Devices and Techniques for Blood Pressure Measurement and Criteria for Hypertension Adopted by Brazilian Physicians: Exploratory Study

OBJECTIVE: To determine technical procedures and criteria used by Brazilian physicians for measuring blood pressure and diagnosing hypertension. METHODS: A questionnaire with 5 questions about practices and behaviors regarding blood pressure measurement and the diagnosis of hypertension was sent to 25,606 physicians in all Brazilian regions through a mailing list. The responses were compared with the recommendations of a specific consensus and descriptive analysis. RESULTS: Of the 3,621 (14.1%) responses obtained, 57% were from the southeastern region of Brazil. The following items were reported: use of an aneroid device by 67.8%; use of a mercury column device by 14.6%; 11.9% of the participants never calibrated the devices; 35.7% calibrated the devices at intervals < 1 year; 85.8% measured blood pressure in 100% of the medical visits; 86.9% measured blood pressure more than once and on more than one occasion. For hypertension diagnosis, 55.7% considered the patient's age, and only 1/3 relied on consensus statements. CONCLUSION: Despite the adequate frequency of both practices, it was far from that expected, and some contradictions between the diagnostic criterion for hypertension and the number of blood pressure measurements were found. The results suggest that, to include the great majority of the medical professionals, disclosure of consensus statements and techniques for blood pressure measurement should go beyond the boundaries of medical events and specialized journals.

Assessment of the DIXTAL DX-2710 Automated Oscillometric Device for Blood Pressure Measurement with the Validation Protocols of the British Hypertension Society (BHS) and the Association for the Advancement of Medical Instrumentation (AAMI)

OBJECTIVE: To assess the Dixtal DX2710 automated oscillometric device used for blood pressure measurement according to the protocols of the BHS and the AAMI. METHODS: Three blood pressure measurements were taken in 94 patients (53 females 15 to 80 years). The measurements were taken randomly by 2 observers trained to measure blood pressure with a mercury column device connected with an automated device. The device was classified according to the protocols of the BHS and AAMI. RESULT: The mean of blood pressure levels obtained by the observers was 148±38/93±25 mmHg and that obtained with the device was 148±37/89±26 mmHg. Considering the differences between the measurements obtained by the observer and those obtained with the automated device according to the criteria of the BHS, the following classification was adopted: "A" for systolic pressure (69% of the differences < 5; 90% < 10; and 97% < 15 mmHg); and "B" for diastolic pressure (63% of the differences < 5; 83% < 10; and 93% < 15 mmHg). The mean and standard deviation of the differences were 0±6.27 mmHg for systolic pressure and 3.82±6.21 mmHg for diastolic pressure. CONCLUSION: The Dixtal DX2710 device was approved according to the international recommendations.

Assessment of the techniques of blood pressure measurement by health professionals

OBJECTIVE: To assess blood pressure measurement by health professionals of a public hospital in São Paulo State. METHODS: Semi-structured interviews and direct observation were performed with a verification list according to the criteria reported by Perloff et al. One hundred and five health professionals took part in the study. After measuring blood pressure, the level of concordance between the way the procedure was performed and the recommended one was assessed. RESULTS: Nurses and nurse's aides abided by 40% of the recommended procedures for adequate blood pressure measurement. The other categories of health professionals (nursing and medicine teachers, physicians, residents, and nursing students) abided by approximately 70%. CONCLUSION: Permanent educational activities aiming at standardizing blood pressure measurement should be implemented among the different categories of health professionals.

Asociatividad y redes interorganizacionales. El caso de la Red Social de la 5ta. Associativity and interorganizational networks. The case of the Social Network of "la 5ta".

