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Dissertations / Theses on the topic 'INCIDENT PRESSURE'

Author: Grafiati

Published: 6 September 2023

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1

Khalili, Payam. "Risk factors for cardiovascular events and incident hospital-treated diabetes in the population." Doctoral thesis, Örebro universitet, Institutionen för hälsovetenskap och medicin, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-24173.

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Background: Cardiovascular disease (CVD) is the leading cause of death worldwide. Well-established risk factors for CVD include increasing age, male sex, sedentary lifestyle, obesity, smoking, diabetes, hypertension, dyslipidaemia and low socio-economic status. Traditional risk factors do, however, not fully explain cardiovascular risk in general. In this thesis we focused on two conventional risk factors (smoking, blood pressure), and two unconventional risk markers (adiponectin, an adipocyte derived protein; and sialic acid (SA), a marker of systemic inflammation) for prediction of CVD event

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2

TenNapel, Mindi Joy. "Oxidative stress genes and gender-specific analysis of lifespan, blood pressure, and incident stroke in the Iowa 65+ cohort." Diss., University of Iowa, 2015. https://ir.uiowa.edu/etd/6651.

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Reactive oxygen species are formed internally through cellular metabolism and through external sources including radiation and pollutants. They play an important role in physiologic functions; however, when reactive oxygen species exceed our body’s antioxidant defense system, oxidative stress can occur. Oxidative stress has been implicated in aging and aging-related diseases including cancer and cardiovascular disease. Numerous oxidative stress genes produce antioxidative enzymes to mitigate the effects of reactive oxygen species. Single nucleotide polymorphisms within these genes may impact t

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3

Pote, Timothy Ryan. "Optical Measurements of High-Viscosity Materials Using Variations of Laser Intensity Incident on a Semi-Rigid Vessel for use in Additive Manufacturing." Thesis, Virginia Tech, 2016. http://hdl.handle.net/10919/79595.

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Additive manufacturing is a growing field dominated by printing processes that soften and re-solidify material, depositing this material layer by layer to form the printed shape. Increasingly, researchers are pursuing new materials to enable fabrication of a wider variety of associated capabilities. This includes fabrication with high-viscosity materials of many new classes of material compositions, such as doping for magnetic or electrically conducting polymers. These additives complicate the materials deposition process by requiring complex, non-linear calibration to synchronize these new ca

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4

Touré, Ibrahima. "Calculs d'épaisseurs optiques : Évaluation des flux de diverses composantes au sol du rayonnement solaire, application capteur plan classique et capteur à renforcement de flux incident." Nancy 1, 1987. http://www.theses.fr/1987NAN10320.

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Étude de l'estimation des flux du rayonnement solaire à partir de paramètres météorologiques et géophysiques faciles à évaluer, dans les conditions de la zone sahélienne de l'Afrique de l'ouest. Un nouveau capteur dénommé "bac solaire muni de réflecteurs" est proposé pour surmonter le handicap du faible échauffement du capteur plan classique en début de matinée, et permettant d'obtenir une température de 100**(O)C avant 10 heures

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5

Oliveira, Saúl Álvaro Azevedo Martins de. "Exchange market pressure and incidence of currency crises in Norway." Master's thesis, Instituto Superior de Economia e Gestão, 2015. http://hdl.handle.net/10400.5/11709.

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Mestrado em Economia Monetária e Financeira<br>Este artigo revê o desenvolvimento da literatura teórica sobre crises cambiais, as suas potenciais causas e sintomas a partir dos principais indicadores. É medido a pressão na taxa de câmbio da Noruega durante o período de 1990 a 2015 com o auxílio do conceito de "Exchange Market Pressure" (EMP) desenvolvido por Kaminsky et al. (1998). O modelo demonstra relevância uma vez que os resultados são consistentes com os episódios de stress/ crise do mercado cambial na Noruega durante o mesmo período. Os resultados mostram que as variáveis macroeconómica

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6

Benson, Claire Margaret. "Investigations into incidents involving the kindling chain of materials in high-pressure oxygen atmospheres." Thesis, London South Bank University, 2015. http://researchopen.lsbu.ac.uk/525/.

