Improving headgear wear: why force level and direction of traction matter

2020 ◽  
Vol 42 (2) ◽  
pp. 174-179
Author(s):  
Larissa Olivia Stocker ◽  
Raphael Patcas ◽  
Marc Andreas Schätzle
Keyword(s):  
Body Temperature ◽  
Time Correlation ◽  
Individual Variability ◽  
Force Level ◽  
Wear Time ◽  
Force Application ◽  
Force Magnitude ◽  
Actual Force ◽  
Empiric Data ◽  
The Mean

Summary Background Empiric data on headgear wear are scarce. The aim was to examine a possible discrepancy between the duration of wearing and force application, and whether such a difference is influenced by force level or direction of traction. Materials and methods In this retrospective analysis, 122 consecutive patients were included. All were treated with headgear (three subgroups: high-pull headgear [n = 60], cervical-pull headgear [n = 32], and high-pull headgear in combination with an activator [n = 30]) and were monitored for three successive months using an electronic module. The device recorded chronographically the measured force magnitude and temperature, allowing to differentiate between the duration of headgear wear (recorded body temperature) and actual force application (recorded force). Results For all subgroups, the average recorded force application was lower than wear time (mean inactivity during wear: 15.9 ± 22.8 minutes/night). The direction of traction significantly influenced the extent and length of wear time without force application (P < 0.001): patients with cervical-pull headgear were more prone to inactive wear time (27.7 minutes/night) than patients with high-pull headgear (13.7 minutes/night) or with headgear–activator (7.8 minutes/night). The observed inter-individual variability of inactive wear time was considerable (0–134 minutes/night). The mean applied force was highly significantly associated with inactive wear time (correlation coefficient: −0.575; P < 0.001), and force levels below 250 g seem particularly related to episodes of inactivity. Conclusions There is a clear incongruity between the duration of headgear wear and the duration of force application. Inactive wear time is influenced by the direction of traction and force level applied. Clinicians should be aware of the likelihood of periods of inactive wear time and researchers should search for options to reduce or even eliminate these periods.

scholarly journals Proximity of the middle meningeal artery and maxillary artery to the mandibular head and mandibular neck as revealed by three-dimensional time-of-flight magnetic resonance angiography

2021 ◽  
Author(s):  
Daphne Schönegg ◽  
Raphael Ferrari ◽  
Julian Ebner ◽  
Michael Blumer ◽  
Martin Lanzer ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Magnetic Resonance Angiography ◽  
Three Dimensional ◽  
Time Of Flight ◽  
Middle Meningeal Artery ◽  
Individual Variability ◽  
Maxillary Artery ◽  
Condylar Process ◽  
The Mean ◽  
Meningeal Artery

Abstract Purpose The close topographic relationship between vascular and osseous structures in the condylar and subcondylar region and marked variability in the arterial course has been revealed by both imaging and cadaveric studies. This study aimed to verify the previously published information in a large sample and to determine a safe surgical region. Methods We analyzed the three-dimensional time-of-flight magnetic resonance angiography images of 300 individuals. Results The mean distance between the middle meningeal artery and the apex of the condyle or the most medial point of the condyle was 18.8 mm (range: 11.2–25.9 mm) or 14.5 mm (range: 8.8–22.9 mm) respectively. The course of the maxillary artery relative to the lateral pterygoid muscle was medial in 45.7% of cases and lateral in 54.3%. An asymmetric course was evident in 66 patients (22%). The mean distance between the maxillary artery and condylar process at the deepest point of the mandibular notch was 6.2 mm in sides exhibiting a medial course (range: 3.7–9.8 mm) and 6.6 mm in sides exhibiting a lateral course (range: 3.9–10.4 mm). The distances were significantly influenced by age, gender, and the course of the maxillary artery. Conclusion Our study emphasizes the marked inter- and intra-individual variability of the maxillary and middle meningeal arterial courses. We confirmed the proximity of the arteries to the condylar process. Extensive surgical experience and thorough preparation for each individual case are essential to prevent iatrogenic vascular injury.

