El aumento de la presión intra-abdominal y la relación con la severidad de la pancreatitis en un hospital público. / The Increase of intraabdominal pressure and the relationship with severe pancreatitis in a public hospital.

ResumenLa pancreatitis aguda es un proceso inflamatorio del páncreas con elevada mortalidad. La medición de la presión intra-abdominal es útil para el pronóstico del paciente como predictor de falla orgánica y mortalidad. El objetivo del trabajo fue determinar la importancia de la presión intra-abdominal y la relación con la severidad de pancreatitis en un hospital público de Tabasco, México.Método: Se realizó un estudio con diseño analítico, longitudinal, se estudió una muestra de 32 pacientes con diagnóstico de pancreatitis aguda a través de muestreo por conveniencia. Las variables de estudio fueron edad, sexo, criterios de RANSON, APACHE II, Presión intra-abdominal, y parámetros bioquímicos, se obtuvieron medidas de tendencia central y la prueba de T de Student.Resultados: La media de edad fue de 47.34±17.7 años, el 56.3% (n=18) fueron hombres, el 15.6% (n=5) tuvieron resultados ≥3 puntos de acuerdo a los criterios de Ranson, la media de la Presión intraabdominal inicial de 9.1 ±1.5 mmHg y a las 24 horas 10.3±2.5 mmHg relacionado con la severidad de forma estadísticamente significativa. Conclusiones: La medición de la presión intra-abdominal es una herramienta útil para dar tratamiento oportuno y valorar el pronóstico del paciente. Palabras clave: Pancreatitis; severidad; pronóstico. AbstractAcute pancreatitis is an inflammatory process of the pancreas with high mortality. The measurement of intra-abdominal pressure is useful for the prognosis of the patient as a predictor of organ failure and mortality. The objective of the study was to determine the importance of intra-abdominal pressure and the relationship with the severity of pancreatitis in a public hospital in Tabasco, Mexico. Method: A study was carried out with an analytical, longitudinal design. A sample of 32 patients diagnosed with acute pancreatitis was studied through convenience sampling. The study variables were age, sex, criteria of RANSON, APACHE II, intra-abdominal pressure, and biochemical parameters, measures of central tendency and the Student's T test were obtained. Results: The mean age was 47.34 ± 17.7 years, 56.3% (n = 18) were men, 15.6% (n = 5) had results ≥3 points according to the Ranson criteria, the mean of the Pressure initial intraabdominal of 9.1 ± 1.5 mmHg and at 24 hours 10.3 ± 2.5 mmHg related to severity in a statistically significant way. Conclusions: The measurement of intra-abdominal pressure is a useful tool to give timely treatment and assess the patient's prognosis. Keywords: Pancreatitis; severity; forecast

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The Relationship Between Intraabdominal Hypertension and Preeclampsia

Gynecology Obstetrics and Reproductive Medicine ◽

10.21613/gorm.2016.628 ◽

2016 ◽

pp. 5

Author(s):

Mesut A. Ünsal ◽

Ülkü İnce ◽

Sevil Cengiz ◽

S. Caner Karahan ◽

Turhan Aran

Keyword(s):

Statistical Significance ◽

Intraabdominal Pressure ◽

Control Group ◽

Abdominal Pressure ◽

Study Group ◽

Abdominal Hypertension ◽

Intraabdominal Hypertension ◽

The Mean ◽

And Control ◽

The Relationship

OBJECTIVE: We aimed to measure abdominal pressure and placental levels of malondialdehyde in patients with preeclampsia and investigate the relationship between intraabdominal pressure and clinical features of preeclampsia. STUDY DESIGN: Study was conducted at a tertiary referral clinic. Study group consisted of patients with preeclampsia and control group consisted of normotensive pregnant women. Both placental malondialdehyde and intraabdominal pressure levels were studied in all patients. Intraabdominal pressure was assessed indirectly via a Foley bladder catheter both antepartum and postpartum period. Statistical comparisons among groups were made using the Mann-Whitney U test, independent T test and Chi-square test. Statistical significance was set as p<0.05. RESULTS: Study and control group consisted of 35 pregnant patients. The mean patients’ age, gravidity, parity, weight and BMI were not different between study and control groups. In the study group, Caesarean, preterm delivery and abdominal hypertension rate were significantly higher whereas the mean neonatal birth weight was lower. The mean antepartum and postpartum intraabdominal pressure levels were significantly higher in study group. The mean intraabdominal pressure was highest in patients with oliguria (19.8±1.8 cmH2O). Abdominal hypertension was detected in 30 (86%) patients in study group and in 3 (9%) patients in control group. The mean placental malondialdehyde level was significantly higher in patients with intraabdominal hypertension. CONCLUSION: Abdominal hypertension rate is very high in patients with preeclampsia. Abdominal hypertension may have an additional role in preeclampsia.

