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A wrist blood pressure monitor is a device you use on your own to measure your blood pressure (BP). Most monitors have a cuff that you wrap around your wrist. The cuff attaches to a digital display screen that shows your BP readings.

Wrist blood pressure monitors also come in wearable forms that you can wear just like a watch. Wearable devices may track other information like your workouts and sleep.

A wrist blood pressure monitor can help you track your BP during your normal daily routine. This gives you and your healthcare provider an in-depth, extended look at your BP outside your provider’s office. However, because wrist monitors usually aren’t as accurate as upper arm monitors, providers only recommend them in certain situations.

To get the most accurate readings from a wrist blood pressure monitor, place your hand on your chest so your wrist is at the level of your heart.

Arm blood pressure monitors and most wrist blood pressure monitors come with cuffs that you wrap around a portion of your arm. Both types of monitors measure the pressure of blood as it moves through arteries in your upper body. However, they measure this pressure at different spots along your arm.

A wrist blood pressure monitor takes its measurements at your radial artery near where your wrist meets your hand. An arm blood pressure monitor takes its measurements higher up, at your brachial artery in your upper arm.

Your blood pressure may naturally be different at these two points — your wrist and your upper arm. That’s because blood pressure changes as it moves through different arteries in your body. Research shows that some people have higher systolic blood pressure in their radial artery compared with their brachial artery.

This is why it’s important to use at-home devices under the guidance of a healthcare provider. They’ll help you interpret the numbers and explain any differences between readings at home and readings at your provider’s office.

You may need a wrist BP monitor if your healthcare provider wants you to monitor your BP at home. At-home monitoring can be helpful if:

If you need at-home monitoring, providers usually recommend a cuff-style upper arm monitor. This is similar to the device your provider uses in their office to measure your BP. However, for some people, a wrist blood pressure monitor is a better choice.

Before you purchase any blood pressure monitor, it’s important to talk to your provider about what’s best for you. The American Heart Association (AHA) recommends monitors with cuffs that fit on your upper arm, rather than your wrist. That’s because monitors that measure your BP on your upper arm are typically more reliable.

However, a wrist blood pressure monitor may be appropriate for you if:

Your healthcare provider is the best person to decide if a wrist blood pressure monitor is suitable for you. They’ll know if there are reasons why a cuff-style monitor wouldn’t work well for you. They can also tell you how best to use your wrist blood pressure monitor to get the most accurate results.

Healthcare providers generally recommend upper arm blood pressure monitors as the gold standard for accuracy. However, wrist blood pressure monitors can produce accurate readings when:

Wrist blood pressure monitors are more accurate than fingertip monitors, which you should avoid using. You can bring your wrist cuff with you to your next appointment so that your healthcare provider can validate the device against one in the office.

Before using your new device, take it to your healthcare provider to check it for accuracy. Your provider can measure your BP on the wrist monitor and compare it against an upper arm monitor in the office. This will help show if your device can give you accurate readings at home.

To get the most out of your monitor, you should:

Having the wrong form when using your monitor can lead to inaccurate BP readings. When you take your device to your provider, ask them to show you the proper form. It can help to see and practice the form before trying it on your own.

At home, follow these guidelines:

When measuring your BP, it’s important to avoid:

Your device may store BP readings in its memory. Even so, you should write down all of your BP readings in a notebook that you can share with your provider. You may also find blood pressure logs online that you can download and print.

Ask your provider what you should record in your log. Here are some general tips to get you started:

Some people naturally have lower blood pressure, such as 90/60 millimeters of mercury (mmHg). For others, such low BP could signal a problem. Before you start using a wrist blood pressure monitor or another at-home device, it’s important to ask your healthcare provider:

If your blood pressure is newly elevated to 180/120 mmHg or above, you’re having symptoms of high blood pressure or you don’t feel well and are concerned about your blood pressure, you may be having a hypertensive crisis, which is a medical emergency. Call 911 or your local emergency number right away.

