Correlation of skin epidural distance and posterior epidural space depth with age, weight, height, BMI, abdominal girth and position of the patient: A prospective randomised study

2021 ◽  
Vol 8 (3) ◽  
pp. 361-366
Author(s):  
Anshu Gupta ◽  
Akhilesh Gupta ◽  
Farhat Singh ◽  
Rajani Mandhyan
Keyword(s):  
Epidural Space ◽  
Lateral Position ◽  
Epidural Block ◽  
Spinal Needle ◽  
Physical Parameters ◽  
Sitting Position ◽  
Abdominal Girth ◽  
Positive Correlation ◽  
Randomised Study ◽  
The Difference

Lumbar epidural block is a commonly used procedure for providing anaesthesia, post-operative analgesia in all groups of patients irrespective of age, sex, weight and height of the patients. The knowledge of posterior space is important in view of the fact that this is the space where drugs for epidural anaesthesia/ analgesia are used. The knowledge of variability of this space with physical parameters of the patient, help us in reducing the incidence of total spinal anaesthesia.Two hundred adult patients in the age group of 20-60 years requiring subarachnoid block were chosen for the study. Using 22G Quincke spinal needle, epidural space was identified and skin epidural distance was measured. Proceeding the spinal needle further, causes needle to lie in subarachnoid space. The skin subarachnoid distance was measured. The difference between skin-subarachnoid distance and skin epidural distance denoted the posterior epidural space width. Its correlation with physical parameters was studied.Mean skin epidural distance was 4.30 ±0.57 in lateral position and 4.05 ± 0.57 in sitting position, the difference being statistically significant. (P= 0.002). There was positive correlation between skin epidural distance with weight, BMI and abdominal girth of the patient. Mean posterior epidural space depth was 0.468+14 cm in lateral position and 0.459+0.14 cm in sitting position, the difference being statistically insignificant. There was a positive correlation between posterior epidural space depth and height of the patient.The skin epidural distance varies with weight, BMI, abdominal girth and position of the patient. The posterior epidural space depth varies with the height of the patients.

scholarly journals Nonlinear stability of two-layer shallow water flows with a free surface

2020 ◽  
Vol 476 (2236) ◽  
pp. 20190594
Author(s):  
Francisco de Melo Viríssimo ◽  
Paul A. Milewski
Keyword(s):  
Free Surface ◽  
Initial Data ◽  
Nonlinear Stability ◽  
Mathematical Proof ◽  
Passive Layer ◽  
Physical Parameters ◽  
Immiscible Fluid ◽  
Dimensional System ◽  
The Cauchy Problem ◽  
The Difference

The problem of two layers of immiscible fluid, bordered above by an unbounded layer of passive fluid and below by a flat bed, is formulated and discussed. The resulting equations are given by a first-order, four-dimensional system of PDEs of mixed-type. The relevant physical parameters in the problem are presented and used to write the equations in a non-dimensional form. The conservation laws for the problem, which are known to be only six, are explicitly written and discussed in both non-Boussinesq and Boussinesq cases. Both dynamics and nonlinear stability of the Cauchy problem are discussed, with focus on the case where the upper unbounded passive layer has zero density, also called the free surface case. We prove that the stability of a solution depends only on two ‘baroclinic’ parameters (the shear and the difference of layer thickness, the former being the most important one) and give a precise criterion for the system to be well-posed. It is also numerically shown that the system is nonlinearly unstable, as hyperbolic initial data evolves into the elliptic region before the formation of shocks. We also discuss the use of simple waves as a tool to bound solutions and preventing a hyperbolic initial data to become elliptic and use this idea to give a mathematical proof for the nonlinear instability.

scholarly journals Acoustic Characterization of Some Steel Industry Waste Materials

2021 ◽  
Vol 11 (13) ◽  
pp. 5924
Author(s):  
Elisa Levi ◽  
Simona Sgarbi ◽  
Edoardo Alessio Piana
Keyword(s):  
Thermal Characteristic ◽  
Environmental Benefits ◽  
Acoustic Properties ◽  
Physical Parameters ◽  
Industry Waste ◽  
Acoustic Characterization ◽  
Minimization Procedure ◽  
The Difference ◽  
By Products

