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Biomedical subjects

C Hodes

Publications and source records attributed to C Hodes.

17 recordsLinked to original sources

High blood pressure: public views and knowledge.

After completing a screening for hypertension among patients aged between 45 and 54 in a group practice, a sample of both responders and non-responders to screening were surveyed to determine their attitude to screening and knowledge of hypertension.The reasons for non-response were various, and 18 per cent felt screening to be unnecessary. There was little difference between responders (both hypertensive and non-hypertensive) and non-responders in their knowledge of hypertension, and they were well informed about related conditions and illnesses caused by hypertension. The majority were aware of some likelihood of the disease being symptomless, and 38 per cent thought no symptoms were likely to be caused by hypotensive drugs. They seemed aware that the treatment was long term, but only 14 per cent thought it would be life-long.

Attitude to Health

Identification and treatment of arterial hypertension in general practice.

1. A screening programme has been set up in a group general practice for identifying and treating moderate high blood pressure in men and women aged 45-54 years, and at the same time the identification and treatment of high blood pressure in patients in reference general practices has been monitored. 2. The special measures resulted in a response rate of 68-8%. In the reference practices, 14-9% of patients attending during the study had their blood pressure reading recorded on the monitoring form. 3. The overall prevalence of diastolic blood pressure (phase 4) greater than or equal to 105 mmHg in the special hypertension programme is 3-8 times that observed in the reference practices.

Family Practice

The relationship between blood pressure and biochemical risk factors in a general population.

The relationship between blood pressure, ponderal index, sex, blood glucose, haemoglobin, serum uric acid, calcium cholesterol and creatinine, and albumin has been examined in 698 subjects aged between 44 and 49 years from the register of a group general practice. Sixty per cent of the variation in systolic pressure could be explained by statistically significant associations with diastolic pressure, sex, blood glucose, serum calcium, and cholesterol. The diastolic blood pressure (not corrected for systolic pressure) was significantly related only to ponderal index, haemoglobin in men, and cholesterol in women. Pulse pressure was also positively related to the risk factors blood glucose, serum cholesterol, and calcium. The possibility is discussed that one or more of these variables reduce aortic compliance and that the serum calcium contributes to this end. Diastolic, but not systolic pressure, had a prime association with relative weight, obesity being only basically associated with an increase in diastolic pressure.

Adult

High blood pressure and psychiatric disorder in general practice.

A programme for the control of hypertension has been started in general practice with the principal aim of finding the most effective way of identifying and keeping patients with high blood pressure under continuing control. One objective is to determine the psychiatric state of hypertensive patients in the programme and this paper reports these results.There was no significant difference between the percentage of psychiatric patients in a hypertensive group and a control group. There was no relationship between blood pressure recorded at the initial clinic and the psychiatric state. In both hypertensive and control groups, patients who were on hypertensive treatment at the initial clinic were more likely to be ;psychiatric' than those who were not on treatment; this appears to be less likely to occur if the hypertension is controlled.

Female

High blood pressure. detection and treatment by general practitioners.

A questionnaire was sent to a 10% random sample of general practitioners in England and Wales on their attitudes to the detection and treatment of hypertension; 62% responded and no further inquiry was made. Their view on detection and criteria for treatment and investigations performed were considered in relation to their background. More of the older practitioners always measured blood pressure and 36% of all practitioners believed that hypertensive patients usually present with symptoms. Altogether 91% thought that strokes could be prevented by treating hypertension, and only 18% reported difficulty in keeping patients on treatment. Older practitioners preferred to measure the distolic pressure using phase five, while the younger preferred phase four. Nearly all doctors were satisfied with their current sphygmomanometers.

Attitude of Health Personnel

Intraocular pressure and systemic blood pressure in the elderly.

The intraocular and systemic blood pressure, height, weight, and haemoglobin were measured in 573 subjects over 60 years old from a general practice population. Intraocular pressure was positively and independently related to systemic blood pressure (P less than 0.0001) and obesity (P less than 0.01) as assessed by the ponderal index. Systolic pressure rather than diastolic or mean pressure was most closely correlated with intraocular pressure and it is suggested that the systolic head of pressure increases the filtrated fraction of aqueous humour to cause a small but sustained rise in intraocular pressure. It is also suggested that obesity may decrease the facility of aqueous outflow.

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