Call your healthcare provider if:

A note from Cleveland Clinic

Before buying a wrist blood pressure monitor, talk to a healthcare provider. There are many available devices on the market, and it can be hard to tell which ones are most suitable for you.

In the Carnatic War, Clive once fell prisoner into the hands of the french and later escaped in guise of a native and reached Fort St. David at Pondichery, which was still held by the English. Clive left the service of the company and joined the Madras army in 1748 as an ensign. He was a turbulent officer, according to his biographer Malcolm; but since violence was mixed with valour in those days, Clive did not find it difficult to get military command in spite of extreme traits in his character. As a lieutenant, he once led an expedition against a Maratha chief and captured Devikut fort in a dangerously adventurous manner. Mill, in his account of Clive’s capture of Devikut fort, accuses him of rashness ‘in allowing himself at the head of the platoon to be separated from the sepoys’. Robert Clive

Clive's next record of military bustle was his Arcot expedition in which he discharged conventional military tactics and made a night attack upon the nawab's fortress, putting the sepoys to flight without the loss of a single soul. Clive's Devikut and Arcot episodes point to his daredevil disposition. With these victories in the south to his credit, Clive received a hero's reception when he returned to London in early 1753. The court of directors lionised him for his victories in the Carnatic War, toasted him as 'General Clive' and presented him with a jewelled sword.

Clive left the army with the intention of becoming a public leader, but failed to get a seat in parliament. Soon he squandered his fortunes through extravagance in social and public life. Disappointed and disgruntled, Clive returned to Madras (1755) in quest of' fortune, and was commissioned by His Majesty's government with the rank of a lieutenant colonel, but the rank was valid for the East Indies only. He came at a time when the French had established their supremacy in south India by entering into a subsidiary alliance with the Nizam who ceded to the French (December 1755) the Northern Sarkars, a district between the mouth of the Krishna and Puri, in Orissa for the maintenance of the French corps. Clive was given the command to chastise the Nizam. He stormed the Nizam's strongest fort, Gheria, captured it (February 1756) and secured the Marathas as allies.

The news of the fall of Calcutta into the hands of Nawab sirajuddaula reached Madras when the company was celebrating the military and diplomatic victories accomplished by Clive. The message came that all English merchants and citizens driven out from Calcutta and other English settlements had taken refuge at Fulta and were 'dying of fever, bad water and scarcity of food'. At this perilous moment, the Madras authorities considered Clive as the most natural choice to lead the rescue operation. The army headed by Robert Clive sailed from Madras on 16 October 1756 and reached Fulta in December. Admiral charles watson headed the supporting naval force. The combined operations of Clive and Watson very easily led to the recapture of Calcutta on January 2, 1757 and to a favourable peace treaty (alinagar treaty, February 9, 1757) with Nawab Sirajuddaula.

The Select Committee of Fort William, which had ceased to exist after the fall of Calcutta, was reconstituted with Robert Clive as governor. In fact, Clive nominated himself to the post. Such self-aggrandizement was challenged by other civil, military and commercial officers who were not inclined to accept him as governor because they felt that Clive was not only an outsider as regards the business affairs of the company in Bengal but also much junior to them in rank and status. roger drake had been in the company's service since 1737 and was the governor until the capture of the settlement by Sirajuddaula. Similarly, Richard Becher was in the service since 1737 and was a senior merchant and officer next in status to Drake. Admiral Watson was senior to Clive in rank and status and in length of service. All were aspirants to the governorship. The dispute was, however, settled by a military threat from Clive and later by an order from the Madras authorities in his favour.

