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Development of an accurate oscillometric blood pressure device for low resource settings.

INTRODUCTION: Recent guidelines suggest that Korotkoff sounds can be enhanced by elevating the arm overhead for 30 s before inflating the cuff, and then bringing the arm to the usual position to continue the blood pressure measurement. MATERIALS AND METHODS: We evaluated the effect of this manoeuvre on the loudness of the Korotkoff sound and on the accuracy of Riva-Rocci-Korotkoff (RRK) measurements. Using an electronic stethoscope, we compared the amplitudes of Korotkoff sounds between both arm positions. To determine the accuracy of blood pressure measurements, which are performed after raising the arm first, we validated this 'new method' of blood pressure measurement according to the British Hypertension Society protocol. RESULTS: The amplitude of the first Korotkoff sound with the arm elevated overhead for 30 s first, was 1.82+/-1.75 times greater (P50 mm Hg (84.8%) and isolated systolic hypertension (27.3%). Mean systolic bias was 10.2 mm Hg with 95% limits of agreement of -13.1 and 33.6 mm Hg, mean diastolic bias was 4.8 mm Hg with limits of agreement of -11.0 and 20.7 mm Hg. The impact of body mass index, age, systolic blood pressure and pulse pressure on the absolute value of blood pressure bias was tested by stepwise multiple regression analysis. The systo!

<p>Jones is a good catch for her: The young actress can adapt any look -- 1960s, modern -- and she&#39;s the face of the fall Burberry ad campaign. She&#39;s got great lips and doe eyes, light skin and dark hair.</p>

<p> American Idol&#39;s Top 11 performance scored a 7.7 rating in the 18-49 demographic with 23.5 million viewers, up 1 percent from last Wednesday in the demo, and 4 percent in total viewers. In the second half hour, total viewers increased 30 percent.</p>

<p>The whole segment is called &quot;A Symphony of British Music&quot; and will also include Annie Lennox, George Michael, Ray Davies, The Pet Shop Boys and Madness. Apparently the over-the-top duo of Dawn French and Jennifer Saunders will sing a Sex Pistols tune. How Ab-Fab is that? (French is a writer on Absolutely Fabulous, FYI.)</p>

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<p>Syndromes</p>

<p>The Black Balloon</p>

<p>Director: Paco Plaza,&nbsp;Screenwriters: Luiso Berdejo, Paco Plaza</p>

<p>Director: Orlando von Einsiedel</p>

<p> Here&rsquo;s the top 10 moments that made us smile or cringe:</p>

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<p>VIDEO: Behind the Scenes of Heidi Klum&#39;s &#39;Project Runway&#39; Photo Shoot </p>

<p> The CW aired repeats of The Vampire Diaries and Plain Jane, while NBC aired reruns of its Thursday night comedies and Law &amp; Order: SVU.</p>

<p> When asked about portraying eldest Crawley daughter Mary and what her reaction was. &quot;On first reading ... she came across as a cold person and very much a snob. Up until the incident with Pamuk, the Turkish character, Mary became much more vulnerable from then on,&quot; actress Michelle Dockery told reporters. &quot;She softened a little more because something happened to her.&quot;</p>

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