Search PubMed⌕ Search

Biomedical subjects

S Ebrahim

Publications and source records attributed to S Ebrahim.

248 records · Page 14Linked to original sources
PubMed1984

Low levels of ill health among elderly non-consulters in general practice.

The characteristics of random samples of elderly patients (over 65 years of age), designated as consulters (n = 200) and non-consulters (n = 196), in a group general practice were compared using a postal questionnaire that was validated by comparison with findings by general practitioners in a random sample of 58 responders. A response rate of 90% was obtained, and all non-responders were visited by their general practitioner. The questionnaire had a sensitivity of 79% and a specificity of 82% when compared with general practitioner findings. The use of hospital and social services by non-consulters was low in this practice. Measures of disability and state of health showed that non-consulters were a fit group of the aged. Case finding for problems among elderly people should initially be confined to consulters, who have a high prevalence of problems. Non-consulters are a low risk group that can be assessed only with special effort and extra resources. Once an effective case finding system has been developed it might then be reasonable to consider ways of finding the few patients who have problems but do not consult their doctor.

Aged↗
PubMed1980

Nutritional status of Laotian refugee children in Ubon camp, Thailand.

A survey carried out in May 1979 of the nutritional status of 2152 children aged 1-5 living in Ubon Refugee Camp, Thailand, showed that 165 (7.5%) probably suffered from malnutrition, using arm circumference as an index. This index was validated by comparisons with weight for age and with morbidity in 'malnourished' and normal groups. Arm circumference appeared to be a valid index of nutritional status and a useful screening test with a false positive ratio of about 1 : 5. It was then applied to children attending feeding centres within the camp, and it was thus possible to show that the centres were not attended by as many malnourished children as expected. A feeding centre in a highly impoverished area of the camp was shown to be more likely to have a higher percentage of malnourished children attending.

Anthropometry↗
PubMedDate not supplied

Lifestyle and 15-year survival free of heart attack, stroke, and diabetes in middle-aged British men.

BACKGROUND: To examine the relationship between modifiable lifestyle factors (smoking, physical activity, alcohol intake, and body mass index [BMI]) and the likelihood of 15-year survival free of major cardiovascular end points and diabetes in middle-aged men. METHODS: A prospective study of 7142 men aged 40 to 59 years at screening with no history of coronary heart disease, diabetes, and stroke drawn from 1 general practice in each of 24 British towns and followed up for 15 years. MAIN OUTCOME MEASURES: Death from any cause and a combined end point, including survival free of heart attacks or stroke or the development of diabetes over a follow-up of 15 years for each man. RESULTS: During the 15-year follow-up, there were 1064 deaths from all causes, 770 major heart attacks (fatal and nonfatal), 247 stroke events (fatal and nonfatal), and 252 cases of diabetes among the 7142 men. After adjustment for age and each of the other modifiable lifestyle factors, the risk of the combined end point (death or having a heart attack, stroke, or diabetes) went up significantly with increasing smoking levels and from BMI levels of 26 kg/m2 or higher, and decreased significantly with increasing levels of physical activity up to levels of moderate activity with no further benefit thereafter (heavy smoking vs never: relative risk [RR] [odds], 2.50; 95% confidence interval [CI], 2.12-2.94; BMI > or = 30 vs 20-21.9 kg/m2: RR, 2.11; 95% CI, 1.71-2.62; moderate vs inactive: RR, 0.60; 95% CI, 0.50-0.72). Light drinking (vs occasional) showed a relatively small but significant reduction in risk (RR, 0.84; 95% CI, 0.74-0.96). Using Cox predictive survival models, the estimated probability of surviving 15 years free of cardiovascular events and diabetes in a man aged 50 years ranged from 89% in a moderately active man at BMI levels of 20 to 24.0 kg/m2 who had never smoked to 42% in an inactive smoker with BMI level of 30 kg/m2 or higher. CONCLUSIONS: Modifiable lifestyles (smoking, physical activity, and BMI) in middle-aged men play an important role in long-term survival free of cardiovascular disease and diabetes. These findings should provide encouragement for public health promotion directed toward middle-aged men.

Adult↗
PubMedDate not supplied

Do as I say.

Explore the source record for details and available documents.

Freedom↗
PubMedDate not supplied

Public health implications of ageing. The Milroy Lecture.

The National Health Service reforms have placed public health medicine centre stage in controversies over the internal market, rationing of health care, and issues of equity in access to care. One of the key determinants of the need for reform in health services internationally is the demographic transition of post-industrial countries into an ageing population. This paper considers some of the implications of ageing and how public health medicine might respond to these new challenges.

Aged↗