scholarly journals Association Between Anthropometric Measurements and the Amount of Fat Aspirated in Waist and Abdominal Liposuction: A 20-year Retrospective Study

Author(s):  
Fan Yang ◽  
Wenjie Dou ◽  
Liwei Peng ◽  
Wangzhou Li ◽  
Yuejun Li

Abstract Background: Previous studies revealed that larger liposuction volumes were related to an increased risk of complications. However, no concrete data exist to support the most critical factor which affects the liposuction volume in the waist and abdominal area. This study was undertaken to investigate the relationship between the anthropometric measurements and lipoaspirate volume.Methods: The present study was a single-center retrospective study. 742 patients who met the inclusion and exclusion criteria in our hospital, from January 2001 to August 2020, were reviewed. Spearman correlation analyses and multivariable regressions were used to assess the relationship between the anthropometric measurements and lipoaspirate volume. Linear-by-linear association chi-square statistic and Goodman-Kruskal gamma method were used to test the consistency and to develop a rank prediction formula.Results: A total of 742 patients aged 18-59 years old met the inclusion criteria. Among all the anthropometric measurements, the highest correlation coefficient was observed in waist circumference. Subgroup analyses indicated that there was an interaction between the BMI and waist circumference on liposuction volume. Formula was generated to estimate the range of liposuction volume based on the nine grouped waist circumferences [liposuction volume (mean) = 106.3 waist circumference (mean) - 7497, P < 0.001, adjusted R2 = 0.9638].Conclusions: Waist circumference was the most influential factor for lipoaspirate volume. Roughly predicting the lipoaspirate volume allows surgeons to estimate their operating volume even if no iconography machine is available during suction-assisted lipectomy. This can increase safety, potentially decreasing the number of adverse events.

2012 ◽  
Vol 52 (4) ◽  
pp. 233
Author(s):  
Neni Sumarni ◽  
Muhammad Sholeh Kosim ◽  
Mohammad Supriatna ◽  
Eddy Sudijanto

Background Ventilator􀁖associated pneumonia (VAP) is anosocomial infection in patients who have received mechanicalventilation (MV), either by endotracheal intubation ortracheostomy, for more than 48 hours. YAP represents 80% ofall hospital􀁖acquired pneumonias. VAP incidence varies from5.1 %􀁖33.3%. The modified clinical pulmonary infection scoreis a criteria for diagnosing suspected YAP and typically includesradiographic evidence. YAP is associated with significantmorbidity and mortality.Objective To determine the relationship between chest x􀁖rayfindings and outcomes in children Mth suspected VAP.Methods This retrospective study was held in Dr. Kariadi Hospitalfrom January - December 2010. Data was collected from medicalrecords of pediatric ICU (PICU) patients with suspected VAP.Chest x􀁖ray findings and patient outcomes were recorded. X􀁖rayfindings were assessed by the on􀁖duty radiologist. Chi square testwas used for statistical analysis.Results Subjects were 30 children consisting of 14 males and 16females. Patient outcomes were 23 patients survived and 7 patientsdied. Chest x􀁖ray findings were categorized into the followinggroups and compared to patient survivability: diffuse infiltrates76.7% (OR􀁗0.694; P􀁗0.532; 95% CI 0.102 to 4.717), localhedinfiltrates 13.3% (OR􀁗4.200; P􀁗 0.225; 95% CI 0.470 t037.49),and no infiltrates 10% (OR􀁗 1.222; P􀁗 0.436; 95% CI 0.593 to0.926). None of the x􀁖ray findings had a significant correlationto patient outcomes.Conclusion There was no significant relationship between chestx􀁖ray findings and outcomes in children with suspected VAP.[Paediatr rndones. 2012;52:233-8].


