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Test Code : 250-511
Test designation : Administration of Symantec(TM) Data Loss(R) Prevention 11
Vendor designation : Symantec
real questions : 176 actual Questions

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Administration of Symantec(TM) Data Loss(R) Prevention 11 certification

Interventions to in the reduction of Cardiovascular chance elements in babies and children | 250-511 actual Questions and VCE practice Test

Coronary heart ailment continues to breathe the leading reason for morbidity and mortality within the u.s., despite fresh declines in the incidence of and the death fee from this disorder.1 youngsters the incidence and mortality cost stand decreased, the absolute incidence of coronary heart disorder has expanded, which suggests a future raise within the fiscal affliction associated with this ailment and raises the probability that age-adjusted death charges from coronary artery ailment may additionally birth to climb once more because the number of individuals who're at risk for dying from this sickness continues to boost.2

chance factors for heart problems can breathe directly causative, can breathe secondary manifestations of a more primary underlying metabolic abnormality or may furthermore symbolize early indicators of the disorder. In adults, several possibility components are associated with an extended incidence of heart problems, including cigarette smoking, hypertension, dyslipidemia, diabetes mellitus, weight problems, a sedentary subculture and indigent nutrients. The results of possibility elements in adults are additive: the more advantageous the number of high-chance components latest, the greater the risk of heart problems.3

These chance components often stand their roots in childhood.four,5 fundamental prevention and intervention via risk component change will furthermore breathe valuable in childhood. however the fee and the length of observe-up limit longitudinal reports to document that altering cardiovascular risk components in childhood will reduce morbidity and mortality from this disease in maturity, it is intuitive to believe that chance constituent change early in actuality could stand a respectable stand an consequence on.

specific possibility components CIGARETTE SMOKING

Tobacco expend is the only most preventable reason behind dying and disease in americans.6 each day greater than 3,000 children within the united states expend tobacco for the primary time.6 greater than eight.5 million teens between the a while of 12 and 17 years, representing forty two percent of this age group, stand tried cigarette smoking, and 11 percent of unreasonable school seniors smoke at the least 10 cigarettes each day.7 The suggest age of introductory tobacco expend is 10.7 years for boys and 11.four years for women. in comparison with boys, women tend to stand a greater difficult time quitting.eight generic expend of alcohol and cocaine has declined in lofty faculty seniors, whereas commonplace expend of cigarettes has remained unchanged.9 immature people are evidently the neighborhood at most useful risk of rise smoking. children more commonly perceive smoking as having a prerogative away bizarre outcome. Smoking is an activity that could Make children believe authorised of their peer groups and materialize “extra mature”. Peer impact seems to breathe the most censorious ingredient within the initiation of smoking, and the capability to thunder “no” to remark power seems to breathe a essential factor. as a result of youngsters smoke cigarettes for a selected cause (to well into a bunch, to drop some pounds, to materialize older, and many others.), of their minds, smoking serves a vital feature.

Paying attention to the adolescent wants that smoking can fulfill can aid the health professional inspire alternate behaviors. as an instance, mentioning one of the consequences of smoking, corresponding to having execrable breath, smelling like smoke and having nicotine stains on the fingers and teeth, can cause theme for self-conscious kids.

using nicotine patches appears to breathe secure in adolescent people who smoke,10 youngsters placebo-controlled trials are obligatory to establish the efficacy of the different nicotine start methods in this inhabitants.

HYPERTENSION

Intervention for hypertension in childhood is reserved for children whose blood drive is perpetually lofty and for these with immense secondary hypertension.eleven Tables are available that give blood power values for the 90th and ninety fifth percentiles based on the newborn's age, gender and top.11 (For tables showing the 90th and 95th percentiles for blood drive in girls and boys ages one to 17 years, remark “special scientific reviews” in the may furthermore 1, 1997, problem of american family physician, pages 2341–2.)

patients with a blood pressure within the ninety fifth percentile may quiet breathe evaluated, and patients whose blood power at complete times stays in the ninety fifth percentile or bigger may quiet breathe treated.eleven,12 As a conventional rule, evaluation should quiet breathe conducted if the blood pressure is one hundred ten/70 mm Hg or greater in babies five years of age, 120/eighty mm Hg or higher in dinky ones five to 10 years of age and 130/eighty mm Hg or better in dinky ones 10 to 15 years of age. because obesity in childhood and the progress of obesity in youth are strongly related to hypertension in adulthood, weight manage and both prevention of obesity and encouragement of a fleshly lively artery of life are essential, rise in childhood.

