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s of quality protein, you can achieve that by consuming 30 g vmejnqj - hflmdocx - 24.07.2013 15:16

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gucci outlet One of the most important public health problem is Cardiovascular diseases (CVD), in most industrialized countries,including Portugal, with severe consequences associated with hypercholesterolemia, one of the main risk factors for these diseases.According to the National Institute of Statistics, cardiovascular diseases caused 32.2% of the total deaths in Portugal in 2007. According to the World Health Organization (WHO) in 2002, hypercholesterolemia was estimated as the cause of 18% of global cerebrovascular disease and 56% of ischemic heart disease and 7.9% of world mortality. Methods: This was a descriptive observational study,based on data from all electronic records of prescriptions in institutions that provide primary health care in the NHS in the north of Portugal, through the information system to support medical practice (Sistema de Apoio ao Medico – SAM), between January 2006 and December 2007.By 2007, Northern Portugal had 3,745, 236 inhabitants, representing 35% of Portuguese Population. Has an administrative structure of 80municipalities and according to the Nomenclature of Territorial Units for Statistics (NUTS) is divided into 8 NUTS III regions: Grande Porto, Alto-Tras-os-Montes, Minho-Lima, Tamega, Ave, Douro,Cavado and Entre Douro e Vouga. The distribution of population is not homogenous: population densities are higher on the coast – urban areas. National Health Service (NHS) provides Universal coverage with 108 Primary Health Care Units, representing 31% of Continental Units. Geographical analysis: We performed a detailed analysis by county and NUTS III geographical divisions, to allow an adequate description of patterns and asymmetries among geographical regions regarding lipid lowering agents’ prescriptions. As a basis for this analysis, the Northern Health Region only includes the following NUTS III geographical divisions,where data were available: Minho-Lima, Cavado, Ave, Grande Porto,Tamega, Douro and Alto Tras-os-Montes. Discussion: The results of this study indicate that lipid-lowering agents are a group with great pharmacological relevance in the global prescription of drugs in the northern region of Portugal, representing 4.5% of total prescription drugs. This is in accordance with data on sales of lipidlowering agents in Portugal indicating that these are the third group of best-selling drugs. This study had some limitations worth noting. First, it should be underlined that although extensive data processing and cleaning and appropriate data analysis procedures were implemented, results presented may be partially related to differential prescription data quality among geographical regions and heterogeneity in physician’s adherence to the electronic prescription system. Nevertheless, is important to note that the automated electronic prescription system,along the time span of our study, was already being effectively used by 93% of the studied prescribers, and no major differences among the NUTS III regions existed regarding this percentage. Second, analysis was performed on the available data from 2006 and 2007, which could be outdated given the constant change in drug utilization patterns among populations; however we are planning to update this analysis and perform a comparative trend analysis with more recent data in the near future. Conclusion: In conclusion, this study demonstrates the utility of clinical automated databases to facilitate the study of prescription drugs in primary care settings. The selection of complete prescription data on the studied region had the advantage of including a representative sample of the entire population allowing complete information about drugs currently prescribed. Lipid-lowering agents are a group with great relevance, due mainly to the large amount of statins prescribed. This study allowed the analysis of prescription patterns taking into account geographical distribution and characteristics of the populations (sex and age). Prescription rates increased from coastal regions to inner regions, and we have shown a wide variation among different regions in the amount prescribed, but a clear stable pattern of statins choices among analyzed regions. The existence of such a high heterogeneity at the regional level calls our attention to the need for National standardized policies and recommendations trying to better ensure prescription quality and clinical goals. Finally, primary care prescription data can provide new opportunities to study different aspects of drug therapy in individual users. For this, the prescriber’s role is essential, as an agent that determines the quality of the prescription record. It is also important to develop strategies to increase adherence to electronic prescription systems. Search on web For more information on this issue.

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