VENDORS

Students' Testimonials



Killexams.com IBMSPSSSTATL1P Dumps and Real Questions 2019

Latest and 100% real exam Questions - Memorize Questions and Answers - Guaranteed Success in exam



IBMSPSSSTATL1P exam Dumps Source : IBM SPSS Statistics(R) Certification Level 1 (formerly PASW Statistics)

Test Code : IBMSPSSSTATL1P
Test Name : IBM SPSS Statistics(R) Certification Level 1 (formerly PASW Statistics)
Vendor Name : IBM
Q&A : 70 Real Questions

Did you tried these IBMSPSSSTATL1P real question bank and study guide.
There isnt plenty IBMSPSSSTATL1P exam materials obtainable, so I went in advance and bought those IBMSPSSSTATL1P questions and solutions. Honestly, it gained my coronary heart with the way the information is prepared. And yeah, thats right: maximum questions I saw on the exam were exactly what changed into provided through killexams.com. I am relieved to have handed IBMSPSSSTATL1P exam.


actual examination questions ultra-modern IBMSPSSSTATL1P examination! wonderful source.
I passed the IBMSPSSSTATL1P exam. It was the first time I used killexams.com for my practise, so I didnt recognise what to anticipate. So, I got a nice marvel as killexams.com has greatly surprised me and completely handed my expectations. The trying out engine/exercise tests work high-quality, and the questions are valid. By legitimate I mean that theyre REAL exam questions, and I were given many of them on my real exam. Very dependable, and I become left with brilliant impressions. I would not hesitate to endorse killexams.com to my colleagues.


i am very satisfied with IBMSPSSSTATL1P exam manual.
All in all, killexams.com was a good way for me to prepare for this exam. I passed, but was a little disappointed that now all questions on the exam were 100% the same as what killexams.com gave me. Over 70% were the same and the rest was very similar - Im not sure if this is a good thing. I managed to pass, so I think this counts as a good result. But keep in brain that even with killexams.com you still need to learn and use your brain.


discovered an accurate source for actual IBMSPSSSTATL1P dumps.
I cracked my IBMSPSSSTATL1P exam on my first try with seventy two.Five% in just 2 days of training. Thank you killexams.com to your treasured questions. I did the exam without any fear. Looking ahead to easy the IBMSPSSSTATL1P exam in conjunction with your assist.


Try out these real IBMSPSSSTATL1P dumps.
It became superb revel in with the killexams.com team. They guided me loads for development. I recognize their effort.


Exactly same questions, WTF!
Getting geared up for IBMSPSSSTATL1P books may be a complex technique and nine out of ten probabilities are that youll fail if you do it with none suitable steerage. Thats where fantastic IBMSPSSSTATL1P e book comes in! It gives you with inexperienced and groovy statistics that not simplest enhances your schooling however also gives you a clean reduce chance of passing your IBMSPSSSTATL1P download and getting into any university with none despair. I prepared thru this super software and i scored 40 two marks out of 50. I am able to guarantee you that itll by no means will let you down!


it's miles great idea to memorize the ones IBMSPSSSTATL1P present day dumps.
It had been years and I was caught on the identical designation, it became like being glued to the chair with fevicol. Initially you observed, just wait right things are available time. But then your persistence wears off and you realize you gotta take a stand before its too past due. Since my work includes primarily managing a IBMSPSSSTATL1P shoppers base I determined to ace it and end up the he is aware of all approximately IBMSPSSSTATL1P dude within the office. Upon a buddies steerage I attempted your IBMSPSSSTATL1P demo from killexams.com, loved and it and moved onto a purchase. Your exam simulator is terrifi and nowadays your test package has made me the brand new IBMSPSSSTATL1P manager.


amazed to see IBMSPSSSTATL1P dumps and have a look at manual!
I overlooked a couple of questions best considering the fact that I went smooth and didnt undergo in brain the answer given inside the unit, but while you recall that I got the relaxation right, I passed and solved forty three/50 questions. So my advice is to test all that i am getting from killexams.com Q&A - this is everything I want to pass. I passed this exam due to killexams. This percent. Is 100% trustworthy, a huge part of the questions had been the equal as what I were given on the IBMSPSSSTATL1P exam.


IBMSPSSSTATL1P actual query bank is real have a look at, authentic result.
I although that if I should clean our IBMSPSSSTATL1P test and sure this is once I got here to realize with my old exceptional pal that killexams.com is the one that is probably the boon for me because it got me my intelligence subsequently returned which I had lost for a while and that i choice that this would in no way get over for me getting my IBMSPSSSTATL1P test cleared in spite of the whole lot.


it's far unbelieveable, but IBMSPSSSTATL1P dumps are availabe right here.
I recognize the struggles made in growing the exam simulator. its far superb. i passed my IBMSPSSSTATL1P exam especially with questions and answers supplied with the aid of killexams.com crew


IBM IBM SPSS Statistics(R) Certification

IBM Watson Studio Spark executions using RStudio IDE | killexams.com Real Questions and Pass4sure dumps

in this post i will reveal you the way to use the IBM Watson Studio Spark executions the usage of RStudio IDE, which launched from Watson Studio tasks.

RStudio IDE

RStudio is the premier built-in development environment (IDE) for R programmers. Watson Studio gives a handy manner of loading and executing R scripts.

Spark carrier

Watson Studio offers growing Spark execution environments internal projects to execute Spark courses in the cloud.

Launch RStudio IDE

Refer RStudio launch tutorial. This documentation pursuits RStudio with project and it is not yet accessible in all facts facilities.

running Spark classes from RStudio

RStudio makes use of the brand new sparklyr kit (http://spark.rstudio.com/index.html) to join with the Spark kernel gateway on the cloud the use of Spark-as-a-service interactive APIs. The sparklyr package includes a dplyr interface to Spark facts frames as well as an R interface to Spark’s allotted computing device studying pipelines.

that you may use your latest Spark cases from RStudio. to use this feature, run right here steps:

1 Load and reveal accessible Spark circumstances

2 hook up with a Spark instance

3 Run dplyr APIs and Spark’s dispensed computer getting to know libraries

four monitor tables for Spark loaded records units

5 View logs for Spark kernel interplay

6 View Spark connect reputation and fasten or disconnect

checklist attainable Spark situations

for those who beginning RStudio two data are created in the working directory (don’t delete them!):  1) config.yml file — Lists your whole accessible Spark circumstances.  2) .Rprofile file — Configures your Spark atmosphere.

These files are created under your domestic directory, /domestic/rstudio. If the working directory is distinct from the domestic listing, you can replica the config.yml and .RProfile files to your present working directory.

you can load and display Spark instances through the use of the load_spark_kernels() and display_spark_kernels() R features . illustration:

This feature lists simplest your currently available Spark situations. if you would like one other Spark example, create it in Watson Studio Environments.

connect with the selected Spark illustration

To connect to Spark, run the spark_connect R function. for example:

sc <- spark_connect(config = kernels[1])

After this Spark context is created, all subsequent operations will be executed the use of this Spark example:

as soon as related to Spark we can see connection status like below

Run dplyr APIs and Spark’s distributed computer discovering libraries

To run dplyr services, load the dplyr package and then run the copy_to feature using the Spark context. for example:

library(dplyr) localDF <- statistics.frame(name=c("John", "Smith", "Sarah", "Mike", "Bob"), age=c(19, 23, 18, 25, 30)) sampletbl <- copy_to(sc, localDF, "sampleTbl")

This creates a Spark statistics body on the far off kernel according to a native R facts frame, and displays the local references in the Spark view:

View the desk for Spark loaded data units

Spark View indicates the entire far flung Spark data frames. that you may click on the desk icon to show pattern views of those tables.