2020 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Udi Wahyudi ◽  
Bram Burnamajaya

Bullying merupakan perilaku negatif yang dilakukan secara berulang-ulang oleh seseorang atau sekelompok orang yang bersifat menyerang karena adanya ketidakseimbangan kekuatan antara pihak yang terlibat.Tindakan bullying dapat berdampak buruk bagi korban maupun pelakunya di masa depannya. Dampak tersebut meliputi kesepian, pencapaian akademik yang buruk, kesulitan penyesuaian (adaptasi), meningkatnya risiko penggunaan zat, keterlibatan dalam tindakan kriminal dan kerentanan gangguan mental emosional seperti cemas, insomnia, penyalahgunaan zat, depresi, mempunyai self-esteem rendah, kesulitan interpersonal, gangguan konsep diri, dan depresi (ketidakberdayaan). Tujuan penelitian ini adalah untuk mengetahui hubungan antara konsep diri dan ketidakberdayaan dengan risiko bunuh diri pada remaja yang mengalami bullying di SMA Negeri 7 Kota Bogor. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan metode cross-sectional study dengan bentuk pendekatan rancangan correlation study. Sampel dalam penelitian ini berjumlah 183 orang didapat dari teknik randomsampling. Hasil penelitian menunjukkan bahwa berdasarkan hasil uji hubungan dengan menggunakan Chi-Square antara konsep diri dengan ketidakberdayaan didapatkan nilai ρ (0,000) lebih kecil daripada nilai α (0,05), sedangkan uji hubungan antara konsep diri dengan risiko bunuh diri didapatkan nilai ρ (0,013) lebih kecil daripada nilai α (0,05). Dengan demikian bahwa ada hubungan antara konsep diri dan ketidakberdayaan dengan risiko bunuh diri pada remaja yang mengalami bullying di SMA Negeri 7 Kota Bogor. Kata kunci: bullying, konsep diri, ketidakberdayaan, risisko bunuh diri SELF-CONCEPT AND INEQUALITY CONNECTED WITH RISK OF SELF-SUFFICIENT IN ADOLESCENTS WHO HAVE BULLYING ABSTRACTBullying is a negative behavior that is carried out repeatedly by a person or group of people who are attacking because of an imbalance of power between the parties involved. Bullying actions can have a negative impact on victims and perpetrators in the future. These impacts include loneliness, poor academic achievement, adaptation difficulties, increased risk of substance use, involvement in criminal acts and susceptibility to mental emotional disorders such as anxiety, insomnia, substance abuse, depression, low self-esteem, interpersonal difficulties, disturbances self concept, and depression (helplessness). The purpose of this study was to determine the relationship between self-concept and powerlessness with the risk of suicide in adolescents who experienced bullying in SMA Negeri 7 Kota Bogor. This research is a quantitative study using a cross-sectional study method with a correlation study design approach. The sample in this study amounted to 183 people obtained from random sampling techniques. The results showed that based on the results of the relationship test using Chi-Square between self-concept and powerlessness, the value of ρ (0,000) was smaller than the value of α (0.05), while the test of the relationship between self-concept and risk of suicide obtained a value of ρ (0.013 ) is smaller than the value of α (0.05). Thus that there is a relationship between self-concept and powerlessness with the risk of suicide in adolescents who experience bullying in SMA Negeri 7 Kota Bogor. Keywords: bullying, self-concept, helplessness, suicide risk


2021 ◽  
Vol 1 (3) ◽  
pp. 247-251
Author(s):  
Elsa Rizki Lilian ◽  
Andi Siswandi ◽  
Anggunan Anggunan

