Relevant bibliographies by topics / Hypertension clinic

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Academic literature on the topic 'Hypertension clinic'

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Published: 4 June 2021

Last updated: 1 February 2022

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Journal articles on the topic "Hypertension clinic"

Pierdomenico, Sante D., Franco Cuccurullo, and Andrea Mezzetti. "Isolated clinic hypertension." Journal of Hypertension 16, no. 5 (May 1998): 713–14. http://dx.doi.org/10.1097/00004872-199816050-00020.

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Ferrara, L. Aldo, and Aldo Celentano. "Isolated clinic hypertension." Journal of Hypertension 16, no. 5 (May 1998): 714. http://dx.doi.org/10.1097/00004872-199816050-00021.

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Simper, Anne Marie, and Marianne Hansen. "Nurse-managed hypertension clinic." European Journal of Cardiovascular Prevention & Rehabilitation 13, Supplement 1 (May 2006): S52. http://dx.doi.org/10.1097/00149831-200605001-00210.

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Illyés, Miklós, Thomas Mengden, and András Tislér. "The virtual hypertension clinic." Blood Pressure Monitoring 7, no. 1 (February 2002): 67–68. http://dx.doi.org/10.1097/00126097-200202000-00014.

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MACDONALD, GRAHAM. "DEATH OF THE HYPERTENSION CLINIC." Australian and New Zealand Journal of Medicine 19, no. 5 (October 1989): 415–16. http://dx.doi.org/10.1111/j.1445-5994.1989.tb00295.x.

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KHAN, A. "Etiology of refractory hypertension in an urban hypertension clinic." American Journal of Hypertension 12, no. 4 (April 1999): 202. http://dx.doi.org/10.1016/s0895-7061(99)80730-4.

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SCHULTZ, JANE F., and SHELDON G. SHEPS. "Management of Patients With Hypertension: A Hypertension Clinic Model." Mayo Clinic Proceedings 69, no. 10 (October 1994): 997–99. http://dx.doi.org/10.1016/s0025-6196(12)61829-1.

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Schwartz, I. David, and Patrick R. Henderson. "Hypertension/pre-hypertension in a pediatric sub-specialty clinic." Journal of Pediatrics 151, no. 6 (December 2007): e22-e23. http://dx.doi.org/10.1016/j.jpeds.2007.08.004.

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Covey, Douglas F., Diane D. Shackelford, and Wallace E. Geck. "Pharmacy Services in a Hypertension Clinic." Journal of Pharmacy Practice 5, no. 1 (February 1992): 7–11. http://dx.doi.org/10.1177/089719009200500104.

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Roles for pharmacists are evolving rapidly in the ambulatory care setting. This is primarily due to increasing inpatient costs with a resultant shifting of costs to the outpatient section. This shift has subsequently presented larger numbers of patients and sicker patients to the outpatient setting. This article describes the involvement of a clinical pharmacist in a multidisciplinary hypertension clinic. Detailed are the procedures used to evaluate a patient from consult to discharge, and the responsibilities of the clinical pharmacist, the clinic physician, and the nurse practitioner are reviewed. Finally, methods of documentation and quality assurance are outlined.

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Vinyoles, Ernest, Àngela Felip, Enriqueta Pujol, Alejandro de la Sierra, Rafael Durà, Raquel Hernández del Rey, Javier Sobrino, et al. "Clinical characteristics of isolated clinic hypertension." Journal of Hypertension 26, no. 3 (March 2008): 438–45. http://dx.doi.org/10.1097/hjh.0b013e3282f3150b.

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Dissertations / Theses on the topic "Hypertension clinic"

Anyiam, Helen. "Educating Staff Members in an Outpatient Clinic on Hypertension Management." Thesis, Walden University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10930842.