From a circular economy perspective, the acoustic characterization of steelwork by-products is a topic worth investigating, especially because little or no literature can be found on this subject. The possibility to reuse and add value to a large amount of this kind of waste material can lead to significant economic and environmental benefits. Once properly analyzed and optimized, these by-products can become a valuable alternative to conventional materials for noise control applications. The main acoustic properties of these materials can be investigated by means of a four-microphone impedance tube. Through an inverse technique, it is then possible to derive some non-acoustic properties of interest, useful to physically characterize the structure of the materials. The inverse method adopted in this paper is founded on the Johnson–Champoux–Allard model and uses a standard minimization procedure based on the difference between the sound absorption coefficients obtained experimentally and predicted by the Johnson–Champoux–Allard model. The results obtained are consistent with other literature data for similar materials. The knowledge of the physical parameters retrieved applying this technique (porosity, airflow resistivity, tortuosity, viscous and thermal characteristic length) is fundamental for the acoustic optimization of the porous materials in the case of future applications.

Analytical Limit Load Procedure for The Axial Complex Shaped Defect in a Pressurized Pipe

2021 ◽  
Author(s):  
Igor Orynyak ◽  
Julia Bai ◽  
Roman Mazuryk
Keyword(s):  
General Procedure ◽  
Limit Load ◽  
Admissible Solution ◽  
Experimental Comparison ◽  
Physical Parameters ◽  
Equilibrium Equations ◽  
Axial Complex ◽  
The Difference ◽  
Full Scale Tests ◽  
Distribution Of Stress

Abstract The paper is devoted to elaboration of the analytical O-procedure for limit load analysis of complex shaped axial defect in a pressurized pipe. It is based on the classical lower bound theorem of the theory of plasticity, and consists in construction of the statically admissible solution, where distribution of stress satisfies to the equilibrium equations and strength conditions. O-procedure is an optimization process to get the most favorable stress distribution for providing the maximal pressure. It allows to explicitly account for the variable geometrical and physical parameters. Contrary to other approaches, the derived formula for rectangular defect is only a particular case of the general procedure application. Four different methods for the complex defects are compared. They are: first, ASME, A-, rectangular defect formula combined with RSTRENG, R-, procedure, i.e., A-R approach; second, PCORRC, P-, formula with R-procedure, P-R approach; third, Orynyak's, O-, formula with R-procedure, O-R approach; and fourth, our universal O-procedure. The verification begins for rectangular defects where both theoretical and experimental comparison is performed for A-, P-, and O- formulas. The difference between them is small, provided that all three employ the same characteristic of material, here the ultimate strength. Then theoretical comparison for A-R, P-R, O-R approaches and O-procedure is performed for the artificial complex defects, for two symmetrical rectangular defects, for triangular defect. Experimental comparison between four methods is made based on the well-known University of Waterloo full scale tests.

scholarly journals The Skin-to-epidural distance of parturients by ultrasonography: sitting position versus left lateral position

2017 ◽  
Vol 12 (2) ◽  
pp. 132-136
Author(s):  
Eun Hee Chun ◽  
Rack Kyung Chung ◽  
Youn Jin Kim ◽  
So Hee Jin
Keyword(s):  
Lateral Position ◽  
Sitting Position ◽  
Left Lateral Position

scholarly journals Reliability and Safety of Contra-Lateral Oblique View for Interlaminar Epidural Needle Placement

2018 ◽  
Vol 1 (21;1) ◽  
pp. E65-E73
Author(s):  
Richard Derby
Keyword(s):  
Epidural Space ◽  
Ligamentum Flavum ◽  
Case Series ◽  
Senior Author ◽  
Epidural Block ◽  
Observer Agreement ◽  
Epidural Needle ◽  
Oblique View ◽  
Fluoroscopic Imaging