ABSTRACT: THE CORRELATIONS OF AGE AND HYPERTENSION WITH THE OCCURRENCE OF BPH IN THE SURGICAL WARD AT RSUD DR.H.ABDUL MOELOEK IN 2020Introduction: Lower Urinary Tractus Symptoms (LUTS) is a problem that is experienced by men around the world and one that often occurs is Benign prostate hyperplasia (BPH). BPH is a histological disorder characterized by the proliferation of prostate cells. It is estimated that 50% of men show BPH histopathology at the age of 60 years old and an increase of 90% at the age of 80 years old. Hypertension is also known to have a role in increasing prostate volume, in a cohort study it was found that hypertension resulted in an increased risk of 1.5 times to cause LUTS/BPH.Objective: To determine the relationship between age and hypertension on the incidence of BPH in Dr. H. Abdul Moeloek in 2020.Methods: This study is quantitative research, an observative analytic study design with a cross-sectional approach was carried out at RSUD Dr. H. Abdul Moeloek which was taken on October 16, 2020. The population was all patients in the Surgical Ward with total sampling. Data collection was obtained from secondary data from medical records. Data analysis was performed Univariate analysis (frequency distribution) and bivariate analysis with chi-square.Results: Respondents with BPH aged >50 years old were 32 respondents (97%) and respondents with BPH and hypertension were 20 respondents (60.6%). The results of the bivariate analysis using chi-square showed a significant relationship between BPH and age p value=0.000 (P<0.05) and the relationship between BPH and hypertension with p value=0.000 (p<0.05).Conclusion: There is a significant relationship between BPH with age and hypertension with the occurrence of BPH in the Surgical polyclinic at RSUD Dr.H.Abdul Moeloek in 2020. Keywords: BPH, Age, Hypertension  INTISARI: HUBUNGAN USIA DAN HIPERTENSI TERHADAP KEJADIAN BPH DI RSUD Dr.H.ABDUL MOELOEK Pendahuluan: Lower Urinary Tractus Symptoms (LUTS) adalah masalah yang banyak dialami oleh laki-laki di seluruh dunia dan salah satu yang sering terjadi adalah Benigna Prostat Hyperplasia (BPH). BPH adalah kelainan histologis yang khas di tandai dengan proliferasi sel-sel prostat. Diperkirakan 50% laki-laki menunjukan histopatologi BPH pada umur 60 tahun dan meningkat 90% pada umur 80 tahun  Hipertensi juga diketahui memiliki peranan dalam peningkatan volume prostat yakni pada suatu penelitian cohort diketahui adanya hipertensi mengakibatkan peningkatan resiko sebanyak 1,5 kali untuk menimbulkan gejala LUTS/BPH.Tujuan: Untuk mengetahui adanya hubungan usia dan hipertensi terhadap kejadian BPH di RSUD Dr. H. Abdul Moeloek Tahun 2020Metode: Jenis penelitian kuantitatif, rancangan penelitian analitik observatif dengan pendekatan cross sectional telah dilakukan di RSUD Dr.H.Abdul Moeloek Provinsi Lampung yang berlangsung pada 16 Oktober 2020. Populasi adalah seluruh pasien di Poli Bedah dengan pengambilan sampel secara total sampling. Pengumpulan data diperoleh dari data sekunder yang diperoleh dari rekam medis. Analisis data secara univariat (distribusi frekuensi) dan uji bivariat mengunakan chi squareHasil: Responden dengan BPH yang berusia >50 tahun sebanyak 32 responden (97%) dan responden dengan BPH dengan hipertensi sebanyak 20 responden (60,6%). Hasil Uji bivariat menggunakan chi square menunjukkan adanya hubungan signifikan antara BPH dengan usia diperoleh nilai p=0,000 (P<0,05) dan hubungan BPH dengan hipertensi nilai p=0,000 (p<0,05).Kesimpulan: Terdapat hubungan signifikan antara BPH dengan usia dan terdapat hubungan sgnifikan antara BPH dengan hipertensi di poli klinik bedah RSUD Dr.H.Abdul Moeloek tahun 2020.Kata kunci: BPH, Usia, Hipertensi


2020 ◽  
Vol 38 (4_suppl) ◽  
pp. 446-446
Author(s):  
Dong Ho Lee ◽  
Jae Ho Cho ◽  
Cheol Min Shin ◽  
Kyungdo Han ◽  
Hyuk Yoon ◽  
...  

