_
an
‘ecu this pathogen,
‘would appreciate comments froma
levee i am ear \
ier stage. We
‘others about this suggested cae
Auwry P. Suspmo, MD,
University of Pheburgh
‘School of Medicine
4, Gross Lichen P reso us the
utc the Rides of ena ype
2 AMEIaS Proc Sc Exp Bil Mee Eset suse ia me PEN
Cormack LI tal: putholsicancenrepic corcaon of eal a
Piusburgh, Pa,
‘ roa Kal Obstaction of renal ane banch
sis of magn ypecnn.JaNta oN ET OO
The above were ree
reply:
ed to Dr. Page. who offers the following
ction between the srutken kidney and the dvatedblost res
oe I bacteriuria subsequently develops hispations oneooae
raphy shouldbe done to dtet the presence ere invethe
"al sump or into the oppeste hides
As Dr. Bennet points om ation to high renin certo from
involved Kidney, suppresion of renin sere in Ihe neal
dhey tan imponant indicator oftenn-dependen hypertension at
ilateral renovascular disease. A high peripheral vein oni athe
stimulated tates alo well coneated with surgically corerabie
novasular hypertension. Standrdiation ofthe condo ner
sich blood samples are obtained keen to interpret of
nin determination
Current understanding of human renovascular diese is based
sly on experience with disease ofthe main renal arr. Hyper
sion associated With unilateral shrunken kidneys ms @cunkoecd
14 Dr. Shapiro's comments are appreciate. Irwiher inetigne
+ wil heed his invitation to share comments and experiences
ix may be shed onthe variable ndings mentioned by Profesor
‘ering and De Valloton dering dicason of the CPC.
Lor B. Pact, MD.
Newton-Wellesley Hospital
ton, Mass,
Tote Edit tn this correspondence scton (June 28,1972) sg
ted that dents may prove eflctne in serening for high lod
Sse. Since then two studies ve been completed that dem
Sethe efecivenest ofineluding blood prewure messurement aya
‘ard procedure of dentl examination,
na twomonth plot project, 20 dent erened 1071 adult
wweresupected of hevingundignoned,daghoned but unreteds
adequately tested high Bld presure, Those who were eel
anhiypenensve therapy and whoxe blood pres was within
final” hts were not inched inthis group: OF hee 12,113
seen by physicians, and 152 wer treated or hed thei therapy
ied in some way. Only Seven of 119 were claied by pins
2a second project, 1403 children four to 18 yeas of age were
ted and computerized to determine mean (81D bleed pes
‘and reading by ageand set in's cena ofc conronment
se'were then compared to previous eeablshed measrcmeat
ieunder medieatutice wonton” The seadings nthe medical
ental offen kong av the technes of measurement ae
Aarized, ares, ndcating hat a ental oe os prfoty
inal environment fr the Blod-presuresorening of pede
Follow-up study By phsscne on the spprouniaeh 65
Iron suspected of exessnely high blood pressure how under
‘day the projet as grown, and appronimatel 20 per cent of
eats ia Bergen Counts, New Jerr, ave measuring Blood
CORRESPONDENCE
379
resure ata standard proeed
inure er prcedur of examination, By araging p-
the patient to sce a doctor — we have a follow-through rave of souk
Super cent. Borderline cases are not refered unlee then eoee
tained elevation of presure, Dentns have ao bee chee
‘his projec. The Bergen County
{he National High Bled Pesure vation Prog Caen
on des pay off — we hope that inthe nt to dinean vues oe
Presure measurement willbeastandardprocedus sooo
{ons demalaswellas medical since isthe one wsy ech ne
stated 18 milion Americans with undagoones, cpr tee
untreated or inadequatels treated high bles! presse eae eek
corded the benefits of proper care. " a *
Cuanurs L. Beasan, DDS.
Faiseigh Dickson University Schoo! of
Dentistry
¥. Berman CL. Guaroo MA. Giorantli SM: High Sood pesore dete:
oa by denise J Am Det Ane 87:388:30 998
2 Londe 8: Blood presure sundards for normal chien at determined
‘under ofice conditions. Cia Pediatr 74008, 1968
Hackensack, NJ.
PARTICULATE MATTER IN POLYVINYL CHLORIDE
INTRAVENOUS BAGS (CONT)
Tithe Editor: Aer reading the communication of Dr. Needham
sd Luzon the subject of particulate aterm plese contac
(N Engl) Sed 76:12, 1943) we have had personal contact wih
theimvestigaon, apd we believe the infomation that hey rpplied
eres fuher Comment :
“The plastic nravenous aston container tied by ther were
slnered wo have very low particle coyps belo sheng’ Afr
severe shaking, microsphere flu plaice, which are Pac
Parlcls (not sols), neve generated tht were eared by Cou
{ereouter technics On the bof ealuated volume of 20000
Imicrospheres per mililter asuming unt densi and sy average
2adiamere thecoeesatenclpisiisernasapproamatcy el
gpm, Eibcoterntn nesta she masa apm)
esibed inthe pachage insert thal scompantes Vater plas
cnunersand zest low scobty of etthen tphbelae
(DEHP) in aquens mediume
"The mle cession of DEP adminiered cher rallye par
ately to animals ac been the atta ay epors Reuloat
‘paiidal or maliple-dre cies have how te ty ofthe lw
cinovasnn of DEH nd i Vay pate consis
“The soure of Horan exponteopasticaer wih he ero
imentas demonstrated inal’ of sutopy ties tht terete no