Postprandial Hypotension: Lessons from Sir Roger Bannister's Textbook

2020 ◽  
Vol 15 (10) ◽  
pp. 1-4
Author(s):  
Helen Cowan

In the fourth article of the new Neurocardiology series, Helen Cowan looks at postprandial hypotension as described in Sir Roger Bannister's textbook and subsequent research.

2021 ◽  
Vol 11 (4) ◽  
pp. 112-114
Author(s):  
Helen Cowan

In the fourth and final article of the Neurocardiology series, Helen Cowan looks at postprandial hypotension as described in Sir Roger Bannister's textbook and subsequent research.


1983 ◽  
Vol 57 (3_suppl) ◽  
pp. 1124-1126 ◽  
Author(s):  
Richard S. Prawat
Keyword(s):  

Several points made by Millet and Asher in 1983 ate addressed. For instance, the probable effects of collinearity and suppression are discussed. The authors are confident that their original conclusions will be supported by subsequent research.


2021 ◽  
pp. 216770262198972
Author(s):  
Carolyn E. Wilshire ◽  
Tony Ward ◽  
Samuel Clack

In our original article (this issue, p. ♦♦♦), we argued that focusing research on individual symptoms of psychopathology might provide valuable information about their underlying nature and result in better classification systems, explanations, and treatment. To this end, we formulated five core questions that were intended to guide subsequent research and symptom conceptualizations in the psychopathology domain. In this article, we respond to two commentaries on our article. We conclude that it is time to open the black box of symptoms and to take seriously their status as complex constructs.


2021 ◽  
Vol 10 (7) ◽  
pp. 1417
Author(s):  
Rikke Middelhede Hansen ◽  
Klaus Krogh ◽  
Joan Sundby ◽  
Andrei Krassioukov ◽  
Ellen Merete Hagen

Postprandial hypotension (PPH) is defined as a fall of ≥20 mmHg in systolic blood pressure (SBP) or a SBP of <90 mmHg after having been >100 mmHg before the meal within two hours after a meal. The prevalence of PPH among persons with spinal cord injury (SCI) is unknown. Ambulatory blood pressure measurement was performed in 158 persons with SCI, 109 men, median age was 59.1 years (min.:13.2; max.: 86.2). In total, 78 persons (49.4%) had PPH after 114 out of 449 meals (25.4%). The median change in SBP during PPH was −28 mmHg (min.: −87; max.: −15 mmHg) and 96% of the PPH episodes were asymptomatic. The occurrence of PPH was correlated to older age (p = 0.001), level of injury (p = 0.023), and complete SCI (p = 0.000), but not, gender or time since injury. Further studies are needed to elucidate if PPH contributes to the increased cardiovascular mortality in the SCI population.


1980 ◽  
Vol 10 (2) ◽  
pp. 361-367 ◽  
Author(s):  
Marie Johnston ◽  
Lucy Carpenter

SYNOPSISJanis (1958) has proposed a curvilinear relationship between pre-operative anxiety and post-operative emotional state. While other hypotheses share the prediction of a poor outcome for patients with pre-operative high anxiety, Janis' theory is unique in predicting a poor outcome for those with low anxiety. Subsequent research has failed to confirm Janis' hypotheses, perhaps because the designs have been insensitive to the predictions for low anxiety patients.The current study tests the hypothesis more directly and finds some support for a linear relationship between pre-operative anxiety and post-operative negative affect, with no support for Janis' curvilinear hypothesis. On the whole, pre-operative anxiety was a poor predictor of other measures of recovery but, on one measure, patients with low anxiety showed a slower recovery than those with moderate anxiety, i.e. supporting the prediction of a poor outcome for low anxiety patients.The implications of these results for pre-operative preparation of surgical patients and the development of theories of anxiety are discussed.


1995 ◽  
Vol 28 (3) ◽  
pp. 253-259 ◽  
Author(s):  
Kimio Sugaya ◽  
Shigeru Miyagata ◽  
Osamu Nishizawa ◽  
Hiromitsu Noto ◽  
Takeo Kohama ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 222-222
Author(s):  
Noriko Suzuki ◽  
Masahiko Hashizume ◽  
Hideyuki Shiotani

Abstract Postprandial hypotension (PPH) is an unrecognized sudden drop of blood pressure (BP) after meals and a hidden problem among older people including those living in long-term care facilities (LTCFs). Though PPH causes dizziness, falls, and syncope, it has received little attention from¬¬¬ healthcare workers (HCW) including caregivers, nurses and physicians, and risk factors of PPH should be carefully assessed to improve quality of life. Therefore, we aimed to examine the prevalence and risk factors of PPH in a LTCF in Japan. Participants were 114 older adults living in a LTCF in Japan (mean age 85.9 years old; 85 female (74%)). To examine PPH, blood pressure (BP) was measured before and after lunch. BP after meal was measured four times every 30 minutes. PPH is defined as a BP drop of 20 mmHg or more and we also defined a BP drop within a range of 19 to 15 mmHg as potential-PPH. As risk factors, we compared systolic and diastolic BP at baseline, body mass index, pulse rate, disease and complications between groups with/without PPH. The prevalence of PPH was 41% (47/114) and 52% with potential-PPH; 11% (13/114) added. Among risk factors, systolic BP was significantly higher in those with PPH (142.6 vs 123.5 mmHg, p &lt;0.001). This study revealed that PPH & potential-PPH occurred in half of the subjects in a LTCF in Japan. HCW need to focus on high systolic BP to predict PPH and future research is necessary to prevent and cope with PPH for older people.


2021 ◽  
Vol 7 (3) ◽  
pp. 339-369
Author(s):  
Alireza Jazini

Abstract The translation policy model by González Núñez (2013, 475) comprises three elements, namely “translation management”, “translation practices”, and “translation beliefs”. While the first two elements of this model are straightforward and easy to study in top-down approaches, translation beliefs can relate both to policymakers and policy receivers. However, the distinction has not been clearly made in this model and the element of translation beliefs has been chiefly treated in the literature as though it comes from the top levels of policymaking, hence overlooking the bottom-up aspects of it (see González Núñez 2014, 2016; Li et al. 2017). In order to improve this model, the present paper draws on the audience reception theory (Hall 1973), and shows that the current translation policy model requires a fourth element that I would call ‘translation reception’. The paper draws on the findings of a reception-oriented case study on translation policies in provincial broadcasting in Iran. This study argues that a more inclusive model of translation policy should not only include the authority-level elements of translation management, translation practices, and translation beliefs, but also the element of translation reception on the part of policy receivers. This way, I hope, the end users’ involvement in and contribution to the translation policy network will not be overlooked in subsequent research.


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