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Non-Invasive Measurement of Intra-Abdominal Pressure through Abdominal Wall during Urodynamic Study

Urologia Journal ◽

10.1177/039156039306000108 ◽

1993 ◽

Vol 60 (1) ◽

pp. 37-39

Author(s):

H. Takahashi ◽

K. Obara ◽

A. Hatano ◽

M. Tamaki ◽

M. Takeda ◽

...

Keyword(s):

Abdominal Wall ◽

Intraabdominal Pressure ◽

Abdominal Pressure ◽

Urodynamic Study ◽

Intravesical Pressure ◽

Non Invasive ◽

Urodynamic Studies ◽

Rectal Pressure ◽

The Relationship ◽

Invasive Measurement

We found that the intra-abdominal pressure could be measured non-invasively, simply and directly through the abdominal wall using a pressure transducer that we used for routine urodynamic studies. We designed a simple device, “transducer attacher”, for attaching the transducer to the abdominal wall. To evaluate the utility of pressure this measured, we compared it with the empty intravesical pressure which is equal to the intraabdominal pressure. Pressure through the abdominal wall did not differ significantly from that of the empty urinary bladder measured on 33 strainings performed by 15 patients complaining of urinary disturbance. The relationship between the rise in empty intravesical pressure (X) and the abdominal wall pressure (Y) was shown by the equation Y = 1.13X-2.89 (r = 0.971, p<0.01). These findings indicate that the pressure measured through the abdominal wall represents the intra-abdominal pressure. This new technique presents an alternative to monitoring the rectal pressure in urodynamic studies.

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Condylar Asymmetry Measurements in Patients with Temporomandibular Disorders

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-5-3-59 ◽

2004 ◽

Vol 5 (3) ◽

pp. 59-65 ◽

Cited By ~ 10

Author(s):

Ali Alp Sağlam ◽

Gülperi Şanli

Keyword(s):

Temporomandibular Disorders ◽

Asymmetry Index ◽

T Test ◽

Control Group ◽

The Mean ◽

Student’S T ◽

The Relationship ◽

Experimental Group ◽

Student’S T Test

Abstract Objectives The relationship between condylar asymmetry and handedness of the patients with temporomandibular disorders (TMD) and patients with no signs or symptoms of TMD was investigated. The experimental group consisted of 25 patients aged 15 to 52 years who were referred for treatment of TMD. The mean age of this group was 26.24 years. The control group consisted of 25 patients aged 14 to 52 years (mean age: 26.16 years). Methods The formula by Habets et al.14 was used to express the symmetry between the condyles and the rami on the orthopantomogram (OPG) image. Differences between bothgroups and subgroups (condyle, ramus, condyle plus ramus) regarding symmetry were calculated with the Student's t-test. Results The mean of condylar asymmetry was found to be 11.11 ± 11.03% in the TMD group. However, in the control group, the mean of condylar asymmetry was found to be 8.36 ± 6.27%. No statistically significant differences were found between condylar asymmetry in both groups (p>0.05). Conclusions No statistically significant differences were found between condylar asymmetry index in patients with TMD according to myogenous problems and in patients with no signs or symptoms of TMD. Citation Sağlam AA, Şanli G. Condylar Asymmetry Measurements in Patients with Temporomandibular Disorders. J Contemp Dent Pract 2004 August;(5)3:059-065.

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Evaluation of the Safety and Usefulness of Citrus Jabara Fruit Peel Powder Cream for Patients with Atopic Dermatitis

Trends in Immunotherapy ◽

10.24294/ti.v4.i1.1230 ◽

2020 ◽

Vol 4 (1) ◽

Author(s):

Yutaka Inaba ◽

Fukumi Furukawa ◽

Seisho Azuma ◽

Kimiye Baba ◽

Masahiko Taniguchi ◽

...

