scholarly journals ESTIMATION OF SUBCARINAL ANGLE USING MINIMUM INTENSITY PROJECTION IN COMPUTED TOMOGRAPHY

Author(s):  
Salome Francia Fernandes ◽  
Abhimanyu Pradhan

 Objectives: The main objective of the study was to determine the normal subcarinal angle (SCA) in an adult patient, to compare the relationship of SCA with patient gender and age, and to correlate the SCA with body mass index (BMI).Methods: A total of 193 subjects (109 males and 85 females) in the age group of 20–60 years scheduled for computed tomography thorax at the Department of Radiodiagnosis and Imaging, Kasturba Hospital, Manipal, were included in the study. Plain images were reconstructed into 1.4 mm reformatted image and processed into minimum intensity projection, and measurement was taken using angle tool. Mean and standard deviation was used to determine normal SCA, and independent t-test was used to compare the relationship of SCA with patient’s age and gender. “Pearson correlation” was used to correlate SCA with BMI.Results- The mean SCA of the adult patient was 69.75±3.38°. The mean SCA in female was 69.90±4.07° and in male was 69.63±2.75°. In the age group of 20–40 years, the mean SCA was 70.38±3.85°, and in the age group of 41–60 years, it was 69.25±2.88°.Conclusion: There was no relationship between SCA and patient’s gender; however, the mean SCA of the age group 20–40 was found greater than that of 41–60 which was statistically significant. BMI has no significant correlation with SCA.

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Dilhan İlgüy ◽  
Mehmet İlgüy ◽  
Erdoğan Fişekçioğlu ◽  
Semanur Dölekoğlu ◽  
Nilüfer Ersan

Aim. The aim of the present study was to examine the relationship between articular eminence inclination, height, and thickness of the roof of the glenoid fossa (RGF) according to age and gender and to assess condyle morphology including incidental findings of osseous characteristics associated with osteoarthritis (OA) of the temporomandibular joint (TMJ) using cone beam computed tomography (CBCT).Materials and Methods. CBCT images of 105 patients were evaluated retrospectively. For articular eminence inclination and height, axial views on which the condylar processes were seen with their widest mediolateral extent being used as a reference view for secondary reconstruction. Condyle morphology was categorized both in the sagittal and coronal plane.Results. The mean values of eminence inclination and height of males were higher than those of females (P<0.05). There were significant differences in the RGF thickness in relation to sagittal condyle morphology. Among the group of OA, the mean value of the RGF thickness for “OA-osteophyte” group was the highest (1.59 mm), whereas the lowest RGF values were seen in the “OA-flattening.”Conclusion. The sagittal osteoarthritic changes may have an effect on RGF thickness by mechanical stimulation and changed stress distribution. Gender has a significant effect on eminence height (Eh) and inclination.


2020 ◽  
Vol 64 ◽  
pp. 14-17
Author(s):  
S Kasture ◽  
M Sharma ◽  
MS Nataraja

Introduction: Aircrew are repetitively exposed to positive Gz acceleration in fighter flying. Factors affecting +Gz tolerance vary among individuals and are determined by both modifiable and non-modifiable factors. Some of the non-modifiable factors influencing +Gz tolerance are age, gender, and height. The present study was undertaken to understand the relationship of these variables with relaxed +Gz tolerance. Material and Methods: The study involved a retrospective analysis of existing database of the high-performance human centrifuge at the Institute of Aerospace Medicine. Relevant data from 70 non-aircrew subjects were included for the study. Of these, 39 were male and 31 were female. The age and height varied from 27 to 38 years and 157 to 187 cm, respectively. The data were analyzed using Microsoft Office Excel® to find the correlation between age and height with relaxed +Gz tolerance. Relaxed +Gz tolerance of men and women was compared using unpaired t-test. Significance was set at P < 0.05. Results: The mean age, height, and relaxed +Gz tolerance of males were found to be 30.25 ± 4.3 years, 172.58 ± 6.5 cm, and 4.89 ± 0.67G, respectively, whereas those of females were 27.28 ± 3.36 years, 158.46 ± 6.78 cm, and 4.4 ± 0.85G, respectively. In both males and females, age and height showed no correlation with relaxed +Gz tolerance. However, the relaxed +Gz tolerance was found to be higher in males and this difference was statistically different (P = 0.008). Conclusion: Age and height showed no correlation with relaxed +Gz tolerance in both males and females nonaircrew subjects. Males exhibited a statistically significant, higher relaxed +Gz tolerance as compared to females.


