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Analysis of care in patients at risk for arterial hypertension in pharmacy III.
Smíšková, Petra ; Malý, Josef (advisor) ; Zimčíková, Eva (referee)
Analysis of care in patients at risk for arterial hypertension in pharmacy III. Author: Petra Smíšková Tutor: PharmDr. Josef Malý, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University in Prague Introduction: Arterial hypertension belongs to the most common diseases of cardiovascular system, not only in the Czech Republic. Therefore it is very important to focus on its prevention and early diagnostics before the stage of health complications shows up. Objectives: The aim of this thesis was to realize and evaluate consulting activities in pharmacy focused on patients who have high risks of arterial hypertension or have been already diagnosed with it. Methodology: Data were collected in a public pharmacy in Prague from the end of April 2013 until the beginning of April 2014. The actual blood pressure measurement was preceded by obtaining of answers to selected questions through controlled interview. Acquired statements were written into the printed forms. It was focused on particicipant's socio-demographic characteristics, his relationship to the blood pressure measurement; occurrence of risk factors of arterial hypertension, it means atherosclerosis; disease in the anamnesis and the usage of drugs including food supplements. The results of blood...
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Analysis of blood pressure measurement in Czech pharmacies I.
Prouza, Jakub ; Malý, Josef (advisor) ; Marešová, Helena (referee)
Analysis of blood pressure measurement in Czech pharmacies I. Author: Jakub Prouza Tutor: Josef Malý1 1 Department of Social and Clinical Pharmacy, Charles University in Prague, Faculty of Pharmacy in Hradec Králové Introduction: Arterial hypertension is one of the most serious health problems of today and its therapy must be approached comprehensively. In addition to medical care, to the improvement of the health status of the patient significantly contribute properly implemented pharmaceutical care and blood pressure measurement in pharmacy. Objectives: The aim of the thesis was to describe and analyse conditions of blood pressure measurement in a sample of Czech pharmacies. Methods: Data were collected via questionnaire survey in 2012 and 2013 in three districts. The survey was conducted using two questionnaires, which were filled at pharmacies with possible help of trained interviewer. The first questionnaire was completed by the authorized employee representative of the pharmacy and included questions characterizing the pharmacy. Furthermore the question whether they provided blood pressure measurement in the pharmacy. If they did, further questions were on the frequency of measurement, instrumentation and space equipment in pharmacy. The second questionnaire was completed by the pharmacy...
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Analysis of care in patients at risk for arterial hypertension in pharmacy II.
Panáčková, Kateřina ; Malý, Josef (advisor) ; Marešová, Helena (referee)
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...
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Analysis of care in patients at risk for arterial hypertension in pharmacy IV.
Kotlanová, Lada ; Malý, Josef (advisor) ; Mareček, Aleš (referee)
Analysis of care in patients at risk for arterial hypertension in pharmacy IV. Author: Lada Kotlanová Tutor: PharmDr. Josef Malý, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University in Prague Introduction and aim: Arterial hypertension (AH) belongs due to its pressure and atherosclerotic complications among very serious global health problems. The main goal of the therapy of AH is to prevent these complications, comprising early diagnosis and proper treatment plan. The aim of the study was to realize counselling in a pharmacy focused on clients with the risk of AH or already diagnosed AH. Metodology: Data were collected in a community pharmacy in Kralovice from September 2014 to January 2015. Prior to blood pressure measurement, the controlled interview was conducted with each client using special form which enabled to obtain important data from clients' history. Following data were obtained: socio-demographic characteristics of each client; their relationship to blood pressure measurement; risk factors of AH or atherosclerosis, respectively; disease history and use of drugs including food supplements. Results of blood pressure measurement, proposed intervention, or drug related problems were also subsequently recorded into the form thus...
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Analysis of care in patients at risk for arterial hypertension in pharmacy I.
Gregor, Stanislav ; Malý, Josef (advisor) ; Matoulková, Petra (referee)
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...