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An educational module on hypertension was created in response to the recurring pattern of patient visits with hypertension and an observed knowledge gap among nursing staff in an outpatient clinic located in the southern United States. The educational module was patterned after Joint National Committee-8 and American College of Cardiology guidelines involving patient lifestyle modification and provided clinic staff with information on hypertension diagnosis and self-management for use in patient education. The module was reviewed by a panel of 3 experts who approved it for appropriateness and clarity of content and made one minor recommendation for revision. The education materials were modified to meet the panel’s recommendations and subsequently presented to 5 nursing staff members. Pre- and postmodule questionnaires were provided to the staff to determine the extent of their learning from the education program. Pretest results indicated that staff lacked information on the guidelines for treatment of hypertension. Posttest results indicated that all 5 participants found the module information useful for staff to use in educating patients on self-management of hypertension. Providing nursing staff with current evidence-based practice guidelines can increase staff nurse knowledge on hypertension management. Educating nursing staff has the potential to effect positive social change by empowering staff and patients to improve health care outcomes by enabling staff to coach patients on hypertension management using up-to-date evidence-based practice guidelines.

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Pink, Nicole Catherine. "A Collaborative Hypertension Clinic Pilot Program in a Rural Primary Care." Diss., North Dakota State University, 2020. https://hdl.handle.net/10365/31879.

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In 2019, there were about seventy-million Americans with uncontrolled high blood pressure (BP) or hypertension (HTN) (Kitt, Fox, Tucker & McManus, 2019). Hypertension is the leading cause of preventable deaths worldwide (Stephen, Halcomb, McInnes, Batterham & Zwar, 2019). Uncontrolled HTN contributes to stroke, myocardial infarction, and renal failure, and is the most modifiable risk factor for heart disease and death (American Academy of Family Physicians [AAFP], 2019; Oparil & Schmider, 2015). Patients living in rural America have an increased prevalence of HTN and their access to preventative health services is lower (Buford, 2016; Caldwell, Ford, Wallace, Wang & Takahashi, 2016). The increased prevalence of HTN in rural communities does not positively correlate with optimized blood pressure control, which poses a gap in care (Buford, 2016). A multidisciplinary collaboration between registered nurses (RNs) and providers may improve patient outcomes (Ford et al., 2018). The implementation of a collaborative HTN Clinic in a rural setting had the potential to improve BP outcomes by increasing access to services. The practice improvement project established a HTN Clinic as a collaborative effort between RNs and providers in a rural community. Providers and RNs were educated via modules regarding the protocol and participants took surveys before and after implementation to determine effectiveness and if the HTN Clinic should continue after conclusion of the practice improvement project. The HTN Clinic intervention implemented education for hypertensive patients with an emphasis on medication compliance and lifestyle modifications, as well as medication adjustments through nurse-led protocols. Despite a short duration of implementation and evaluation, positive results were observed. All HTN Clinic patients had improvement in BP measures and were controlled by the end of the four-week implementation period. Overall, patient access, wait times for appointments, and BP measures for all hypertensive patients improved after implementation. The providers’ and nurses’ knowledge increased through completion of a detailed curriculum. The provider and RN surveys indicated support for continuing the HTN Clinic to improve HTN management and clinic providers felt that the HTN Clinic helped improve their time with patients and quality metrics.

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Henriksson, Ann-Sofi, Martina Johansson, and Sofia Johnson. "Distriktssköterskans erfarenhet av att bedriva stödjande insatser vid en hypertonimottagning : En pilotstudie." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-24901.