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This thesis is a thorough examination of high-pressure enriched oxygen system design and analysis focussing on material selection and incident investigation. The aims are to develop a model to predict spontaneous ignition temperatures (SIT), enable the use of more accessible measurement apparatus, and to devise a scientific methodology to investigate oxygen incidents. Chapter 1 contains examples of incidents in high-pressure enriched oxygen and outlines current methods of material selection and incident investigation. The major flaws with the current systems are explored and the objectives of

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7

Onoda, Erik. "Ekonomická analýza nežádoucích událostí ve zdravotnickém zařízení: dekubity." Master's thesis, Vysoká škola ekonomická v Praze, 2009. http://www.nusl.cz/ntk/nusl-71670.

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The purpose of this thesis was to quantify the cost of care and treatment of pressure ulcers in Thomayer University Hospital with polyclinic (FTNsP) in Prague. Present pressure ulcer monitoring system was analyzed and a transformation of the records collected by this systém in the period 2005 - 2010 was performed in order to derive the necessary data - especially the number of patient-days, displayed by severity of the pressure ulcers. Data on expenditure of materials and pharmaceuticals was obtained by questionnaire survey, conducted in 2009 among the nursing staff. The description of the inc

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8

Engler, Lucy Anne. "The relationship between the use of a tool to assess pressure sore risk and the incidence of pressure sore development /." Staten Island, N.Y. : [s.n.], 1993. http://library.wagner.edu/theses/nursing/1993/thesis_nur_1993_engle_relat.pdf.

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9

Weber, Christina [Verfasser], and S. [Akademischer Betreuer] Grohmann. "Dynamic modelling of incidents for the protection of helium cryostats against excessive pressure / Christina Weber ; Betreuer: S. Grohmann." Karlsruhe : KIT-Bibliothek, 2021. http://d-nb.info/1233359096/34.

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10

Walden, Alexander. "La vocation internationale des médias et son incidence géostratégique." Lille 2, 2008. http://tel.archives-ouvertes.fr/docs/00/37/25/68/PDF/THESE_Walden.pdf.

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Dans cette thèse ont été analysées les conditions et le contexte de la progression mondiale du phénomène médiatique, d'une part par l'étude des médias d'information à vocation internationale, mais aussi par l'étude des enjeux financiers qui ont transformé l'industrie de la communication en un acteur très puissant de l'économie globale. Cette implication majeure de la chose médiatique dans le système international a donné lieu à l'émergence d'une véritable opinion publique mondiale devenue le théâtre d'entreprises d'influence destinées à orienter les esprits au moyen de l'élaboration de contenu

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11

Williams, Angela B. "Incidence and implications of atypical exercise blood pressure responses in adults without diagnosed coronary heart disease." Thesis, Virginia Tech, 1985. http://hdl.handle.net/10919/45657.

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Data were collected from the initial symptomâ limited maximal exercise tests of 161 patients without. diagnosed coronary heart disease (CHD). Subjects were grouped according to their systolic (SBP) and diastolic (DBP) blood pressure changes between the final two stages of exercise.<br>Master of Science

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12

Clark, Anna, and Viktoria Clarin. "The Incidence and Associated Geotechnical Issues of Swelling Clay in Stockholm." Thesis, Uppsala universitet, Institutionen för geovetenskaper, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-256288.

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The Incidence and Associated Geotechnical Issues of Swelling Clay in Stockholm Viktoria Clarin & Anna Clark Previous tunnel failures have shown that inadequate reinforcement in tunnels can lead to cave-ins, whereby swelling clay is one of several factors that can result in these damages. Swelling clay minerals possess the ability to absorb water molecules and cations leading to an increase in volume. Instability in tunnels is a consequence of the mobilised swelling pressure caused by lack of room to accommodate for the change in volume. Several tunnels are projected throughout central St

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13

Neidel, Tobias, Nicolas Salvador, and Axel R. Heller. "Impact of systolic blood pressure limits on the diagnostic value of triage algorithms." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2018. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-231546.

