Patient Information Day on Fibromuscular Dysplasia (FMD) Fibromuscular dysplasia is a condition that causes narrowing (stenosis) and enlargement (aneurysm) of the medium-sized arteries in your body. Reduced blood flow from narrowed arteries to the organs can affect the function of the organs. Fibromuscular dysplasia appears most commonly in the arteries leading to the kidneys. Fibromuscular[…]
A researcher, Jung Yin Tsang, in association with the Manchester University and the National Institute for Health Research is looking to establish an Acute Kidney Injury-Patient and Public Involvement and Engagement group (AKI-PPIE). “I am performing a project with affiliated with the University of Manchester and NIHR SPCR, targeting AKI to improve patient safety. As part[…]
Renal Replacement Therapy Consultation NICE (National Institute of Health & Social Care Excellence) are planning the first-ever guidelines on preparation for Renal Replacement Therapy for both adults and children. They will apply in England only but often the other UK nations use them too. They cover preparation and planning for transplant, peritoneal dialysis, haemodialysis and conservative care (the decision not to have dialysis).[…]
PREMS 2017 The PREMs (Patient Reported Experience Measures) survey findings for 2017 have just been released. The survey is coordinated by Kidney Care UK and the UK Renal Registry and analysed at the University of Hertfordshire. Over 11,000 patients took part and the top three areas identified for improvement were as follows: Transport to and[…]
‘Think Kidneys’ has released a position statement on what were originally called ‘Sick Day Rules’ but more accurately be described as ‘Sick Day Guidance’. The statement includes some inportant considerations for patients such as: “Patients may over-interpret the advice and stop their drug treatment during even minor illnesses.” “Patients may not re-start their drug treatment[…]
An article from diabetes.co.uk reports research findings that one third of Type 2 diabetes patients do not take their prescribed dose of Metformin citing fear of side effects as the probable reason. For the full article please follow the link below: One in three people with diabetes prescribed metformin do not take the drug, new[…]
BRS VA Special Interest Group and MAGIC. In 2015 a group of staff decided to form a Vascular Access special interest group (BRS VA SIG), this consists of vascular access and haemodialysis nurses, haemodialysis patients, nephrologists, vascular surgeons and interventional radiologists. The main aim was to be able to identify, clarify and improve on best[…]
Israeli company, Nano Dimensions has just announced it is to create a subsidiary that will focus on developing solutions for End Stage Renal Disease. You can read the full story here.
The US Food and Drug Administration has approved a new treatment for secondary hyperparathyroidism which is administered at the end of a dialysis session. See the link below for the full story. FDA approves new treatment for secondary hyperparathyroidism
If you’re planning an event for World Kidney Day this year please see the document below for information and details of how to obtain event materials. You can also view/download the document here.
Dr Tina Chrysochou is hosting the first national meeting of the British Renal Society Transition/ Shared Decision Making Special Interest Group at Salford Royal on December 1st with a focus on setting up services for young people. This conference is open to patients, carers, staff and service commissioners. If you have any queries or would[…]
Kidney Research UK is undertaking its annual Patient Survey for 2016. To ensure your opinions count, please take part in the survey by following the link below. Kidney Research Annual Patient Survey 2016
Salford Royal is to host its second ADPKD Information and Support Day on November 5th. These days are invaluable if you want to learn more about the condition, how to live with it or simply to meet & chat to other patients. To Register please use the following link; ADPKD Information and Support Day
What does it mean to remember? What does it mean to forget? What might forgetting do to us and those who care for us? Ta da ta da ta da tad a is the working title of a short performance piece by the brilliant Manchester poet and performer Louise Wallwein with music by the equally[…]
The National Institute for Health Research [NIHR], are asking you to save the date for a special film night via this link: NIHR FILM NIGHT! We hope you enjoy the experience The HOPE KPA & GMKIN Team
Welcome All, Your Autumn Newsletter is available to download here-> 03-16 HKPA Autumn 2016 You can now read the flick through version here-> HOPE KPA Autumn 2016 Newsletter IgA Nephropathy; Former NFL Player tells his story of how IgA/CKD affected his life in the sport. Home Dialysis Therapies, Respite, Recipes and Puzzles ____________________________________ With seasons[…]
Salford Royal’s renal team has announced a two day roadshow on August 23rd and 24th focussing on home dialysis treatments, home haemodialysis and peritioneal dialysis, which will feature two patients dialysing on the NxStage machine. It’s worth attending even if you’ve thought that home dialysis was not for you. Come and talk to patients who[…]
A new organ donation awareness advert from Organ Donation Scotland.
