CONCERNS ABOUT THE SCHOLARLY DEVELOPMENT OF THE NURSING PROFESSION AND THE ACADEMIC NURSING PIPELINE

Editoria

ASPIRE-2-PREVENT: a survey of lifestyle, risk factor management and cardioprotective medication in patients with coronary heart disease and people at high risk of developing cardiovascular disease in the UK.

OBJECTIVE: To determine in patients with coronary heart disease (CHD) and people at high risk of developing cardiovascular disease (CVD) whether the Joint British Societies' guidelines on CVD prevention (JBS2) are followed in everyday clinical practice. DESIGN: A cross-sectional survey was undertaken of medical records and patient interviews and examinations at least 6 months after the recruiting event or diagnosis using standardised instruments and a central laboratory for measurement of lipids and glucose. SETTINGS: The ASPIRE-2-PREVENT survey was undertaken in 19 randomly selected hospitals and 19 randomly selected general practices in 12 geographical regions in England, Northern Ireland, Wales and Scotland. PATIENTS: In hospitals, 1474 consecutive patients with CHD were identified and 676 (25.6% women) were interviewed. In general practice, 943 people at high CVD risk were identified and 446 (46.5% women) were interviewed. RESULTS: The prevalence of risk factors in patients with CHD and high-risk individuals was, respectively: smoking 14.1%, 13.3%; obesity 38%, 50.2%; not reaching physical activity target 83.3%, 85.4%; blood pressure ≥130/80 mm Hg (patients with CHD and self-reported diabetes) or ≥140/85 mm Hg (high-risk individuals) 46.9%, 51.3%; total cholesterol ≥4 mmol/l 52.6%, 78.7%; and diabetes 17.8%, 43.8%. CONCLUSIONS: The potential among patients with CHD and individuals at high risk of developing CVD in the UK to achieve the JBS2 lifestyle and risk factor targets is considerable. CVD prevention needs a comprehensive multidisciplinary approach, addressing all aspects of lifestyle and risk factor management. The challenge is to engage and motivate cardiologists, physicians and other health professionals to routinely practice high quality preventive cardiology in a healthcare system which must invest in prevention

PREOCUPAÇÕES SOBRE O DESENVOLVIMENTO ACADÊMICO DA PROFISSÃO DE ENFERMAGEM E A CARREIRA ACADÊMICA DE ENFERMAGEM

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PREOCUPACIONES POR EL DESARROLLO ACADÉMICO DE LA PROFESIÓN DE ENFERMERÍA Y DE LAS CARRERAS ACADÉMICAS DE ENFERMERÍA

Editorial

Automatic Redshift Determination by use of Principal Component Analysis --- I: Fundamentals

With the advent of very large redshift surveys of tens to hundreds of thousands of galaxies reliable techniques for automatically determining galaxy redshifts are becoming increasingly important. The most common technique currently in common use is the cross-correlation of a galactic spectrum with a set of templates. This series of papers presents a new method based on Principal Component Analysis. The method generalizes the cross-correlation approach by replacing the individual templates by a simultaneous linear combination of orthogonal templates. This effectively eliminates the mismatch between templates and data and provides for the possibility of better error estimates. In this paper, the first of a series, the basic mathematics are presented along with a simple demonstration of the application.Comment: 23 pages, 9 Figures, minor revisions, accepted for publication in Astrophysical Journa