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Sample records for ankle-brachial pressure index

  1. [Measurement ofthe ankle-brachial pressure index (ABPI)].

    Science.gov (United States)

    Kulisić, Sandra Marinović

    2012-10-01

    Measurement of the ankle-brachial pressure index, also known as ankle-brachial index or ankle-arm index is a ratio of the ankle blood pressure and brachial blood pressure. It is easy to perform and allows for diagnosis and further definition of the severity of peripheral arterial disease with sensitivity 90% and specificity 98%. The test is not appropriate for mild arterial changes as in case of comorbidity. Its further objectives are to identify patients at an higher risk of cardiovascular events. PMID:23193828

  2. Ankle Brachial Pressure Index (ABPI): An update for practitioners

    OpenAIRE

    Al-Qaisi, Mo

    2009-01-01

    Mo Al-Qaisi1, David M Nott1, David H King2, Sam Kaddoura11Imperial College, London, UK; 2Broomfield Hospital, Chelmsford, Essex, UKAbstract: Peripheral vascular disease affects some 12%–14% of the general population, and the majority of people with the disease are asymptomatic. The Ankle Brachial Pressure Index (ABPI) test is widely used by a diverse range of practitioners (in the community and hospital setting) in order to screen asymptomatic patients, diagnose patients with clinic...

  3. Ankle Brachial Pressure Index (ABPI: An update for practitioners

    Directory of Open Access Journals (Sweden)

    Mo Al-Qaisi

    2009-09-01

    Full Text Available Mo Al-Qaisi1, David M Nott1, David H King2, Sam Kaddoura11Imperial College, London, UK; 2Broomfield Hospital, Chelmsford, Essex, UKAbstract: Peripheral vascular disease affects some 12%–14% of the general population, and the majority of people with the disease are asymptomatic. The Ankle Brachial Pressure Index (ABPI test is widely used by a diverse range of practitioners (in the community and hospital setting in order to screen asymptomatic patients, diagnose patients with clinical symptoms, and to monitor patients who have had radiological or surgical intervention. This paper explains the theoretical basis of the ABPI test, as well as the relevance of the common modifications of the test. It explores the background to the quoted normal ranges for the ABPI test. It reviews the large body of literature that has developed on the association between ABPI and cardiovascular risk, as well as ABPI as a predictor for cardiovascular morbidity and mortality, highlighting the evidence that can inform practice. The review looks critically at the limitations of the ABPI test, providing practitioners with an evidence-based update on the importance and challenges of standardizing ABPI methodology. This paper highlights the influence of the key technical aspects of the ABPI test that all practitioners need to consider in order to be able to make more reliable and informed management decisions based on ABPI findings.Keywords: ankle, brachial, pressure, index, ABPI, update

  4. Resting Doppler ankle brachial pressure index measurement: a literature review.

    Science.gov (United States)

    Sihlangu, Dorcus; Bliss, Julie

    2012-07-01

    Peripheral vascular disease (PVD) is under-diagnosed in primary and acute settings. The use of Doppler ankle brachial pressure index (ABPI) is effective in diagnosing PVD , aid in determining aetiology of leg ulcers and is cost efficient in reducing the effects of atherosclerosis and cardiovascular events. The aim of this literature review was to review practitioners' experience in using Doppler ABPI, different skills used to measure ABPI and to examine practitioners' confidence in ABPI. The findings identified variation in method for Doppler measurement: including position of the artery, arm measurement, resting period and type of equipment for measuring blood pressure, variations in practitioners' training and experience have demonstrated variability in ABPI results. Although limited in number, the studies have demonstrated knowledge gap, and the need for training among health professionals. PMID:22875182

  5. Ankle brachial pressure index of normal, healthy, younger adults.

    Science.gov (United States)

    Niblo, Jane; Coull, Alison

    Doppler ultrasound and ankle brachial pressure index (ABPI) calculations are used in the assessment of lower limb vascularity, specifically to determine arterial deficiency. ABPI is important as it is used as an indicator when deciding management options for the treatment of leg ulceration. This study aimed to investigate the range of ABPI measurement, using Doppler ultrasound and sphygmomanometry in 36 young healthy adults aged 18-55 years. The findings show a mean ABPI in the left leg of 1.19 and a mean ABPI of 1.17 in the right leg which, while within the normal range, are consistently in the upper range and significantly higher than the acknowledged 'normal' midpoint of 1.0. It would appear that younger people will have ABPIs within the upper aspect of the normal range and well above the established norm of 1.0. PMID:24151719

  6. Measurement of blood pressure, ankle blood pressure and calculation of ankle brachial index in general practice

    DEFF Research Database (Denmark)

    Nexøe, Jørgen; Damsbo, Bent; Lund, Jens Otto;

    2012-01-01

    BACKGROUND: Low ankle brachial index (ABI) is a sensitive measure of 'burden' of atherosclerosis, indicating cardiovascular risk of the asymptomatic patient. Conventionally, ABI values......BACKGROUND: Low ankle brachial index (ABI) is a sensitive measure of 'burden' of atherosclerosis, indicating cardiovascular risk of the asymptomatic patient. Conventionally, ABI values...

  7. Ankle Brachial Index

    Energy Technology Data Exchange (ETDEWEB)

    Wikstroem, J.; Hansen, T.; Johansson, L.; Lind, L.; Ahlstroem, H. (Dept. of Radiology and Dept. of Medical Sciences, Uppsala Univ. Hospital, Uppsala (SE))

    2008-03-15

    Background: Whole-body magnetic resonance angiography (WBMRA) permits noninvasive vascular assessment, which can be utilized in epidemiological studies. Purpose: To assess the relation between a low ankle brachial index (ABI) and high-grade stenoses in the pelvic and leg arteries in the elderly. Material and Methods: WBMRA was performed in a population sample of 306 subjects aged 70 years. The arteries below the aortic bifurcation were graded after the most severe stenosis according to one of three grades: 0-49% stenosis, 50-99% stenosis, or occlusion. ABI was calculated for each side. Results: There were assessable WBMRA and ABI examinations in 268 (right side), 265 (left side), and 258 cases (both sides). At least one >=50% stenosis was found in 19% (right side), 23% (left side), and 28% (on at least one side) of the cases. The corresponding prevalences for ABI <0.9 were 4.5%, 4.2%, and 6.6%. An ABI cut-off value of 0.9 resulted in a sensitivity, specificity, and positive and negative predictive value of 20%, 99%, 83%, and 84% on the right side, and 15%, 99%, 82%, and 80% on the left side, respectively, for the presence of a >= 50% stenosis in the pelvic or leg arteries. Conclusion: An ABI <0.9 underestimates the prevalence of peripheral arterial occlusive disease in the general elderly population

  8. Comparison of three measures of the ankle-brachial blood pressure index in a general population

    OpenAIRE

    Pan, Cheng-Rui; Staessen, Jan A.; Li, Yan; Wang, Ji-Guang

    2007-01-01

    The ankle-brachial blood pressure index (ABI) predicts cardiovasular disease. To our knowledge, no study has compared manual ABI measurements with an automated electronic oscillometric method in a population sample. We enrolled 946 residents (50.8% women; mean age, 43.5 years) from 8 villages in JingNing County, Zhejiang Province, P.R. China. We computed ABI as the ratio of ankle-to-arm systolic blood pressures from consecutive auscultatory or Doppler measurements at the posterior tibial and ...

  9. [Ankle-brachial pressure index as a predictor of future cardiovascular outcomes].

    Science.gov (United States)

    Topalusić, Iva; Valpotić, Ina; Marković, Asja Stipić

    2012-10-01

    Peripheral arterial occlusive disease is very common in the general population and it is mostly of atherosclerotic origin. About 50%-75% of patients are asymptomatic. Many studies have shown the ankle-brachial pressure index (ABPI) to be a simple and reliable test with high sensitivity (90%) and specificity (98%) in the diagnosis of hemodynamically relevant stenosis of an arterial segment and also in detection of asymptomatic patients. The values of ABPI ABPI > 1.40 is associated with arterial calcification and wall stiffening. This test is highly specific (92.7%) in predicting future cardiovascular and cerebrovascular risk and could provide a tool for more focused prevention strategies. PMID:23814974

  10. A correlation study between ankle brachial pressure index and the severity of coronary artery disease.

    Science.gov (United States)

    Benyakorn, Thoetphum; Kuanprasert, Sarun; Rerkasem, Kittipan

    2012-06-01

    Previous studies have shown that there was a correlation between low ankle brachial pressure index (ABPI) and the presence of the coronary artery disease (CAD). However, few studies have investigated the correlation between ABPI and the severity of CAD by using a scoring system. The authors aimed to investigate this correlation by using ABPI and CAD diagnosed by coronary angiography (CAG). A total of 213 consecutive patients awaiting CAG in Maharaj Nakorn Chiang Mai Hospital from July 2009 to November 2009 were enrolled in this study. The ABPI was measured before CAG. The severity of CAD was graded on CAG by using SYNTAX scores. The authors found a significantly negative correlation between ABPI and SYNTAX scores (correlation coefficient = -.172, P = .01). The authors concluded that ABPI appeared to correlate negatively with the severity of CAD in the Thai population. PMID:22561522

  11. Atypical leg symptoms: does routine measurement of the ankle brachial pressure index (ABPI) in primary care benefit patients?