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Background Major incidents are characterized by a lack of resources compared to an overwhelming number of casualties, requiring a prioritization of medical treatment. Triage algorithms are an essential tool for prioritizing the urgency of treatment for patients, but the evidence to support one over another is very limited. We determined the influence of blood pressure limits on the diagnostic value of triage algorithms, considering if pulse should be palpated centrally or peripherally. Methods We used a database representing 500 consecutive HEMS patients. Each patient was allocated a triage c

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14

Jimenez, Zaida Noemy Cabrera. "Índice de pressão tornozelo-braquial em pacientes renais crônicos incidentes em hemodiálise." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/5/5148/tde-01032012-100808/.

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Doença cardiovascular é uma causa importante de morte em pacientes em diálise. Doença arterial obstrutiva periférica (DAOP) é um fator prognóstico de doença cardiovascular. Índice de pressão tornozelo-braquial (ITB) é um método não invasivo usado para o diagnóstico de DAOP. A diferença entre ITB pré e pós diálise ainda não foi formalmente testada e foi um dos objetivos deste estudo. Além disso, nós avaliamos o ITB como marcador de mortalidade em pacientes incidentes em hemodiálise. ITB foi obtido por método oscilométrico automático em uma população de pacientes incidentes em hemodiálise. Este

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15

Hamrat, Fatma-Zohra. "Le rôle du Times durant l'occupation britannique d'Égypte (1882-1956)." Thesis, Montpellier 3, 2017. http://www.theses.fr/2017MON30065.

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L’occupation de l’Égypte en 1882 marque le début d’une longue période pendant laquelle l’Angleterre vas enter en permanence de conserver sa présence militaire et de justifier, par la même occasion, sa politique devant l’Europe et l’Égypte. L’Angleterre n’a pas cessé d’insister sur le caractère temporaire de cette occupation; en effet, il était impossible de se retirer de l’Égypte tant que le canal de Suez représentait la voie maritime la plus courte vers les colonies indiennes. Au cours de cette entreprise colonial, le rôle de la presse a été significatif, contribuant à la diffusion accélérée

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Neidel, Tobias, Nicolas Salvador, and Axel R. Heller. "Impact of systolic blood pressure limits on the diagnostic value of triage algorithms." BioMed Central, 2017. https://tud.qucosa.de/id/qucosa%3A30689.

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Background Major incidents are characterized by a lack of resources compared to an overwhelming number of casualties, requiring a prioritization of medical treatment. Triage algorithms are an essential tool for prioritizing the urgency of treatment for patients, but the evidence to support one over another is very limited. We determined the influence of blood pressure limits on the diagnostic value of triage algorithms, considering if pulse should be palpated centrally or peripherally. Methods We used a database representing 500 consecutive HEMS patients. Each patient was allocated a triage c

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17

Rogenski, Noemi Marisa Brunet. "Estudo sobre a prevalência e a incidência de úlceras de pressão em um Hospital Universitário." Universidade de São Paulo, 2002. http://www.teses.usp.br/teses/disponiveis/7/7138/tde-21012011-090804/.

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As úlceras de pressão (UP) representam um grave problema para os pacientes hospitalizados, especialmente em termos de sofrimento pessoal e econômico, e um desafio não só para os enfermeiros, mas para toda a equipe interdisciplinar. Os objetivos deste estudo foram identificar e analisar os índices de prevalência e incidência de UP, nas unidades de Clínica Médica, Cirúrgica, UTI e Semi Intensiva do Hospital Universitário da USP, bem como, estabelecer as possíveis associações com as características sócio demográficas e clínicas da clientela. Após aprovação do Comitê de Ética e Pesquisa do HU, pro

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18

D, Costa Punam. "Incidence, severity and time course of pressure injuries over the first two years following discharge from hospital in people with spinal cord injuries in Bangladesh." Thesis, The University of Sydney, 2022. https://hdl.handle.net/2123/29427.

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Pressure injuries are a common complication of spinal cord injury (SCI) particularly following discharge from hospital. They are believed to be more prevalent in low-and-middle-income countries (LMICs) than high-income countries (HICs). Pressure injuries are a leading cause of premature death particularly in LMICs. Despite the problems pressure injuries pose for people with SCI in LMICs, there are few accurate data about the incidence and severity of pressure injuries from these countries: the focus of my thesis. My thesis includes a cohort study that was embedded in a clinical trial. One hun

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19

Rogenski, Noemi Marisa Brunet. "Avaliação da implementação de um protocolo de prevenção de úlceras por pressão." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/7/7140/tde-30052011-082158/.

