scholarly journals Systematic Review: Blood Pressure Value Difference Between Measurement with Oscillometric and Auscultation of Patients in Health Services

2021 ◽  
Vol 1 (1) ◽  
pp. 39-46
Author(s):  
Dikalita Utami Putri
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Synthesis Method ◽  
Systolic Pressure ◽  
Mercury Contamination ◽  
Physiological Parameter ◽  
Inclusion Criteria ◽  
Level Of Evidence ◽  
Oscillometric Method ◽  
Significant Difference

Blood pressure is a vital sign that is very important and is a basic physiological parameter in conducting physical assessments of critical patients. Blood pressure can be measured using manual or automatic instruments. The gold standard measures blood pressure with a mercury sphygmomanometer, but its use has been withdrawn due to the risk of mercury contamination. In practice, different values ​​are often obtained between the oscillometric method and auscultation. The objective of this review is to evaluate the significant difference in blood pressure between using the oscillometric method and auscultation in patients in health care. Method A systematic review approach is carried out on research results published in 3 search engines, namely EBSCO, Proquest, and Science Direct. Articles found according to the inclusion criteria that have been set are then assessed using the level of evidence using the NICE approach. The appraisal study uses the Critical Appraisal Skills Program (CASP), and the synthesis method uses a modified PICO. The result indicates that a total of 3 (three) studies were obtained according to the inclusion criteria. The intervention carried out was measuring blood pressure using two methods, namely oscillometric and auscultation. To sum up, there was a statistically significant difference in systolic pressure between the oscillometric and auscultatory methods.

scholarly journals Indirect evaluation method and parameters of blood pressure and its indexes in dogs

2018 ◽  
Vol 20 (88) ◽  
pp. 80-84
Author(s):  
O. A. Dubova ◽  
A. A. Dubovyi ◽  
D. V. Feshchenko
Keyword(s):  
Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Evaluation Method ◽  
Systolic Pressure ◽  
The Body ◽  
Mean Blood Pressure ◽  
Shock Index ◽  
Oscillometric Method ◽  
Significant Difference ◽  
Patients At Risk

The article presents the results of studies on the adaptation of the automatic tonometer Longevita BP–1305 with replaceable marking cuffs I(C1I) and C(C1C) for the oscillometric method of blood pressure measuring in dogs of different sizes. Reference indicators are defined. The proposed method is indirect and is based on the measurement of air pressure required to compress the artery and stop the blood flow in it. The initial recorded tone displays the maximum, or systolic, pressure (Sys). The process of stopping the registration of pulse tremors occurs at the time of restoration of the artery lumen and corresponds to the minimal, or diastolic, blood pressure (Dia). The use of the oscillometric method completely eliminates the human factor for the measurements. These cuffs allow to cover the whole range of the dogs circles subulnar zone of different breeds. The ratio of width to circumference is 42–45%, which is the optimal value. The cuff of the device was applied to the left forearm area. Measurements were carried out three times, calculating the arithmetic mean of the results to account for the error caused by the stress state of animals. Experienced dogs were in the usual lying position. All healthy animals were monitored for blood pressure in the morning (9–10 hours), afternoon (14–15 hours) and evening (19–20 hours). Under the influence of aggressive factors of excessive force, inadequate violent chaotic reactions of the body occur, which leads to a state of shock. Periodic measurement of mean blood pressure in combination with other routine studies can identify patients at risk of decompensation at the stage when resuscitation is still possible. Systolic, diastolic blood pressure and pulse rate were measured. The mean blood pressure and Allgover shock index were calculated. We did not find a significant difference in blood pressure depending on body weight. Also, these figures fluctuate unreliably during the day and are the largest in the morning with a tendency to decrease in the evening. We have established the reference values of blood pressure of clinically healthy dogs at the level of the narrowed norm (M ± σ), taking into account the permitted number of the studied animals (n = 120). The shock index of Allgover in healthy animals is in the range of 0.6–0.9. The growth of the indicator indicates an increase in shock phenomena.

scholarly journals Level of Evidence of Dental Research in Saudi Arabia (2000–2020)

