The effect of educational programs on effectiveness of treatment of arterial hypertension at out-patient stage of medical care rendering

2016 ◽  
Vol 22 (4) ◽  
pp. 207-212
Author(s):  
Aleksandr V. Melekhov ◽  
E. I Emelina ◽  
O. Yu Andreeva ◽  
G. E Gendlin ◽  
L. V Sokolovskaya
Keyword(s):  
Arterial Pressure ◽  
Arterial Hypertension ◽  
Educational Program ◽  
Systolic Arterial Pressure ◽  
Educational Programs ◽  
Self Control ◽  
Target Values ◽  
Mercury Column ◽  
Hypotensive Therapy

The increasing of effectiveness of treatment of arterial hypertension is a key issue of prevention of complications of this disease. The level of target arterial pressure is achieved far from all patients treated because of arterial pressure. The article presents data concerning 55 individuals with office systolic arterial pressure higher than 140 mm of mercury column who in spite of hypotensive therapy prescribed by physician, demonstrated no achievement of target values of arterial pressure. Out of this group, 24 patients were acquainted with educational program including an hour lecture concerning arterial hypertension, techniques of self-control of arterial pressure, effect of non-pharmaceutical modes of treatment and role of patients themselves in therapy of this diseases. The educational program was ignored by 31 patient. All patients at the start and the completion of examination were measured office arterial pressure, monitored day arterial pressure. Also evaluation of compliance to indicated hypotensive medicinal therapy was carried out. At the second control visit after 1-3 months, in patients who attended the lecture, significant decreasing of arterial pressure was established according both office measurement and data of indices of systolic arterial pressure. Moreover, the same patients developed compliance to applied treatment. No such effects were observed in 31 patients who ignored lecture mentioned above. It is assumed that the important part of activities concerning treatment of patients with arterial hypertension from the very beginning of interaction with physician is to become increasing of awareness of patients about disease, modes of its control, importance of non-medicinal measures, regular pharmacotherapy attended by physician. It is appropriate to actively implement these measures in practical health care considering expressed clinical and social economical effectiveness of educational programs for patients with arterial hypertension.

scholarly journals THE TREATMENT OF PATIENTS WITH ARTERIAL HYPERTENSION IN AN ACTUAL OUT-PATIENT PRACTICE

2018 ◽  
Vol 24 (1) ◽  
pp. 4-8 ◽  
Author(s):  
O. Yu Andreeva ◽  
Aleksandr V. Melekhov ◽  
G. E Gendlin ◽  
I. G Nikitin
Keyword(s):  
Clinical Practice ◽  
Arterial Pressure ◽  
Arterial Hypertension ◽  
Young Patients ◽  
Professional Activity ◽  
Moscow Oblast ◽  
Actual Clinical Practice ◽  
Target Values ◽  
Hypotensive Therapy ◽  
Serious Disease

The arterial hypertension is considered as a serious disease both in Russia and many other countries. The level of target arterial pressure is reached far from in all patients receiving hypotensive therapy. The article presents the data concerning efficiency of hypotensive therapy applied to 144 patients. Their level of arterial pressure was evaluated during its office measurement and day monitoring. The group comprised out-patients observed in polyclinics of one of the Moscow okrugs and in departmental polyclinic of Moscow oblast. to all patients’ evaluation of compliance was applied considering gender, age and type of professional activity. The analysis established that in actual clinical practice the target values of arterial pressure are reached in 22%-50% of patients receiving hypotensive therapy. The level of arterial pressure in young people and patients of older age factually had no difference. The high compliance to applied treatment was established only in one third of patients. The target level of arterial pressure was reached only in one third of young patients. Therefore, in today's actual clinical practice a successful treatment of arterial hypertension remains ineffective as 17 years ago.