2020 ◽  
Vol 64 ◽  
pp. 109-117
Author(s):  
Kumar Sarvottam ◽  
Prabhat Ranjan ◽  
Umashree Yadav

Objectives: Deposition of body fat may differ in different age groups and gender-wise differences are also likely. The present study aims to evaluate age- and gender-wise differences in obesity parameters in healthy subjects of both genders of Varanasi. Materials and Methods: Anthropometric measurements were performed in 346 subjects reported in health check-up camp. Parameters were compared between each age group for males and females separately as well as gender-wise comparison for each age group was also performed. Regression analysis was performed to observe the relationship of age with obesity parameters and body mass index (BMI) with other parameters of obesity. Results: Both males and females had central obesity with males having higher waist circumference (WC) than females (P = 0.002) while females had higher body fat (fat %) (P = 0.000). Obesity indices of males of age group of 18–29 years were lesser as compared to other age groups. Obesity indices of female subjects were comparable in 18–39 years of age. Age group of 30–39 and 50–59 years males had higher WC than females (P = 0.002, 0.016, respectively) while fat % of females in each age group were significantly higher than males of corresponding age groups. Positive correlation of age with obesity parameters and BMI with WC and fat % was observed. Conclusion: Gender-wise differences in BMI, WC, WHtR and fat % tend to increase with age, indicative of increase in adiposity and central obesity with progressing age. Males in general have higher WC than females but lesser fat %. Gender differences in obesity may show age group specific variations. Findings of the study may be useful for identifying age specific distribution of obesity indices in males and females.


2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Nurbanu Gurbuzer ◽  
Eren Gozke ◽  
Zeliha Ayhan Basturk

Objective. The aim of this study was to investigate the relationship between gamma-glutamyl transferase (GGT) levels, cerebrovascular risk factors, and distribution of cerebral infarct areas in patients with acute ischemic stroke (AIS). Patients and Methods. Sixty patients with AIS and 44 controls who had not cerebrovascular disease were included in the study. The patients were divided into four groups according to the location of the infarct area and evaluated as for GGT levels and the presence of diabetes mellitus (DM), hypertension (HT), and hyperlipidemia (HL). Results. The frequency of DM, HT, and HL and gender distributions were similar. The mean GGT levels were significantly higher in patients with AIS and those with relatively larger areas of infarction (P<0.05). Increased mean GGT levels were found in the subgroup with hypertension, higher LDL-cholesterol, and triglyceride levels among cases with AIS (P<0.05). Conclusion. Higher GGT levels in AIS patients reinforce the relationship of GGT with inflammation and oxidative stress. The observation of higher GGT levels in patients with relatively larger areas of infarction is indicative of a positive correlation between increases in infarct areas and elevated GGT levels.


