Wrocław University of Technology

About: Wrocław University of Technology is a education organization based out in Wrocław, Poland. It is known for research contribution in the topics: Laser & Fuzzy logic. The organization has 13115 authors who have published 31279 publications receiving 338694 citations.

Relationship between patients' knowledge and medication adherence among patients with hypertension.

Abstract: Objective The purpose of this study was to investigate the relationship between knowledge on arterial hypertension (AH) and its management, and adherence to pharmaceutical treatment. Methods The 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. Results Sixty-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 Conclusion Patients' 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 practice The 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.

The key process parameters influencing formation of columnar microstructure in suspension plasma sprayed zirconia coatings

Abstract: The paper discusses the screening of experimental variables leading to formation of a columnar microstructure in suspension plasma sprayed zirconia coatings. These variables tested in 12 experimental runs included: (i) 2 types of zirconia powder; (ii) 4 concentration of solids in suspensions; (iii) 4 substrate preparation methods; and (iv) 2 plasma spray setups. Two different, commercially available, powders were used to formulate the suspensions. Yttria and ceria stabilized zirconia of composition ZrO2 + 24 wt.% CeO2 + 2.5 wt.% Y2O3 (YCSZ) was milled the decrease the particles sizes. The yttria stabilized zirconia of composition ZrO2 + 14 wt.% Y2O3 (14YSZ) was used as received. The coatings were deposited on 304L stainless steel substrates which had the surface prepared by: (i) grid blasting; (ii) grinding; (iii) turning; and (iv) laser treatment. The 3D topographies of substrates' surfaces were characterized and their roughnesses were measured. The suspensions were plasma sprayed using the following plasma torches: SG-100 of Praixair and Triplex of Sulzer-Metco. The microstructure of powders and coatings was analyzed by optical microscopy, scanning electron microscopy (SEM) and field emission scanning electron microscopy (FE-SEM) as well as by X-ray diffraction. The columnar microstructure was formed in coatings sprayed with both plasma setups sprayed using finer 14YSZ powder suspensions. The substrate surface preparation as well as low concentration of solids in suspension promoted their formation. Rietveld method was applied to determine the quantity of different phases in the structure of coatings and to calculate the lattice parameters. The YCSZ coatings crystallized in mainly tetragonal phase with a small content of monoclinic phase. The 14YSZ crystallized in cubic phase. Finally, the thermal diffusivity of coatings was characterized up to 523 K with the use of laser flash method and thermal conductivities of coatings were determined. The conductivities were in the range from 0.6 to 1.1 W/(mK) depending on temperature for YCSZ and 14YSZ coatings.