Clinical and Therapeutic Evaluation of Hypertensives According to the Practice of Ambulatory Blood Pressure Measurement (ABPM) at the Bel Air International Clinic in Conakry from January 1, 2019 to November 30, 2022

Introduction: Ambulatory Blood Pressure Measurement (ABPM) is a non- invasive examination recommended for subjects at high cardiovascular risk, and those requiring a nocturnal drop in BP such as elderly and obese subjects, those with secondary hypertension or resistant, diabetics, subjects with metabolic syndrome or sleep apnea syndrome. The objective of this study was to evaluate the contribution of ABPM in the diagnosis and evaluation of the level of control of hypertension under treatment at the Bel Air international clinic. Materials and Methods: This is a retrospective, cross-sectional and descriptive study, carried out at the Bel Air International Clinic in Conakry (Guinea) between January 2019 and November 30, 2022. It included a consecutive series of 180 consenting patients recruited through an ambulatory measurement of 24-hour blood pressure from a FUGADA brand device. Results: We collected 180 patients, with a male predominance (sex-ratio M/F = 2.46). The mean age of the patients was 48.48 ± 14.23 years. The most represented age group was that of 32 to 42 years with 50 cases (27.8%) followed by that of 43 to 52 years with 42 cases or 23.3%. The indication was for diagnostic purposes in 106 cases 58.9%, the therapeutic evaluation in 58 patients (32.2%). The examination was prescribed by a cardiologist in 98 cases (54.4%), a general practitioner in 71 cases (39.4%), a neurologist in 11 cases (6.1%). In the therapeutic evaluation, high blood pressure was controlled in 24 patients (13.3%) and uncontrolled in 34 cases (18.9%). In the diagnostic indication, high blood pressure was confirmed in 79 cases (43.9%) with a statistically significant link (Chi2 = 4.57 and p-value = 0.032). The nycthemeral mean was 187.27 ± 26.22 mmHg for systolic blood pressure (SBP) and 110.37 ± 19.06 mmHg for diastolic blood pressure (DBP), during the day, 151.64 ± 21.45 mmHg for SBP and 71.59 ± 8.67 mmHg for diastolic blood pressure. During the study 65 patients (36.1%) were identified as dippers and 115 patients (63.9%) were no-dipping. The antihypertensive protocol used was monotherapy in 68 cases (37.8%), dual therapy in 46 cases (25.6%), triple therapy in 17 cases (9.4%). However 39 patients or 21.7% were not taking any antihypertensive. Conclusion: This preliminary study, despite the modest sample size, showed the importance of ABPM as a tool for diagnosis, monitoring of hypertensive patients and therapeutic adaptation. A large-scale national study would be necessary for the rational use of ambulatory blood pressure measurement in our context in order to improve the management of hypertensive patients.

Numerical analysis of stress distribution in the upper arm tissues under an inflatable cuff：Implications for noninvasive blood pressure measurement

An inflatable cuff wrapped around the upper arm is widely used in noninvasive blood pressure measurement.However, the mechanical interaction between cuff and arm tissues, a factor that potentially affects the accuracy of noninvasive blood pressure measurement, remains rarely addressed. In the present study, finite element（FE） models were constructed to quantify intra-arm stresses generated by cuff compression, aiming to provide some theoretical evidence for identifying factors of importance for blood pressure measurement or explaining clinical observations. Obtained results showed that the simulated tissue stresses were highly sensitive to the distribution of cuff pressure on the arm surface and the contact condition between muscle and bone. In contrast, the magnitude of cuff pressure and small variations in elastic properties of arm soft tissues had little influence on the efficiency of pressure transmission in arm tissues. In particular, it was found that a thickened subcutaneous fat layer in obese subjects significantly reduced the effective pressure transmitted to the brachial artery, which may explain why blood pressure overestimation occurs more frequently in obese subjects in noninvasive blood pressure measurement.