facts on the connection between dietary sodium and blood constrain are particularly according to grownup populations. huge correlations stand not been proven between sodium consumption and blood constrain in toddlers and youngsters. despite the fact, the standard dietary consumption of sodium in children and children smartly exceeds dietary necessities, and existing dietary patterns suggest that sodium consumption among the younger may breathe expanding. additionally, inevitable groups of immature people demonstrate blood drive sensitivity to sodium. it's not going that sodium contributes to the edifice of hypertension as an isolated element, but blood power sensitivity to sodium might furthermore stand an affiliation with race, household historical past and obesity. These dietary issues should breathe investigated in prospective experiences of toddlers as well as adults.13

The second assignment constrain on Hypertension in toddlers developed guidelines for the expend of antihypertensive medicine in childhood. Antihypertensive therapy is warranted to in the reduction of the blood pressure to under the ninety fifth percentile.eleven Diuretics and beta-adrenergic blockers stand been used in the medicine of hypertension in toddlers and children. additionally, angiotensin-changing enzyme (ACE) inhibitors are effectual in infants and might breathe profitable in newborns and younger dinky ones. Calcium channel blockers stand furthermore been used in babies. The dosages advised for toddlers are distinct from those used in adults.11

actual state of no activity

actual inactivity is an unbiased risk component for heart problems, in addition to for top blood force, lofty cholesterol levels and weight problems. among adults, larger stages of physical undertaking are linked to a decreased incidence of coronary artery disease and hypertension.14

faculties can duty a community useful resource for courses to enhance physical pastime in infants and kids, principally given the pressing want for the edifice of options that might inspirit affected teens to become more energetic. while a formal activity software can breathe constructive, it may no longer breathe positive in most youngsters. youngsters, even minuscule raises in daily recreation can assist immature people retain best weight. toddlers and teens may furthermore breathe inspired to walk or trip their bikes, to physiognomy whereas speaking on the cell and to engage stairs rather than elevators or escalators when viable.

The physical actions that dinky ones engage in may quiet breathe commandeer for complete aptitude ranges and never breathe constrained to competitive sports or physical schooling classes. The actions may quiet enchantment to girls as well as boys and to babies from different backgrounds. aptitude sports similar to football may quiet not breathe their sole chance to breathe physically active. life-long participation in game actions should breathe inspired.

weight problems

The number of dinky ones who're overweight is expanding within the u.s.. approximately 21 % of 12- to 17-year-ancient teenagers are overweight, up from 15 % in the 1960s, and about 23 p.c of six- to 11-yr-historic children are overweight, compared with 15 percent within the Nineteen Sixties.15 overweight immature americans, mainly those that are older, are inclined to remain overweight and, in established, stand a 1.5- to 2.0-fold expand in the possibility of being obese as adults.15 The elevated prevalence of weight problems in formative years suggests a exigency for fundamental prevention.

suggestions for weight renovation and reduction in infants may quiet comprehend regular actual recreation and cautious consideration to weight loss objective to evade unreasonable calorie intake. factors predictive of successful weight-loss courses in children consist of standard intervention visits, the inclusion of folks and other members of the family in the program, mighty waiton for dietary intervention from members of the family chargeable for meals practise and a prescription for commonplace pastime.

HYPERCHOLESTEROLEMIA

cholesterol elevation seldom happens in isolation except in people with familial hypercholesterolemia. increased cholesterol levels early in life play a job in the progress of grownup atherosclerosis, and cutting back cholesterol levels in toddlers and youth can breathe profitable in decreasing the chance of atherosclerosis.5

table 1 lists the entire cholesterol and low-density lipoprotein (LDL) cholesterol values which are desirable, borderline and unreasonable in infants from families with a historical past of hypercholesterolemia or premature heart problems. an entire assessment should breathe carried out in sufferers whose levels descend into the borderline and lofty levels. a baby, despite family unit historical past, who has a total cholesterol stage greater than 200 mg per dL (5.15 mmol per L) or an LDL ldl cholesterol degree more advantageous than a hundred thirty mg per dL (3.35 mmol per L) should breathe evaluated.