    OpenAIRE

    Oesterling, Christine; Kalia, Amun; Chetcuti, Thomas; Walker, Steven

    2015-01-01

    Abstract Background : Managing patients with atypical leg symptoms in primary care can be problematic. Determining the ankle brachial pressure index (ABPI) may be readily performed to help diagnose peripheral arterial disease, but is often omitted where signs and symptoms are unclear. Question : Does routine measurement of ABPI in patients with atypical leg symptoms aid management increase satisfaction and safely reduce hospital referral? Methodology : Patients with atypical leg symptoms but ...

  12. The Relationship among Pulse Wave Velocity, Ankle-Brachial Pressure Index and Heart Rate Variability in Adult Males

    OpenAIRE

    Ahn, Jeong-Hwan; Kong, Mihee

    2011-01-01

    Background Pulse wave velocity (PWV) and ankle-brachial pressure index (ABI) are non-invasive tools to measure atherosclerosis and arterial stiffness. Heart rate variability (HRV) has proven to be a non-invasive powerful tool in the investigation of the autonomic cardiovascular control. Therefore, the purpose of this study was to determine the relationship among PWV, ABI, and HRV parameters in adult males. Methods The study was carried out with 117 males who visited a health care center from ...

  13. Oxidized low-density lipoprotein and ankle-brachial pressure index in patients with clinically evident peripheral arterial disease

    Directory of Open Access Journals (Sweden)

    Ruben Miguel Ayzin Rosoky

    2010-01-01

    Full Text Available OBJECTIVES: To investigate whether oxidized low-density lipoprotein is a suitable predictor of peripheral arterial disease severity. The role of oxidized low-density lipoprotein in the pathogenesis of atherosclerosis has already been investigated. Its relevance as a predictor of the appearance and worsening of coronary arterial disease is also well known. However, the same is not true regarding peripheral arterial disease. METHOD: Eighty-five consecutive patients with an ankle-brachial pressure index (ABPI < 0.9 and the presence of either intermittent claudication or critical lower leg ischemia were included. The plasma level of IgG autoantibodies against oxidized low-density lipoprotein was evaluated through an enzyme-linked immunosorbent assay. The results were categorized into quartiles according to the ankle-brachial pressure index (a marker of peripheral arterial disease severity, and significant differences were investigated with the Kruskal-Wallis test. RESULTS: There was no significant difference between the quartiles for this population (p = 0.33. No correlation was found between the ankle-brachial pressure index and oxidized low-density lipoprotein levels in subjects with clinically evident peripheral arterial disease with a wide range of clinical manifestations. CONCLUSIONS: Oxidized low-density lipoprotein is not a good predictor of peripheral arterial disease severity.

  14. Rheumatoid Arthritis and the Ankle-Brachial Pressure Index: Any Association?

    Directory of Open Access Journals (Sweden)

    Asso Fraidoon

    2014-02-01

    Full Text Available Purpose: Several studies tried to assess the influence of rheumatoid arthritis (RA on peripheral arteries and found an association with later development of intimal thickness and atherosclerosis. We tried to uncover the prevalence of subclinical peripheral vascular disease (PVD in rheumatoid arthritis patients. Materials and Methods: This case control-study had involved sixty patients who were diagnosed with rheumatoid. Forty age, gender, and body mass index-matched healthy individuals were selected as the control group. All participants were non-smokers, non-hypertensive, and non-diabetics and had a normal lipid profile. The presence of peripheral arterial disease was evaluated by measuring the ankle-brachial pressure index (ABPI at the level of each artery of the lower limbs. An index of ≤0.9 was considered abnormal and a possible reflection of an underlying PVD. Results: Twenty three (38% out of the 60 RA patients demonstrated one or more abnormal arteries while only 3 (7.5% out of the 40 control individuals had abnormal results (p-value <0.001. A statistically significant association was noted between abnormal ABPI and RA disease severity as indicated by C-reactive protein (P-value <0.003, ESR (P-value <0.002, and positive serum rheumatoid factor (P-value <0.01. However, age, gender, and disease duration showed no link with abnormal ABPI. Conclusion: A higher prevalence of abnormal ABPI, and hence a possible higher incidence of subclinical atherosclerosis, was found in patients with RA. Further analytic studies are required to assess the relationship of RA with PVD.

  15. Lower ankle-brachial index is associated with poor sleep quality in patients with essential hypertension

    OpenAIRE

    Yamaki, Michiyasu; Sato, Toshiaki; Fujii, Hiromi

    2015-01-01

    Background: The ankle-brachial index (ABI), ratio of leg blood pressure to arm blood pressure is used extensively as a screening test for stratification of cardiovascular risk. The problems in sleep disturbed nocturnal fall in blood pressure and may relate to development of hypertension. However, the role of sleep quality on ankle-brachial index remains unclear. Methods and Results: This study examined 101 patients with essential hypertension. We analyzed the association with ABI on age, sex,...

  16. Ankle-brachial index in HIV infection

    Directory of Open Access Journals (Sweden)

    Martos Francisco

    2009-04-01

    Full Text Available Abstract Prognosis for patients with the human immunodeficiency virus (HIV has improved with the introduction of highly active antiretroviral therapy (HAART. Evidence over recent years suggests that the incidence of cardiovascular disease is increasing in HIV patients. The ankle-brachial index (ABI is a cheap and easy test that has been validated in the general population. Abnormal ABI values are associated with increased cardiovascular mortality. To date, six series of ABI values in persons with HIV have been published, but none was a prospective study. No agreement exists concerning the risk factors for an abnormal ABI, though its prevalence is clearly higher in these patients than in the general population. Whether this higher prevalence of an abnormal ABI is associated with a higher incidence of vascular events remains to be determined.

  17. The variability of ankle-arm blood pressure difference and ankle-brachial index in treated hypertensive patients.

    Science.gov (United States)

    Cao, Kaiwu; Xu, Jinsong; Sun, Hanjun; Li, Ping; Li, Juxiang; Cheng, Xiaoshu; Su, Hai

    2014-10-01

    The purpose of this study was to investigate whether ankle-arm blood pressure (BP) difference (An-a) and ankle-brachial index (ABI) are consistent in treated hypertensive patients with obvious BP variation. This study enrolled 414 hypertensive patients (200 males; mean age, 61.3 ± 13.3 years) admitted to our hospital. BP of four limbs was simultaneously measured using four automatic BP measurement devices on the day of admission, and three and six day after admission. The An-a differences on systolic BP (SBP), diastolic BP (DBP), mean artery pressure (MAP), and pulse pressure (PP) in both sides were calculated, respectively. The relative decrease amplitude (RDA) of BP was calculated using the formula: RDA = (BP1 - BPn)/BP1. The ABI of the right side was calculated. From the first to the third measurement, arm SBP and DBP levels of both arms significantly decreased (right arm: SBP: 163.7 ± 18.4, 147.7 ± 15.3 vs. 135.4 ± 11.7 mm Hg; P ankle SBP (right ankle: 182.1 ± 22.1, 147.7 ± 15.3 vs. 153.4 ± 16.6 mm Hg; P < .05) and DBP (84.8 ± 13.4, 79.9 ± 11.6 vs. 75.8 ± 9.8 mm Hg; P < .05) of both sides also significantly decreased. The mean An-a of three measurements of both sides was consistent at the levels of about 20 mm Hg on SBP and PP, 7 mm Hg on MAP, and 0 mm Hg on DBP. However, sABI gradually increased from the first to the third measurement.In treated hypertensive patients, the An-a differences on SBP, DBP, PP, and MAP are generally consistent, but sABI is associated with underlying SBP levels. PMID:25418490

  18. Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment with Ankle Brachial Index in Adults

    Science.gov (United States)

    ... Force Recommendations Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment with Ankle Brachial Index in Adults The ... Recommendation | 1 Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment with Ankle Brachial Index in Adults Potential ...

  19. Genetic determinants of the ankle-brachial index

    DEFF Research Database (Denmark)

    Wassel, Christina L; Lamina, Claudia; Nambi, Vijay;

    2012-01-01

    Candidate gene association studies for peripheral artery disease (PAD), including subclinical disease assessed with the ankle-brachial index (ABI), have been limited by the modest number of genes examined. We conducted a two stage meta-analysis of ∼50,000 SNPs across ∼2100 candidate genes to...