View the log for Spark kernel interplay

you could opt for the Logs icon to view the entire calls to the Spark example.

View Spark join popularity and attach or disconnect a service

which you could view the connection status on the Spark View, and you can connect with or disconnect from a Spark provider.

connect Disconnect read mission files in Spark

RStudio gives utility feature get_project_asset_path() to simplify access to mission asset data from spark jobs. right here is the example to load mission file in spark and create spark information frame

# R interface for Apache Sparklibrary(sparklyr)

library(dplyr)

# load kernelskernels <- load_spark_kernels()

# reveal kernelsdisplay_spark_kernels()

# connect to our spark kernelsc <- spark_connect(config = kernels[1])

# create a course to Tim's check bucketpath <- get_project_asset_path("airline15krows.csv")

# read the usage of sparklyr package airline15krows_tbl <- spark_read_csv(sc,identify = "airline15krows", direction = route, delimiter="|", infer_schema = FALSE)

# listing all tablessrc_tbls(sc)head(airline15krows_tbl,four)

Examples

that you could discover the example R script information in the /ibm-sparkaas-demos folder under your home directory. These examples reveal scenarios that you could run with Spark in RStudio.

spark-kernel-fundamental.R

Creates elementary R information frames and generates far flung Spark facts frames in response to the native R statistics frames. also runs some basic filters and DBI queries.

sparkaas_mtcars.R

loads the popular mtcars R data frame and then generates a Spark records body for the mtcars records body. It then does transformations to create a working towards records set and runs a linear mannequin on the working towards statistics set.

sparkaas_flights.R

hundreds some higher statistics sets, creates ggplot for prolong and runs windows features. See sparklyr — R interface for Apache Spark for more suggestions.

See also sparklyr Examples for more examples.

Mahesh Kurapati is an Advisory software Engineer with the IBM Analytics team. Mahesh’s simple focus is on the construction of a lot of micro-capabilities for IBM data Science experience. Mahesh is worried within the development of quite a lot of gleaming.information elements and SparkaaS integration with RStudio. With greater than twenty years of experience in utility construction, Mahesh has contributed key functionalities to IBM products including SPSS facts, SPSS Modeler, and SPSS Analytics Server.

firstly published at datascience.ibm.com on September 28, 2016.


A Pure Play On Self-service large records Prep And Analytics: wait for Smarter Valuation Entry factor | killexams.com Real Questions and Pass4sure dumps

No outcomes discovered, try new keyword!Many records scientists emerge from greater education courses with abilities in R, Python, SQL, IBM SPSS data, as an instance ... aspects however we did not see collaborative points, records certification/go...

IBM recognizes Aegis college of facts Science for building expertise in Analytics & information Science | killexams.com Real Questions and Pass4sure dumps

No result found, try new key phrase!right away the application grew to become some of the ultimate and most successful courses with deep inputs on laptop gaining knowledge of, NLP, facts, R, Python, Hadoop, Spark, Cognitive computing, IBM SPSS, IBM infospher...

Whilst it is very hard task to choose reliable exam questions / answers resources regarding review, reputation and validity because people get ripoff due to choosing incorrect service. Killexams. com make it certain to provide its clients far better to their resources with respect to exam dumps update and validity. Most of other peoples ripoff report complaint clients come to us for the brain dumps and pass their exams enjoyably and easily. We never compromise on our review, reputation and quality because killexams review, killexams reputation and killexams client self confidence is important to all of us. Specially we manage killexams.com review, killexams.com reputation, killexams.com ripoff report complaint, killexams.com trust, killexams.com validity, killexams.com report and killexams.com scam. If perhaps you see any bogus report posted by our competitor with the name killexams ripoff report complaint internet, killexams.com ripoff report, killexams.com scam, killexams.com complaint or something like this, just keep in mind that there are always bad people damaging reputation of good services due to their benefits. There are a large number of satisfied customers that pass their exams using killexams.com brain dumps, killexams PDF questions, killexams practice questions, killexams exam simulator. Visit Killexams.com, our test questions and sample brain dumps, our exam simulator and you will definitely know that killexams.com is the best brain dumps site.

[OPTIONAL-CONTENTS-2]


HP0-J46 test prep | 101-01 examcollection | BCP-811 study guide | 000-181 exam questions | DEV-501 questions and answers | 300-209 brain dumps | HP0-429 sample test | 200-401 practice questions | 190-722 free pdf | ST0-47W practice questions | HP2-T14 VCE | HP0-717 practice test | HP0-S33 dumps | 000-851 mock exam | CAT-020 test questions | MB2-714 brain dumps | 132-S-100 study guide | 650-295 dump | 117-202 questions answers | 4H0-004 practice test |


Precisely same IBMSPSSSTATL1P questions as in real test, WTF!
killexams.com top notch IBMSPSSSTATL1P exam simulator (IBMSPSSSTATL1P exam simulator) is to a great degree empowering for our customers for the exam prep. Enormously crucial questions, focuses and definitions are included in brain dumps pdf. Social event the data in a single place is a bona fide help and causes you prepare for the IT accreditation exam inside a concise time span navigate. The IBMSPSSSTATL1P exam offers key core interests. The killexams.com pass4sure dumps holds the basic questions, brain dumps or thoughts of

Are you searching for Pass4sure IBM IBMSPSSSTATL1P Dumps containing real exam Questions and Answers for the IBM SPSS Statistics(R) Certification Level 1 (formerly PASW Statistics) test prep? we offer most updated and quality supply of IBMSPSSSTATL1P Dumps that's http://killexams.com/pass4sure/exam-detail/IBMSPSSSTATL1P. we have got compiled an information of IBMSPSSSTATL1P Dumps questions from actual tests so as to allow you to prepare and pass IBMSPSSSTATL1P exam on the first attempt. killexams.com Discount Coupons and Promo Codes are as under; WC2017 : 60% Discount Coupon for all exams on website PROF17 : 10% Discount Coupon for Orders larger than $69 DEAL17 : 15% Discount Coupon for Orders larger than $99 SEPSPECIAL : 10% Special Discount Coupon for All Orders You ought to get the recently updated IBM IBMSPSSSTATL1P Braindumps with the particular answers, that are ready via killexams.com specialists, permitting the candidates to understand experience regarding their IBMSPSSSTATL1P exam path within the most, you will realize IBMSPSSSTATL1P exam of such nice quality is not available anywhere within the marketplace. Our IBM IBMSPSSSTATL1P brain Dumps are given to candidates at acting 100% of their test. Our IBM IBMSPSSSTATL1P exam dumps are within the marketplace, providing you with an opportunity to place along in your IBMSPSSSTATL1P exam within the right manner.

killexams.com helps a large number of competitors pass the [GV] exams and get their certifications. We have a huge number of successful audits. Our IBMSPSSSTATL1P dumps are dependable, reasonable, updated and of really best quality to defeat the troubles of any IT certifications. killexams.com IBMSPSSSTATL1P exam dumps are latest updated in exceedingly clobber way on consistent premise and material is discharged intermittently. Latest killexams.com IBMSPSSSTATL1P dumps are accessible in testing focuses with whom we are keeping up our relationship to get latest material.

killexams.com IBMSPSSSTATL1P exam study guides are setup by IT experts. Bunches of understudies have been grumbling that an excessive number of questions in such a significant number of practice exams and study aides, and they are simply worn out to manage the cost of any more. Seeing killexams.com specialists work out this extensive rendition while still guarantee that all the information is secured after profound research and examination. Everything is to make accommodation for applicants on their street to IBMSPSSSTATL1P exam.