Experimental Tibetan monkey domestication and its application for intraocular pressure measurement

AIM: To train Tibetan monkey (Macaca thibetana) for intraocular pressure (IOP) measurement in conscious state and obtain normal IOP in conscious Tibetan Macaque. METHODS: The training was based on award-conditioned behavior. Food stimulation and human-animal interaction were used in this training. RESULTS: Trained Tibetan monkeys calmly accepted IOP measurement by the TonoVete (R) rebound tonometer without sedation or anesthesia and their IOP values were similar to other primates. CONCLUSION: Human-cultivated Thibetan monkeys are tamable, and can be used for biomedical research such as ophthalmic research without anesthesia.

An improved outer pipe method for expansive pressure measurement of static cracking agents

Static cracking agent(SCA)is actively investigated as an alternative to explosive blasting for rock breakage due to its immense expansion property.SCA can eliminate the negative effects of shock,noise and harmful gases encountered in explosive blasting processes.Accurate measurement and deep understanding of the expansive properties of SCAs are important in their industrial application.An improved outer pipe method(OPM),termed the upper end surface method(UESM),is proposed in this paper to overcome the shortcomings of the OPM in the expansive pressure measurement of SCAs.Numerical simulation is used to proof the concept and a mathematical model established to relate the internal pressure and the radial strains at different positions in the upper end surface method test equipment.The new equipment is calibrated using oil pressure and strain measurements.The calibrated equipment is then used to measure the expansion pressure of SCA at three different water contents to proof its potential.The differences in the measurements with OPM and UESM at three different moisture contents are less than 4%.The experimental results confirm the accuracy and applicability of the more user friendly and less expensive UESM in the measurement of the expansive pressures of SCAs.

Wireless contactless pressure measurement of an LC passive pressure sensor with a novel antenna for high-temperature applications

In this paper, a novel antenna is proposed for high-temperature testing, which can make the high-temperature pressure characteristics of a wireless passive ceramic pressure sensor demonstrated at up to a temperature of 600℃. The design parameters of the antenna are similar to those of the sensor, which will increase the coupling strength between the sensor and testing antenna. The antenna is fabricated in thick film integrated technology, and the properties of the alumina ceramic and silver ensure the feasibility of the antenna in high-temperature environments. The sensor, coupled with the ceramic antenna, is investigated using a high-temperature pressure testing platform. The experimental measurement results show that the pressure signal in a harsh environment can be detected by the frequency diversity of the sensor.

A Deep Learning-Based Continuous Blood Pressure Measurement by Dual Photoplethysmography Signals

This study proposed a measurement platform for continuous blood pressure estimation based on dual photoplethysmography(PPG)sensors and a deep learning(DL)that can be used for continuous and rapid measurement of blood pressure and analysis of cardiovascular-related indicators.The proposed platform measured the signal changes in PPG and converted them into physiological indicators,such as pulse transit time(PTT),pulse wave velocity(PWV),perfusion index(PI)and heart rate(HR);these indicators were then fed into the DL to calculate blood pressure.The hardware of the experiment comprised 2 PPG components(i.e.,Raspberry Pi 3 Model B and analog-todigital converter[MCP3008]),which were connected using a serial peripheral interface.The DL algorithm converted the stable dual PPG signals acquired from the strictly standardized experimental process into various physiological indicators as input parameters and finally obtained the systolic blood pressure(SBP),diastolic blood pressure(DBP)and mean arterial pressure(MAP).To increase the robustness of the DL model,this study input data of 100 Asian participants into the training database,including those with and without cardiovascular disease,each with a proportion of approximately 50%.The experimental results revealed that the mean absolute error and standard deviation of SBP was 0.17±0.46 mmHg.The mean absolute error and standard deviation of DBP was 0.27±0.52 mmHg.The mean absolute error and standard deviation of MAP was 0.16±0.40 mmHg.