  20. Common Carotid Intima Media Thickness and Ankle-Brachial Pressure Index Correlate with Local but Not Global Atheroma Burden: A Cross Sectional Study Using Whole Body Magnetic Resonance Angiography

    OpenAIRE

    Weir-McCall, Jonathan R.; Khan, Faisel; Lambert, Matthew A.; Carly L Adamson; Gardner, Michael; Gandy, Stephen J.; Ramkumar, Prasad Guntur; Belch, Jill J. F.; Struthers, Allan D.; Rauchhaus, Petra; Andrew D Morris; Houston, J. Graeme

    2014-01-01

    Background Common carotid intima media thickness (CIMT) and ankle brachial pressure index (ABPI) are used as surrogate marker of atherosclerosis, and have been shown to correlate with arterial stiffness, however their correlation with global atherosclerotic burden has not been previously assessed. We compare CIMT and ABPI with atheroma burden as measured by whole body magnetic resonance angiography (WB-MRA). Methods 50 patients with symptomatic peripheral arterial disease were recruited. CIMT...

  1. Common carotid intima media thickness and ankle-brachial pressure index correlate with local but not global atheroma burden:A cross sectional study using whole body magnetic resonance angiography

    OpenAIRE

    Weir-McCall, Jonathan R.; Khan, Faisel; Lambert, Matthew A.; Carly L Adamson; Gardner, Michael; Gandy, Stephen J.; Ramkumar, Prasad Guntur; Belch, Jill J. F.; Struthers, Allan D.; Rauchhaus, Petra; Andrew D Morris; Houston, J. Graeme

    2014-01-01

    Background: Common carotid intima media thickness (CIMT) and ankle brachial pressure index (ABPI) are used as surrogate marker of atherosclerosis, and have been shown to correlate with arterial stiffness, however their correlation with global atherosclerotic burden has not been previously assessed. We compare CIMT and ABPI with atheroma burden as measured by whole body magnetic resonance angiography (WB-MRA). Methods: 50 patients with symptomatic peripheral arterial disease were recruited. CI...

  2. Ankle-brachial blood pressure index predicts cardiovascular events and mortality in Japanese patients with chronic kidney disease not on dialysis.

    Science.gov (United States)

    Yoshitomi, Ryota; Nakayama, Masaru; Ura, Yoriko; Kuma, Kazuyoshi; Nishimoto, Hitomi; Fukui, Akiko; Ikeda, Hirofumi; Tsuchihashi, Takuya; Tsuruya, Kazuhiko; Kitazono, Takanari

    2014-12-01

    The ankle-brachial blood pressure index (ABPI) has been recognized to have a predictive value for cardiovascular (CV) events and mortality in general or dialysis populations. However, the associations between ABPI and those outcomes have not been fully investigated in predialysis patients. The present study aimed to clarify the relationships between ABPI and both CV events and mortality in Japanese chronic kidney disease (CKD) patients not on dialysis. In this prospective observational study, we enrolled 320 patients with CKD stages 3-5 who were not on dialysis. At baseline, ABPI was examined and a low ABPI was defined as ABPI were risk factors for CV events. It was demonstrated that age, a history of cerebrovascular disease and low ABPI were determined as independent risk factors for CV mortality. In addition, age, body mass index and low ABPI were independently associated with all-cause mortality. In patients with CKD, low ABPI during the predialysis period is independently associated with poor survival and CV events, suggesting the usefulness of measuring ABPI for predicting CV events and patient survival in CKD. PMID:25056682

  3. Importance of the ankle-brachial pressure index in the diagnosis of coronary artery disease in women with diabetes without anginal pain

    International Nuclear Information System (INIS)

    Clinical symptoms of coronary artery disease (CAD) are often atypical in women, particularly in those with diabetes mellitus. Therefore, a simple diagnostic test to identify a high-risk subset of women with diabetes who are likely to have CAD is important. A total of 407 consecutive patients (319 men and 88 women, age range 68±11 years) with suspected CAD, who were not complaining of anginal pain, were evaluated. Among these patients, 170 had diabetes. Stress myocardial perfusion imaging and simultaneous brachial and ankle blood pressure measurements were performed to obtain the ischemic total perfusion deficit (TPD) and ankle-brachial pressure index (ABI), respectively. Ischemic TPD was not significantly different between men and women, whereas ischemic TPD was significantly greater in diabetic patients than in non-diabetic patients (6.9±7.7% vs. 4.9±6.1%; P=0.005). In diabetic patients, ischemic TPD was not significantly different between men and women. However, women with ABI 10%, which is regarded as a scintigraphic indicator for coronary revascularization. (author)

  4. Clinical significance of inter-arm pressure difference and ankle-brachial pressure index in patients with suspected coronary artery disease

    International Nuclear Information System (INIS)

    Although measuring blood pressure at the bilateral brachia is common in medical practice, its clinical significance in patients with suspected coronary artery disease (CAD) has not been fully clarified. The method of this study was to define the significance of inter-arm systolic blood pressure difference in patients with suspected CAD, and to assess the relationship between inter-arm pressure difference and CAD, simultaneous brachial and ankle blood pressure measurements and stress myocardial single-photon emission computed tomography (SPECT) were performed in 386 consecutive patients with suspected CAD, excluding those with previous myocardial infarction or coronary revascularization. Subclavian artery stenosis, defined as ≥15 mmHg inter-arm systolic blood pressure difference, was found in 27 patients (7%). Age (65±12 vs 65±11 years), male sex (21/27 vs 244/359), prevalence of hypertension (63% vs 56%), hypercholesterolemia (63% vs 62%), diabetes mellitus (33% vs 38%), cigarette smoking (44% vs 41%) and family history of CAD (15% vs 12%) were similar between patients with subclavian artery stenosis and those without. The incidence of decreased ankle-brachial pressure index (ABI) was higher (37% vs 12%, p=0.001), and percentage ischemic myocardium as assessed by SPECT was greater (9.0±8.5% vs 5.6±6.6%, p=0.05) in patients with subclavian artery stenosis than in those without. Furthermore, significant correlations were observed between inter-arm pressure difference and percentage ischemic myocardium (r=0.13; p=0.01), and ABI (r=-0.26, p<0.0001). Among 386 patients, 283 underwent coronary angiography, and 63% of those who had inter-arm blood pressure difference had CAD. Furthermore, 83% of those CAD patients had multi-vessel CAD, which is regarded as a high-risk subset for subsequent cardiac events. Inter-arm pressure difference is often found in patients with suspected CAD, and is associated with significant CAD and peripheral artery disease. Thus, inter

  5. Cardiovascular risk in white coat hypertension: an evaluation of the ankle brachial index.

    Science.gov (United States)

    Freitas, Dayana; Toneti, Adrielle Naiara; Cesarino, Evandro José; Desidério, Vagner Luis; Pacca, Sérgio de Figueiredo; Godoy, Simone de; Mendes, Isabel Amélia Costa; Marchi-Alves, Leila Maria

    2014-06-01

    The aim in this study was to identify the cardiovascular risk in patients suffering from white coat hypertension (WCH) by determining the ankle brachial index (ABI) with an automatic oscillometric sphygmomanometer. The study was undertaken in a Brazilian city between August 2010 and June 2011. The study variables were age, ethnic origin, marital status, education level, profession, weight, height, waist circumference, arm and ankle blood pressure (BP), and ABI. Analysis of variance was used for repeated measures and Tukey's test for multiple comparisons of means. The linear relationship between systolic BP levels and ankle brachial indices was verified using Pearson's correlation coefficient. Results were expressed as mean values ± standard errors of means, and differences were considered statistically significant when P < .05. Study participants were 135 subjects, including 37% normotensive, 37% hypertensive (HT), and 26% WCH patients. WCH individuals revealed intermediate risk in the analysis of the clinical variables. Alterations compatible with peripheral obstructive arterial disease and arterial calcification were observed only in the HT and WCH groups. These findings lead to the premise that WCH should not be viewed as a benign condition. The measurement of the ABI should be considered in the clinical approach of patients and professionals should use it as an instrument for cardiovascular risk assessment in routine health care delivery. PMID:24944169

  6. Ankle brachial index, C-reactive protein, and central augmentation index to identify individuals with severe atherosclerosis

    DEFF Research Database (Denmark)

    Eldrup, Nikolaj; Sillesen, Henrik; Prescott, Eva;

    2006-01-01

    We examined the ability of ankle brachial index, C-reactive protein and central augmentation index to identify individuals in the general population with severe atherosclerosis, diagnosed as those with ischaemic cardiovascular disease.......We examined the ability of ankle brachial index, C-reactive protein and central augmentation index to identify individuals in the general population with severe atherosclerosis, diagnosed as those with ischaemic cardiovascular disease....

