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Tim Aston had changed employers three months ago. His new position was project manager. At first he had stars in his eyes about becoming the

Tim Aston had changed employers three months ago. His new position was project manager. At first he had stars in his eyes about becoming the best project manager that his company had ever seen. Now, he wasn't sure if project management was worth the effort. He made an appointment to see Phil Davies, director of project management. Tim Aston: "Phil, I'm a little unhappy about the way things are going. I just can't seem to motivate my people. Every day, at 4:30 P.M., all of my people clean off their desks and go home. I've had people walk out of late afternoon team meetings because they were afraid that they'd miss their car pool. I have to schedule morning team meetings." Phil Davies: "Look, Tim. You're going to have to realize that in a project environment, people think that they come first and that the project is second. This is a way of life in our organizational form."

91 Why would sitting bring pain relief to, and lying aggravate, a patient with acute pericarditis?

92 How do you determine whether a patient is in a 'hypertensive condition'? And what is wide pulse pressure?

93 I have a question about hypertension. Every textbook that I've come across places the greatest emphasis on the systolic blood pressure; it seems that diastolic pressure is often a figure that 'just happens to be there'. My question is: What is the clinical importance of a diastolic pressure? And what problems might arise if a patient has a too high/low diastolic blood pressure?

94 What causes hypertension in children?

95 Is haemochromatosis a cause of hypertension?

96 What are the most recent advancements in management of hypertensive crisis? Is there any new approach or method under trial?

97 Why does hypertension not cause headache, and why does only the accelerated hypertension cause headaches. You say in 'coarctation of aorta' that there is headache and epistaxis from hypertension.

98 Why is a headache one of the signs and symptoms of hypertension?

99 In a hypertensive hypercholesterolaemic patient, is it contraindicated to use a bisoprolol-hydrochlorothiazide combination to control the patient's hypertension if it is not controlled on bisoprolol alone?

100 Should a hypertensive patient with recurrent ischaemic strokes, a total cholesterol of 200 mg/dL (5.2 mmol/L), low-density lipoprotein (LDL) cholesterol of 120 mg/dL (3.12 mmol/L) and high-density lipoprotein (HDL) cholesterol of 35 mg/dL (1 mmol/L), have a statin therapy?

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