Information from holidaydialysis.co.uk on the effects of Brexit on holiday dialysis in Europe. Please follow the link below. Effects of Brexit on holiday dialysis
The Human Tissue Authority (HTA) will be holding an Independent Assessor (IA) training event on Tuesday 27 September 2016 at Etc Venues, London. The training session will run from 9.30am – 4.30pm and lunch and refreshments will be provided. The HTA is aware that due to increased responsibilities and budget cuts within NHS, it is[…]
The BKPA has announced that the kidney community’s appeal to the National Institute for Health and Care Excellence (NICE) to reverse its decision to limit approval of immunosuppression drugs has been upheld. Follow the link below for the full announcement. Appeal to NICE on immunosuppression medication upheld
Motiv8 Sport is hosting a Celebrity Football Match featuring a team from TV series Hollyoaks playing a team of transplant patients which includes a few from Salford Royal. Full details below: Get Tickets
Paolo Fraccaro, a researcher at the Health eResearch Centre (HeRC) in Manchester is looking for patients with chronic kidney disease to attend a two hour workshop investigating ways of improving patients’ understanding of their lab results. See the poster below for details:
NHS England is looking to train and recruit healthcare professionals, patient and carers to take part in a quality review of 5 dialysis units across the north of England. See below for details. I have also included links to the application form and person specification. Full training is included. “The North of England Specialised Commissioning[…]
Kidney Quality Improvement Partnership needs YOU! KQuIP is a new and exciting opportunity for patients to get involved in improving the quality of kidney care across the country. If you’d like to be involved please contact James.McCann@renalregistry.nhs.uk. Patients’ travel expenses will be paid. See leaflet below for more details.
Salford Royal is hosting the third annual IgAN Patient Day on May 7th. Please follow the link below to register for the event. Third Annual IgAN Patient Day
If you are interested in coming along to a Comedy Night in Salford on Friday, 20 May being organised by Karen Ainsworth (who donated her kidney to her son) and raising funds for Kidneys for Life just get in touch with Kev her husband on 077525 04069 for tickets.
Join Neil Parrot for the Kidneys for Life China Trek 2016. You too can trek the Great Wall of China, visit Tianamen Square, the Summer Palace and the Forbidden City whilst raising vital funds for Kidneys for Life. For details: please contact firstname.lastname@example.org or call 07714864833.
WORLD KIDNEY DAY – 10 MARCH We’re taking the opportunity of World Kidney Day on 10 March to spread the word about kidney health and raise funds for the Southampton Children’s Hospital Kidney Awareness Charity. Did you know… 3 million people in the UK have kidney disease. Approximately a third[…]
A lot of the work that Hope Kidney Patient Association (HKPA) undertakes for kidney patients goes unseen as it works to support those kidney patients that fall between the cracks of the NHS and Social Services. HKPA is run by committed volunteers and relies on donations to maintain its necessary support of kidney patients in[…]
With funding from the National Lottery, the PKD Charity is to launch its latest project, a PKD Befriending service, at an even hosted by the renal team at Salford Royal. ADPKD and ARPKD patients and carers, nephrologists and other renal healthcare professionals and social workers are all welcome. The event is free, light refreshments will[…]
The BKPA is looking to recruit a part-time patient advocacy officer for the north west of England. For details of how to apply please see the document below.
Little Welsh dragon has produced an interesting vlog on her experiences on nocturnal haemodialysis.