Keyword(s):

Atopic Dermatitis ◽

Oral Intake ◽

Skin Lesions ◽

Fruit Peel ◽

Kii Peninsula ◽

The Mean ◽

Student’S T ◽

The Relationship ◽

Student’S T Test

Citrus jabara (CJ) is a rare citrus that originally grew wild only in the southern area of the Kii peninsula in Japan. In the relationship between CJ and atopic dermatitis (AD), improvement of AD by oral intake of CJ fruit juice was reported in AD model mice. Our previous study also showed anti-inflammatory potentials of CJ fruit peels in vitro. In this study, the applicability of CJ fruit peel powder (CJ powder) for topical application in patients with AD was investigated. After confirming both the safety of CJ powder in preclinical studies and the safety of 5% CJ powder cream in healthy volunteers, the safety and usefulness of 5% CJ powder cream were evaluated in 20 patients with AD. Evaluation of 5% CJ powder cream in patients with AD for 4 weeks showed improvement in the mean severity score of the affected area (from 3.0 to 2.0, p=0.001 by Student’s t test), improvement in skin lesions (11 of 20 participants), usefulness (16 of 20 participants), and safety (16 of 20 participants). Although aggravation of symptoms on application areas were observed on 4 participants, their aggravation were systemic, resulting from causes other than tested cream. These results suggested that 5% CJ powder cream is useful and safe for patients with AD.

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The Quantitative Anatomy of the Dorsal Scapholunate Interosseous Ligament

Hand ◽

10.1177/1558944718798846 ◽

2018 ◽

Vol 14 (1) ◽

pp. 80-85 ◽

Cited By ~ 1

Author(s):

M. Claire Manske ◽

Jerry I. Huang

Keyword(s):

High Frequency ◽

High Frequency Ultrasound ◽

Interosseous Ligament ◽

Ultrasound Evaluation ◽

Quantitative Anatomy ◽

The Mean ◽

Student’S T ◽

The Relationship ◽

Frequency Ultrasound ◽

Student’S T Test

Background: The anatomy of the scapholunate interosseous ligament (SLIL) has been described qualitatively in great detail, with recognition of the dorsal component’s importance for carpal stability. The purpose of this study was to define the quantitative anatomy of the dorsal SLIL and to assess the use of high-frequency ultrasound to image the dorsal SLIL. Methods: We used high-frequency ultrasound imaging to evaluate 40 wrists in 20 volunteers and recorded the radial-ulnar (length) and dorsal-volar (thickness) dimensions of the dorsal SLIL and the dimensions of the scapholunate interval. We assessed the use of high-frequency ultrasound by comparing the length and thickness of the dorsal SLIL on ultrasound evaluation and open dissection of 12 cadaveric wrists. Student’s t test was used to assess the relationship between measurements obtained on cadaver ultrasound and open dissection. Results: In the volunteer wrists, the mean dorsal SLIL length was 7.5 ± 1.4 mm and thickness was 1.8 ± 0.4 mm; the mean scapholunate interval was 5.0 mm dorsally and 2.5 mm centrally. In the cadaver wrists, there was no difference in dorsal SLIL length or thickness between ultrasound and open dissection. Conclusions: The dorsal SLIL is approximately 7.5 mm long and 1.8 mm thick. These parameters may be useful in treatment of SLIL injuries to restore the native anatomy. High-frequency ultrasound is a useful imaging technique to assess the dorsal SLIL, although further study is needed to assess the use of high-frequency ultrasound in detection of SLIL pathology.

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Relationship between the Occlusal Plane corresponding to the Lateral Borders of the Tongue and Ala-tragus Line in Edentulous Patients

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1192 ◽

2012 ◽

Vol 13 (5) ◽

pp. 590-594 ◽

Cited By ~ 3

Author(s):

Carole Abi-Ghosn ◽

Carla Zogheib ◽

Joseph E Makzoumé

Keyword(s):

Acrylic Resin ◽

Repeated Measure ◽

Occlusal Plane ◽

Significant Difference ◽

Measure Analysis ◽

The Mean ◽

Edentulous Patients ◽

Student’S T ◽

Inferior Border ◽

The Relationship

ABSTRACT Aim Definitions of the ala-tragus line (ATL) cause confusion, because the exact points of reference for this line do not agree. This study determined the relationship between the prosthetic occlusal plane (OP) corresponding to the lateral borders of the tongue and ATL which was established by using the inferior border of the ala of the nose and (1) the superior border of the tragus (ATL 1), (2) the tip (ATL 2) and (3) the inferior border of the tragus (ATL 3). Materials and methods Neutral zone moldings using phonation and autopolymerizing acrylic resin were recorded and leveled with the lateral borders of the tongue. Lateral cephalometric radiographs were taken of each subject by a standard method. Tracings were obtained on acetate paper to show the prosthetic OP and the three ATLs. The relationship between the prosthetic OP and each of ATL was measured for each subject. Mean and standard deviation values were then calculated for the relationship. Statistical analysis was performed using repeated measure analysis of variance followed by Bonferroni pairwise comparisons and Student's t-test (α = 0.05). Results Significant difference was found between the three mean angles (p = 0.001). There was no significant difference between the mean angle (5.00° ± 4.38) formed by OP and ATL 2, and the mean angle (4.90° ± 3.50) formed by OP and ATL 3 (p = 1.00) which revealed the smallest. Conclusion The findings of this study indicated that ATLs, extending from the inferior border of the ala of the nose to (1) the tip of the tragus of the ear, and (2) the inferior border of the tragus presented the closest relationship to the prosthetic OP corresponding to the lateral borders of the tongue. Clinical significance When the ATL is used for orientation of the OP in denture construction, it would seem preferable to define it as running from the inferior border of the ala of the nose to the tip or to the inferior border of the tragus of the ear. How to cite this article Abi-Ghosn C, Zogheib C, Makzoumé JE. Relationship between the Occlusal Plane corresponding to the Lateral Borders of the Tongue and Ala-tragus Line in Edentulous Patients. J Contemp Dent Pract 2012;13(5):590-594.

