Evaluation of 3D vertebral and pelvic position by surface topography in asymptomatic females: presentation of normative reference data

Abstract Background Deviations from a conventional physiologic posture are often a cause of complaint. According to current literature, the upright physiological spine posture exhibits inclinations in the sagittal plane but not in the coronal and transverse planes, but individual vertebral body positions of asymptomatic adults have rarely been described using surface topography. Therefore, this work aims to form a normative reference dataset for the thoracic and lumbar vertebral bodies and for the pelvis in all three planes in asymptomatic women. Methods In a prospective, cross-sectional, monocentric study, 100 pain-free asymptomatic women, aged 20–64 years were enrolled. Habitual standing positions of the trunk were measured using surface topography. Data were analyzed in all three planes. Age sub-analysis was: 1) ages ≤ 40 years and 2) ages ≥ 41 years. Two-sample t-tests were used for age comparisons of the vertebral bodies, vertebra prominence (VP)–L4, and global parameters. One-sample t-tests were used to test deviations from symmetrical zero positions of VP–L4. Results Coronal plane: on average, the vertebral bodies were tilted to the right between the VP and T4 (maximum: T2 − 1.8° ± 3.2), while between T6 and T11 they were tilted to the left (maximum: T7 1.1° ± 1.9). T5 and L2 were in a neutral position, overall depicting a mean right-sided lateral flexion from T2 to T7 (apex at T5). Sagittal plane: the kyphotic apex resided at T8 with − 0.5° ± 3.6 and the lumbar lordotic apex at L3 with − 2.1° ± 7.4. Transverse plane: participants had a mean vertebral body rotation to the right ranging from T6 to L4 (maximum: T11 − 2.2° ± 3.5). Age-specific differences were seen in the sagittal plane and had little effect on overall posture. Conclusions Asymptomatic female volunteers standing in a habitual posture displayed an average vertebral rotation and lateral flexion to the right in vertebral segments T2–T7. The physiological asymmetrical posture of women could be considered in spinal therapies. With regard to spinal surgery, it should be clarified whether an approximation to an absolutely symmetrical posture is desirable from a biomechanical point of view? This data set can also be used as a reference in clinical practice. Trial registration: This study was registered with WHO (INT: DRKS00010834) and approved by the responsible ethics committee at the Rhineland–Palatinate Medical Association (837.194.16).

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Evaluation of 3D Vertebral and Pelvic Position by Surface Topography in Asymptomatic Females: Presentation of Normative Reference Data

10.21203/rs.3.rs-612767/v1 ◽

2021 ◽

Author(s):

Claudia Wolf ◽

Ulrich Betz ◽

Janine Huthwelker ◽

Jürgen Konradi ◽

Ruben Westphal ◽

...

Keyword(s):

Surface Topography ◽

Vertebral Body ◽

Sagittal Plane ◽

Neutral Position ◽

Lateral Flexion ◽

Cross Sectional ◽

Data Set ◽

Vertebral Bodies ◽

The Right ◽

Asymptomatic Women

Abstract Background: Deviations from a conventional physiologic posture are often a cause of complaint. According to current literature the upright physiological spine posture exhibits inclinations in the sagittal plane but not in the coronal and transverse planes, but individual vertebral body positions of asymptomatic adults have rarely been described using Surface Topography. Therefore, this work aims to form a normative reference dataset for the thoracic and lumbar vertebral bodies and for the pelvis in all three planes in asymptomatic women.Methods: Prospective, cross-sectional, monocentric study of 100 pain-free asymptomatic women, ages 20-64 years-old, were enrolled. Habitual standing positions of the trunk were measured using Surface Topography. Data was analyzed in all three planes. Age sub-analysis was: 1) ages ≤40 years and 2) ages ≥41 years. Two-sample t-tests were used for age comparisons of the vertebral bodies, vertebra prominence (VP)-L4, and global parameters. One-sample t-tests were used to test deviations from symmetrical zero positions of VP-L4.Results: Coronal plane: on average the vertebral bodies were tilted to the right between the VP-T4 (maximum: T2 -1.8°±3.2), while between T6-T11 they were tilted to the left (maximum: T7 1.1°±1.9). T5 and L2 were in a neutral position. Overall, depicting a mean right-sided lateral flexion from T2-T7 (apex at T5). Sagittal plane: the kyphotic apex resided at T8 with -0.5°±3.6 and the lumbar lordotic apex at L3 with -2.1°±7.4. Transverse plane: participants had a mean vertebral body rotation to the right ranging from T6-L4 (maximum: T11 -2.2°±3.5). Age-specific differences were seen in the sagittal plane and had little effect on overall posture.Conclusions: Asymptomatic female volunteers standing in a habitual posture displayed an average vertebral rotation and lateral flexion to the right in vertebral segments T2-T7. The physiological asymmetrical posture of women should be considered in spinal therapies. With regard to spinal surgery, it should be clarified whether an approximation to an absolutely symmetrical posture is desirable from a biomechanical point of view? This data set can also be used as a reference in clinical practice.Trial registration: This study was registered with WHO (INT: DRKS00010834) and approved by the responsible ethics committee at the Rhineland-Palatinate Medical Association (837.194.16).

