Differences In Height Changes Research Articles

Change in Height Following Tibiotalocalcaneal Arthrodesis: Retrospective Radiographic Analysis

Tibiotalocalcaneal arthrodesis (TTCA) with an intramedullary rod is a viable treatment option for a myriad of pathologies involving the foot and ankle. While the current literature has focused on fixation techniques, deformity correction, and clinical outcomes, we are unaware of any studies specifically examining change in height following a TTCA. In the present study, we retrospectively analyzed radiographs with novel radiographic techniques to determine the change in height from preoperative to postoperative radiographs following TTCA. Patients were divided into 3 categories: Charcot, arthritis, and pes planus as the indication for surgical intervention. We found that Charcot and arthritis had an average decrease in height on anterior and posterior measurements of the height from the distal tibia to the calcaneus, while pes planus had an increase in height. The average Charcot change in height was -12.0 ± 24.4 mm anteriorly and -7.6 ± 15.5 mm posteriorly. The average change in height for the arthritis group was -6.9 ± 6.7 mm anteriorly and -3.8 ± 5.8 mm posteriorly. The pes planus group was found to have an average increase in height 0.5 ± 8.0 mm anteriorly and 2.9 ± 5.8 mm posteriorly. Overall, we found a statistically significant difference in height change between the 3 groups in anterior measurements (p=.012) and posterior measurement (p=.006). We recommend surgeons who perform this procedure to be aware of the potential change in height to better tailor surgical and postoperative care.

Comparison of Fusion Rate and Functional Outcome Between Local Cancellous Bone Plus Demineralized Bone Matrix and Local Bone in 1-Level Posterior Lumbar Interbody Fusion.

Study Design:Retrospective study with prospectively collected data.Objective:The purpose of this study is to investigate the difference in fusion rate and clinical outcome of patients with local bone as filler for the graft and demineralized bone matrix (DBM) plus only the cancellous bone from local bone as a filler for cage in 1-level posterior lumbar interbody fusion (PLIF) with cage.Summary of Background Data:Cancellous bone is more advantageous than cortical bone in the local bone for improving bone formation in spine fusion surgery. There are little studies on the difference in fusion rate and reduction of fusion time using only these cancellous bones.Methods:Of the 40 patients who underwent 1-level PLIF using cage, 20 patients in group A used local bone and 20 patients in group B used mixture of cancellous bone extracted separately from local bone and commercially available DBM as filler for cage. Changes in fusion rate and intervertebral spacing were measured using lateral radiography, and fusion was determined as nonunion using the Brantigan-Steffee classification. The clinical outcome was evaluated.Results:There was no difference in height change over time between the two groups. Regarding union grade, group B showed better union grade than group A. However, no difference in union grade change over time was observed between the 2 groups. In group B, Oswestry Disability Index (ODI), Rolland-Morris Disability Questionnaire (RMDQ), and SF-36 mental component score (MCS) significantly decreased, but there was no difference in change over time.Conclusions:In 1-level PLIF for degenerative lumbar disease, better fusion rate was observed in the group that used only cancellous bone from local bone plus DBM than that in the group that used local bone; however, there was no difference in fusion grade change over time in the 2 groups.

PERUBAHAN BERAT BADAN, TINGGI BADAN DAN STATUS GIZI ANAK BALITA PADA PEMBERIAN EDUKASI DAN TEPUNG DAUN KELOR

Background: Nutrition problem is a public health problem that the prevention can not be done with medical approach and health service only. Nutrition problem in addition is a syndrome of poverty that closely related to the problem of food security at the household level also concerns aspects of knowledge and behavior that are less supportive of lifestyle. Puskesmas Bulurokeng Makassar City in 2016, reported that there are 45 children under five suffering from malnutrition in Bulurokeng urban village.Objectives: The purpose of community service is to assess the change of body weight (TB), height (TB) and nutritional status of children under five in the education and giving of kelor leaf meal on the daily diet of children under five in Bulurokeng Urban Village in 2016. Number of children target infants as many as 29 children, intervention carried out for 1 month.Results: The number of cadres who participated in education as many as 5 people and 29 mothers who have a toddler. But at the end of the intervention, as many as 25 children under five could be collected for analysis. Kelor flour in children under five showed significant difference of weight gain (p = 0,001), but there was no difference in height change (p = 0,41) before and after intervention. The nutritional status of children under five does not change based on body weight index by age (BB / U), height by age (TB / U) and body weight by height (BB / TB).Conclusions: It takes about 3 months of moringa flour intervention on the child's food menu, in order to appear a significant change in nutritional status in children under five.Keyword: Moringa leaf flour, nutritional status.

Weight gain after adenotonsillectomy: a case control study.

To study the association between adenotonsillectomy (T&A) and weight gain in children. Retrospective case-control series. Tertiary academic children's medical center. A total of 154 children who underwent T&A at a tertiary care children's hospital between December 2010 and March 2011 were included. They were compared with 182 children with similar demographics who were seen in primary care clinics at the same institution (control group). Height and weight were compared at 6-month intervals over a 24-month period. Patients were divided into normal weight, overweight, and obese. A multilevel mixed-effects regression model was used for analysis. Significance was set at P ≤ .05. Children who underwent T&A gained more weight than controls at every interval. At 24 months, they gained an additional 2.6 kg (confidence interval [CI], 0.9-3.9) but were an additional 1.8 cm (CI, 0.1-3.5) taller. There was no difference in weight gain at 6 months for obese children. At 12, 18, and 24 months, the obese group outgained the control group. At 24 months, the obese T&A group had gained an average of 14.3 kg, while the control had gained 10.1 kg, for a difference of 4.2 kg (CI, 1.3-6.1) with no difference in height changes. There were no differences in weight or height changes for the normal-weight and overweight groups at the conclusion of the study. T&A leads to a significant increase in weight in obese but not normal-weight or overweight children. Efforts should be made to provide weight reduction counseling prior to T&A in obese children.

