Response of day-to-day home blood pressure variability by antihypertensive drug class after transient ischemic attack or nondisabling stroke.

BACKGROUND AND PURPOSE Visit-to-visit variability in systolic blood pressure (SBP) is associated with an increased risk of stroke and was reduced in randomized trials by calcium channel blockers and diuretics but not by renin-angiotensin system inhibitors. However, time of day effects could not be determined. Day-to-day variability on home BP readings predicts stroke risk and potentially offers a practical method of monitoring response to variability-directed treatment. METHODS SBP mean, maximum, and variability (coefficient of variation=SD/mean) were determined in 500 consecutive transient ischemic attack or minor stroke patients on 1-month home BP monitoring (3 BPs, 3× daily). Hypertension was treated to a standard protocol. Differences in SBP variability from 3 to 10 days before to 8 to 15 days after starting or increasing calcium channel blockers/diuretics versus renin-angiotensin system inhibitors versus both were compared by general linear models, adjusted for risk factors and baseline BP. RESULTS Among 288 eligible interventions, variability in SBP was reduced after increased treatment with calcium channel blockers/diuretics versus both versus renin-angiotensin system inhibitors (-4.0 versus 6.9 versus 7.8%; P=0.015), primarily because of effects on maximum SBP (-4.6 versus -1.0 versus -1.0%; P=0.001), with no differences in effect on mean SBP. Class differences were greatest for early-morning SBP variability (3.6 versus 17.0 versus 38.3; P=0.002) and maximum (-4.8 versus -2.0 versus -0.7; P=0.001), with no effect on midmorning (P=0.29), evening (P=0.65), or diurnal variability (P=0.92). CONCLUSIONS After transient ischemic attack or minor stroke, calcium channel blockers and diuretics reduced variability and maximum home SBP, primarily because of effects on morning readings. Home BP readings enable monitoring of response to SBP variability-directed treatment in patients with recent cerebrovascular events.

Ḥanokh la-naʿar! : follshṭändige hebraeʾishe und yuedish-dayṭshe lezefibel

fon aynem praḳṭishen shulmanne

For New Year and the Day of Atonement : The Mussaf, Minchah and N'ilah Services

Mit handschr. Widmung: Herrn Oberkantor A. Baer in Gothenburg... auf dem Titelblatt

History of the Jews in Russia and Poland : from the earliest times until the present day

by S. M. Dubnow. Transl. from the Russian by I. Friedlaender

Requiem for the Day of Atonement

composed and arr. for soli & chorus with English & German words and organ accompaniment / by A. Kaiser

Unsane taukef : liturgick song of the Hebrew New Year and Day of Atonement ; [voice and piano solo]

by Joachim Kurantmann

Unsane taukef : liturgick song of the Hebrew New Year and Day of Atonement ; [violin solo]

by Joachim Kurantmann

Shire Tsiyon : tsiyonisṭisches liderbuhk ; ʿIvrit - yehudit-germanit ; hebreʾish - yudish-dayṭsh

mutsa ʿa.y. ... M. Hibner ...

„Extra locos sepulturae“ – Review about finds of newborns inside Roman settlements in present-day Switzerland

Finds of remains of newborns inside Roman settlements are a widespread phenomenon in the Imperium Romanum, including presentday Switzerland. Since the publication of the last review article (Berger 1993) numerous new finds have been made. Therefore it seems important to summarize archaeological and anthropological parameters again, and to re-assess them collectively. During a literature review a total of 262 cases were collected. Similarities as well as differences in the funerary practices become evident. A combination of inhumation, single deposit/grave, and absence of grave goods is the least common denominator in the funerary treatment of individuals who died around the time of birth. However, methods of classical physical anthropology are limited. Histological and biochemical methods are promising and may allow further statements in the future, e.g. with regard to the differentiation between live and still births. In order to evaluate possible correlations between archaeological and anthropological parameters, findings from settlements and cemeteries that are documented in situ as well as a sustainable theoretical framework are required.

An open letter addressed to Sir Moses Montefiore ... on the day of his arrival in the holy city of Jerusalem

by Meyer Auerbach and Samuel Salant

The sacred musical compositions of the late Israel Lazarus Mombach : containing the services for Sabbaths and festivals, New Year and Day of Atonement, consecration hymns, psalms and choral wedding service

ed. by M. Keizer

Musical service for the Day of Atonement : according to the union prayer book for jewish worship

by Edward J. Stark