Association between white-coat effect and blunted dipping of nocturnal blood pressure.

In this study, we assessed whether the white-coat effect (difference between office and daytime blood pressure (BP)) is associated with nondipping (absence of BP decrease at night). Data were available in 371 individuals of African descent from 74 families selected from a population-based hypertension register in the Seychelles Islands and in 295 Caucasian individuals randomly selected from a population-based study in Switzerland. We used standard multiple linear regression in the Swiss data and generalized estimating equations to account for familial correlations in the Seychelles data. The prevalence of systolic and diastolic nondipping (<10% nocturnal BP decrease) and white-coat hypertension (WCH) was respectively 51, 46, and 4% in blacks and 33, 37, and 7% in whites. When white coat effect and nocturnal dipping were taken as continuous variables (mm Hg), systolic (SBP) and diastolic BP (DBP) dipping were associated inversely and independently with white-coat effect (P < 0.05) in both populations. Analogously, the difference between office and daytime heart rate was inversely associated with the difference between daytime and night-time heart rate in the two populations. These results did not change after adjustment for potential confounders. The white-coat effect is associated with BP nondipping. The similar associations between office-daytime values and daytime-night-time values for both BP and heart rate suggest that the sympathetic nervous system might play a role. Our findings also further stress the interest, for clinicians, of assessing the presence of a white-coat effect as a means to further identify patients at increased cardiovascular risk and guide treatment accordingly.

The White Cane Magazine, Fall 2013, Vol. 4, no. 3

Quarterly newsletter produced by the Iowa Department of Blind, about the information and activities that are on going in the department.

The White Cane Magazine, Spring 2013, Vol. 4, no. 2

Quarterly newsletter produced by the Iowa Department of Blind, about the information and activities that are on going in the department.

Correcting Interdevice Bias of Horizontal White-to-White and Sulcus-to-Sulcus Measures Used for Implantable Collamer Lens Sizing.

PURPOSE: To assess the agreement and repeatability of horizontal white-to-white (WTW) and horizontal sulcus-to-sulcus (STS) diameter measurements and use these data in combination with available literature to correct for interdevice bias in preoperative implantable collamer lens (ICL) size selection. DESIGN: Interinstrument reliability and bias assessment study. METHODS: A total of 107 eyes from 56 patients assessed for ICL implantation at our institution were included in the study. This was a consecutive series of all patients with suitable available data. The agreement and bias between WTW (measured with the Pentacam and BioGraph devices) and STS (measured with the HiScan device) were estimated. RESULTS: The mean spherical equivalent was -8.93 ± 5.69 diopters. The BioGraph measures of WTW were wider than those taken with the Pentacam (bias = 0.26 mm, P < .01), and both horizontal WTW measures were wider than the horizontal STS measures (bias >0.91 mm, P < .01). The repeatability (Sr) of STS measured with the HiScan was 0.39 mm, which was significantly reduced (Sr = 0.15 mm) when the average of 2 measures was used. Agreement between the horizontal WTW measures and horizontal STS estimates when bias was accounted for was г = 0.54 with the Pentacam and г = 0.64 with the BioGraph. CONCLUSIONS: Large interdevice bias was observed for WTW and STS measures. STS measures demonstrated poor repeatability, but the average of repeated measures significantly improved repeatability. In order to conform to the US Food and Drug Administration's accepted guidelines for ICL sizing, clinicians should be aware of and account for the inconsistencies between devices.

L'Afrique équatoriale : récit d'une expédition armée ayant pour but la suppression de la traite des esclaves (3e éd.) / par Sir S. White Baker ; abrégé par H. Vattemare

Collection : Bibliothèque des écoles et des familles

Croohore na bilhoge, ou Les White boys. Tome 1 / , roman historique irlandais, par M. Banim, traduit de l'anglais par M. A.-J.-B. Defauconpret

Titre original : Crohoore of the Bill-Hook

Croohore na bilhoge, ou Les White boys. Tome 2 / , roman historique irlandais, par M. Banim, traduit de l'anglais par M. A.-J.-B. Defauconpret

Titre original : Crohoore of the Bill-Hook

Croohore na bilhoge, ou Les White boys. Tome 3 / , roman historique irlandais, par M. Banim, traduit de l'anglais par M. A.-J.-B. Defauconpret

Titre original : Crohoore of the Bill-Hook

Dr. Terry White

Third President of Brock University. Dr. White was president from 1988 to 1996.