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BMJ 2010; 340 doi: (Published 05 January 2010) Cite this as: BMJ 2010;340:b5571

No matter what we do to hammer home lifestyle advice to patients and try to adhere to guidance about treatment, blood pressure control rates remain low. A complex study of quality improvements for doctors and lifestyle modification for patients conducted in eight community based primary care centres in the US found that the interaction of the two interventions was significant, and that the combined approach had the greatest effect on blood pressure. Sadly though, the differences between the treatment groups were not sustained beyond 18 months (Hypertension 2009;54:1226-33; doi:10.1161/hypertensionaha.109.134874).

Mistrust of men is often put forward as an explanation for why women with low incomes tend to form unsustainable intimate partnerships, but another piece of research suggests that “generalised gender distrust” might not be so influential after all (Journal of Marriage and Family 2009;71:1107-24, doi:10.1111/j.1741-3737.2009.00658.x). Qualitative analysis of data from 256 low income mothers in the …

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