  7. Cardiovascular Risk Factors and Distributions of the Ankle-Brachial Index among Type 2 Diabetes Mellitus Patients

    Directory of Open Access Journals (Sweden)

    Badaruddoza Doza

    2012-01-01

    Full Text Available Background. The aim of present study is to observe the association between the levels of ankle-brachial index (ABI and cardiovascular risk factors among people with type 2 diabetes mellitus in north India. A cross-sectional study was carried out at a centre for heart and diabetic clinic in the state of Punjab on 1121 subjects (671 males and 450 females with type 2 diabetes mellitus. History of symptoms related to cardiovascular diseases was noted, and blood pressure and anthropometric measurements were recorded. Ankle-brachial index (ABI was measured using ultrasonic Doppler flow detector. Subjects with ABI ≤0.9 and ≥1.30 were classified as having low and high ABI, respectively. Females had a higher BMI and brachial-ankle pulse wave velocity (<0.001. Whereas, males had higher diastolic blood pressure and duration of type 2 diabetes mellitus. The differences of systolic blood pressure and ankle-brachial index were not found significant between the sexes. The prevalence of low ABI (<0.9 was 4.47% in men and 4.67% in women and high ABI (≥1.30 was prevalent in 14% of men and 10.45% of women. Age, BMI, baPWV, and blood pressures were significantly associated with ABI value in both sexes. The results suggested that the ABI might be used as a strong indicator for cardiovascular risk factors in type 2 diabetic subjects.

  8. Transcutaneous oximetry compared to ankle-brachial-index measurement in the evaluation of percutaneous transluminal angioplasty

    International Nuclear Information System (INIS)

    Objective: To investigate transcutaneous oximetry as parameter of the microcirculation is correlated to ankle-brachial-index as parameter of the macrocirculation after peripheral angioplasty procedures. Design: Prospective study. Materials and methods: 60 patients suffering from intermittent claudication were scheduled for angioplasty treatment. 45 patients were considered as eligible for angioplasty after angiographic evaluation, 15 patients underwent angiography only. Transcutaneous oximetry measurements were performed before the procedure, at the end of intervention, 24 h as well as 2 and 4 weeks after percutaneous transluminal angioplasty. Ankle-brachial-indices were obtained before intervention, 24 h as well as 2 and 4 weeks later. Results: Ankle-brachial-indices increased significantly at 24 h after angioplasty in patients being treated with angioplasty. Transcutaneous oximetry values dropped significantly at the end of the procedure and returned close to the baseline levels at 2 and 4 weeks after angioplasty. Ankle-brachial-indices and transcutaneous oximetry were positively correlated before (r = 0.3833, p = 0.009) as well as 4 weeks after angioplasty (r = 0.4596, p = 0.001). Immediately after radiological interventions, ankle-brachial-indices and transcutaneous oximetry are not positively correlated. In patients undergoing angiography only, transcutaneous oximetry levels drop significantly immediately after angiography and remain at decreased levels even at 4 weeks after intervention. Conclusion: Transcutaneous oximetry as parameter of the microcirculation is positively correlated with ankle-brachial-index as parameter of the macrocirculation before and at 4 weeks after angioplasty. Intraarterial angiography leads to a sudden decrease in skin microcirculation without affecting macrocirculation. As indicated by a lack of recovery in transcutaneous oximetry levels after 4 weeks, angiography alone results in a prolonged impaired microcirculation which may

  9. Evaluation of Arterial Stiffness in Patients with Behçet's Disease by Using Noninvasive Radiological Methods such as Intima-Media Thickness of the Carotid, Ankle-Brachial Pressure Index, Coronary Artery Calcium Scoring, and Their Relation to Serum Fetuin-A Levels: A Case-Control Study

    OpenAIRE

    Uyar, Belkız; Solak, Aynur; Genç, Berhan; Akyıldız, Muhittin; Şahin, Neslin; UYAR, İhsan Sami; Saklamaz, Ali

    2015-01-01

    Background Behçet's disease (BD) is a chronic, recurrent inflammatory systemic vasculitis. Evidence for increased atherosclerosis in BD has been observed. The relation between cardiovascular risk factors and increased atherosclerosis in patients with BD is still controversial. Objective We performed this study to evaluate arterial stiffness in patients with BD by using noninvasive radiological methods such as carotid artery intima-media thickness (CIMT), ankle-brachial pressure index (ABPI), ...

  10. The run-off resistance (ROR) assessed on MR angiograms may serve as a valid scoring system in patients with symptomatic peripheral arterial disease (PAD) and correlates with the ankle-brachial pressure index (ABI)

    International Nuclear Information System (INIS)

    Objective: To investigate the correlation between the hemodynamic parameter ankle-brachial pressure index (ABI) and the run-off resistance (ROR) assessed on MR angiograms (MRA) in patients with peripheral arterial disease (PAD) Fontaine Stage I and II and its potential as reliable reporting system in clinical routine. Methods: Contrast-enhanced MRA was performed in 321 PAD patients using a 1.5 T MR scanner with moving bed technique. The ROR and resting ABI were determined in each patient's leg and correlation analysis was performed using the Pearson test. Results: A significant negative correlation (r = −.513; p < .001) between ROR (mean 11.03 ± 5.42) and resting ABI (mean .81 ± .26) was identified. An even more pronounced correlation was found in patients younger than median age who had higher ABI values (r = −.608; p < .001). Conclusion: The ROR scoring system evaluated in this series correlates better with the ABI than previously published scoring systems and could be suggested as reporting system for routine MRA evaluation.

  11. Ankle Brachial Index: simple non-invasive estimation of peripheral artery disease

    Science.gov (United States)

    Pieniak, Marcin; Cieślicki, Krzysztof; Żyliński, Marek; Górski, Piotr; Murgrabia, Agnieszka; Cybulski, Gerard

    2014-11-01

    According to international guidelines, patients with Peripheral Artery Disease (PAD) are burdened with high cardiovascular risk. One of the simplest, non-invasive methods for PAD detection is the ankle-brachial index (ABI) measurement. The ABI is calculated as the ratio of systolic blood pressure at the ankle (pressure in the posterior tibial artery or the dorsal artery) to the systolic pressure in the arm (in the brachial artery) when the body is in a horizontal position. The physiological value of the ABI is assumed to be between 1 and 1.3; however, these limits vary from study to study. A value less than 0.9 indicates PAD. Some authors propose also measuring the ABI on both sides of the body to highlight possible differences in blood pressure between the opposite arterial segments. The aim of this study was to perform a meta-analysis of the ABI diagnostic criteria used in different publications. Additionally, ABI measurements were performed on 19 healthy patients in age ranged from 20 to 63 years. The results showed a slight dependence between age and the differences between the values obtained from left and right sides of the body.

  12. Die Variabilität des Ankle-Brachial-Index (ABI)

    OpenAIRE

    Groh, Sabine

    2009-01-01

    Die Reliabilität des Knöchel- Arm- Index (Ankle- Brachial- Index, ABI) unter den Bedingungen der täglichen Praxis war bislang noch unklar. Das Ziel dieser Studie war eine genaue Einschätzung aller Faktoren, die die Variabilität des ABI beeinflussen. Drei Untersuchergruppen mit unterschiedlicher Qualifikation führten Messungen durch. Um die Reliabilität zu beurteilen, wurden die Intra- Observer- Variabilität, die Inter- Observer- Variabilität sowie die wahre Differenz des ABI zwisc...

  13. Automated oscillometric determination of the ankle-brachial index: a systematic review and meta-analysis.

    Science.gov (United States)

    Verberk, Willem J; Kollias, Anastasios; Stergiou, George S

    2012-09-01

    Measurement of the ankle-brachial index (ABI) using a Doppler device is widely used to identify subjects with peripheral artery disease (PAD), and those who are at high risk of cardiovascular disease. This paper presents a systematic review (Medline/PubMed, Embase and Cochrane) and meta-analysis of studies assessing the usefulness of automated oscillometric devices for ABI estimation and PAD detection compared with the conventional Doppler method. A total of 25 studies including 4186 subjects were analyzed. A random-effects model analysis showed that the average oscillometric ABI was similar to the Doppler ABI (mean difference ± s.e. 0.020 ± 0.018, P=0.3) but that the absolute differences were significant (0.048 ± 0.009, Parm-leg measurements resulted in a smaller difference between the average oscillometric ABI value and the average Doppler ABI value than did sequential measurements (-0.012 ± 0.022 vs. 0.040 ± 0.026, respectively, P<0.01). The average sensitivity and specificity of the oscillometric ABI estimation in PAD diagnosis was 69 ± 6% and 96 ± 1%, respectively (with Doppler ABI taken as the reference). These data suggest that an automated ABI measurement obtained by oscillometric blood pressure monitors is a reliable and practical alternative to the conventional Doppler measurement for the detection of PAD. To increase the sensitivity of the PAD diagnosis based on an oscillometric ABI, a higher threshold of 1.0 might be preferable. PMID:22739420

  14. ANKLE-BRACHIAL INDEX AND LDL-RECEPTOR GENE IN ASYMPTOMATIC SEVERE HYPERCHOLESTEROLEMIA

    Directory of Open Access Journals (Sweden)

