Anthony J Viera

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..Although more research is needed, studies suggest that MPs may have clinical applications including utility as biomarkers, use in improving cardiovascular disease risk prediction, and as potential targets of therapy...

..When blood pressure is not coming under control despite 4 or 5 agents, referral to a hypertension specialist may be warranted...

..001 for quadratic term). Both failure of systolic BP to dip sufficiently and "overdipping" during nighttime may be associated with future subclinical coronary atherosclerosis...

..Monetary incentives increase response rates but obviously add cost to a survey project. We wondered whether an offer of a free continuing medical education (CME) activity would be effective in improving survey response rate...

..Our objective was to examine US physicians' awareness, use, and attitudes regarding global CHD risk assessment in clinical practice, and how these vary by provider specialty...

..The current evidence suggests that calorie labeling does not have the intended effect of decreasing calorie purchasing or consumption...

..Therefore, all children with confirmed hypertension should have an evaluation for an underlying etiology that includes renal ultrasonography...

..Many tools are available to estimate global risk, including several Web-based calculators. In the United States, tools based on the Framingham Heart Study are recommended...

..2-10.2) times greater at visits when patients' BP was 40/20 mm Hg or higher above goal. However, even when BP was above goal at this level, treatment change occurred only 46% (95% Confidence Interval 40.2-51.8) of the time...

..We examined whether the label of prehypertension exerts a negative effect on patients' perceived health and whether it motivates people to adopt lifestyle recommendations to prevent hypertension...

..To examine US physicians' self-reported knowledge about the Polypill, factors considered in deciding whether to prescribe it, and acceptance of prescribing it for cardiovascular disease (CVD) prevention...

..Nondipping might predate a meaningful clinically detected increase in BP in some people, but more research in larger study samples is needed...

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..g. 55 years) rather than individually as a result of a clinical decision. This review summarizes recent studies describing physicians' perspectives regarding the polypill...

..Obesity, heavy alcohol intake, high levels of dietary sodium, and interfering substances (especially nonsteroidal anti-inflammatory drugs) contribute to hypertension that is resistant or difficult to control...

..We sought to estimate the proportion of hypertensive patients who use these types of monitors and examine whether use varies by demographic or health characteristics...

..We sought to assess primary care patients' current knowledge about various aspects of high blood pressure (BP)...

..A limitation of kappa is that it is affected by the prevalence of the finding under observation. Methods to overcome this limitation have been described...

..62; 95% confidence interval [CI], 1.56-1.67), reduce salt (PR, 1.53; 95% CI, 1.48-1.58), exercise (PR, 1.41; 95% CI, 1.36-1.47), and reduce alcohol consumption (PR, 1.78; 95% CI, 1.70-1.87)...

..35; 95% CI, 1.98-2.81). This study demonstrates that older persons, persons not taking antihypertensive medication, and individuals who are not overweight or obese are less likely to report receiving LSM advice...

..We tested the accuracy of the HEM-780REL automatic blood pressure monitor with Easy Wrap Cuff...

..In contrast to allocation concealment, masking cannot always be incorporated into a randomized controlled trial. Both allocation concealment and masking add to the elimination of bias in randomized controlled trials...

..The purposes of this study were to describe the proportion of adults in a family medicine practice with normal BP and the proportions with prehypertension and hypertension and to examine associations with having normal BP...

..We wanted to identify characteristics of adults who do not have a usual source of care and then stratify the analysis by those who prefer vs those who do not prefer to have a usual source of care...

..Sex and age may exert a combined influence on receipt of preventive services with differences due to number of ambulatory care visits...

..We studied the results of the program on the outcomes of parental knowledge about high blood pressure (BP) and their reports of having seen or intending to see a health professional about their BP...

..96; 95% CI, 1.08-3.56). The factor most strongly associated with use of HBPM was recalling a doctor's recommendation to do so (OR, 7.93; 95% CI, 4.96-12.7)...

..Readers should also look to see that a confidence interval is provided with any report of an OR or RR. A greater understanding of ORs and RRs allows readers to draw more accurate interpretations of research findings...

..We also examined whether those using HBPM provide written reports of measurements to their doctor and whether they have ever had their monitor checked...

..75-0.78) in the testing sample at 3, 6, and 9 years of follow-up. This risk calculator may aide health care providers in guiding discussions with patients about the risk for progression to hypertension...

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..The aim of this study was to investigate the relationship between hawthorn extract dose and brachial artery flow mediated dilation (FMD), an indirect measure of nitric oxide release...

..In this sample, reduced FMD was not an independent predictor of hypertension incidence, suggesting that impaired endothelial function does not play a major role in the development of hypertension...

..To provide information for community pharmacies considering implementation of a pharmacogenetic testing service...

..Alcohol misuse, which includes the full spectrum from risky drinking to alcohol dependence, is a leading cause of preventable death in the United States...

..To examine the influence of a tobacco-free hospital campus (TFHC) policy on employee smoking behavior...

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..Little is known about this relationship in non-white populations. This study examines the relationship between J-point elevation (JPE) and sudden cardiac death (SCD) and whether this relationship differs by race or sex...

..Evidence for the effects of interventions on other outcomes was either limited or mixed. Multiple interventions show promise for mitigating the effects of low health literacy and could be considered for use in clinical practice...

..92. Barbershops offer an effective setting for recruiting African American men and conducting physical measurements as well as an interesting possible location for conducting future interventions...

..Although preliminary evidence supports adoption of these methods to improve transitions between nursing home and hospital, further research is needed to define target populations and outcomes measures for high-quality transitional care...

..However, the introduction of limited echo within the past decade has made sonographic imaging of the heart less expensive and more available for routine screening...

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..The purpose of the current study was to explore attitudes and barriers to volunteering...

..Whether it improves outcomes is currently unknown...

..Medical records that do not accurately reflect the patient's current medication list are an open invitation to errors and may compromise patient safety...

..The intervention-associated consultation is then billed to the subject's insurance. Results: Subject enrollment has begun. CONCLUSION: Community pharmacists may be valuable partners in pharmacogenetics...

..Whether this is true for military physicians is unknown. We sought to examine whether having a mentor is associated with positive job satisfaction among Navy family physicians...

..the clinical utility of the prehypertension label is questionable. We sought to estimate how often patients with prehypertension are being told about it by their primary care clinicians...

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..The findings are expected to lead to clinical strategies enabling greater recognition of hypertension, and therefore, ultimately to a reduction in cardiovascular morbidity and mortality in the population. ..