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Hypertoni beskrivs vara en riskfaktor bland annat för hjärtkärlsjukdomar som tenderar att öka och patienter med hypertoni når i allt större utsträckning inte behandlingsmålen enligt Socialstyrelsens nationella riktlinjer. Tidigare studier har visat att distriktssköterskeledda hypertonimottagningar med strukturerade strategier har haft positiv effekt för patienter med hypertoni, men inte beskrivit vilka stödjande insatser som distriktssköterskorna utför. Syftet var att beskriva distriktssköterskans erfarenhet av att bedriva stödjande insatser vid en hypertonimottagning inom primärvården. Urvalet bestod av fyra distriktssköterskor som bedrev hypertonimottagning i primärvården. Materialet till pilotstudien samlades in via intervjuer. Kvalitativ innehållsanalys med induktiv ansats valdes som metod. I resultatet framkom att de stödjande insatserna utgjordes av distriktssköterskans förhållningssätt i bemötandet och att kunskap och färdighet utnyttjades i ett individbaserat mottagande. Genom att uppmärksamma och synliggöra hur de stödjande insatserna påverkar patienten kan hälsofrämjande metoder utvecklas ytterligare. Detta i sin tur skulle kunna leda till förslag på hur stödjande insatser som ämne skulle kunna implementeras i vårdutbildningar på alla nivåer med ännu större fokus på det holistiska synsättet på hälsa.
Hypertension is increasing worldwide and it is a risk factor for cardiovascular disease. There are an increased frequency of patients with hypertension who do not reached treatment goals according to The National Board of Health and Welfare. Previous studies have shown that district nurse hypertension clinics with structured strategies have had a positive impact on patients with hypertension. However, these studies have not described the supportive interventions that district nurses´ perform. The aim of this study was to explore the district nurses´ experiences of doing supportive interventions at a hypertension clinic in primary care. The sample consisted of four district nurses who were carrying of hypertension clinic in primary care. The material for the pilot study was collected through interviews. Qualitative content analysis with an inductive approach was chosen as the method. The results showed that the supportive interventions consisted of standing for a supportive attitude in facing and using knowledge and skills in individualized reception. By paying attention to and make visible how the supportive interventions affect the patient can health-promoting methods be further developed. This in turn could lead to proposals for supporting efforts that topic could be implemented in nursing programs at all levels with greater focus on the holistic approach to health.

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Chu, Wai-on. "The prevalence of cognitive impairment and dementia among hypertensive elderly as a whole and among different classes of anti-hypertensive drug users in a regional geriatric clinic in Hong Kong /." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38348202.

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Chu, Wai-on, and 朱維安. "The prevalence of cognitive impairment and dementia among hypertensiveelderly as a whole and among different classes of anti-hypertensivedrug users in a regional geriatric clinic in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B45011175.

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Tripathi, Dhiraj. "Clinical and haemodynamic studies in portal hypertension." Thesis, University of Edinburgh, 2005. http://hdl.handle.net/1842/30855.

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Over the last 20 years, there have been significant advances in the management of portal hypertension, with the introduction of drug therapy and the transjugular intrahepatic portosystemic stent-shunt (TIPSS). There are two aims of this thesis: 1. To study the haemodynamic effects of two novel vasocative agents on the portal and systemic circulations, and assess suitability for use in controlled clinical trials involving patients at risk of variceal bleeding: a. Carvedilol, a vasodilating non-cardioselective beta-blocker with α₁ antagonism. The acute and chronic haemodynamic effects of this agent will be studied, with particular attention paid to patient tolerability. b. Losartan, an angiotensin II receptor antagonist. The chronic effects of this agent will be studied in patients with well compensated cirrhosis. 2. TIPSS has been used extensively in the management of portal hypertension, particularly variceal bleeding. Two studies will be presented in this thesis aimed at answering the following questions: a. Is TIPSS effective for the management of gastric variceal bleeding? This study will compare the efficacy of TIPPS for gastric and oesophageal variceal bleeding, and aim to correlate clinical outcomes with haemodynamic data. b. Is it necessary to continue portographic TIPSS surveillance indefinitely if variceal band ligation is combined with TIPSS for the prevention of oesophageal variceal rebleeding? This question will be explored in a randomised controlled trial comparing TIPSS alone with TIPSS plus variceal band ligation. This study will also address 2 drawbacks of TIPSS, namely the need for long-term portographic to ensure TIPSS patency and hepatic encephalopathy.

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Bodey, Angela Rosamund. "A clinical and comparative study of canine hypertension." Thesis, Royal Veterinary College (University of London), 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.244138.

