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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
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 Lowering blood pressure after acute intracerebral haemorrhage: protocol for a systematic review and meta-analysis using individual patient data from randomised controlled trials participating in the Blood Pressure in Acute Stroke Collaboration (BASC)

Moullaali TJ, Wang X, Woodhouse LJ, Law ZK, Delcourt C, Sprigg N, et al.

BMJ Open, 2019 Jul 16;9(7):e030121.
PMID: 31315876 DOI: 10.1136/bmjopen-2019-030121

INTRODUCTION: Conflicting results from multiple randomised trials indicate that the methods and effects of blood pressure (BP) reduction after acute intracerebral haemorrhage (ICH) are complex. The Blood pressure in Acute Stroke Collaboration is an international collaboration, which aims to determine the optimal management of BP after acute stroke including ICH.
METHODS AND ANALYSIS: A systematic review will be undertaken according to the Preferred Reporting Items for Systematic review and Meta-Analysis of Individual Participant Data (IPD) guideline. A search of Cochrane Central Register of Controlled Trials, EMBASE and MEDLINE from inception will be conducted to identify randomised controlled trials of BP management in adults with acute spontaneous (non-traumatic) ICH enrolled within the first 7 days of symptom onset. Authors of studies that meet the inclusion criteria will be invited to share their IPD. The primary outcome will be functional outcome according to the modified Rankin Scale. Safety outcomes will be early neurological deterioration, symptomatic hypotension and serious adverse events. Secondary outcomes will include death and neuroradiological and haemodynamic variables. Meta-analyses of pooled IPD using the intention-to-treat dataset of included trials, including subgroup analyses to assess modification of the effects of BP lowering by time to treatment, treatment strategy and patient's demographic, clinical and prestroke neuroradiological characteristics.
ETHICS AND DISSEMINATION: No new patient data will be collected nor is there any deviation from the original purposes of each study where ethical approvals were granted; therefore, further ethical approval is not required. Results will be reported in international peer-reviewed journals.
PROSPERO REGISTRATION NUMBER: CRD42019141136.

Matched MeSH terms: Blood Pressure/physiology
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*
Relation between prenatal maternal blood pressure and infant irritability

Korner AF, Gabby T, Kraemer HC

Early Hum Dev, 1980 Mar;4(1):35-9.
PMID: 7389624

Chisholm et al. [4], using samples of Navajo and Malaysian newborns, found a significant positive relation between maternal normotensive blood pressures during the second trimester of pregnancy and at delivery and infant irritability in response to the Brazelton Examination. Measuring spontaneous crying with an electronic activity monitor and using a white middle-class American population, this relation was replicated for mothers with normotensive blood pressures during the third trimester of pregnancy. The combined findings of the 3 studies seem to suggest that maternal blood pressure in the latter part of pregnancy, even when within normal limits, is a factor in how irritable normal newborn infants are.

Matched MeSH terms: Blood Pressure*
Fulltext Central blood pressure for the management of hypertension: Is it a practical clinical tool in current practice?

Cheng HM, Chuang SY, Wang TD, Kario K, Buranakitjaroen P, Chia YC, et al.

J Clin Hypertens (Greenwich), 2020 03;22(3):391-406.
PMID: 31841279 DOI: 10.1111/jch.13758

Since noninvasive central blood pressure (BP) measuring devices are readily available, central BP has gained growing attention regarding its clinical application in the management of hypertension. The disagreement between central and peripheral BP has long been recognized. Some previous studies showed that noninvasive central BP may be better than the conventional brachial BP in association with target organ damages and long-term cardiovascular outcomes. Recent studies further suggest that the central BP strategy for confirming a diagnosis of hypertension may be more cost-effective than the conventional strategy, and guidance of hypertension management with central BP may result in less use of medications to achieve BP control. Despite the use of central BP being promising, more randomized controlled studies comparing central BP-guided therapeutic strategies with conventional care for cardiovascular events reduction are required because noninvasive central and brachial BP measures are conveniently available. In this brief review, the rationale supporting the utility of central BP in clinical practice and relating challenges are summarized.

Matched MeSH terms: Blood Pressure; Blood Pressure Determination
Fulltext The influence of the ambient temperature on blood pressure and how it will affect the epidemiology of hypertension in Asia

Park S, Kario K, Chia YC, Turana Y, Chen CH, Buranakitjaroen P, et al.

J Clin Hypertens (Greenwich), 2020 Mar;22(3):438-444.
PMID: 31851429 DOI: 10.1111/jch.13762

Epidemiologic studies have consistently demonstrated an increased risk of cardiovascular disease during colder temperatures. Hemodynamic changes associated with cold temperature and an increase in thrombogenicity may both account for the increase in cardiovascular risk and mortality. Studies using both in-office and out-of-office BP measurements have consistently shown an elevation in BP during the colder seasons. The large difference in BP between cold and warm months may increase the incidence of hypertension and reduce the hypertension control rate, potentially resulting in increased cardiovascular risk, especially among those at risk of cardiovascular disease. The current trends in global warming and climate change may have a profound impact on the epidemiology of hypertension and cardiovascular disease, as changes in the climate may significantly affect both BP variability and cardiovascular disease, especially in those with high cardiovascular risk and the elderly. Furthermore, climate change could have a significant influence on hypertension in Asia, considering the unique characteristics of hypertensive patients in Asia. As an increase in ambient temperature decreases the mean daytime average and morning surge in BP, but increases the nocturnal BP, it is difficult to predict how environmental changes will affect the epidemiology and prognosis of hypertension in the Asian-Pacific region. However, these seasonal variations in BP could be minimized by adjusting the housing conditions and using anticipation medicine. In this review, we discuss the impact of seasonal variation in the ambient temperature on hypertension and cardiovascular disease and discuss how this may impact the epidemiology of hypertension and cardiovascular disease.