    L. Vladimirova-Kitova

    2011-08-01

    Full Text Available The issue with the different levels of ankle-brachial index, as screening for LDL-receptor defective gene in newly detected asymptomatic severe hypercholesterolemia is less studied, but quite interesting. There have not been any studies on ankle-brachial index in patients with severe hypercholesterolemia in Bulgaria. Aim: To examine the difference between patients with severe hypercholesterolemia, who are carriers and non-carriers of LDL-R defective gene, with respect to their structural (ankle-brachial index characteristics of arterial wall. Methods and materials: 60 patients with documented severe hypercholesterolemia >7.5 mmol/l satisfying the Simon-Broom criteria for clinically established and probable Familial Hypercholesterolemia were studied. All of the patients had a negative stress echocardiography and not known coronary artery disease. The laboratory used was the Clinical Laboratory at the Medical University Plovdiv. The total cholesterol and triglycerides were measured with enzyme-colorimetry and cholesterol in high density lipoprotein and cholesterol in low density lipoprotein with direct automatic analyses. Apolipoproteins were calculated by immunoturbodimetric method. The biochemical analyzer Konelab 60i was used in all the measurements. Results: According to whether there were or were not molecular defects, patients were assigned to two groups: carriers (11 patients, 18 % and non-carriers (49 patients, 82 %.There was a statistically significant difference (p 0.05. We found no statistically significant difference between non-carriers and carriers with respect to body mass index (25.30 ± 0.40 vs 24.63 ± 0.45, respectively, t = 0.50; p > 0.05. There was not a statistically significant difference in levels of total cholesterol, triglycerides, HDL-cholesterol, LDL-cholesterol between carries (p>0.05. The cholesterol x years. score was significantly higher in the carries (440.36 ± 0.25 mmol-y/L, than in the non-carries (390.30 ± 0

  15. Common carotid intima media thickness and ankle-brachial pressure index correlate with local but not global atheroma burden: a cross sectional study using whole body magnetic resonance angiography.

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    Jonathan R Weir-McCall

    Full Text Available Common carotid intima media thickness (CIMT and ankle brachial pressure index (ABPI are used as surrogate marker of atherosclerosis, and have been shown to correlate with arterial stiffness, however their correlation with global atherosclerotic burden has not been previously assessed. We compare CIMT and ABPI with atheroma burden as measured by whole body magnetic resonance angiography (WB-MRA.50 patients with symptomatic peripheral arterial disease were recruited. CIMT was measured using ultrasound while rest and exercise ABPI were performed. WB-MRA was performed in a 1.5T MRI scanner using 4 volume acquisitions with a divided dose of intravenous gadolinium gadoterate meglumine (Dotarem, Guerbet, FR. The WB-MRA data was divided into 31 anatomical arterial segments with each scored according to degree of luminal narrowing: 0 = normal, 1 = <50%, 2 = 50-70%, 3 = 70-99%, 4 = vessel occlusion. The segment scores were summed and from this a standardized atheroma score was calculated.The atherosclerotic burden was high with a standardised atheroma score of 39.5±11. Common CIMT showed a positive correlation with the whole body atheroma score (β 0.32, p = 0.045, however this was due to its strong correlation with the neck and thoracic segments (β 0.42 p = 0.01 with no correlation with the rest of the body. ABPI correlated with the whole body atheroma score (β -0.39, p = 0.012, which was due to a strong correlation with the ilio-femoral vessels with no correlation with the thoracic or neck vessels. On multiple linear regression, no correlation between CIMT and global atheroma burden was present (β 0.13 p = 0.45, while the correlation between ABPI and atheroma burden persisted (β -0.45 p = 0.005.ABPI but not CIMT correlates with global atheroma burden as measured by whole body contrast enhanced magnetic resonance angiography in a population with symptomatic peripheral arterial disease. However this is

  16. 三氧包裹治疗糖尿病足的踝肱压及趾肱压指数研究分析%Study on the ankle brachial pressure and toe brachial pressure index in the treatment of diabetic foot with three oxygen therapy

    Institute of Scientific and Technical Information of China (English)

    刘兴华; 邓跃生; 张遵峰

    2016-01-01

    Objective To study the ankle brachial pressure and toe brachial pressure index in the treatment of diabetic foot with three oxygen therapy. Methods From our hospital from September 2014 to September 2015, 100 cases of diabetic foot patients,all patients were randomly divided into two groups, the control group was treated with conventional therapy, and the observation group was treated with three oxygen therapy,50 patients in each group, the clinical efficacy of the two groups of patients and the ankle brachial pressure index (ABPI) and toe brachial pressure index (TBPI) were statistically analyzed and compared. Results The ankle brachial pressure index (ABPI) and toe brachial pressure index (TBPI) were performed in the control group treated by conventional therapy,there was no significant difference in the treatment before and after treatment, no significant difference (P > 0.05);the ankle brachial pressure index (ABPI) and toe brachial pressure index (TBPI) were used in the observation group treated with three oxygen therapy,before and after treatment were compared, the treatment was significantly better than before treatment, the difference was obvious, the curative effect was significant, and it was statistically significant (P<0.05). Conclusion Three oxygen therapy for diabetic foot, the effect is remarkable, for promoting the early recovery of diabetic foot patients, save the limb, improve the quality of life of patients with positive significance, it is worth widely used in clinical practice.%目的:对三氧包裹治疗糖尿病足的踝肱压及趾肱压指数进行研究分析。方法选取本院2014年9月~2015年9月收治的糖尿病足患者100例,按照随机数字表法将所有患者分为两组,分别为采用常规治疗方法进行治疗的对照组,和采用三氧包裹治疗的观察组,每组50例患者,对两组患者的临床疗效及踝肱压指数(ABPI)及趾肱压指数(TBPI)进行统计学分析和比较。结

  17. The Relationship Between Ankle-Brachial Index and Number of Involved Coronaries in Patients with Stable Angina

    OpenAIRE

    Sadeghi, Masoumeh; Tavasoli, Aliakbar; Roohafza, Hamidreza; Sarrafzadegan, Nizal

    2010-01-01

    BACKGROUND Atherosclerosis is the commonest cause of vascular disease which can involve peripheral and/or cardiac vessels. This study was conducted to evaluate the possible link between Ankle-Brachial Index (ABI) and coronary vessel involvement in patients with stable angina. METHODS This cross-sectional study was conducted in 2008 on 120 individuals who were hospitalized in Chamran Heart Center and underwent coronary angiography. A questionnaire was completed to obtain demographic informatio...

  18. Avaliação da circulação arterial pela medida do índice tornozelo/braço em doentes de úlcera venosa crônica Evaluation of arterial circulation using the ankle/brachial blood pressure index in patients with chronic venous ulcers

    Directory of Open Access Journals (Sweden)

    Fabiane Noronha Bergonse

    2006-03-01

    Full Text Available FUNDAMENTOS: As úlceras venosas dos membros inferiores são freqüentes e têm grande impacto na qualidade de vida e produtividade do indivíduo, além de alto custo para a saúde pública. OBJETIVOS: Detecção de alterações arteriais em pacientes de úlcera venosa crônica dos membros inferiores com emprego de método não invasivo, de modo a discriminar aqueles em que estaria contra-indicado o tratamento compressivo. MÉTODOS: Foram estudados 40 doentes portadores de úlcera venosa crônica, com o intuito de se avaliar a presença de doença arterial periférica pela medida do índice tornozelo/braço por doppler-ultra-som. RESULTADOS: O índice tornozelo/braço mostrou-se alterado (menor que 1 em 9/22 (40,9% doentes com úlcera venosa crônica e hipertensão arterial concomitante, e apenas em 1/13 (7,7% doentes de úlcera venosa crônica sem hipertensão arterial. CONCLUSÕES: Doentes de úlcera venosa crônica e hipertensão arterial concomitantes devem ser submetidos rotineiramente à medida do índice tornozelo/braço para detecção de possível insuficiência arterial periférica associada.BACKGROUND: Chronic venous ulcers are extremely frequent and have a significant impact on quality of life and work productivity of individuals, in addition to high costs to public health. OBJECTIVES: Detection of arterial circulation alterations in chronic venous ulcer legs using a non-invasive method to discriminate patients not indicated to have compressive treatment. METHODS: Forty patients with chronic venous ulcers were investigated for the presence of peripheral arterial disease with measurement of the ankle/brachial index by Doppler ultrasound. RESULTS: The resting ankle/brachial pressure index was abnormal (lower than 1 in 9/22 (40.9% patients with concomitant chronic venous ulcers and hypertension and only in one out of 13 (7.7% patients with chronic venous ulcers and no hypertension. CONCLUSIONS: Patients with concomitant chronic venous

  19. Índice tornozelo-braço em pacientes hemodialíticos Ankle-brachial index in hemodialysis patients

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    Mariane Torres Uchôa

    2012-12-01

    . The ankle-brachial index was calculated for each artery of the lower limb. It was considered normal ankle-brachial index from 0.9 to 1.3. RESULTS: We diagnosed peripheral arterial disease and poorly compressible arteries in 26.9 and 30.8% of hemodialysis patients and in 33 and 22.7% of the Control Group. In hemodialysis patients, we found abnormal ankle-brachial index in 75% of symptomatic patients (p=0.005, in 67.3% of men and 31% of women (p<0.005, in 78.6% of the elderly, 34.8% of young adults (p<0.01, and 76.9% of diabetics (p<0.005 versus nondiabetic. These patients had a higher prevalence of severe peripheral arterial disease than the Control Group. CONCLUSIONS: Abnormal ankle-brachial index was very prevalent in the groups studied; however, hemodialysis patients had more severe changes, when compared to the Control Group. Diabetes mellitus, male gender, and advanced age were important risk factors for abnormal ankle-brachial index in hemodialysis patients. The ankle-brachial index was a good method of screening for the studied changes; therefore, we suggest the routine use in the management of hemodialysis patients.