Cord trauma is a risk with a cervical and thoracic interlaminar epidural approach to the epidural space. Intermittent lateral fluoroscopic imaging to detect needle depth is often cumbersome and may be difficult to interpret. In comparison, the contra-lateral oblique (CLO) fluoroscopic view is efficient and easy to interpret. However, the in vivo reliability and safety of this technique has not been formally investigated. The senior author collected fluoroscopic images on 278 consecutive patients undergoing an interlaminar epidural block at the T1-T2 level performed using a 17 gauge Tuohy needle. Before catheter placement, anterior-posterior (AP) and CLO fluoroscopic images were saved with the needle at the ligamentum flavum and the needle just through the ligamentum flavum. We randomly selected the images of 40 cases that included the paired CLO images (total 80 images) documenting the views at and through the ligamentum flavum. Three interventionalists were asked to review, in a blinded fashion, the randomly selected, paired CLO images and to score each image, recording whether the 17 gauge needle was in or out of the epidural space to determine the accuracy and reliability of this technique. There was a 97.5%, 95%, and 93.8% agreement between each reviewing physician and the senior author resulting in a correlation using the Kappa statistic value of 0.950, 0.875, and 0.874, respectively (P < 0.001). The 3 reviewing physicians disagreed with the senior author’s correct answer in 2.5%, 5%, and 6.2%, respectively, however, the disagreement occurred primarily because of poor image quality. Agreement between the 3 reviewing physicians was 93.8%, 96.3%, and 90%, with a Kappa value of 0.875, 0.924, and 0.799, respectively (P < 0.001). There was 100% technical success in the 278 case series without “wet taps,” provocation of pain during entry, or any other immediate post procedural complication. We conclude the CLO view provides an efficient and reliable method to visualize needle tip depth in relation to the epidural space. The close inter-observer agreement was possible with minimal physician instruction. Key words: Cervical interlaminar, cervical epidural, contra-lateral oblique, fluoroscopic imaging

scholarly journals Brain Size of the African Grasscutter (Thryonomys Swinderianus, Temminck, 1827) at Defined Postnatal Periods

2017 ◽  
Vol 61 (4) ◽  
pp. 5-11 ◽  
Author(s):  
C. S. Ibe ◽  
S. O. Salami ◽  
N. Wanmi
Keyword(s):  
Cognitive Ability ◽  
Brain Size ◽  
Natural Habitat ◽  
Brain Weight ◽  
Strong Positive Correlation ◽  
Positive Correlation ◽  
Thryonomys Swinderianus ◽  
Physiological Studies ◽  
The Difference ◽  
The Brain

Abstract As a sequel to the current advancement in ethology, this study was designed to provide information on the brain size of the African grasscutter at specific postnatal periods and to extrapolate these findings to the behaviour of the rodent in its natural habitat. Brain samples were extracted from African grasscutter neonates on postnatal day 6, juveniles on postnatal day 72 and adults on postnatal day 450 by basic neuro-anatomical techniques. The weight, volume and dimensions of the brain samples were determined in absolute and relative terms. Their encephalisation quotient was also computed. There was a very strong positive correlation between nose-rump length and brain length in the neonates. The relative brain weight of neonates, juveniles and adults were 3.84 ± 0.12 %, 2.49 ± 0.07 % and 0.44 ± 0.03 %, respectively. The differences were significant (P < 0.05). The encephalisation quotient of juveniles was 1.62 ± 0.03 while that of the adult was 0.49 ± 0.02. The difference was significant (P < 0.05). The results were extrapolated to the animal’s cognitive ability, and compared with other rodents. It was concluded that the juvenile African grasscutter may have higher cognitive ability than the adult rodent, thus, juveniles should be preferred in physiological studies of memory and cognition.

scholarly journals Analysis of the Correlation between Commodity Grade and Quality ofAngelica sinensisby Determination of Active Compounds Using Ultraperformance Liquid Chromatography Coupled with Chemometrics

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Zenghui Wang ◽  
Dongmei Wang ◽  
Linfang Huang
Keyword(s):  
Ferulic Acid ◽  
Bioactive Compounds ◽  
Negative Correlation ◽  
Significant Positive Correlation ◽  
Principal Component ◽  
Significant Negative Correlation ◽  
Average Weight ◽  
Positive Correlation ◽  
Grade Classification ◽  
The Difference

