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able to subtle asymmetries in blood pressure control rather than to any inherent advantages of one agent over another Therefore, experts recommend thiazide diuretics as the firstline treatment of older and perhaps all patients with hypertension because these agents are very effective and less expensive than the newer drugs Exceptions are appropriate for individuals who have specific indications for another class of agent, such as postmyocardial infarction patients ( blockers, ACE inhibitors), patients with diabetic nephropathy (ACE inhibitors, ARBs), or other comorbid conditions Table 11 4 provides suggestions for individualizing first-line treatment based on compelling indications As discussed above, many experts would suggest that blockers no longer be considered ideal first-line drugs in the treatment of hypertension without compelling indications for their use However, theoretical considerations suggest that the newer vasodilator -blockers may be superior to the older drugs, but this possibility remains to be tested For the purpose of devising an optimal treatment regimen, drugs can be divided into two complementary groups easily remembered as AB and CD A and B refer to drugs that interrupt the renin-angiotensin system (ACE/ ARB and -blockers) and C and D refer to those that do not (calcium channel blockers and thiazide diuretics) Combinations of drugs between these groups are likely to be more potent in lowering blood pressure than combinations within a group Drugs A/B are more effective in young, white persons, in whom renins tend to be higher, and drugs C/D are more effective in old or black persons, in whom renin levels are generally lower It is also important to note that antihypertensive treatment is effective at reducing cardiovascular risk at all ages, including the very elderly Figure 11 3 illustrates guidelines established by the BHS for developing a rational antihypertensive regimen In these guidelines, B is placed in parentheses to reflect the increasingly prevalent view that -blockers should no longer be considered an ideal first-line agent In trials that include patients with systolic hypertension, most patients require two or more medications and even then a substantial proportion fail to achieve the goal systolic blood pressure of < 140 mm Hg (< 130 mm Hg in high-risk persons) In diabetic patients, three or four drugs are usually required to reduce systolic blood pressure to < 140 mm Hg In many patients, blood pressure cannot be maintained at the recommended goal of < 130 mm Hg with any combination As a result, debating the appropriate first-line agent is less relevant than determining the most appropriate combinations of agents This has led many experts and practitioners to reconsider the use of fixed-dose combination antihypertensive agents as first-line therapy in patients with substantially elevated systolic pressures (> 160/100 mm Hg) or difficult-to-control hypertension (associated diabetes or renal dysfunction) Based both on antihypertensive efficacy and complementarity, combinations of a diuretic and an ACE inhibitor (or an ARB if patient is intolerant of ACE inhibitor) are recommended In younger white patients, the best choice is probably a combination of an ACE inhibitor and a calcium channel blocker The initial use of low-dose combinations.

read pdf file in asp.net c#

C# Read PDF SDK: Read , extract PDF text, image contents from ...
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how to read pdf file in asp . net using c# .net - C# Corner
hi friends.... i want to read . pdf file using c# . net code and have to save that file ... Below is my code ... But it reads only one page of a file .

As this example demonstrates, Thread Viewer is a good tool for graphically displaying the status of the threads within your program; it lets you quickly locate and fix threading errors.

You ll notice that when we name the controls in this example, we re giving each control a prefix that indicates what kind of control it is txt for TextBox controls, lbl for Label controls, and so on. This practice is called Hungarian notation. Microsoft s official naming guidelines prohibit using Hungarian notation for public identifiers. The controls on a form, though, are private, so the issue is a bit muddier. We think that naming a control lblSource, rather than just Source, makes it easier to identify later when you re editing the code. Therefore, we ll use Hungarian notation for the control names in this example.

A (or B*)

A (or B*)

A (or B*)

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Reading PDF documents in . Net - Stack Overflow
7 Nov 2011 ... c# .net pdf ... Net so that it could crawl PDF . using System; using System.IO; using iTextSharp.text. pdf ; using System. ... StreamWriter outFile = null; try { // Create a reader for the given PDF file PdfReader reader ..... You could look into this: http:// www.codeproject.com/KB/showcase/pdfrasterizer. aspx It's not completely free, ...

Figure 11 3 The British Hypertension Society s recommendations for combining blood pressure lowering drugs The ABCD rule A, Angiotensin-converting enzyme inhibitor or angiotensin receptor blocker; B, -blocker (the parentheses indicate that -blockers should no longer be considered ideal first-line agents); C, calcium channel blockers; D, diuretic (thiazide) (Reprinted, with permission, from Williams B; British Hypertension Society Guidelines for management of hypertension: report of the Fourth Working Party of the British Hypertension Society, 2004BHS IV J Hum Hypertens 2004 Mar;18(3):139 185)

Next, add a TextBox control immediately under the Target Files label, and set its Name property to txtTargetDir. You ll use this TextBox to display the full path of the directory where the user wants to copy the files. The Source side of the application doesn t need such a Textbox, because the file location will be obvious from the TreeView, and because there may be multiple source directories.

read pdf file in asp.net c#

C# Read PDF SDK: Read , extract PDF text, image contents from ...
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allows faster blood pressure reduction without substantially higher intolerance rates and is likely to be better accepted by patients Improved blood pressure control can also be achieved by combining an ACE with an ARB When an initial agent is selected, the patient should be informed of common side effects and the need for diligent compliance Treatment should start at a low dose, and unless the initial blood pressure is very high (> 160/100 mm Hg), follow-up visits should usually be at 4- to 6-week intervals to allow for full medication effects to be established (especially with diuretics) before further titration or adjustment If, after titration to usual doses, the patient has shown a discernible but incomplete response and a good tolerance of the initial drug, a second medication should be added As a rule of thumb, a blood pressure reduction of 10 mm Hg can be expected for each antihypertensive agent added to the regimen Hypertension can be controlled in most patients with one-drug or two-drug regimens that combine complementary agents A small number of patients require three, four, or even more medications in combination Patients who are compliant with their medications and who do not respond to these combinations should usually be evaluated for secondary hypertension before proceeding to more complex regimens

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Reading Contents From PDF , Word, Text Files In C# - C# Corner
8 Nov 2017 ... In this section we will discuss how to read text from PDF files . ... reference ( iTextSharp.dll) to project. http://sourceforge. net /projects/itextsharp/.

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