  20. Profound influence of different methods for determination of the ankle brachial index on the prevalence estimate of peripheral arterial disease

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    Allenberg Jens R

    2007-07-01

    Full Text Available Abstract Background The ankle brachial index (ABI is an efficient tool for objectively documenting the presence of lower extremity peripheral arterial disease (PAD. However, different methods exist for ABI calculation, which might result in varying PAD prevalence estimates. To address this question, we compared five different methods of ABI calculation using Doppler ultrasound in 6,880 consecutive, unselected primary care patients ≥65 years in the observational getABI study. Methods In all calculations, the average systolic pressure of the right and left brachial artery was used as the denominator (however, in case of discrepancies of ≥10 mmHg, the higher reading was used. As nominators, the following pressures were used: the highest arterial ankle pressure of each leg (method #1, the lowest pressure (#2, only the systolic pressure of the tibial posterior artery (#3, only the systolic pressure of the tibial anterior artery (#4, and the systolic pressure of the tibial posterior artery after exercise (#5. An ABI Results The estimated prevalence of PAD was lowest using method #1 (18.0% and highest using method #2 (34.5%, while the differences in methods #3–#5 were less pronounced. Method #1 resulted in the most accurate estimation of PAD prevalence in the general population. Using the different approaches, the odds ratio for the association of PAD and cardiovascular (CV events varied between 1.7 and 2.2. Conclusion The data demonstrate that different methods for ABI determination clearly affect the estimation of PAD prevalence, but not substantially the strength of the associations between PAD and CV events. Nonetheless, to achieve improved comparability among different studies, one mode of calculation should be universally applied, preferentially method #1.

  1. Perceptions of the ankle brachial index amongst podiatrists registered in Western Australia

    Directory of Open Access Journals (Sweden)

    Chen Pamela Y

    2012-07-01

    Full Text Available Abstract Background The ankle brachial index (ABI is an objective diagnostic tool that is widely used for the diagnosis of peripheral arterial disease. Despite its usefulness, it is evident within the literature that many practitioners forgo using this screening tool due to limiting factors such as time. There is also no recommended technique for ABI measurement. The purpose of this study is to investigate the perceptions of the use of ABI clinically among Western Australian podiatrists. Methods This study was a cross sectional survey which evaluated the perceptions of the ABI amongst registered podiatrists in Western Australia. The study sample was obtained from the register of podiatrists listed with the Podiatrists Registration Board of Western Australia. Podiatrists were contacted by telephone and invited to participate in a telephone questionnaire. Chi-square tests were performed to determine if there was a statistically significant relationship between use of the ABI and podiatrists’ profile which included: sector of employment; geographical location; and length of time in practice. Results There is a statistically significant relationship (p=0.004 between podiatrists’ profile and the use of ABI, with higher usage in the tertiary hospital setting than in private practice. Length of time spent in practice had no significant impact on ABI usage (p=0.098. Time constraints and lack of equipment were key limiting factors to performing the ABI, and no preferred technique was indicated. Conclusion Western Australian podiatrists agree that the ABI is a useful tool for lower limb vascular assessment, however, various factors influence uptake in the clinical setting. This study suggests that a podiatrists’ profile has a significant influence on the use of the ABI, which may be attributed to different patient types across the various settings. The influence of time spent in practice on ABI usage may be attributed to differences in clinical

  2. Ankle-brachial index as indicator of chronic arterial insufficiency of the lower extremities and renal artery stenosis CT/DS angiography

    International Nuclear Information System (INIS)

    Full text: The aim is to validate the measurements of ankle -brachial index (ABI), as part of routine examination algorithm in conducting CTA/DSA of the extremities in patients suffering from PAD. Correlations between ABI values and renal artery stenosis. The present study includes 200 patients (138 men and 62 women, aged between 60 and 75 years). 130 of them were examined by a computer- tomography angiography - 95 men and 32 women. 70 patients were examined by digital subtraction angiography - 50 men and 20 women. Measurements of ankle-brachial index (ABI) were performed on all patients by measuring the systolic blood pressure on both brachial arteries and determine the peak pressure in both aa. dorsalis pedis. Statistical data processing. There are no patients in the study with ABI values above 0.7 that have established renal artery stenosis. All patients with severe atherosclerotic changes have values of the ABI below 0.7, and those with the most severe changes below 0.5. This fully corresponds to global data showing that values below 0.9 ABI show mild engagement, below 0.7 average, and below 0.5 severe involvement. According to the results of this survey sensitivity of ABI for renal arteries below 0.7 equals 100% and its specificity = 67.5%. For values of ABI below 0.5: Sensitivity =100%; Specificity = 83.85%. By determining ABI values both symptomatic and asymptomatic form of a PAD can be diagnosed. the method is fast, non-invasive, inexpensive and applicable everywhere. No special preparation of the patient is needed. The method can be used not only to assess the degree of commitment of the vessels of the lower limbs, but also as an indicator for the state of renal arteries in those patients

  3. Accuracy of the ankle-brachial index using the SCVL®, an arm and ankle automated device with synchronized cuffs, in a population with increased cardiovascular risk

    OpenAIRE

    Rosenbaum, David; Rodriguez-Carranza, Sandra; Laroche, Patrick; Bruckert, Eric; Giral, Philippe; Girerd, Xavier

    2012-01-01

    Objective To evaluate the accuracy of the ankle brachial index (ABI) measured with the SCVL® (“screening cardiovascular lab”; GenNov, Paris, France), an automated device with synchronized arm and ankle cuffs with an automatic ABI calculation. Methods Patients were consecutively included in a cardiovascular prevention unit if they presented with at least two cardiovascular risk factors. ABI measurements were made using the SCVL, following a synchronized assessment of brachial and ankle systoli...

  4. The reliability of the ankle-brachial index in the Atherosclerosis Risk in Communities (ARIC) study and the NHLBI Family Heart Study (FHS)

    OpenAIRE

    Catellier Diane J; Heiss Gerardo; Chambless Lloyd E; Weatherley Beth D; Ellison Curtis R

    2006-01-01

    Abstract Background A low ankle-brachial index (ABI) is associated with increased risk of coronary heart disease, stroke, and death. Regression model parameter estimates may be biased due to measurement error when the ABI is included as a predictor in regression models, but may be corrected if the reliability coefficient, R, is known. The R for the ABI computed from DINAMAP™ readings of the ankle and brachial SBP is not known. Methods A total of 119 participants in both the Atherosclerosis Ri...

  5. Association of Ankle-Brachial Index and Aortic Arch Calcification with Overall and Cardiovascular Mortality in Hemodialysis

    Science.gov (United States)

    Chen, Szu-Chia; Lee, Mei-Yueh; Huang, Jiun-Chi; Shih, Ming-Chen Paul; Chang, Jer-Ming; Chen, Hung-Chun

    2016-01-01

    Peripheral artery occlusive disease and vascular calcification are highly prevalent in hemodialysis (HD) patients, however the association of the combination of ankle-brachial index (ABI) and aortic arch calcification (AoAC) with clinical outcomes in patients undergoing HD is unknown. In this study, we investigated whether the combination of ABI and AoAC is independently associated with overall and cardiovascular mortality in HD patients. The median follow-up period was 5.7 years. Calcification of the aortic arch was assessed by chest X-ray. Forty-seven patients died including 24 due to cardiovascular causes during the follow-up period. The study patients were stratified into four groups according to an ABI 4 or ≤4 according to receiver operating characteristic curve. Those with an ABI  4 (vs. ABI ≥ 0.95 and AoAC score ≤ 4) were associated with overall (hazard ratio [HR], 4.913; 95% confidence interval [CI], 1.932 to 12.497; p = 0.001) and cardiovascular (HR, 3.531; 95% CI, 1.070 to 11.652; p = 0.038) mortality in multivariable analysis. The combination of a low ABI and increased AoAC was associated with increased overall and cardiovascular mortality in patients undergoing HD. PMID:27608939

  6. Correlation between Patient-Reported Symptoms and Ankle-Brachial Index after Revascularization for Peripheral Arterial Disease.

