Physical Characteristics Of Patients Research Articles

Correlation study on the influencing factors of semitendinosus insertion location

To investigate the relationship between the vertical distance from semitendinosus insertion to tibial plateau (S-T) and the physical characteristics of patients, in order to provide reference for incision design to expose the semitendinosus insertion. The patients with ligament injury who underwent primary anterior cruciate ligament reconstruction between January 2022 and December 2022 were selected as the research subjects. The patients' baseline data were collected, including age, gender, height, and body mass. During reconstruction operation, the S-T was measured. Considering the S-T as the dependent variable and baseline data as the independent variable, multiple linear regression analysis was used to establish a regression equation to determine the possible influencing factors of semitendinosus insertion location. According to the selection standard, a total of 214 patients were enrolled, including 156 males and 58 females, aged (27±9) years (14-49 years), with a height of (174.7±6.8) cm (range, 160-196 cm) and a body mass of (73.43±12.35) kg (range, 53-105 kg). The S-T was (56.36±3.61) mm (range, 47-67 mm). The multiple linear regression analysis results showed that the height was positively correlated with S-T (β=0.407, SE=0.055, t=7.543, P<0.001); the regression equation was S-T=-14.701+0.407×height, R2=0.690. There was a linear relationship between the height and semitendinosus insertion. The location of semitendinosus insertion estimated by the formula (S-T=-14.701+0.407×height) is reasonable, which provides a theoretical basis for rapid, accurate, and safe location of semitendinosus insertion and design of surgical incision in clinic.

Frequency and characteristics of patients with bispectral index values of 60 or higher during the induction and maintenance of general anesthesia with remimazolam

In Korea, the approved anesthetic regimen of remimazolam starts with 6 mg/kg/h or 12 mg/kg/h until loss of consciousness, followed by maintenance at 1–2 mg/kg/h. Some patients receiving remimazolam for general anesthesia experience occasional difficulty maintaining bispectral index (BIS) value ˂ 60. This retrospective study aimed to analyze the data from patients undergoing elective surgery under remimazolam based-general anesthesia to determine the frequency and physical characteristics of patients with BIS values ˂ 60. The criterion was established for patients with a poorly maintained BIS value < 60. The frequency and physical characteristics of patients who satisfied this criterion were investigated through their medical records. The modified Brice interview was conducted within 24 h after surgery. Among the 1500 patients included in the analysis, 61 (4.1%) met the criteria for BIS ˂ 60. Based on the modified Brice interview, none of the patients with poorly maintained BIS ˂ 60 complained of intraoperative awareness based on the modified Brice interview or exhibit specific physical characteristics. These patients accounted for less than 5% of the total population studied. Notably, physical characteristics alone are insufficient to predict such patients before surgery.

Three-Dimensional Surface Analysis for Preoperative Prediction of Breast Volume: A Validation Study.

Few studies have examined whether preoperative three-dimensional surface imaging can accurately predict breast volume. Reliably predicting breast volume preoperatively can assist with breast reconstruction planning, patient education, and perioperative risk stratification. The authors conducted a review of patients who underwent mastectomy from 2020 to 2021 and included all patients who had preoperative VECTRA XT three-dimensional imaging. VECTRA Analysis Module (VAM) and VECTRA Body Sculptor (VBS) were used for volumetric analysis using standard anatomical breast borders. Breast weights were obtained intraoperatively. Predictive accuracy was defined as VAM estimates ±10% of mastectomy specimen weight or ±100 g of mastectomy weight. The study included 179 patients (266 breasts). There was no significant difference ( P = 0.22) between mean mastectomy weight of 620.8 ± 360.3 g and mean VAM estimate of 609.5 ± 361.9 g. Mean VBS estimate was 498.9 ± 337.6 g, which differed from mean mastectomy weight ( P < 0.001). When defining predictive accuracy as ±100 g, 58.7% of VAM and 44.4% of VBS estimates were accurate. Body mass index, body surface area, and ptosis grade significantly affected VAM and VBS breast volume predictions. VAM is more accurate at predicting mastectomy weight than VBS, likely because of VAM's analysis of surface topography rather than discrete surface landmarks. Discrepancies between VECTRA estimates and mastectomy weight were likely attributable to differences between surgical mastectomy borders and breast borders used in volumetric analysis. Surgeons should consider the physical characteristics of patients when using three-dimensional imaging. Diagnostic, I.