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Mona Rajeh ◽  
Waad Khayat
Keyword(s):  
Systematic Review ◽  
Saudi Arabia ◽  
International Collaboration ◽  
Web Of Science ◽  
Inclusion Criteria ◽  
Level Of Evidence ◽  
Factors Associated ◽  
Dental Research ◽  
Significant Difference ◽  
Level I

Objectives. The level of evidence (LOE) of Saudi dental research from 2000 to 2020 was evaluated, and factors associated with the LOE were determined. Methods. This study was a systematic review. PubMed, Web of Science, and Medline databases were utilized to retrieve available dental articles published in English between January 2000 and May 2020. The inclusion criteria consisted of clinical studies conducted in Saudi Arabia with at least one Saudi dental affiliation. The retrieved eligible articles were evaluated independently by two reviewers using a modified Oxford LOE scale. The LOE of the studies was compared between the last two decades. Results. Of the 7237 articles identified, 1557 articles met the inclusion criteria. Approximately 78% of the published articles reported Level IV evidence. A higher trend toward Level I, II, and III publications has occurred in recent years (i.e., 2010–2020). However, no statistically significant difference existed in LOE proportions between the two decades. The presence of international collaboration and high journals’ impact factor was significantly associated with a higher LOE. Conclusion. Most published dental research studies were low LOE studies (i.e., Level IV). National and international collaboration is highly encouraged as this is a factor, according to our findings, that would be a positive addition toward publishing dental research of a higher LOE in Saudi Arabia.

scholarly journals Telomere Length as a Biomarker for Race-Related Health Disparities

Genes ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 78
Author(s):  
Vaithinathan Selvaraju ◽  
Megan Phillips ◽  
Anna Fouty ◽  
Jeganathan Ramesh Babu ◽  
Thangiah Geetha
Keyword(s):  
Blood Pressure ◽  
Telomere Length ◽  
Diastolic Pressure ◽  
Systolic Pressure ◽  
Single Copy ◽  
Normal Weight ◽  
Length Ratio ◽  
Hierarchical Regression ◽  
Significant Difference ◽  
The Usa

Disparities between the races have been well documented in health and disease in the USA. Recent studies show that telomere length, a marker of aging, is associated with obesity and obesity-related diseases, such as heart disease and diabetes. The current study aimed to evaluate the connection between telomere length ratio, blood pressure, and childhood obesity. The telomere length ratio was measured in 127 children from both European American (EA) and African American (AA) children, aged 6–10 years old. AA children had a significantly high relative telomere to the single copy gene (T/S) ratio compared to EA children. There was no significant difference in the T/S ratio between normal weight (NW) and overweight/obese (OW/OB) groups of either race. Blood pressure was significantly elevated in AA children with respect to EA children. Hierarchical regression analysis adjusted for race, gender, and age expressed a significant relationship between the T/S ratio and diastolic pressure. Low T/S ratio participants showed a significant increase in systolic pressure, while a high T/S ratio group showed an increase in diastolic pressure and heart rate of AA children. In conclusion, our findings show that AA children have high T/S ratio compared to EA children. The high T/S ratio is negatively associated with diastolic pressure.

scholarly journals Failed Latarjet procedure: a systematic review of surgery revision options

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Matteo Buda ◽  
Riccardo D’Ambrosi ◽  
Enrico Bellato ◽  
Davide Blonna ◽  
Alessandro Cappellari ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Series ◽  
Review Of The Literature ◽  
Inclusion Criteria ◽  
Latarjet Procedure ◽  
Shoulder Stabilization ◽  
Recurrent Instability ◽  
Level Of Evidence ◽  
Radiographic Outcomes