Predicting Career Search Self-efficacy: The Role of Self-transcendence, Self-consciousness, Self-control and Self-management

2018 ◽  
Vol 8 (4) ◽  
pp. 146-157
Author(s):  
Fedai Kabadayı ◽  
Mustafa Şahin
Keyword(s):  
Self Efficacy ◽  
Educational Programs ◽  
Research Data ◽  
The Self ◽  
Self Control ◽  
Self Management ◽  
Self Awareness ◽  
Predictive Variables ◽  
Self Transcendence

The aim of this study is to predict career search self-efficacy. In this context, predictive variables are self-transcendence, self-consciousness and self-control and self-management. The research data obtained from 1278 university students. 786 (61.5%) were girls. Regression analysis and correlation analysis were used. According to the findings, it was determined that self- transcendence, self-control and self-management, social anxiety, appearance consciousness and internal self-awareness were significant predictors of career search self-efficacy. The strongest predictor is the variable self-transcendence. In this context, experimental interventions or psycho-educational programs based on these skills, which are related to the self, can be tested in order to increase career search self-efficacy.

scholarly journals Role of Endothelin-1 Receptor Antagonist in Reducing Perioperative Pulmonary Arterial Hypertension after Surgical Correction of Ventricular Septal Defect

2016 ◽  
Vol 9 (1) ◽  
pp. 55-59
Author(s):  
Rampada Sarker ◽  
ASMS Islam ◽  
SC Mandal ◽  
Kazi Abul Hasan ◽  
Manoz Kumar Sarker ◽  
...  
Keyword(s):  
Pulmonary Arterial Hypertension ◽  
Ventricular Septal Defect ◽  
Arterial Pressure ◽  
Arterial Hypertension ◽  
Septal Defect ◽  
Pulmonary Arterial Pressure ◽  
Surgical Correction ◽  
Endothelin 1 ◽  
Pulmonary Arterial

Background: This study was designed to determine the role of oral ambrisentan, an endothelin-1 receptor, in reducing perioperative pulmonary arterial hypertension during surgical correction of ventricular septal defect.Methods: This study was carried out among 54 patients of ventricular septal defect with pulmonary arterial hypertension undergoing surgical correction. The patients were divided into two groups; study group received oral ambrisentan, an endothelin-1 receptor antagonist peri-operatively, starting one week before surgery. Pulmonary arterial pressure was measured by echocardiography, cardiac catheterization and directly from pulmonary artery during surgical procedure.Results: Pulmonary arterial pressure was reduced significantly in the group in which oral amrisentan was given perioperatively. There was further reduction of pulmonary arterial pressure at discharge from hospital and at one month follow-up.Conclusion: Oral ambrisentan can reduce pulmonary arterial pressure perioperatively in patients underwent surgical correction of ventricular septal defect.Cardiovasc. j. 2016; 9(1): 55-59

scholarly journals The role of risk factors and endothelium dysfunction in the pathogenesis of the high normal arterial preassure and clinical signs of the vegetative disturbances in children

2015 ◽  
Vol 12 (4) ◽  
pp. 6-10
Author(s):  
N A Maksimovich
Keyword(s):  
Risk Factors ◽  
Arterial Pressure ◽  
Arterial Hypertension ◽  
High Frequency ◽  
Clinical Signs ◽  
Normal Pressure ◽  
Early Diagnostics ◽  
Endothelium Dysfunction ◽  
High Level

As a result of investigation of the children the dysfunction of endothelium at high normal arterial pressure is the cause of the hemodynamic disturbances of children, equal of the arterial hypertension. As a result the children with high normal arterial pressure are the groups of the risk for arterial hypertension wich need the complex of correction of theses disturbances, early diagnostics of the arterial hypertension and its profylaxis. AT high level risk factors and vasoconstrictive properties at children with high normal arterial pressure the more high frequency of headache, the heart pain, both pains and the episodes of high normal pressure.

scholarly journals Thiazide and Thiazide-Like Diuretics in Therapy of Arterial Hypertension

Kardiologiia ◽  
2019 ◽  
Vol 59 (11) ◽  
pp. 84-94
Author(s):  
Ya. A. Orlova ◽  
N. V. Kurlykina ◽  
E. M. Seredenina
Keyword(s):  
Arterial Pressure ◽  
Arterial Hypertension ◽  
Clinical Studies ◽  
Metabolic Effects ◽  
Efficacy And Safety ◽  
Comparative Aspect ◽  
Clinical Recommendation

The review presents results of clinical studies of efficacy and safety of thiazide and thiazide-like diuretics in the treatment of patients with arterial hypertension. In this work we have compared the role of diuretics in modern clinical recommendation on control of arterial pressure, and assessed in comparative aspect metabolic effects of thiazide-like diuretics.