The contents of ferulic acid, senkyunolide A, butylidenephthalide, ligustilide, and n-butylphthalide were determined by UPLC analytical method; the correlation among the grade, average weight, and content was explored by correlation analysis and analysis of variance (ANOVA); the different commercial grades with average weight and content were revealed by principal component analysis (PCA) and then rationality analysis grade classification ofA. sinensis. The results showed that various commercial grades can be distinguished by PCA analysis. And there was significant negative correlation between the commodity grades and average weight, commodity, and the content of bioactive compounds, while the content of senkyunolide A had significant negative correlation with commodity grades (P<0.01). Average weight had no correlation with chemicals compounds. Additionally, there was significant positive correlation among the bioactive compounds (content of ferulic acid and phthalides) of different grades ofA. sinensis. The content of senkyunolide A, butylidenephthalide, and ligustilide had significant positive correlation with the content of ferulic acid. The content of ligustilide and butylidenephthalide had significant positive correlation with the content of senkyunolide A. The content of ligustilide had significant positive correlation with the content of butylidenephthalide. The basis of grades classification is related with the difference levels of the bioactive compounds.

scholarly journals Reference values for the six-minute pegboard and ring test in healthy adults in Brazil

2018 ◽  
Vol 44 (3) ◽  
pp. 190-194 ◽  
Author(s):  
Vanessa Pereira Lima ◽  
Fabiana Damasceno Almeida ◽  
Tania Janaudis-Ferreira ◽  
Bianca Carmona ◽  
Giane Amorim Ribeiro-Samora ◽  
...  
Keyword(s):  
Physical Activity ◽  
Data Analysis ◽  
Reference Values ◽  
Healthy Adults ◽  
Ring Test ◽  
Age Group ◽  
Upper Arm ◽  
Positive Correlation ◽  
The Difference ◽  
Test Result

ABSTRACT Objective: To determine reference values for the six-minute pegboard and ring test (6PBRT) in healthy adults in Brazil, correlating the results with arm length, circumference of the upper arm/forearm of the dominant arm, and the level of physical activity. Methods: The participants (all volunteers) performed two 6PBRTs, 30 min apart. They were instructed to move as many rings as possible in six minutes. The best test result was selected for data analysis. Results: The sample comprised 104 individuals, all over 30 years of age. Reference values were reported by age bracket. We found that age correlated with 6PBRT results. The number of rings moved was higher in the 30- to 39-year age group than in the > 80-year age group (430.25 ± 77.00 vs. 265.00 ± 65.75), and the difference was significant (p < 0.05). The 6PBRT results showed a weak, positive correlation with the level of physical activity (r = 0.358; p < 0.05) but did not correlate significantly with any other variable studied. Conclusions: In this study, we were able to determine reference values for the 6PBRT in healthy adults in Brazil. There was a correlation between 6PBRT results and age.

THE LEED-COMMERCIAL INTERIORS (V4) PROJECTS IN CALIFORNIA

2021 ◽  
Vol 16 (3) ◽  
pp. 57-72
Author(s):  
Svetlana Pushkar
Keyword(s):  
Green Building ◽  
Nonparametric Tests ◽  
Indoor Environmental Quality ◽  
Positive Correlation ◽  
Low Level ◽  
Impact Reduction ◽  
Environmental Product Declarations ◽  
The Difference ◽  
High Level ◽  
Building Standards

ABSTRACT This study analyzed the Leadership in Energy and Environmental Design for Commercial Interior Certified, Silver, and Gold projects version 4.0 (LEED-CIv4) in California for the period 2015‒2020. Nonparametric tests were used to assess category and credit achievement, i.e., the difference between possible and achieved points and the correlation between associated credits. The results show that most of the credits in the location and transportation category and the indoor environmental quality categories had a high level of achievement, a few credits in the energy and atmosphere and materials and resources categories had a high level of achievement, and all of the credits in the water efficiency category had a low level of achievement. Some associated credits, such as surrounding density and quality transit, had a high level of achievement and a positive correlation, whereas other associated credits, such as life-cycle impact reduction and environmental product declarations, had a low level of achievement and a positive correlation. If LEED-CIv4 credits meet the requirements of the California Green Building Standards Code 2016 (CGBSC 2016), then these credits typically have a medium/high level of achievement. If LEED-CIv4 credits exceed the requirements of CGBSC 2016, then these credits have a low level of achievement. Therefore, to improve the next version of LEED-CI, it is necessary to improve the local green codes.

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