We have Tested and Approved IBMSPSSSTATL1P Exams. killexams.com gives the most precise and latest IT exam materials which nearly contain all learning focuses. With the guide of our IBMSPSSSTATL1P study materials, you don't need to squander your chance on perusing greater part of reference books and simply need to burn through 10-20 hours to ace our IBMSPSSSTATL1P real questions and answers. What's more, we give you PDF Version and Software Version exam questions and answers. For Software Version materials, Its offered to give the competitors reenact the IBM IBMSPSSSTATL1P exam in a real situation.

We give free update. Inside legitimacy period, if IBMSPSSSTATL1P brain dumps that you have obtained updated, we will educate you by email to download latest rendition of Q&A. On the off chance that you don't pass your IBM IBM SPSS Statistics(R) Certification Level 1 (formerly PASW Statistics) exam, We will give you full refund. You have to send the examined duplicate of your IBMSPSSSTATL1P exam report card to us. after affirming, we will rapidly give you FULL REFUND.

killexams.com Huge Discount Coupons and Promo Codes are as under;
WC2017: 60% Discount Coupon for all exams on website
PROF17: 10% Discount Coupon for Orders greater than $69
DEAL17: 15% Discount Coupon for Orders greater than $99
DECSPECIAL: 10% Special Discount Coupon for All Orders


On the off chance that you get ready for the IBM IBMSPSSSTATL1P exam utilizing our testing engine. It is anything but difficult to prevail for all certifications in the first attempt. You don't need to manage all dumps or any free deluge/rapidshare all stuff. We offer free demo of every exam Dumps. You can look at the interface, question quality and convenience of our practice exams before you choose to purchase.


Killexams 000-R03 sample test | Killexams ASWB free pdf download | Killexams C2210-422 bootcamp | Killexams 6007 exam prep | Killexams HPE0-S48 test prep | Killexams E20-350 Practice Test | Killexams HP0-311 braindumps | Killexams E05-001 dumps | Killexams HP0-655 exam questions | Killexams 648-385 free pdf | Killexams 300-550 free pdf | Killexams EE0-512 real questions | Killexams 920-464 mock exam | Killexams 000-M234 study guide | Killexams 190-833 practice test | Killexams 920-332 questions answers | Killexams 646-048 braindumps | Killexams M8060-730 questions and answers | Killexams LOT-804 test questions | Killexams ST0-248 braindumps |


[OPTIONAL-CONTENTS-5]

View Complete list of Killexams.com Brain dumps


Killexams 922-102 brain dumps | Killexams 000-780 free pdf | Killexams 00M-242 questions and answers | Killexams VCAC510 braindumps | Killexams 000-736 practice exam | Killexams 000-994 test questions | Killexams CIA-III-2012 exam prep | Killexams HP0-J28 dumps | Killexams C2010-568 mock exam | Killexams HD0-400 Practice test | Killexams A2180-270 dumps questions | Killexams 250-407 practice test | Killexams HH0-400 Practice Test | Killexams A2010-570 free pdf | Killexams HP2-K31 sample test | Killexams C2010-650 VCE | Killexams CUR-051 practice questions | Killexams 000-731 test prep | Killexams ABV pdf download | Killexams MB2-706 cram |


IBM SPSS Statistics(R) Certification Level 1 (formerly PASW Statistics)

Pass 4 sure IBMSPSSSTATL1P dumps | Killexams.com IBMSPSSSTATL1P real questions | [HOSTED-SITE]

Reliability of Telemedicine in the Assessment of Seriously Ill Children | killexams.com real questions and Pass4sure dumps

Reliability of Telemedicine in the Assessment of Seriously Ill Children | Articles | Pediatrics

'); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos); } } //-->


Variability in screening prevention activities in primary care in Spain: a multilevel analysis | killexams.com real questions and Pass4sure dumps

The recorded screening ranges from 36.6% for tobacco to 64.4% for dyslipidaemia, with major differences between the 2 Spanish regions studied. These results are similar to other studies based on electronic databases [21,35]. Nonetheless, they are lower than results based on self-reports by health professionals [14,36] and patients [37]. Some of the problems of electronic databases are well known: underreporting during the first years of implementation, variability resulting from heterogeneity in coding, using open-text fields to record activity without linking it to a diagnosis, etc. [18,35,38,39]. All of these may explain disparities between studies. Despite the progressive increase in the recording of prevention activities [10], PHC screening activity remains low and can be greatly improved, especially with respect to tobacco and alcohol use. Advice on drinking behaviour is least often provided, probably due to a reluctance to ask patients about it unless there are clear signs of risky drinking behavior [40].

Our results agree in part with other studies in which practitioners from large urban areas reported more prevention services involving alcohol and drugs, while respondents in rural areas reported fewer screening procedures [15]. The studied PHC teams in Catalonia were more urban and their patients had a higher prevalence of all screenings, but especially for tobacco and alcohol use, than those in Navarre.

The most prevalent screening is for hypertension and dyslipidemia, which have the lowest unexplained variability between PHC teams and GPs, respectively, after adjusting for individual and contextual factors. A possible explanation is that these screenings, primarily related to the prescription of medications, are easier and preferred over lifestyle modification activities by some GPs [41]. On the other hand, tobacco and alcohol screening had the highest variability between PHC teams and GPs, respectively, that could not be explained by the contextual factors studied.

Overall, the odds of being screened were higher for women, older patients, those with more comorbidities, more cardiovascular risk factors, and more frequent office visits, and those assigned to a female GP, a GP with a lower patient load, or a PHC team with a lower percentage of patients older than 65 years. Region was the most important contextual factor at the PHC team level.

Morbidity was positively related to screening for hypertension, dyslipidemia, and obesity, as in other studies [12,17], showing that GPs take a more proactive approach to screening in patients with more pathologies. Regardless of the type of screening, patients with previously identified cardiovascular risk were more likely to be screened, perhaps due to the need to obtain information to calculate cardiovascular risk and determine appropriate treatment. In the case of at-risk drinkers, the only associations observed were with screening for dyslipidemia and for tobacco use, reflecting the approach to preventing consumption of addictive substances.

At the GP level, female GPs were more likely to screen for dyslipidemia levels and tobacco use, as in other studies of prevention activities [14-16,42,43]. Our study showed that increased patient coverage is associated with less screening, specifically hypertension and tobacco, as in other studies [12]. Similarly, at the PHC team level, having a high percentage of elderly patients was negatively associated with some screening activities [12]. This may be due to the increased work load and lack of time for carrying out preventive services that is perceived by PHC professionals [44].

