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Biomedical subjects

T Abelin

Publications and source records attributed to T Abelin.

At least 55 records · Page 3Linked to original sources

[Evolution of tobacco consumption in 2 towns with intervention programs and 2 control towns in Switzerland].

The National Research Program 1 A on "Primary Prevention of cardiovascular disease in Switzerland' was designed to determine whether community health education can reduce cardiovascular risk factors in the population. Two communities (12,000 inhabitants each) in the French speaking and two (16,000 inhabitants each) in the German speaking part of the country were selected either for intervention or comparison. Following baseline screening in 1977 (stratified random samples) and the community intervention program (1978-1980), a final assessment on the initial participants was performed at the end of 1980. Amongst the regular smokers, 26,2% stopped during this period in the intervention communities whereas 18,1% did so in the reference cities. 4,7% of non-smokers began to smoke during the same period in the intervention communities whereas 7,8% did so in the reference cities. Plasma thiocyanate measurement suggested reliable answers on smoking status. These results suggest that community health education may be effective in preventing harmful health consequence of smoking.

Adolescent↗

[Cardiovascular risk factors: an intervention program for general practice].

A new multiple risk factor intervention program, combining a comprehensive, stepwise and health education-based approach, was tested in an outpatient setting. In the first 47 patients (aged 17-55, referred by their physicians) total cardiovascular risk (estimated by Framingham index) was reduced within the first 12 months by an average of 32.5%. This improvement derived from significant reductions in all major risk factors. These findings demonstrate the feasibility and potential, yet unexploited, benefit of a more comprehensive risk factor, approach in general medical practice.

Adolescent↗

[Disability and type of assistance for the aged in a mountainous region].

Based on identical interviews, the frequency of functional disability and the type of help for the handicapped is compared between the aged populations of a Swiss mountain valley and of an urban area. Functional disabilities are more frequent in the mountain population. When help is needed, the aged in the mountain area receive it from their spouse or another family member, whereas help in urban circumstances is provided by spouses or by institutions.

Activities of Daily Living↗

[How widespread is Q fever in Switzerland?].

There are very few reports in the literature on mass seroepidemiological studies of the prevalence of Q fever antibodies. Those to be found are mostly concerned with focal epidemics of Q fever. Out of more than 2000 serum specimens from blood donors analyzed at random in Switzerland in 1982 for Q fever antibodies, 3.5% gave seropositive results (CBR titer at least 1:10). In selected population samples, e.g. forestry workers or vets, the prevalence was distinctly higher (7.6% and 25.7%). Contact with sheep and the consumption of unboiled and not commercially processed milk proved to be mutually independent risk factors. The foregoing findings indicate that the incidence of Q fever in Switzerland is higher than would appear from the number of cases reported to the Federal Health Department. They are discussed in view of the recent renewed interest in Q fever endocarditis.

Animals↗

[Ambulatory medical care of the over-65 patient].

Based upon two investigations involving a sample of the elderly in Basle and Berne and a sample of physicians in private practice throughout the country, a description of the ambulatory health care of the population of Switzerland aged 65 and over is presented. Significant results include the role of the family physician, home visits, the kind of therapy and follow-up as well as the remarkable finding that the utilization of the family physicians' services is influenced by the presence of health insurance coverage. (34% of the people aged 85 and over are without coverage).

Aged↗

[Evaluation of the Swiss Hospital Association diagnostic and surgical statistics].

Number of admissions, days of care and the average length of stay are presented by age, sex and other criteria for Swiss short stay hospital. Persons 60 and over consumed more than 50 percent of all days of care. On the average, females of all age groups, except from 5 to 54 years of age, were hospitalized longer than males. Principal factors influencing the length of stay are: age, diagnosis and mode of discharge. The increase in the number of persons 65 and over admitted to medical departments corresponds to the demographic development, while it exceeds the demographic increase for surgical departments.

Adolescent↗

[Blood pressure in the aged].

The study, based on datas of an inquiry by the association for the study of problems of the elderly, shows the epidemiology of arterial hypertension in a population aged over 65 years. 46% of the 48o examined persons from Basel and Berne had diastolic blood pressure values greater than or equal to 95 mmHg. 40% of those hypertensives were treated under control, 12% treated without control, 13% not treated at all, and 35% unknown. The percentage of the unknown hypertensives suggests, that the recording of the increased blood pressure is improvable in this age group. The high prevalence of hypertension in the elderly population as well as the grave consequences complications caused by hypertension should call our attention to the recording and treatment of arterial hypertension in the elderly.

Age Factors↗

[Behavior therapeutic training for weight reduction].

A behaviour therapeutic program for weight reduction was worked out by a team of psychologists, dieticians and doctors. A 10 week's course for weight reduction was given by 8 dieticians to a group of 5-7 female overweights (N=50). All dieticians based their work on a written handout. 4 of them had an additional training in behaviour and group therapy prior to the course. During the course all participants showed a significant weight loss and a change in their eating behaviour, the patients counselled by an additionally trained dietician (group E1) showing a significantly greater weight loss than the others (group E2). A follow-up after 3 1/2 months revealed similar differences but subsequent controls after 6 and 20 months showed a gradual decrease of the difference between the two groups. However three different patterns of the patient's weight curve could be distinguished. Pattern a): 26.3% of the participants showed a sinking tendency over all 20 months. Pattern b): 21.4% of the participants showed a significant weight loss over the 20 months with a slight upward tendency after the second follow-up (6 months). Pattern c): 52.3% of the participants lost weight only during the course which was regained in the following 3 months period. In pattern a) and c) group E1 and E2 are evenly represented. Pattern b) was only seen with participants of group E1. The results suggest that there are different characteristics of obese persons which influence the success of weight reduction programs. Further studies will have to describe these characteristics and define their therapeutical implications.

Behavior Therapy↗

[Sport activities of the elderly - results from a random survey (author's transl)].

Frequencies of sport activities in the elderly were drawn from a survey on impairment carried out on a disproportionally stratified random sample of 480 men and women over 65 years of age. 43% of the women and 49% of the men aged 65 to 75 years indicated a sportive activity at least once a week. The same held true for 17% of the women and 27% of the men over 85 years of age. Elderly men had more possibilities to find adequate sportive activity without relying on organized senior-groups than women. Elderly men also seemed to care more intensively for physical activity than women. The term "sport" is interpreted by the elderly in different ways. Correlations of the frequencies of such activities with other factors are therefore unrealistic.

Aged↗

[Smoking habits in 4 Swiss cities].

As part of the Swiss National Research Program on the Prevention of Cardiovascular Disease, we have investigated smoking habits in four Swiss cities. Results are presented from a stratified sample of 3926 persons aged 16 to 69. 49% of the men and 30% of the women are regular smokers. The quit rate (former smokers/present + former smokers) is 25% in men and 21% in women. About a fifth of those who have tried to stop smoking during the past year are still non-smokers. There are no differences between German- and French-speaking cities. With regard to socioeconomic status, the highest percentage of male smokers is found in manual workers and the quit rate rises the higher the socioeconomic group. These is a strong positive association between smoking and alcohol consumption.

Adolescent↗