Abstract Background Revision surgery after the Latarjet procedure is a rare and challenging surgical problem, and various bony or capsular procedures have been proposed. This systematic review examines clinical and radiographic outcomes of different procedures for treating persistent pain or recurrent instability after a Latarjet procedure. Methods A systematic review of the literature was performed using the Medline, Cochrane, EMBASE, Google Scholar and Ovid databases with the combined keywords “failed”, “failure”, “revision”, “Latarjet”, “shoulder stabilization” and “shoulder instability” to identify articles published in English that deal with failed Latarjet procedures. Results A total of 11 studies (five retrospective and six case series investigations), all published between 2008 and 2020, fulfilled our inclusion criteria. For the study, 253 patients (254 shoulders, 79.8% male) with a mean age of 29.6 years (range: 16–54 years) were reviewed at an average follow-up of 51.5 months (range: 24–208 months). Conclusions Eden–Hybinette and arthroscopic capsuloplasty are the most popular and safe procedures to treat recurrent instability after a failed Latarjet procedure, and yield reasonable clinical outcomes. A bone graft procedure and capsuloplasty were proposed but there was no clear consensus on their efficacy and indication. Level of evidence Level IV Trial registration PROSPERO 2020 CRD42020185090—www.crd.york.ac.uk/prospero/

Revision Rates After Total Ankle Replacement: A Comparison of Clinical Studies and Arthroplasty Registers

2021 ◽  
pp. 107110072110538
Author(s):  
Georg Hauer ◽  
Reinhard Hofer ◽  
Markus Kessler ◽  
Jan Lewis ◽  
Lukas Leitner ◽  
...  
Keyword(s):  
Clinical Studies ◽  
Revision Rate ◽  
Mobile Bearing ◽  
Total Ankle Replacement ◽  
Second Step ◽  
Fixed Bearing ◽  
Inclusion Criteria ◽  
Level Of Evidence ◽  
Ankle Replacement ◽  
Significant Difference

Background: The aim of this study was to assess the outcome of total ankle replacement (TAR) regarding revision rates by comparing clinical studies of the last decade to data displayed in arthroplasty registers. The secondary aim was to evaluate whether dependent clinical studies show a superior outcome to independent publications. Additionally, revision rates of mobile bearing implants (MB-TARs) were compared to those of fixed bearing implants (FB-TARs). Methods: Clinical studies on TARs between 2010 and 2020 were systematically reviewed, with the endpoint being a revision for any reason. The parameter “revision rate per 100 observed component years (CYs)” was calculated for each publication. The pooled revision rate for clinical studies was compared to the data reported in arthroplasty registers. In a second step, revision rates were subdivided and analyzed for independent and dependent publications and for FB-TARs and MB-TARs. Results: A total of 43 publications met the inclusion criteria comprising 5806 TARs. A revision rate of 1.8 per 100 observed CYs was calculated, corresponding to a 7-year revision rate of 12.6%. The 3 arthroplasty registers included showed revision rates ranging from 8.2% to 12.3% after 7 years. No significant difference between dependent and independent publications nor between FB-TARs and MB-TARs was detected. Conclusion: Revision rates of clinical studies and arthroplasty registers are comparable. Surgeons can compare their own revision rates with those from this study. Dependent studies do not seem to be biased, and no superiority for one bearing type can be described. Level of Evidence: Level III, systematic review of level III studies

scholarly journals Comparison of The Effect of Breads Containing Milled Sesame or Flaxseed on Blood Pressure of Patient in Stage I Hypertension

2020 ◽  
Author(s):  
Moneyreh Modarres Mosadegh ◽  
Mozhgan Modarresi ◽  
Seyedeh Mahdieh Nemayandeh ◽  
Masoud Mirzaei ◽  
Mahdieh Jabinzadeh ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Eating Habits ◽  
Systolic Pressure ◽  
Physical Activities ◽  
Abdominal Circumference ◽  
Type I ◽  
Demographic Information ◽  
Significant Difference ◽  
Single Blind