Bradford’s renal unit is to take part in a project with Think Kidneys and the UK Renal Register with the aim of helping kidney patients to better manage their condition. For the full story please follow the link below. Bradford’s renal unit taking part in ground-breaking national project for kidney patients
The Kidneys For Life organisation is hosting the National Membranous Nephropathy Patient Forum in Manchester on Saturday March 19th. For programme and booking details please follow the link below. National Membranous Nephropathy Patient Forum
I was unaware of the procedure before I read the article. “Elizabeth Fraser was given the ‘best Christmas present’, a life-saving procedure at The James Cook University Hospital in Middlesbrough and now looks forward to a brighter 2016. The HeRO (Haemodialysis Reliable Outflow) graft operation– the first one of its kind in the North East[…]
In its latest organ donor awareness campaign the NHS has targeted younger people by partnering with the Tinder app. From bbc.co.uk… “The NHS has partnered with dating app Tinder to raise awareness about organ donations. The app is used to find people a good personality match but for the next fortnight it will also encourage[…]
The Scottish government has decided to adopt a ‘wait and see what happens in Wales’ approach to the introduction of an opt-out system of organ donation thereby falling in line with MPs in Westminster. I understand the concerns and remain unconvinced that opt-out as currently proposed will make much of a difference. However, would it[…]
GMKIN member Wajid Iqbal has received a kidney transplant after a 7 year wait. The always cheery and helpful Wajid is also helping to encourage more organ donation from the Asian community. To those of you out there still waiting for ‘that call’, don’t give up hope. From manchesterevening news.co.uk … “A transplant patient who[…]
In an interview with Yahoo Sport, Andrew Cole talks openly about his kidney disease diagnosis, dialysis and the effects of it on his life. Many dialysis patients will recognise those effects. For the full story please follow the link below. Andrew Cole talks openly about CKD, dialysis and the effects on his life
In newly released figures there are 354 people in Greater Manchester waiting for a transplant. From manchestereveningnews.co.uk… “A young woman, who suffered renal failure when the kidney donated by her mum failed, is amongst people urging Mancunians to sign up to the donor register. Delise Cassarino, 20, has been waiting more than a year for[…]
NHS Organ Donation has just released its new Organ Donation awareness video #TimeToSign
Salford Royal Foundation Trust’s renal department recently hosted a Live Donation information at Buile Park Hall in Salford. The event was hosted by Dr Grahame Wood and featured talks from specialist nurses, a transplant surgeon and two patients, one a living donor the other a live donation recipient. There were lots of opportunities to ask[…]
News of a free event looking at exploring how public involvement and engagement can help to bring new technological developments to the healthcare market. “Do you have ideas about gadgets or gizmos that would make life easier? Can you imagine a tech solution to a health or health care issue? Do you have fresh ideas,[…]
Dr Melissa Stepney is looking for patients with Alport Syndrome to take part in a study that has the aim of developing a web resource for other patients, healthcare professionals and members of the public. Please follow the link below for details. A study for patients with Alport Syndrome
Professor Kalra and Salford Royal’s Renal research team is hosting an event on November 29th so that members of the public can discover more about their research work. To register for this free event please follow the link below. Renal Research Event
Just follow the link… Kidney Research Newsletter
From www.ucsf.edu… “Development of a surgically implantable, artificial kidney — a promising alternative to kidney transplantation or dialysis for people with end-stage kidney disease — has received a $6 million boost, thanks to a new grant from the National Institute of Biomedical Imaging and Bioengineering (NIBIB), one of the National Institutes of Health, to researchers[…]
Dr Cristina Vasilica has won the ‘Best Poster’ award at the European Dialysis and Transplant Nurses Association and European Renal Care Association conference in Kent. It is the third time that Dr Vasilica has won such an award for her work on GMKIN.
The National Institute for Health and Care Excellence (NICE) has released guidelines for the use of Tolvaptan (Jinarc®) in the treatment of Autosomal Dominant Polycystic Kidney Disease (ADPKD). To view the guidelines please follow the link below. NICE releases guidelines for the use of Tolvaptan
Quanta, a UK based medical devices company, has been trialling the use of its SC+ machine at Nottingham General Hospital and patients are now being trained to perform Home Haemodialysis (HHD) using the machine. For the full story from bbc.co.uk/news please follow the link below. Home dialysis options increase with new Quanta machine
NHS Blood and Transplant has launched a new organ donation campaign, “Be There”, targeting black communities which includes a video from George the Poet. For the full story follow the link below. “Be There” campaign for organ donation in black communities
Dr Richard Fluck (@kneeoerica) explains Acute Kidney Injury (AKI) as part of the ThinkKidneys project.
Details of the Pass the Beat evening of live music in support of organ donation.
With thanks to Fiona Loud of the BKPA for sharing, please see below for the details of the Kidz to Adults up North Event to be held on Thursday 19th November at Event City near the Trafford Centre. The event covers many areas from transition through to employment and education.
