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Article
Inter-arm Blood Pressure Difference in Type 2 Diabetic Patients and Ambulatory Blood Pressure Monitoring :A Clinical Dilemma

Author: Hassan Salim Abdulsada
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2015 Volume: 8 Issue: 2 Pages: 2240-2251
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: Frequently coexistent condition in type 2 diabetes mellitus is hypertension and vice versa. Measurement of blood pressure by ambulatory blood pressure monitoring is superior to ordinary blood pressure . Blood pressure disparity reflects vascular diseases which diabetic patients liable for. Inconsistency in selecting the proper arm for blood pressure measurement may create a clinical dilemma in the presence of systolic and/or diastolic disparity.Aim :We tried in this study to set proper steps in choosing the suitable arm for ambulatory blood pressure monitoring cuff fitting.Material and Methods :Consecutive 140 type 2 diabetes mellitus patients aged 29 years and elder were examined by sequential ordinary blood pressure and simultaneous dual ambulatory blood pressure monitoring.Results: Systolic disparity grade I was dominant (75.7%) as well as diastolic disparity grade I (86.4%). The mean systolic and diastolic blood pressure in the dominant arm was higher than that in the non-dominant arm with significant pressure differences (<0.001).Age and duration of diabetes had positive impacts on systolic and diastolic disparities while gender and Hemoglobin A1C had no impacts. Systolic and diastolic blood pressures were significantly different in both arms when studied over day-time, night-time, and 24-hours ambulatory monitoring. Systolic and diastolic differences in the dominant arm and the non-dominant arm had been shown to have significant mean differences with the mean ambulatory day-time blood pressure.Discussion: Sequential method is an accepted modality and the arm with the higher systolic and/or diastolic blood pressure is the suitable arm for ambulatory monitoring and generally mirroring OBP


Article
Hypertensive Patients Compliance with Medications in Marjan Teaching Hospital/ Babylon

Authors: Safaa Hashim Abbas Alsallami --- Ali Abdulridha Kadhim Abutiheen
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2015 Volume: 12 Issue: 3 Pages: 592-602
Publisher: Babylon University جامعة بابل

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Abstract

Hypertension is a major public-health challenge worldwide and one in every three adults has high blood pressure poor or noncompliance produce uncontrolled hypertension that will lead to more complications. The objective of this study is to evaluate compliance of hypertensive adults with their treatment, this is a descriptive cross sectional study was conducted at the medical consultation clinics of Marjan Teaching Hospital during the period from January through July 2013, 323 hypertensive patients aged over 25 years were interviewed and assessed using a special questionnaire format based on Morisky 8-Item Medication Adherence Scale. Weight, height , and blood pressure were measured. The study showed that mean age of patients was 51.28 ± 9.81 years. Good compliance with treatment was present in only 24.8% of the sample and 57.9% had poor compliance. Nearly 90% of patients tend to measure their blood pressure at governmental clinics, 34.1% do not remember their last blood pressure reading; 33.4% do not know the normal reading and 21.3% tend to measure their blood pressure every 3 months or more and good control of blood pressure was present only in 22.3% of patients. In conclusion the study revealed a low rate of medication compliance and low level of blood pressure control with strong association between them. Compliance increased with higher level of education, presence of complication, longer duration of disease and the use of single medication.


Article
The Relation of Systolic Blood Pressure to Accuracy of High Facing Service (Tennis) in Volleyball Players Aging 13-14 Years
علاقة ضغط الدم الانقباضي بدقة الارسال المواجه من الاعلى(التنس) بالكرة الطائرة باعمار 13-14 سنة

Author: Ahmed Sh. Mahmood /Israa Fadhil Abbas احمد شاكر محمود/اسراء فاضل عباس
Journal: Al-Fatih journal مجلة الفتح ISSN: 87521996 Year: 2015 Volume: 11 Issue: 62 Pages: 258-271
Publisher: Diyala University جامعة ديالى

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Abstract

Physiological studies are in sports are regarded of the focal studies for those working in the field of physical education and physical training. Through them, one can identify the effect of corporeal effort on athlete's biological systems during competitions or when practicing physical activities. Problem of the study lies in the lack of accuracy of high facing service. The two researchers think that systolic pressure is of vital relation to this deficiency. They have delineated the descriptive approach of associative relations due to its suitability to the study procedures. The research population is identified to be the (12) players of Diyala General Directorate of Education Volleyball team/ Intermediate Level. The whole population is selected as the sample of the study. Thus, Diyala General Directorate of Education/ Intermediate level (male students) is deliberately selected to be the sample of the study in the intentional approach. After tests processing, it becomes clear that there is a strong relation between the study variables. Therefore, the researchers concluded that there is an inverse relationship between systolic pressure and accuracy, the more pressure is there, the less accuracy achieved and vice versa.

