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Others have found that blood pressure chart for 14 year old altace 10mg cheap, for a large segment of black children arrhythmia originating in the upper chambers of the heart buy altace 2.5 mg low cost, media use is a Gerbner blood pressure medication drug classes buy cheap altace 10 mg on-line, G pulse pressure 28 cheap 5 mg altace visa. In a 2005 survey of 1,065 parents of children aged 6 months to 6 years, Sowmya Anand and Jon Krosnick found that black toddlers and preschoolers spent more time watching television and reading than their white counterparts. Despite the small number of black comedies and dramas on television, black children watch them frequently, tend to judge black characters favorably, and often identify more strongly with the content and portrayals than they do with white-oriented content. Findings published by Osei Appiah in 2002 also indicate that black students are more attentive to black characters, perceive them more favorably and more similarly to self, and recall more information about them in comparison to white models. Although rap/hip hop emerged as the most popular genres with all adolescents in the 2005 survey led by Donald Roberts, blacks were still significantly more likely than youth in other ethnic groups to listen to it. Approximately 81% of blacks, versus 60% of whites and 70% of Latina/os, reported listening to this genre. Furthermore, the top genres consumed by black youth were all heavily influenced by African American performers and culture: rhythm and blues/ soul (33%), reggae (24%), and gospel (19%). Given these preferences, the high rates of media use among black youth are less surprising and often reflect their consumption of mainstream and black-oriented media. Indeed, it has often been argued that black and white children inhabit somewhat different media worlds. Supporting this notion are the 2004 findings of Jane Brown and Carol Pardun, who investigated viewing choices among 2,942 black and white middle school students. Participants were asked to indicate which of 140 current programs they watched regularly. Findings indicated that black girls and boys showed a clear preference for programs featuring black characters. Each of the top 10 programs watched by the largest proportion of black teens in the sample featured predominantly black casts. At the same time, few whites (16% or less) watched any of the top shows favored by black teens. Here, the expectation is that black youth who identify more strongly as such should engage in different media use patterns than black youth whose ethnic identities are less secure, positive, or salient. Most evidence supports these expectations, although some null findings have emerged. Across several studies, findings have indicated that, in comparison to those with a weaker ethnic identity, black college students and adults who identify more strongly as African American or with African American culture also identify more strongly with black actors in advertising, spend more time browsing and respond more favorably to blackoriented websites, and tend to be more critical of the media, in general. Their racial attitudes were not consistently associated with their evaluations, perceived reality, or identification with popular black and white characters. The way in which ethnic identity is assessed and defined may play an important role in these divergent findings. Here, being a more educated adult or having a more educated head of household has been associated with lower levels of television viewing. Unfortunately, however, few studies investigating media influences have used black children and adolescents as participants. In one of the first studies testing this notion, Carolyn Stroman (1986) examined associations between weekly hours of television viewing and the self-concepts of 102 black third through sixth graders. Here, more frequent viewing of black programs and holding more positive attitudes toward black characters were each associated with higher self-esteem. Monique Ward (2004) demonstrated that greater exposure to mainstream programming and stronger identification with white characters were each associated with lower selfesteem among black high school students, whereas stronger identification with popular black characters was associated with higher self-esteem. These effects were especially consistent among students with lower levels of religiosity. Together, these findings suggest that exposure to and connections to black-oriented media may be beneficial to black youth, whereas connections to white-oriented media are less consistent and may depend on the age of the participant. Indeed, it may be likely that the self-concepts of black adolescents are particularly vulnerable because this is a time of heavy identity exploration. However, recent evidence from both empirical studies and interview data suggest that this is not necessarily the case, indicating that black women often reject these ideals as culturally irrelevant and instead relate more readily to black images and models, often in a positive manner. For example, in a 1995 experiment with African American college students, Jalmeen Makkar and Michael Strube reported that participants high in selfesteem and African self-consciousness rated themselves as more attractive after exposure to images of attractive white women. In a similar experiment, Cynthia Frisby (2004) found that black female college students exposed to images in popular magazines did not engage in social comparison with the idealized images of Caucasian females. However, when black women were exposed to idealized images of African American models in a followup study, those who were initially lower in self-esteem were later less satisfied with their own bodies. Overall, the data indicate that many black female viewers reject white beauty ideals presented by the media and compare themselves favorably to and are perhaps inspired by images of black women.