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Esta pesquisa é um estudo de caso com os objetivos de: avaliar a implementação de um protocolo de prevenção de Úlcera por Pressão (UP) por meio do estudo da Prevalência e da Incidência de UP nas unidades de Clinica Médica, Clinica Cirúrgica e Terapia Intensiva Adulto, do Hospital Universitário da Universidade de São Paulo; apreender a percepção das enfermeiras multiplicadoras no processo de implementação do protocolo e propor um processo de avaliação, sistematizado e contínuo da adoção do protocolo de UP. Após aprovação do Comitê de Ética em Pesquisa do HU, procedeu-se à coleta de dados. Optou

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20

Habib, Allah Laila. "Pressure ulcer : prevalence, incidence, risk factors and the predictive validity of the Braden Q and the Glamorgan Risk Assessment Scales in paediatrics." Thesis, De Montfort University, 2013. http://hdl.handle.net/2086/9037.

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Background: There is a paucity of research related to the problem of pressure ulcer in paediatrics. Variable incidence and prevalence rates have been reported, although, critically ill paediatric patients have proved to be at higher risk than those in general wards. Few investigations of contributing factors have been based on rigorous methods, and most existing risk assessment scales are either adult-based or depend simply on experience or observation. Objectives: Two separate studies were conducted as part of this research. A prevalence study aimed to measure the prevalence, location and cat

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Brindle, Christopher T. "Incidence and Predictor Variables of Pressure Injuries in Patients Undergoing Ventricular Assist Device and Total Artificial Heart Surgeries: An Eight-Year Retrospective Review." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/6038.

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BACKGROUND Cardiac surgery patients have some of the highest reported incidence and prevalence of pressure injuries (PI). A growing subset of cardiac surgery include patients with end-stage heart failure who undergo ventricular assist device (VAD) or total artificial heart (TAH) surgery. The risk of PI and their natural history of development in this population are unknown and the specific risk factors for PI development remain unexplored. OBJECTIVES To perform a systematic review of the literature to identify the incidence and risk factors of PI development in patients undergoing VAD-TAH surg

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22

Sayed-Noor, Arkan Sam. "Greater trochanteric pain after total hip arthroplasty : incidence, clinical outcome, associated factors, tenderness evaluation with algometer and a new surgical treatment." Doctoral thesis, Umeå universitet, Ortopedi, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1882.

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Greater trochanteric pain (GTP) is a regional pain syndrome characterized by lateral hip pain and tenderness. Its incidence after total hip arthroplasty (THA) is variable. Bursal inflammation, degenerative changes of the attachment of the gluteal muscles, direct operative trauma and biomechanical disturbance of the operated hip have been discussed as being related to GTP. The diagnosis is purely clinical because radiological and laboratory investigations show no definite pathology. Although most treatment modalities are conservative, some patients may develop refractory complaints leading to s

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23

Kebe, Mouhamadou. "Incidence de traitements thermiques sur le parenchyme de Pomme (Malus Domestica) et diffusion des composés phénoliques." Thesis, Avignon, 2014. http://www.theses.fr/2014AVIG0253/document.

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La pomme (Malus Domestica Borkh.), fruit largement répandu dans les pays tempérés est beaucoup consommée. Elle représente une source importante en composés phénoliques. Cette étude s’est intéressée aux polyphénols des tissus du parenchyme. La problématique s’oriente sur les effets de la texture sur la diffusion de ces molécules. L’originalité de l’approche repose sur l’association de la texture, de la pression osmotique et la diffusion des polyphénols. Les méthodes de caractérisations physiques et biochimiques ont permis de mesurer les changements à l´échelle macroscopique et les modifications

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Ekström, Curt. "Studies on the Epidemiology of Open-angle Glaucoma." Doctoral thesis, Uppsala University, Department of Neuroscience, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-8323.