تعد الدراسات الفسيولوجية في المجال الرياضي من الدراسات المهمة للعاملين في حقل التربية الرياضية والتدريب الرياضي حيث يتم بواسطتها التعرف على تأثير الجهد البدني على الاجهزة الحيوية لجسم الرياضي اثناء المسابقات أو خلال ممارسة الانشطة البدنية , ان مشكلة البحث تكمن في قصور الدقة بالنسبة للإرسال المواجه من الاعلى (التنس) ويعتقد الباحثان ان للضغط الانقباضي علاقة بهذا القصور , استخدم الباحثان المنهج الوصفي بإسلوب العلاقات الارتباطية لملاءمته لطبيعة اجراءات البحث , تم تحديد مجتمع الاصل من منتخبات المنطقة الوسطى بالكرة الطائرة ، اما مجتمع البحث فكان لاعبي منتخب تربية ديالى للمرحلة المتوسطة بالكرة الطائرة والبالغ عددهم (12) لاعباً اذ تَّم أختيار منتخب تربية ديالى (للبنين ) / للمرحلة المتوسطة بالكرة الطائرة كعينة بالطريقة العمدية , وبعد إجراء الاختبارات تبين وجود علاقة ارتباط قوية بين المتغيرات قيد البحث فاستنتج الباحثان وجود علاقة معنوية بين الضغط الانقباضي ودقة الارسال المواجه من الاعلى التنس بالكرة الطائرة .


Article
Study the effect of combined oral contraceptive pill (COCs) on blood pressure and blood hemoglobin concentration of women in the province of AL- Najaf
دراسة تاثير حبوب منع الحمل الفموية المركبة على ضغط الدم وتركيز خضاب الدم في نساء محافظة النجف الاشرف

Author: هيفاء جابر حسين
Journal: journal of kerbala university مجلة جامعة كربلاء ISSN: 18130410 Year: 2015 Volume: 13 Issue: 4 Pages: 44-49
Publisher: Kerbala University جامعة كربلاء

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Abstract

This study aims to find out the side effects of the abuse of combined oral contraceptives COCS in women province of AL- Najaf through the study of their impact on changes in the weights of women who take the pill as well as its effect on systolic blood pressure readings of systolic blood pressure and diastolic blood pressure diastolic addition to studying some of the changes to levels . In this study, 100 women who are abusing the pill oral vehicle and divided into two groups depending on the age group, the first group included 50 women aged) 30 -34) , and the second group 50 women aged (35-40) . The results of these study showed no significant rise (p ≥0.05) in the body mass index BMI between the first and second test values, as well as, a significant increase (p <0.05) in diastolic blood pressure DBP readings while the study created a significant increase(p <0.05) slightly at a level of probability (p <0.05) in pressure readings SBP systolic blood while the study recorded a significant increase (p <0.05) in the percentage hemoglobin blood in the cases of SBP, DBP, and this indicates clearly to the negative effects of the abuse of ladies combined oral contraceptives and enriched their health.

تهدف هذه الدراسة الى معرفة الاثار الجانبية لتعاطي حبوب منع الحمل الفموية المركبة COCS في نساء محافظة النجف الاشرف من خلال دراسة تأثيرها على التغيرات الحاصلة في اوزان السيدات اللاتي يتناولن الحبوب وكذلك تأثيرها على قراءات ضغط الدم الانقباضي systolic blood pressure (SBP) والانبساطي( DBP) blood pressure diastolic بالاضافة الى دراسة بعض التغيرات الدموية الحاصلة في تركيز خضاب الدم . استخدم في هذه الدراسة 100 سيدة ممن يتعاطين حبوب منع الحمل الفموية المركبة وقسمن السيدات الى مجموعتين اعتمادا على الفئة العمرية حيث ضمت المجموعة الاولى50 سيدة بعمر (30 -34), والمجموعة الثانية ضمت50 سيدة بعمر ( 35-4 0 ). أوضحت نتائج الدراسة وجود ارتفاع معنوي ( (p< 0.05في قيم مؤشر كتلة الجسم BMI بين المجموعتين الاولى والثانية وكذلك حصول ارتفاع ملحوظ في قراءات ضغط الدم الانبساطي DBP في حين اوجدت الدراسة ارتفاع معنوي طفيف عند مستوى احتمالية ( (p< 0.05في قراءات ضغط الدم الانقباضيSBP في حين سجلت الدراسة ارتفاع معنوي (p< 0.05) واضح في مستوى هيموكلوبين الدم في حالتي SBP,DBP وهذا يشير وبصورة واضحة الى الاثار السلبية المترتبة على تعاطي السيدات لحبوب منع االحمل الفموية المركبة واثراها على صحتهن.

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