2019 ◽  
Vol 21 (3) ◽  
pp. 144-148
Author(s):  
Masoud Nikfarjam ◽  
Elham-Sadat Salehi ◽  
Ali Ahmadi

Background and Aim: Spiritual attitude is one of the factors affecting mental health of students. The purpose of this study was to determine the relationship of religious attitudes with self-control and self-discrepancy (S-D) in students of Shahrekord University of Medical Sciences (SKUMS) in 2017. Methods: In this cross-sectional study, 328 students of the SKUMS were studied. The participants completed Tangney Self-control Survey, Higgins Self-discrepancy Questionnaire, a religious attitude questionnaire, and a checklist of demographic information. For data analysis, in addition to descriptive statistics, independent t-test, Pearson correlation coefficient, and one-way ANOVA were used. Stata software was used to analyze the data. Results: The mean values of religious attitude, self-control, and self-discrepancy were higher in women in comparison with men (P< 0.05). There was a significant difference between self-control religious beliefs, actual-self minus actual-self (S-D2), and self-discrepancy in terms of total monthly income of all family members (P< 0.05). Academic discipline was significantly associated with religious attitude, ideal-self minus actual-self (S-D1), S-D2, and S-D (P< 0.05), but self-control difference was not significant (P= 0.84). There was a linear relationship, significant correlation of religious attitude with the mean values of self-control, required self, actual-self, idea-self, self-discrepancy, and S-D1 and S-D2 (P< 0.05). Conclusion: According to the results of this study, religious attitude was associated with self-control, self-discrepancy, and their dimensions.


2018 ◽  
Vol 6 (2) ◽  
pp. 171
Author(s):  
Anis Murniati

The nature of a woman is childbirth, all women at the time of labor need to have a good labour  and give birth to a healthy and perfect baby. Childbirth can be normal, but also many in the process of labor that experienced obstacles so that it is done with the procedure of surgery sectio caesaria (SC). Childbirth with  surgery for some mothers is a scary thing so that not a few mothers who experience anxiety before SC is done. Anxiety is a feeling that is not clear and worried because there is something that threatens one's security. Anxiety in each person is certainly not the same, this anxiety can lead to various changes in the body's system can even interfere with heart function and result in changes in cardiac output. Changes in cardiac output may result in changes in the patient's blood pressure that may affect the success of SC. This research use correlational research design with csoss sectional approach. The location of research is premedication room of operation room of ORPEHA Islamic Hospital Tulungagung with the number of 32 respondents. The results showed the mean cardiac output value of 7625.62. The results of statistical data analysis with Pearson correlation test obtained 0,000 significance results so Ho is rejected which means there is an association between anxiety with cardiac output in patients with SC surgery with large correlation pearson 1, which means the strength of the relationship is very strong. This happens because anxiety can affect the production of catecholamines and cortisol, where this hormone can stimulate the occurrence of vasodilation of blood vessels resulting in blood flowing rapidly and much so that oxygen is distributed more, thus in people who are anxious will an increase in cardiac output. The conclusion of this study is that there is an association between anxiety with cardiac output in patients with preoperative sectio caesarea at the operating room installation of Islamic Orpeha tulungagung public hospital with the strength of the relationship of 1.


Author(s):  
Arshed Hussain Parry ◽  
Abdul Haseeb Wani ◽  
Yassar Shiekh ◽  
Tariq A. Gojwari

Background: Change in tracheal bifurcation angle (subcarinal angle) is an indirect marker of various cardiac, pulmonary and mediastinal pathologies. Helical computed tomography (CT) allows acquisition of volumetric set of data of the chest and can be used for accurate measurements of subcarinal angle using reconstructed images on a workstation using minimum intensity projection (MinIP).The objective of this study was to estimate normal subcarinal angle (SCA) of trachea by computed tomography and to assess its relationship with gender.Methods: This was an observational study comprising a study cohort of 552 patients comprising of 312 males and 240 females who were subjected to CT chest for various indications in our department. Patients with no underlying cardiac, mediastinal or pulmonary disease were included in the study. Spiral CT scan of chest was performed on 64-slice seimens CT SOMATOM and images were reconstructed with thickness of 1.5mm and the images were viewed in coronal reformatted minimum intensity projection (MinIP) for determination of subcarinal angle using the angle measuring tool provided in the workstationResults: The mean subcarinal angle (SCA) in males was (67.60±14.55). The mean subcarinal angle (SCA) in females was (78.90±11.04). Females had a higher mean SCA compared to males with a statistically significant difference (p-value <0.05).Conclusions: The mean SCA in females was higher compared to males with a statistically significant difference between the two. This study holds practical relevance with regard to the performance of invasive trachea-bronchial procedures like bronchoscopy and tracheal/bronchial intubation.