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The program will be jointly administered by the Task Force while the formal contract will be between the selected hypertension and diabetes purchase 5mg altace, through its Fire Department with joint collaboration with proposer and the City of Local(s) blood pressure chart exercise buy generic altace 5 mg on-line. Vendor must provide the facility arrhythmia 200 bpm buy altace 10 mg visa, equipment pulse pressure 26 discount 10mg altace free shipping, and technical expertise to deliver the medical evaluation. In the event the Task Force elects to have additional work elements performed by the selected Proposer, the contract may be extended. To limit out-of-service time through preventative early intervention of potential problems To recommend types of case-management/rehabilitation for injuries to decrease reinjury rates 2. Uniformed personnel of the xxx Fire Department consist of: Fire Chief Assistant Chiefs - xx Deputy Chiefs - xx Battalion Chiefs - xx Captains - xx Lieutenants ­ xx Fire Fighters ­ xxx or the 2. Medical information must be collected in a database that can provide both aggregate reports as well as specific individual information, that is electronically secure to only pre-authorized medical providers. Requests for authorization to transfer or destroy any or all of the medical information must be made in writing to the Task Force at least 30 days in advance. Aggregate data may be provided to Local(s), and the Wellness Coordinator, to look at general trends, as long as data from the report cannot lead to the identity of a specific individual. The Task Force will define content and process for dissemination of any information. The Fire Department provides professional fire suppression, disaster mitigation, and emergency medical services to a culturally diverse is a major city with international population of xxx,xxx (xx million during the day). The Department also provides a regional Metropolitan Medical Strike Team and Urban Search and Rescue Team for both natural and man made disaster responses. These uniformed personnel must undergo rigorous testing in order to qualify for employment and must maintain a high level of physical and mental fitness. Uniformed personnel have a need for a wide spectrum of medical services, which must be provided by professionals acquainted with the duties, working conditions, and mental and physical demands of the job, as well as the hours and expectations associated with the provision of preventive and emergency medical services. Medical and Occupational/Environmental History questionnaire to be completed by employee & reviewed by Physician. Any packaged price proposal be provided in each of the provided spaces ($ for baseline medical evaluations shall include, without exception, each of the items outlined. The decision to implement any listed items rests with the Task Force and not the provider of these services. Ideally, this professional should be board certified in occupational medicine, internal medicine specializing in fields relevant to the fire service such as occupational toxicology, industrial hygiene, epidemiology, infectious disease, pulmonary, cardiology, critical care, orthopedics, and/or emergency medicine. The ability to interact successfully with other professionals is essential since no single person can be a specialist in all fields. Physician must have a thorough knowledge of job-related activities, physical demands of the occupation and stresses associated with fire fighting. Additionally, the physician must have knowledge of local, state, and federal laws as well as the roles of labor and management relating to occupational medicine, health, and safety. Please indicate the members of your project team who are sub-contractors (if any) to your organization. Provide a resume for each of the key medical and management project staff members and medical providers as appendices. Resumes should be no longer than three (3) pages and should contain the following information about each project member: Position with the Company and work location Years with the Company Education, Licenses, and Certifications Work experience related to purpose of contract 6. Only possible life threatening abnormal cardiac findings will become automatic referrals. When appropriate, and within the scope of practice, uniformed personnel, at their own expense, may choose the contracted medical provider to provide follow-up services. Supplemental information and examples of report formats may be attached to formal proposal. It should identify the key individuals in the firm who will work with the Task Force to manage this account and include brief resumes. Proposal shall outline proven practices and procedures that will be used to perform the services as well as items requested in Section 6 assurance of primary Health Care Provider qualification. The proposal should identify a minimum of five current, major clients, particularly other governmental entities, with contact names and telephone numbers provided on the Reference Details Forms.

