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Novel Approaches in Primary Cardiovascular Disease Prevention: The HOPE-3 Trial Rationale, Design, and Participants' Baseline Characteristics

Lonn E, Bosch J, Pogue J, Avezum A, Chazova I, Dans A, et al.

Can J Cardiol, 2016 Mar;32(3):311-8.
PMID: 26481083 DOI: 10.1016/j.cjca.2015.07.001

Cholesterol and blood pressure (BP) can be effectively and safely lowered with statin drugs and BP-lowering drugs, reducing major cardiovascular (CV) events by 20%-30% within 5 years in high-risk individuals. However, there are limited data in lower-risk populations. The Heart Outcomes Prevention Evaluation-3 (HOPE-3) trial is evaluating whether cholesterol lowering with a statin drug, BP lowering with low doses of 2 antihypertensive agents, and their combination safely reduce major CV events in individuals at intermediate risk who have had no previous vascular events and have average cholesterol and BP levels.

Matched MeSH terms: Blood Pressure; Blood Pressure Determination
Alpha-tocopherol content in 62 edible tropical plants

Ching LS, Mohamed S

J Agric Food Chem, 2001 Jun;49(6):3101-5.
PMID: 11410015

Vitamin E was determined by the high-performance liquid chromatography (HPLC) method. All the plants tested showed differences in their alpha-tocopherol content and the differences were significant (p < 0.05). The highest alpha-tocopherol content was in Sauropus androgynus leaves (426.8 mg/kg edible portion), followed by Citrus hystrix leaves (398.3 mg/kg), Calamus scipronum (193.8 mg/kg), starfruit leaves Averrhoa belimbi (168.3 mg/kg), red pepper Capsicum annum (155.4 mg/kg), local celery Apium graveolens (136.4 mg/kg), sweet potato shoots Ipomoea batatas (130.1 mg/kg), Pandanus odorus (131.5 mg/kg), Oenanthe javanica (146.8 mg/kg), black tea Camelia chinensis (183.3 mg/kg),papaya Carica papaya shoots (111.3 mg/kg), wolfberry leaves Lycium chinense (94.4 mg/kg), bird chili Capsicum frutescens leaves (95.4 mg/kg), drumstick Moringa oleifera leaves (90.0 mg/kg), green chili Capsicum annum (87 mg/kg), Allium fistulosum leaves (74.6 mg/kg), and bell pepper Capsicum annum (71.0 mg/kg). alpha-Tocopherol was not detected in Brassica oleracea, Phaeomeria speciosa, Pachyrrhizus speciosa, Pleurotus sajor-caju, and Solanum melongena.

Matched MeSH terms: Chromatography, High Pressure Liquid/methods
Improved high performance liquid chromatographic analysis of omeprazole in human plasma

Yuen KH, Choy WP, Tan HY, Wong JW, Yap SP

J Pharm Biomed Anal, 2001 Feb;24(4):715-9.
PMID: 11272330

A simple high-performance liquid chromatographic method was developed for the determination of omeprazole in human plasma. Omeprazole and the internal standard, chloramphenicol, were extracted from alkalinized plasma samples using dichloromethane. The mobile phase was 0.05 M Na2HPO4-ACN (65:35, v/v) adjusted to pH 6.5. Analysis was run at a flow rate of 1.0 ml/min at a detection wavelength of 302 nm. The method was specific and sensitive with a detection limit of 2.5 ng/ml at a signal-to-noise ratio of 4:1. The limit of quantification was set at 5 ng/ml. The calibration curve was linear over a concentration range of 5-1280 ng/ml. Mean recovery value of the extraction procedure was about 96%, while the within and between day coefficient of variation and percent error values of the assay method were all less than 14%.

Matched MeSH terms: Chromatography, High Pressure Liquid/methods*
Fulltext Blood pressure values in healthy Malaysian children aged 6-12 years

Chan PWK, Cheong B, Nadarajan K, Lai BH, Cham WT, Khoo KK, et al.