Association between the Horizontal Gaze Ability and Physical Characteristics of Patients with Dropped Head Syndrome

Background and Objectives: Patients with dropped head syndrome exhibit weakness of the cervical paraspinal muscles. However, the relationship between horizontal gaze disorder and physical function remains unclear. This study aimed to examine and clarify this relationship. Materials and Methods: Ninety-six patients with dropped head syndrome were included. We measured the McGregor’s Slope and investigated physical characteristics, including cervical muscle strength, back muscle strength, and walking ability. Factor analysis was used to classify the characteristics of physical function, and a linear multiple regression analysis was used to evaluate independent variables explaining the variance in the McGregor’s Slope. The physical functions of DHS patients were classified into three categories by factor analysis: limb and trunk muscle strength, walking ability, and neck muscle strength. Results: The average value of the McGregor’s Slope was 22.2 ± 24.0 degrees. As a result of multiple regression analysis, walking speed (β = −0.46) and apex (β = −0.30) were extracted as significant factors influencing the McGregor’s Slope. Conclusions: Horizontal gaze disorders are not associated with cervical muscle strength but with the walking ability and the alignment type of dropped head syndrome.

Metabolic derangement in patients with vitiligo: a cross-sectional study

Vitiligo is a pigmentary disorder resulting from progressive destruction of melanocytes in the skin. There is a growing body of evidence about higher risk of metabolic syndrome and dyslipidemia in...

High Incidence of Metabolic Syndrome Components in Lichen Planus Patients: A Prospective Cross-Sectional Study.

Background Lichen planus (LP) is a chronic inflammatory dermatosis, involving the skin, appendages, and mucous membranes. There is a growing body of evidence about higher risk of metabolic syndrome and dyslipidemia in some dermatoses including LP. Aim To evaluate lipid profile, leptin, and CRP status among Iranian LP patients, compared to healthy controls, and peruse the relationship between abnormal values of these parameters with the disease duration and physical characteristics of patients. Methods 40 LP patients and 40 age- and sex-matched healthy controls were enrolled in the study. Data on weight, height, lipid profile, leptin, and CRP values were recorded and compared. Results The mean values for leptin, CRP, and lipid profile parameters (except for HDL) were higher in patients, compared to controls. Total cholesterol level was negatively associated with disease duration in patients (P value: 0.039, r: −0.33). Serum leptin level was positively correlated with BMI both in patients and controls (P value: 0.037 and 0.003, respectively). In the patient group, LDL level, although insignificant, was higher in men, but HDL and leptin levels were significantly higher in women in comparison with men (P value: 0.018). Conclusion Screening of LP patients in regard to their lipid profile might be more reasonable in men or those who have other cardiovascular risk factors to prevent morbidity and mortality in result of developing cardiovascular events.

Relationships of Walking and non-Walking Physical Activities in Daily Life with Cognitive Function and Physical Characteristics in Male Patients with Mild Chronic Obstructive Pulmonary Disease.

Chronic obstructive pulmonary disease (COPD) is accompanied by dyspnea on exertion due to airflow limitation caused by bronchial stenosis, with afflicted patients being less physically active. Therefore, physical activity is important for disease management. This study aimed to examine the relationships of walking and non-walking physical activities with cognitive function or physical characteristics of patients with mild COPD in a community without respiratory rehabilitation. Cross-sectional study. We included 40 male patients (mean age, 75.7 ± 6.7 years) with stable mild COPD. A three-axis accelerometer was used to evaluate walking and non-walking physical activities in daily life. Cognition, respiratory function, skeletal muscle mass, limb muscle strength, exercise capacity, and health-related quality of life were assessed. Regarding daily exercise amount (metabolic equivalents × hours; Ex), 87.5% of the participants had walking activities of 0-2 Ex, while 67.5% had non-walking activities of 1-3 Ex. Walking activity was significantly correlated with cognitive function (P < .05), walking distance (P < .01), and health-related quality of life (P < .05), but not with muscle mass. However, non-walking activity was significantly correlated with the body mass index (P < .05), muscle mass (P < .05), and walking distance (P < .01), but not with cognitive function. Moreover, the relationship between non-walking activity and health-related quality of life was weaker than the corresponding relationship with walking activity. In patients with mild COPD, walking and non-walking physical activities showed different relationships with cognitive function and physical characteristics. The findings suggest that self-management of such patients requires maintenance of both walking and non-walking activities in a balanced manner.

Relationship between the Japan Science and Technology Agency Index of Competence and the Physical Characteristics of Patients with Cardiovascular Disease Receiving Care at Home

Relationship between the Japan Science and Technology Agency Index of Competence and the Physical Characteristics of Patients with Cardiovascular Disease Receiving Care at Home

Biomechanical Force Prediction for Lengthening of Small Intestine during Distraction Enterogenesis.

