scholarly journals Regression Equation and Multiplication Factor for the Reconstruction of Stature by Femur Length

2020 ◽  
Vol 8 (02) ◽  
pp. 25-30
Author(s):  
Raj Kumar Karki ◽  
Pankaj Kumar Singh ◽  
Abdul Sami Khan ◽  
Sudeep Regmi
Keyword(s):  
Statistical Analysis ◽  
Direct Relationship ◽  
Regression Equation ◽  
Lower Limbs ◽  
Measuring Instruments ◽  
Multiplication Factor ◽  
Femur Length ◽  
Femoral Length ◽  
Standard Position ◽  
The Mean

INTRODUCTION Stature is the important parameter along with age, sex and race while identifying bodies. Stature has direct relationship with the skeletal dimensions most importantly with lower limbs. This study attempts to derive regression equation (RE) and multiplication factor (MF) from femur length (FL) which could be used for stature reconstruction. MATERIAL AND METHODS The study was conducted amongst the 160 students and staff of Dhulikhel Hospital, Nepal for the period of six months from February 2020 to July 2020. The sample was composed of 95 males and 65 females between the age of 18 - 40 years. The femoral length and height was measured in standard position using standard measuring instruments. Statistical analysis was done using SPSS 25.   RESULTS The mean height and femur length of overall sample was 162.33 ±7.62 cm and 40.14 ±2.132 cm respectively, male surpassing the female dimensions. There was a strong correlation between femur length and stature (r = 0.723, 0.869 and 0.791 for males, females, and overall participants respectively). MF was derived as 4.084 ±0.139, 3.99 ±0.11, 4.047 ±0.135 and RE was derived as y = 75.51 + 2.13*FL ±4.06, y = 55.238 + 2.581*FL ±2.999, y = 48.791 + 2.829*FL ±4.672 for males, females and overall participants. Both methods were checked for accuracy and could successfully interpret the height (p>0.05). CONCLUSION The femoral length was found to be a reliable estimator of stature of an individual by using both RE and MF.

scholarly journals Normative Values for Femoral Length, Tibial Length, and the Femorotibial Ratio in Adults Using Standing Full-Length Radiography

Osteology ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 86-91
Author(s):  
Stuart A Aitken
Keyword(s):  
Linear Relationship ◽  
Lower Limb ◽  
Measurement Method ◽  
Full Length ◽  
Lower Limbs ◽  
Limb Length ◽  
Normative Values ◽  
Femoral Length ◽  
Tibial Length ◽  
The Mean

Knowledge of the normal length and skeletal proportions of the lower limb is required as part of the evaluation of limb length discrepancy. When measuring limb length, modern standing full-length digital radiographs confer a level of clinical accuracy interchangeable with that of CT imaging. This study reports a set of normative values for lower limb length using the standing full-length radiographs of 753 patients (61% male). Lower limb length, femoral length, tibial length, and the femorotibial ratio were measured in 1077 limbs. The reliability of the measurement method was tested using the intra-class correlation (ICC) of agreement between three observers. The mean length of 1077 lower limbs was 89.0 cm (range 70.2 to 103.9 cm). Mean femoral length was 50.0 cm (39.3 to 58.4 cm) and tibial length was 39.0 cm (30.8 to 46.5 cm). The median side-to-side difference was 0.4 cm (0.2 to 0.7, max 1.8 cm) between 324 paired limbs. The mean ratio of femoral length to tibial length for the study population was 1.28:1 (range 1.16 to 1.39). A moderately strong inverse linear relationship (r = −0.35, p < 0.001, Pearson’s) was identified between tibial length and the corresponding femorotibial ratio. The PACS-based length measurement method used in this study displayed excellent inter-observer reliability (ICC of 0.99). This study presents a normal range of values for lower limb length in adults and is the first to identify a linear relationship between tibial length and the femorotibial ratio.

scholarly journals Femoral bone growth after extendible endoprosthetic replacement of the proximal tibia in skeletally immature patients

2021 ◽  
Vol 87 (3) ◽  
pp. 443-448
Author(s):  
Oluwaseyi Kayode Idowu ◽  
Oladimeji Ranti Babalola ◽  
Adesegun Tibramiyu Abudu
Keyword(s):  
Bone Growth ◽  
Proximal Tibia ◽  
Malignant Tumors ◽  
Lower Limbs ◽  
Skeletally Immature ◽  
Femoral Bone ◽  
Endoprosthetic Replacement ◽  
Femoral Length ◽  
The Mean