Med J Malaysia, 2000 Dec;55(4):506-9.
PMID: 11221165

Blood pressure examination was done manually in 1756 healthy school children aged 6-12 years. Korotkoff 1 represented the systolic blood pressure (SBP) and Korotkoff 5 was taken as the diastolic blood pressure (DBP). Blood pressure percentile charts were then drawn up based on age group and sex regardless of ethnicity. There was a significant correlation between both SBP and DBP to increasing height, weight and body mass index.

Matched MeSH terms: Blood Pressure*
Fulltext Postural behaviour of intraocular pressure

Singh M, Chin SSH

Med J Malaysia, 1986 Mar;41(1):38-43.
PMID: 3796346

Raised intraocular pressure (lOP) is generally held responsible for causing visual loss in chronic simple glaucoma. It is therefore desirable that a safe level of lOP be maintained all the time. Elevation of lOP with change of body position has been suggested as one of the factors which result in tissue damage in low tension as well as in primary wide open angle glaucoma. Postural behaviour of lOP was therefore studied in 58 normal and 30 glaucomatous Malaysian eyes. Clinical significance and possible pathogenesis of abnormal postural response of lOP has been discussed. More application of this simple procedure is advocated.

Matched MeSH terms: Intraocular Pressure*
Benign intracranial hypertension in infants due to tetracycline

Raju L

Med J Malaysia, 1976 Jun;30(4):304-5.
PMID: 979733
Matched MeSH terms: Intracranial Pressure/drug effects*
Fulltext Comparison of Pressure-Retarded Osmosis Performance between Pilot-Scale Cellulose Triacetate Hollow-fiber and Polyamide Spiral-Wound Membrane Modules

Kakihana Y, Jullok N, Shibuya M, Ikebe Y, Higa M

Membranes (Basel), 2021 Feb 28;11(3).
PMID: 33671075 DOI: 10.3390/membranes11030177

Pressure-retarded osmosis (PRO) has recently received attention because of its ability to generate power via an osmotic pressure gradient between two solutions with different salinities: high- and low-salinity water sources. In this study, PRO performance, using the two pilot-scale PRO membrane modules with different configurations-five-inch cellulose triacetate hollow-fiber membrane module (CTA-HF) and eight-inch polyamide spiral-wound membrane modules (PA-SW)-was evaluated by changing the draw solution (DS) concentration, applied hydrostatic pressure difference, and the flow rates of DS and feed solution (FS), to obtain the optimum operating conditions in PRO configuration. The maximum power density per unit membrane area of PA-SW at 0.6 M NaCl was 1.40 W/m2 and 2.03-fold higher than that of CTA-HF, due to the higher water permeability coefficient of PA-SW. In contrast, the maximum power density per unit volume of CTA-SW at 0.6 M NaCl was 4.67 kW/m3 and 6.87-fold higher than that of PA-SW. The value of CTA-HF increased to 13.61 kW/m3 at 1.2 M NaCl and was 12.0-fold higher than that of PA-SW because of the higher packing density of CTA-HF.

Matched MeSH terms: Hydrostatic Pressure; Osmotic Pressure
Fulltext Squalene recovery from palm fatty acid distillate using supercritical fluid extraction

Norhidayah, S., Baharin, B.S., Hamed, M., Zaidul, I.S.M.

International Food Research Journal, 2012;19(4):1661-1667.
MyJurnal

The objective of this research is recovery of squalene from palm fatty acid distillate (PFAD) using supercritical fluid extraction (SFE). The extraction process was performed by using the SFE and recovered squalene was analyzed from total lipid extracts using HPLC. A central composite design was used to study the effect of SFE variables namely pressure (X₁) from 200 to 400 bar and temperature (X₂) from 40 to 60⁰C on the total lipid extracts (Y₁) and squalene concentration (Y₂) and optimize the SFE conditions. The nonlinear regression equations were significantly (p < 0.05) fitted for both responses with high R₂ (> 0.965), which had no indication of lack of fit. The results indicated that a combined pressure (200 bar) and temperature (50⁰C) was predicted to provide the optimum region in terms of total lipid extracts (13.84 ± 0.52%) and squalene concentration (418.31 ± 18.40 ppm) studied.

