J Postgrad Med
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Previous studies have demonstrated a strong association of hypertension and renal disease with gout. Nevertheless, controversy remains concerning serum uric acid concentration as an independent factor of hypertension. ⋯ Of the total subjects, 4,099 (73.7%) were male. Mean SBP and DBP were 128.73+/-17.06 and 81.62 +/- 11.58 mm Hg, respectively. The mean serum uric acid level was 6.54 +/- 1.71 mg/dL. A significant and positive correlation was found both between serum uric acid and SBP (r=0.186, P P CONCLUSIONS: In this study, we suggest that serum uric acid be used to correlate with levels of blood pressure in the general population. Further investigation is required to establish the treatment for hyperuricemia in hypertensive patients.
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Every year between 1.5 and 4 million women are abused by a partner in the United States and many abused women turn to the Emergency Department (ED) as their first source of care. Even though the vast majority of patients would feel comfortable disclosing intimate partner violence (IPV) to their physician, identification and referral is inconsistent . ⋯ If we do not identify victims of IPV in the ED, this may result in continuation of the abuse, routine returns to the ED for treatment of injuries, and possibly even death.
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Randomized Controlled Trial
Effect of intravenous metoclopramide on intraocular pressure: a prospective, randomized, double-blind, placebo-controlled study.
Prevention of rise in intraocular pressure (IOP) is essential in patients undergoing surgery for perforated eye injuries. Metoclopramide, a prokinetic agent, is commonly used to hasten gastric emptying in emergency surgeries. ⋯ Metoclopramide does not cause a clinically significant change in IOP nor does it influence the changes in IOP during anesthesia and tracheal intubation. Metoclopramide shows a trend towards decrease in IOP, though clinically insignificant. Therefore metoclopramide can be used to promote gastric emptying in patients with perforated eye injury.
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Comparative Study
A comparative study of the skeletal morphology of the temporo-mandibular joint of children and adults.
The skeletal morphology of the temporo-mandibular joint (TMJ) is constantly remodeled. ⋯ There are significant differences of TMJ skeletal morphology between children and adults.