scholarly journals PRACTICE-ORIENTED APPROACH TO THE FORMATION OF EDUCATIONAL PROGRAMS AT THE TRANSITION TO THE SYSTEM OF ADVANCED TRAINING

2020 ◽  
pp. 19-25
Author(s):  
O. E. Astafyeva
Keyword(s):  
Best Practices ◽  
Professional Growth ◽  
Educational Program ◽  
New Technologies ◽  
Educational Programs ◽  
Advanced Training ◽  
Personnel Training ◽  
Training Modules ◽  
Rational Mechanism

The possibility of applying a new form of personnel training on the principle of an open system that includes training modules that are embedded in the educational program based on «best practices» has been analysed. When implementing the educational program, the circle of participants has been expanded. The participants are partner universities and enterprises that provide access to new technologies and material and technical base. The proposed practice-oriented model of education allows us to form a rational mechanism for co-financing educational programs by all its participants. An approach to personnel training with a reserve of high professional growth based on a practice-oriented educational environment has been proposed. The conducted analysis of normative legal acts has made it possible to determine the most effective forms of interaction between participants in the educational platform and new principles for organizing advanced training. The role of innovative scientific and technological centers in the formation of a new model of personnel training has been determined.

scholarly journals Тhe prevalence of metabolically healthy obesity: data from the epidemiological survey in of Novosibirsk

2019 ◽  
Vol 15 (4) ◽  
pp. 31-37 ◽  
Author(s):  
Svetlana V. Mustafina ◽  
Liliya V. Shcherbakova ◽  
Darya A. Kozupeeva ◽  
Sofiya K. Malyutina ◽  
Yulia I. Ragino ◽  
...  
Keyword(s):  
Arterial Pressure ◽  
Arterial Hypertension ◽  
Systolic Arterial Pressure ◽  
Hdl Cholesterol ◽  
Epidemiological Survey ◽  
Metabolically Healthy Obesity ◽  
Metabolic Complications ◽  
Men And Women ◽  
Metabolically Healthy Obese ◽  
Metabolically Healthy

Background: Obesity is associated with numerous metabolic complications, such as type 2 diabetes mellitus (DM2), dyslipidemia, arterial hypertension (AH), cardiovascular diseases and some forms of cancer. Nevertheless, the literature describes a group of obese individuals who are more resistant to the development of metabolic disorders. At present, this phenomenon is known as "Metabolically healthy obesity", "metabolically healthy obesity" (MZO). Despite the presence of excess weight or obesity, a favorable metabolic profile can be observed in this cohort of patients, characterized by preserved insulin sensitivity, absence of arterial hypertension, normal lipid, hormonal profile, absence of inflammation and unchanged hepatic transaminases. Aims: To study the prevalence of metabolically healthy obesity (MHO) and its characteristics in men and women at the age of 4569 years in Novosibirsk. Materials and methods: To study covered 3197 persons from the base of the international project HAPPIE. They had a body mass index (BMI 30 kg/m). Metabolically healthy obesity was determined as obesity (BMI 30 kg/m, with 2 and fewer components of metabolic syndrome (MS) by criteria NCEP ATP III, 2001. Statistical analisys SPSS-13. Results: The prevalence of metabolic healthy obesity (MHO) was 42% (38% for men and 43% for women). The examined people with MHO have reliably more favorable average level of TG, HDL-cholesterol, indicators of blood glucose, systolic arterial pressure and diastolic arterial pressure and less waist circumference. In the groups withMHO and MS abdominal obesity is common in men at 95 and 71%, in women at 99 and 90%; hyperTG in men at 74 and 9%, in women at 72 and 5,5%; lower level HDL-cholesterol in 16 and 1% for men, and in 44,5% and 3% for women; AP in 96 and 77% and 94 and 71% in men and women respectively, the frequency fasting of hyperglycaemia 77 and 21% in men and 60 and 5% in women was markedly different. According to the data obtained by us, the frequency in the sample is high and amounted to 42%. In the subgroup the most commonly found is the MHO phenotype 53%, than in the men -38%, р 0,001 Conclusions: According to our data, the frequency of metabolic healthy obesity in the sample is high and amounted to 42%. In the female subgroup, a metabolically healthy phenotype is more common 43% than in the male 38%, p 0.001. Metabolically healthy obese individuals are characterized by a significantly lower incidence of fasting hyperglycaemia and dyslipidemia.

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