At the PHC team level, contextual variables better explained major variability (more than 80% in the case of hypertension and alcohol), compared to the GP-level variables. The larger contextual PHC team-level effect was determined by the region. Possible differentiating factors include the software used by each region, because software design can determine what health professionals record [18,45], and organizational aspects inherent to the different health care policies in each region, such as economic incentives to conduct certain prevention activities, the rurality of the region, or sociocultural and socioeconomic aspects that affect individual behaviors. With regard to financial incentives, evidence suggests that they might be effective in changing the practice of healthcare professionals [46]. However, a lower level of screening was recorded in PHC teams from Navarre, where they had more incentives related to the studied screenings. This discrepancy may be explained by the variable “region”, which could act as a proxy for other important unobserved organizational and socioeconomic variables.

Limitations and strengths

Our study has several limitations that must be acknowledged. It was based on a registry of daily clinical activity at the point when computerization of PHC health records had just begun to mature. The acquisition of good recording habits and the changes that occurred in the software over time could have affected the recording of clinical activity [39,47]. Finally, available programs did not allow adequate recording of the activities conducted by nursing professionals, despite their important role in prevention [10].

Due to differences in the implementation of electronic health records and the availability of data only 2 regions of Spain were included in the study. Future studies, with more regions, are needed to estimate the association between region-specific characteristics and screening. Other factors should be factored in to improve the quality of data collection: 1) Training of basic computer skills to health professionals; 2) Training of health professionals to adequately use and to keep up to date with the ECR; 3) Incentives, financial and otherwise, to increase the motivation of health professionals toward achieving a better completeness and quality of data. In addition, harmonization of variables and codification systems should be improved to enable information-system interoperability and data sharing for research [48].

Major strengths of the present study include its large sample size and multilevel random slopes. The large sample size drawn from REGIPREV, a database specífically focused on prevention activities, provided a broad view of PHC screening implementation. A multilevel approach allows us to separate the potential sources of variability (individual, GP and PHC team) and to control for clustering effects. The random slopes analysis contributes to examining whether the PHC team or GP environment as a whole would modify individual-level associations, without specifying any contextual factors. Moreover, it may show whether contextual influences have a different impact on screening for certain groups of individuals [32].

Variation remained statistically significant at the PHC team and GP level, even after accounting for individual and contextual factors. Future research should explore whether other individual factors (e.g., variables specific to each screening) and contextual features (such as factors linked to PHCT organization, changes in the software, nurses assigned to the patient, reminder alerts or feedback to GPs concerning prevention activities, etc.) may account for variation in the screening registry. Moreover, the random slopes analysis would allow the examination of contextual effects that pertain to specific groups of people and of cross-level interactions to establish PHC team-individual or GP-individual causal pathways.


Blood pressure and hypertension in athletes: a systematic review | killexams.com real questions and Pass4sure dumps

Introduction

In Western countries, the prevalence of hypertension has been reported as 14.4% and 21.2% in men aged 20–29 and 30–39 years, respectively, and as 6.2% and 9.9% in women in the same age group.1 High blood pressure (BP) at a young age predicts cardiovascular mortality and morbidity decades later.2 ,3

High BP is the most common abnormal finding during preparticipation cardiac screening of athletes.4–8 The prognostic significance of high BP in athletes is unknown, but still athletes with BP <160/100 mm Hg are given the license to continue with sport participation if they have no signs of end organ damage, such as pathological left ventricular hypertrophy.9 Increased left ventricular mass is considered as subclinical organ damage in people with hypertension.10 ,11 As several studies have demonstrated increased left ventricular mass and increased left atrium size in athletes,12 it is possible that high BP may be a contributing factor13 ,14 that may also link to the increased risk of atrial fibrillation in endurance athletes.15–17 Hence, there is increasing interest in BP in athletes.14 ,18 ,19 BP measurement during preparticipation screening of athletes should be performed according to ‘best clinical care’,20 as outlined in the European Society of Cardiology's guidelines, with hypertension defined as systolic BP (SBP) ≥140 mm Hg and/or diastolic BP (DBP) ≥90 mm Hg after repeated measurements.21 We aimed to review BP and prevalence of hypertension in different athletes, and study the association between increasing BP and left ventricular hypertrophy.

Methods Literature search

We performed a systematic review of studies reporting BP in athletes by using a comprehensive search strategy developed for PubMed and EMBASE (see online supplementary material). The medical subject headings and text words were: ‘Athlete’, ‘Sport and Professional’, ‘Exercise Test’ and ‘Sudden Death’, combined with ‘Blood Pressure’ or ‘Hypertension’. The electronic search was restricted to studies published before 6 April 2014. In addition, we manually searched reference lists of reviews and original study articles, and our own archive.

Inclusion and exclusion criteria

We searched for studies of athletes that reported BP or prevalence of hypertension, using the studies’ own definitions of hypertension. We included studies of ≥100 athletes, with mean or median age between 18 and 40 years, of any epidemiological design (with or without follow-up, and with or without controls), and reported in English language. We excluded studies that were only presented as conference abstracts. If there were more than one publication from the same group, we used the record with most participants, or the newest, if the number of participants were the same. When in doubt, we contacted the corresponding authors.

Outcome variables

The primary outcome variable was BP or prevalence of hypertension in different categories of athletes (defined by gender, ethnicity, sports discipline or level of athletic activity). Secondary outcome variables were (1) method for measurement of BP and (2) association between BP and left ventricular hypertrophy (determined by left ventricular mass or relative wall thickness on echocardiography or by voltage criteria on ECG).

Extraction of data

All data were extracted by one reviewer (CBI) and checked by another reviewer (HMB), using a standardised data extraction sheet.

Statistical analysis

Differences between subgroups of athletes were analysed using t tests for continuous variables. Data are presented as mean with SD. A p<0.05 was considered statistically significant and all tests were two-tailed. The statistical analyses were conducted using SPSS (PASW Statistics 21; IBM Corporation 2013, Armonk, New York, USA).

Results Study selection

The searches retrieved a total of 4433 records (figure 1). After addition of studies from other sources and removal of duplicates, 3723 records remained. Screening of titles and abstracts excluded 2896 and 361, respectively. Another 404 studies did not meet the inclusion criteria, 9 were duplicate reports, and 2 studies were not available. The remaining 51 studies were included in the review.

Figure 1

Flow chart illustrating search strategy.

Study characteristics

Table 1 shows characteristics of the 51 studies, including a total of 138 390 athletes, with a median number of 434 athletes (range 10022–42 386 athletes23). Sixteen studies included non-athletes as controls and the median number of controls was 176 (range 26–9997). The mean or median age of the athletes in all studies was between 18 and 40 years, and about half of the studies had participants within this range only; however, several studies included participants with an age outside this range. Twenty studies included males only and across the 31 studies of both genders, 72.5% were males.

Table 1

Study characteristics

Most studies (28) included athletes from different sports disciplines, but 16 included athletes from only one discipline, eg, soccer (4),13 ,24–26 American football (3),27–29 triathlon (2)30 ,31 and long distance running (2);16 ,32 other studies classified sports disciplines as either endurance sports, strength sports or a mixture of the two (table 1). The athletes’ level of competition was described in 50 studies and ranged from participation in amateur sport to the Olympic Games. Hours of training per week or previous years of vigorous training were given in 24 studies, and ranged from 4 to 28 h a week and from 2 to 30 years, respectively.

