Innovative Journal of Medical and Health Sciences

Introduction:  With the increasing number of deaths due to cardiovascular events, there is an urgent need for optimising the risk factors associated with it. The safety and cost effective non-invasive method to assess the blood pressure and modulate the treatment plan accordingly is to utilise the ambulatory blood pressure monitoring and Holter Electrocardiography in daily use in patients with hypertension.

Aim: To examine the functional state of cardiovascular system and possible predictive value of the daily application of the combined method of arterial blood pressure monitoring and ECG monitoring in hypertensive patients at different levels of the disease progression.

Methods and materials: We examined 37 patients with AH without any clinical significant pathology were included in the first group and 32 hypertensive patients with a history of myocardial infarction (MI) in the second group. The average age of participants in this study was 59,02±2,18 years. All patients underwent a comprehensive examination of the functional state of the cardiovascular system using the combined ECG and arterial BP monitoring validated device «CardiosensBP» XAI-MEDICA (Ukraine). The statistical data was processed using «STATISTICA® for Windows 6.0» (StatSoft Inc., #AXXR712D833214FAN5).

Results: The hypertensive state is characterized by an excess of the target values ??of systemic blood pressure: the daily mean values ??of systolic blood pressure (SBP) and diastolic blood pressure (DBP) were higher at 6,93% (P<0,05) and 5,68% (P<0,01) respectively in both groups. Indicators of pressure increase and morning surge(MS) are significant in patients of the second clinical group exclusively SBP, namely: the index of time (IT) - by 24,68% (P<0,01), the index of measurements (IM) - by 16,84% (P<0,05), MS - by 31,98% (P<0,01).

Conclusions: The practice of application of daily arterial blood pressure and ECG monitoring has an important prognostic value in cardiovascular system functional status estimation and also enables the physician in optimising the treatment plan accordingly.

Introduction:  With the increasing number of deaths due to cardiovascular events, there is an urgent need for optimising the risk factors associated with it. The safety and cost effective non-invasive method to assess the blood pressure and modulate the treatment plan accordingly is to utilise the ambulatory blood pressure monitoring and Holter Electrocardiography in daily use in patients with hypertension.

Aim: To examine the functional state of cardiovascular system and possible predictive value of the daily application of the combined method of arterial blood pressure monitoring and ECG monitoring in hypertensive patients at different levels of the disease progression.

Methods and materials: We examined 37 patients with AH without any clinical significant pathology were included in the first group and 32 hypertensive patients with a history of myocardial infarction (MI) in the second group. The average age of participants in this study was 59,02±2,18 years. All patients underwent a comprehensive examination of the functional state of the cardiovascular system using the combined ECG and arterial BP monitoring validated device «CardiosensBP» XAI-MEDICA (Ukraine). The statistical data was processed using «STATISTICA® for Windows 6.0» (StatSoft Inc., #AXXR712D833214FAN5).

Results: The hypertensive state is characterized by an excess of the target values ??of systemic blood pressure: the daily mean values ??of systolic blood pressure (SBP) and diastolic blood pressure (DBP) were higher at 6,93% (P<0,05) and 5,68% (P<0,01) respectively in both groups. Indicators of pressure increase and morning surge(MS) are significant in patients of the second clinical group exclusively SBP, namely: the index of time (IT) - by 24,68% (P<0,01), the index of measurements (IM) - by 16,84% (P<0,05), MS - by 31,98% (P<0,01).

Conclusions: The practice of application of daily arterial blood pressure and ECG monitoring has an important prognostic value in cardiovascular system functional status estimation and also enables the physician in optimising the treatment plan accordingly.

Introduction: The identification of Obstetric danger signs and its relation with complication during pregnancy would enable the mother , their care provider to seek health care timely, attending the necessary steps to have a safe birth and post-partum. Insufficient knowledge regarding this problem among mothers, families, and birth attendants in developing world is the major attributing predictor for maternal deaths.

Objectives: To assess knowledge, attitude, health–seek behavior and associated factor of danger signs during pregnancy among pregnant mothers attending Antenatal care in Family Guidance Association Clinic, 2016, Hawassa, Ethiopia. 

Methods: Institution based cross-sectional study design was conducted from May 05/ 2016 to August 01/2016 G.C. A total of 251 pregnant mothers were included in the study using a single population proportion formula. A systematic random sampling method was used to select study participants from pregnant mothers attending Antenatal care. Data was collected by using structured interviewer administered questionnaire. Data was entered into EPI info version 3.5.1 and exported to SPSS version 21 statistical software package for cleaning, coding and analysis. Descriptive statistics was done to assess basic characteristics. Factors that show association in Bivariable analysis was entered into Multivariable logistic regression model. The strength of statistical association was measured by AOR, 95% confidence intervals, and P-value <0.05 will be considered as significant.

Result: A total of 251 pregnant women were included in the study with a response rate of 100%. The study revealed that 60.6% of participants had heard about obstetric danger signs .The percentage of women who have positive attitude toward seeking  medical care and privation obstetric danger sign during pregnancy was 86.9% and 84.5% of the study  participants had practice seek medical care when they faced problem.

Conclusion: The knowledge, Attitude and practice of Obstetric danger signs were affected by educational status, occupation, and Null parity. Efforts need focus on availing antenatal care services with appropriate information on danger signs of pregnancy to increase the knowledge of pregnant women about danger signs during pregnancy.