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Persson, Mats. "Bring hypertension guidelines into play : guideline-based decision support system for drug treatment of hypertension and epidemiological aspects of hypertension guidelines." Doctoral thesis, Umeå universitet, Allmänmedicin, 2003. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-94105.

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Sephton_E_A. "Hypertension in Cape Town clothing industry clinics: Does treatment match risk?" Master's thesis, University of Cape Town, 2001. http://hdl.handle.net/11427/26511.

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Background: The management of hypertension according to the patient' s absolute risk of cardiovascular disease. rather than their blood pressure in isolation from other risk factors, is now widely advocated because it targets treatment at those with most to gain. In South Africa blood pressure is traditionally managed according to the patient's level of blood pressure. Main Objective: To identify the proportion of traditionally treated hypertensive patients who may benefit from cessation or intensification of treatment as judged by a risk-based approach to their management. Design: A cross sectional descriptive survey of patients and their medical records with assessment of absolute risk of cardiovascular disease using Framingham risk equations. Setting: Eight Clothing Industry Health Benefit Fund clinics in Cape Town, South Africa. Participants: 382 women and men, predominantly coloured, attending for the treatment of hypertension Main outcome measure: The proportions of patients in whom the predicted risk of a cardiovascular event within 5 years is less than 10% and those in whom the risk within five years is greater than 20%. Results: 65% of participants (CI 60 - 70%) were at less than 10% risk of a cardiovascular event in the next 5 years and 19% (Cl 15-23%) were at more than 20% risk of a cardiovascular event despite current treatment. 5% (CI 3.2-7.9%) were at greater than 20% risk of a cardiovascular event in the next 5 years having no previous history of a cardiovascular event. 14% (CI 10-17%) were at greater than 20% risk of a cardiovascular event in the next 5 years because of a previous history of a cardiovascular event. 1.3% (CI 0.4-3%) were at less than 10% risk of a cardiovascular event within the next 5 years, despite having a systolic blood pressure over 170mmHg. Conclusion: Assessment of the cardiovascular risk of patients treated for hypertension identifies those patients at most and least risk. Resources could therefore be targeted at those with the most to gain from treatment and the unwanted side effects of antihypertensive medication avoided in those at low risk. Almost two thirds of patients currently being treated for hypertension were at less than 10% risk of developing a cardiovascular event within the next 5 years. A trial of medication reduction or cessation in this group is justified and the resources could be redirected at those 5% whose risk remains very high despite current levels of treatment.

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Marsh, Wallace Arvie. "Calculating the mean effect size for hypertension clinical trials /." Digital version accessible at:, 1999. http://wwwlib.umi.com/cr/utexas/main.

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Books on the topic "Hypertension clinic"

Zvjezdana, Sheps Sheldon; Kastrapeli. Mayo Clinic o visokom krvnom tlaku. S.l: Radovan Matanic, 2005.

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Sheps, Sheldon G. Mayo Clinic 5 steps to controlling high blood pressure. Edited by Sheps Sheldon G and Mayo Clinic. Rochester, Minn: Mayo Clinic, 2008.

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J, Subak-Sharpe Genell, and Cleveland Clinic Foundation, eds. Managing hypertension: The complete program developed by the Cleveland Clinic. Garden City, N.Y: Doubleday, 1986.

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T, Flynn Joseph, ed. Kaplan's clinical hypertension. 9th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2006.

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M, Kaplan Norman. Clinical hypertension. 5th ed. Baltimore: Williams & Wilkins, 1990.

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Ellin, Lieberman, ed. Clinical hypertension. 6th ed. Baltimore: Williams & Wilkins, 1994.

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Clinical hypertension. 4th ed. Baltimore: Williams & Wilkins, 1986.

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Ellin, Lieberman, ed. Clinical hypertension. 7th ed. Baltimore: Williams & Wilkins, 1998.

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Kaplan, Norman M. Kaplan's clinical hypertension. Philadelphia: Wollters Kluwer Health/Lippincott Williams & Wilkins, 2010.