446 Background: The relationship between overall obesity, as measured by body mass index (BMI), and risk of esophageal squamous cell carcinoma (ESCC) has been reported, and it has a negative correlation. However, the relationship with abdominal obesity, as measured by waist circumference, may be different. We investigated the association between abdominal obesity and ESCC. Methods: Retrospective cohort study with 22,809,722 individuals who had undergone regular health check-ups provided by the National Health Insurance Corporation between 2009 and 2012 (median follow-up period was 6.4 years) in South Korea. Abdominal obesity was defined as a waist circumference over 90 cm for men and 85 cm for women. We estimated hazard ratios (HRs) and 95% confidence intervals (CIs) using Chi-squared test and Cox proportional hazard model adjusted for confounding factors. Primary outcome was newly developed esophageal cancer. Results: After adjusting for BMI, abdominal obesity increased the risk of ESCC (HR 1.29, 95% CI 1.23–1.36). Waist circumference is associated with increased risk of ESCC in a dose-dependent manner ( P for trend < 0.0001). We analyzed individuals divided into five categories of BMI. Among individuals with overweight (BMI 23–24.9 kg/m2) and obese I (BMI 25–29.9 kg/m2), abdominal obesity was a risk factor associated with developing ESCC (HR 1.22, 95% CI 1.11–1.34; HR 1.28, 95% CI 1.18–1.39, respectively). Conclusions: Abdominal obesity, not BMI itself, is associated with an increased risk for ESCC. Therefore, reducing abdominal obesity may affect decreasing the development of ESCC.


2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Huiyuan Gu ◽  
Lin Li ◽  
Min Gu ◽  
Guoxin Zhang

Background. Some studies have shown the possible involvement ofHelicobacter pylori(H. pylori) infection in chronic urticaria, but the relationship remains controversial. The aim of this meta-analysis was to quantitatively assess the association betweenH. pyloriinfection and chronic urticaria.Methods. Observational studies comparing the prevalence ofH. pyloriinfection in patients with chronic urticaria and control subjects were identified through a systematic search in MEDLINE and EMBASE up to July 2014.H. pyloriinfection was confirmed by serological or nonserological tests. For subgroup analyses, studies were separated by region, publication year, andH. pyloridetection method to screen the potential factors resulting in heterogeneity.Results. 16 studies involving 965 CU cases and 1235 controls were included. Overall, the prevalence ofH. pyloriinfection was higher in urticarial patients than in controls (OR = 1.66; 95% CI: 1.12–2.45;P=0.01). This result persisted in subanalysis of nine high-quality studies (OR = 1.36; 95% CI: 1.03–1.80;P=0.03). Subgroup analysis showed that detection method ofH. pyloriis also a potential influential factor for the overall results.Conclusions. Our present meta-analysis suggests thatH. pyloriinfection is significantly, though weakly, associated with an increased risk of chronic urticaria.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 134-139
Author(s):  
Lalitha Rani Chellappa ◽  
Jayashri Prabakar

Gingivitis is a reversible periodontal disease which does not destruct the supporting tissues. Studies have shown the relationship of smoking with gingivitis. There is no solid evidence of the same parameters in the Chennai area. Therefore, the focus of the current study is to find the interrelation between tobacco habit with the severity of gingivitis among 18-35-year-old adults attending a private college in Chennai.This retrospective study included all gingivitis index recorded patients in the age of 18-35-year-old adults. The data was obtained from the patient records in the college from June 2019 to March 2020 and examined by 2 examiners. Gingival index (1967) was used to measure the severity of the gingivitis. Descriptive statistics were expressed by means of frequency and percentage, chi-square was done to assess the association between age, tobacco use and gingivitis. Pearson correlation tests were done to identify the relationship of tobacco use and severity of gingivitis. In the present study with a sample size of 997, 62.19% males and 37.81% females were present. Prevalence of tobacco users in the study population was 25.77%. 52.66% had mild gingivitis, 40.92% had moderate and 6.42% had severe gingivitis. A significant positive correlation was observed between tobacco use and severity of gingivitis using Pearson correlation statistical test. With the results of the current study, it can be presumed that the severity of gingivitis was found to be more among tobacco users.


1970 ◽  
Vol 5 (02) ◽  
pp. 30-37 ◽  
Author(s):  
Fitriani Rahmawati ◽  
Nuryani Sidarta

