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These women, once identified, can be targeted for more aggressive prevention programs.
Clinical care and policy should focus on reducing incidence among Pakistanis through more aggressive prevention.
The role of more aggressive prevention strategies, such as active surveillance culturing, in these rural healthcare settings is still uncertain.
Further validation of its improved level of individualized risk prediction could immediately impact clinical practice by more accurately identifying women most likely to benefit from more frequent clinical surveillance, more sensitive screening methods, and/or more aggressive prevention intervention.
Improvements in individualized risk estimation would allow more accurate identification of those women most likely to benefit from regular screening with more sensitive methods or from more aggressive prevention strategies [5], [6].
Therefore, most patients with insensitive feet are referred for "preventive podiatry care" and specialized shoes, but no attempt is made to target more aggressive prevention in those highest risk individuals.
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A new security management team instituted a more aggressive loss prevention strategy.
Adults with prolonged exposure to even moderate elevations in non-high-density lipoprotein cholesterol have elevated risk for future CHD and may benefit from more aggressive primary prevention.
Indeed, the higher prevalence of retinopathy in non-Hispanic blacks without diagnosed diabetes and across HbA1c categories highlights a need for more aggressive screening and prevention efforts to mitigate microvascular complications in this group.
First, if aggressive primary prevention of CVD in patients with DM has reduced their mortality to a level comparable to those without DM, should we be targeting more aggressive primary preventative management to patients without DM?
With these data, the importance of smoking cessation seems evident, as does the need for more aggressive interventions for secondary prevention, as recommended by the scientific societies.
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