The Validity Measures Of Blood Pressure - 1729 Words

Aim: This study aims to calculate the validity measures of blood pressure-to-height ratios (BPHR) in screening for elevated blood pressure (EBP) in a sample of the Egyptian adolescence aged 11-15 years. Subject and Methods: A cross sectional study was conducted on a sample of 1707 students aged 11-15 years. Elevated blood pressure was defined according to the international gold standard definition. Systolic and diastolic BPHR (SBPHR and DBPHR) were calculated for boys and girls, and their ability to identify EBP has been determined by the area under the curve of the receiver operator characteristic curves. Sex-specific optimal cutoff points were determined along the curve, and their sensitivity, specificity, positive and negative†¦show more content†¦About 10% of the Egyptian children and adolescents have EBP(7), and this rate is expected to increase with the current increased rate of childhood and adolescence overweight and obesity that exceeded 45% in our country(8). Therefore, there was an urgent need for the diagnosis and treatment of pre-hypertension (pre-HTN) and HTN early in life, as this may result in lifelong reduction in the risk of their occurrence as well as the occurrence of associated conditions(4). Based on a gold standard guidelines developed for the definition of normal and EBP in children and adolescents, accurate diagnosis of EBP requires adjusting the values for age, gender, and height(9). This adjustment requires measuring the child’s height, determining the child’s height’s percentile based on national or international height tables, measuring and recording the child’s blood pressure (BP), and finally checking if his BP falls within or above the corresponding BP percentiles in the BP tables. This cumbersome process makes the interpretation of the BP level time consuming and too complex to be applied in everyday pediatric clinical practice(10,11). Providing simple approaches for interpreting BP levels in childhood and adolescence would encourage health care providers to include blood pressureShow MoreRelatedProgram Evaluation And Measurement Tools1480 Words   |  6 Pagesoutcomes for the HIFP that will be evaluated are as follows: a) any posi tive change in the management of HTN that improves the quality of life, b) adherence to medication regimen, and c) consistent blood pressure readings of less than 140/90 for one year following the program. The effectiveness of blood pressure control programs varies based on the intensity of the program and the use of multiple interventions (Centers for Disease Control and Prevention [CDC], 2014). The CDC’s framework for evaluationRead MoreEffects Of Oral Nifedipine On The Control Of Hypertension During Pregnancy1398 Words   |  6 Pagesfor the control of hypertension during pregnancy. Shekhar et al., conducted a randomized, double-blinded placebo-controlled trial, to compare the effectiveness of orally administered nifedipine and intravenously administered labetalol for acute blood pressure control of hypertensive emergency in pregnancy.4 The study was conducted between October 2012 to April 2013 in the labor ward of the department of Obestrics and Gynecology of Dr. Rajendra Prasad, Government Medical College and Hospital, TandaRead MoreImplementation Of The Intervention Nurses1013 Words   |  5 Pages(Rhee et al., 2005). The barriers to the proposed change intervention will be tackled to ensure a successful implementation. Ethical Considerations Although evidence shows that participating in a diet and exercise program improves blood glucose levels and blood pressure, the nurse should be aware of the ethical dilemmas in health care. One potential consideration in this situation would be patients’ autonomy. The patient has the right to refuse treatment even after the health team has presented evidenceRead MoreWhat Is The 2016-European Society Of Hypertension996 Words   |  4 PagesType of Research Study This study titled â€Å"2016- European Society of Hypertension Guidelines for the Management of high blood pressure in children and adolescents† (2016) is a consensus document pertaining to the 2016 European guidelines for the treatment of hypertension in children. These guidelines are developed by experts doing a literature review of multiple randomized control trials studies. Level of Evidence According to the Medical College of Wisconsin (2017), the level of evidence-basedRead MoreHow Prone Sleeping Is A Major Risk Factor For Sudden Infant Death Syndrome1253 Words   |  6 Pagesmany current studies. They performed studies in 2008 that showed the arousal process from sleep is altered by sleep positions in healthy term infants, they also found that at two to three months of age the blood pressure falls while lying in a prone positon and in quiet sleep. The blood pressure device that was used was previously validated in a study with preterm infants in 2010. Most of the sources used are journals so they would be considered primary sources. We are aware that SIDS occurs duringRead MoreDifference Between Nominal And Nominal Scale1822 Words   |  8 Pageszero with it. The more examples of ratio scales are height and weight. It provides various kinds of possibilities to statistical analysis. As these variables can meaningfully subtract, multiplied, added or divided. With the help of mode, median or measures central tendency can be measured whereas the dispersion can be measured via standard deviation. Example: The Fahrenheit scale of temperature has a random zero point and hence, it is not a ratio scale whereas Kelvin scale has absolute zero. ThereforeRead MoreEssay on Nu310 Unit 8 Assignment1623 Words   |  7 Pagesidentifying and examining the data collection and data analysis methodologies used in each study. The names of the articles are The Experience of Patients Undergoing Awake Craniotomy and The Effects of Crossed Leg Blood Pressure Measurement. The references will also be reviewed to determine validity and relationship to the new study. Data Collection Quantitative Study: The operational and conceptual definition is congruent. The key variables were operationalized using the best possible method and withRead MoreNu310 the Effects of Crossed Leg on Blood Pressure Measurement1549 Words   |  7 Pagesmales to determine if crossing the leg at the knee during blood pressure measurement has an effect on the patient’s blood pressure reading? In this experimental research the implementation of blood pressure (independent variable) will be monitored, and the acquisition about cross-leg (dependent variable) will be measured. The hypotheses are not clearly stated, although the study does state expectations according to their findings â€Å"blood pressure readings may be artificially high if measured while anRead MorePsychology - Obesity Case1177 Words   |  5 PagesMass Index: is heuristic proxy for the fat in an individual based on the individuals height and weight. * Age: the length of time that a person exists in. * Gender: if the person is male or female. * Diabetes: a disease in which the blood accumulates a high percentage of sugar. * Heart problems: a variety of diseases that affect the heart. Dependent Variables: * Smoking habit: the amount a person smokes per day or week. * Alcohol: any intoxicating liquor that containsRead MoreThe Gap Analysis Of Hypertensive Heart Disease1271 Words   |  6 Pagescombination therapy with hydrochlorothiazide (HCTZ) and angiotensin receptor blockers (ARB) remarkably decreased blood pressure and had an effect on cardiovascular and renal protection (Greathouse Weir, 2015). A randomized control trial (RCT) by Fujiwara et al (2012) concluded that a combination therapy with a low dose of a thiazide diuretic in combination with ARB effectively reduces blood pressure and provides significant protection against cardiovascular events. A meta-analysis of placebo-controlled