2019 ◽  
Vol 6 (1) ◽  
pp. 36-41
Author(s):  
Leili Yekefallah ◽  
Leila Dehghankar ◽  
Mahya Shafaei ◽  
Fereshteh Yekefallah

Background and aims: To know that how emotional intelligence and general health are related, can play a crucial role in the quality of nurses’ performance. The present study was conducted to compare the relationship of emotional intelligence and general health in nurses of intensive care units with other units in Qazvin city, Iran. Methods: This cross-sectional study was conducted among nurses working in hospitals of Qazvin in 2018. To this end, 250 nurses were selected by random sampling. Data collection tool was Goldberg General Health Standard Questionnaire (GHQ) and Shearing’s Emotional Intelligence Questionnaire (EIQ). Data were analyzed by SPSS statistical software version 18.0 using the statistical tests of Pearson correlation, t test, ANOVA, chi-square, and liner regression. A P value less than 0.05 was also considered statistically significant. Results: The mean score of general health was 21.33 ± 10 and the mean score of emotional intelligence was 122.8 ± 11.5. The findings showed that there was a statistically significant relationship between emotional intelligence and general health and all general health components (P <0.05). Level of depression in Intensive Care Unit was higher than that in other units (P <0.05). Moreover, according to linear regression coefficient, there was a statistically significant association between general health and emotional intelligence (P <0.05), to such a degree that increasing emotional intelligence caused an increase in general health. This model identified 5.6% of health variance, emotional intelligence, and body mass index (BMI) variables as predictive variables. Conclusion: Considering the fact that nursing is a stressful profession, attention to emotional intelligence is very effective and valuable in improving mental health and as a result, in reducing job stress, increasing the quality of nursing care, reducing burnout, and ultimately increasing patient satisfaction from nursing care.


2020 ◽  
Vol 10 (1) ◽  
pp. 11-15
Author(s):  
Samjhana Khadka ◽  
Anamika Jha ◽  
Ranjit Kumar Chaudhary ◽  
Shanta Lall Shrestha

Introduction: Mammography is one of the most commonly performed radiological investigations for evaluation of breast cancer. As it involves ionizing radiation, there remains a risk of radiation induced cancer. In this study, we evaluated compressed breast thickness (CBT) and mean glandular dose (MGD) during routine mammography. Methods: This prospective study was performed in the Department of Radiology and Imaging of TUTH. Data of 500 consecutive patients who underwent mammography over a period of 4 months (June 2018 to September 2018) was collected. The age, CBT and MGD were recorded. Pearson correlation and paired-t tests were performed. Results: Most of the patients belonged to 41-50 years age group. MGD was significantly higher in patients with increased CBT. The CBT and MGD was higher in MLO view compared to CC views. The mean value of total MGD for four views was 5.1±1.4 mGy. There was significant positive correlation (r= 0.517) between CBT and MGD with increase in MGD with increase in CBT. Conclusions: The MGD and dose equivalent in our routine mammography is within the recommended limits. MGD increases with increasing CBT and vice-versa. Hence, decreasing the thickness of compressed breast, can decrease the amount of radiation absorbed by the glandular tissue of the breast.  


2019 ◽  
Vol 128 (6) ◽  
pp. 660-666 ◽  
Author(s):  
Eliana Dantas da Costa ◽  
Priscila Dias Peyneau ◽  
Gina Delia Roque-Torres ◽  
Deborah Queiroz Freitas ◽  
Laura Ricardina Ramírez-Sotelo ◽  
...  

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