View/Print desk

desk 1 Classification of levels of cholesterol in children with a household tradition of Hypercholesterolemia or premature cardiovascular disease class total cholesterol, mg per dL (mmol per L) LDL ldl cholesterol, mg per dL (mmol per L)

suited

< one hundred seventy (< four.40)

< a hundred and ten (< 2.eighty five)

Borderline excessive

one hundred seventy to 199 (four.40 to 5.15)

a hundred and ten to 129 (2.eighty five to 3.35)

excessive

≥ 200 (≥ 5.15)

≥ a hundred thirty (≥ 3.35)

desk 1 Classification of levels of cholesterol in toddlers with a household background of Hypercholesterolemia or untimely heart problems category complete cholesterol, mg per dL (mmol per L) LDL ldl cholesterol, mg per dL (mmol per L)

suited

< 170 (< 4.40)

< 110 (< 2.eighty five)

Borderline excessive

a hundred and seventy to 199 (4.forty to five.15)

one hundred ten to 129 (2.85 to three.35)

excessive

≥ 200 (≥ 5.15)

≥ 130 (≥ 3.35)

in comparison with their counterparts in different countries, American babies and adolescents stand greater levels of cholesterol and higher intakes of saturated fatty acids and cholesterol. moreover, post-mortem studies panoply that early coronary atherosclerosis or precursors of atherosclerosis frequently start in childhood and adolescence and are concerning the total cholesterol and LDL levels of cholesterol and to smoking.16

The administration of a toddler with an expanded ldl cholesterol stage starts with an entire foodstuff contrast and counseling. toddlers at highest risk for the progress of accelerated atherosclerosis may quiet breathe identified by artery of performing cholesterol screening in babies who've a dad or mum or grandparent with a tradition of myocardial infarction, angina pectoris, peripheral vascular ailment, cerebrovascular disorder or unexpected death. Such screening should quiet furthermore breathe performed in toddlers who stand a mother or father with a cholesterol degree better than 240 mg per dL (6.20 mmol per L). moreover, cholesterol screening could breathe considered in babies and immature people whose parental historical past is unobtainable, notably if other cardiovascular chance factors are latest.17

The countrywide ldl cholesterol schooling application report on blood cholesterol levels in infants and adolescents5 recommends drug remedy for dinky ones 10 years of age or older if an adequate affliction of dietary therapy fails to reduce the LDL ldl cholesterol degree to one hundred ninety mg per dL (four.ninety mmol per L) or lower. In children with a conducive household history or two different risk factors, drug therapy is informed if the LDL cholesterol smooth continues to breathe above a hundred and sixty mg per dL (four.15 mmol per L) despite a affliction of dietary therapy.

Bile acid sequestrants are the type of agents presently used for the treatment of hypercholesterolemia and LDL cholesterol elevation in infants and adolescents. Nicotinic acid has furthermore been used with some success. recently, HMG–CoA reductase inhibitors had been discovered to breathe protected in children with familial hypercholesterolemia.18

meals

To expand the consuming habits of toddlers, the total family ought to become involved within the exchange to felicitous ingesting and an expert about food and the merits of first rate nutrition. nutrients counseling is the first step within the remedy of a baby or adolescent who's at risk, unless the patient is smoking, in which case smoking cessation can breathe the 1st step in possibility change. Nutritionists from the indigenous clinic may well breathe a aid for nutrients counseling, and meals information is simply available from the American coronary heart affiliation, the American Dietetic affiliation and other sources.

toddlers and their fogeys will furthermore breathe given some primary tips on easy methods to in the reduction of their fat consumption. for instance, low-fats and nonfat dairy products can change ordinary sources of dietary fats, reminiscent of cheese, ice cream, butter and entire milk. fruits and vegetables can substitute the fatty snack meals frequently consumed after faculty or in lunches. Dietary fat intake can even breathe decreased by using casting off prepared meats akin to bologna, pepperoni, sausage and canned ham. When consuming at a quick-meals restaurant, the healthier items on the menu can breathe chosen as a substitute of the excessive-fat meals. as an instance, a daily hamburger can breathe ordered instead of a double cheeseburger, a minuscule salad can substitute french fries and a weight-reduction objective drink can breathe chosen as an alternative of a milk shake. A vegetarian pizza can furthermore breathe eaten as a substitute of a sausage or pepperoni pizza.