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The problems of self-monitored blood pressure
HEVEROVÁ, Jiřina
Basic theoretical background: The hypertension is a disease in which the blood pressure 140/90 mm Hg, and these values are measured at at least two of the three measurements. Arterial hypertension is one of the most common limit disease with a high prevalence in the adult population in industrialized countries. Aims of the thesis: The aids od the thesis was as to determine whether patients adhere to the principle of self-monitoring of blood pressure using a pressure gauge in the upper arm at home. Furthermore, to determine the most common mistakes patients during self monitoring of blood pressure using a pressure gauge in the upper arm at home. These targets were established research questions: Do they adhere to treating patients with hypertension guidelines for the measurement of blood pressure gauge in the upper arm? Are the errors existing in the measurement of blood pressure gauge in the upper arm? The last research question was: What mistakes do occur, the measurement of TK (gauge in the upper arm) in the home environment for patients undergoing treatment with hypertension most often? Methodology: The empirical part of bachelor work was done using the qualitative research, which was chosen for the data collection technique using individual semi-structured interviews, supplemented by observation in patients with hypertension that home blood pressure measurement using the upper arm a tonometer. The data were collected in March 2014 with respondents, who were selected using the snowball technique. The interview included a pre-prepared questions. Answers of respondents have been recorded in the recording sheet and the recording equipment. The observation was made an observation sheet with the criteria and then created a table below describes the criteria for assessing organizations. The group consisted of 8 respondents. There are four men and four women. The respondents were familiar with the questions in advance and the actual interview was recorded in writing and the recording equipment. All respondents agreed with the observation that took place before the interview. Results: The research results show that more than half of the respondents do not comply with dietary measures (see diagram 2). Another category was focused on the use of medication. Five of the eight respondents taking medications regularly Most respondents answered o the question regarding the occurrence of adverse effects that they do not have side effects.Only two respondents have indicated adverse effects (see diagram 4). The startling finding was that only half of the respondents were aware of adverse effects. In the category of blood pressure measurements showed that all except for the respondent 1, other respondents carried out to measure its pressure in the morning and 1 respondent plus two others measurements performed in the evening (see diagram 6). Each of respondent was asked different frequency measurement, only a few of the respondents agreed (see diagram 5).This category contained three subsections in which we dealt as the position of the respondents have the measurement of your blood pressure (see diagram 7) instead of measuring blood pressure of the respondents (see diagram 8) and the distance from the elbow cuffs well (see diagram 9). In the last category were identified principles that respondents know for correct measurement of blood pressure (see diagram 10). Conclusion: Arterial hypertension is a very dangerous disease, it is important to have this disease, at least partially controlled by measuring the blood pressure. It is important that all hypertensives knew and adhered to the principles for measuring blood pressure.The result of this work is to evaluate the most common mistakes self-monitoring of blood pressure, hypertensive who have committed in home care.This output should be used to assess and prevent further errors in the measurement of blood pressure, for possible patient education nursing staff.
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Blood presure measurement in LabVIEW
Čermák, Marek ; Sekora, Jiří (referee) ; Harabiš, Vratislav (advisor)
The aim of this work is to design and create a product for automated measurement of blood pressure by auscultatory method by using a computer. Thesis contains a description of the blood pressure, also there are explained ways of its monitoring, basic rules for its measurement and the methods by which it is possible to measure blood pressure. In the practical part is described measuring system serving to measuring blood pressure by auscultatory method using a computer. There is also shown a design and realization of microphone preamplifier. The work also includes a description of a computer program created in LabVIEW, which is used to measure by using a previously described system. In the end is evaluated the accuracy of the whole meter.
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Blood presure measurement in LabVIEW
Pelikán, Ondřej ; Štohanzlová, Petra (referee) ; Harabiš, Vratislav (advisor)
The main purpose of this semestral project is to design and realize a product that allows to acquire the Korotkoff’s sounds and measure blood pressure by using a computer. The paper gives a proposal of the preamplifier for acquisition of Korotkoff’s sounds, wiring of product and designed software for data acquisition. Document also contains theoretical informations about options of blood pressure measuring.
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Measurement of the blood pressure using LabView
Slezák, Pavel ; Chmelař, Milan (referee) ; Kolář, Radim (advisor)
This thesis deals with the design of system for blood pressure measurement. The system consists of microphone, amplifier and real time acquisition program using LabView. For determining systolic and diastolic blood pressure origin and ending of Korotkov's sounds is used. The algorithm for this detection is based on bandpass filtering and thresholding also implemented in LabView. As a result of this work, the measured sounds are presented and whole system is described in detail. In conclusion advantages and disadvantages of method are resumed.
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