A pilot study of the precision of digital intraocular pressure measurement during vitrectomy

AIM:To evaluate the precision of digital intraocular pressure(IOP)measurement in silicone oil(SO)filled eyes during vitrectomy.METHODS:This is a retrospective,single-blind study.Patients who were diagnosed with retinal detachment and scheduled for vitrectomy with SO injection were consecutively enrolled.During the vitrectomy,IOP was digitally measured and then by a rebound tonometer(Icare PRO).The rebound tonometer readings were masked to the surgeons.The digitally measured IOP and that of rebound tonometer were compared,and the inter-methods agreement was assessed.The absolute deviation in IOP values between these two methods(△IOP)was also calculated,and correlations between△IOP and refractive status,lens status and levels of surgeons’experience were analyzed.RESULTS:A total of 131 patients(131 eyes)were recruited,with a mean age of 51.0±16.1 y.There was no significant difference in IOPs between digital measurement and the rebound tonometer(15.6±4.3 vs 15.7±5.1 mm Hg;t=0.406,P=0.686).Intraclass correlation coefficients(ICC)analysis indicated a strong correlation between these two measurements(ICC=0.830,P<0.001).The mean△IOP was 2.0±1.9 mm Hg(range:0-12.8 mm Hg),with 98 eyes(74.8%)had the△IOP within 3 mm Hg.△IOP was found to be negatively correlated with levels of surgeons’experience(r=-0.183;P=0.037),but not with the refractive status or lens status of the patients(both P>0.05).CONCLUSION:For experienced surgeons,the digital IOP measurement may be an acceptable technique for IOP measurement in SO filled eyes during vitrectomy.However,its use by inexperienced surgeons should be taken with caution.

Technique and experiment of active direct gas pressure measurement in coal roadway

An active measurement method and its principle was introduced consideringthe low success rate,special difficulty,and long measurement time of the direct gas pressuremeasurement currently used in coal roadways.The technology of drilling,boreholesealing depth,borehole sealing length,sealing control of the measuring process,compensatorycomputation of gas loss quantity and other key techniques were discussed.Finally,based on the latest instrument the authors developed,a series of experiments of directgas pressure measurement in the coal roadways of the Jincheng and Tongchuanmine district,were carried out.The experimental results show that active gas pressuremeasurement technique has advantages as follows:(1) the application scope of direct gaspressure measurement technique is wide and it does not have the restriction of coalhardness,coal seam fissure and other conditions;(2) the measured results are credible,which can be tested by the same gas pressure value acquired from a different borehole inthe same place;(3) the measurement process is convenient and quick,it takes about 2 to3 days to acquire the gas pressure value in a coal seam.

A blood pressure measurement method based on synergetics theory

The principle for blood pressure measurement using pulse transit time is introduced in this paper.And the math model of synergetics theory is studied in detail.The synergetics theory is applied in the analysis of blood pressure measurement data.The simulation results show that the application of synergetics theory is helpful to judge the normal blood pressure,and the accuracy is up to 80%.

PROGRESS OF ACOUSTIC WAVE TECHNIQUE ANDITS APPLICATION IN UNDERGROUND PRESSURE MEASUREMENT

This paper carries out tbe experirnent study on the correlation between am stress-strain process of rock samples and the acoustie parameter change of rock by using the measurement system of KS acoustic wave data processing device. On the spot, the stability of surrounding rock is studied by means of experiments on the relationship between the change process (from elastie to plastic failure zone) in surrounding rock of roadway and the change law of acoustic parameters of rock. These acoustie parameters inelude wave amplitude, spectral amplitude, spectrum area, spectral density,wave veloeity and attenuation coefficient etc.