Cornish artworks are to feature in a special auction to raise funds for doctors and surgeons to travel to developing countries to treat children and adults suffering with kidney disease. From westbriton.co.uk “An art auction to raise money for a Falmouth-based charity will include works from local artists. Charity Transplant Links Community is hosting the[…]
Renowned American nephrologist Joel Topf has proposed a study which aims to test the theory that mindfulness can reduce depression in dialysis patients. It is reported that between 20 and 30% of dialysis patients will suffer depression. From medpagetoday.com… “End-stage renal disease (ESRD) is a growing problem in the United States. There are more than[…]
Another strand of research looking into creating replacement organs using the recipients own cells. From huffingtonpost.com – “We need more organs. At any given moment, more than 123,000 Americans are waiting for an organ transplant. Each year, 6,500 of them die for want of a donor. Moreover, between 15 and 50 percent of patients lucky[…]
Breaking news: NICE has reconsidered its decision not to recommend the drug Tolvaptan (Jinarc) for the treatment of Autosomal Dominant Polycystic Kidney Disease (ADPKD). Huge thanks to Tess Harris and her team at PKD Charity UK and everyone who took the time to submit comments during the consultation period. NICE reconsider and recommend Tolvaptan
A blog from the ever stimulating Anne Cooper (@anniecoops) on the relationship between the clinician and the chronically ill patient. Changing the Dance
This is a great Ted Talk from Maddy Warren, also known as ‘Queen of Dialysis’, about how she took control of her life by dialysing at home which in turn has given her the freedom to live life to the fullest!
It doesn’t appear to have been widely reported but the National Institute for Health & Care Excellence (NICE) is currently reviewing the prescription of immunosuppression drugs to transplant patients. The consultation process has now closed and decisions will be made later this year however one of the initial recommendations is that Advagraf is no longer[…]
Please follow the link below to read/download the latest issue of the National Kidney Federation’s Kidney Life magazine. It includes an article on a novel approach to home haemodialysis ‘on the road’. Autumn issue of NKF’s Kidney Life magazine
“Engineering consultancy Frazer-Nash, working closely with Nottingham University Hospital, has demonstrated how engineering modelling techniques can be used to provide insight into a patient’s day in a renal unit – and through a better understanding of an individual’s dialysis day, identify tangible ways to improve the overall patient experience.” For the full story please follow[…]
The Standardised Outcomes in Nephrology (SONG) Initiative is looking to recruit HD patients, the family members or carers to take part in an international survey about the effects of treatment and care. SONG – an international survey about the effects of haemodialysis Are you a patient on haemodialysis or a family member or carer for[…]
If you’re a young adult kidney patient, time is running out to book for the BKPA Young Adult activity weekend at Ravenstor. Please see the poster below for details on how to book.
MRI hospital has the broken the record for the number of kidney transplants performed in a month. From mancunianmatters.co.uk – “A record-breaking number of successful, life-changing and saving kidney transplants have been carried out by the Renal Transplant Team at Manchester Royal Infirmary (MRI). The previous national record of 32 transplants was also outdone in[…]
A fantastic initiative to allow Aboriginal people’s to dialyse closer to home has just been awarded A$15.3m to expand its services. From theguardian.com – “The federal government has announced $15.3m in funding for the central Australian dialysis service, the Purple House, to expand treatment to remote Indigenous communities experiencing a crisis in renal health. The[…]
After waiting for thirty years and with 100% antibodies David Dawson finally received a kidney transplant. The moral is, “Never give up hope”. From stokesentinel.co.uk – “David has finally got a new kidney – after waiting 30 years for an organ transplant. The former jewellery restorer had resigned himself to a life of dialysis treatment[…]
As the British Transplant Games arrive in the north-east this week the Newcastle Evening Chronicle, which has done so much in the past 12 months to promote organ donation, takes the opportunity focus on the work done at Newcastle’s Institute of Transplantation. From chroniclelive.co.uk – “There have been a number of medical miracles over the[…]
Paul Wyman has launched a petition asking the government to switch from an opt-in to an opt-out system of organ donation. You can view and sign the petition by following the link below. Petition to switch to an opt-out system in England
A lovely story of how BBC newsreader Sabet Choudhury donated a kidney to his mother. From bristolpost.co.uk – “Newsreader Sabet Choudhury has spoken of his decision to give up a kidney in order to save his elderly mum. Sabet, 41, said going under the knife at Southmead Hospital was a terrifying prospect, but it was[…]
A date for your diary, Salford Royal’s renal department will be hosting a Live Donor information event at Buile Park Hall, Salford on Sunday September 20th between 11am and 3pm. I’ll post further details of the event when I have them.
