Cynthia Kallás Bachur has PhD in Sciences in the Graduate Program in Fundamental Nursing at the University of São Paulo. She graduated in Physiotherapy from the University of Ribeirão Preto, Specialization in Exercise Physiology and Master in Health Promotion by France - Brazil. She is a Member of the Interdisciplinary Research Group on Hypertension of the School of Nursing of Ribeirão Preto. A contributing member of the Blood Pressure Screening Programs Group - World Hypertension League. She is a collaborating member of the Brazilian Advisory Committee on Hypertension; Member of the Research Ethics Committee of the University of France and; Scientific Coordinator of the League of Cardiology of the Medicine course of the University of France. and Preceptor in the Medicine course of the University of France, with practice in the active methodology problem based learning. She develops projects in the area of blood pressure measurement;evaluates exercise-induced cardiovascular adaptations and projects to evaluate risk factors for cardiovascular disease.
Statement of the Problem: The indirect measurement of blood pressure (BP) is part of the physical examination of extreme importance to the knowledge of health students and is routinely performed in clinical practice. The purpose of this study is to evaluate the effects of an educational intervention on the theoretical knowledge of the indirect measurement of BP in health students. Methodology & Theoretical Orientation: This is a descriptive, observational study carried out in regular students of the Physiotherapy and Medicine course of a private university in 2016, which evaluated the theoretical knowledge about the BP measurement procedure through a questionnaire (27 questions) following the recommendations of the current scientific papers. The Wilcoxon test was used for paired samples. Findings: 30 students from Physiotherapy and 30 from Medicine, from the 8th graduation period, with a mean age of 21.50 + 2.20 years participated. All students, from both courses, in the theoretical evaluation presented a significant difference (p<0.001) in the questionnaire score when compared to pre and post educational intervention. Conclusion & Significance: Based on the results of the present study, it can be observed that the educational intervention applied from a workshop was effective and should be implemented periodically at the undergraduate level, considering that this may influence the improvement of the development of skills and abilities in the procedure of the indirect measurement of BP in clinical practice.
Akram’s career in ultrasound spans 15 years and he is one of Australia’s most highly regarded sonographers especially in the field of vascular ultrasound. Akram initially obtained his Bachelor of radiologic sciences in 1986 from Kuwait university- Faculty of Allied Health Sciences and then obtained his Master degree in Anatomy from Kuwait University-Faculty of Medicine in 1994 then he completed examinations in the Diploma of Medical Ultrasound (General) in Australia and as a Registered Technologist in the USA. In 2006 Akram completed his PhD thesis at Monash University entitled “What makes the veins incompetent”? Since 2002 Akram has been a clinical senior lecturer at the Department of Radiologic Sciences-Faculty of Allied Health Sciences, Kuwait University, providing comprehensive training in radiologic Imaging, Musculoskeletal and Vascular Ultrasound Imaging in a clinical environment. He is currently hold an assistant professor position at Department of Radiologic Sciences, Faculty of Allied Health Sciences, Kuwait University and He is appointed as an adjunct senior lecturer to Monash University,Faculty of Medicine, Department of Medical Imaging from 1/6/2014 till 1/6/2018.
Introduction: Transcranial Doppler (TCD) is used to identify patients with sickle cell disease (SCD) at risk for stroke. We have carried out TCD studies in patients from four countries in the Arabian Peninsula (Kuwait, Oman, Southern Iraq and UAE) to document the prevalence of abnormal TCD findings. Methods: The patients were recruited form outpatient clinics and studied in steady state. TCD was performed using standard equipment with experienced operators. Time-averaged mean of maximum velocity (TAMMV) was documented in the arteries of the circle of Willis. The hemoglobin (Hb) genotype was confirmed and the fetal Hb (HbF) level and complete blood counts were determined. Results: There were 415 patients in the study, aged 2 to 18 years (mean of 8.6±3.5). None of the patients had abnormal TAMMV (i.e. >200 cm/sec), while only 13 (3.1%), all from Iraq had conditional values in the right middle cerebral artery (MCA) and 7 (1.7%) in the left MCA. There were no significant gender differences, and both the Hb genotype (SS, Sβ0thal or SD) and the use of hydroxyurea did not show consistent influence on TAMMV. Total hemoglobin, reticulocyte count, serum bilirubin and HbF showed varying degrees of correlation with TAMMV in the different vessels. Conclusions: This study has demonstrated the rarity of abnormal TCD in SCD from the Arabian Peninsula. This might be related to the haplotype, elevated HbF or may represent a racial variation. The guidelines for TCD screening in this population need further studies and recommendations.