Access to abstract permanently restricted to Ball State community only / Access to thesis permanently restricted to Ball State community only / School of Physical Education, Sport, and Exercise Science

A medida da pressão arterial é um procedimento fundamental para o diagnóstico e controle da hipertensão arterial. O objetivo do presente estudo foi identificar como é realizado o procedimento de medida indireta e registro da pressão arterial por profissionais de enfermagem. Trata-se de estudo quantitativo, observacional, de delineamento transversal. A amostra foi composta por 80 servidores lotados em cinco Unidades de Saúde do município de Londrina-Paraná, sendo 25 (31,3 %) enfermeiros, 24 (30%) técnicos de enfermagem e 31 (38,8 %) auxiliares de enfermagem. Para avaliar como os participantes realizam a medida indireta da pressão arterial, utilizamos como referência um instrumento formulado a partir das etapas para a medida da pressão descritas nas VI Diretrizes Brasileiras de Hipertensão. O registro do procedimento foi avaliado a partir de instrumento construído com base nas recomendações para registros de enfermagem do Conselho Regional de Enfermagem de São Paulo. Também identificamos a qualidade dos dispositivos utilizados para a medida da pressão arterial. Os resultados mostraram altos índices de \"não realização\" (93,8% a 100%) das etapas referentes ao preparo do paciente para a medida da pressão. As etapas relacionadas diretamente à obtenção do valor pressórico apresentaram índices de 3,8% a 100% na categoria \"incorreta\", sendo os piores resultados relacionados a inflação e deflação da bolsa de borracha. As etapas: \"obter a circunferência braquial no ponto médio do braço\" e \"selecionar manguito de tamanho adequado à circunferência do braço\" não foram realizadas por 100% e 96,3% dos participantes, respectivamente. Na sua totalidade, os profissionais se limitaram a registrar o valor da pressão arterial e, na maioria das anotações, não houve identificação do participante pelo registro profissional (96, 3%) ou pela assinatura (93,8%) e não há referência ao horário da anotação (70,9%). Em relação aos equipamentos, a calibração não é aferida na rotina dos serviços e não há disponibilidade de manguitos de tamanhos variados. Esses achados permitem concluir que há importantes lacunas relacionadas à prática adotada pela equipe de enfermagem para a medida da pressão arterial, indicando a necessidade de implementação de medidas educativas / Blood pressure measurement is an essential procedure to the diagnosis and control of hypertension. The aim of this study was to identify how the indirect measurement and recording of blood pressure was performed by members of the nursing profession. This is a quantitative, observational and cross-sectional study with a sample comprised of 80 professional workers from five different Health Centers in the municipality of Londrina, Paraná. Among these professional workers, twenty-five (31,1%) were nurses, 24 (30%) were nurse technicians and 31 (38,8%) were auxiliary nurses. In order to assess the way the participants performed the indirect measurement of blood pressure, a tool which is based on the steps proposed by the 6th Brazilian Guidelines for Hypertension for BP readings was used. In order to assess the recordings made by the workers, it was used a tool which is based on the recommendations put forward by the São Paulo Regional Board of Nursing for recordings in this field. The quality of the devices used for BP measurement was also inspected. The results of this study have showed that a large number of participants (93,8% to 100%) failed to follow the steps concerning the preparation of the patient for the reading. For the steps that were directly related to the measurement of the blood pressure itself, the percentages obtained for the \"incorrect\" category ranged from 3,8% to 100%. The worst results achieved in this case were those related to the inflation and deflation of the rubber bladder. Around 100% of the participants did not contemplate the step \"Obtaining the upper arm circumference at a middle point\" and 96,3% of them did not follow the step \"Choosing the appropriate cuff size for the upper arm circumference\". Most workers only recorded the blood pressure readings, therefore leaving out their professional registers (96,3), their signatures (93,8%) and the time the reading was done (70,9%). The calibration of the devices used in this procedure is not done on regular basis and there is only one size of cuff available. The findings of this study show that there are several important gaps that need to be filled in regard to the procedure adopted by the nursing staff when measuring blood pressure. They also indicate the need to implement professional training

Kyoto University (京都大学) / 0048 / 新制・課程博士 / 博士(工学) / 甲第16852号 / 工博第3573号 / 新制||工||1540(附属図書館) / 29527 / 京都大学大学院工学研究科材料工学専攻 / (主査)教授 田中 功, 教授 乾 晴行, 准教授 宇田 哲也 / 学位規則第4条第1項該当

This Thesis describes the design, assembly, programming, and evaluation of the BLDS-M-RAKE, the newest addition to the family of devices called the Boundary Layer Data System (BLDS). The BLDS-M-RAKE is a continuation of the BLDS-M series of devices, a modular approach with updated electronics for boundary layer measurements. The BLDS-M-RAKE records data from a number of sensors, intended to be routed to an array of probes, or rake. Through preliminary testing, a new flexible manifold design from molded silicone and the hardware used on the RFduino development boards from the BLDS-M proof-of-concept modules were validated for use in the final prototype design. A PCB was designed to house a Simblee System on a Chip (SOC), 11 Honeywell pressure sensors, a microUSB socket, a microSD socket, a DC-DC boost regulator, and two AAA cells. The SOC was then programmed in C++ with the Arduino IDE. The Simblee was programmed to prompt a user over a serial monitor to confirm test parameters from a configuration file and then coordinates the reading and recording of sensor data during a flight test. Problems after assembly did not allow a full evaluation of the board, but the following was concluded: the sleeping board current draw was less than 3 mA and the peak current draw was less than 30 mA. The sensors could be sampled at 100 Hz and recorded to the microSD card. The flexible manifolds molded from silicone are viable for future designs.