Introduction: Flaxseed and sesame both are capable of reducing blood pressure, but no studies have been done to compare their effects on hypertension. The purpose of this study was to compare the effect of breads containing either milled sesame or flaxseed on blood pressure of patients with type I hypertension. Methods: This was a randomized, single blind clinical trial study. Demographic information was obtained from 100 eligible patients and they were randomly allocated to flaxseed or sesame groups. They received breads containing 30 g of either flaxseed or sesame for 14 weeks. Blood pressure, abdominal circumference, and BMI (body mass index) were measured at the beginning, seventh week, and at the end of study. Questionnaires regarding their eating habits and physical activities were also completed at these times. Data was analyzes by SPSS version 16 and independent sample t test and repeated measurement test. Results: Both sesame and flaxseed significantly reduced systolic and diastolic blood pressure (p=0.001) and there was no significant difference. On average, systolic pressure decreased by 9.5 mmHg with sesame and 10 mmHg with flaxseed. Likewise, diastolic blood pressure decreased by 5.05 mmHg with sesame and 5.8 mmHg with flaxseed. BMI and abdominal circumference reduced in both flaxseed (p= 0.001 and 0.001, respectively) and sesame (p=0.01 and 0.02, in order). No difference was observed between these groups. Conclusion: Both sesame and flaxseed could similarly decrease systolic and diastolic blood pressure, abdominal circumference, and BMI. Therefore, they could be used as supplements in reducing blood pressure.

scholarly journals The difference in pediatric blood pressure between middle childhood and late childhood prior to dental treatment

2018 ◽  
Vol 25 (1) ◽  
Author(s):  
Fitri Anissa Syaimima Syaiful Azim ◽  
Arlette Suzy Puspa Pertiwi ◽  
Rosiliwati Wihardja
Keyword(s):  
Blood Pressure ◽  
Middle Childhood ◽  
Dental Treatment ◽  
Systolic Pressure ◽  
The Body ◽  
Late Childhood ◽  
Test Analysis ◽  
Mean Values ◽  
Significant Difference ◽  
The Difference

Every child will go through several stages in his or her life. They are different from each other as they are in the process of development of cognition, physics, emotion, and personality. For many children, a visit to the dentist can raise their anxiety. This anxiousness will lead to stress that influences the cardiovascular function in the body. The purpose of this research was to determine the difference in pediatric blood pressure between middle childhood and late childhood prior to dental treatment. This research was a clinical trial, pure experimental study. The sample consisted of 30 children within the range of 4-12 years old where they were divided into two groups of age; middle childhood (4-7 years old) and late childhood (8-12 years old). The blood pressures were measured before any dental treatment began and the values were recorded. The data were then analyzed using the One-Sample T-Test analysis. The results of blood pressure in middle childhood and late childhood were compared to the average mean values for each age group. It showed that there was a significant difference in the systolic pressure, which was found higher in the middle childhood group compared to the late childhood. From the result can be concluded that there was a difference in the pediatric blood pressure between middle childhood and late childhood prior to dental treatment.

scholarly journals Evaluation of blood pressure in school children aged 12-16 years

2017 ◽  
Vol 4 (4) ◽  
pp. 1218
Author(s):  
Balakrishnan Nadesan ◽  
Mani Madhavan Sachithananthamoorthi ◽  
Sivaraman Thirumalaikumarasamy ◽  
Ezhilarasu Ramalingam
Keyword(s):  
Blood Pressure ◽  
Family History ◽  
Diastolic Blood Pressure ◽  
School Children ◽  
Diastolic Pressure ◽  
Systolic Pressure ◽  
Cross Sectional ◽  
Significant Difference ◽  
History Of ◽  
Family History Of Hypertension

Background: Hypertension is considered as a major health issue in developed as well as developing countries and its possible origin during childhood prompts pediatricians to routinely include measurement of blood pressure (BP) as an integral part of pediatric physical examination. The objectives of the study were to evaluate the normal range of blood pressure in adolescent school going students of 12-16 years, prevalence of hypertension and relationship of BP with variables like age, body mass index (BMI), socioeconomic status and family history of hypertension.Methods: A cross sectional study was undertaken for a period of one year in adolescent school children in age groups between 12-16 years. Detailed clinical examination was done in 1060 adolescent school children and BP was recorded in right upper limb and correlation of BP with BMI, family history of hypertension and diabetes were studied.Results: Mean systolic and diastolic pressure showed linear relationship with age. There was a highly statistically significant difference between mean systolic and diastolic blood pressure between lower and middle socio-economic class. Prevalence of obesity in our study was 1.13%, overweight was 7.83%. Prevalence of hypertension in obese children was 33.33% and in overweight children 18.07%. Family history of hypertension and diabetes carry a significant correlation with elevated systolic and diastolic blood pressure in adolescents.Conclusions: This study revealed that socio economic factors play a significant role in determining the blood pressure of the individual. Children of middle class have significantly elevated mean systolic pressure and mean diastolic pressure than low socio-economic groups. 

