A National Institutes of Health Consensus Conference recently advocated lowering the serum cholesterol levels required to diagnose moderate and severe hypercholesterolemia. We reviewed 998 active duty United States Navy personnel who underwent routine physical examinations with determinations of serum cholesterol. Analysis of the data revealed a gradual rise in mean serum cholesterol with increasing age. Moderate elevation of serum cholesterol ranged from 11.3% to 34.6% of the study group, depending on age. Severe hypercholesterolemia was also age dependent and occurred in 2.0% to 9.3% the group. Dietary and cholesterol-binding agents have been shown to reduce the occurrence of myocardial infarction in subjects with cholesterol greater than 265 mg/dl. The incidence of Navy personnel with serum cholesterol above this level ranged from 2 to 10%. It is likely that intervention with dietary or medical therapy would prevent the development or delay the occurrence of coronary artery disease in a large number of active duty U.S. Navy personnel.
Abstracts-IPRED 2010 s61 arrival, and safety of the vaccines. Times of crisis also offer opportunities for a change for the better, and the analysis suggests opportunities, such as health promotion efforts exist. Conclusions: Discovering the challenges is part of the solution, and the major challenge found was the lack of trust in the safety of the vaccine by both the public and medical community. The products of the analysis were implemented in the Israeli vaccination program planning. In order to implement the vaccination program successfully, health officials must invest heavily in an open communication with the medical community and public, based not only on global knowledge but also culturally tailored to the local community. Planners must think globally, but act locally; be prepared, but be flexible. IPRED 2010http://pdm.medicine.wisc.edu Prehospital and Disaster Medicine s62 Abstracts -IPRED 2010Regardless of whether these disasters will occur as a result of natural, human-made, or asymmetrical events, it is a given that no other portion of our critical infrastructure will bear as heavy a burden as the healthcare and public health key resource sectors. Proactive (deliberate) planning no longer is a luxury; it is, instead, a national imperative. This presentation is designed to expose medical and public health experts and community leaders on the new challenges facing us in this "Era of Asymmetrical Threats"; review planning and response related to previous high-end disasters, and to consider strategies for the medical and public health management of future catastrophic events.
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