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Clinical study of intra-abdominal pressure in the acute surgical abdomen

International Surgery Journal ◽

10.18203/2349-2902.isj20173385 ◽

2017 ◽

Vol 4 (8) ◽

pp. 2512

Author(s):

Kumari Neelam ◽

Amit Kumar ◽

Vineet Singh ◽

Surjeet Kumar Yadav

Keyword(s):

Early Recognition ◽

Abdominal Cavity ◽

Study Groups ◽

Intraabdominal Pressure ◽

Control Group ◽

Abdominal Pressure ◽

Mean Values ◽

Organ Systems ◽

The Mean ◽

A Prospective Study

Background: Intra-abdominal pressure (IAP) is the steady-state pressure concealed within the abdominal cavity. Early recognition of rising abdominal pressure is critically important, because it allows prompt intervention which will prevent Abdominal compartment syndrome (ACS) from developing, leading to a much better prognosis for the patient. This prospective case-control study was aimed at characterisation of this entity in the commonly encountered acute surgical abdomen i.e. perforation peritonitis, intestinal obstruction and the blunt abdominal trauma. The stress was laid upon the detection of the intra-abdominal pressure in the patients and the effect of this entity upon the routinely available clinical and laboratory parameters of organ functions. The organ systems studied were the renal, cardiovascular and the pulmonary systems. The clinical outcome was also analysed.Methods: This is a prospective study conducted in Rajendra Institute of Medical Sciences, Ranchi, Jharkhand over a period of one and half year (January 2014 to June 2015). A total of 120 patients were studied, including 30 as controls. The intra-vesicular pressure was measured in all the subjects, which indirectly gives intraabdominal pressure.Results: Initial intra-abdominal pressure ranged from 0-31 cm of saline with the mean of 13.77±8.46. The mean values of the intra-abdominal pressure in the study groups i.e acute surgical cases were found to be significantly higher, as compared to that of the control group (p<0.01). Highest mortality was observed in the IAP range of >25 cm of saline (33.33%, 4 out of 12).Conclusions: Raised intraabdominal pressure significantly affects outcome and increases mortality.

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Arterial diameter following arteriovenous fistula creation predicts aneurysm progression

The Journal of Vascular Access ◽

10.1177/1129729820987383 ◽

2021 ◽

pp. 112972982098738

Author(s):

Alexis M Cahalane ◽

Vivek G Sahani ◽

Zubin Irani ◽

Jie Cui

Keyword(s):

Arteriovenous Fistula ◽

Control Group ◽

Study Group ◽

Arterial Diameter ◽

Chi Square ◽

Patient Demographics ◽

The Mean ◽

Student’S T ◽

The Relationship ◽

Aneurysm Diameter

Objective: To investigate the relationship between arteriovenous fistula (AVF) arterial diameter (AD) and AVF aneurysm development and progression. Methods: This study identified all patients who underwent fistulograms which demonstrated AVF aneurysms meeting criteria and requiring surgical intervention between 01/01/2014 and 7/30/2016. Patient demographics were collected and AVF dimensions were measured on fistulograms. A control group with nonaneurysmal AVFs who had undergone serial fistulograms between 2013 and 2016 were identified and identical datasets collected. Statistical analysis was performed with STATA 14.0 using student’s t-test, Chi square tests and linear regression. Results: 45 eligible patients were identified in the AVF aneurysm study group and 24 in the control group, with the mean age of AVF creation being older in the control group (61.8 vs 53 years, p = 0.03). The mean interval between AVF creation and first fistulogram in the study group was 1464 ± 282 days, compared to an interval of 263 ± 101 days in the control group ( p = 0.003). The AD on the first fistulogram in those study group patients with aneurysms evident on first fistulogram was greater than in the control group (6.5±1.8 mm vs 5.0 ± 1.8 mm, p = 0.003). The AD on first fistulogram of the study group predicted maximum aneurysm diameter on last fistulogram ( r = 0.6, p = 0.03) as well as the interval between first fistulogram and surgical revision ( r = −0.33, p = 0.03). Conclusion: AVF aneurysms are a later complication in access natural history and AD may help to predict their progression.