BP in athletes

Table 2 shows BP and prevalence of hypertension in the same studies. Among the 34 studies that reported BP, two-thirds had BP in the prehypertensive range (SBP ≥120–139 and/or DBP ≥80–89 mm Hg).33 Mean SBP varied from 109±11 mm Hg (intercollegiate female college athletes (mean age 20 years))34 to 137.9±7.1 mm Hg (Italian male strength sports athletes (mean age 27.2 years)).35 Mean DBP ranged from 56.9±11.5 mm Hg (young college level athletes in the USA (mean age 18.4 years))36 to 92.2±9.6 mm Hg (male Chinese strength sports athletes with mean body weight 130 kg (mean age 21.7 years)).34 No studies reported ambulatory BP measurements.

Table 2

Blood pressure and prevalence of hypertension

Among the 16 studies that included non-athletes as controls, BP was lower in athletes than in controls in 9 studies and higher in athletes in 7 studies (figure 2). Only 3 of the 16 studies reported prevalence of hypertension in controls and 2 studies found more hypertension among athletes than controls. Overall, there was no significant difference in BP between athletes and controls.

Figure 2

Mean systolic blood pressure (SBP; continuous line) and diastolic blood pressure (DBP; dotted line) in athletes (black squares) and controls (grey circles).

Figure 3 shows the mean BP in different categories of athletes. Males had significantly higher BP than females (121.2±4.5/75.1±2.9 vs 113.5±2.9/71.9±2.6 mm Hg, p<0.05), but there was no significant difference in SBP between white and black athletes. We found that strength-trained athletes had higher BP than endurance-trained athletes (131.3±5.3/77.3±1.4 vs 118.6±2.8/71.8±1.2 mm Hg, p<0.05), while there was a trend towards higher BP in athletes training ≥10 h/week compared with those training <10 h/week (121.8±3.8/73.8±2.5 vs 117.6±3.3/66.8±6.9 mm Hg, p=0.058). There was no major difference between American football, soccer, triathlon and long distance running (figure 4).

Figure 3

Blood pressure (BP) in relation to gender, ethnicity, type of training and hours of training per week.

Figure 4

Blood pressure (BP) in different sports disciplines.

Prevalence of hypertension in athletes

Hypertension was defined in 11 different ways in the 25 studies presenting a definition (table 2). The most often used criteria for hypertension ranged from SBP ≥140 or DBP ≥90 mm Hg to BP>140/90 mm Hg. The lowest cut-off value for hypertension was BP ≥130/85 mm Hg37 and the highest cut-off value was ≥160/95 mm Hg.27 Three studies also used antihypertensive medication to define hypertension,18 ,29 ,34 one accepted self-reported hypertension18 and one only included participants with BP≤120/80 mm Hg.38

The prevalence of hypertension varied from 83%34 to 0% (table 2).39 ,40 The prevalence of hypertension was lower in studies that were restricted to athletes within the age range 18–40 years and six studies excluded patients with high BP, mostly >140/90 mm Hg.38–43

Method of measurement of BP in athletes

Some descriptions of measurement methods were present in 21 studies (figure 5; see online supplementary figure S3). BP was measured in the sitting position in 10 studies and in a supine position in 6 studies. At least 5 min of rest prior to BP recordings was required in 11 studies, while only 4 informed about time from physical activity to BP measurement.6 ,13 ,44 ,45 Athletes abstained from caffeine and/or smoking prior to BP recordings in two studies6 ,44 and no studies informed about the physical environment where the BP measurements took place. Only eight studies reported whether an appropriate cuff size was used. In the eight studies using a ‘standard’ mercury sphygmomanometer, the method of measurement performance was reported in three studies.45–47 Only the three studies that used an automated BP device reported the device type and manufacturer.13 ,26 ,29 A single measurement was used in five studies, but repeated in three of these if BP was high. The lowest of these values was registered in two studies18 ,48 and the highest in one.27 BP was recorded two and three times in six and four studies, respectively, and there was a significant difference in SBP between one and two BP recordings (127±4.7 vs 118±4.0 mm Hg, p<0.05). Choice of arm for measurement was presented in five studies and no study measured BP in both arms. Three studies recommended repeated BP recordings on a separate occasion if the BP was elevated. Only one study referred athletes with elevated office BP to ambulatory BP measurement.49

Figure 5

Number of studies describing each of the recommended elements in blood pressure measurements.

Association between BP and left ventricular hypertrophy

Three of the four studies relating high BP to left ventricular hypertrophy showed a significant positive linear association, either between BP and indexed left ventricular mass,13 between resting SBP and left ventricle mass and left ventricle wall thickness,49 or between SBP and the RaVL lead in ECG.29 One study found no association between SBP and relative wall thickness.30

Discussion

The most striking finding in this review was that the methods of BP measurement in athletes were poorly standardised and varied widely. The Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure states that at least two measurements shall be made and the averaged recorded,33 and the European guidelines state that BP shall be measured three times after 5–10 min rest in the sitting position and the mean of the last two measurements shall be registered.21 The IOC has recommended BP recordings from both arms during preparticipation cardiac screening.50 All guidelines also recommend use of ambulatory BP measurements, but nearly all studies in our review were negligent to all these recommendations, as was a study among general practitioners in the UK.51

Given this background, it was difficult to give an estimate of BP or prevalence of hypertension in athletes. Naturally, the prevalence will be dependent on the definition of hypertension and varied from 0% to 83% in a subgroup of heavy weightlifters. The study with the lowest cut-off value (≥130/85 mm Hg) also had the highest overall prevalence of hypertension (45.1%, compared with 17% in an age-matched and gender-matched control group).37 The study with the highest cut-off value for hypertension (≥160/90 mm Hg) still reported a prevalence of 9.5%,27 but this study included athletes with the highest age (36.4±4.5 years), and selectively reported the highest of the measured BPs.

Two-thirds of the studies reported mean BP in the prehypertensive range. There are several possible explanations for this. First, in many of these studies, BP was measured only once and one recording is often higher than the mean of two recordings. Second, the cuff size might have been too small for the muscular upper arms of athletes, which means that BP is measured falsely too high since only a minority of studies reported if they had used an appropriate cuff size. Third, the environment was probably not quiet in most studies and the athletes had no rest prior to the BP recordings. Fourth, the BP was recorded postseason. In a recent study of 132 professional American-style football participants, both SBP and DBP increased significantly from before to after the season.14 There is also the possibility that many athletes do have BP in the prehypertensive range, as suggested by several studies in this review and as supported by the trend towards a higher BP in athletes training ≥10 h/week than in those training <10 h/week. Physical activity has a well-known BP-lowering effect in the general population33 and studies of ‘exercise as medicine’ report a decrease in BP of 4–9 mm Hg33; but the amount of physical activity in these studies is often limited to 30 min most days a week. In our review, most athletes were ‘elite’ or ‘professional’, training on average 14.4 h per week or had been training vigorously for an average of 8.8 years, and it may well be that BP reacts differently to such amounts of training than to more moderate amounts of physical activity. There can be many biological reasons for high BP in athletes. First, the mental stress associated with competition at a high level might increase the athletes’ BP, as indicated by the finding of a larger difference in SBP between professional athletes and controls (4.4 mm Hg, p=0.350), than that between non-professional athletes and controls (0.2 mm Hg, p=0.916, data not shown). Second, BP might be increased due to ‘spurious systolic hypertension’ when BP is measured in the upper arm in athletes.52 Third, some athletes might use BP-increasing drugs, as shown in several studies,18 ,53 which is an argument for collecting information about use of medication during preparticipation screening of athletes.33