Non-Contact Blood Pressure Measurement Based on IPPG

Blood pressure is an important physiological parameter to reflect human vital signs.In order to achieve the non-contact dynamic blood pressure acquisition based on ordinary optical camera,a theoretical understanding of the functional relationship between blood pressure and pulse wave signal conduction time.And through imaging photoelectric plethysmography(IPPG),pulse wave signal conduction time of forehead and hand was obtained with ordinary optical camera.First,the pulse wave conduction time was obtained by recording the video with an ordinary optical camera.Second,real-time blood pressure values were collected.Finally,based on the relationship between blood pressure and pulse wave conduction time,a non-contact blood pressure measurement prediction model was obtained through neural network fitting.So that non-contact blood pressure measurement with optical camera could be completed.The method in this paper has several advantages,such as low requirements on measuring equipment,low cost,and simple operation.It can let people get rid of the discomfort caused by measuring equipment such as cuff and can measure blood pressure at any time.The predicted blood pressure results were compared with an Omron wrist electronic sphygmomanometer.The calculated error of systolic blood pressure is-9.28%~3.16%,and the error of diastolic blood pressure is-9.84~4.35%.

Pressure Measurement on Suction Surface of a Single Vane Using Pressure-sensitive Paint

Global pressure distribution on the suction surface of a single vane in a transonic cascade wind tunnel is measured with the help of intensity-based pressure-sensitive paint (PSP) technique using a type of temperature-insensitive fluorescent paint and a self-made measurement system. This measurement is conducted at the outlet of the cascade wind tunnel at the Mach numbers 0.3 and 0.4, attack angle about –20°, ambient pressure 95.4 kPa and temperature 15 °C. The vane under study owns a large camber angle of ...

Real-time human blood pressure measurement based on laser self-mixing interferometry with extreme learning machine

In this paper, we present a method based on self-mixing interferometry combing extreme learning machine for real-time human blood pressure measurement. A signal processing method based on wavelet transform is applied to extract reversion point in the self-mixing interference signal, thus the pulse wave profile is successfully reconstructed. Considering the blood pressure values are intrinsically related to characteristic parameters of the pulse wave, 80 samples from the MIMIC-II database are used to train the extreme learning machine blood pressure model. In the experiment, 15 measured samples of pulse wave signal are used as the prediction sets. The results show that the errors of systolic and diastolic blood pressure are both within 5 mm Hg compared with that by the Coriolis method.

Unsteady Pressure Measurements in a High-Speed Centrifugal Compressor

This paper presents the unsteady data acquisition system used to measure the pressure field in high speed compressors.Details and electronic sketches are given for the conditioners developed in-house that have been used to amplify and to filter the pressure signal with the aim of acquiring data up to 150 kHz.A discussion of the experimental results carried out in a centrifugal compressor is proposed.Through different processing of the pressure signals and a comparison with URANS simulations,the excitation of the pressure transducers by the pressure waves generated by shock waves that occur between the impeller and the diffuser is highlighted.The levels of pressure fluctuations measured when entering into surge are also presented and reveal very repetitive behaviour of the flow instabilities.

Axial flow structure of solids holdup in an 18-m high-density CFB riser based on pressure measurements

The axial flow structure in a high-density CFB riser having a height of 18 m is investigated on the basis of pressure measurements.Solids circulation rates reach 1400 kg/(m2 s)at superficial gas velocities of 5-9 m/s and the apparent solids holdup exceeds 0.2,indicating high-density operations have been achieved.The apparent solids holdup increases with the solids circulation rate increasing and/or superficial gas velocity decreasing.Axial distributions of the apparent solids holdup have exponential shapes with denser regions at the bottom and more dilute regions in the upper part.The apparent slip velocity increases with the increasing solids holdup and reaches 14 m/s,showing that there are more opportunities of cluster formation in high-density operation.Furthermore,the apparent slip velocity has a power relation with the apparent solids holdup under a wide range of operating conditions.