Matched MeSH terms: Chromatography, High Pressure Liquid; Pressure
Fulltext Modelling the effects of sediment on the seismic behaviour of Kinta roller compacted concrete dam

Jaafar, M.S., Thanoon, Waleed A., Mohammed, T.A., Huda, A.M., Noorzaei, J.

Pertanika Journal of Science & Technology, 2010;18(1):-.
MyJurnal

An attempt was made in this investigation to trace the dynamic response of roller compacted concrete dam, which is subjected to horizontal ground motion by considering the interactions between flexible foundations, reservoir water, and bottom reservoir sediments. Two-dimensional finiteinfinite element was used for the non-linear elasto-plastic dynamic analysis. In this analysis, special emphasis was given to the non-linear behaviour of discontinuities along RCC dam-bedding rock foundation which was modelled by thin layer interface. Analysis was first carried out under static loading (self-weight and hydrostatic pressure), and this this was followed by seismic analysis, with hydrodynamic pressure effect in a dam-reservoir system. Based on the numerical dynamic results, it is concluded that the bottom reservoir sediment has significant effect on the seismic response of the RCC gravity dam. Moreover, there is a redistribution of the stresses at thin layer interface with significant stresses reduction, which is resulted from the release of energy through different modes of deformation in this region.

Matched MeSH terms: Hydrostatic Pressure; Pressure
A brief review of the diabetes mellitus, heart disease and blood pressure studies

Loncin H

Med J Malaya, 1965 Jun;19(4):321-3.
PMID: 4220862
Matched MeSH terms: Blood Pressure*
Fulltext Intraclass correlation in practice: assessment of reliability of manual blood pressure measurement among assessors in a clinical trial

Wan Nor Arifin, Wan Arfah Nadiah, Muhammad Irfan, Chen, Xin Wee, Nani Draman, Nyi, Nyi Naing

Education in Medicine Journal, 2011;3(2):44-52.
MyJurnal

To ensure the reliability of manual blood pressure (BP) readings in a clinical trial, sources of error due to measurement must be reduced as much as possible. Apart from following standard procedure for BP measurement and ensuring good equipments, the measurement errors that come from the assessors themselves should be assessed. Objective: To demonstrate the use of two-way random effects, interactions absent, absolute agreement (Type A), single measures (Type 1) intraclass correlation coefficient (ICC) in the assessment of reliability of manual BP readings among assessors involved in a clinical trial using manual BP measurement, by using an interrater reliability study conducted by the authors as an example study. Methods: The steps involved in obtaining ICC in the study were discussed. Sample size given the number of assessors in the study was calculated. BP was measured using regularly maintained mercury sphygnomanometers, following recommendations by Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) for BP measurement in office setting. The outcomes were systolic and diastolic BP readings. A type of ICC, two-way random effects, interactions absent, absolute agreement (Type A), single measures (Type 1) ICC was chosen for the analysis and specifically discussed. Pre-requisite assumptions for ICC were meticulously checked and described. The interrater reliability for systolic and diastolic BP readings as expressed by ICC (single measure) were presented with confidence interval (CI). The ICCs obtained in the example study were discussed and concluded. The flaws of the study were also criticised. Results: The interrater reliability for systolic and diastolic BP measurements as expressed by ICC (single measure) were 0.87 (95% confidence interval [CI] 0.722, 0.956) and 0.77 (95% CI 0.560, 0.918) respectively. Conclusion: We demonstrated the steps required to obtain ICC. Since the use of manual BP measurement using mercury sphygmomanometer is still considered as gold standard of BP measurement, it is important that studies in which the BP outcome is measured using such method conduct interrater reliability studies properly.