We also found interesting differences between subgroups of athletes. For example, male athletes had significantly higher BP than female athletes; this was also found in a small study of 15 pairs in sports dancing, which showed that male dancers had significantly higher BP than their female counterparts, despite similar levels of training.54 We also found higher BP and a higher prevalence of hypertension in strength-trained athletes than in endurance-trained athletes, in accordance with the ‘Morganroth hypothesis’.55 The highest prevalence of hypertension, of 83.0%, was found in professional male Chinese strength athletes, predominantly weightlifters, in the unlimited maximum body weight class.33

There is increasing concern about the effects of vigorous, long-term athletic training on cardiovascular health56–58 and it is possible that some of the harmful effects may be mediated through high BP. High BP in adulthood increases risk of cardiovascular disease in the general population2 ,3; we and others have found an association between high BP and left ventricular hypertrophy in athletes.13 ,54 ,59 Whether this is a benign physiological adaptation to high BP or a beginning of pathological remodelling is not known. It may also be that left ventricular hypertrophy provokes hypertension or that other factors confound the association between high BP and left ventricular hypertrophy. High BP may also be a part of the explanation for the fivefold increased risk of atrial fibrillation in endurance athletes15 ,60–62 and exercise-induced arrhythmogenic right ventricular cardiomyopathy56 through repeated bouts of high BP on myocyte junctions in the atria and the ventricles.

Clinical impact and conclusions

BP and prevalence of hypertension in athletes varies considerably partly because of variations in measurement methods, but type and intensity of training seem to play a role. Strength-trained athletes have significantly higher BP than endurance-trained athletes and vigorous physical activity does not seem to reduce BP in athletes compared with controls. Some studies found an association between high BP and left ventricular hypertrophy, but the clinical impact of high BP in athletes is not known. Future studies should adhere more rigorously to the recommendations for measurement of BP and should be designed to determine more precisely the prevalence, determinants and prognostic significance of hypertension in athletes.