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Anterior lengthening in scoliosis occurs only in the disc and is similar in different types of scoliosis

Studies in Health Technology and Informatics - Research into Spinal Deformities 9 ◽

10.3233/shti210435 ◽

2021 ◽

Author(s):

S de Reuver ◽

RC Brink ◽

JF Homans ◽

L Vavruch ◽

H Tropp ◽

...

Keyword(s):

Vertebral Body ◽

Sagittal Plane ◽

Three Dimensional ◽

Congenital Scoliosis ◽

Intervertebral Discs ◽

Ct Scans ◽

Scoliotic Deformity ◽

Different Types ◽

Vertebral Bodies ◽

Bony Abnormality

Relative anterior spinal overgrowth (RASO) was proposed as a generalized growth disturbance and a potential initiator of adolescent idiopathic scoliosis (AIS). However, anterior lengthening was also observed in neuromuscular (NM) scoliosis, was shown to be restricted to the apical areas and to be located in the intervertebral discs, not in the bone. In this study the goal was to determine if other scoliotic curves of known origin exhibit the similar mechanism of anterior lengthening without changes in the vertebral body. Therefore CT-scans of 18 patients in whom a short segment congenital malformation had led to a long thoracic compensatory curve without bony abnormality were included. Of each vertebral body and intervertebral disc in the compensatory curve, the anterior and posterior length was measured on CT-scans in the exact mid-sagittal plane, corrected for deformity in all three planes. The total AP% of the compensatory curve in congenital scoliosis showed a lordosis (+1.8%) that differed from the kyphosis in non-scoliotic controls (-3.0%; p<0.001), and was comparable to AIS (+1.2%) and NM scoliosis (+0.5%). This anterior lengthening was not located in the bone; the vertebral body AP% showed a kyphosis (-3.2%), similar to non-scoliotic controls (-3.4%), as well as AIS (-2.5%) and NM scoliosis (-4.5%; p=1.000). However, the disc AP% showed a lordosis (+24.3%), which sharply contrasts to the kyphotic discs of controls (-1.5%; p<0.001), but was similar to AIS (+17.5%) and NM scoliosis (+20.5%). The results demonstrate that anterior lengthening is part of the three-dimensional deformity in different types of scoliosis and is exclusively located in the intervertebral discs. The bony vertebral bodies maintain their kyphotic shape, which indicates that there is no active bony overgrowth. Anterior lengthening appears to be a passive result of any scoliotic deformity, rather than being related to the specific cause of AIS.

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CT angiography depicted lumbar spinal artery anatomic course: defining a safer zone for lumbar sympathetic and splanchnic blocks

Regional Anesthesia and Pain Medicine ◽

10.1136/rapm-2018-100097 ◽

2019 ◽

Vol 44 (4) ◽

pp. 507-512

Author(s):

Richard Zhu ◽

Kathryn Dean ◽

Neel Mehta ◽

Ajay Gupta ◽

Jesse Gruber ◽

...