scholarly journals Influence of Body Temperature on Bispectral Index-Guided Anesthetic Management in Off-Pump Coronary Artery Bypass Grafting

2020 ◽  
Vol 4 (02) ◽  
pp. 079-085
Author(s):  
Muralidhar Kanchi ◽  
Priya Nair ◽  
Rudresh Manjunath ◽  
Kumar Belani
Keyword(s):  
Coronary Artery ◽  
Body Temperature ◽  
Artery Bypass ◽  
Anesthetic Depth ◽  
Off Pump ◽  
Anesthetic Concentration ◽  
The Mean ◽  
Anesthetic Requirement ◽  
Pump Coronary Artery Bypass ◽  
End Tidal

Abstract Background Perioperative hypothermia is not uncommon in surgical patients due to anesthetic-induced inhibition of thermoregulatory mechanisms and exposure of patients to cold environment in the operating rooms. Core temperature reduction up to 35°C is often seen in off-pump coronary artery bypass graft (OP-CABG) surgery. Anesthetic depth can be monitored by using bispectral (BIS) index. The present study was performed to evaluate the influence of mild hypothermia on the anesthetic depth using BIS monitoring and correlation of BIS with end-tidal anesthetic concentration at varying temperatures during OP-CABG. Materials and Methods In a prospective observational study design in a tertiary care teaching hospital, patients who underwent elective OP-CABG under endotracheal general anesthesia, were included in the study. Standard technique of anesthesia was followed. BIS, nasopharyngeal temperature, and end-tidal anesthetic concentration of inhaled isoflurane was recorded every 10 minutes. The BIS was adjusted to between 45 and 50 during surgery. Results There were 40 patients who underwent OP-CABG during the study period. The mean age was 51.2 ± 8.7 years, mean body mass index 29.8 ± 2.2, and mean left ventricular ejection fraction was 55.4 ± 4.2%. Anesthetic requirement as guided by BIS between 45 and 50 correlated linearly with core body temperature (r = 0.999; p < 0.001). The mean decrease in the body temperature at the end of 300 minutes was 2.2°C with a mean decrease in end-tidal anesthetic concentration of 0.29%. The reduction in end-tidal anesthetic concentration per degree decrease in temperature was 0.13%. None of the patients reported intraoperative recall. Conclusion In this study, BIS monitoring was used to guide the delivery concentration of inhaled anesthetic using a targeted range of 45 to 50. BIS monitoring allowed the appropriate reduction of anesthetic dosing requirements in patients undergoing OP-CABG without risk of awareness. There was a significant reduction in anesthetic requirements associated with reduction of core temperature. The routine use of BIS is recommended in OP-CABG to titrate anesthetic requirement during occurrence of hypothermia and facilitate fast-track anesthesia in this patient population.

scholarly journals Diurnal Body Temperature and Rate of Passage of Loggers in Lions

Animals ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. 1388
Author(s):  
Ted Friend ◽  
Giulia Corsini ◽  
Vincent Manero ◽  
Raffaella Cocco
Keyword(s):  
Body Temperature ◽  
Time Frame ◽  
Heat Lamp ◽  
Future Studies ◽  
Ambient Temperatures ◽  
Diurnal Patterns ◽  
Data Loggers ◽  
The Mean ◽  
African Lions ◽  
Circadian Patterns

The documentation of diurnal patterns in body temperature in lions could be important because disruption of circadian patterns can be a useful measure of distress. This study quantified changes in body temperature of seven African lions (Panthera leo) at 5 min intervals during cold conditions from noon until the ingested body temperature loggers were expelled the next day. Thirteen loggers were fed to 11 lions during their daily noon feeding, while ambient temperatures were also recorded using six data loggers. The lions had continuous access to their dens and exercise pens during the day but were restricted to their heavily bedded dens that also contained a heat lamp from 23:00 until 08:00 the next day. Body temperatures averaged 37.95 ± 0.42 °C at 15:50, and 36.81 ± 0.17 °C at 06:50 the next day, 30 min before the first loggers passed from a lion, and were significantly different (t-test, t = 8.09, df = 6, p < 0.0003). The mean duration for the time of passage was 22 ± 2.69 (h ± SD), so future studies using the noninvasive feeding of temperature loggers need to consider that time frame.