En investigaciones anteriores el equipo trabajó sobre el concepto de asociatividad en las prácticas de emprendimientos socioeconómicos y cooperativas surgidos luego de la crisis del 2001 en Argentina. Las conclusiones de dichas investigaciones se agrupan en dos categorías. La primera identifica como un obstáculo importante para generar y sostener la asociatividad, al elevado grado de desconfianza y fragmentación del tejido social, que dificulta la conformación de formas organizacionales asociativas más allá de las emprendidas por personas vinculadas por lazos afectivos previos. La segunda categoría de conclusiones corresponde a las dificultadas asociadas a los niveles de formalidad requeridos por las políticas públicas que promueven la constitución de formas asociativas.Sobre estos antecedentes se propone el análisis otras formas asociativas de mayor envergadura tales como las redes interorganizacionales, que superan la asociatividad entre individuos e incluyen a diversas organizaciones (de la sociedad civil, actores estatales, instituciones educativas, cooperativas, etc.). Estas redes, que incluyen a las formas asociativas estudiadas anteriormente por el equipo, se diferencian de ellas en que los vínculos trascienden el contexto primario de los actores, no necesariamente se asientan sobre estructuras de coordinación formales y cuentan con una cierta trayectoria de construcción colectiva que sirve de base y sustento a proyectos sociales en sectores de alta vulnerabilidad. El objetivo de la investigación es describir y analizar las características de la asociatividad en una de estas redes existente en la ciudad de Córdoba, en especial en lo que hace al diseño organizacional y funcionamiento asociativo, identificando el proceso de incidencia de la misma en políticas públicas y los factores que favorecen y obstaculizan ese proceso. La metodología consiste en la construcción conjunta, con los propios actores, de los problemas de investigación para desde allí comprender y sistematizar sus propias prácticas con el objetivo de generar un conocimiento capaz de potenciar su dinámica y enriquecer la construcción teórica en torno a estas formas organizacionales. La red elegida es la Red Social de la 5ta, compuesta por alrededor de 30 organizaciones entre las que se cuentan OSC y organismos públicos de distintos niveles (provincial y municipal). Funciona desde el año 1998 en la zona sudeste de la ciudad de Córdoba uno de los sectores que concentra los índices más altos de pobreza y morbilidad y mortalidad materno infantil de la ciudad. El deterioro de la situación económica y el progresivo abandono del Estado han convertido gran parte de la zona donde se articula la Red en una zona marginal, adjudicataria en el imaginario público del estigma de peligrosidad. En este marco, el objetivo de la Red es mejorar a calidad de vida de la comunidad a través de acciones conjuntas y del establecimiento de acuerdos con otros actores institucionales.

Thyroid hormone modulation of early neocortical network development

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2012

SMPI model : a stepwise process model to facilitate software measurement process improvement along the measurement paradigms

Software engineering, software measurement, software process engineering, capability, maturity

Theory and measurement of social intelligence as a cognitive performance construct

Social intelligence

Framework for a service-oriented measurement infrastructure

Magdeburg, Univ., Fak. für Informatik, Diss., 2009

Wideband impedance spectrum analyzer with arbitry fine frequency resolution for in situ sensor applications

Magdeburg, Univ., Fak. für Elektrotechnik und Informationstechnik, Diss., 2009

Network Meta-analysis to Synthesize Evidence for Decision Making in Cardiovascular Research

Abstract Clinical decision-making requires synthesis of evidence from literature reviews focused on a specific theme. Evidence synthesis is performed with qualitative assessments and systematic reviews of randomized clinical trials, typically covering statistical pooling with pairwise meta-analyses. These methods include adjusted indirect comparison meta-analysis, network meta-analysis, and mixed-treatment comparison. These tools allow synthesis of evidence and comparison of effectiveness in cardiovascular research.

Framework of quality measurement in CASE tool based software development

Magdeburg, Univ., Fak. für Informatik, Diss., 2010

Molecular mechanisms of classical fear conditioning : GABAergic factors and their role in fear-related network activities

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2010

Programmierschnittstellen für eingebettete Netzwerke in Mehrbenutzerbetriebssystemen am Beispiel des Controller Area Network

Magdeburg, Univ., Fak. für Informatik, Diss., 2011

Disposable, micro-fluidic biosensor array for online analysis of adherent cells activity combining quartz crystal resonators and impedance measurement techniques

Magdeburg, Univ., Fak. für Elektrotechnik und Informationstechnik, Diss., 2011

Model-based measurement and control of fluidised bed spray granulation processes

Magdeburg, Univ., Fak. für Verfahrens- und Systemtechnik, Diss., 2012