    Science.gov (United States)

    Je, Hyung Gon; Kim, Bo Hyun; Cho, Kyoung Im; Jang, Jae Sik; Park, Yong Hyun; Spertus, John

    2015-01-01

    Improvement in quality of life (QoL) is a primary treatment goal for patients with peripheral arterial disease (PAD). The current study aimed to quantify improvement in the health status of PAD patients following peripheral revascularization using the peripheral artery questionnaire (PAQ) and ankle-brachial index (ABI), and to evaluate possible correlation between the two methods. The PAQ and ABI were assessed in 149 symptomatic PAD patients before, and three months after peripheral revascularization. Mean PAQ summary scores improved significantly three months after revascularization (+49.3 ± 15 points, p PAQ scores relating to patient symptoms showed the largest improvement following revascularization. The smallest increases were seen in reported treatment satisfaction (all p's PAQ. Twenty-two percent of PAD patients were identified as having a poor response to revascularization (increase in ABI PAQ, although this was less marked than in patients with an increase in ABI > 0.15 following revascularization. In conclusion, data from the current study suggest a significant correlation between improvement in patient-reported outcomes assessed by PAQ and ABI in symptomatic PAD patients undergoing peripheral revascularization. PMID:25993299

  7. Correlation between Patient-Reported Symptoms and Ankle-Brachial Index after Revascularization for Peripheral Arterial Disease

    Directory of Open Access Journals (Sweden)

    Hyung Gon Je

    2015-05-01

    Full Text Available Improvement in quality of life (QoL is a primary treatment goal for patients with peripheral arterial disease (PAD. The current study aimed to quantify improvement in the health status of PAD patients following peripheral revascularization using the peripheral artery questionnaire (PAQ and ankle-brachial index (ABI, and to evaluate possible correlation between the two methods. The PAQ and ABI were assessed in 149 symptomatic PAD patients before, and three months after peripheral revascularization. Mean PAQ summary scores improved significantly three months after revascularization (+49.3 ± 15 points, p < 0.001. PAQ scores relating to patient symptoms showed the largest improvement following revascularization. The smallest increases were seen in reported treatment satisfaction (all p’s < 0.001. As expected the ABI of treated limbs showed significant improvement post-revascularization (p < 0.001. ABI after revascularization correlated with patient-reported changes in the physical function and QoL domains of the PAQ. Twenty-two percent of PAD patients were identified as having a poor response to revascularization (increase in ABI < 0.15. Interestingly, poor responders reported improvement in symptoms on the PAQ, although this was less marked than in patients with an increase in ABI > 0.15 following revascularization. In conclusion, data from the current study suggest a significant correlation between improvement in patient-reported outcomes assessed by PAQ and ABI in symptomatic PAD patients undergoing peripheral revascularization.

  8. Clinical applications of transcutaneous oxygen pressure combined with ankle-brachial index in Type 2 diabetics with peripheral arterial disease%经皮氧分压联合踝臂指数在2型糖尿病合并下肢动脉病变中的临床应用

    Institute of Scientific and Technical Information of China (English)

    李梦娟; 李素梅; 汝燕; 王芳; 王菊梅; 荆春艳; 王东; 董林; 任安

    2011-01-01

    目的:比较经皮氧分压(transcutaneous oxygen pressure,TcPO2)与踝臂指数(ankle--brachial index,ABI)在2型糖尿病(Type 2 diabetes mellitus,T2DM)合并下肢动脉病变(peripheral arterial disease,PAD)中的应用价值,探讨TcPO2与ABI在PAD诊断及治疗中的意义.方法:368例T2DM患者(男性188例,女性180例),采用多通道经皮氧分压检测仪测定足背TcPO2.依据TcPO2水平分为无受损组、轻度受损组、重度受损组.同时,采用彩色双功能超声诊断仪测定踝动脉压/肱动脉压比值即ABI,依据ABI水平分为无病变组(ABI≥0.9)和PAD组(ABI <0.9).结果:PAD组与无病变组相比,年龄增大,病程延长,合并冠心痛者增多,空腹血糖、餐后2h血糖、糖化血红蛋白、尿肌酐均升高,TcPO2减低(p<0.05).相关分析显示:年龄、病程、空腹血糖、三酰甘油、糖化血红蛋白Alc、体质量指数与TcPO2水平呈负相关(P<0.05),高密度脂蛋白、ABI与TcPO2水平呈正相关(P<0.05);TcPO2与ABI检测结果的符合率为93.9%,敏感度为90.2%,特异度约为95.2%.结论:随着年龄、病程的延长以及尿白蛋白肌酐比值的增加,糖尿病患者PAD程度越严重,PAD程度随着ABI和TcPO2减低而加重;TcPO2联合ABI对早期诊断糖尿病PAD具有较高的临床价值.%Objective To compare the clinical application in diagnosis and therapy for Type 2 diabetes patients with perpheral arterial diease ( PAD) between transcutaneous oxygen pressure ( TcPO2 ) determination and ankle-brachial index (ABI). Methods A total of 368 Type 2 diabetics (188 males and 180 females) were recruited into the study. TcPO2 of the acrotarsium was detected by multiple-channel transcutaneous tissue oxygen tension survey meter. According to die TcPO2 level, diese patients were divided into a non-injury group, a mild injury group, and a severe injury group. Moreover,the ankle artery pressure and brachial artery pressure were determined by Doppler color ultrasonography

  9. Ankle-Brachial Index as a Prognostic Factor and Screening Tool in Coronary Artery Disease: Does it Work?

    Directory of Open Access Journals (Sweden)

    Zinat Nadia-Hatmi

    2015-10-01

    Full Text Available Background: Given the lack of consistency in the literature regarding the reliability of the ankle-brachial index (ABI as a valid screening tool and an independent risk indicator of cardiovascular events and mortality, we compared it with angiography as a reference standard test.Methods: This case-control study, conducted between 2010 and 2011 in Tehran Heart Center, recruited 362 angiographically confirmed cases of coronary artery disease (CAD and 337 controls. A standard protocol was used to measure the ABI and different CAD risk factors.Results: A low ABI had specificity of 99.7%, positive predictive value of 95.8%, negative predictive value of 49.8%, sensitivity of 64%, likelihood ratio of 24.07, and odds ratio (OR of 22.79 (95%CI: 3.06-69.76. The role of the associated risk factors was evaluated with OR (95%CI, with the variables including gender 3.15 (2.30-4.30, cigarette smoking 2.72 (1.86-3.99, family history 1.72 (1.17-2.51, diabetes 1.66 (1.15-2.4, and dyslipidemia 1.38 (1.02-1.88. In a multivariate model, the following variables remained statistically significantly correlated with CAD [OR (95%CI]: ABI 13.86 (1.78-17.62; gender 3.69 (2.43- 5.58; family history of CAD 2.18 (1.41-3.37; smoking 1.69 (1.08-2.64; age 1.04 (1.02-1.06.Conclusions: A low ABI had specificity of 99.7%; however, because of its low sensitivity (64%, we should consider CAD risk factors associated with a low ABI in order to use it as a first-line screening test.

  10. Serum Thyrotropin Concentrations Are Not Associated with the Ankle-Brachial Index: Results from Three Population-Based Studies

    Science.gov (United States)

    Ittermann, Till; Lorbeer, Roberto; Tiller, Daniel; Lehmphul, Ina; Kluttig, Alexander; Felix, Stephan B.; Werdan, Karl; Greiser, Karin Halina; Köhrle, Josef; Völzke, Henry; Dörr, Marcus

    2015-01-01

    Background There is only limited data on the potential association between thyroid dysfunction and peripheral arterial disease (PAD). Objective The aim of our study was to investigate the potential association of thyroid function, as defined by serum concentrations of the clinically used primary thyroid function marker thyrotropin [i.e. thyroid-stimulating hormone (TSH)] and 3,5-diiodothyronine (3,5-T2), with the ankle-brachial index (ABI) as a marker of PAD. Methods We used data from 5,818 individuals from three cross-sectional population-based studies conducted in Northeast (SHIP-2 and SHIP-TREND) and Central Germany (CARLA). Measurement of serum TSH concentrations was conducted in one central laboratory for all three studies. In a randomly selected subpopulation of 750 individuals of SHIP-TREND, serum 3,5-T2 concentrations were measured with a recently developed immunoassay. ABI was measured either by a hand-held Doppler ultrasound using the Huntleigh Dopplex D900 or palpatorily by the OMRON HEM-705CP device. Results Serum TSH concentrations were not significantly associated with ABI values in any of the three studies. Likewise, groups of individuals with a TSH <0.3 mIU/l or with a TSH ≥3.0 mIU/l had no significantly different ABI values in comparison with individuals with a TSH in the reference range. Analyses regarding TSH within the reference range or serum 3,5-T2 concentrations did not reveal consistent significant associations with the ABI. No sex-specific associations were detected. Conclusions The results of our study do not substantiate evidence for an association between thyroid function and PAD, but further studies are needed to investigate the associations of overt forms of thyroid dysfunction with PAD. PMID:26601080

