scholarly journals Anatomic Variation in the Origin and Course of Radial Artery: A Descriptive Cross-Sectional Study

2019 ◽  
Vol 57 (220) ◽  
Author(s):  
Muna Kadel ◽  
Shanta Hada ◽  
Bishwo Prachanda Sedhain
Keyword(s):  
Coronary Artery ◽  
Radial Artery ◽  
Brachial Artery ◽  
Binary Data ◽  
Anatomic Variation ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Ethical Approval ◽  
Cubital Fossa

Introduction: The radial artery is commonly originated from the brachial artery in the cubital fossaat the level of the neck of the radius. It is the artery of choice for coronary artery angiography,percutaneous coronary artery intervention, cannulation, and others. Radial artery anomalies likehigh origin, tortuosity, and accessory branches are associated with the failure of such procedures.The main objective of this study is to study the variation in origin and course of the radial artery incadavers. Methods: A descriptive cross-sectional study was conducted in 27 formalin-fixed adult humancadavers in the Department of Anatomy, KIST Medical College and Teaching Hospital, Lalitpur,Nepal, from 2075/4/2 to 2076/4/2. Ethical approval was taken on date 02/04/2075 (IRC No.2074/75/38). Altogether, 53 specimens were enrolled in the study by convenience sampling method.Point estimate at 95% Confidence Interval was done for binary data along with frequency andproportion. The data was analyzed by and Statistical Package for the Social Sciences version 20. Results: Out of of 53 upper limbs, forty-six (86.79%) specimens, the origin of the radial artery wasobserved to be normal in the cubital fossa, 34.5±6.31mm below the level of the intercondylar lineof the humerus with the superficial course. In seven (13.21%) specimens, the radial artery showedvariation in the origin. Among them, variations in origin were found to be from sites like the axilla,upper-middle, and lower part of the arm. One cadaver showed a tortuous radial artery bilaterally. Conclusions: This study concludes that most of the radial artery originates in the cubital fossa fromthe brachial artery with few variations.

scholarly journals Higher Termination of Brachial Artery in Cadavers in the Department of Anatomy of a Medical College: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (240) ◽  
Author(s):  
Sanzida Khatun ◽  
Diwakar Kumar Shah
Keyword(s):  
Surgical Procedures ◽  
Brachial Artery ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Institutional Review ◽  
Reference Number ◽  
Ethical Approval ◽  
Usual Site

Introduction: The main blood supply for arm is provided by the brachial artery. It shows variation in branching and termination patterns in some individuals. Variation in brachial artery may cause difficulties during various clinical and surgical procedures. The present study aims to find out the prevalence of higher termination of brachial artery in cadavers in the department of anatomy of a medical college. Methods: A descriptive cross-sectional study was carried out from 10th January 2020 to 20th April 2021 after the ethical approval was taken from the Institutional Review Committee of Nobel Medical College (reference number: IRC-NMCTH 280/2020). The study was done in 58 upper limbs of 29 properly embalmed cadavers. Convenient sampling was done. They were carefully dissected. The level of termination of brachial artery was noted. The length of the brachial artery and the distance between its termination and the intercondylar line of humerus was recorded. Results: Higher termination of brachial artery was observed in 3 (5.17%) extremities; one (1.72%) at middle third of arm and two (3.45%) at lower third of arm. In 52 (89.66%) extremities, the site of termination was at the level of neck of radius. The brachial artery terminated a few centimeters below its usual site at the level of upper part of shaft of the radius in 3 (5.17%) extremities. Conclusions: The prevalence of higher termination of brachial artery in cadavers is slightly lower than the studies performed in similar settings. It is not an uncommon finding. It may have impact on clinical and surgical procedures.

scholarly journals Practices Regarding COVID-19 among Online Respondents in Nepal: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (237) ◽  
Author(s):  
Sudeep Chapagain ◽  
Aastha Singh ◽  
Prabina Basnet ◽  
Rasik Neupane ◽  
Nirdesh Pokhrel
Keyword(s):  
Confidence Interval ◽  
Hand Hygiene ◽  
Binary Data ◽  
Face Mask ◽  
Cross Sectional Study ◽  
Point Estimate ◽  
Sectional Study ◽  
Cross Sectional ◽  
Ethical Approval ◽  
The Face

Introduction: The alarming rate of rise in COVID-19 cases led to lockdown in Nepal in order to curb the transmission and spread of the virus among the general public. This research was conducted to know the practices regarding the COVID-19 among the general population of Nepal. The aim of the study is to find out the value of different practices regarding COVID-19 which includes use of face masks, avoiding crowded places and hand hygiene. Methods: This was a descriptive cross-sectional study conducted among 509 online respondents residing 28th November to 15th December 2020 in Nepal. Ethical approval for the study was taken from the Nepal Health Research Council (Reference number 1350). Convenient sampling method was used. Data was analyzed using Microsoft Excel and Software Statistical Package for Social Sciences version 26.0. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 509 participants, 492 (96.66%) (Confidence Interval= 95.1%-98.2%) uses mask, 437 (85.85%) (Confidence Interval= 82.82%-88.87%) avoided going to crowded places and 503 (98.82%) (95% Confidence Interval= 97.88%-99.76%) practiced hand hygiene during lockdown. Among 492 (96.66%) who wore face mask during the lockdown, 482 (94.69%) were still continuing using the face mask after the restriction was eased. Conclusions: The study concludes good practices regarding COVID-19 among Nepalese population but is still not satisfying. This depicted adequate awareness among the public as a result of adequate dissemination of information and resources during the lockdown.