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<p>Glaucoma is a common disease in the elderly population. Open-angle glaucoma (OAG) is the predominant form of glaucoma. Chronic simple glaucoma and capsular glaucoma, characterized by the occurrence of pseudoexfoliation in the anterior eye segment, are the most frequent types of OAG. The purpose of the present thesis was to study the epidemiology of OAG in the municipality of Tierp, whose population has a high exposure to pseudoexfoliation.</p><p>In a case-finding study, the prevalence of known cases of OAG by December 31, 1983 was estimated to 1.4% in people ≥45 years of age. Sixty-three pe

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25

Pulido, Kelly Cristina Strazzieri. "Incidência de úlcera por pressão em Unidade de Terapia Intensiva." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-09052017-164118/.

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Objetivo: determinar e analisar a incidência de úlcera por pressão e os fatores de risco para o seu desenvolvimento, assim como sua relação com a carga de trabalho de enfermagem, em pacientes internados em unidade de terapia intensiva. Métodos: como parte do projeto de pesquisa intitulado Segurança do paciente em unidades de terapia intensiva: influência dos recursos humanos de enfermagem na ocorrência de eventos adversos, o presente estudo constituiu uma coorte retrospectiva, realizado em nove unidades de terapia intensiva e uma semi-intensiva, de dois hospitais-escola da cidade de São Paulo.

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Vendé, Pierre-Emmanuel. "Incidence de l'implémentation d'un système de pulvérisation de gouttelettes d'eau sur l'efficacité d'un groupe de production de froid embarqué." Thesis, Sorbonne université, 2018. http://www.theses.fr/2018SORUS463.

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La brumisation du condenseur à air d’une machine frigorifique permet une augmentation des échanges thermiques avec l’évaporation de l’eau dans l’air ou en paroi, ce qui augmente la puissance frigorifique et diminue le travail de compression. Ce phénomène est appliqué dans le cadre automobile afin d’abaisser la consommation supplémentaire de carburant induite par la climatisation lorsque le véhicule est à l’arrêt ou roule à faible vitesse. Un dispositif de brumisation autosuffisant en eau, peu énergivore et peu encombrant a ainsi été implémenté afin d’impacter le condenseur du système de climat

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Silva, Maria do Livramento Neves. "Incidência, Prevalência e Fatores Associados às Úlceras por Pressão em Unidade de Terapia Intensiva." Universidade Federal da Paraíba, 2013. http://tede.biblioteca.ufpb.br:8080/handle/tede/5107.

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Made available in DSpace on 2015-05-08T14:47:30Z (GMT). No. of bitstreams: 1 ArquivoTotalMariaDoLivramento.pdf: 2500502 bytes, checksum: 2da20b3b282beacaed0cf61b58a10955 (MD5) Previous issue date: 2013-03-12<br>Coordenação de Aperfeiçoamento de Pessoal de Nível Superior<br>Introduction: The vulnerability of patients hospitalized in an intensive care environmental makes them more inclined toward to the risk of developing pressure ulcers than those ones that are in other wings of the same institution. Objectives: Analyze the incidence, prevalence and factors associated with pressure ulcers in

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Paiva, Lucila Corsino de. "?lcera de press?o em pacientes internados em um hospital universit?rio em Natal/RN: condi??es predisponentes e fatores de risco." Universidade Federal do Rio Grande do Norte, 2008. http://repositorio.ufrn.br:8080/jspui/handle/123456789/14657.

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Made available in DSpace on 2014-12-17T14:46:36Z (GMT). No. of bitstreams: 1 LucilaCP.pdf: 784288 bytes, checksum: 4004c3c28db8291809b6fa8c957d99e3 (MD5) Previous issue date: 2008-04-28<br>The pressure ulcers (PU), also known as decubitus ulcers, are defined as injuries caused by the constant pressure exerted on a particular point of the body, causing impairment of blood supply with a decrease or interruption of tissue irrigation, causing occlusion of blood vessels and capillaries, ischemia and cell death. This is a descriptive study with longitudinal design, and

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Macêdo, Martina Bolz de Jesus. "Der Stand der Demokratisierung und der Herausbildung einer Zivilgesellschaft in Ägypten am Beispiel des Diskurses über die autochthone christliche Minderheit der Kopten." Doctoral thesis, Humboldt-Universität zu Berlin, Philosophische Fakultät III, 2009. http://dx.doi.org/10.18452/16017.