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Kaplan, Norman M. Kaplan's clinical hypertension. 9th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2005.

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Book chapters on the topic "Hypertension clinic"

Fujiki, Masato, Koji Hashimoto, and Charles Miller. "Portal Hypertension." In Cleveland Clinic Manual of Vascular Surgery, 89–104. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4939-1631-3_8.

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Grim, Clarence E., and Carlene Minks Grim. "Accurate and Reliable Blood Pressure Measurement in the Clinic and Home." In Atlas of Hypertension, 325–36. London: Current Medicine Group, 2003. http://dx.doi.org/10.1007/978-1-4615-6493-5_15.

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Marre, Michel, and Philippe Passa. "Prevalence of Microalbuminuria in the Diabetic Clinic." In The Kidney and Hypertension in Diabetes Mellitus, 51–58. Boston, MA: Springer US, 1988. http://dx.doi.org/10.1007/978-1-4757-1974-1_7.

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Chesler, Elliot. "Hypertension and Hypertensive Heart Disease." In Clinical Cardiology, 375–88. New York, NY: Springer New York, 1993. http://dx.doi.org/10.1007/978-1-4613-9183-8_18.

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Cleves-Bayon, Catalina, and A. David Rothner. "Episodic Syndromes that May Be Associated with Migraine, Pediatric Tension-type Headache, Chronic Daily Headache Syndromes in Children and Pediatric Idiopathic Intracranial Hypertension." In The Cleveland Clinic Manual of Headache Therapy, 127–42. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-04072-1_9.

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Mackelaite, Lina, and Eleanor D. Lederer. "Hypertensive Emergencies and Resistant Hypertension." In Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation, 533–44. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4614-4454-1_44.

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Grim, Clarence E., and Carlene Minks Grim. "Accurate and Reliable Blood Pressure Measurement in the Clinic and Home: The Key to Hypertension Control." In Atlas of Heart Diseases, 314–24. London: Current Medicine Group, 2001. http://dx.doi.org/10.1007/978-1-4684-6909-7_15.

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Rayburn, William F., and Lauren Plante. "Chronic hypertension and acute hypertensive crisis." In Clinical Maternal-Fetal Medicine Online, 17.1–17.12. 2nd ed. London: CRC Press, 2021. http://dx.doi.org/10.1201/9781003222590-15.

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Colombo, Joseph, Rohit Arora, Nicholas L. DePace, and Aaron I. Vinik. "Hypertension." In Clinical Autonomic Dysfunction, 227–37. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-07371-2_20.

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Batisky, Donald L. "Obesity Hypertension: Clinical Aspects." In Pediatric Hypertension, 1–19. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-31420-4_17-1.

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Conference papers on the topic "Hypertension clinic"

Kithas, A., S. J. Cassady, and J. Deepak. "A Multidisciplinary Clinic Model for Complex Pulmonary Hypertension: Experiences Over Two Years." In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1656.

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Киреева, Виктория, Viktoriya Kireeva, Г. Лифшиц, G. Lifshic, Н. Кох, N. Koh, Ю. Усольцев, Yu Usolcev, Константин Апарцин, and Konstantin Apartsin. "Advantages of a personalized approach to the prevention and treatment of cardiovascular diseases in the staff of the INC Of the SBRAS." In Topical issues of translational medicine: a collection of articles dedicated to the 5th anniversary of the day The creation of a department for biomedical research and technology of the Irkutsk Scientific Center Siberian Branch of RAS. Москва: INFRA-M Academic Publishing LLC., 2017. http://dx.doi.org/10.12737/conferencearticle_58be81ec9ed47.