Distraction enterogenesis has been extensively studied as a potential treatment for short bowel syndrome, which is the most common form of intestinal failure. Different strategies including parenteral nutrition and surgical lengthening to manage patients with short bowel syndrome are associated with high complication rates. More recently, self-expanding springs have been used to lengthen the small intestine using an intraluminal axial mechanical force, where this biomechanical force stimulates the growth and elongation of the small intestine. Differences in physical characteristics of patients with short bowel syndrome would require a different mechanical force—this is crucial in order to achieve an efficient and safe lengthening outcome. In this study, we aimed to predict the required mechanical force for each potential intestinal size. Based on our previous experimental observations and computational findings, we integrated our experimental measurements of patient biometrics along with mechanical characterization of the soft tissue into our numerical simulations to develop a series of computational models. These computational models can predict the required mechanical force for any potential patient where this can be advantageous in predicting an individual’s tissue response to spring-mediated distraction enterogenesis and can be used toward a safe delivery of the mechanical force.

Evaluation of CD304 expression in pediatric Blineage acute lymphoblastic leukemia

BACKGROUND: Acute lymphoblastic leukemia is the most common form of cancer (25–30%) and predominant subtype of leukemia (75–80%) in children. However, childhood ALL has considerable phenotypic and genotypic heterogeneity, which is of diagnostic and prognostic importance. CD304 is a transmembrane glycoprotein C-type lectin found on plasmacytoid dendritic cells, It acts as a receptor for class III semaphorins mediating neuronal guidance and axonal growth.Aim of the study: to study expression of CD304 in de novo newly diagnosed pediatric B- lineage ALL patients and to evaluate its association with hematological and clinical parameters.Patients and methods: This cross sectional study was conducted on 30 pediatric patients with de novo newly diagnosed BALL randomly selected in relation to sex included (16 males and 14females) with their age ranging 1-14 year.RESULTS: This study revealed that CD304 was detected in (56.67%) of newly diagnosed B-ALL patients and (43.33%) of them were negative for CD304 expression. It was detected that CD304 was not associated with age, gender, clinical presentations, other prognostic hematological parameters (Hb, WBC count, platelate count), blast percentage, NCI risk, B-ALL subtype, positive PAS and response to induction therapy.CONCLUSIONS: CD304 expression was independent on the hematological and physical characteristics of patients, since the majority of positive CD304B-ALL cases were in high risk groups of NCI criteria and 60% of non- responder were positive CD304. PAS stain was detected in standard risk groups of NCI criteria, common B-ALL subtype and response to induction therapy.

Anestezija kod bolesnika sa neurološkim oboljenjima - koma (neurološka oboljenja i anestezija)

Neurological disorders have increasing prevalence. Patients who come for surgery and anesthesia are more common with neurological comorbidities. This comorbidity, which has significant consequences for the behavior, psychological and physical characteristics of patients, has a need for numerous medications. When meeting these patients, anesthesiologists want answers to the following questions: the duration of the disease and the degree of illness, used therapy, the quality of life, the influence of anesthetics on the disease and the effect of therapy on the performance of anesthesia, the continuation of therapy after intervention and postoperative recovery. Still there are two dilemmas, whether and when before anesthesia and surgical interventions to stop the use of drugs that allow the function of patients and what are the possible interactions of drugs with anesthesia? The most common neurological diseases with which the anesthesiologist face as comorbidities are: Alzheimer's disease, Parkinson's disease, multiple sclerosis, epilepsy, circulatory disorders, and lately increases the likelihood of coma patients. Answering on the questions above will help a doctor to decide on the type of anesthesia and which dosage of drugs he will use. If a patient is without restrictions in work and habits, then anesthesia in this case is the same as in a person without this comorbidity. The therapy for the existing disease should be carried out until surgery or anesthesia, and should be continued immediately after surgery. Due to the significant influence of used drugs and the nature of the disease, it is necessary to use lesser doses of relaxants, opioids and sedatives. The use of regional anesthesia has its place, and it is used when the degree of illness is such that it allows the patient to cooperate.

