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Participation of the male population in primary medical examination in Kaunas and Minsk. Data from the co-operative study of the effectiveness of multifactorial prevention of ischaemic heart disease.

The authors analyse factors complicating the recruitment of men aged 40-59 years for participation in primary medical examination in Kaunas and Minsk. In both cities, invitation for participation was if necessary repeated four times. In Kaunas, 8,590 men were invited and 5,964 (69.4%) of them reported for examination; the respective figures in Minsk were 6,000 and 4,149 (69.2%). The main cause of non-response was substantiated or non-substantiated refusal. It was found that socio-demographic characteristics and the state of health are factors influencing the response to invitation for primary medical examination.

Adult↗

[Prevalence of ischemic heart disease and various ECG changes according to the results of a population study].

A study of a random representative sample has furnished data on the prevalence of ischemic heart disease, its varieties and various ECG changes among an open Novosibirsk population of 40- to 59-year-old males. The results are compared to data obtained in other cities and regions of the USSR. It is demonstrated that the prevalence of ischemic heart disease is virtually similar in Novosibirsk and other big cities and differs basically from the situation observed in a small town.

Adult↗

[Role of heredity in the prevalence of ischemic heart disease and its risk factors].

The relationship of heredity with CHD prevalence and the main risk factors (RF) was analyzed on the basis of the results of a primary cardiological screening of the male population aged 40 to 59 in Minsk and Kaunas (10012 persons). The results of the analysis were in favor of hereditary predisposition to CHD. The prevalence of CHD and the main RF in probands with aggravated heredity was much higher than that in probands with favorable heredity. CHD prevalence in the compared groups was 12.4 and 10.7%; SK 3.9 and 0.2%; cerebral stroke 1.6 and 0.6%, respectively. Statistically significant changes were also revealed in RF frequency: AH--32.6 and 27.1%; HCS--27.7 and 24.1%; EBM--16.6 and 13.8%; smoking--43.6 and 47.0%. Over 1/3 of all types of CHD and AH were found in the persons with hereditary predisposition to CHD on the maternal side with a tendency to CS.

Adult↗

[Approaches to the secondary prevention of arterial hypertension among the population (data from a cooperative study on the multifactorial prevention of ischemic heart disease)].

A cooperative study has reviewed the prevalence of arterial hypertension (AH) among 40- to 59-year-old male residents of three cities (Moscow, Minsk and Kaunas) and the possibility of organizing a long-term outpatient treatment of newly-detected AH cases as well as the efficiency of the latter. Of 16,703 individuals screened, AH was detected in 27.9%. Evidence is obtained that preventive and therapeutic procedures for hypertensive patients are in need of an improvement. In a middle-aged population, moderate AH is prevalent (nearly 67.7%). Coronary risk factors, such as hyperlipoproteinemia and excessive body weight, were more frequent in AH patients, as compared to the general population, an argument in favor of the need for an improved combined approach to AM control in the population. Active combined treatment of the recognized cases over 5 years proved effective as it brought arterial blood pressure back to normal. Patient participation in the treatment and its contribution to treatment efficiency are reviewed.

Adult↗

[Quantitative assessment of the status of patients with rheumatic diseases].

A system of operative quantitative assessment of the status of patients with rheumatoid arthritis (RA), osteoarthrosis (OA), systemic lupus erythematosus (SLE) and systemic scleroderma (SSD) was developed using a mathematical model of discriminant analysis. Data contained in case histories of 120 patients with RA, 112 with OA, 106 with SLE and 63 with SSD were used to determine discriminant coefficients of linear discriminant equations of some functional systems: locomotor, cardiovascular, respiratory, renal, digestive, nervous, skin and subcutaneous fat, immunological as well as laboratory findings on disease standing. Knowing discriminant coefficients, one can determine an index in any values of functional indicators that characterize the status of one or another system in any phase of the treatment of a patient. The system can be used in practice in a rheumatological hospital using CM-1600 minicomputer.

Arthritis, Rheumatoid↗

[The food behavior of schoolchildren in the GDR and the Lithuanian SSR].

Food behavior was studied in schoolchildren of the same age in the GDR (1602) and in the Lithuanian SSR (720 schoolchildren). The examinee represented schoolchildren from towns, regional centres and rural areas. Food behavior of schoolchildren, aged 11-13 years, in the GDR and the Lithuanian SSR is practically similar, but it has been noted that more children in the GDR receive a second breakfast, while in the Lithuanian SSR more children receive afternoon snacks. The schoolchildren should be taught the principles of the rational nutrition during their studies. Active sanitary propaganda is necessary for learning the principles of sound way of life including the principles of rational nutrition.

Adolescent↗