THE PHYSICIAN'S OATH
Declaration of Geneva adopted by the Geneva Medical Assembly
of the World Medical Association in Geneva, Switzerland, September 1948 and
amended by the 22nd World Medical Assembly, Sydney, Australia
(August 1968).
On admission to the medical profession:
I solemnly pledge myself to consecrate my life to
the service of humanity;
I will give my teachers the respect and gratitude
which is their due;
I will practice my profession with conscience and
dignity;
The health of my patients will be my first
consideration;
I will respect secrets confided in me, even after
the patient has died;
I will maintain by all the means in my power the
honour and noble traditions of the medical profession;
My colleagues will be my brothers and
sisters;
I will not permit considerations of religion,
nationality, race, political party or social standing to intervene between my
duty and my patient;
I will maintain the utmost respect for human life
from the time of conception, even under threat I will not use my medical
knowledge contrary to the laws of humanity;
I make these promises solemnly, freely and upon my
honour.
LIST OF TABLES
Table I: The French Classification of Pediatric
Hypertension 15
Table II:The American Classification of Pediatric
Hypertension 15
Table III: Causes of secondary hypertension in
Pediatrics 20
Table IV: Physical findings indicative of secondary
cause of Pediatric Hypertension 30
Table V: Recommended Dimensions for Blood Pressure
Cuff Bladders 32
Table VI: Indicated paraclinical work-ups in case
of Hypertension 35
Table VII: Selected primary schools for the
study 48
Table VIII: Distribution of pupils by gender
59
Table IX: Distribution of pupils by age
59
Table X: Distribution of pupils by type of school
and school setting 60
Table XI: Distribution of pupils by class
60
Table XII: Distribution by profession of legal
tutor 61
Table XIII: Distribution by socio-economic
status 61
Table XIV: Body Mass Index classification among
study subjects 62
Table XV: Distribution of overweight/obesity by age
range
2
Table XVI: Distribution of overweight/obesity by
gender 63
Table XVII: Prevalence of Elevated Blood Pressure
and Hypertension (at third screening) 65
Table XVIII: Prevalence of elevated SystolicBlood
Pressure and Diastolic Blood Pressure
2
Table XIX: Prevalence of Elevated Blood Pressure
and hypertension with respect socio-demographic characteristics and
anthropometric parameters 66
Table XX: Correlation between blood pressure and,
age and Body Mass Index 67
Table XXI: Socio-demographic status and
hypertension 70
Table XXII: Socio-economic status and
Hypertension 71
Table XXIII: Feeding habits and Hypertension
72
Table XXIV: Physical exercise and sedentarity and
Hypertension 73
Table XXV: Past history and Hypertension
74
Table XXVI: Body Mass Index status and
Hypertension 75
Table XXVII: Multivariate analysis with logistic
regression 76
LIST OF FIGURES
Figure 1: Blood Pressure -for-stature percentiles,
Boys 3 to 20 years 16
Figure 2: Blood Pressure -for-stature percentiles,
Girls 3 to 20 years 17
Figure 3:The heart, arteries and arterioles in
hypertension 22
Figure 4: Reninangiotensin system and effects on
blood pressure and aldosterone release 23
Figure 5: The autonomic nervous system and its
control of blood pressure 24
Figure 6: The control of peripheral arteriolar
resistance 25
Figure 7: Virchow's triad and the prothrombotic
state in hypertension 26
Figure 8: Possible mechanisms to explain why low
birth weight babies are more likely to develop hypertension in later life
28
Figure 9: Management algorithm 38
Figure 10: Measurement of the height 53
Figure 11: Flow diagram of the study 58
Figure 13: Prevalence of hypertension and Elevated
Blood Pressure on all 3 screenings 64
Figure 14: Correlation between Systolic Blood
Pressure and age 67
Figure 15: Correlation between Diastolic Blood
Pressure and age 68
Figure 16: Correlation between Systolic Blood
Pressure and Body Mass Index
2
Figure 17: Correlation between Diastolic Blood
Pressure and Body Mass Index
69
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