Functional, Cognitive and Physical Characteristics of Patients Referred to Hospice at Post-Acute-Care Rehabilitation Setting

Functional, Cognitive and Physical Characteristics of Patients Referred to Hospice at Post-Acute-Care Rehabilitation Setting

A study of the electrical properties of bottom electrodes for bendable sensors in diagnostic X-ray irradiation

Purpose Some recent studies on bendable sensors have reported the reduction of distortion in X-ray shots caused by the patient’s physical structure. In the field of diagnostic radiology, images are nowadays captured using flat panel detectors, but it is difficult to take the geometrical body type and physical characteristics of patients into consideration with flat panels; this may distort images. This study evaluates the bending and electrical properties of bottom electrode-based sensors with bending capability.

The physical characteristics of patients with neck stiffness

The physical characteristics of patients with neck stiffness

Determination of deferasirox plasma concentrations: do gender, physical and genetic differences affect chelation efficacy?

Bioavailability of deferasirox (DFX) is significantly affected by the timing of administration relative to times and to composition of meals. Its elimination half-life is also highly variable - in some patients as a result of gene polymorphisms. Understanding whether deferasirox plasma levels are related to specific characteristics of patients could help physicians to devise a drug regimen tailored the individual patient. We analyzed deferasirox plasma concentrations (CDFX ) in 80 patients with transfusion-dependent anemias, such as thalassemia, by a high performance liquid chromatography (HPLC) assay. We used a multivariate linear regression model to find significant associations between CDFX and clinical/demographical characteristics of patients. All patients were genotyped for UGT1A1. Fifty-six patients were female, 24 were male, the great majority (88%) affected by β-thalassemia, and 15 were children and adolescents. No statistical correlation was detectable between CDFX and DFX dose (P=0.6). Age, time from last drug intake to blood sampling, and ferritin levels in the 6months before study initiation were significantly and inversely associated with CDFX in univariate analysis. In the multivariate analysis, the only two factors independently and inversely associated with CDFX levels were time from last drug intake to blood sampling and ferritin levels (P=0.006). A significant inverse correlation (P=0.03) was observed between CDFX and UGT1A1*28 gene polymorphism, but only in patients with levels of lean body mass (LBM) below the median (P for interaction=0.05). The results could indicate that a higher plasma DFX concentration could be associated with greater chelation efficacy. As a correlation between dose and CDFX was not demonstrated, it seems useful to monitor the concentrations to optimize and determine the most appropriate dose for each patient. Interesting results emerged from the analysis of genetic and physical characteristics of patients: LBM was a borderline significant effect modifier of the relationship between UGT1A1 polymorphisms and CDFX . Individual patient-tailored dosing of DFX should help to improve iron chelation efficacy and to reduce dose-dependent drug toxicity.

Sagittal view of the tibial attachment of the anterior cruciate ligament on magnetic resonance imaging and the relationship between anterior cruciate ligament size and the physical characteristics of patients

BackgroundIt is necessary to create bone tunnels within the native footprint during anatomic anterior cruciate ligament (ACL) reconstruction. Predicting the size of the ACL preoperatively may be useful in order to determine the diameter of the bone tunnels preoperatively or during surgery. The tibial insertion site of the ACL includes a depressed area, the ACL fovea, which is generally observed in the sagittal view on magnetic resonance imaging (MRI). The purposes of this study were to measure the anteroposterior diameter of the ACL fovea in the sagittal view on MRI and to investigate its associations with the physical characteristics of patients. MethodsOne hundred patients (100 knees; 50 males and 50 females; mean age, 33 years) were included in this study. The anteroposterior diameter of the ACL fovea was measured in the sagittal view on MRI. The relationships between the diameter of the ACL fovea and physical characteristics including height, weight, and body mass index (BMI) were analyzed. ResultsThe mean diameter of the ACL fovea was 16.1 mm in male patients and 14.3 mm in female patients, which were comparable to the previously reported values. There were significant positive correlations between the diameter of the ACL fovea and height and weight, but not BMI. The number of knees in which the diameter of the ACL fovea was <13 mm was 14 (14 %), and females were more likely to have ACL fovea diameter <13 mm. Conclusions The study indicated that it is possible to predict the size of the ACL before surgery by measuring the diameter of the ACL fovea on MRI. Physical characteristics of patients correlated with the diameter of the ACL fovea. Especially in female patients, it is important to consider the size of the ACL preoperatively.