HYPERINSULINEMIA

improved levels of plasma insulin are habitual in adults and are often linked to coronary artery ailment. cross-sectional studies in both children and adults stand proven that hyperinsulinemia is linked to an adverse sample of cardiovascular risk elements that comprehend obesity, dyslipidemia and hypertension. The clustering of these risk elements along with hyperinsulinemia in adults is called syndrome X. increased insulin tiers in childhood persist into maturity, leading to a clinically principal hostile cardiovascular chance profile in younger adults. greater analysis is needed to determine when intervention may quiet breathe initiated.19

HOMOCYSTEINEMIA

fresh reports stand proven that tolerable elevation of plasma homocysteine is an unbiased risk ingredient for heart problems. As is the case in adults with hyperlipidemia or vascular disorder, it has additionally been recommended that homocysteine levels should breathe decided in toddlers with a family background of familial hyperlipidemia.20 Dietary recommendations for sufferers with homocysteinemia consist of not best fats restrict but additionally extended intake of meals corresponding to cleanly vegatables and fruits that hold nutrients associated with homocysteine metabolism. Folate supplementation is additionally valuable.20 besides the fact that children, experiences that corroborate the want for pursuits screening and treatment of homocysteinemia don't seem to breathe yet available.

Counseling the At-chance household About Cardiovascular health

If risk components for cardiovascular disease are altered early in a child's existence, it is probably going that the onset of coronary artery disorder will breathe delayed, if not avoided. The family health impregnate professional has an duty to tips at-risk households in regards to the deserve to Make tradition changes to adjust their cardiovascular profiles. The American coronary heart association's cardiovascular fitness time table for toddlers is a valuable e-book for incorporating suggestions about chance ingredient amendment into movements visits for well-baby impregnate (desk 2).21

View/Print table

desk 2 Cardiovascular health agenda for infants

delivery

If household history is superb for early coronary heart sickness or hyperlipidemia, interlard chance factors; parental referral if indispensable.

beginning growth chart.

attain parental smoking background; smoking cessation referral if necessary.

0 to 2 years

update family unit history and expand chart.

With introduction of solids, open educating about match weight loss program (nutritionally adequate, low in salt, low in saturated fat).

advocate in shape snacks as finger meals.

trade to entire milk from formula or breast feeding at approximately 1 year of age.

2 to 6 years

replace family tradition and expand chart, and evaluate boom chart* with family unit (conception of weight for top).

Introduce prudent weight-reduction objective (<30 % of calories from fats).

exchange to low-fat milk.

delivery blood power chart at about three years of age†; overview for conception of reduce salt intake.

encourage lively father or mother-newborn play.

Lipid resolution in babies with a respectable family unit historical past or if a mother or father's ldl cholesterol stage is > 240 mg per dL (>6.20 mmol per L). verify folks' lipid levels if quintessential; if abnormal, arouse food counseling.

6 to 10 years

replace family heritage, blood drive and growth charts.

comprehensive cardiovascular fitness profile with child; assess family unit history, smoking background, blood constrain percentile, weight for height, fingerstick cholesterol and stage of pastime and fitness.

fortify prudent weight-reduction plan.

start energetic antismoking counseling.

Introduce fitness for health and life recreation actions for newborn and family unit.

talk about position of staring at television in sedentary tradition and weight problems.

> 10 years

update family unit historical past, blood drive and boom charts yearly.

review prudent weight-reduction plan, hazards of smoking and health advantages on every occasion possible.

agree with obtaining lipid profile in complete patients.

review of non-public cardiovascular fitness repute.

desk 2 Cardiovascular fitness time table for children

start

If family unit historical past is superb for early coronary heart disorder or hyperlipidemia, interlard possibility elements; parental referral if vital.

birth boom chart.

achieve parental smoking heritage; smoking cessation referral if vital.

0 to 2 years

update household history and growth chart.

With introduction of solids, open instructing about match weight loss program (nutritionally enough, low in salt, low in saturated fat).

recommend suit snacks as finger meals.

exchange to entire milk from formulation or breast feeding at approximately 1 year of age.

2 to 6 years

replace household historical past and boom chart, and overview growth chart* with household (concept of weight for height).

Introduce prudent weight loss program (<30 p.c of energy from fats).

exchange to low-fats milk.

delivery blood drive chart at approximately three years of age†; evaluation for conception of lessen salt consumption.

encourage active mother or father-baby play.

Lipid determination in dinky ones with a positive family unit background or if a father or mother's cholesterol degree is > 240 mg per dL (>6.20 mmol per L). assess parents' lipid ranges if quintessential; if abnormal, arouse nutrients counseling.

6 to 10 years

replace household heritage, blood drive and boom charts.

finished cardiovascular health profile with infant; investigate family history, smoking heritage, blood power percentile, weight for top, fingerstick ldl cholesterol and degree of endeavor and health.

fortify prudent food plan.

start lively antismoking counseling.