Keyword(s):

Vertebral Body ◽

Sagittal Plane ◽

Vertebral Level ◽

Posterior Portion ◽

Ct Angiogram ◽

Disc Injury ◽

Axial Ct ◽

Vertebral Bodies ◽

Needle Trajectory ◽

Lumbar Spinal

IntroductionDetermining safer techniques for lumbar injections is an important goal in pain medicine. This study aims to characterize the location of the T10–L5 spinal arteries using CT angiogram scans to define a safer approach for sympathetic and splanchnic blocks that minimizes intra-arterial injection.MethodsCT angiograms of 68 patients were included this study. The path of the spinal arteries from the aorta origin along the vertebral body to the neural foramina was traced on axial CT images. The sagittal plane of the vertebral body was divided into nine quadrants to map the path of a spinal artery at a vertebral level. At a given vertebral level and laterality, the presence of an artery as well as the quadrants the artery traveled in along its path were recorded.ResultsAt the anterior vertebral body, >90% of the spinal arteries were observed either at or below the pedicle level. At the middle portion of the vertebral body from T11 to L3, >80% of the spinal arteries were found at the pedicle level. For the posterior portion of the vertebral bodies at L4 and L5, the spinal arteries terminated almost universally below the pedicle level. For other levels at the posterior vertebral bodies, the spinal arteries were equivocally located at or below the pedicle level.ConclusionUsing routine anatomic landmarks visible on CT imaging, we classified the anatomic course of low thoracic and lumbar spinal arteries originating from the aorta into the neural foraminal space. A safe recommendation to avoid intra-arterial injection for a splanchnic or lumbar sympathetic is to start above the pedicle and add a slight caudal angulation to the needle trajectory to avoid disc injury at the anterolateral vertebral body.

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Suicide Ideation and Attempt in a Community Cohort of Urban Aboriginal Youth: A Cross-Sectional Study

Crisis ◽

10.1027/0227-5910/a000187 ◽

2013 ◽

Vol 34 (4) ◽

pp. 251-261 ◽

Cited By ~ 17

Author(s):

Joanne N. Luke ◽

Ian P. Anderson ◽

Graham J. Gee ◽

Reg Thorpe ◽

Kevin G. Rowley ◽

...

Keyword(s):

Health Service ◽

Indigenous People ◽

Suicide Ideation ◽

Aboriginal Health ◽

Cross Sectional ◽

Data Set ◽

Indigenous Youth ◽

Aboriginal Youth ◽

Social Distress ◽

Suicide Behavior

Background: There has been increasing attention over the last decade on the issue of indigenous youth suicide. A number of studies have documented the high prevalence of suicide behavior and mortality in Australia and internationally. However, no studies have focused on documenting the correlates of suicide behavior for indigenous youth in Australia. Aims: To examine the prevalence of suicide ideation and attempt and the associated factors for a community 1 The term ”community” refers specifically to Koori people affiliated with the Victorian Aboriginal Health Service. cohort of Koori 2 The term ”Koori” refers to indigenous people from the south-eastern region of Australia, including Melbourne. The term ”Aboriginal” has been used when referring to indigenous people from Australia. The term ”indigenous” has been used throughout this article when referring to the first people of a nation within an international context. (Aboriginal) youth. Method: Data were obtained from the Victorian Aboriginal Health Service (VAHS) Young People’s Project (YPP), a community initiated cross-sectional data set. In 1997/1998, self-reported data were collected for 172 Koori youth aged 12–26 years living in Melbourne, Australia. The data were analyzed to assess the prevalence of current suicide ideation and lifetime suicide attempt. Principal components analysis (PCA) was used to identify closely associated social, emotional, behavioral, and cultural variables at baseline and Cox regression modeling was then used to identify associations between PCA components and suicide ideation and attempt. Results: Ideation and attempt were reported at 23.3% and 24.4%, respectively. PCA yielded five components: (1) emotional distress, (2) social distress A, (3) social distress B, (4) cultural connection, (5) behavioral. All were positively and independently associated with suicide ideation and attempt, while cultural connection showed a negative association. Conclusions: Suicide ideation and attempt were common in this cross-section of indigenous youth with an unfavorable profile for the emotional, social, cultural, and behavioral factors.

