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World Health Organization Publication : Year 2003 ; Issue 9241562234, Pages 83-90: Monica ; Optional Studies

By World Health Organization

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Book Id: WPLBN0000174694
Format Type: PDF eBook
File Size: 0.4 MB
Reproduction Date: 2005

Title: World Health Organization Publication : Year 2003 ; Issue 9241562234, Pages 83-90: Monica ; Optional Studies  
Author: World Health Organization
Volume:
Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
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Publisher: World Health Organization

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Organization, W. H. (n.d.). World Health Organization Publication : Year 2003 ; Issue 9241562234, Pages 83-90. Retrieved from https://self.gutenberg.org/


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Medical Reference Publication

Excerpt
When MONICA was launched it had the ambitious objective ‘to assess the extent to which trends in cardiovascular disease . . . are related to changes in known risk factors, daily living habits, health care, or major socioeconomic features . . .’ It then qualified this with ‘Collaborating centres will wish to cover all these areas, but the basic protocol covers key items only, leaving the rest as local options’. This ambitious manifesto, tempered by alarm as to what it might involve, and rapid compromise, demonstrates the dilemma posed by MONICA. Key items, subsequently labelled core items, were fundamental to the MONICA hypotheses. For these, there were standard protocols and methods of measurement that were usable by all participating centres. There were other factors for which standard, cross-cultural protocols and procedures were not available, or would be too expensive for general use. Collecting core data items for ten years or so was a formidable challenge, even without adding others. However, if we stopped at core items, there was a risk that the study would be criticized for being traditional and boring. It would lack spice and excitement if others were not added. Yet adding in costly, unproven and non-standardized factors would detract from the core, perhaps even affecting its quality, and would inhibit widespread participation. (1)

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