The aim of this cross-sectional study which took place in a hypertension clinic at a district general hospital in Denmark was to make a pragmatic definition of white coat hypertension. A total of 420 patients were referred consecutively from general practice with newly diagnosed untreated essential hypertension and 146 normal subjects were drawn at random from the Danish national register. The following measurements were taken: office blood pressure; 24-h ambulatory blood pressure (BP) monitoring; echocardiography with determination of left ventricular mass index and relative wall thickness; and early morning urine albumin/creatinine ratios.Four different cut-off levels were studied. An ambul-

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We describe the first laparoendoscopic single-site surgery (LESS) performed during a U.S. Navy humanitarian assistance mission. In conjunction with host nation surgeons, we performed a LESS renal cyst decortication in a 72-year-old woman during Pacific Partnership aboard the USNS Mercy (T-AH19). LESS procedures during humanitarian assistance missions offer advantages of rapid recovery and minimal convalescence. This case illustrates an innovative way to transfer technology and techniques between mission personnel and host nation providers during missions designed to build stronger relationships and disaster response capabilities in the Asia-Pacific region.

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