scholarly journals The Atmosphere of the Underground Electric Railways of London: A Study of its Bacterial Content in 1920

1923 ◽  
Vol 22 (2) ◽  
pp. 123-155 ◽  
Author(s):  
J. Graham Forbes
Keyword(s):  
Body Temperature ◽  
Room Temperature ◽  
The Mean ◽  
Bacterial Content ◽  
The City

1. The bacterial content of the air of the Underground Railways, when the average of all results of the bacteriological investigations is taken, does not numerically compare unfavourably with the outside air of London.2. The ratio of the number of organisms growing at room temperature appears to be about 14 for railway air to 10 outside air. For those growing at body temperature the ratio is considerably higher, namely 2 to 1 respectively. The mean per litre, for room temperature organisms, is about 9 in railway air, 6·3 in the outside air; for body temperature organisms 4·6 for railway air, 2·2 for outside air.3. The bacterial content of platform air, except on the City and South London Railway, would appear to be higher than that of carriage air; the total mean for platform air being 52 and for carriage air 42·8 organisms per 5 litres, or a ratio of 16·4 and 13·5 respectively to 10 of the open air. The higher proportion in platform air is generally speaking to be accounted for by the greater amount of draught and dust disturbance.4. The ratios of the total bacterial content of railway carriage air and carriage and platform air on the six lines to open air are estimated in the following proportions:

OBSERVATIONS INDICATING A SEX CYCLE IN THE MALE RABBIT

1964 ◽  
Vol 46 (4) ◽  
pp. 597-607 ◽  
Author(s):  
Jan Erik Kihlström ◽  
Otto Hornstein
Keyword(s):  
Body Temperature ◽  
Mucous Membrane ◽  
Immature Stage ◽  
Male Urethra ◽  
Male Rabbit ◽  
Exfoliated Cells ◽  
Different Types ◽  
The Mean ◽  
Male Sex ◽  
Sex Cycle

ABSTRACT Recently some physiological characteristics of a sex cycle in male animals have been demonstrated. However, nothing is known at present about any morphological expressions of this cycle, and particularly about any rhythmical variation in exfoliation of cells comparable with that of the vaginal mucous membrane. On the assumption that such a rhythm may occur in the male urethra, the exfoliation of cells in this organ has been studied by taking daily smears. Cyclically varying frequencies of four different types of exfoliated cells, mainly in an immature stage, were demonstrated. Only a fifth type of cells, characterized by cornification and nuclear degeneration, is not subjected to such rhythmical variation. The mean duration of these cycles is about four days. Simultaneous investigations on the seminal volume and body temperature showed some relation to the cycle of cell desquamation. The results give additional evidence for the existence of a male sex cycle, probably with a hormonal background.

Intracellular oxygen diffusion: the roles of myoglobin and lipid at cold body temperature.

1998 ◽  
Vol 201 (8) ◽  
pp. 1119-1128 ◽  
Author(s):  
B D Sidell
Keyword(s):  
Body Temperature ◽  
Fish Species ◽  
Oxygen Diffusion ◽  
Mechanical Performance ◽  
Muscle Cells ◽  
Cold Temperature ◽  
Oxygen Binding ◽  
Mitochondrial Density ◽  
Polar Fish ◽  
The Mean

