Jennifer Ringrose
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View article: The Role of Renal Denervation in the Treatment of Hypertension in Canada: A Case-Based Discussion from the Canadian Hypertension Specialists Society
The Role of Renal Denervation in the Treatment of Hypertension in Canada: A Case-Based Discussion from the Canadian Hypertension Specialists Society Open
Over one-third of Canadians with hypertension do not achieve recommended blood pressure (BP) targets despite availability of effective treatments. Renal sympathetic nerve denervation (RDN) is a recently approved, minimally invasive treatme…
View article: Sex Differences in BP From an Automated Oscillometric Compared With Manual Device
Sex Differences in BP From an Automated Oscillometric Compared With Manual Device Open
BACKGROUND: Automated blood pressure (BP) devices may be less accurate in females than males, but this requires further investigation. This study aimed to determine sex differences in automated BP, measured with a single brand and model of…
View article: What about physician wellness? Impact of a quality improvement intervention
What about physician wellness? Impact of a quality improvement intervention Open
Background Emergency department (ED) consultations with general internal medicine (GIM) are required when patients need admission, assistance with safe disposition or evaluation and management of complex or acute medical needs. GIM physici…
View article: Hypertension Canada Statement on the Use of Cuffless Blood Pressure Monitoring Devices in Clinical Practice
Hypertension Canada Statement on the Use of Cuffless Blood Pressure Monitoring Devices in Clinical Practice Open
BACKGROUND Cuffless blood pressure (BP) devices are an emerging technology marketed as providing frequent, nonintrusive and reliable BP measurements. With the increasing interest in these devices, it is important for Hypertension Canada to…
View article: The T-Connector Approach: a simultaneous method for in-office assessment of home blood pressure monitor accuracy
The T-Connector Approach: a simultaneous method for in-office assessment of home blood pressure monitor accuracy Open
CONTEXT: Hypertension Canada recommends home blood pressure monitors (HBPM) for diagnosing and managing hypertension. However, 29% of HBPMs are inaccurate by 10 mmHg or more. This makes determining HBPM accuracy of great clinical importanc…
View article: Elevating equity: advancing diversity and inclusivity through trialing bias reduction tools in the general internal medicine program resident application process
Elevating equity: advancing diversity and inclusivity through trialing bias reduction tools in the general internal medicine program resident application process Open
Interviewers prefer the instructional video and PAT over the IAT. Textual responses suggest existing concerns for biases inherent to the interview process yet 70% (7/10) of respondents believe that interviews should have a weighting of 50%…
View article: Validation of combiomed hipermax-BF model A7101 automatic oscillometric upper-arm sphygmomanometer in general population: AAMI/ESH/ISO universal standard (ISO 81060-2:2018/Amd 1:2020)
Validation of combiomed hipermax-BF model A7101 automatic oscillometric upper-arm sphygmomanometer in general population: AAMI/ESH/ISO universal standard (ISO 81060-2:2018/Amd 1:2020) Open
This study evaluates the accuracy of the Hipermax-BF model A7101 (Combiomed, Havana, Cuba) automatic oscillometric upper-arm sphygmomanometer for office and home use in general population as part of the HEARTS in the Americas initiative. T…
View article: Validation of Combiomed Hipermax-BF model A7101 automatic oscillometric arm sphygmomanometer in general population: AAMI/ESH/ISO Universal Standard (ISO 81060-2:2018)
Validation of Combiomed Hipermax-BF model A7101 automatic oscillometric arm sphygmomanometer in general population: AAMI/ESH/ISO Universal Standard (ISO 81060-2:2018) Open
This study was designed to evaluate the accuracy of the Hipermax-BF model A7101 automatic oscillometric arm sphygmomanometer (Combiomed, Havana, Cuba) in general population. The research was developed according to the Universal Standard AA…
View article: Characterizing Hypertension Specialist Care in Canada: A National Survey
Characterizing Hypertension Specialist Care in Canada: A National Survey Open
These results summarize the current state of hypertension specialist care and highlight opportunities for further collaboration among hypertension specialists, including standardization of the approach to specialist care for patients with …
View article: Telemonitoring in hypertension management for patients with chronic kidney disease: a narrative review
Telemonitoring in hypertension management for patients with chronic kidney disease: a narrative review Open
Hypertension is a major cause of cardiovascular disease worldwide and a major cause of morbidity and mortality in patients with chronic kidney disease (CKD). The Systolic Blood pressure Intervention Trial (SPRINT) demonstrated that blood p…
View article: How a cloud based platform can make ambulatory blood pressure monitoring more efficient, accessible, and evidence based
How a cloud based platform can make ambulatory blood pressure monitoring more efficient, accessible, and evidence based Open
