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Fixing finance will take more than sharper boards, greater scepticism towards "quants" and more powerful risk managers.
"Everyone should now see that the risk team needs to be just as involved on the returns side as on the risk side," says Maureen Miskovic, chief risk officer at State Street, an American bank.Glamming upMs Miskovic is one of an emerging breed of more powerful risk officers.
29 On the other hand, smoking is considered to be a more powerful risk factor for PVD than for coronary disease.
If there is one obvious lesson that can be drawn from the studies of metabolic syndrome, it is that that metabolic syndrome is a far more powerful risk factor for type 2 diabetes than for CVD.
Interestingly, A1C may be a more powerful risk factor than glucose, with analysis of the European Prospective Investigation of Cancer (EPIC -Norfolk study showing a doubling of CVD mortality among individuals with A1C 5–5.4% or 5.5–6.9% comparEPIC -Norfolkamong individualstudyh A1C <5% (19).
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It is clear that the years ahead will bring better and more powerful caries risk assessment tools and detection devices, all yielding more effective therapeutic interventions.
High blood pressure is the single most important risk factor worldwide for the development of cardiovascular disease, being responsible for about half of all cases of strokes, ischaemic heart disease, and heart failure. 1 High blood pressure seems to be a more powerful cardiovascular risk factor than indicated by earlier studies.
New information on risk based on genotype, mammographic density [ 13], and serum hormone levels [ 18, 53] should now allow a much more powerful prediction of risk for an individual woman – development and validation of these models is critical.
An increased number of LDL particles, as seen in diabetes, is reflected in an elevated level of plasma apolipoprotein B, a more powerful predictor of risk for cardiovascular events than either total cholesterol or LDL cholesterol [ 13].
The strength of the current study is that it uses validated quantitative MRI technology as a measure of structural disease progression, which has been shown to be more powerful in revealing risk factor associations than semi-quantitative scoring of cartilage status [ 28].
For more powerful tools carry risks and problems of their own, and some find that the cure is worse than the disease.
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Justyna Jupowicz-Kozak
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