scholarly journals Evidence-Based Status of Forest Healing Program in South Korea

2021 ◽  
Vol 18 (19) ◽  
pp. 10368
Author(s):  
Sujin Park ◽  
Soojin Kim ◽  
Geonwoo Kim ◽  
Yeji Choi ◽  
Eunsoo Kim ◽  
...  
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
South Korea ◽  
Psychological Health ◽  
Meta Analysis ◽  
Health Benefits ◽  
Evidence Based ◽  
Level Of Evidence ◽  
Certification System ◽  
The Status

Various effects of forest healing on health have been reported, but a certification system to assess the effectiveness of forest healing programs does not exist. In this study, a systematic review (SR) on the “health benefits of forests” and “meta-analysis of forest therapy” was conducted after analyzing the status and level of evidence of 75 forest healing programs that were conducted post-certification in South Korea. The SR for “health benefits of forests” distinguished between activities and time, resulting in 90.9% of walking activities for more than an hour under psychological health, and 100.0% of exercise activities for less than an hour under physiological health. However, the effect of indirect activities performed for more than an hour was unknown. Thus, we confirmed that many indoor activities in the field had low effect size or no established basis regarding the feasibility of its operation. The SR on “meta-analysis of forest therapy” to check whether the program was effective. The highest number of healing effects were obtained for blood pressure (32), followed by psychological depression (24). The findings of this can serve as baseline data to facilitate future development and dissemination of evidence-based forest healing programs.

Psycho-educational interventions focused on maternal or infant sleep for pregnant women to prevent the onset of antenatal and postnatal depression: a systematic review

2020 ◽  
Author(s):  
Natsu Sasaki ◽  
Naonori Yasuma ◽  
Erika Obikane ◽  
Zui Narita ◽  
Junpei Sekiya ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pregnant Women ◽  
Maternal Mental Health ◽  
Educational Interventions ◽  
Control Group ◽  
Infant Sleep ◽  
Inclusion Criteria ◽  
Post Intervention ◽  
Maternal Mood ◽  
Significant Difference

Abstract Background This systematic review aimed to evaluate randomized controlled trials (RCTs) to examine the effect of maternal and infant sleep intervention during women’s pregnancy for the purpose of preventing perinatal depression. Method A systematic search (from inception – January 28 th , 2019) for RCTs using five electronic databases—the Cochrane Controlled Register of Trials (CENTRAL), Embase, PubMed, PsycINFO and Ichushi Web (Japan Medical Abstracts Society)—was conducted. Twelve investigators independently conducted initial screenings based on title and abstract, and then two researchers performed full-text reviews one by one. A meta-analysis would be conducted if at least three studies were found. However, only two articles that met inclusion criteria, and narrative data synthesis was conducted for these two articles. The study protocol has been registered at PROSPERO (CRD42019119999). Result A total of 13,644 studies were initially searched. After removing duplicates, 10,537 studies were screened, and finally, two studies met the inclusion criteria. In both studies, the intervention was a one-time face-to-face session during pregnancy to deliver the behavioral knowledge and skills for optimizing sleep hygiene for both infant and mother. Effectiveness of the intervention in improving maternal mood was not significant in one study. In the other, there was a significant difference in maternal mood between the intervention and control group. No mood comparison was made between baseline and post-intervention. Conclusion This study found limited evidence to support the effectiveness of sleep intervention for all pregnant women, which means “universal intervention”, to protect maternal mental health. Further well-designed RCTs are needed to confirm these findings.

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