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Biomedical subjects

K Ra

Publications and source records attributed to K Ra.

4 recordsLinked to original sources

[Treatment of hypertension in preventive health care. Experiences from a high-risk strategy in the first cardiovascular examinations].

A subset of the total population aged 35-49 years was screened for elevated blood pressure in three Norwegian counties. As part of a high risk approach in the prevention of risk factors for CVD, the persons identified as having elevated blood pressure were referred for intervention and treatment. The follow-up time varied from three to five years. Even though there was an overall improvement of blood pressure during the follow-up period, a comparison showed no overall significant difference in the magnitude of blood pressure reduction between those that participated in the intervention program and those that did not. The paper raises questions about the quality of the intervention and about the high risk approach in general as a model for prevention.

Adult

Race, family income, and low birth weight.

The relations among race, family income, and low birth weight were examined using information obtained from the National Longitudinal Survey of Youth, which conducted yearly interviews with a nationally representative sample of young women identified in the late 1970s. Data were available for these women and their offspring from 1979 through 1988. Maternal education, maternal age, age/parity risk, marital status, and smoking during pregnancy served as covariates in cross-sectional and longitudinal analyses. The risk of low birth weight among births to black women and white women who were poor was at similarly high levels regardless of whether poverty was determined prior to study entrance or during the study period. Longitudinal analyses showed an exceptionally large increase in risk of low birth weight among children born to women whose prior pregnancy ended in a low-birth-weight infant. These two findings emphasize the importance of factors antecedent to the pregnancy in the genesis of low birth weight.

Adolescent

Self-reported data: reliability and role in determining program effectiveness.

This study was conducted to assess the reliability of self-reported hospitalization data, as well as the appropriateness of using self-reported data in evaluating the effectiveness of the Maine Ambulatory Diabetes Education and Follow-Up (ADEF) program. A Maine Blue Cross/Blue Shield (BC/BS) inpatient claims file was used as the reference source to verify self-reported hospitalization data. For a sample of 99 BC/BS subscribers who attended the ADEF program, 77% of the study participants accurately self-reported hospitalization patterns over a 12-mo time period before attending the education program, and 81% of the participants accurately self-reported hospitalization patterns during a posteducation follow-up time period. The reference BC/BS claims data documented a reduction in hospitalizations for the study participants similar to that reported using the ADEF self-reported hospitalization data. The Maine Diabetes Control Project used the self-reported hospitalization data in combination with selected reference claims data to secure third-party reimbursement for the Maine ADEF Program.

Adult