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UPAYA PENINGKATAN KINERJA PERAWAT GAWAT DARURAT MELALUI BERBAGAI GAYA KEPEMIMPINAN DI RSUD DAERAH ISTIMEWA YOGYAKARTA

Media Ilmu Kesehatan ◽

10.30989/mik.v6i3.248 ◽

2017 ◽

Vol 6 (3) ◽

pp. 186-194

Author(s):

Deby Zulkarnain Rahadian Syah ◽

Muhamat Nofiyanto

Keyword(s):

Emergency Room ◽

Leadership Style ◽

Quantitative Research ◽

Secondary Data ◽

Cross Sectional ◽

Organizational Goals ◽

Democratic Leadership ◽

The Right ◽

Research Type ◽

Special Region

Background: Nurses in charge of the Emergency Room are required to have more ability than nurses serving patients in other units. Emergency Room is an initial service in a hospital. One's leadership style will greatly affect the effectiveness of a leader. The selection of the right leadership style can lead to the achievement of individual or organizational goals. Objective: To know the various leadership style used by the head of room in improving the performance of nurses of Emergency Room RSUD in in Special Region of Yogyakarta. Method: This research includes quantitative research type, using cross sectional approach. The population of this study was the head of the treatment room. Secondary data of nurse's performance is taken from nursing care which is written in medical record file of Emergency Room of RSUD in Special Region of Yogyakarta. Results: The performance of nurses at Emergency Room RSUD A in the good category was 100%. The performance of nurses at Emergency Room RSUD B in the enough category was 45%. The performance of nurses at Emergency Room C in good category was 80%. The performance of nurses at Emergency Room RSUD D in good category was 55%. The performance of nurses at RSUD E in the good category was 95%. The result of cross tabulation between leadership style and nurse performance of RSUD in the whole DIY with good performance is leader who use democratic leadership style equal to 35%. Conclusion: Most of the nurse's good performance in Emergency Room is followed by democratic leadership style of head of space. Keyword: leadership style, head of space, performance of nurses

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Penanganan Issu Terkait Keselamatan Pasien di Rumah Sakit

10.31219/osf.io/z4yw8 ◽

2020 ◽

Author(s):

Kristin Natal Riang Gea

Keyword(s):

Patient Safety ◽

Health Workers ◽

Sampling Technique ◽

Good Health ◽

Bivariate Analysis ◽

P Value ◽

Patient Identification ◽

Cross Sectional ◽

The Right ◽

The Relationship

AbstrakKeselamatan pasien merupakan dasar dari pelayanan kesehatan yang baik. Pengetahuan tenaga kesehatan dalam sasaran keselamatan pasien terdiri dari ketepatan identifikasi pasien, peningkatan komunikasi yang efektif, peningkatan keamanan obat yang perlu diwaspadai, kepastian tepat lokasi, prosedur, dan tepat pasien operasi, pengurangan risiko infeksi, pengurangan risiko pasien jatuh. Tujuan penelitian untuk mengetahui hubungan antara pengetahuan dengan penerapan keselamatan pasien pada petugas kesehatan di Puskesmas Kedaung Wetan Kota Tangerang. Metode Penelitian menggunakan deskriptif korelasi menggunakan pendekatan cross sectional. Populasi sebanyak 50 responden. Teknik pengambilan sampel menggunakan total sampling. Instrumen yang digunakan berupa lembar kuesioner. Teknik analisa diatas menggunakan analisa Univariat dan Bivariat. Hasil Penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien pada Petugas Kesehatan, dengan hasil, p value sebesar 0,013 < 0,05 maka dapat disimpulkan bahwa ada Hubungan Pengetahuan dengan Penerapa Keselamatan Pasien pada Petugas Kesehatan. Kesimpulan penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien.. AbstrackPatient safety is the basis of good health services. Knowledge of health personnel in patient safety targets consists of accurate patient identification, increased effective communication, increased safety of the drug that needs to be watched, certainty in the right location, procedure, and precise patient surgery, reduction in risk of infection, reduction in risk of falling patients. The purpose of this study was to determine the relationship between knowledge and the application of patient safety to health workers in the Kedaung Wetan Health Center, Tangerang City. The research method uses descriptive correlation using cross sectional approach. The population is 50 respondents. The sampling technique uses total sampling. The instrument used was a questionnaire sheet. The analysis technique above uses Univariate and Bivariate analysis. The results of the study there is a Relationship of Knowledge with the Implementation of Patient Safety in Health Officers, with the result, p value of 0.013 <0.05, it can be concluded that there is a Relationship between Knowledge and Patient Safety Implementation in Health Officers. The conclusion of the study is the Relationship between Knowledge and the Implementation of Patient Safety.Keywords Knowledge, Patient safety, Health workers