Cold temperature can constrain the rate of oxygen movement through muscle cells of ectothermic animals because the kinetic energy of the solvent-solute system decreases and the viscosity of the aqueous cytoplasm increases during cooling within the physiological range of body temperatures. These factors affect the movement of both dissolved oxygen and oxymyoglobin, the two predominant routes of intracellular oxygen diffusion in vertebrate oxidative muscles. In addition, reductions in temperature have been shown to increase the affinity of myoglobin for oxygen and to slow the rate of Mb O2-dissociation, compromising the ability of this oxygen-binding protein to facilitate intracellular oxygen diffusion. Experiments with both seasonally cold-bodied fishes and polar fish species suggest that several factors combine to overcome these limitations in delivery of oxygen from the blood to the mitochondria. First, reductions in body temperature induce increases in mitochondrial density of oxidative muscle cells, reducing the mean diffusional pathlength for oxygen between capillaries and mitochondria. Second, cold body temperature in both temperate-zone and polar fishes is frequently correlated with a high content of neutral lipid in oxidative muscles, providing an enhanced diffusional pathway for oxygen through the tissue. Third, recent data indicate that myoglobins from fish species bind and release oxygen more rapidly at cold temperature than do those from mammals. Data from both oxidative skeletal muscle and cardiac muscle of fishes suggest that these factors in various combinations contribute to enhance the aerobically supported mechanical performance of the tissues at cold cellular temperatures.

Predicting value of prehospital body temperature for ICU admission of septic shock patients

2019 ◽  
Vol 18 (1) ◽  
pp. 56-58
Author(s):  
Romain Jouffroy ◽  
◽  
Anastasia Saade ◽  
Stephane Durand ◽  
Pascal Philippe ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Septic Shock ◽  
Body Temperature ◽  
Propensity Score Analysis ◽  
Call Centre ◽  
Icu Patients ◽  
Icu Admission ◽  
Score Analysis ◽  
The Mean ◽  
Proper Orientation

To specify whether an association exists between pre-hospital body temperature collected by the emergency medical services (EMS) call centre, and intensive care unit (ICU) admission of patients with septic shock. An observational study based on data collected by the EMS of Paris. All septic shocks were included. Among, the 140 calls concerning septic shock, 22 patients (16%) were admitted to ICU. The mean core temperature was 37.4±1.6°C for ICU and 38.6±1.1°C (p<4.10^-5) for non-ICU patients. Using propensity score analysis, the relative risk for ICU admission of patients with pre-hospital fever or hypothermia was 0.31 and 2 respectively. The study highlights the potential usefulness of early temperature measurement in septic shock patients to allow early proper orientation.

scholarly journals VI.—The Body-Temperature of Fishes and other Marine Animals.

1908 ◽  
Vol 28 ◽  
pp. 66-84 ◽  
Author(s):  
Sutherland Simpson
Keyword(s):  
Body Temperature ◽  
Temperature Difference ◽  
Great Majority ◽  
The Body ◽  
Shore Crab ◽  
First Year ◽  
Marine Animals ◽  
Mean Temperature ◽  
The Mean ◽  
Image Position

SUMMARYThe body-temperature of the following fishes, crustaceans, and echinoderms has been examined and compared with the temperature of the water in which they live:—Cod-fish (Gadus morrhua), ling (Molva vulgaris), torsk (Brosmius brosme), coal-fish or saithe (Gadus virens), haddock (Gadus œgelfinus), flounder (Pleuronectes flesus), smelt (Osmerus eperlanus), dog-fish (Scyllium catulus), shore crab (Carcinus mœnas), edible crab (Cancer pagurus), lobster (Homarus vulgaris), sea-urchin (Echinus esculentus), and starfish (Asterias rubens). The minimum, maximum, and mean temperature difference for each species are given in the following table:—The excess of temperature is most evident in the larger specimens. This is well shown in the case of the coal-fish, where in the adult it was 0°·7 C., and in the great majority (11 out of 12) of the young of the first year, 0°·0 C. The body-weight and the conditions under which the fish are captured probably form the most important factors in determining the temperature difference.In 14 codfish, where the rectal, blood, and muscle temperatures were recorded in the same individual, it was found to be highest in the muscle and lowest in the rectum, the mean temperature difference being 0°·46 C. for the muscle, 0°·41 C for the blood, and 0°·36 C. for the rectum.

scholarly journals Validity of Two Awake Wear-Time Classification Algorithms for activPAL in Youth, Adults, and Older Adults