BACKGROUND : Health problem that caused by higher BMI have grown broadly. Musculoskeletaldisorders due to higher BMI will cause an excessive burden on the lumbosacral joints. .Moreover, excess waistcircumference can also lead to malformation of lumbal curvature.Purpose: This study aims to determine the relationship between higher Body Mass Index (BMI) and excesswaist circumference with the higher curvature in young adult.Method: This study used observational study with cross-sectional design involving 88 students whoperformed measurement of body weight, height, and waist circumfrences, also lumbar curve examination. Themeasurement of waist circumference was done by circling the flexible tape on waist. For the measurement ofthe lumbar curve,each respondent is measured by a flexible ruler.Results: chi square test obtained p = 0,000 in high BMI with the increasing of lumbar curve and p = 0,000 inexcess waist circumference with the increasing of lumbar curve. So, there is a correlation between higher BMIand excess waist circumference with the increase of lumbar curve in the young adults.Conclusions: In this study showed that higher BMI and excess waist circumference have correlation with theincrease of lumbar curve in the students.Keywords: body mass index, waist circumference, tape measure, hyperlordosis, flexible ruler.


Biomédica ◽  
2019 ◽  
Vol 39 (1) ◽  
pp. 88-101 ◽  
Author(s):  
Efren Avendaño-Tamayo ◽  
Alex Rúa ◽  
María Victoria Parra-Marín ◽  
Winston Rojas ◽  
Omer Campo ◽  
...  

Introduction: Host genetics is recognized as an influential factor for the development of dengue disease.Objective: This study evaluated the association of dengue with the polymorphisms rs8192284 for gene IL6R, rs3775290 for TLR3, and rs7248637 for DC-SIGN.Materials and methods: Of the 292 surveyed subjects, 191 were confirmed for dengue fever and the remaining 101 were included as controls. The genotypes were resolved using polymerase chain reaction and restriction fragment length polymorphism (PCRRFLP). In an attempt to determine the risk (Odds Ratio) of suffering dengue fever, data were analyzed using chi-square for alleles and logistic regression for both genotypes and allelic combinations. Confidence intervals were set to 95% for all tests regardless of the adjustment by either self-identification or ancestry.Results: For Afro-Colombians, the allele rs8192284 C offered protection against dengue [OR=0.425,(0.204-0.887), p=0.020]. The alleles rs7248637 A and rs3775290 A posed, respectively, an increased risk of dengue for Afro-Colombians [OR=2.389, (1.170-4.879), p=0.015] and Mestizos [OR=2.329, (1.283-4.226), p=0.005]. The reproducibility for rs8192284 C/C [OR=2.45, (1.05-5.76), p=0.013] remained after adjustment by Amerindian ancestry [OR=2.52, (1.04-6.09), p=0.013]. The reproducibility for rs3775290 A/A [OR=2.48, (1.09-5.65), p=0.033] remained after adjustment by European [OR=2.34, (1.02-5.35), p=0.048], Amerindian [OR=2.49, (1.09-5.66), p=0.035], and African ancestry [OR=2.37, (1.04-5.41), p=0.046]. Finally, the association of dengue fever with the allelic combination CAG [OR=2.07, (1.06-4.05), p=0.033] remained after adjustment by Amerindian ancestry [OR=2.16, (1.09-4.28), p=0.028].Conclusions: Polymorphisms rs8192284 for IL6R, rs3775290 for TLR3, and rs7248637 for DC-SIGN were associated with the susceptibility to suffer dengue fever in the sampled Colombian population.


Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Jonathan T Kleinman ◽  
Snider R Ryan ◽  
Didem Aksoy ◽  
Michael Mlynash ◽  
Nancy Fischbein ◽  
...  