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A gap between Law and Practice: A Community’s Perception of Unmarried Women’s Abortion Options in Nepal

Health Prospect ◽

10.3126/hprospect.v12i2.9869 ◽

2014 ◽

Vol 12 (2) ◽

pp. 24-30

Author(s):

Simone Christensen Hald ◽

Ditte Aagaard Sondergaard

Keyword(s):

Cross Sectional Survey ◽

Cross Sectional ◽

Safe Abortion ◽

Community Attitudes ◽

Abortion Law ◽

Premarital Sexual Activity ◽

Premarital Sexual ◽

The Right ◽

Changing Attitudes ◽

Depth Interviews

Background In 2002, the Nepalese abortion law went from being highly restrictive to fully liberal. This study aimed to explore a local community’s perception of the situation for unmarried Nepalese women wanting to practice their legal right to abortion.Methods The study comprised a cross-sectional survey and in-depth interviews with men and women above the age of 16 years living in the Makwanpur District, Nepal. The final data included 55 questionnaires and 16 interviews. The questionnaire data was univariate analysed, while a condensation of meaning analysis was carried out on the interviews.Results The overall awareness of abortion being legal was high, although the extent of knowledge of the specific legal grounds varied. Unmarried women were believed to have access to abortion services, although they risked stigmatisation due to their marital status. The community attitude towards these women having abortions was very negative, hence it differed from the legal acceptance of all women having the right to abortion. This was explained by societal norms on premarital sexual activity. Generally, the participants felt that changing attitudes would be difficult but possible over time.Conclusion A considerable gap exists between the legal acceptance of abortion and community attitudes when it comes to unmarried women as this group encounters barriers when wanting to practice their right. Therefore, these barriers need to be addressed to allow unmarried Nepalese women access to safe abortion services without the risk of being stigmatised.One possible alternative is educational initiatives such as disseminating information vigorously through mass media to create awareness.DOI: http://dx.doi.org/10.3126/hprospect.v12i2.9869 Health Prospect Vol.12(2) 2013: 24-30

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STUDY OF RADIATION CHARACTERISTICS THE RENAL FUNCTION IN PATIENTS WITH TYPE 2 DIABETES

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2014.2.12 ◽

2014 ◽

pp. 73-77

Author(s):

Van Chuong Nguyen ◽

Thi Kim Anh Nguyen

Keyword(s):

Type 2 Diabetes ◽

Renal Function ◽

Glomerular Filtration Rate ◽

Glomerular Filtration ◽

Filtration Rate ◽

Disease Duration ◽

Left Kidney ◽

Cross Sectional ◽

The Right

Background: A Research glomerular filtration rate (GFR) of 61 patients with type 2 diabetes mellitus with renal scanning 99mTc-DTPA glomerular filtration rate at the hospital 175. Objective: (1) To study characteristics of imaging of renal function. (2) Understanding the relationship between GFR with blood sugar, HbA1c, blood pressure and albuminuria in patients with type 2 diabetes. Methods: Descriptive, prospective, cross-sectional study. Clinical examination, Clinical tests and 99mTc-DTPA GFR gamma - camera renography for patients. Result: GFR of the study group was 75,4 ± 22,3 ml/phut/1,73m2, the left kidney was 35,0 ± 13,0 is lower than the right kidney and 39,8 ± 11,9; p <0,01. There is no correlation between GFR with blood glucose and HbA1c, the risk of reduced GFR in hypertensive group associated is OR = 6,5 with p<0,01; albuminuria (+) is OR = 4,2 with p <0,01; and disease duration > 10 years is OR = 3,5 with p <0.01. Conclusion: GFR of the left kidneys is lower than the right kidney; correlation decreased GFR associated with hypertension, albuminuria and disease duration. Keywords: GFR, diabetes, albuminuria