The diploma thesis deals with measuring pressure in microfluidic systems. The theoretical part of the work is devoted to microfluidics, pressure in liquids, pressure measurement, distribution of pressure sensors, and their specifications. Then follows the hardware and software solution of the measuring system for measuring the pressure in the microfluidic system using microprocessor technology. The practical part covers the hardware and software implementation of the measuring system.

Analysis of care in patiens at risk for arterial hypertension in pharmacy I. Author: Stanislav Gregor1 Tutor: Josef Malý1 Consultant: Stanislav Havlíček2 1 Department of Social and Clinical Pharmacy, Charles University in Prague, Faculty of Pharmacy in Hradec Králové 2 Czech Chamber of Pharmacists, Prague Introduction: Arterial hypertension represents a serious health problem. Despite of the fact that great attention is paid to an early diagnosis and therapy of arterial hypertension, it remains compensated insufficiently in a number of patients. Objectives: The aim of the thesis was to analyse the possibilities of pharmaceutical care provided to patients who are at risk of arterial hypertension. Methodology: Blood pressure was measured from the beginning of October till December 2012 in a public pharmacy in Moravská Třebová. The blood pressure was measured by a pharmacist by means of a validated and calibrated tonometer. Other data were collected from a directed interview with the pharmacy client. The data were evaluated in Microsoft Excel 2007 and processed by means of the frequency analysis. A retrospective analysis of drug problems was further performed in patients who have been using pharmacotherapy or food supplements. Results: The data were obtained from 196 pharmacy clients (31 % of men and...

Analysis of care in patients at risk for arterial hypertension in pharmacy II. Author: Kateřina Panáčková Tutor: PharmDr. Josef Malý, Ph.D.1 Consultant: PharmDr. Stanislav Havlíček2 1 Department of Social and Clinical Pharmacy, Charles University in Prague, Faculty of Pharmacy in Hradec Králové 2 Pharmacy Luna, Plzeň Introduction: Arterial hypertension is one of the most common illnesses in the Czech Republic. Not only this should be the reason for proper health education and early detection of clients endangered by this illness. Objectives: The objective of the thesis was to perform and evaluate consultancy activities in a pharmacy focusing on clients with a risk of arterial hypertension or with already diagnosed arterial hypertension. Methodology: Collection of data took place in a public pharmacy in Česká Lípa between 1 May 2013 and 27 June 2014. Measuring of blood pressure was a part of controlled interview with clients of the pharmacy. Following data was recorded into a form: social-demographic characteristics of the respondend, his/her attitude towards measuring blood pressure in the pharmacy, incidence of risk factors of arterial hypertension, respectively atherosclerosis and other illnesses in the anamnesis, medication including nutrition supplements, results of own measurings and proposed...

Fluid-structure interactions appear in many industrial applications in the field of energy technology. As the components are more and more pushed to higher performance, taking fluid-structure interaction phenomena into account has a great impact on the design as well as in the cost and safety. Internal flows related to propulsion systems in aerodynamics area are of our interest; and particularly aeroelasticity and flutter phenomena. A new 2D flexible generic model, so called bump, based on previous studies at the division of Heat and Power Technology about fluid-structure interactions is here presented. The overall goal is to enhance comprehension of flutter phenomenon. The current study exposes a preliminary experimental campaign regarding mechanical behaviour on two different test objects: an existing one made of polyurethane and a new one of aluminium. The setup is built in such a way that it allows the bumps to oscillate until 500Hz. The objective is to reach this frequency range by remaining in the first bending mode shape which is indeed considered as fundamental for flutter study. In this manner being as close as possible to the bending flutter configuration in high-subsonic and transonic flows will provide a deeper understanding of the shock wave boundary layer interaction and the force phase angle related to it. The results have pointed out that the bumps can reach a frequency of 250Hz by remaining in the first bending mode shape. The one in polyurethane can even reach frequency up to 350Hz; however, amplitude is higher than the theoretical one fixed to 0.5mm. Then unsteady pressure measurements for one operating point have been performed based on using recessed-mounted pressure transducers with Kulite fast response sensors. Variation amplitudes and phases of the unsteady pressure are thus correlated with the vibrations of the model. The operating point has been defined with respect to previous studies on the same static geometric model in order to use steady state base line; the steady flows appear consistent with each other. The results have pointed out that the shock wave induces strong amplification of the steady static pressure; however, this rise decreases when the reduced frequency increases. Finally some elements regarding propagating waves are suggested in the analysis for deeper investigations on such complex phenomena.

This thesis presents an improved oscillotonometric system for the measurement of human blood pressure. The study included: 1. The design of a hydraulic occlusive cuff, 2. The investigation of the wave forms taken from the blood pressure measurements, and 3. The design of a mechanism for the simulation of human blood pressure pulse. In this study, an experimental system consisting of a rigid shell occlusive cuff, a constant volume displacement pump, a transducer, and a chart recorder was designed and used for data collection.

The currently accepted methods for measuring systemic blood pressure are either highly accurate but invasive in nature or clinically convenient but prone to observer-related errors. A new oscillometric method uses sensitive signal conditioning and sensing equipment with a non-invasive arm cuff to record arterial pulsations. The goal of this study is to establish more reliable criteria for the identification of systolic and diastolic pressures from oscillometric data.