Matched MeSH terms: Blood Pressure; Blood Pressure Determination
Fulltext Update on blood pressure measurement in research and in clinical practice

Faezah Sabirin

Compendium of Oral Science, 2014;1(1):1-5.
MyJurnal

Blood pressure (BP) measurement was first recorded in 1700's by Hales who concluded that it was due to a pressure in the blood (1 , 2]. This is his well renowned discovery besides his other experiments on the capacity of ventricles and many other feature of circulatory system. The development of BP measurement was then rather quiet until about a century later. The accurate study of BP started with the introduction of mercury manometer by Poiseuille in 1800's who demonstrated that the arterial pressure was maintained in smaller arteries and that the blood flow through mesenteric bed did not depend on development of the venous change but varied directly with arterial pressure [3]. In the year of 1928, Poiseuille work was recognised when he won the gold medal of Royal Academy of Medicine for his doctoral dissertation on the measurement of BP using mercury manometer that was directly inserted with cannula filled with potassium bicarbonate as anticoagulant into an artery [3]. Later, his invention has enabled Carl Ludwig to develop kymograph, a method to record clinical physiological data including the BP measurements [3]. (Copied from article).

Matched MeSH terms: Blood Pressure; Arterial Pressure
Fulltext A review of hypertension in Nigeria and the 'Rule of halves'

Ahmed Dahiru Balami, Musa Mohammed Baba

Journal of Advanced Review on Scientific Research, 2017;34(1):1-10.
MyJurnal

Hypertension is a condition associated with adverse vascular complications. Its
prevalence is on the increase globally and same is true for Nigeria. Very few studies
have assessed the prevalence, awareness, treatment and blood pressure control
among hypertensive patients in Nigeria. The few available studies generally show
figures less than 50% for all the three indicators of success with regards to
hypertension. These studies are however deficient in their coverage, country
representativeness and methodology, and as such, they fail to provide the evidence
for which conclusions can be drawn. There is need to intensify blood pressure
screening at both hospital and community levels. More comprehensive research with
wider coverage and sound methodologies are also needed to determine those
associated factors and to discover better treatment options for hypertension in
Nigeria. These findings would guide health promotion activities and policy making.

Matched MeSH terms: Blood Pressure; Blood Pressure Determination
Fulltext The relationship between tooth loss, body mass index, and hypertension in postmenopausal female

Al-Ahmad BEM, Kashmoola MA, Mustafa NS, Hassan H, Arzmi MH

Eur J Dent, 2018 4 17;12(1):120-122.
PMID: 29657536 DOI: 10.4103/ejd.ejd_322_17

Objective: This study aimed to investigate the relationship between tooth loss and the level of blood pressure with the hypothesis that tooth loss is associated with the increase of hypertension in postmenopausal women.
Materials and Methods: Sixty postmenopausal female patients aged 51-68 years were included in the study to assess the relationship between tooth loss and the level of blood pressure. The information including sociodemographics, last menstruation period, hypertension history, and the duration of having tooth loss was recorded. Blood pressure was measured using sphygmomanometer and the number of tooth loss was determined.
Results: The results showed a more significant tooth loss in hypertension (median: 23 + 4; interquartile range [IQR]: 6) compared to the normotension postmenopausal women (median: 18 + 6; IQR: 12; P < 0.05). Furthermore, obese patients had more tooth loss (median: 23 + 5; IQR: 8) than the overweight patients (median: 19 + 8; IQR: 8).
Conclusion: Tooth loss is associated with the increase of hypertension in postmenopausal women which may have a role in the development of vascular diseases.