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Longitudinal oscillation of a rod with a variable cross section

Multiphase Systems ◽

10.21662/mfs2019.2.019 ◽

2019 ◽

Vol 14 (2) ◽

pp. 138-141

Author(s):

I.M. Utyashev

Keyword(s):

Cross Section ◽

Natural Frequencies ◽

Liouville Problem ◽

Variable Cross Section ◽

Variable Cross ◽

Longitudinal Vibrations ◽

Cross Sectional ◽

Independent Functions ◽

The Cross ◽

The Right

Variable cross-section rods are used in many parts and mechanisms. For example, conical rods are widely used in percussion mechanisms. The strength of such parts directly depends on the natural frequencies of longitudinal vibrations. The paper presents a method that allows numerically finding the natural frequencies of longitudinal vibrations of an elastic rod with a variable cross section. This method is based on representing the cross-sectional area as an exponential function of a polynomial of degree n. Based on this idea, it was possible to formulate the Sturm-Liouville problem with boundary conditions of the third kind. The linearly independent functions of the general solution have the form of a power series in the variables x and λ, as a result of which the order of the characteristic equation depends on the choice of the number of terms in the series. The presented approach differs from the works of other authors both in the formulation and in the solution method. In the work, a rod with a rigidly fixed left end is considered, fixing on the right end can be either free, or elastic or rigid. The first three natural frequencies for various cross-sectional profiles are given. From the analysis of the numerical results it follows that in a rigidly fixed rod with thinning in the middle part, the first natural frequency is noticeably higher than that of a conical rod. It is shown that with an increase in the rigidity of fixation at the right end, the natural frequencies increase for all cross section profiles. The results of the study can be used to solve inverse problems of restoring the cross-sectional profile from a finite set of natural frequencies.

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Distribution and Characteristics of Intrathoracic Lymphadenopathy in TB/HIV Co-Infection

Infectious Disorders - Drug Targets ◽

10.2174/1871526518666181016111142 ◽

2019 ◽

Vol 19 (4) ◽

pp. 414-420

Author(s):

Payam Mehrian ◽

Abtin Doroudinia ◽

Moghadaseh Shams ◽

Niloufar Alizadeh

Keyword(s):

Lymph Nodes ◽

Cross Sectional Study ◽

Short Axis ◽

Mediastinal Lymph Nodes ◽

Sectional Study ◽

Cross Sectional ◽

Immunodeficiency Virus ◽

Hilar Adenopathy ◽

The Right ◽

Pulmonary Abnormalities

Background: Intrathoracic Lymphadenopathy (ITLN) in Human Immunodeficiency Virus (HIV) infected patients may have various etiologies and prognoses. Etiologies of ITLN can be distinguished based on the distribution of enlarged lymph nodes. Sometimes tuberculosis (TB) is the first sign of underlying HIV infection. Objective: We sought to determine ITLN distribution and associated pulmonary findings in TB/HIV co-infection using Computed Tomography (CT) scan. Methods: In this retrospective, observational, cross-sectional study, chest CT scans of 52 patients with TB/HIV co-infection were assessed for enlarged intrathoracic lymph nodes (>10 mm in short axis diameter), lymphadenopathy (LAP) distribution, calcification, conglomeration, the presence of hypodense center and associated pulmonary abnormalities. LAP distribution was compared in TB/HIV co-infection with isolated TB infection. Results: Mediastinal and/or hilar LAP were seen in 53.8% of TB/HIV co-infection patients. In all cases, LAP was multinational. The most frequent stations were right lower paratracheal and subcarinal stations. Lymph node conglomeration, hypodense center and calcification were noted in 25%, 21.4% and 3.5% of patients, respectively. LAP distribution was the same as that in patients with isolated TB infection except for the right hilar, right upper paratracheal and prevascular stations. All patients with mediastinal and/or hilar adenopathy had associated pulmonary abnormalities. Conclusion: All patients with TB/HIV co-infection and mediastinal and/or hilar adenopathy had associated pulmonary abnormalities. Superior mediastinal lymph nodes were less commonly affected in TB/HIV co-infection than isolated TB.

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