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Old September 24th, 2001, 20:36
sysadmin sysadmin is offline
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1999.09.16 Pearls

WHITE COAT HYPERTENSION IMPORTANT. This study of 926 patients with hypertension found that the blood pressure measured in the office was identical to the blood pressure measured at home. This suggests that blood pressures measured in the office be taken seriously, and elevated measurements not be disregarded as due to stress from being in the doctor's office, i.e. "white coat" hypertension. Kjeldsen SE et al. Hypertension 1998;31:1014.

BLOOD PRESSURE HIGHER WHEN TALKING. This study of 28 men and 22 women found that talking raised the blood pressure an average of 17 mm Hg. Measurements taken when the doctor and the patient talked with eachother were higher than if both of them were silent when the blood pressure was measured. Le Pailleur C et al. Am J Hypertens 1998;11:203.

LOWERING CHOLESTEROL WITH LOVASTATIN REDUCES THE RISK OF A FIRST HEART ATTACK. In 5608 men and 997 women with average total and LDL cholesterol levels, and low HDL cholesterol levels, those who took lovastatin (20 to 40 mg a day) had a 40% decreased risk of a first heart attack compared to those who received a placebo. Downs JR et al. JAMA 1998;279:1615.

HIGH INTENSITY STRENGTH TRAINING HELPS CARDIAC REHAB. Among the 38 cardiac rehab patients studied, high intensity strength training was safe, and increased overall physical functioning and vitality. Beniamini Y et al. Am J Cardiol 1997;80:841.

PAIN RELIEF DOES NOT INCREASE RISK OF A MISSED APPENDICITIS.Among these 340 patients with suspected appendicitis, giving morphine for pain relief did not have a deleterious effect upon management decisions by the surgeon. Vermeulen B et al. Radiology 1999;210(3):639.

CARDIORESPIRATORY FITNESS DECREASES RISK OF DIABETES. This 6 year study of 8633 men found that the most fit 40% of the group (3453 men) were much less likely than the least fit 20% of the group (1727 men) to develop diabetes, even after controlling for age, smoking, alcohol use, and family history. Wei M et al. Ann Intern Med 1999;130:89.

PSYCHOACTIVE DRUG WEBSITES MOST POPULAR IN PHARMACEUTICAL INDUSTRY. Among the 84 pharmaceutical product sites available to netizens, 7 out of the top 10 viewed sites deal with psychoactive drugs. Sussman N. Primary Psychiatry 1999;6(8):12.

PASSIVE SMOKING INCREASES RISK OF CORONARY HEART DISEASE. In this meta-analysis of 650,000 people, exposure to second hand smoke was associated with a 25% increased risk of coronary heart disease. He J et al. NEJM 1999;340(12):920.

DUKE TREADMILL SCORES HIGHLY PREDICTIVE OF MORTALITY.Duke classification scoring of exercise treadmill tests was highly predictive of overall mortality among a group of 939 patients with T-wave and ST segment abnormalities on their resting ECG. Cardiac survival was 97% at 7 years for the low risk group, as defined by the Duke classification score. JAMA 1999;282:1047.

CHRONIC SINUSITIS FREQUENTLY DUE TO FUNGUS. 202 out of 210 patients with chronic sinusitis were found to have fungi in their sinal mucus. In addition, their eosinophil levels were elevated suggesting that an immune response to fungi caused the chronic sinusitis. Ponikau J et al. Mayo Clin Proc 1999;74:877.

FAST FACTS: SUICIDE. In the United States:
* Every minute 1 person attempts suicide
* Every 15 minutes 1 person dies from suicide
* Suicide is the 2nd leading cause of death among college students
* Men are 4 times more likely than women to commit suicide
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