There is increasing preference for limb salvage techniques in the management of pediatric musculo- skeletal tumors. This study was aimed at evaluating femoral growth following proximal tibia resection (PTR) and placement of an extendible endoprosthesis with sliding stem. This was a retrospective study. The demographic and clinical data were collected. All the patients with malignant tumors were fully staged and commenced on appropriate chemotherapy. An expected discrepancy of > 3cm was considered sub- stantial enough to warrant extendible prosthesis. Twelve patients who had follow up full length scanogram of the lower limbs were included for the evaluation of femoral growth. The last available scanograms were used for growth comparison of the femur. The age at resection for all twelve patients ranged from 4-13 years. The commonest histological diagnosis was Osteosarcoma. In the twelve patients assessed for the growth of femur, the mean femoral length was 96% [89%-102%] of the unaffected femur. Distal femoral physeal growth continued after im- plantation of a sliding extendible prosthesis after resection of proximal tibia tumors.

The Time of Spontaneous Resolution of Monosymptomatic Nocturnal Enuresis (MNE) Is Familial

2015 ◽  
Vol 94 (4) ◽  
pp. 459-463 ◽  
Author(s):  
Ural Oguz ◽  
Aykut Aykac ◽  
Erhan Demirelli ◽  
Eyup Burak Sancak ◽  
Berkan Resorlu ◽  
...  
Keyword(s):  
Statistical Analysis ◽  
Nocturnal Enuresis ◽  
Spontaneous Resolution ◽  
Resolution Time ◽  
Mothers And Fathers ◽  
Positive Correlation ◽  
Referral Hospitals ◽  
Education Status ◽  
Monosymptomatic Nocturnal Enuresis ◽  
The Mean

Purpose: To investigate whether or not the age of spontaneous resolution of monosymptomatic nocturnal enuresis (MNE) was familial. Patients and Methods: A questionnaire was administered to more than 1,500 people, and 100 appropriate participants were identified from four referral hospitals. We included the participants who had MNE and whose parents also had MNE with spontaneous resolution. Then the association between the spontaneous resolution time of MNE in parents and that in their children was investigated. Results: The mean ages of spontaneous resolution were 10.7 (10-30 years), 9.4 (6-17 years) and 10.9 (6-18 years) in participants, their mothers and their fathers, respectively. According to the statistical analysis, there was a positive correlation between participants and both their mothers and fathers (p < 0.05). In addition, it was revealed that familial MNE history based on first- and second-degree relatives, in addition to their parents, was also associated with the increased spontaneous resolution age of MNE (p < 0.05). According to our results, gender and parents' education status were not statistically associated with the spontaneous resolution (p > 0.05). Conclusion: As a conclusion, the age of spontaneous resolution of MNE is familial. Although the exact reasons of spontaneous resolution still remain a mystery; further genetic investigations may be able to resolve this mystery.

Analysis of the breeding records of a herd of pigs

1954 ◽  
Vol 45 (1) ◽  
pp. 19-27 ◽  
Author(s):  
R. Braude ◽  
P. M. Clarke ◽  
K. G. Mitchell
Keyword(s):  
Statistical Analysis ◽  
Large White ◽  
Seasonal Differences ◽  
Significant Difference ◽  
The Mean ◽  
The Difference ◽  
Length Of Gestation

1. A survey and. statistical analysis of the records of litters born in the N.I.R.D. herd of Large White pigs over a period of 16 years are presented.2. The mean length of gestation was 114 days for both gilts and sows.3. The mean numbers of pigs born alive and born dead per litter from gilts, 10·0 and 0·2 respectively, were both significantly smaller than the corresponding figures for sows, 11·8 and O·8. No seasonal differences were found.4. The mean total losses of pigs from birth to weaning at 8 weeks were 29·5% of pigs born alive. The losses in litters from gilts, 23·0%, were significantly smaller than in litters from sows, 31·0%. The losses during the winter months both for gilts, 32·5%, and for sows, 35·9%, were significantly higher than during the summer months, 19·4% and 26·7% for gilts and sows respectively.5. Over 50% of the total losses were due to crushing by the dam, 74·1% of the losses from this cause occurring during the first 48 hr. after birth.6. The mean number of pigs weaned per litter was 8·0. The difference between the number weaned per litter from gilts, 7·7, and per litter from number of pigs was weaned per litter from sows during the summer months, 8·7, than during the winter months, 7·4.7. There was no significant difference between the number of male and of female pigs weaned.8. The mean weight at weaning was 29·9 lb., male pigs, 30·3 lb., being significantly heavier than females, 29·51b. Pigs in litters from gilts, 27·81b., were significantly lighter at weaning than those from sows, 30·0 lb., and for both gilts and sows, pigs reared during the summer months, 29·7 and 31·8 lb. respectively, were significantly heavier than those reared during the winter months, 25·9 and 28·2 lb. respectively.