Deborah Bakewell is one of the first people in the world to have a kidney transplant where the donated kidney is kept viable by a process called normothermic perfusion. From lincolnshireecho.co.uk – “A Lincoln woman says a pioneering kidney transplant operation has “changed her life”. Deborah Bakewell was one of the first patients in the[…]
News from mirror.co.uk of the murky world behind organs for sale racket. “Criminal gangs are cashing in on the poor and terminally ill by setting up deals to flog kidneys for transplants. And some penniless people are so desperate for money just to survive they are willing to sell their organs on Facebook for as[…]
Surgeons in Barcelona have carried out the first completely robotic kidney transplant on a 25 year old woman with Alport Syndrome. From thelocal.es – “A team of urologists from the Fundació Puigvert in Barcelona have successfully overseen a kidney transplant performed completely by robots, the first of its kind in all of Europe, they announced[…]
Patiromer, a new drug that reduces the levels of potassium in the blood has undergone successful phase two trials. From medicalnewstoday.com – “The new drug patiromer was randomly tested in an open-label phase 2 trial funded by Relypsa and the results are published in JAMA. Those most at risk of hyperkalemia are patients with chronic[…]
The owners of a Burnley based haulage company whose mother received a kidney transplant have launched an organ donation awareness campaign. From burnleyexpress.net – “Two successful businessmen brothers, whose mother’s life was saved after she had a kidney transplant, are hoping their own life changing experience will encourage others to become organ donors. Stephen and[…]
A new device could mean that people with diabetes no longer have to monitor their blood sugar levels by pricking their finger to test their blood. From news.sky.com “An engineering breakthrough could mean that diabetics will no longer need to draw blood to monitor their condition. The new technology, developed by Professor Gin Jose and[…]
From the BKPA – please follow the link below for the full story. Updated guidance on home dialysis reimbursement
The US Food and Drug Administration has approved the drug Envarsus XR for use as an anti-rejection treatment for transplant patients. Envarsus XR is an extended release version of the drug tacrolimus. For the full story please follow the link below. FDA approves Veloxis’ Envarsus to treat kidney transplant patients
A lovely little blog on Richard Bright who is regarded as the founder of the speciality of nephrology. Please follow the link below. The birth of nephrology?
The Tyneside Kidney Patients Association is hosting a Patient, Family and Carers Day in Newcastle on August to which all are welcome to attend. For those who are interested but can’t attend they are also hosting a live and interactive web feed of the day’s events. Please follow the link below for more details. North[…]
Please follow the link below to read the latest PKD Charity newsletter. Latest PKD Charity Newsletter
A social media plea from her father to help make his teenage daughter’s prom night special saw her travel to the event in a Ferrari escorted by a biker escort. Bethany Crocker, 16, who has Polycystic Kidney Disease (PKD) wasn’t expected to live beyond the age of two. From plymouthherald.co.uk – “A “Miracle” teenager who[…]
Renal Patient View (RPV) is an invaluable tool to allow kidney patients, both those on dialysis and post-transplant, to monitor their blood chemistry. For some tips on how to get the most from RPV subscribe to its YouTube channel via the link below. https://www.youtube.com/user/renalpatientview
There have been several campaigns to increase the number of organ donations from Asian communities, most notably and arguably most successfully, Agimol Pradeep’s outstanding work in this area. However the problem remains as highlighted in this article from the BBC website – “Despite several NHS publicity campaigns, only 4% of the 21 million people on[…]
For the second year in a row Dr Cristina Vasilica has won a Best Poster award at the British Renal Society’s annual conference which this year was held at Leeds University. The award reflects the work Cristina has undertaken to successfully establish a patient to patient support environment for people with kidney disease. Great work[…]
Researchers at the Freeman Hospital in Newcastle have today published their genetics based research into a rare kidney condition, cystinuria. From chroniclelive.co.uk – “Medics in the North East are using pioneering genetic research to help prevent future generations of patients developing a rare kidney condition. Specialists based at the Freeman Hospital are using genetic information[…]
NxStage today launched it’s new look website featuring new information on the company and its products. There’s also a video of one of NxStage’s patients. As more of us are encouraged to self manage and dialyse at home it’s machines like the System One that enable dialysis patients to follow a more flexible regime, tailored[…]