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Purpose of the study. To test the functional associations of polymorphic variants of genes in the regulation of blood pressure and vascular tone in employees of the ISC SB RAS. Materials and methods. The study involved patients, employees of the ISC SB RAS, being under care of the outpatient clinic of the Hospital of the ISC SB RAS. During routine laboratory testing the patients were taken 2 ml of blood for genetic analysis and further molecular genetic study on “Hypertension”, “Endothelial dysfunction”, “Pharmacogenetics”, “Inflammatory response” panels. Results. In the analysis of 12 genes coding for key proteins of hormonal enzyme blood pressure regulation systems, polymorphism of CYP11B2 showed statistically significant correlation with the presence of arterial hypertension, which makes its further study promising. The presence of allele C showed protective significance in relation to the development of hypertension with OR = 0,247. When checking associations of functional polymorphic variants of genes, the products of which are involved in the regulation of vascular tone, with hypertension in patients younger than 50 years old we found association of T/T rs5443GNB3 genotype with the debut of hypertensive disease under the age of 50. The data obtained allow the doctor to choose the most personalized and effective safe drug from certain groups, as well as its dose for employees having passed molecular genetic testing. These data can reveal predisposition to the most widespread and socially significant diseases in the surveyed subjects and provide specific personalized recommendations for the prevention of these diseases.

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Bhardwaj, A., C. A. Melillo, M. Li, X. Wang, I. Haddadin, and G. A. Heresi. "Balloon Pulmonary Angioplasty in Chronic Thromboembolic Pulmonary Hypertension: Early Experience from Cleveland Clinic." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a2022.

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Banerjee, Anu, R. A. Ramanujan, and Saligrama Agnihothri. "Mobile Health Monitoring: Development and Implementation of an App in a Diabetes and Hypertension Clinic." In 2016 49th Hawaii International Conference on System Sciences (HICSS). IEEE, 2016. http://dx.doi.org/10.1109/hicss.2016.427.

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Roddick, Alistair, Karen Breen, and Philip Marino. "Evaluation of a novel clinic for management of Chronic Thromboembolic Pulmonary Disease (CTED) and associated Pulmonary Hypertension (CTEPH)." In ERS International Congress 2017 abstracts. European Respiratory Society, 2017. http://dx.doi.org/10.1183/1393003.congress-2017.pa2406.

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Donepudi, Ramesh, and Akmal Sarwar. "Case Review Of Porto-pulmonary Hypertension In Patients With End Stage Liver Disease Who Underwent Liver Transplantation At Lahey Clinic." In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a4856.

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Henderson, Marcia H., Chuanyu Wei, Christopher D. Spradley, and Sudhiranjan Gupta. "Circulating MiRNA As A Novel Bio-Marker For Detecting Pulmonary Hypertension: A Prospective Cohort From The Clinic To The Bench." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a3815.

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Ogundele, Michael, and Cornelius Ani. "314 Disparity between different reference values for hypertension among children and adolescents treated for ADHD: experience from a North West England CCH clinic." In RCPCH Conference Singapore. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/bmjpo-2021-rcpch.173.

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Nugroho, Trilaksana, Hari Peni Julianti, Arief Wildan, rnila Novitasari Saubig, Andhika Guna Darma, and Desti Putri Seyorini. "Risk Factor of Dry Eyes Syndrome Toward Elderly with Diabetes Mellitus." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.05.26.