Matched MeSH terms: Blood Pressure; Blood Pressure Determination
Analysis of the interface pressure exerted by the Chêneau brace in patients with double-curve adolescent idiopathic scoliosis

Ahmad A, Abu Osman NA, Mokhtar H, Mehmood W, Kadri NA

Proc Inst Mech Eng H, 2019 Sep;233(9):901-908.
PMID: 31244368 DOI: 10.1177/0954411919856144

The Chêneau brace has proven its effectiveness in treating the adolescent idiopathic scoliosis patients. However, no studies reported on the analysis of interface pressure in double-curve adolescent idiopathic scoliosis patients. In this study, we evaluated the interface pressure of the Chêneau brace action in double-curve adolescent idiopathic scoliosis patient treatment. A total of 72 (60 girls and 12 boys) patients aged 10 years and above participated in the study. The F-Socket transducers (9811E) were used to evaluate the pressure on the right thoracic and left thoracolumbar curves between normal and maximum strap tension and variation in these interface pressures with other tasks. Each patient was asked to do nine different tasks corresponding to daily activities, and the interface pressures for each activity were recorded for both normal and maximum tension. The resultant mean peak pressure in double-curve adolescent idiopathic scoliosis was higher for right thoracic curves than left thoracolumbar curves in all tasks. The pressure significantly increased at the task of maximal inspiration (p

Matched MeSH terms: Pressure*
Determination of four lignans in Phyllanthus niruri L. by a simple high-performance liquid chromatography method with fluorescence detection

Murugaiyah V, Chan KL

J Chromatogr A, 2007 Jun 22;1154(1-2):198-204.
PMID: 17418855 DOI: 10.1016/j.chroma.2007.03.079

A new and simple analytical method using HPLC with fluorescence detection was developed for the simultaneous determination of four lignans (phyllanthin, hypophyllanthin, phyltetralin and niranthin) in Phyllanthus niruri L. plant samples. Optimal separation was achieved with an isocratic mobile phase consisting of acetonitrile-water (55:45 v/v). The method recorded limits of detection (S/N=5) for phyllanthin at 0.61 ng/mL, hypophyllanthin at 6.02 ng/mL, phyltetralin at 0.61 ng/mL and niranthin at 1.22 ng/mL, being 80, 8, 80 and 40 times, respectively, lower when compared with those derived using HPLC-UV detection. The limits of quantification (S/N=12) were 4.88 ng/mL for phyllanthin and phyltetralin, 9.76 ng/mL for niranthin and 24.4 ng/mL for hypophyllanthin showing 40, 8 and 20 times, respectively, lower than those from the UV detection method. The within-day and between-day accuracy for the four lignans were between 98.1% and 102.9% while their precision values were below 2.2%. The mean recovery was between 92.5% and 110.1%. The method was then successfully applied for the quantification of lignans in P. niruri plant samples. The highest amount of lignans was found in the leaves followed by fruits, branches and stem, whilst the roots have the least amount of lignans.

Matched MeSH terms: Chromatography, High Pressure Liquid/methods*
Blood Pressure Variability and Cognitive Function: a Scoping Review

Asmuje NF, Mat S, Myint PK, Tan MP

Curr Hypertens Rep, 2022 10;24(10):375-383.
PMID: 35731334 DOI: 10.1007/s11906-022-01200-w

PURPOSE OF REVIEW: To conduct a scoping review of articles which have evaluated BPV and cognitive function. Articles with keywords, titles or abstracts containing the terms 'cognitive' OR 'cognition' OR 'dementia' AND 'blood pressure variability' were identified from CINAHL, Medline, PMC and Web of Science.
RECENT FINDINGS: Methods of acquisition and analysis of BPV and cognitive measurements and their relationship were extracted from selected articles. Of 656 studies identified, 53 articles were selected. Twenty-five evaluated long-term (LTBPV), nine mid-term (MTBPV), 12 short-term (STBPV) and nine very short-term BPV (VSTBPV) with conflicting findings on the relationship between BPV and cognition. Variations existed in devices, period and procedure for acquisition. The studies also utilized a wide range of methods of BPV calculation. Thirteen cognitive assessment tools were used to measure global cognition or domain functions which were influenced by the population of interest. The interpretation of available studies was hence limited by heterogeneity. There is an urgent need for standardization of BPV assessments to streamline research on BPV and cognition. Future studies should also establish whether BPV could be a potential modifiable risk factor for cognitive decline, as well as a marker for treatment response.