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Die Meinungen über die Chancen einer Demokratisierung im Nahen und Mittleren Osten sind geteilt. Diese Arbeit versucht für Ägypten eine Einschätzung zu geben. Als bevölkerungsreichstes und eines der politisch bedeutsamsten Länder der Region könnte es eine Vorbildfunktion einnehmen. Die Dissertation untersucht an einem Fallbeispiel, den Ausschreitungen zwischen Muslimen und Christen in einem oberägyptischen Dorf 1999/ 2000, in welcher Form und in welchem Ausmaß sich staatliche Akteure, religiöse Institutionen und die Bürger zum heiklen Thema der Gefährdung der Rechte von Minderheiten im öffentl

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Upadhyay, Anil Kumar. "Blast Loading on Plain and Perforated Tubes with High Explosives." Thesis, 2019. http://etd.iisc.ac.in/handle/2005/4342.

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According to the assessments of the United Nations, there are more than 100 million mines lying buried in various conflict zones of many countries in the world. As per their assessment, many thousand casualties happen every year. Most of the demining operations are generally carried out after the conflicts end. This task is one of the most challenging and always a risky operation. There are various demining equipment available world-wide to perform this job in addition to the manual demining of minefield by trained soldiers. Explosive loading on machine components of service vehicles dur

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Vowden, Kath, V. Warner, and Jane B. Collins. "Pressure ulcer incidence: do patients retain information." 2016. http://hdl.handle.net/10454/14727.

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No<br>Many service commissioners are demanding a reduction in pressure ulcer prevalence and regard pressure ulceration as a key indicator of care quality. Within our area of practice, local commissioners have indicated that all health care providers in the district should work together to reduce pressure ulceration across the local health care economy. Health care professionals clearly have a critical role to play in patient assessment, risk categorisation, care planning and equipment provision. However, this alone will not be sufficient to achieve the reduction targets which will involve effe

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Panwar, Rakshit. "Individualized blood pressure targets and the incidence of new-onset acute kidney injury among critically ill patients with shock." Thesis, 2021. http://hdl.handle.net/1959.13/1434542.

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Research Doctorate - Doctor of Philosophy (PhD)<br>Each year over 10,000 Australians who are treated for shock in intensive care unit (ICU) develop acute kidney injury (AKI). According to some series, up to half of these patients could die before leaving hospital. The annual burden of death due to shock with AKI is nearly thrice that of the annual road toll. Development of AKI during shock is an independent predictor of mortality, and its attributable excess treatment cost in Australia exceeds $80 million annually. Strategies that may help prevent AKI or expedite recovery from AKI are much nee

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Mutaganzwa, Christine. "Predictors, incidence of hypertension and trajectories of blood pressure during a five year period among HIV-infected and uninfected Rwandan women." Thesis, 2016. http://hdl.handle.net/10539/21192.

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A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand in partial fulfilment of the requirements for the degree of Masters of Science In Epidemiology and Biostatistics Johannesburg, January 2015<br>Introduction: The Human Immunodeficiency Virus (HIV) and Acquired Immune-deficiency Syndrome (AIDS) epidemic is one of the most devastating health crises of the modern time, affecting mostly the African continent. Non-communicable diseases such as hypertension (HTN) are also becoming increasingly important health threats in Sub-Saharan Africa (SSA) linked t

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Wu, Tso-Kuang, and 吳祚光. "The Incidence of Pressure Sore and Cost-Effectiveness Analysis of Applying High-Density Foam versus Action Pads for Patients During Spinal Surgery." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/13338047500185872007.

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碩士<br>國立陽明大學<br>護理學系暨研究所<br>96<br>The purpose of this study was focused on evaluating the effect of high-density foam and action pad on the prevention of pressure sore during spinal surgery and their economical costs. The research is an experimental design conducted in an operating room of a medical center in northern Taiwan. The pressure at chest and iliac pressure points were measured by Xsensor and presented as mmHg. The stage of pressure was evaluated according to pressure scale published by IAET(International Association of Enterostomal Therapy) and NPUAP (National Pressure Ulcer Advisory

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