevent one major cardiovascular event. Treatment with perindopril, on top of other preventive medications, should be considered in all patients with coronary heart disease