Robert Clive's next moves, after securing his position as governor, were to expel the French from Bengal and thus prepare the pathway to Palashi. He explained to the Court of Directors about the absolute need for replacing the hostile Nawab Sirajuddaula by a pliable one. It was argued that a guided revolution in Bengal's power structure would benefit the company and the English nation commercially and politically. Without waiting for the Court's reply he seized the French settlement of chandannagar in March 1757. After expelling the French he proceeded to eliminate his last and most poweful enemy, Nawab Sirajuddaula. He quickly grasped that there was a clique in the darbar against the nawab and that jagat sheth was its leader. He used Omichand to negotiate a compact between the Fort William Council and the disgruntled Durbar men. The secret treaty of 19 May 1757 was the result. Clive selected Jagat seth from the civil area and mir jafar ali khan, the mir bakhshi or army chief of the subah from the military area as the coup leaders. According to the plan of the conspiracy the so-called battle of Palashi (23 June 1757) was staged. Sirajuddaula was defeated comprehensively and later captured and killed by Mir Jafar's son, Miran.

In evaluating the two events - ouster of the French from Chandannagar and replacement of Sirajuddaula by Mir Jafar - Clive wrote to the Court of Directors immediately after Palashi that the greatest achievement of his life was defeating and ousting the French from Bengal. In terms of the European and global implications of the Seven Years War, he was perhaps right. As for his victory at Palashi, Clive considered it a mere change of nawabs as in Arcot. But soon Clive was to realise that he had, in fact, quietly laid the foundation of an empire in the East.

In the south, Clive's successive victories gave him glory but seldom any financial windfall. In Bengal he gained glory as well as fabulous fortunes. His share in the sack of the murshidabad treasury in the wake of Palashi led him to face a parliamentary inquiry committee at home. Mir Jafar's personal gifts to Clive were staggeringly large. From Mir Jafar he also got a jagir with a large annual income. He retired in 1760 and reached London as the greatest 'nabob' ever returned from Bengal, according to Malcolm, his biographer. In 1762, Clive was raised to the Irish Peerage with the title of Baron Clive of Plassey. Additionally, he was created a Knight of the Bath in 1764. Emperor Shah Alam too adorned Clive with a string of titles which include Dilar Jang (Courageous in Battle), Saif Jang (The Sword in War), Mamiru ul Mamalik (The Grandee of the Empire), Sabdat ul Mulk (The Select of the Kingdom), and so on.

The Palashi event did not bring in a great deal of income for the company as was reckoned by Clive before the episode. Rather, the company, which used to make uniformly great profits from its Bengal trade, was running at a loss after Palashi Revolution. The company's debts were increasing every year. The Court of Directors saw that the company officers had made Bengal a sack of gold for themselves. All of them engaged in private trade without giving priority to the company's business. Clive was sent out again, entrusted with the most difficult agenda: making the company's investment in Bengal profitable.

Clive arrived in Calcutta in May 1765. He had already drawn his policy priorities while on board the ship to Bengal. He was successful beyond his expectation. He went to Allahabad and obtained from the titular emperor the right of diwani of Bengal, Bihar and Orissa for the East India Company in exchange for a regular payment of 2.6 million sicca rupees annually. While taking the post of diwan for the company, he fully discerned its political and administrative implications. The other maritime companies operating in the country with imperial farmans would refuse to recognize the civil jurisdiction of the company, which would mean war whicj must be avoided. Clive also felt that the company had no knowledge of the revenue administration of the country and, indeed, had no manpower to collect revenues from the Bengal villages and markets. Under the circumstances, Clive showed his highest political acumen by restraining himself from administering the country directly. He employed a naib diwan (deputy diwan) in the person of a Persian adventurer, Syed Muhammad reza khan, to run the civil administration on behalf of the company. In other words, under the Clive System, what is commonly known as 'Double Government', the company would extract the revenue of the country without making any investment in terms of money and manpower, and without undertaking any responsibility whatsoever - a perfect deal of income without investment.

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Main usage of Arh L 20mg/120mg Tablet is for Malaria.

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Malaria is an infection that is transmitted by mosquito bites. Arh L 20mg/120mg Tablet effectively treats malaria by killing the malarial parasites. However, it should not be used to prevent malaria and should be taken only when prescribed by a doctor. This medicine makes you feel better within a few days of treatment. But, if you have fever, chills, muscle pain, or headache soon after you finish your treatment, this could be a sign that you still are infected with malaria. Consult your doctor immediately if you notice any such symptoms.

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