A radiographical study on the changes in height of grafting materials after sinus lift: a comparison between two types of xenogenic materials

PurposeThe performance of implant surgery in the posterior maxilla often poses a challenge due to insufficient available bone. Sinus floor elevation was developed to increase the needed vertical height to overcome this problem. However, grafting materials used for the sinus lift technique eventually show resorption. The present study radiographically compared and evaluated the changes in height of the grafting materials after carrying out maxillary sinus elevation with a window opening procedure. This study also evaluated the difference between two xenogenic bone materials when being used for the sinus lifting procedure.MethodsTwenty-one patients were recruited for this study and underwent a sinus lift procedure. All sites were treated with either bovine bone (Bio-Oss®) with platelet-rich plasma (PRP) or bovine bone (OCS-B®)/PRP. A total of 69 implants were placed equally 6-8 months after the sinus lift. All sites were clinically and radiographically evaluated right after the implant surgery, 7-12 months, 13-24 months, and 25-48 months after their prosthetic loading.ResultsChanges of implant length/bone length with time showed a statistically significant decreasing tendency (P < 0.05). There was no significant change in the Bio-Oss® group (P > 0.05). In contrast, the OCS-B® group showed a significant decrease with time (P < 0.05). However, no significant difference was observed between the two groups (P > 0.05).ConclusionsThe results showed that there was significant reduction in comparison with data right after placement, after 7 to 12 months, 13 to 24 months, and over 25 months; however, reduction rates between each period have shown to be without significance. No significant difference in height change was observed between the Bio-Oss® and the OCS-B® groups.

Stepping over obstacles of different heights: Kinematic and kinetic strategies of leading limb in hemiplegic children

Twelve hemiplegic children (HC) and five normally developing children (NDC) were instructed to walk barefoot over a level surface and to cross obstacles of various heights (0%, 10%, 15% and 20% of their leg lengths). Kinematic and kinetic strategies of their leading limb were mainly examined. For the starting position of the trials HC was adjusted so that the affected limb was the leading one, while NDC step over the obstacle with their preferred selection of leading and trailing limb. The results demonstrated that the crossing speed was decreased and the crossing swing phase was increased in both groups. The toe vertical clearance augmented with the presence of the obstacle, but it remained constant with obstacle heights. The toe and heel horizontal distances of the leading limb remained constant with all obstacle heights. The toe horizontal distances of the trailing limb in HC increased with obstacle heights outlying a peculiar strategy. A comparison of joint angles and power variations revealed substantial differences in height changes between the two groups: HC exhibited a preferential modulation of pelvis and hip joints and a reduced modulation of knee and ankle joints. The knee flexor limitation in HC was accomplished by knee power variations near the toe-off. HC showed also an increased ankle involvement of the support limb, i.e. the almost normal limb. Collectively, the results provided insights into multijoint variations of locomotor act caused by visible obstacle in HC and indicate that a correct rehabilitation treatment should be focused on the use of dynamic constraints preferentially at the plegic knee.

Tracking of elevated systolic blood pressure among lean and overweight adolescents

To determine whether elevated blood pressure tracks to a greater degree in overweight than in lean children. Prospective cohort study. We examined 758 adolescents (mean age 13.4 years) who participated in a longitudinal study of blood pressure. The degree of tracking was examined by cross-classification of sex-specific tertiles of systolic blood pressure (SBP) and body mass index determined at baseline and 5 years later. Those children that were in the highest tertile of SBP and body mass index were considered to be 'overweight with elevated blood pressure'. Those that were in the highest tertile of SBP but lowest tertile of body mean index were considered to be 'lean with elevated blood pressure'. Of those boys that were initially classified as lean with elevated blood pressure, 38% remained so classified compared with 54.6% of those that were initially classified as overweight with elevated blood pressure. Among the girls the respective proportions were 48 and 44.2%. The subjects of each sex who were lean with elevated blood pressure were significantly shorter at baseline than their overweight counterparts, and over the follow-up period experienced a greater mean increase in SBP than their overweight peers. This difference was almost totally explained for the boys once the difference in height change was taken into account. For the girls a difference of 5.9 mmHg remained after covariate adjustment for the change in height. These results fail to support the hypothesis that blood pressure tracks differently in obese and in lean adolescents, particularly once differences in sexual maturation are considered.

Gender and height: Developmental patterns in knowledge and use of an accurate stereotype

The belief that men are taller than women is an accurate gender stereotype that is presumably learned through everyday encounters with men and women. It is unlike most gender beliefs that are difficult to quantify and verify, and that may be learned through means other than direct experience. This research makes use of several advantages available when studying an accurate stereotype (e.g., the ability to know the “truth” about judged targets). Subjects from five different age/grade levels (kindergarten, third grade, seventh grade, tenth grade, and college, N=491, 92.26% Caucasian, 7.54% Arabic, 0.2% African American) made judgments of “who is taller” among photographed male—female pairs that had actually been matched in height. Judgments were made of kindergarten, seventh grade, and college photo pairs. In a developmental context, height judgments are particularly interesting because the gender difference in height changes at different ages—specifically, girls are taller than boys around seventh grade. The data indicated that subjects were sensitive to the changing height stereotype—i.e., they judged adult males taller than adult females, but seventh grade females taller than seventh-grade males. However this was most strikingly true among subjects directly faced with this reality in their peer context—seventh graders—and among college students. Height judgments were also sensitive to an ingroup (gender) bias. The data are discussed in reference to the broader literature on stereotyping and base rate influences on judgment.