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ABSTRACT Background: Chronic metabolic disorder diabetes is a rapidly developing global problem with huge social, health and economic consequences. Indonesia is expected to reach 21.3 million people by 2030, and the incidence of diabetes is still increasing. Type 2 diabetes (T2DM) is an expanding global health problem closely related to the obesity epidemic. Type 2 diabetes (T2DM) is an expanding global health problem closely related to the obesity epidemic. Prolonged diabetes mellitus (DM) causes autonomic neuropathy in the lacrimal glands, which leads to reduced tear production, leading to dry eye syndrome (DES). This study aimed to analyze risk factor of dry eyes syndrome toward elderly with diabetes mellitus. Subjects and Method: A cross sectional study was conducted at community health center Gunungpati and Graha Syifa clinic, Semarang. A sample of 28 elderlies was selected by consecutive sampling. The dependent variable was incidence of DES. The independent variables were gender, duration of DM, DM control, incidence of diabetic retinopathy, type of work, exposure to cigarette smoke, exposure to gadgets, incidence of hypertension, incidence of dyslipidemia, incidence of cataracts. The data were collected by examination, questionnaire and in-depth interview. The data were analyzed by logistic regression and Chi square. Results: The logistic regression test results showed that gender, (p = 0.393), duration of diabetes (p = 0.208), and the incidence of diabetic retinopathy (p = 0.264) were not risk factors for DES. The results of the logistic regression test showed that controlling diabetes (p = 0.002), gadget exposure (p = 0.023) were risk factors for DES incidence. DM control and gadget exposure contributed 75% as risk factors for DES events. Conclusion: Uncontrolled DM and exposure to gadgets> 2 hours continuously a day are risk factors for DES. Keywords: Dry eyes, Diabetes Mellitus, Elderly Correspondence: Trilaksana Nugroho. Faculty of Medicine, Universitas Diponegoro. Jl. Prof. Sudarto No.13, Tembalang, Kec. Tembalang, Kota Semarang, Jawa Tengah 50275. DOI: https://doi.org/10.26911/the7thicph.05.26

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Gregonis, Erica L., Gregory R. White, Alex G. Duarte, Nahal Boroumand, and Abida Haque. "Prevalence Of Portopulmonary Hypertension: A Clinico-Pathologic Assessment." In American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a1922.

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Reports on the topic "Hypertension clinic"

Treadwell, Jonathan R., James T. Reston, Benjamin Rouse, Joann Fontanarosa, Neha Patel, and Nikhil K. Mull. Automated-Entry Patient-Generated Health Data for Chronic Conditions: The Evidence on Health Outcomes. Agency for Healthcare Research and Quality (AHRQ), March 2021. http://dx.doi.org/10.23970/ahrqepctb38.

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Background. Automated-entry consumer devices that collect and transmit patient-generated health data (PGHD) are being evaluated as potential tools to aid in the management of chronic diseases. The need exists to evaluate the evidence regarding consumer PGHD technologies, particularly for devices that have not gone through Food and Drug Administration evaluation. Purpose. To summarize the research related to automated-entry consumer health technologies that provide PGHD for the prevention or management of 11 chronic diseases. Methods. The project scope was determined through discussions with Key Informants. We searched MEDLINE and EMBASE (via EMBASE.com), In-Process MEDLINE and PubMed unique content (via PubMed.gov), and the Cochrane Database of Systematic Reviews for systematic reviews or controlled trials. We also searched ClinicalTrials.gov for ongoing studies. We assessed risk of bias and extracted data on health outcomes, surrogate outcomes, usability, sustainability, cost-effectiveness outcomes (quantifying the tradeoffs between health effects and cost), process outcomes, and other characteristics related to PGHD technologies. For isolated effects on health outcomes, we classified the results in one of four categories: (1) likely no effect, (2) unclear, (3) possible positive effect, or (4) likely positive effect. When we categorized the data as “unclear” based solely on health outcomes, we then examined and classified surrogate outcomes for that particular clinical condition. Findings. We identified 114 unique studies that met inclusion criteria. The largest number of studies addressed patients with hypertension (51 studies) and obesity (43 studies). Eighty-four trials used a single PGHD device, 23 used 2 PGHD devices, and the other 7 used 3 or more PGHD devices. Pedometers, blood pressure (BP) monitors, and scales were commonly used in the same studies. Overall, we found a “possible positive effect” of PGHD interventions on health outcomes for coronary artery disease, heart failure, and asthma. For obesity, we rated the health outcomes as unclear, and the surrogate outcomes (body mass index/weight) as likely no effect. For hypertension, we rated the health outcomes as unclear, and the surrogate outcomes (systolic BP/diastolic BP) as possible positive effect. For cardiac arrhythmias or conduction abnormalities we rated the health outcomes as unclear and the surrogate outcome (time to arrhythmia detection) as likely positive effect. The findings were “unclear” regarding PGHD interventions for diabetes prevention, sleep apnea, stroke, Parkinson’s disease, and chronic obstructive pulmonary disease. Most studies did not report harms related to PGHD interventions; the relatively few harms reported were minor and transient, with event rates usually comparable to harms in the control groups. Few studies reported cost-effectiveness analyses, and only for PGHD interventions for hypertension, coronary artery disease, and chronic obstructive pulmonary disease; the findings were variable across different chronic conditions and devices. Patient adherence to PGHD interventions was highly variable across studies, but patient acceptance/satisfaction and usability was generally fair to good. However, device engineers independently evaluated consumer wearable and handheld BP monitors and considered the user experience to be poor, while their assessment of smartphone-based electrocardiogram monitors found the user experience to be good. Student volunteers involved in device usability testing of the Weight Watchers Online app found it well-designed and relatively easy to use. Implications. Multiple randomized controlled trials (RCTs) have evaluated some PGHD technologies (e.g., pedometers, scales, BP monitors), particularly for obesity and hypertension, but health outcomes were generally underreported. We found evidence suggesting a possible positive effect of PGHD interventions on health outcomes for four chronic conditions. Lack of reporting of health outcomes and insufficient statistical power to assess these outcomes were the main reasons for “unclear” ratings. The majority of studies on PGHD technologies still focus on non-health-related outcomes. Future RCTs should focus on measurement of health outcomes. Furthermore, future RCTs should be designed to isolate the effect of the PGHD intervention from other components in a multicomponent intervention.

