Cardiovascular disease risk prediction in older people: a qualitative study.

BACKGROUND: Despite cardiovascular disease (CVD) risk prediction equations becoming more widely available for people aged ≥75 years, views of older people on CVD risk assessment are unknown. AIM: To explore older people's views on CVD risk prediction and its assessment. DESIGN AND SETTING: Qualitative study of community-dwelling older people in New Zealand. METHOD: A diverse group of older people was purposively recruited. Semi-structured interviews and focus groups were conducted, transcribed verbatim, and thematically analysed. RESULTS: Thirty-nine participants (mean age 74 years) of Māori, Pacific, South Asian, and European ethnicities participated in one of 26 interviews or one of three focus groups. Three key themes emerged: poor knowledge and understanding of CVD and its risk assessment; acceptability and perceived benefit of knowing and receiving advice on managing personal CVD risk; and distinguishing between CVD outcomes - stroke and heart attack are not the same. Most participants did not understand CVD terms, but were familiar with the terms 'heart attack' and 'stroke', and understood lifestyle risk factors for these events. Participants valued CVD outcomes differently, fearing stroke and disability - which might adversely affect independence and quality of life - but were less concerned about a heart attack, which was perceived as causing less disability or swifter death. These findings and preferences were similar across ethnic groups. All but two participants wanted to know their CVD risk, how to manage it, and distinguish between CVD outcomes. Those who did not wish to know perceived this as something only their God could decide. CONCLUSION: To inform clinical decision making for older people, consideration of an individual's wish to know their risk is important, and risk prediction tools should provide separate event types rather than just composite outcomes

The Effect of Plasticizers on the Polypyrrole-Poly(vinyl alcohol)-Based Conducting Polymer Electrolyte and Its Application in Semi-Transparent Dye-Sensitized Solar Cells

In this work, the quasi-solid-state polymer electrolyte containing poly(vinyl alcohol)-polypyrrole as a polymer host, potassium iodide (KI), iodine (I2), and different plasticizers (EC, PC, GBL, and DBP) was successfully prepared via the solution casting technique. Fourier transform infrared spectroscopy (FTIR) was used to analyze the interaction between the polymer and the plasticizer. X-ray diffraction confirmed the reduction of crystallinity in the polymer electrolyte by plasticizer doping. The ethylene carbonate-based polymer electrolyte showed maximum electrical conductivity of 0.496 S cm−1. The lowest activation energy of 0.863 kJ mol−1 was obtained for the EC-doped polymer electrolyte. The lowest charge transfer resistance Rct1 was due to a faster charge transfer at the counter electrode/electrolyte interface. The polymer electrolyte containing the EC plasticizer exhibited an average roughness of 23.918 nm. A photo-conversion efficiency of 4.19% was recorded in the DSSC with the EC-doped polymer electrolyte under the illumination of 100 mWcm−2.</jats:p

The Effect of Plasticizers on the Polypyrrole-Poly(vinyl alcohol)-Based Conducting Polymer Electrolyte and Its Application in Semi-Transparent Dye-Sensitized Solar Cells

In this work, the quasi-solid-state polymer electrolyte containing poly(vinyl alcohol)-polypyrrole as a polymer host, potassium iodide (KI), iodine (I2), and different plasticizers (EC, PC, GBL, and DBP) was successfully prepared via the solution casting technique. Fourier transform infrared spectroscopy (FTIR) was used to analyze the interaction between the polymer and the plasticizer. X-ray diffraction confirmed the reduction of crystallinity in the polymer electrolyte by plasticizer doping. The ethylene carbonate-based polymer electrolyte showed maximum electrical conductivity of 0.496 S cm−1. The lowest activation energy of 0.863 kJ mol−1 was obtained for the EC-doped polymer electrolyte. The lowest charge transfer resistance Rct1 was due to a faster charge transfer at the counter electrode/electrolyte interface. The polymer electrolyte containing the EC plasticizer exhibited an average roughness of 23.918 nm. A photo-conversion efficiency of 4.19% was recorded in the DSSC with the EC-doped polymer electrolyte under the illumination of 100 mWcm−2

Cardiovascular disease risk prediction in older people: A qualitative study

Background Despite cardiovascular disease (CVD) risk prediction equations becoming more widely available for people aged ≥75 years, views of older people on CVD risk assessment are unknown. Aim To explore older people's views on CVD risk prediction and its assessment. Design and setting Qualitative study of community-dwelling older people in New Zealand. Method A diverse group of older people was purposively recruited. Semi-structured interviews and focus groups were conducted, transcribed verbatim, and thematically analysed. Results Thirty-nine participants (mean age 74 years) of Maori, Pacific, South Asian, and European ethnicities participated in one of 26 interviews or one of three focus groups. Three key themes emerged: Poor knowledge and understanding of CVD and its risk assessment; acceptability and perceived benefit of knowing and receiving advice on managing personal CVD risk; and distinguishing between CVD outcomes - stroke and heart attack are not the same. Most participants did not understand CVD terms, but were familiar with the terms 'heart attack' and 'stroke', and understood lifestyle risk factors for these events. Participants valued CVD outcomes differently, fearing stroke and disability - which might adversely affect independence and quality of life - but were less concerned about a heart attack, which was perceived as causing less disability or swifter death. These findings and preferences were similar across ethnic groups. All but two participants wanted to know their CVD risk, how to manage it, and distinguish between CVD outcomes. Those who did not wish to know perceived this as something only their God could decide. Conclusion To inform clinical decision making for older people, consideration of an individual's wish to know their risk is important, and risk prediction tools should provide separate event types rather than just composite outcomes