ObjectiveThe purpose of this study was to investigate the relationship between knowledge on arterial hypertension (AH) and its management, and adherence to pharmaceutical treatment.MethodsThe study included 233 patients diagnosed with AH and treated with hypotensive drugs for at least 1 year. The 8-item © Morisky Medication Adherence Scale (MMAS-8) and the Hypertension Knowledge-Level Scale (HK-LS) were used.ResultsSixty-three percent of the patients had a low level of knowledge on AH, with the smallest proportion of correct answers provided for items related to non-pharmaceutical treatment, diet, hypertension definition, and drug adherence. When compared to patients with a high level of knowledge, those with a low knowledge had lower scores in the MMAS (6.45±1.45 vs 7.08±1.04; P=0.038). Multiple-factor analysis showed that statistically significant independent determinants of good adherence included a high level of knowledge (β=0.208; P=0.001), non-pharmaceutical treatment (β=0.182; P=0.006), and frequent blood pressure measurements (β=0.183; P=0.004). The most significant factor in MMAS was knowledge in the “drug adherence” domain (ρ=0.303; P<0.001).ConclusionPatients’ knowledge on hypertension is a significant independent determinant of good adherence. Other independent determinants include non-pharmaceutical treatment and regular blood pressure measurements.Implication for practiceThe identification of knowledge deficits as a factor contributing to lack of adherence and poor hypertension control remains a key challenge for multidisciplinary team caring for patients with hypertension.

BackgroundLow adherence to hypertension (HT) management is one of the major contributors to poor blood pressure (BP) control. Approximately 40%–60% of patients with HT do not follow the prescribed treatment. The aim of the study was to analyze the relationship between selected variables and adherence to hypotensive pharmacological treatment. Besides socioclinical variables, the study focused on the role of illness acceptance.Participants and methodsThe study included 602 patients with HT. Adherence and acceptance of illness were assessed using the following validated instruments: the Acceptance of Illness Scale (AIS) and the Morisky Medication Adherence Scale (MMAS).ResultsThe high-adherence group comprised a significantly higher percentage of patients with high illness acceptance scale scores than that of patients with low-to-moderate scores (42.4 vs 31.8%; P=0.008<0.01). The odds ratio (OR) showed that high adherence to pharmacological treatment was >1.5 times as likely to occur in the high acceptance group as in the low-to-moderate acceptance group (OR =1.58, 95% CI 1.14–2.19). Spearman’s rank correlation coefficients showed statistically significant correlations between adherence and sex (men ρ=−0.101; P=0.012), age >45–66 years (ρ=0.098; P=0.015), higher education level (ρ=0.132; P=0.001), grade ESC of HT (ρ=−0.037; P=0.057), receiving one-tablet polytherapy (ρ=0.131; P=0.015), and illness acceptance (ρ=0.090; P=0.024).ConclusionAcceptance of illness is correlated with adherence to pharmacological treatment, and consideration should be given to more widespread assessment of illness acceptance in daily practice. Male sex, age >45–66 years, duration of illness grade ESC of HT, and receiving one-tablet polytherapy are significant determinants of adherence to pharmacological treatment in HT.

The aim of the study was to assess the effects of training on haematological and biochemical blood parameters as well as on the changes in body surface temperature in horses. In order to identify the predictive value of surface temperature measurements as a marker of animal's performance, their correlations with blood parameters were investigated. The study was carried out on nine horses divided into two groups: routinely ridden and never ridden. Infrared thermography was used to assess surface temperature changes before (BT) and just after training (JAT) on a treadmill. Seven regions of interest (ROIs) located on the neck, shoulder, elbow, back, chest, gluteus and quarter were analysed. The blood samples were taken BT, JAT and 30 min after training (30AT). Haematological parameters including white blood cells, lymphocytes (LYMs), monocytes (MONOs), granulocytes (GRAs), eosinophils (EOSs), haematocrit (HCT) and platelets (PLTs) as well as biochemical parameters such as glucose (GLUC), urea, chemnormalNa+, chemnormalK+ and chemnormalCa2+, and creatine phosphokinase (CPK) were analysed. Our results indicated a significant increase in surface temperature JAT (p=0.043) in the neck, shoulder, elbow, gluteus and quarter in routinely ridden horses. Significant changes in EOS (p=0.046) and HCT (p=0.043) in the case of the never-ridden and routinely ridden group, respectively, were found between the times of blood collection. In addition, there was a significant effect of the horse group and the time of blood collection on the CPK activity (p=0.025 to p=0.045) and urea concentrations (p=0.027 to p=0.045). In the routinely ridden horses, there were significant correlations between the changes in MONO (ρ=0.40), GRA (ρ=-0.40), PLT (ρ=-0.77), HCT (ρ=-0.36), GLUC (ρ=0.56) and urea (ρ=0.56) and the total ROI temperature changes. Moreover, significant correlations between the changes in MONO (ρ=-0.86), EOS (ρ=-0.65), GLUC (ρ=0.85), urea (ρ=0.85), chemnormalNa+ (ρ=0.59) and chemnormalK+ (ρ=-0.85) and the total ROI temperature changes were found in never-ridden horses. Different changes in body surface temperature and blood parameters in routinely ridden and never-ridden horses could be associated with different conditioning and performance. A significantly higher surface temperature in routinely ridden horses, as well as the dynamics of changes in HCT, CPK and urea after training indicate better performance of these horses. Significant correlations between MONO, GLUC, and urea and a total ROI surface temperature as well as a negative correlation between MONO and the total ROI temperature in never-ridden horses indicated poor performance.

Purpose. Thermographic assessment of temperature distribution within the examined tissues allows a quick, noncontact, noninvasive measurement of their temperature. The aim of the study was to evaluate the usefulness of digital infrared imaging in monitoring experimental inflammation of pleura (PL), lower lip (LL), and left paw (LP) and right paw (RP) of lower limbs in rats. Materials and Methods. The inflammatory reaction was induced by injection of 1% carrageenin solution into pleural cavity, lip, or paws. With the use of digital infrared imaging temperature measurement was conducted at 0 to 72 hours of the inflammatory reaction. Results. The temperature decrease was observed at the site of injection directly afterwards. Next, it was gradually increasing and it reached the maximum on the third day of the inflammatory reaction. Statistically significant changes were observed after 48-hour period in PL and LL regions, as well as after 72-hour period in LP and RP regions (P < 0.005). Conclusion. It was found that thermographic examination allows for indicating the presence of inflammatory reaction within examined tissues and determining the dynamics of this process. This method could be used as alternative procedure that allows using fewer animals for experiments.