This fascinating volume applies the concept of chronomics to the medical treatment of hypertension. It starts with the recent updates on chronomics, the analytic techniques, and their application to community-based assessments. The authors advocate the use of 7-day/24-h records of blood pressure, which is effective for finding masked hypertension, masked morning surge, and other rhythm abnormalities. Most organisms, from cyanobacteria to mammals, are known to use the circadian mechanism. However, our body systems also demonstrate circaseptan (roughly weekly), circannual (roughly yearly), and even longer rhythms. Chronomics monitors the physiological data and then analyzes the superimposed rhythms, isolating the cycles mathematically to determine how organisms and their environment interact. It is the study of interactions among time structures (chronomes) in and around us.
Forty percent of adults in England suffer from high blood pressure; usually there are no immediate symptoms and you could have it for years without knowing. During this time your heart is weakened and your blood vessels damaged, leading to serious conditions such as coronary heart disease, strokes and kidney failure. Using expert advice and the latest information, this essential guide provides everything you need to know about looking after your own blood pressure. It explains how you can monitor yourself at home and how to change your lifestyle to prevent or reverse the condition. It also covers what to expect in the form of medical treatment. Whether you are concerned about your blood pressure, or are looking to support someone close to you, this essential guide covers everything you will need to know.
The availability of new technologies that enable blood pressure to be measured and re corded continuously or repetitively during prolonged observation periods has created ex citing opportunities for studying the physiology of blood pressure regulation and the characteristics of clinical hypertension. Ambulatory blood pressure monitoring has been based on three types of approach. The first of these has utilized an intra-arterial catheter that allows blood pressure to be meas ured directly and continuously during a full 24-hour period. The second approach is based on non-invasive techniques, and utilizes devices capable of automatically inflating conventional arm cuffs and recording blood pressures at pre-set intervals throughout the day. The third, and most simple method, has depended upon semiautomated techniques that require the subject to inflate a cuff at convenient intervals during the period of obser vation. During the last few years, concerted research into these differing techniques has exposed their strengths and shortcomings. Overall, however, there has been a growing perception that these approaches to the measurement of blood pressure might add con siderably to the information obtained in the doctor's office by the traditional single or casual reading. This book summarizes the state of the art in ambulatory blood pressure monitoring.
The management of hypertension varies considerably from clinician to clinician. This pocketbook is a concise and evidence-based summary of current understanding and practice, including the most up-to-date guidance from national bodies and their recommendations for hypertension care. An essential tool for everyday use in managing hypertension, this book covers the different phases of investigation and definitive management, and aids clinical decision-making by collating all the relevant information and guidance in one easily accessible place.
The Blood Pressure Monitoring Journal is more than a journal for blood pressure notes, nutritional log or activity notes. It provides information regarding: What blood pressure is and how to track the phases. What is systolic and diastolic numbers and what they mean. Instruments used to measure blood pressure and modern types available. Blood pressure classifications, hypotension, normotension, and hypertension and what they mean. Women and blood pressure changes Risk factors to hypertension and available helpful changes What causes your blood pressure to alter Principles to help manage high blood pressure Monitoring logs for blood pressure, activities, medication and notes
The 3rd edition of PACES for the MRCP has been fully revised and updated throughout to retain its pole position as the textbook to accompany core medical training (CMT) and prepare candidates for success in the Practical Assessment of Clinical Examination Skills and a future specialty career. Features Fully revised for the new Station 5 and completely updated throughout. Promotes understanding and deeper learning of modern medicine applicable to PACES and the specialist registrar. Emphasis on clinical assessment – history-taking, examination and communication skills – equipping candidates with appropriate differential diagnoses from which to develop the right diagnosis. Encourages candidates to question why a diagnosis has arisen and consider its consequences. For example, 'Heat failure' is a not a diagnosis until a candidate has considered the differential diagnoses of breathlessness and decided why heart failure is most likely, and then considered its cause (not always ischaemic heart disease), its presentation (acute, chronic, left or right ventricular or both) and, most importantly, the effects of it and its treatments on a patient's life. This 3rd edition of PACES for the MRCP continues to provide fully revised, up-to-date, evidence-based coverage of investigations and treatments. Whilst the emphasis of PACES is on clinical skills, candidates who understand when, for example, a patient with rheumatoid arthritis might benefit from a biologic agent and how this will influence inflammatory disease, is better equipped for success. - A one-volume text giving candidates complete preparation for the PACES exam within one portable volume - 250 cases organised into the 5 stations of the PACES exam – respiratory and abdominal system, history taking, cardiovascular and nervous system, communication and ethics and skin, locomotion, eyes and endocrine systems - Engaging question-and-answer approach at the end of each case – excellent preparation for the exam - Boxed tips highlight vital information – helps identify what is most important to remember - Fully revised for the new Station 5 and completely updated throughout.
This important volume applies hypnotic principles to the specific challenges of behavioral medicine. Drawing from extensive clinical evidence and experience, the authors describe how hypnobehavioral techniques can help in the treatment of psychophysiological disorders.
While courses in nutrition counseling teach providers to listen to their patients, this book gives registered dietitian nutritionists (RDNs) a heads-up on what to listen for, with educational materials that address the everyday challenges many people, hence many RDNs, face. Split into four distinct sections, this book equips readers with comprehensive education and counseling for the most common nutrition referrals. Topics include: - How to structure a nutrition counseling session, from getting a patient to open up to empowering them with information and strategies for self‐care. - Strategies for the provider to address personal challenges such as cultivating empathy, implicit bias, and cultural competence. - Routine eating patterns and challenges reported in nutrition counseling, such as night eating, emotional eating, and more. - Common reasons for referral to a dietitian, and frequently asked questions on topics including diabetes, heart disease, kidney disease, irritable bowel syndrome, and weight counseling. - Special issues in health education This book is appealing to both early nutrition professionals and experienced dietitians alike, providing a holistic tool kit for RDNs of all levels of experience.
This is a newly updated second edition of Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics. William B. White, MD, and a panel of highly experienced clinicians critically review every aspect of out-of-office evaluation of blood pressure. The world-class opinion leaders writing here describe the significant advances in our understanding of the circadian pathophysiology of cardiovascular disorders.
With more than 250 cases patient-profile case studies and more 2,000 questions with answers and explanations, this book presents the challenges of real-life situations that pharmacists must address on the exams and in their practices. This book thoughly prepares newly-graduated pharmacists for the NAPLEX and the MPJE (federal drug law exam).