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Harris, Gregory, Brooke Hatchell, Davelin Woodard, and Dwayne Accardo. Intraoperative Dexmedetomidine for Reduction of Postoperative Delirium in the Elderly: A Scoping Review. University of Tennessee Health Science Center, July 2021. http://dx.doi.org/10.21007/con.dnp.2021.0010.

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Background/Purpose: Post-operative delirium leads to significant morbidity in elderly patients, yet there is no regimen to prevent POD. Opioid use in the elderly surgical population is of the most significant risk factors for developing POD. The purpose of this scoping review is to recognize that Dexmedetomidine mitigates cognitive dysfunction secondary to acute pain and the use of narcotic analgesia by decreasing the amount of norepinephrine (an excitatory neurotransmitter) released during times of stress. This mechanism of action also provides analgesia through decreased perception and modulation of pain. Methods: The authors developed eligibility criteria for inclusion of articles and performed a systematic search of several databases. Each of the authors initially selected five articles for inclusion in the scoping review. We created annotated literature tables for easy screening by co-authors. After reviewing the annotated literature table four articles were excluded, leaving 11 articles for inclusion in the scoping review. There were six level I meta-analysis/systematic reviews, four level II randomized clinical trials, and one level IV qualitative research article. Next, we created a data-charting form on Microsoft Word for extraction of data items and synthesis of results. Results: Two of the studies found no significant difference in POD between dexmedetomidine groups and control groups. The nine remaining studies noted decreases in the rate, duration, and risk of POD in the groups receiving dexmedetomidine either intraoperatively or postoperatively. Multiple studies found secondary benefits in addition to decreased POD, such as a reduction of tachycardia, hypertension, stroke, hypoxemia, and narcotic use. One study, however, found that the incidence of hypotension and bradycardia were increased among the elderly population. Implications for Nursing Practice: Surgery is a tremendous stressor in any age group, but especially the elderly population. It has been shown postoperative delirium occurs in 17-61% of major surgery procedures with 30-40% of the cases assumed to be preventable. Opioid administration in the elderly surgical population is one of the most significant risk factors for developing POD. With anesthesia practice already leaning towards opioid-free and opioid-limited anesthetic, the incorporation of dexmedetomidine could prove to be a valuable resource in both reducing opioid use and POD in the elderly surgical population. Although more research is needed, the current evidence is promising.

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