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woensdag 6 december 2017

The Lancet: [Articles] Modern contraceptive use, unmet need, and demand satisfied among women of reproductive age who...

[Articles] Modern contraceptive use, unmet need, and demand satisfied among women of reproductive age who are married or in a union in the focus countries of the Family Planning 2020 initiative: a systematic analysis using the Family Planning Estimation Tool
Whereas the estimate of additional users up to 2017 for women of reproductive age who are married or in a union would suggest that the 120 × 20 goal for all women is overly ambitious, the aggregate outcomes mask the diversity in progress at the country level. We identified countries with accelerated progress, that provide inspiration and guidance on how to increase the use of family planning and inform future efforts, especially in countries where progress has been poor.
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[Comment] Remission of type 2 diabetes: mission not impossible
Type 2 diabetes is a heterogeneous disease with a rapidly increasing prevalence worldwide. The main risk factors are weight gain and obesity, sedentary lifestyle, and unhealthy dietary pattern—all of which are modifiable.1 Well controlled lifestyle interventions in individuals with impaired glucose tolerance can prevent or postpone the development of type 2 diabetes through weight loss, physical activity, and healthy dietary choices.2,3 Moreover, diabetes risk is decreased for many years after the active intervention period, suggesting a legacy effect.
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[Articles] Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial
Our findings show that, at 12 months, almost half of participants achieved remission to a non-diabetic state and off antidiabetic drugs. Remission of type 2 diabetes is a practical target for primary care.
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[Comment] Disease Control Priorities, 3rd edition—from theory to practice
In 2013, the Lancet Commission on Investing in Health published the report global health 2035: a world converging within a generation.1 The authors showed how governments and donors could achieve a "grand convergence" by bringing preventable infectious, maternal, and child mortality rates to low levels universally by 2035, within a generation. Additionally, the report pointed to major reductions in the incidence and consequences of non-communicable diseases that can be achieved in such time, and that progress towards Global Health 2035 can be accelerated through universal health coverage (UHC).
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[Comment] Walking to a pathway for cardiovascular effects of air pollution
There is a well documented association between human exposure to fine particulate matter air pollution (PM2.5) and an increased risk of cardiovascular disease and death.1,2 Indeed, the Global Burden of Disease (GBD) study3 recently estimated that exposure to PM2·5 contributed to 4·2 million deaths in 2015, representing the fifth-ranked risk factor for global deaths; of these, mortality from cardiovascular disease (CVD; ie, ischaemic heart disease and cerebrovascular disease) accounted for most deaths attributed to ambient PM2·5 air pollution.
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