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Comparison of verapamil and captopril in elderly hypertensive subjects: results of a randomized quercetin high blood pressure medication buy 2.5mg altace fast delivery, double-blind hypertension headaches symptoms 5 mg altace amex, crossover study blood pressure higher in one arm 10 mg altace otc. Page 370 of 467 Final Report Drug Effectiveness Review Project Bursztyn M arteria interossea communis altace 5 mg without prescription, Zelig O, Or R, et al. Isradipine for the prevention of cyclosporine-induced hypertension in allogeneic bone marrow transplant recipients. Comparison of nitroglycerin with nifedipine in patients with hypertensive crisis or severe hypertension. Efficacy and safety of nifedipine coat-core versus amlodipine in patients with mild to moderate essential hypertension: Comparison of 24-hour mean ambulatory diastolic blood pressure. A comparative evaluation of amlodipine and hydrochlorothiazide as monotherapy in the treatment of isolated systolic hypertension in the elderly. A dose-finding, placebo-controlled study of extended-release felodipine once daily in treatment of hypertension. The natriuretic effect of nifedipine gastrointestinal therapeutic system remains despite the presence of mild-to-moderate renal failure. A new antianginal drug, bepridil: efficacy estimation by exertion test during a double blind test against a placebo. Isotonic and isometric responses of blood pressure and heart rate in mild to moderate hypertension with isradipine and propranolol. A trial of the calcium antagonist felodipine in hypertensive type 2 diabetic patients. A double-blind crossover study of the effect of concomitant diuretic therapy in hypertensive patients treated with amlodipine. Double-blind comparison between nifedipine and amlodipine for the treatment Calcium Channel Blockers Update #1 Page 371 of 467 Final Report Drug Effectiveness Review Project of essential hypertension. Amlodipine and lisinopril in combination for the treatment of essential hypertension: efficacy and predictors of response. Dose response and length of action of nifedipine capsules and tablets in patients with essential hypertension: a randomised crossover study. Comparison of ketanserin and slow-release nifedipine at rest and during isometric and dynamic exercise in patients with essential hypertension. Blood pressure lowering effect and adverse events during treatment of arterial hypertension with isradipine and hydrochlorothiazide. Twenty-four-hour blood pressure monitoring during treatment with extendedrelease felodipine versus slow-release nifedipine: cross-over study. Clinical & Investigative Medicine Medecine Clinique et Experimentale 1993;16(5):386-394. Effects of nicardipine versus diltiazem resinate on blood pressure and peripheral resistance in hypertensive patients: A controlled study. Antihypertensive efficacy of amlodipine and enalapril and effects on peripheral blood flow in patients with essential hypertension and intermittent claudication. Efficacy of diltiazem and penbutolol in myocardial ischemia of patients with stable angina pectoris. Effects of antihypertensive therapy with lercanidipine and verapamil on cardiac electrical activity in patients with hypertension: A randomized, double-blind pilot study. Calcium Channel Blockers Update #1 Page 372 of 467 Final Report Drug Effectiveness Review Project Cavoretto D, Repossini A, Alamanni F, et al. Amlodipine in residual stable exertional angina pectoris after coronary artery bypass surgery: A randomised, placebo-controlled, double-blind, crossover study. Sublingual nifedepine in the acute control of mild and moderate hypertension: A double blind comparison of 5 and 10 mgs. Does isradipine modified release 5 mg once daily reduce blood pressure for 24 hours? A comparison of the effects of nifedipine and indapamide in the treatment of essential hypertension. Effects of ranolazine with atenolol, amlodipine, or diltiazem on exercise tolerance and angina frequency in patients with severe chronic angina: a randomized controlled trial. Improved exercise tolerance after propranolol, diltiazem or nifedipine in angina pectoris: Comparison at 1, 3 and 8 hours and correlation with plasma drug concentration. Efficacy and tolerance of nifedipine retard vs acebutolol in patients with essential hypertension treated for 26 weeks.

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