Introduction: The cause of (presumed) ischemic lesions associated with intracerebral hemorrhage (ICH) is poorly understood. We investigated the relationship between BP lowering and the incidence of ipsilateral diffusion weighted imaging (DWI) lesions in a prospective ICH cohort. Methods: We prospectively enrolled consecutive ICH patients in the NIH-funded DiAgnostic Utility of MRI in Spontaneous Intracerebral Hemorrhage (DASH) study. Two neuroradiologists reviewed the MRIs for evidence of ischemia, defined as: reduced diffusivity ipsilateral to the ICH without evidence of blood products on FLAIR or GRE. Only DWI lesions attributed to tissue compression; vessel compression; or hypoperfusion were included. Patients with post-operative MRIs or insufficient BP data were excluded. Mean arterial blood pressures (MAP) were recorded on admission, and at 6, 12, 18, and 24 hours. Chi-square and t-tests were used as appropriate. Receiver operator characteristic (ROC) curves were created to assess accuracy of predicting DWI lesions. Results: Of 160 patients, 136 met inclusion criteria (median age: 63 (IQR 50-77); median ICH volume: 10 (IQR 4-33cc); median NIHSS: 6 (IQR 2-16); median GCS: 15 (IQR 10-15); median onset to MRI 40 hrs (IQR 25-75). DWI lesions were observed in 78 (57%) patients. Patients with DWI lesions had higher ICH volumes (32 vs 12cc, p < 0.001); higher admission MAP (125 vs 113mmHg, p=0.006); higher maximal MAP reduction (46 vs 33mmHg, p=0.008); and higher mean %MAP reduction (25 vs 17% p=0.006). DWI lesions were not associated with lowest MAP (80 vs 79mmHg, p=0.97) or mean MAP (90 vs 91, p=0.62). ICH volume and maximum MAP reduction predicted DWI lesions with an area under curve (AUC) of 0.70 (95% CI: 0.61-0.78) and 0.63 (95% CI: 0.53-0.72) respectively. Controlling for ICH volume using logistic regression: for every 10% reduction in MAP the risk of DWI lesions increased substantially (OR 1.28, 95% CI: 1.01-1.62). Similarly, each 10% reduction in mean MAP over the first 24 hours had an increased risk of detecting DWI lesions (OR 1.3, 95% CI: 1.01-1.69). The likelihood of having a DWI lesion was highest in patients with > 30mmHg drop in MAP (OR 2.3, 95% CI: 1.09-4.6). In ICH < 10cc (N=70), DWI lesions were not associated with ICH volume (4.1 vs 4.8cc, p=0.40) but with higher admission MAP (125 vs 112mmHg, p=0.045); maximum MAP reduction (45 vs 31 mmHg, p=0.03); and maximum % MAP reduction (34 vs 25%, p=0.03). Conclusions: ICH volume and large BP reductions are both associated with the presence of DWI lesions. The likelihood of having a DWI lesion went up by 30% for each 10% drop in MAP from admission, and was 230% higher in patients with > 30 mmHg reduction in MAP. These data suggest that aggressive BP reduction may contribute to ICH associated ischemia, and that percentage-based BP goals may be more appropriate than “one-size fits all” for clinical trial design. Future studies are needed to clarify causation.


2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Dinar Ariasti ◽  
Wiji Lestari

Background:Uric acid is always present in the human body, when the rising levels (hyperuricemia) can cause complaints gouty arthritis. The cause of gout arthritis varies and is triggered by a diet high in purine. One diet high in purine include mlinjo (Gnetum gnemon linn) because it contains 50-150 mg of purines per 100 g of beans melinjo, with one of the forms are processed emping melinjo. Results of preliminary observations most people are less concerned with what they eat everyday including emping melinjo consumed as a snack when relaxing. They did not know that eating emping could lead to an increased risk of gout.The purpose of this study was to determine the relationship between the consumption of emping melinjo with the incidence of gout in Wonosari Wadunggetas residents in the village of Klaten.The subjects were Wadunggetas Wonosari Klaten village residents over the age of 40 years a number of 30 respondents. The samples was conducted with a saturated sampling technique, namely by taking all members of the population being sampled because the population is small.Methods in this study isanalytical research design correlation to determine the relationship of chips melinjo consumption as independent variables (independent variable) and the incidence of gout as the dependent variable (dependent variable). Data obtained by questionnaire and observation method. The data collected is then analyzed with chi square test with α 0.05.The results of the study there were 9 respondents with the level of consumption of chips often, all experienced gout, 14 respondents with a rare level of consumption of chips, 11 experienced gout and 3 are not experiencing gout and 7 respondents who do not eat emping no suffer from gout. After Chi-Square test with SPSS version 16.0 with α = 5% (0:05) so obtained p 0.000 p value of <0.05, which means that Ho is rejected and Ha accepted.The conclusion of this study is that there is a relationship between the level of consumption of emping melinjo with the incidence of gout in the village Wadunggetas Wonosari Klaten.Keywords: Emping Mlinjo Comsumtion and Gout Disease


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