Matched MeSH terms: Blood Pressure; Blood Pressure Monitoring, Ambulatory
Fulltext Asian management of hypertension: Current status, home blood pressure, and specific concerns in Malaysia

Chia YC, Kario K

J Clin Hypertens (Greenwich), 2020 03;22(3):497-500.
PMID: 31693281 DOI: 10.1111/jch.13721

Cardiovascular disease (CVD) accounts for a third of all deaths in Malaysia. The background CV risk of Malaysia is much higher than that of developed countries in the west and in Asia. This high CV mortality is contributed by the high prevalence of CV risk factors especially hypertension which is very prevalent, coupled with low awareness and low control rates. This highlights the importance of home blood pressure measurements (HBPM). HBPM is an important adjunct in the management of hypertension, particularly to identify those unaware as well as white-coat hypertension which is high in treated hypertensive patients in Malaysia. Ownership of HBPM devices in Malaysia is high, and this is an opportunity as well as timely to encourage more use of HBPM. The Malaysian national guidelines do not require HBPM for the diagnosis of hypertension but do recommend HBPM for specific situations. The most commonly prescribed anti-hypertensives are calcium channel blockers, followed by renin-angiotensin system blockers. Despite the wide availability of anti-hypertensive agents, BP control rates remain low. It is important that strategies are in place to ensure that individuals are aware of the need to have their BP monitored regularly and this can be facilitated by the use of HBPM. Hence, there is a plan to develop a local HBPM consensus document. Strategies to reduce salt intake would also be beneficial. In summary, identification of those unaware and better control of BP with the help of HBPM would help reduce the burden of CV mortality and morbidity in Malaysia.

Matched MeSH terms: Blood Pressure; Blood Pressure Monitoring, Ambulatory
Fulltext Telemedicine in the management of hypertension: Evolving technological platforms for blood pressure telemonitoring

Wang JG, Li Y, Chia YC, Cheng HM, Minh HV, Siddique S, et al.

J Clin Hypertens (Greenwich), 2021 03;23(3):435-439.
PMID: 33484617 DOI: 10.1111/jch.14194

The prevalence of hypertension is high and still increasing in almost all communities regardless of high, middle, or low income. The control rate remains low in most countries. Telemedicine offers possibilities to improve blood pressure control. The past two decades witnessed the fast evolving telecommunication from telephone transmission to smart mobile phone technology for telemedicine. There is some evidence from randomized controlled trials that telemonitoring improves blood pressure control. However, it requires co-interventions. The emerging new technology may offer even more possibilities in telemonitoring and co-interventions, for instance, an interactive platform between patients and health professionals for the management of hypertension. Telemedicine might ultimately change the situation of the unsatisfactory management of hypertension in many communities. It helps fully utilize antihypertensive treatment, the most effective cardiovascular prevention, to achieve the goal of ending atherosclerosis and arteriosclerosis in humans.

Matched MeSH terms: Blood Pressure; Blood Pressure Monitoring, Ambulatory
Influence of irradiance on water relations and carbon flux during rooting of Shorea leprosula leafy stem cuttings

Aminah H, McP Dick J, Grace J

Tree Physiol, 1997 Jul;17(7):445-52.
PMID: 14759836

Single-node leafy stem cuttings of Shorea leprosula Miq. were subjected to a high, intermediate or low irradiance treatment for 16 weeks in an enclosed mist propagation system. Before rooting, maximum photosynthesis of the cuttings occurred at an irradiance of 400 micro mol m(-2) s(-1). Although none of the irradiance treatments affected the number of roots produced per cutting, the numbers of cuttings that formed roots were 50 and 30% in the high irradiance (diurnal range of 0-658 micro mol m(-2) s(-1)) and low irradiance (diurnal range of 0-98 micro mol m(-2) s(-1)) treatments, respectively, compared with 62% in the intermediate irradiance treatment (diurnal range of 0-360 micro mol m(-2) s(-1)). Low rooting frequency of cuttings in the high irradiance treatment was associated with water deficits (maximum leaf-to-air vapor pressure deficit (VPD) = 3.6 kPa), whereas cuttings in the low irradiance treatment had a low rooting frequency because they were below the light compensation point most of the time. In the intermediate irradiance treatment, cuttings withstood a daily maximum VPD of 1-2 kPa and recovered overnight from the previous day's deficit, as indicated by higher relative water content (RWC) and stomatal conductance (g(s)) in the morning than in the previous afternoon and evening. Higher RWC and g(s) of cuttings in all treatments on Days 14 and 21 compared with Day 8 probably indicated recovery from water deficit following severance and insertion of the cuttings in rooting medium. There were negative relationships between stem volume of cuttings and both number of cuttings that rooted and number of roots per cutting.

Matched MeSH terms: Air Pressure; Vapor Pressure
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 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 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
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 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
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*
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

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