Archive for March, 2011

A group of 157 young women with BH was found to have higher levels of systolic and diastolic blood pressure at all stages of dynamic exercise compared with values in normotensive controls. However, the systolic and diastolic blood pressure changes in the BH patients resembled the normal response found in the controls. The data on [...]

Near-Maximal Physical Working Capacity (PWCl70) Mean PWC170 in BH patients was significantly lower than in the controls: 71 ± 23 W and 90 ± 17 W, respec­tively (p<0.001). Mean PWC170 did not differ signifi­cantly between symptomatic and asymptomatic BH patients: 72 ± 24 W and 69 ± 20 W, respectively. Heart Rate and Blood Pressure [...]

Study Population One hundred fifty-seven females, mean age 19 ±3 years (range, 16 to 29 years), with BH were referred to us during the period 1965 to 1985. Blood pressure >=140/90 mm Hg was measured on no less than three occasions in each patient prior to referral, and secondary hypertension was excluded. There were no [...]

Elevated blood pressure is well recognized as a  major risk factor for cardiovascular disease. Early detection of hypertension and appropriate ther­apy have been proven beneficial for the patients prognosis. Some young individuals with initially raised blood pressure levels will, presumably, be at risk for subsequent hypertension. Several studies have demonstrated a correlation between blood pressure [...]

Following embryonic differentiation, the human nail grows continuously throughout life at a rate of about 0.5 to 1.2 mm per week, slowing down with age. Trauma appears to stimulate growth, while immobilization retards the proc­ess. Toenails appear to grow at a third to a half the rate of fingernails, and full replacement from base to [...]

Case 1 A 71-year-old man was brought to the VA Medical Center, Johnson City, by his family, who stated that he had a one-week history of fever, chills, and cough productive of yellow sputum. Prior VA records showed that the patient was a long-term smoker, smoking 1 to 2 packs/day for more than 30 years, [...]

The bedside clinician, searching for clues to the presence of disease, is often rewarded by careful examination of the patients hands. The nails offer many clues to the patients physiology and habits. Yellow pigmentation of the nail plate caused by cigarette smoking is especially common (partic­ularly in our Veterans Administration Hospital); clubbing of a “nicotine [...]

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