With the recent decision from NICE not to approve Tolvaptan (Soliris) for the treatment of Polycystic Kidney Disease articles like this that hint at other possible avenues of treatment always lift my mood. From scicasts.com – “For the 12 million people worldwide who suffer from polycystic kidney disease (PKD), an inherited disorder with no known[…]
So many of the decisions in healthcare are driven by cost but some of those decisions seem to miss the financial benefits of considering the wider ramifications. The Swiss are basing an organ donor campaign on just that basis. From swissinfo.ch – For the full story please follow the link below. The Economics of Organ[…]
Despite the inherent sadness of someone dying it is good to hear that the number of organ donations in some parts of the country are on the rise. From worcesternews.co.uk – “Worcestershire is leading the way in patients choosing to donate their organs after their death. Between April 2014 and March this year 12 patients[…]
A truly remarkable woman, devoted to not only saving lives but also, through her work with the Transplant Games, ensuring that those people get the chance to live their new lives to the fullest. From chroniclelive.co.uk – “She is the Angel of the Freeman Hospital. She became a medic who made medical history when she[…]
There is a shortage of organs for donation in countries around the world with the exception of Iran where the state buys organs for transplantation. This article from huffingtonpost.com proposes that America introduces a similar, state regulated market. For the full story please follow the link below. From America: Why we need a market for[…]
Teenager Charlotte Archer-Gay has received a kidney transplant from her father despite them not being a match. Surgeons carried out a process known as plasmapheresis to remove antibodies from the donor organ which permitted the operation, rare in children, to go ahead. From uk.news.yahoo.com – “A father has been able to donate one his kidneys[…]
Hospitals in the West Midlands are urging Muslims to consider donating their organs. Typically Muslims have to wait a year longer than non-Muslims for a suitable donor organ to become available. From bbc.co.uk/news – “Hospitals in the West Midlands are urging Muslims to consider donating their organs for patients waiting for transplants. Muslims needing an[…]
The British Kidney Patient Association along with NHS Blood and Transplant is holding a parliamentary reception as part of National Transplant Week in September where patients can meet their MP. The event is kindly sponsored by Yasmin Qureshi MP for Bolton South-East and a great supporter of the kidney community. For the full details of[…]
Seven year old Ella Chadwick, who was born with a rare illness, has started to walk following her second kidney transplant. From itv.com – “Her parents feared they may never see her walk but a brave seven-year-old from Rochdale has proved them wrong and taken her first steps. Ella Chadwick needed a life-saving kidney transplant[…]
Lucy Cort, who received a kidney from her mother, has thanked her transplant surgeon Afshin Tavakoli of Manchester Royal Hospital. From theboltonnews.co.uk – “Lucy Cort’s mum Carole donated a kidney to her daughter six weeks ago, after the 29-year-old from Lostock was struck down by potentially fatal food poisoning causing her own kidneys to fail.[…]
An interesting article on the growth of paired organ exchanges and how the chain and the time-frame for the transplant operations can be extended by an altruistic (non-directed) donor. From medcitynews.com – Please follow the link below for the full article. Finding the right kidney donors could be efficient with insight from an economist
Royal Blackburn Hospital has been used as the backdrop to a new organ donation campaign video targeting Asian communities. From lancashiretelegraph.co.uk – “A poignant video has been launched as part of an campaign to increase the number of black and minority ethnic communities on the organ donor register. Around a hundred people gathered for the[…]
Outset Medical has received $91m in funding for its new dialysis machine, Tablo. From nephrologynews.com – “The company will use proceeds from the financing to begin a controlled commercial introduction this year and to pursue expanded FDA clearance to allow patients to use Tablo at home. The FDA recently approved an investigational device exemption (IDE)[…]
Researchers from Salford Royal, the London School of Economics and US National Institutes of Health have concluded that healthy eating, regular exercise, blood pressure and cholesterol control are the best methods of treating the early stages of chronic kidney disease. From finchannel.com – “Healthy eating, regular exercise and blood pressure and cholesterol control are among[…]