scholarly journals Decrease in white blood cell counts after thiopentone barbiturate therapy for refractory intracranial hypertension: A common complication

2013 ◽  
Vol 04 (S 01) ◽  
pp. S31-S34 ◽  
Author(s):  
Shin Yi Ng ◽  
Ki Jinn Chin ◽  
Tong Kiat Kwek
Keyword(s):  
Statistical Analysis ◽  
Blood Cell ◽  
Intracranial Hypertension ◽  
White Blood Cell ◽  
Retrospective Review ◽  
T Test ◽  
Barbiturate Coma ◽  
Barbiturate Therapy ◽  
The Mean ◽  
Wbc Count

ABSTRACT Background: Leucopenia has been reported after induction of thiopentone barbiturate therapy for refractory intracranial hypertension. However, the incidence and characterisitics are not well described. Aims: We performed a retrospective review to describe the incidence and characteristics of leucopenia after induction of thiopentone barbiturate therapy. Setting and Design: Our centre is a national referral centre for neurotrauma and surgery in a tertiary medical institution.Materials and Methods: We performed a retrospective review of all patients who received thiopentone barbiturate therapy for refractory intracranial hypertension during an 18 month period from January 2004 to June 2005 in our neurosurgical intensive care unit. Statistical Analysis Used: Statistical analysis was performed using SPSS version 15.0. All data are reported as mean ± standard deviation or median (interquartile range). The Chi square test was used to analyze categorical data and student t test done for comparison of means. For paired data, the paired t?test was used.-test was used. Results: Thirty eight (80.9%) out of 47 patients developed a decrease in white blood cell (WBC) count after induction of thiopentone barbiturate coma. The mean decrease in WBC from baseline to the nadir was 6.4 × 10 9 /L (P <lt; 0.001) and occurred 57 (3-147) h after induction. The mean nadir WBC was 8.6 < 3.6 × 10 9 /L. Three (6.4%) patients were leucopenic, with a WBC count of 2.8, 3.1, and 3.6 < 10 9 /L. None of them were neutropenic. We did not find an association between decrease in WBC count and clinical diagnosis of infection. We did not find any association between possible risk factors such as admission GCS, maximum ICP prior to induction of barbiturate coma, APACHE II score, total duration and dose of thiopentone given, and decrease in WBC count. Conclusions: Decrease in WBC count is common, while development of leucopenia is rare after thiopentone barbiturate coma. Regular monitoring of WBC counts is recommended.

scholarly journals Clinical Anatomy of the Posterior Meniscofemoral Ligament of Wrisberg: An Original MRI Study, Meta-analysis, and Systematic Review

2021 ◽  
Vol 9 (2) ◽  
pp. 232596712097319
Author(s):  
Przemysław A. Pękala ◽  
Dominik P. Łazarz ◽  
Mateusz A. Rosa ◽  
Jakub R. Pękala ◽  
Adam Baginski ◽  
...  
Keyword(s):  
Systematic Review ◽  
Quality Assessment ◽  
Meta Analysis ◽  
Lateral Meniscus ◽  
Lower Limbs ◽  
Clinical Anatomy ◽  
Extensive Literature ◽  
Anatomic Structure ◽  
Meniscofemoral Ligament ◽  
The Mean