Matched MeSH terms: Blood Pressure/physiology
Fulltext Female community health volunteers to reduce blood pressure: feasible and sustainable?

Bhuvan KC, Khanal S

Lancet Glob Health, 2018 04;6(4):e373.
PMID: 29530416 DOI: 10.1016/S2214-109X(18)30034-2
Matched MeSH terms: Blood Pressure*
Fulltext Fast and Sensitive HPLC-ESI-MS/MS Method for Etoricoxib Quantification in Human Plasma and Application to Bioequivalence Study

Loh GOK, Wong EYL, Tan YTF, Heng SC, Saaid M, Cheah KY, et al.

Molecules, 2022 Sep 04;27(17).
PMID: 36080473 DOI: 10.3390/molecules27175706

Etoricoxib is a non-steroidal anti-inflammatory drug (NSAID) used to treat pain and inflammation. The objective of the current study was to develop a sensitive, fast and high-throughput HPLC-ESI-MS/MS method to measure etoricoxib levels in human plasma using a one-step methanol protein precipitation technique. A tandem mass spectrometer equipped with an electrospray ionization (ESI) source operated in a positive mode and multiple reaction monitoring (MRM) were used for data collection. The quantitative MRM transition ions were m/z 359.15 > 279.10 and m/z 363.10 > 282.10 for etoricoxib and IS. The linear range was from 10.00 to 4000.39 ng/mL and the validation parameters were within the acceptance limits of the European Medicine Agency (EMA) and Food and Drug Analysis (FDA) guidelines. The present method was sensitive (10.00 ng/mL with S/N > 40), simple, selective (K prime > 2), and fast (short run time of 2 min), with negligible matrix effect and consistent recovery, suitable for high throughput analysis. The method was used to quantitate etoricoxib plasma concentrations in a bioequivalence study of two 120 mg etoricoxib formulations. Incurred sample reanalysis results further supported that the method was robust and reproducible.

Matched MeSH terms: Chromatography, High Pressure Liquid/methods
Impact of different dietary sodium reduction strategies on blood pressure: a systematic review

Lai JS, Aung YN, Khalid Y, Cheah SC

Hypertens Res, 2022 Nov;45(11):1701-1712.
PMID: 35986189 DOI: 10.1038/s41440-022-00990-5

High sodium intake was found to be associated with increased blood pressure. Decreasing dietary sodium intake can effectively reduce blood pressure, especially among hypertensive individuals, but the extent of reduction remains debatable. The effectiveness of different sodium reduction strategies on blood pressure reduction was identified in the current review. Randomized controlled trials and clinical trials on dietary sodium intake and blood pressure published from 23 March 2008 to 23 March 2021 were collected from the PubMed database. Twenty-six studies were included and divided into four subgroups based on the types of interventions identified. Subgroups included a low-sodium diet (1) in a group with or without added sodium, (2) through food substitutes, (3) through health education and behavior change, and (4) through salt substitutes. Reduction of dietary sodium intake resulted in a mean difference of 4.51 mmHg (95% CI: 3.35-5.67) in systolic blood pressure and 2.42 mmHg (95% CI: 1.61-3.23) in diastolic blood pressure. The effectiveness of these strategies was approximated from the difference in 24-h urinary sodium excretion between the intervention and control groups, which was 53.74 mmol/day (95% CI: 31.95-75.53). When analyzed, the low-sodium diet without added sodium showed the greatest significant differences in blood pressure (7.58/4.01 mmHg) and 24-h urinary sodium excretion (101.49 mmol/day), whereas the low-sodium diet through food substitutes yielded the lowest significant differences in blood pressure (2.26/0.81 mmHg) and 24-h urinary sodium excretion (25.78 mmol/day). Thus, reducing sodium intake can be an effective strategy for the prevention and treatment of hypertension.

Matched MeSH terms: Blood Pressure/physiology

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