Ambulatory blood pressure measurement (ABPM) is the gold-standard method for blood pressure assessment. However, it is markedly underutilized, in part because legacy software provided with ABPM devices is archaic and inefficient. Herein, w…
View article: Telemonitoring and Case Management for Hypertensive and Remote-Dwelling Patients With Chronic Kidney Disease—The Telemonitoring for Improved Kidney Outcomes Study (TIKO): A Clinical Research Protocol
Telemonitoring and Case Management for Hypertensive and Remote-Dwelling Patients With Chronic Kidney Disease—The Telemonitoring for Improved Kidney Outcomes Study (TIKO): A Clinical Research Protocol Open
Background: Hypertension, together with poorly controlled blood pressure (BP) are known risk factors for kidney disease and progression to kidney failure as well as increased cardiovascular (CV) morbidity and mortality. Several studies in …
View article: Impact of Home Telemonitoring and Management Support on Blood Pressure Control in Nondialysis CKD: A Systematic Review and Meta-Analysis
Impact of Home Telemonitoring and Management Support on Blood Pressure Control in Nondialysis CKD: A Systematic Review and Meta-Analysis Open
Background: Hypertension is a major cause of cardiovascular disease, chronic kidney disease (CKD), and death. Several studies have demonstrated the efficacy of home blood pressure telemonitoring (HBPT) for blood pressure (BP) control and o…
View article: Effect of Elevated Ambient Temperature on Simulator-Derived Oscillometric Blood Pressure Measurement
Effect of Elevated Ambient Temperature on Simulator-Derived Oscillometric Blood Pressure Measurement Open
BACKGROUND Oscillometric blood pressure (BP) devices are typically labeled for use up to 40 °C. Many geographic regions have ambient temperatures exceeding 40 °C. We assessed the effect of increased ambient temperature (40–55 °C) on simula…
View article: The elegance of simplicity
The elegance of simplicity Open
Everything should be made as simple as possible, but not simpler. Albert Einstein Oscillometric blood pressure (BP) measurement is increasingly being used and recommended for BP measurement in hospital, in clinic, for 24-hour ambulatory me…
View article: The Hypertension Canada blood pressure device recommendation listing: Empowering use of clinically validated devices in Canada
The Hypertension Canada blood pressure device recommendation listing: Empowering use of clinically validated devices in Canada Open
Automated blood pressure (BP) devices promote standardization of the BP measurement process and enable performance of unattended and out-of-office measurements.1 Consequently, authors of hypertension clinical practice guidelines and BP mea…
View article: Barriers to learning and using point-of-care ultrasound: a survey of practicing internists in six North American institutions
Barriers to learning and using point-of-care ultrasound: a survey of practicing internists in six North American institutions Open
Background Point-of-care ultrasound (POCUS) is increasingly used in internal medicine, but a lack of trained faculty continues to limit the spread of POCUS education. Using a framework based on organizational change theories, this study so…
View article: Patient perceptions of ambulatory blood pressure monitoring testing, tolerability, accessibility, and expense
Patient perceptions of ambulatory blood pressure monitoring testing, tolerability, accessibility, and expense Open
Use of 24‐hour ambulatory blood pressure monitoring is strongly endorsed by contemporary hypertension guidelines. The objective of this study was to assess patient perceptions of ambulatory blood pressure testing, tolerability, accessibili…
View article: Non-pharmacologic interventions to improve sleep of medicine inpatients: a controlled study
Non-pharmacologic interventions to improve sleep of medicine inpatients: a controlled study Open
Background: Sleep quality in hospitalized medicine patients is poor, with environmental factors among the most frequently cited reasons. Objective: We tested the efficacy of a non-pharmacologic intervention on the sleep quality of medicine…
View article: The ongoing saga of poor blood pressure measurement: Past, present, and future perspectives
The ongoing saga of poor blood pressure measurement: Past, present, and future perspectives Open
My great concern is not whether you have failed, but whether you are content with your failure Abraham Lincoln (1809–1865) Blood pressure (BP) measurement is likely the most important diagnostic test performed in modern medicine because it…
View article: An Assessment of the Accuracy of Home Blood Pressure Monitors When Used in Device Owners
An Assessment of the Accuracy of Home Blood Pressure Monitors When Used in Device Owners Open
OBJECTIVE To examine the accuracy of home blood pressure (BP) devices, on their owners, compared to auscultatory reference standard BP measurements. METHODS Eighty-five consecutive consenting subjects ≥18 years of age, who owned an oscillo…
View article: Sleep Quality and Factors Influencing Self-Reported Sleep Duration and Quality in the General Internal Medicine Inpatient Population
Sleep Quality and Factors Influencing Self-Reported Sleep Duration and Quality in the General Internal Medicine Inpatient Population Open
Sleep quality for GIM inpatients is significantly worse in hospital than at home. There is a need to test non-pharmacologic interventions to address the most frequently identified factors causing poor sleep hygiene for GIM inpatients.