Direct Download of over 5500 Certification Exams

3COM [8 Certification Exam(s) ]
AccessData [1 Certification Exam(s) ]
ACFE [1 Certification Exam(s) ]
ACI [3 Certification Exam(s) ]
Acme-Packet [1 Certification Exam(s) ]
ACSM [4 Certification Exam(s) ]
ACT [1 Certification Exam(s) ]
Admission-Tests [13 Certification Exam(s) ]
ADOBE [93 Certification Exam(s) ]
AFP [1 Certification Exam(s) ]
AICPA [2 Certification Exam(s) ]
AIIM [1 Certification Exam(s) ]
Alcatel-Lucent [13 Certification Exam(s) ]
Alfresco [1 Certification Exam(s) ]
Altiris [3 Certification Exam(s) ]
Amazon [2 Certification Exam(s) ]
American-College [2 Certification Exam(s) ]
Android [4 Certification Exam(s) ]
APA [1 Certification Exam(s) ]
APC [2 Certification Exam(s) ]
APICS [2 Certification Exam(s) ]
Apple [69 Certification Exam(s) ]
AppSense [1 Certification Exam(s) ]
APTUSC [1 Certification Exam(s) ]
Arizona-Education [1 Certification Exam(s) ]
ARM [1 Certification Exam(s) ]
Aruba [6 Certification Exam(s) ]
ASIS [2 Certification Exam(s) ]
ASQ [3 Certification Exam(s) ]
ASTQB [8 Certification Exam(s) ]
Autodesk [2 Certification Exam(s) ]
Avaya [96 Certification Exam(s) ]
AXELOS [1 Certification Exam(s) ]
Axis [1 Certification Exam(s) ]
Banking [1 Certification Exam(s) ]
BEA [5 Certification Exam(s) ]
BICSI [2 Certification Exam(s) ]
BlackBerry [17 Certification Exam(s) ]
BlueCoat [2 Certification Exam(s) ]
Brocade [4 Certification Exam(s) ]
Business-Objects [11 Certification Exam(s) ]
Business-Tests [4 Certification Exam(s) ]
CA-Technologies [21 Certification Exam(s) ]
Certification-Board [10 Certification Exam(s) ]
Certiport [3 Certification Exam(s) ]
CheckPoint [41 Certification Exam(s) ]
CIDQ [1 Certification Exam(s) ]
CIPS [4 Certification Exam(s) ]
Cisco [318 Certification Exam(s) ]
Citrix [48 Certification Exam(s) ]
CIW [18 Certification Exam(s) ]
Cloudera [10 Certification Exam(s) ]
Cognos [19 Certification Exam(s) ]
College-Board [2 Certification Exam(s) ]
CompTIA [76 Certification Exam(s) ]
ComputerAssociates [6 Certification Exam(s) ]
Consultant [2 Certification Exam(s) ]
Counselor [4 Certification Exam(s) ]
CPP-Institue [2 Certification Exam(s) ]
CPP-Institute [1 Certification Exam(s) ]
CSP [1 Certification Exam(s) ]
CWNA [1 Certification Exam(s) ]
CWNP [13 Certification Exam(s) ]
Dassault [2 Certification Exam(s) ]
DELL [9 Certification Exam(s) ]
DMI [1 Certification Exam(s) ]
DRI [1 Certification Exam(s) ]
ECCouncil [21 Certification Exam(s) ]
ECDL [1 Certification Exam(s) ]
EMC [129 Certification Exam(s) ]
Enterasys [13 Certification Exam(s) ]
Ericsson [5 Certification Exam(s) ]
ESPA [1 Certification Exam(s) ]
Esri [2 Certification Exam(s) ]
ExamExpress [15 Certification Exam(s) ]
Exin [40 Certification Exam(s) ]
ExtremeNetworks [3 Certification Exam(s) ]
F5-Networks [20 Certification Exam(s) ]
FCTC [2 Certification Exam(s) ]
Filemaker [9 Certification Exam(s) ]
Financial [36 Certification Exam(s) ]
Food [4 Certification Exam(s) ]
Fortinet [13 Certification Exam(s) ]
Foundry [6 Certification Exam(s) ]
FSMTB [1 Certification Exam(s) ]
Fujitsu [2 Certification Exam(s) ]
GAQM [9 Certification Exam(s) ]
Genesys [4 Certification Exam(s) ]
GIAC [15 Certification Exam(s) ]
Google [4 Certification Exam(s) ]
GuidanceSoftware [2 Certification Exam(s) ]
H3C [1 Certification Exam(s) ]
HDI [9 Certification Exam(s) ]
Healthcare [3 Certification Exam(s) ]
HIPAA [2 Certification Exam(s) ]
Hitachi [30 Certification Exam(s) ]
Hortonworks [4 Certification Exam(s) ]
Hospitality [2 Certification Exam(s) ]
HP [750 Certification Exam(s) ]
HR [4 Certification Exam(s) ]
HRCI [1 Certification Exam(s) ]
Huawei [21 Certification Exam(s) ]
Hyperion [10 Certification Exam(s) ]
IAAP [1 Certification Exam(s) ]
IAHCSMM [1 Certification Exam(s) ]
IBM [1532 Certification Exam(s) ]
IBQH [1 Certification Exam(s) ]
ICAI [1 Certification Exam(s) ]
ICDL [6 Certification Exam(s) ]
IEEE [1 Certification Exam(s) ]
IELTS [1 Certification Exam(s) ]
IFPUG [1 Certification Exam(s) ]
IIA [3 Certification Exam(s) ]
IIBA [2 Certification Exam(s) ]
IISFA [1 Certification Exam(s) ]
Intel [2 Certification Exam(s) ]
IQN [1 Certification Exam(s) ]
IRS [1 Certification Exam(s) ]
ISA [1 Certification Exam(s) ]
ISACA [4 Certification Exam(s) ]
ISC2 [6 Certification Exam(s) ]
ISEB [24 Certification Exam(s) ]
Isilon [4 Certification Exam(s) ]
ISM [6 Certification Exam(s) ]
iSQI [7 Certification Exam(s) ]
ITEC [1 Certification Exam(s) ]
Juniper [64 Certification Exam(s) ]
LEED [1 Certification Exam(s) ]
Legato [5 Certification Exam(s) ]
Liferay [1 Certification Exam(s) ]
Logical-Operations [1 Certification Exam(s) ]
Lotus [66 Certification Exam(s) ]
LPI [24 Certification Exam(s) ]
LSI [3 Certification Exam(s) ]
Magento [3 Certification Exam(s) ]
Maintenance [2 Certification Exam(s) ]
McAfee [8 Certification Exam(s) ]
McData [3 Certification Exam(s) ]
Medical [69 Certification Exam(s) ]
Microsoft [374 Certification Exam(s) ]
Mile2 [3 Certification Exam(s) ]
Military [1 Certification Exam(s) ]
Misc [1 Certification Exam(s) ]
Motorola [7 Certification Exam(s) ]
mySQL [4 Certification Exam(s) ]
NBSTSA [1 Certification Exam(s) ]
NCEES [2 Certification Exam(s) ]
NCIDQ [1 Certification Exam(s) ]
NCLEX [2 Certification Exam(s) ]
Network-General [12 Certification Exam(s) ]
NetworkAppliance [39 Certification Exam(s) ]
NI [1 Certification Exam(s) ]
NIELIT [1 Certification Exam(s) ]
Nokia [6 Certification Exam(s) ]
Nortel [130 Certification Exam(s) ]
Novell [37 Certification Exam(s) ]
OMG [10 Certification Exam(s) ]
Oracle [279 Certification Exam(s) ]
P&C [2 Certification Exam(s) ]
Palo-Alto [4 Certification Exam(s) ]
PARCC [1 Certification Exam(s) ]
PayPal [1 Certification Exam(s) ]
Pegasystems [12 Certification Exam(s) ]
PEOPLECERT [4 Certification Exam(s) ]
PMI [15 Certification Exam(s) ]
Polycom [2 Certification Exam(s) ]
PostgreSQL-CE [1 Certification Exam(s) ]
Prince2 [6 Certification Exam(s) ]
PRMIA [1 Certification Exam(s) ]
PsychCorp [1 Certification Exam(s) ]
PTCB [2 Certification Exam(s) ]
QAI [1 Certification Exam(s) ]
QlikView [1 Certification Exam(s) ]
Quality-Assurance [7 Certification Exam(s) ]
RACC [1 Certification Exam(s) ]
Real-Estate [1 Certification Exam(s) ]
RedHat [8 Certification Exam(s) ]
RES [5 Certification Exam(s) ]
Riverbed [8 Certification Exam(s) ]
RSA [15 Certification Exam(s) ]
Sair [8 Certification Exam(s) ]
Salesforce [5 Certification Exam(s) ]
SANS [1 Certification Exam(s) ]
SAP [98 Certification Exam(s) ]
SASInstitute [15 Certification Exam(s) ]
SAT [1 Certification Exam(s) ]
SCO [10 Certification Exam(s) ]
SCP [6 Certification Exam(s) ]
SDI [3 Certification Exam(s) ]
See-Beyond [1 Certification Exam(s) ]
Siemens [1 Certification Exam(s) ]
Snia [7 Certification Exam(s) ]
SOA [15 Certification Exam(s) ]
Social-Work-Board [4 Certification Exam(s) ]
SpringSource [1 Certification Exam(s) ]
SUN [63 Certification Exam(s) ]
SUSE [1 Certification Exam(s) ]
Sybase [17 Certification Exam(s) ]
Symantec [134 Certification Exam(s) ]
Teacher-Certification [4 Certification Exam(s) ]
The-Open-Group [8 Certification Exam(s) ]
TIA [3 Certification Exam(s) ]
Tibco [18 Certification Exam(s) ]
Trainers [3 Certification Exam(s) ]
Trend [1 Certification Exam(s) ]
TruSecure [1 Certification Exam(s) ]
USMLE [1 Certification Exam(s) ]
VCE [6 Certification Exam(s) ]
Veeam [2 Certification Exam(s) ]
Veritas [33 Certification Exam(s) ]
Vmware [58 Certification Exam(s) ]
Wonderlic [2 Certification Exam(s) ]
Worldatwork [2 Certification Exam(s) ]
XML-Master [3 Certification Exam(s) ]
Zend [6 Certification Exam(s) ]





References :


Dropmark : http://killexams.dropmark.com/367904/11970542
Dropmark-Text : http://killexams.dropmark.com/367904/12907993
Blogspot : http://killexamsbraindump.blogspot.com/2017/12/dont-miss-these-ibm-ibmspssstatl1p-dumps.html
Wordpress : https://wp.me/p7SJ6L-2oF
Box.net : https://app.box.com/s/45xututg3xp601rfts7unsx77ra8ek5h






Back to Main Page

You really have to study hard. These questions are a big help and worth the price. Test Engine has specific steps which you need to follow in order to install it. But is a nice piece of software.

Rajesh | INDIA



I ordered this exam prep. The content is well formatted and pretty clean. I was able to use the PDF and the Test Engine to prepare. Quite helpful.

Lisa | UNITED STATES



Great Black Friday deal and good content. I am impressed

Mike | Anonymous



fast and easy order. No issues. I can't wait to pass this test!

teechee | UNITED STATES



Wouldn't have passed if I had not studied from this dump. Good job guys.

Mitul | INDIA



I did get about 80-85% of the questions in my exam. So it is a valid one.

James | UNITED STATES



What joy!
I passed my exam today.

Zan | UNITED KINGDOM



Good Content

Raj | UNITED STATES



Trying to download the updates. Pretty solid braindumps.

cpinkney | UNITED STATES



Excellent!

elixir | UNITED STATES



Good, Definitely worth the investment.

Tom | UNITED STATES



I just completed the test and got a 96%. missed only 2 questions.

Sahil | Franfurt



I thought i should thank you for assisting me to obtain my ITIL qualification. I received the exam on Thursday and i studied the moment i received it. I must say i was very nervous before the exam. Well I wrote and passed. The pass mark was 65% and I scored 92%.
Thank you so much guys.