Introduce health for health and life recreation actions for infant and household.

talk about role of staring at television in sedentary lifestyle and weight problems.

> 10 years

update household background, blood constrain and expand charts annually.

assessment prudent diet, risks of smoking and fitness benefits on every occasion feasible.

agree with acquiring lipid profile in complete sufferers.

review of personal cardiovascular health fame.

When a baby vulnerable to heart problems is recognized, a counseling session with the entire household may well breathe probably the most valuable option to initiate intervention to cleave back each the infant's and the family's risk factors for cardiovascular disease. complete members of the family should quiet attend this 30- to 60-minute session. earlier than the counseling session, the fogeys can finished a family historical past questionnaire that focuses on the risk elements for heart problems (figure 1). Having this questionnaire accomplished earlier than the session can retailer valuable time. often the fogeys stand no conception their personal ldl cholesterol reputation, which might furthermore necessitate cholesterol screening within the parents.22

View/Print determine

Questionnaire— Your family's chance of coronary heart sickness

figure 1.

Questionnaire for expend in acquiring information concerning the cardiovascular chance popularity of a baby and the family unit. (LDL = low-density lipoprotein; HDL = high-density lipoprotein)

Questionnaire— Your family's possibility of heart sickness

figure 1.

Questionnaire for expend in acquiring counsel in regards to the cardiovascular chance reputation of a baby and the family unit. (LDL = low-density lipoprotein; HDL = excessive-density lipoprotein)

The affected person and oldsters should collect a 3-day food objective diary that comprises complete of the meals eaten each at domestic and away from home. The diary should provide details concerning the volume of food and how it become prepared. Ideally, the weight loss objective diary may quiet breathe accomplished earlier than the counseling session. A nutritionist or dietitian can breathe consulted to research the food objective diary to determine the replete caloric intake, the percentage of energy from total fats and saturated fat, and the overall ldl cholesterol consumption. complete of the guidance in regards to the household heritage, latest ingesting habits and the parents' cholesterol popularity will furthermore breathe gathered before a counseling session to talk about the family unit's cardiovascular health. The counseling session should quiet breathe individualized for each particular family unit. Some households would require a longer discussion on nutrients and a shorter discussion on actual endeavor. Others will exigency tips on smoking cessation or extended physical recreation, etc. nutrition should breathe reviewed in constituent via a nutritionist. counting on scheduling elements, the nutritionist may breathe current at the session with the family and surgeon, or a part session may breathe organized with the nutritionist. on the conclusion of the counseling session, the household should accept written, age-particular cloth regarding lifestyle adjustments for decreasing the possibility components for cardiovascular disease.

preference of a match weight loss program is the first step in controlling ldl cholesterol, hypertension and obesity. but a nutrition objective is inevitable to fail if favourite foods are forbidden. The food regimen may quiet breathe moderated, not constrained. An occasional dish of ice cream is complete correct, as long as it is in fact occasional. Snack meals are generally proper, however the classification of snack food may quiet breathe carefully selected. The weight loss objective may quiet comprise an abundance of vegetables and fruit, and high-fats or excessive-carbohydrate snacks should quiet hardly breathe eaten. moreover, the parents may quiet breathe informed that meals is an inappropriate reward. Too regularly, high-fat, high-sugar meals are used to reward a baby's respectable behavior.

It may well breathe helpful for the folks to purchase a booklet that provides tips about the nutritional content of speedy foods. any such e-book can assist the child and the different family members Make match decisions when ingesting out. in addition, the baby may quiet chaperone the parents to the grocery store and breathe allowed to Make acceptable decisions that are inside the foodstuff instructions for the household. This class of involvement will waiton expand the patient's compliance in adhering to the favored instructions.

The doctor may quiet assume the limitations to acceptance of this information. One remark this is often made is “My grandfather ate four eggs every day and had hen fried steak for lunch with two pieces of pie, and he lived except he became 90.” an commandeer reply might possibly be, “yes, however your grandfather doubtless lived a a respectable deal extra lively life. He may furthermore stand engaged in pilot labor for 12 to 14 hours a day.”

observe-up can furthermore breathe helpful in assisting to underscore the exigency for the baby and the comfort of the family unit to trade their life to cleave back the risk of cardiovascular disease. A comply with-up mobile designation can serve as a reminder of the assistance offered in the session, and a personal postcard or epistle from the health impregnate provider is frequently an impressive device for convincing the affected person and the family unit that risk factor amendment is a crucial solution to ward off the construction of heart problems in adulthood.


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