Background: The posterior meniscofemoral ligament (pMFL) of Wrisberg attaches to the posterior horn of the lateral meniscus and the lateral intercondylar aspect of the medial femoral condyle and passes posteriorly to the posterior cruciate ligament (PCL). The pMFL plays a role in recovery after PCL injuries and offers stability to the lateral meniscus, promoting normal knee function. Purpose/Hypothesis: The aim of the magnetic resonance imaging (MRI) arm of this study was to evaluate the prevalence of the pMFL in Polish patients. The purpose of the systematic review and meta-analysis was to evaluate the clinical relevance of the pMFL in knee surgery. It was hypothesized that extensive variability exists in reports on the prevalence, function, and clinical significance of the pMFL. Study Design: Cross-sectional study and systematic review; Level of evidence, 3. Methods: A retrospective MRI investigation was conducted on 100 randomly selected lower limbs of Polish patients (56 male, 44 female) performed in 2019 to determine the prevalence of the pMFL. Additionally, an extensive literature search of major online databases was performed to evaluate all reported data on the pMFL. Assessments of article eligibility and data extraction were completed independently by 2 reviewers, and all disagreements were resolved via a consensus. A quality assessment of the included articles was performed using the Anatomical Quality Assessment tool. Results: In the MRI arm of this study, the pMFL was observed in 73 of the 100 limbs. In the meta-analysis, 47 studies were included, totaling 4940 lower limbs. The pooled prevalence of the pMFL was found to be 70.4% (95% CI, 63.4%-76.9%); the mean length was 27.7 mm (95% CI, 24.8-30.5 mm) and the mean widths were 4.5, 6.1, and 4.1 mm for the meniscal and femoral attachments and midportion, respectively. The mean pMFL thickness was 2.3 mm (95% CI, 1.8-2.7 mm). Conclusion: Despite the variability in the literature, the pMFL was found to be a prevalent and large anatomic structure in the knee joint. The shared features of this ligament with the PCL necessitate the consideration of its value in planning and performing arthroscopic procedures of the knee.

Evaluation of Analgesic and Sedative Effects of Ketamine Infusion against Intravenous Morphine in Relieving Fracture Pain of Long or Short Bones of Upper and Lower Limbs

2021 ◽  
Vol 15 (6) ◽  
pp. 1807-1811
Author(s):  
Meysam Moezi ◽  
Hassan Motamed ◽  
Mohammad Ali Fahimi ◽  
Azam Khalighi
Keyword(s):  
Emergency Department ◽  
Lower Limbs ◽  
Ketamine Infusion ◽  
Disturbed Sleep ◽  
Limb Trauma ◽  
Level Of Consciousness ◽  
Sedative Effects ◽  
Intravenous Morphine ◽  
Minimum Age ◽  
The Mean

Introduction and Purpose: The importance of pain control in patients with limb trauma in the emergency department and its complications is the main issue in post-emergency care and plays an important role in accelerating the improvement of patients' general status. Therefore, the present study aimed to evaluate the analgesic and sedative effects of ketamine infusion against intravenous morphine in relieving fracture pain of long or short bones in the upper and lower limbs. Materials and Methods: We examined the effect of ketamine and morphine as ketamine infusion at a dose of 0.4 mg/kg/IV/10min and intravenous morphine at a dose of 0.1 mg/kg/IV in patients aged 18-65 years with limb trauma who visited the hospital emergency department. We also compared the duration of analgesia, the amount of pain relief according to the Visual Analogue Scale (VAS) in each of the drugs and complications of the above methods, including apnea, bradycardia, tachycardia, decreased level of consciousness, nausea, vomiting, hypertension and hypotension, seizures, and disturbed sleep, and mentioned the preferred method. Results: In the study, we studied 120 patients, 60 of whom received ketamine and 60 received morphine. The mean age of patients was 13.02±13.67 years with a minimum age of 19 years and a maximum age of 70 years, and 89(74.2%) patients were male. There was not any difference between ketamine and morphine in the factors at different times. Conclusion: The results indicated that the potency of low-dose ketamine in relieving pain in patients was very similar to morphine. Keywords: Bone fracture; Ketamine; Morphine.

scholarly journals Assessment and comparison of the levels of N-nitrosonornicotine and 4-(n-methyl-n –nitrosamino) -1-(3-pyridyl)-1-butanone in the saliva of tobacco chewers and non- chewers -a hospital based study

2018 ◽  
Vol 6 (2) ◽  
pp. 66
Author(s):  
Dr Harpreet Kaur Gandhoke ◽  
Dr Vasanti Lagali Jirge ◽  
Dr Anjana Bagewadi
Keyword(s):  
Statistical Analysis ◽  
Smokeless Tobacco ◽  
Statistical Difference ◽  
Study Groups ◽  
P Value ◽  
Sample Collection ◽  
Group Iii ◽  
Group I ◽  
The Mean ◽  
Tobacco Specific Nitrosamines

