Presse Med
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Hypertension is more frequent and more severe in blacks than in other racial groups. Salt-sensitive and low-renin hypertension are both more frequent in blacks. Cardiovascular morbidity appears to be similar in blacks and whites and depends on the classic cardiovascular risk factors. ⋯ Reduced salt intake improves drug efficacy. Diuretics and calcium channel blockers are more effective in lowering blood pressure, while angiotensin-converting-enzyme inhibitors may be more effective in preventing organ damage. Specific trials are needed to evaluate therapeutic benefits in blacks.
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Unintentional drowning is an important public health problem. Effective prevention measures require detailed knowledge of the specific epidemiology of fresh water drowning and near-drowning incidents. ⋯ Only prevention measures that fully take into account the different characteristics of each drowning site can reduce the incidence of these events.