Nahid | Bremen



I just completed my exam today and wanted to share the great news. Your study guide in combination with self study have helped me to achieve another certification. After the conclusion to this upcoming fall semester I plan to pursue my other goals... I hav

John | koln



Great Job. I passed my exam with score of 868. I got 100 questions and could finish the exam within 20 minutes, ofcourse after my two weeks of hard work.

Anon | Anon



I took my exam today and passed with a score of 87%. After taking the practise exam with all the 200+ questions included with your material and reading the student manual once I felt that I had no problem passing this exam. Great material!

JK | Dortmund



Today, I passed my Exam and I have to say that the your materials for the Exam helped get me into the right frame of mind for taking the exam. The Help button for each question is an invaluable feature. Great job getting this together!

Munchi | Rotterdam



I just had to say thank you so much for such a fantastic product ! I just completed my exam in 30 minutes with a score of 95%.

Angili | Emmen



I just took my Certification testing for Apple exam and passed it with full score. Your questions covered the essence of the exam material.

Madu | Nederland




I truely appreciate your prompt response. It has been nice doing business with you. I have already registered for the exam (taking it this weekend) and it went smooth as you assured. I plan to come back to your site in future for my other certification.

Priyanka | Ireland



Thanks a lot for your help. I have successfully completed my exams studying your materials. It was a great help by you.
"It was an excellent total immersion exams material."

Peter | Leeds UK





I just passed the exam with 90%. Thanks for your help.

Audreena | Norwich




hello again. First of all i'd like to inform you'll that i passed my oracle 1zo-042 exam with the help of your questions. I owe it all to you'll so thank you. Thank you so much. You really changed my life!

Viki | Belfast



Yesterday I cleared Solaris 9 Administration Certification Paper Part 1 ( CX 310-014). Your Cheat-Test paper is really very helpful. My test result was 91%.

Josef | Dundee



Hey Guys. I wanna thank you for helping me through providing 310-012 exam and Training Material. It is so good that I will recommend all my friends to use.

Josh | Cardiff



I just passed my Exam using your QA product. Thanks!

Reddy | Glasgow



Warm greetings and let me thank you so very much for the great stuff you are doing. I am now a 000-207 Certified. I passed all with flying colors.

Jessica | SD



I passed the written exam with 920. Thank you very much for your services. It was worth every penny of it.

Bella | VA



I just wanted you all to know that you have really changed my life. Recently I passed the CCSA exam and now just passed the CCSE exam. My employer is so delighted with my integrity that I just received a 12% pay increase. This is too good to be true. Thank

Mike | Victoria



I was feeling helpless for my exam and then find material at your website and passed with 90. thank you guys.

Racheal | colima



I purchased your products, it was great, really helped me pass the exam. thank you

Lisa | Mexico



I just bought the exam prep two days before writing my exam. I studied the guide inside out and wrote the exam in under 45 minutes! The most amazing part is that I passed with a score of 1000!! WOW, you are the greatest and I will always use your products.

Vishal | Lahor



Tried many websites for my 70-500 Exam Preparation but no vain and finally i tried your study material for my exam and it was impressive and I was able to clear Exam with confidence. thanks you very much!

Aalia | Deli



I will, you guys have always been really good whenever i buy stuff from u and need questions answering....keep up the good work
THANK YOU !

Jacob | Piaui



I passed the the NSO-111 with flying colors. Thank your for your help.

Mark | Para



You gusy Rock!
killexams.com provided everything you could want and made things very comfortable.

Tanisha | Sinop



Great products!! I passed the CCIE written exam on my first attempt!

Neesha | India



I have already given up...but your exam and study packs finally made me pass this CCNA exam!

Angus | Kansas



My company needed me to pass the CCIP exams, as we are a Service Provider offering more and more Voice Services. Great exam materials you provide!

Terah | San Angelo



I was lucky enough to use killexams.com for my 000-630 Certification Exam Training. The difference is clear. I passed the exam without a problem. Have you done it yet or not?

Kim | Lubbock



I am very happy with the performance of your 000-094 QA from you. It is no doubt the best.

Martin | Calgary



I just made it in the 000-215 Exam. Your 000-215 QA is outclass. Made it so easy for me to succeed.

Shila M. | Montana



I have passed all the 7 Windows 2000 MCSE tests with the help of your great guides. Those questions I met in my tests are very very similar, if not the same, with the ones in your guides. 70-220 and 70-221 are so difficult. I can't imagine how I could pass

Rosa | Monitoba



Hi, I passed today!!! I passed both my exams within ONE WEEK!!! THANK YOU VERY MUCH!!!

Aaron G. | vancouver



I just passed (310-025) SCJP test yesterday. Your guide is right on the money and almost covers every question word for word. Great work !

seagal | Edmonton



I passed my exam today with a score of 964. This was a difficult test but the preparation guide was very good. I would not have passed without the materials. Thank you very much for giving me the opportunity to better my life.

Illya | Alberta



Exam syo-101 Exam
I passed my exam today with no problem whatsoever. I just wanted to say a sincere thank you for the outstanding study guide. You guys are a phenomenal help when it comes to study assistance. Thanks and definitely expect to see me again.

Jackson | MJ



Exam 1Z0-040: 1Z0-040 passed!!!
I have passed my exam 59/60. You people are the boom. Thanks for the exam questions. They were so real!!

CJ | DC



Dear Support,
I passed (as you expected) the Sun Solaris Admin I (310-011) at first trial. Thank you so much.

Oshrit | Israel



Just thought I would let you know I took the CCDA test on Tuesday, like I planned and scored a 902!"

Lee W. | China



I have used your Exams for preparation for 70-290, 70-291, 70-292, 70-296, 70-298, 70- 299, 70-300, 70-305, 70-310, 70-315, 70-316,70-320. I also passed all those on the first round. I'm currently preparing for the CCNA.

Micheal C. | ON



Now my dream has come true. I thank you a million times for the best study guides that you provided to a poor kid like me....I got it. Finally MCSE.

Best regards,

kris J. | GTA



I passed my CCNA exam yesterday. I would like to make some comments. "Excellent Study Guide, Excellent Support Service, Excellent Examination Web Site"
Best Regards

Jason | California



Thanks for your study guides, i have passed it. All questions in your material, we study this only 2 days. Thanks very very much!!!!!

Micheal | US



Thanks very much for your study guides, with your help i only use 3 weeks to take the MCSE. Your study guides are very very good.

L. Woo | China



I passed the CCIE Written exam 350-001 last Friday, Thanks very much for your study guide and your help.

Mick H. | US



i ust wanted to thank you folks at braindumgalaxy.com for your assistance. I used your CCNP exams for practice and to identify my weak areas. Passed the CCNP recert on Tuesday without any big problems.

Hagit | Israel



I have found that your resources are probably the best on the market...and I work at Cisco.

Cisco Engineer | USA



A well Good morning Dear killexams.com Team I wanna say that I passed the 000-888 yesterday and i am happy

Koshani | NYC



I took the A+ hardware exam yesterday and thanks to your excellent and helping preparation material. I got a nice score.

Aized | Pakistan



I passed the exam with great distinction!

Nazanin | Toronto



Great Price....Great Product. Keep up the good work!

Xiwan W | China



So far your practice exams are extremely helpful. My test scores keep on going up every time I do them and I feel very confident now.

Ashwin | India



The exams was excellent and helped me pass without any doubt.Very helpful! Thank you! I passed!

Mike M | Dubai