2021 ◽  
pp. 1-12
Author(s):  
Jordan A. Carlson ◽  
Fatima Tuz-Zahra ◽  
John Bellettiere ◽  
Nicola D. Ridgers ◽  
Chelsea Steel ◽  
...  
Keyword(s):  
Older Adults ◽  
United Kingdom ◽  
Best Practices ◽  
Age Groups ◽  
Classification Algorithms ◽  
Wear Time ◽  
Self Rated Health ◽  
The Mean ◽  
Automated Algorithms ◽  
Multiple Assessment

Background: The authors assessed agreement between participant diaries and two automated algorithms applied to activPAL (PAL Technologies Ltd, Glasgow, United Kingdom) data for classifying awake wear time in three age groups. Methods: Study 1 involved 20 youth and 23 adults who, by protocol, removed the activPAL occasionally to create nonwear periods. Study 2 involved 744 older adults who wore the activPAL continuously. Both studies involved multiple assessment days. In-bed, out-of-bed, and nonwear times were recorded in the participant diaries. The CREA (in PAL processing suite) and ProcessingPAL (secondary application) algorithms estimated out-of-bed wear time. Second- and day-level agreement between the algorithms and diary was investigated, as were associations of sedentary variables with self-rated health. Results: The overall accuracy for classifying out-of-bed wear time as compared with the diary was 89.7% (Study 1) to 95% (Study 2) for CREA and 89.4% (Study 1) to 93% (Study 2) for ProcessingPAL. Over 90% of the nonwear time occurring in nonwear periods >165 min was detected by both algorithms, while <11% occurring in periods ≤165 min was detected. For the daily variables, the mean absolute errors for each algorithm were generally within 0–15% of the diary mean. Most Spearman correlations were very large (≥.81). The mean absolute errors and correlations were less favorable for days on which any nonwear time had occurred. The associations between sedentary variables and self-rated health were similar across processing methods. Conclusion: The automated awake wear-time classification algorithms performed similarly to the diary information on days without short (≤2.5–2.75 hr) nonwear periods. Because both diary and algorithm data can have inaccuracies, best practices likely involve integrating diary and algorithm output.

scholarly journals Social smile reproducibility using 3-D stereophotogrammetry and reverse engineering technology

2016 ◽  
Vol 86 (3) ◽  
pp. 448-455 ◽  
Author(s):  
Furkan Dindaroğlu ◽  
Gökhan Serhat Duran ◽  
Serkan Görgülü ◽  
Enver Yetkiner
Keyword(s):  
Reverse Engineering ◽  
Individual Variability ◽  
Reference Image ◽  
Mean Deviation ◽  
Single Image ◽  
Engineering Technology ◽  
Deviation Analysis ◽  
The Social ◽  
The Mean ◽  
Clinically Significant

ABSTRACT Objective:  To assess the range of social smile reproducibility using 3-D stereophotogrammetry and reverse engineering technology. Materials and Methods:  Social smile images of white adolescents (N  =  15, mean age  =  15.4 ±1.5 years; range  =  14–17 years) were obtained using 3dMDFlex (3dMD, Atlanta, Ga). Each participant was asked to produce 16 social smiles at 3-minute intervals. All images were obtained in natural head position. Alignment of images, segmentation of smile area, and 3-D deviation analysis were carried out using Geomagic Control software (3D Systems Inc, Cary, NC). A single image was taken as a reference, and the remaining 15 images were compared with the reference image to evaluate positive and negative deviations. The differences between the mean deviation limits of participants with the highest and the lowest deviations and the total mean deviations were evaluated using Bland-Altman Plots. Results:  Minimum and maximum deviations of a single image from the reference image were 0.34 and 2.69 mm, respectively. Lowest deviation between two images was within 0.5 mm and 1.54 mm among all participants (mean, 0.96 ± 0.21 mm), and the highest deviation was between 0.41 mm and 2.69 mm (mean, 1.53 ± 0.46 mm). For a single patient, when all alignments were considered together, the mean deviation was between 0.32 ± 0.10 mm and 0.59 ± 0.24 mm. Mean deviation for one image was between 0.14 and 1.21 mm. Conclusions:  The range of reproducibility of the social smile presented individual variability, but this variation was not clinically significant or detectable under routine clinical observation.

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