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What is the Relationship among Patients' Position and Intra-abdominal Pressure and Mean Arterial Pressure?

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2019/v29i630254 ◽

2019 ◽

pp. 1-8

Author(s):

Yusef Haghighi Moghaddam ◽

Elnaz Hosseinnejhad ◽

Mohammad Amin Valizade Hasanloei ◽

Javad Rasouli

Keyword(s):

Mean Arterial Pressure ◽

Arterial Pressure ◽

Repeated Measures ◽

Body Position ◽

Statistical Tests ◽

Abdominal Pressure ◽

Abdominal Hypertension ◽

Significant Difference ◽

The Mean ◽

The Relationship

Background: The prevalence of intra-abdominal hypertension in ICU patients is about 50% and can be affected by changing the position of the patients. This study aimed to investigate the relationship between changing patient positions in bed with intra-abdominal pressure and mean arterial pressure among mechanically ventilated patients in ICU. Methods: This study was a clinical trial conducted on 68 patients admitted in intensive care units of Imam Khomeini hospital of Urmia city, Iran. The patients were selected through convenience sampling based on the inclusion criteria. In this study, the effects of changes in five positions (0, 15, 30, 45, left and right lateral position with 30 degrees) on the mean arterial pressure was evaluated. Statistical tests such as chi square and repeated measures ANOVA were used as well. All analyzes were performed using SPSS 21. Results: In this study, there were 24 men (35.3%) and 44 women (64.7%). The mean age, weight and height of patients were 70.35±16.98 years, 75.76±9.77 kg and 168.82±8.14 cm, respectively. There was no significant difference regarding intra-abdominal pressure by gender (p<0.05). There was a significant difference regarding intra-abdominal pressure between first, second, fourth and fifth measurements (p<0.001). There was a significant difference regarding mean arterial pressure between first, second, third, fourth and fifth measurements (p<0.001). Significant differences were observed between the fifth and fourth mean arterial pressure measurements as well (p<0.001). Conclusion: According to the results of this study, the changing of patient's body position from supine to higher positions lead to the increase of intra-abdominal pressure.

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The Ala-Tragus Line as a Guide for Orientation of the Occlusal Plane in Complete Dentures

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1497 ◽

2014 ◽

Vol 15 (1) ◽

pp. 108-111 ◽

Cited By ~ 1

Author(s):

Carla Zogheib ◽

Joseph E Makzoumé ◽

Carole Abi-Ghosn ◽

Ronald Younes

Keyword(s):

Repeated Measure ◽

Occlusal Plane ◽

Complete Dentures ◽

Measure Analysis ◽

Repeated Measure Analysis ◽

The Mean ◽

Student’S T ◽

Inferior Border ◽

The Relationship ◽

Student’S T Test

ABSTRACT Aim The use of the ala-tragus line (ATL) to orient the occlusal plane (OP) is controversial because there is a lack of agreement on the exact points of reference for this line. This study determined the relationship between the natural OP and ATL which was established by using the inferior border of the ala of the nose and (1) the superior border of the tragus (ATL1), (2) the tip (ATL2), and (3) the inferior border of the tragus (ATL3). Materials and methods Lateral cephalometric radiographs were taken of each subject by a standard method and tracings were obtained on acetate paper to show the OP and the three ala-tragus lines. The relationship between the OP and each of ATL was measured for each subject. Mean and standard deviation values were then calculated for the relationship. Statistical analysis was performed using repeated measure analysis of variance followed by Bonferroni pairwise comparisons and Student's t-test (α = 0.05). Results Significant differences were noted between the three mean angles (p = 0.046). The mean angle (3.275 degrees ± 2.54) formed by OP and ATL2 was significantly the smallest (p < 0.05). Conclusion The ala-tragus line, extending from the inferior border of the ala of the nose to the tip of the tragus of the ear presented the closest relationship to the natural occlusal plane. How to cite this article Abi-Ghosn C, Zogheib C, Younes R, Makzoumé JE. The Ala-Tragus Line as a Guide for Orientation of the Occlusal Plane in Complete Dentures. J Contemp Dent Pract 2014;15(1):108-111.

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