Temperature and Pressure Measurements at Cold Exit of Counter-flow Vortex Tube with Flow Visualization of Reversed Flow

In order to clarify the structure of the cold flow discharged from the counter-flow vortex tube(VT), the temperature and pressure of the cold flow were measured, and the existence and behavior of the reversed flow at the cold exit was studied using a simple flow visualization technique consisting of a 0.75mm-diameter needle, and an oil paint droplet. It is observed through this experiment that the Pitot pressure at the cold exit center can either be lower or higher than atmospheric pressure, depending on the inlet pressure and the cold fraction, and that a reversed flow is observed when the Pitot pressure at the cold exit center is lower than atmospheric pressure. In addition, it is observed that when reducing the cold fraction from unity at any arbitrary inlet pressure, the region of reversed and colder flow in the central part of cold exit extends in the downstream direction.

Micro packaged MEMS pressure sensor for intracranial pressure measurement

This paper presents a micro packaged MEMS pressure sensor for intracranial pressure measurement which belongs to BioMEMS. It can be used in lumbar puncture surgery to measure intracranial pressure. Minia- turization is key for lumbar puncture surgery because the sensor must be small enough to allow it be placed in the reagent chamber of the lumbar puncture needle. The size of the sensor is decided by the size of the sensor chip and package. Our sensor chip is based on silicon piezoresistive effect and the size is 400 × 400 μm2. It is much smaller than the reported polymer intracranial pressure sensors such as liquid crystal polymer sensors. In terms of package, the traditional dual in-line package obviously could not match the size need, the minimal size of recently reported MEMS-based intracranial pressure sensors after packaging is 10 × 10 mm2. In this work, we are the first to introduce a quad flat no-lead package as the package form of piezoresistive intracranial pressure sensors, the whole size of the sensor is minimized to only 3 × 3 mm2. Considering the liquid measurement environment, the sensor is gummed and waterproof performance is tested; the sensitivity of the sensor is 0.9 × 10-2 mV/kPa.

Low-cost and miniature all-silica Fabry–Perot pressure sensor for intracranial pressure measurement

The monitoring of increased intracranial pressure（ICP） is necessary in the diagnosis and treatment of patients with neurological disease because it can provide an insight into the mechanism of the head injury. In this letter, we develop a novel miniature Fabry–Perot（F-P） sensor for ICP measurement. The proposed sensor is fabricated by using a commercially available fusion splicer and a fiber cleaver, by which many difficult art problems involved in fabrication are solved and the online monitoring of the F-P cavity is actualized. The sensor exhibits a linear response to the applied pressure over the range of 0–25 k Pa（ample for ICP measurement）, with a sensitivity of 10.18 nm/k Pa, a resolution of 0.1 k Pa, and a reduced thermal sensitivity of 0.068 nm/°C, which shows it can meet the requirements of ICP measurement.

Reliability of gas holdup measurements using the differential pressure method in a cyclone-static micro-bubble flotation column

Gas holdup is one of the key parameters in flotation process. Gas holdup as measured by a differential pressure method was investigated and the relative errors compared to the average gas holdup from the volume expansion method. The errors were used to establish optimum measurement positions. The results show that the measurement position should be in the middle of the column and in the region half way from the center to the wall (the half-radius). The gas holdup along the axial direction is lower at the bottom and higher at the top of the floatation column. The gas holdup along the radial direction is lower near the wall and higher near the center of the flotation column. The average gas holdup measure- ment can be replaced by regional gas holdup values.

Wide-Temperature-Range Dielectric Permittivity Measurement under High Pressure

Two measurement systems are developed for in-situ dielectric property measurement under high pressure in a wide-temperature range from 77K to 1273 K. The high-temperature system ranging from room temperature up to 1273K is equipped with a hexahedron anvils press, while the low-temperature system ranging from liquid nitrogen temperature to normal condition is equipped using the piston cylinder setup with a specially designed sample chamber. Using these configurations, the dielectric property measurement of ferroelectrie BaTiO3 and multiferroie Tm0.5Gd0.5MnO3 compounds are demonstrated, which proves the validity of the systems through the tuning of the polarization and phase transition boundary by high pressure. These two systems will be equally applicable to a wide variety of electronic and transport property measurements of insulators, semiconductors, as well as battery materials.