Secondary Prevention. The Site Campus Medical Centre is required to be adequately staffed to diagnose and treat the majority of food and water borne illnesses. A mechanism will be in place to send samples to a reference laboratory if there is a possible epidemic situation of unknown aetiology.
Secondary Prevention. The next level of prevention includes strategies that are focused on those who are at risk for abuse or neglect of their children. These include high-stress familial situations, lack of familial or community support, and young maternal age. Possible goals of secondary prevention include: increased parenting skills and strategies; enhanced bonding and communication between at-risk parents and their children; increased connection between at- risk parents and resources or services in the community; increased parenting skills in coping with stresses of caring for children with special needs; and increased access to social and healthcare services for all community members. These goals ultimately seek to strengthen family functioning and keep children safe from abuse and neglect.
Secondary Prevention. Rat Model Work Undertaken WP2 was also divided into six tasks related to the work:
Secondary Prevention. In the outpatient phase the MISSION! AMI program concentrates on active lifestyle improve- ment and structured medical therapy. 30 General introduction 15 Lifestyle- Regular physical activity is an important component of secondary prevention of CAD; it increases exercise capacity, treats comorbid risk factors, and improves quality of life.93-95 Exercise-based cardiac rehabilitation has been shown to reduce all-cause and cardiac mortality compared with usual care.93;94;96-98 The goal for all patients is 30 to 60 minutes of moderate-intensity physical activity (e.g., brisk walking, biking) on most, if not all, days of the week.93;94;99;100 Consistent physical activity improves cardiovascular risk factors - especially total cholesterol and triglyceride levels - and systolic blood pressure.99 Exercise-based cardiac rehabilitation programs may be initiated shortly after an acute coronary syndrome or revascularization procedure.94;100 The MISSION! AMI protocol offers a standard cardiovascular exercise-based rehabilitation program to each patient, commencing approximately three months after hospital discharge.30 Obesity is associated with increased CAD mortality and adversely affects cardiac function and comorbid CAD risk factors.101 Obesity is classified using the body mass index (BMI). Weight loss is indicated for patients who are classified as overweight or obese according to their BMI. The American Heart Association (AHA) recommends measuring BMI at each office visit, then providing objective feedback and consistent counseling on weight loss strategies.93;99-101 Improvements in cardiac risk factors are commonly observed with even modest weight loss (i.e., 10 percent of baseline weight).99;101 Insufficient evidence exists to determine whether weight reduction decreases cardiovascular mortality in persons who are obese.101 Smoking cessation has been shown to reduce all-cause mortality in patients with estab- lished CAD.102;103 In a recent Cochrane review, investigators concluded that persons who quit smoking after a myocardial infarction (MI) or cardiac surgery reduce their risk of death by at least one third, and that discontinuing smoking is at least as beneficial as modifying other risk factors.102;103 In the MISSION AMI protocol physicians are encouraged to ask about tobacco use at each outpatient visit, and to extend a clear recommendation to quit to every patient who smokes. If a patient is willing to try to quit, family physicians can assist with cessati...