Background: Studies estimating the Tobacco- specific nitrosamines, (TSNA’s) which are the strongest carcinogens in the saliva oftobacco users and tobacco quitters, are limited.Objectives: To assess and compare the levels of N- nitrosamines (NNN, NNK) in the saliva of tobacco chewers and non -chewers including those who have quit the habit of tobacco use.Methods: The study included 120 patients who were divided into three groups of 40 each: Group I- Smokeless tobacco chewersGroup II- Tobacco chewers who have completely stopped the habit at least 2 weeks prior to sample collection andGroup III- non-chewers. The salivary levels of two tobacco specific nitrosamines; NNN & NNK levels were estimated in the three study groups. Statistical analysis was done by Kruskal– Wallis, one-way analysis of variance (ANOVA) test, Mann-Whitney U test. (p-value < 0.05 was considered to be statistically significant)Results: In Group I, the mean level of NNN was 651.84 ± 359.78 and mean level of NNK was 168.32 ± 131.83. In Group II, the mean level of NNN was 119.52 ± 95.05 and mean level of NNK was 42.78 ± 43.19. In Group III, the mean level of NNN was 3.44 ±6.55 and mean level of NNK was 1.98 ± 3.68. There was a statistical difference in the 3 groups with respect to mean levels of NNN and NNK.Conclusion: The study indicated that salivary tobacco-specific nitrosamines are elevated in tobacco chewers. Saliva can be used to detect TSNA’s and screen for TSNA’s during each patient’s de-addiction process.  

scholarly journals Assessing the SNR Influence in the Estimation of the Mean Frequency of Lower Limbs sEMG Signals

2018 ◽  
Vol 16 (8) ◽  
pp. 2108-2114 ◽  
Author(s):  
Andres Rojas ◽  
Angel Farfan ◽  
Esteban Mora ◽  
Luis I. Minchala ◽  
Sara Wong
Keyword(s):  
Lower Limbs ◽  
Mean Frequency ◽  
The Mean ◽  
Semg Signals

scholarly journals SPRAY APPLICATIONS TO TOMATO PLANTS IN GREENHOUSES. PART 2: EFFECT OF SPRAY LANCE TYPE

2009 ◽  
Vol 40 (3) ◽  
pp. 49 ◽  
Author(s):  
Emanuele Cerruto ◽  
Giuseppe Emma ◽  
Giuseppe Manetto
Keyword(s):  
Block Design ◽  
The Body ◽  
Lower Limbs ◽  
Internal Layer ◽  
Protective Equipment ◽  
Body Parts ◽  
Tomato Plants ◽  
Application Rates ◽  
Two Factors ◽  
The Mean

The present paper reports the results of some spray application trials carried out in a greenhouse with full developed tomato plants to assess foliar deposition, ground losses, and dermal operator exposure when using handheld high pressure spray lances and when walking backwards during treatments. Two spray lance types (conventional with one nozzle and Yamaho C-6 with two steel nozzles, each with two orifices) and two working pressures (10 and 20 bar) were taken into consideration. An experimental design with two factors (spray lance and pressure) was adopted, arranged according to a randomised block design with three replicates. Volume application rates ranged from 775 up to 1252 L/ha, but all data were normalised to 1000 L/ha. The results showed no statistically significant differences in the mean foliar deposition between the two spray lances and the two working pressures. However, the higher pressure improved significantly the deposit into the internal layer of the canopy (+57%), whereas the Yamaho C-6 spray lance produced a higher deposit on the external layer at any pressure. The greatest differences between external and internal layer were mainly concentrated in the middle and high parts of the canopy, where there were 55 007_Cerruto(557)_49 18-11-2009 11:59 Pagina 55 the highest values of LAI and number of foliar layers. The fraction of the applied volume rate on the ground was on average 25 percent and it was affected only by the pressure value: it increased from 21.7 to 28.7 percent when the pressure increased from 10 to 20 bar, due mainly to the contribution of the conventional spray lance under the sprayed twin-rows. Finally, neither pressure nor spray lance type affected significantly the dermal operator exposure. Upper limbs accounted for 51 percent of the total exposure, while trunk and lower limbs accounted for 24 percent each. The body parts more exposed were the left arm and the hands, but also relatively high was the deposit on the respirator, so operators should ever wear appropriate personal protective equipment.

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