Subsidence of a cementless femoral component influenced by body weight and body mass index

This trial was designed to evaluate the impact of physical characteristics such as body mass index, body weight and height on distal stem migration of a cementless femoral component, as the influence of obesity on the outcome of THA is still debated in literature and conflicting results have been found. In this retrospective cohort study, migration patterns for 102 implants were analysed using the Einzel-Bild-Roentgen-Analyse (EBRA-FCA, femoral component analysis). In all cases the Vision 2000 stem was implanted and combined with the Duraloc acetabular component (DePuy, Warsaw, Indiana). The mean follow-up was 93 months. EBRA-FCA evaluations revealed a mean subsidence of 1.38 mm after two years, 2.06 mm after five and 2.24 mm after seven years. Five stems loosened aseptically. Correlation between increased migration over the whole period and aseptic loosening was highly significant (p < 0.001). Surgical technique had a significant influence on migration and stem stability (p = 0.002) but physical patient characteristics such as body weight over 75 kg and height over 165 cm also significantly influenced stem subsidence towards progressive migration (p = 0.001, p < 0.001). However, a high BMI did not trigger progressive stem migration (p = 0.87). Being of the male gender raised the odds for increased migration (p = 0.03). Physical characteristics such as body weight and height showed significant influence on migration patterns of this cementless femoral component. The operating surgeon should be aware that body weight above 75 kg and height over 165 cm may trigger increased stem migration and the surgeon should aim to fit these prostheses as tightly as possible. However this study demonstrates that a high BMI does not trigger progressive stem migration. Further investigations are needed to confirm our findings.

Características epidemiológicas e causas da fratura do terço proximal do fêmur em idosos

OBJETIVO: O custo social e economico das fraturas da regiao proximal do femur e elevado e decorre, dentre outros fatores, da morbimortalidade da propria fratura. Apesar de sua importância, estudos envolvendo esse tema ainda sao escassos no Brasil. Esse foi um estudo retrospectivo, observacional, transversal (ecologico) com objetivo de tracar um perfil epidemiologico da fratura do terco proximal do femur em idosos, analisar suas causas e as caracteristicas fisicas dos pacientes admitidos em um unico hospital universitario de Sao Paulo. METODOS: Estudo de prontuarios no periodo de um ano e comparacao dos grupos pelo teste do Qui-quadrado; p < 0,05 foi considerado significante. RESULTADOS: Totalizou-se 94 individuos, predominando no sexo feminino (2:1), entre 81-85 anos, com o IMC dentro dos limites da normalidade, pacientes brancos e asiaticos (p < 0,05). A grande maioria das fraturas ocorreu por trauma de baixa energia e dentro da residencia (p < 0,05). Retirando os traumas decorrentes de alta energia, mais de 39% foram no momento em que o paciente se levantava ou utilizava a escada, e aproximadamente 40% estavam parados de pe ou caminhando. Houve um maior numero de casos correspondentes as estacoes frias do ano (p < 0,05). CONCLUSAO: A maioria dos traumas ocorreu dentro da propria residencia. Devido a baixa energia, alguns acidentes podem ser evitados utilizando-se medidas simples e economicas que orientem a populacao idosa quanto as situacoes de risco, trazendo grandes beneficios na qualidade de vida, alem de uma sensivel diminuicao da morbimortalidade e dos custos socioeconomicos desse problema cada vez mais frequente.

Physical characteristics of patients with developmental cervical spinal canal stenosis

There has been only one report on the physical characteristics of patients with developmental cervical spinal canal stenosis. The objective of this consecutive clinical study was to identify the physical characteristics of patients with developmental cervical spinal canal stenosis. The subjects were 243 patients with cervical spine disease who received treatment in our department between April 2001 and March 2002. These patients were divided into two groups (the groups of patients with and without spinal canal stenosis) on the basis of their lateral cervical spine radiographs. The six items examined were height, weight, sitting height, inter inner canthal distance, upper arm length, and head circumference in each patient, and then their values were compared between the two groups. The mean inter inner canthal distance was 2.7 cm in the group of patients with spinal canal stenosis and 3.5 cm in the group of patients without spinal canal stenosis; a significant difference (P < 0.01) was observed. Regarding height, weight, sitting height, upper arm length, and head circumference, no significant difference was found while comparing the two groups. In conclusion, developmental cervical spinal canal stenosis seems to be highly likely in patients with smaller inter inner canthal distance.

Misdiagnosis of cluster headache

Misdiagnosis of cluster headache is common in clinical practice and can lead to significant morbidity. The International Headache Society has published diagnostic criteria that are generally straightforward and useful, but careful understanding of these criteria and how to handle exceptions is necessary. The primary diagnostic points involve severity, length, and frequency of individual headache attacks, as well as the presence of ipsilateral autonomic features. Such additional features as time cycling of headache clusters, physical characteristics of patients, and response to treatment may prove useful in individual cases, but must not be relied on too much.