scholarly journals How Fast Foods Impact Coronary Artery Disease Incidence: A Cross-Sectional Study

2021 ◽  
Vol 3 (5) ◽  
pp. 52-55
Author(s):  
Khudayenoor ◽  
Ayesha Shaheen ◽  
Aimen Fatima ◽  
Zohaib Saleem ◽  
Hafeez Arshad ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Fast Food ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Fast Foods ◽  
High Prevalence ◽  
Artery Disease ◽  
The Impact

Coronary artery disease (CAD) is a very ordinary health problem around the globe. CAD is affected by numerous factors like diabetes, obesity, smoking, gender, and diet. However, the association of CAD with diet is understudied in our region that’s why our study was aimed to evaluate the effect of diet on CAD incidence. This cross-sectional study was completed among local population of Rawalpindi, Pakistan in almost 6 months from November 2020 to April 2021. People were taken in our study via set criteria. Data was collected by self-structured proforma. Data analysis was performed by applying IBM SPSS version 25. Descriptive statistics were applied for quantitative variables. Statistical tests like Chi-square test and Spearman correlation analysis were applied to know the association, direction, and strength of study variables. Our current study displays overall high prevalence CAD (17.48%) among study population. Mean value of age for study participants was 45.42 with SD of ±8.01years. Prevalence of CAD was more common among females, faster food eaters and fresh fruit and raw vegetables non-eaters. Gender, fast food, and fresh fruits and vegetables were associated with CHD significantly with p-values 0.030, 0.0007, and 0.0006 respectively. Strength and direction for fast food and CAD association was very strong and positive while for association between fresh fruits and raw vegetables and CAD was very strong and negative with correlation coefficient +0.812 and -0.831 respectively. In a nutshell, current study indicates high prevalence of CAD especially among females, fast food eaters and fresh fruits and raw vegetables non-eaters. Higher consumption of fast foods leads to higher incidence of CAD and vice versa while higher consumption of fresh fruits and raw vegetables bring down the incidence of CAD incidence and vice versa. So, we need to create awareness among people about the impact of food on CAD and gender specific interventions for each gender to lower down the CAD incidence.

scholarly journals Pericoronary adipose tissue computed tomography attenuation distinguishes different stages of coronary artery disease: a cross-sectional study

2020 ◽  
Author(s):  
Andrew Lin ◽  
Nitesh Nerlekar ◽  
Jeremy Yuvaraj ◽  
Katrina Fernandes ◽  
Cathy Jiang ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Coronary Artery ◽  
Cross Sectional Study ◽  
Imaging Biomarker ◽  
Plaque Burden ◽  
Sectional Study ◽  
Cross Sectional ◽  
Ct Attenuation ◽  
Artery Disease ◽  
Stable Cad

Abstract Aims  Vascular inflammation inhibits local adipogenesis in pericoronary adipose tissue (PCAT) and this can be detected on coronary computed tomography angiography (CCTA) as an increase in CT attenuation of PCAT surrounding the proximal right coronary artery (RCA). In this cross-sectional study, we assessed the utility of PCAT CT attenuation as an imaging biomarker of coronary inflammation in distinguishing different stages of coronary artery disease (CAD). Methods and results Sixty patients with acute myocardial infarction (MI) were prospectively recruited to undergo CCTA within 48 h of admission, prior to invasive angiography. These participants were matched to patients with stable CAD (n = 60) and controls with no CAD (n = 60) by age, gender, BMI, risk factors, medications, and CT tube voltage. PCAT attenuation around the proximal RCA was quantified per-patient using semi-automated software. Patients with MI had a higher PCAT attenuation (−82.3 ± 5.5 HU) compared with patients with stable CAD (−90.6 ± 5.7 HU, P < 0.001) and controls (−95.8 ± 6.2 HU, P < 0.001). PCAT attenuation was significantly increased in stable CAD patients over controls (P = 0.01). The association of PCAT attenuation with stage of CAD was independent of age, gender, cardiovascular risk factors, epicardial adipose tissue volume, and CCTA-derived quantitative plaque burden. No interaction was observed for clinical presentation (MI vs. stable CAD) and plaque burden on PCAT attenuation. Conclusion PCAT CT attenuation as a quantitative measure of global coronary inflammation independently distinguishes patients with MI vs. stable CAD vs. no CAD. Future studies should assess whether this imaging biomarker can track patient responses to therapies in different stages of CAD.

Periodontitis and tooth loss have negative impact on dietary intake: A cross‐sectional study with stable coronary artery disease patients

2019 ◽  
Vol 90 (10) ◽  
pp. 1096-1105 ◽  
Author(s):  
Dayana D. Mendonça ◽  
Mariana V. Furtado ◽  
Roberta A. Sarmento ◽  
Bruna B. Nicoletto ◽  
Gabriela C. Souza ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Dietary Intake ◽  
Tooth Loss ◽  
Negative Impact ◽  
Stable Coronary Artery Disease ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Artery Disease
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