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En jämförelse mellan mättekniker för högerkammarbedömning vid ekokardiografi : Överensstämmelse mellan s´ och TAPSE / A comparison of measure techniques for right ventricular function assessment in echocardiography : Correlation between s´ and TAPSEGöransson, Lizette, Fredlund, Filippa January 2017 (has links)
Bedömningen av höger kammares systoliska funktion kan med fördel göras med ekokardiografi, bl.a. med tekniker som tvådimensionell ekokardiografi, motion-mode (M-mode) och Tissue Doppler Imaging (TDI). Mätvärden som kan fås ut av dessa tekniker är Tricuspid Annular Plane Systolic Excursion (TAPSE) och s`. TAPSE beskriver annulus tricuspidalis longitudinella rörlighet. s´ beskriver den maximala systoliska hastigheten i annulus tricuspidalis. Syftet med examensarbetet var att undersöka sambandet mellan TAPSE och s´ vid högerkammarfunktionsbestämning. Studien är en retrospektiv tvärsnittsstudie och består av 99 deltagare i åldrarna 18–90 år. Både friska och hjärt-och kärlsjuka deltagare inkluderades, men inte patienter med förmaksflimmer eller individer som var yngre än 18 år. Deltagarna undersöktes med transthorakal ekokardiografi (TTE) vid Länssjukhuset Ryhov i Jönköping, vid undersökningen mättes TAPSE och s´. Det var samma biomedicinska analytiker (BMA) som utförde undersökningarna. McNemars test utfördes och ett Kappa-värde räknades ut. Resultatet visade signifikant skillnad och Kappa-värdet var lågt vilket talar för dåligt samband mellan de båda variablerna. Utfallet i studien visar att fler deltagare klassas med normal högerkammarfunktion mätt med TAPSE, medan samma individer klassas med högerkammardysfunktion mätt med s´. Orsaken till det dåliga sambandet mellan parametrarna är okänt och bör studeras vidare i kommande studier. / The assessment of right ventricular systolic function is done by echocardiography, with techniques as twodimensional echocardiography, motion-mode (M-mode) and Tissue Doppler Imaging (TDI). Measurements obtained from these techniques are Tricuspid Annular Plane Systolic Excursion (TAPSE) and s`. TAPSE describes the longitudinal movement of annulus tricuspidalis. s´ describes annulus tricuspidalis maximal systolic velocity. The purpose of this essay was to explore the relationship between TAPSE and s´. The study consists of 99 participants between the ages of 18 and 90. The population was consisted of individuals with or without cardiovascular disease, but not individuals with atrial fibrillation. Participants were investigated with transthorakal echocardiography (TTE) at Länssjukhuset Ryhov in Jönköping. At the examination both TAPSE and s´ was measured. McNemar's test was performed and a Kappa value was calculated. The result showed a significant difference and the Kappa value was low which indicates a low relationship between the variables. The outcome of the study shows that several participants are classified with normal right ventricular function measured with TAPSE, but the same individuals are classified with right ventricular dysfunction measured by s'. The reason for the poor relationship between the parameters is unknown and should be studied further in future studies.
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Tělesný růst a výkonnost předškolních dětí ve vztahu k pohybovému režimu dětí / Physical growth and efficiency of preschool children regarding motion modeKohoutová, Hana January 2016 (has links)
This diploma thesis deals with comparing the level of physical growth and basic motor skills of preschool children, their motion mode and the conditions for movement activities in two kindergartens located in different municipalities (in a city and in a town). The aim of the study was to determine the level of growth and motor performance of preschool children in relation to the motion mode at their residence. The study included 116 children aged 4-6. The level of physical growth was assessed by measuring somatic characteristics of children (height, weight, BMI). The data extracted from the study were compared to percentile charts. The level of motor performance was assessed by sensory tests. In the case of basic motor skills there was chosen 20 ms run with standing start for the testing of speed capability, for the evaluation of explosive strength abilities was selected jump from the spot with two legs reflection, the testing of explosive strength of the upper limbs was exercised by a ball throw by both right and left hand. At the same time, these tests show the level of motor performance of preschool children. To map the conditions of the motor development of preschool children, an analysis of the conditions of the two municipalities and an analysis of the conditions and the education plan of...
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