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BACKGROUND Heart failure and left ventricular systolic dysfunction (LVSD) are increasingly common disorders, with outcomes worse than many cancers. Evidence-based therapies, such as ACE inhibitors and beta-blockers, improve prognosis and symptoms, and reduce healthcare expenditure. However, despite the high prevalence and malignant prognosis, few studies(More)
BACKGROUND Accurate data for prevalence rates for heart failure due to various causes, and for left-ventricular systolic dysfunction in all adults are unavailable. Our aim was to assess prevalence of left-ventricular systolic dysfunction and heart failure in a large representative adult population in England. METHODS Of 6286 randomly selected patients(More)
AIMS Heart failure (HF) is reported to have an essentially malignant prognosis that can be modified by several interventions. Most outcome data on HF are available from randomized controlled treatment trials and longitudinal epidemiological studies. However, for a number of reasons, neither type of study have, to date, provided generalizable data on HF(More)
OBJECTIVE To determine the performance of a new NT-proBNP assay in comparison with brain natriuretic peptide (BNP) in identifying left ventricular systolic dysfunction (LVSD) in randomly selected community populations. METHODS Blood samples were taken prospectively in the community from 591 randomly sampled individuals over the age of 45 years, stratified(More)
OBJECTIVE To compare the characteristics of patients with cerebrovascular disease in primary care with those of the participants in the PROGRESS trial, on which national guidelines for blood pressure lowering are based. DESIGN Population based cross sectional survey of patients with confirmed stroke or transient ischaemic attack. SETTING Seven general(More)
BACKGROUND Previous research has focused on the longer term needs of 'new' stroke patients at fixed time intervals after the event, but neglected those of stroke patients who may have had the event many years earlier. OBJECTIVE To identify the long-term support needs of patients with prevalent stroke, and their carers identified from practice stroke(More)
BACKGROUND Evidence concerning secondary prevention of cerebrovascular disease is not optimally used in clinical practice. A necessary first step is to identify those eligible for treatment. In primary care, this equates to setting up a register of prevalent stroke. AIM To compare three different methods for identifying prevalent cases of cerebrovascular(More)
To improve opportunities, services, and life prospects for youth, we provide learning experiences for national, state, and local policymakers and practitioners. The American Youth Policy Forum (AYPF), a nonprofit, nonpartisan professional development organization based in Washington, DC, provides learning opportunities for policymakers, practitioners, and(More)
Despite the fact that many states have increased their high school graduation requirements over the last several years, too many graduates are still underprepared for college (Bailey, 2009) and the workforce (Symonds, Schwartz, & Ferguson, 2011). Reasons for this underpreparedness include, among other factors: (1) a lack of clear information on students'(More)