  11. The risk factors for abnormal ankle-brachial index in type 2 diabetic patients and clinical predictive value for diabetic foot

    Institute of Scientific and Technical Information of China (English)

    张净

    2013-01-01

    Objective To investigate the prevalence of diabetic foot (DF) and the normal,high and low ankle brachial index (ABI) in type 2 diabetic patients and explore the risk factor for abnormal ABI and the clinical predictive value for DF.Methods A total of 2 681 type 2 diabetic patients who visited our hospital between January,2007and December,2009 were enrolled in the study.The clinical data were analyzed and the risk factors for abnormal ABI were determined by logistic regression analysis.Results ABI was normal (0.9-<1.3) in 2 362 cases

  12. PREVALENCE OF PERIPHERAL ARTERIAL DISEASE IN TYPE - 2 DIABETES MELLITUS AND ITS CORRELATION WITH CORONARY ARTERY DISEASE USING ANKLE - BRACHIAL INDEX

    Directory of Open Access Journals (Sweden)

    Basawaraj

    2015-02-01

    Full Text Available OBJECTIVES: Peripheral vascular disease is one of the macrovascular complications of diabetes mellitus. The purpose of this study was to examine the peripheral arterial disease (PAD complicating type 2 diabetes, in particular the influence of PAD on the risk of coronary artery disease. METHODS: Randomly selected T2DM pat ients admitted to Basaweshwara Teaching and General Hospital were included. In addition to a detailed history and physical examination, anthropometric parameters like body mass index was measured. Relevant laboratory investigations were performed. Modified Rose questionnaire was used to diagnose coronary artery disease (CAD. Colour Doppler examination of the arteries of the lower limbs was performed. A cut off of 7% were significant predictors of PAD. Older age, higher HbA1c levels microalbuminuria and deranged lipid profile were found to be significant predictors of CAD. CONCLUSION: We found evidence of PAD in 16% of type 2 dia betics using ankle brachial index. The prevalence of CAD was higher in patients with PAD. So there is definite and strong correlation between PAD and CAD. Thus the early diagnosis of PAD should alert the clinician to a high probability of underlying CAD. KEYWORDS: D i abetes mellitus; Coronary artery disease; Peripheral artery disease; Ankle - brachial index.

  13. The reliability of the ankle-brachial index in the Atherosclerosis Risk in Communities (ARIC study and the NHLBI Family Heart Study (FHS

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    Catellier Diane J

    2006-02-01

    Full Text Available Abstract Background A low ankle-brachial index (ABI is associated with increased risk of coronary heart disease, stroke, and death. Regression model parameter estimates may be biased due to measurement error when the ABI is included as a predictor in regression models, but may be corrected if the reliability coefficient, R, is known. The R for the ABI computed from DINAMAP™ readings of the ankle and brachial SBP is not known. Methods A total of 119 participants in both the Atherosclerosis Risk in Communities (ARIC study and the NHLBI Family Heart Study (FHS had repeat ABIs taken within 1 year, using a common protocol, automated oscillometric blood pressure measurement devices, and technician pool. Results The estimated reliability coefficient for the ankle systolic blood pressure (SBP was 0.68 (95% CI: 0.57, 0.77 and for the brachial SBP was 0.74 (95% CI: 0.62, 0.83. The reliability for the ABI based on single ankle and arm SBPs was 0.61 (95% CI: 0.50, 0.70 and the reliability of the ABI computed as the ratio of the average of two ankle SBPs to two arm SBPs was estimated from simulated data as 0.70. Conclusion These reliability estimates may be used to obtain unbiased parameter estimates if the ABI is included in regression models. Our results suggest the need for repeated measures of the ABI in clinical practice, preferably within visits and also over time, before diagnosing peripheral artery disease and before making therapeutic decisions.

  14. Accuracy of the ankle-brachial index using the SCVL®, an arm and ankle automated device with synchronized cuffs, in a population with increased cardiovascular risk

    Directory of Open Access Journals (Sweden)

    Rosenbaum D

    2012-04-01

    Full Text Available David Rosenbaum1,2, Sandra Rodriguez-Carranza1,3, Patrick Laroche4, Eric Bruckert1,2, Philippe Giral1,2, Xavier Girerd1,21Unité de Prévention Cardiovasculaire, Service d'Endocrinologie-Métabolisme, Assistance Publique/Hôpitaux de Paris, Groupe Hospitalier Pitié-Salpêtrière – Université Pierre et Marie Curie, 2Dyslipoproteinemia and Atherosclerosis Research Unit, National Institute for Health and Medical Research (INSERM and Pierre et Marie Curie University (UPMC – Paris VI, Paris, France; 3Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Departamento de Endocrinología y Metabolismo, Delegación Tlalpan, México Distrito Federal; 4STACTIS, Paris, FranceObjective: To evaluate the accuracy of the ankle brachial index (ABI measured with the SCVL® (“screening cardiovascular lab”; GenNov, Paris, France, an automated device with synchronized arm and ankle cuffs with an automatic ABI calculation.Methods: Patients were consecutively included in a cardiovascular prevention unit if they presented with at least two cardiovascular risk factors. ABI measurements were made using the SCVL, following a synchronized assessment of brachial and ankle systolic pressure. These values were compared to the ABI obtained with the usual Doppler-assisted method.Results: We included 157 patients. Mean age was 59.1 years, 56.8% had hypertension, 22.3% had diabetes mellitus, and 17.6% were current smokers. An abnormal ABI was observed in 17.2% with the SCVL and in 16.2% with the Doppler. The prevalence rates of an abnormal ABI by patient measured with each device, ie, 15.7% (confidence interval [CI] 0.95: [11.8; 20.4] or 14.3% (CI 0.95: [10.7; 18.9], did not differ. The coefficient of variation of Doppler and SCVL measures was 15.8% and 15.1%, respectively. The regression line between the two measurement methods was statistically significant. The value-to-value comparison also shows a difference of mean equal to 0.010 (CI 0.95: [–0

  15. 脉压增大的高血压患者脉搏波传导速度、颈动脉内膜中层厚度和踝臂指数的检测现状%Examination status of pulse wave velocity, carotid artery intima-media thickness and ankle-brachial index in hypertensive patients with increased pulse pressure

    Institute of Scientific and Technical Information of China (English)

    隋辉; 马丽媛; 刘明波; 王文

    2014-01-01

    目的:了解脉压增大(脉压≥50 mmHg,1mmHg=0.133kPa)的高血压患者脉搏波传导速度(PWV)、颈动脉内膜中层厚度(IMT)和踝臂指数的检测现状。方法2011年4月至2012年9月,选取中国北部、南部和西部的96个大、中、小城市的709家医院进行的大型横断面调查。入选脉压增大(脉压≥50 mmHg)的高血压患者36259例。根据患者的血压水平、危险因素数量、靶器官损害和心血管疾患分为低危、中危、高危和很高危。根据脉压分为50~60 mmHg,60~70 mmHg和≥70 mmHg三层。询问病史(心血管病、脑血管病、肾脏病和糖尿病史)、吸烟史;记录PWV、IMT和踝臂指数的检查情况。现场测量血压、身高、体重、腰围。结果患者IMT、PWV和踝臂指数的检查率分别为20.7%、8.8%和7.8%,即未做IMT、PWV和踝臂指数检查的患者分别为79.3%、91.2%和92.2%。进一步分析,在检查的患者中, IMT(≥0.9 mm和粥样斑块)、PWV(>12 ms)和踝臂指数(≤0.9)异常的检出率分别为65.7%、40.9%和47.4%。IMT、PWV和踝臂指数异常的检出率在高危患者中分别为86.8%、68.5%和22.9%,在很高危患者中分别为66.1%、40.2%和48.2%。脉压50~60 mmHg,60~70 mmHg和≥70 mmHg组的IMT异常的检出率分别是39.3%,66.6%和80.7%;PWV异常的检出率分别是24.6%,43.0%和59.0%。结论我国城市中,脉压增大(≥50 mmHg)的高血压患者血管病变相关项目的检测率低。%Objective To get to know the examination status of pulse wave velocity (PWV), carotid artery intima-media thickness (CA-IMT) and ankle-brachial index (ABI) in hypertensive patients with increased pulse pressure (≥50 mmHg).Methods A large-scale cross-sectional survey was carried out in 709 hospitals in 96 large, medium and small cities in North, South and West China from Apr. 2011 to Sept. 2012. The patients (n=36259) were chosen and divided into low risk group, mid

  16. 2型糖尿病足高危患者的踝肱指数与糖尿病足的关系%Relationship between ankle brachial index and diabetic foot in patients at high risk of type 2 diabetic foot

    Institute of Scientific and Technical Information of China (English)

    张成宗

    2014-01-01

    clinical examination data of two groups and the difference in the number of diabetic patients with the different ankle brachial index were compared.Results Contraction of two group patients with ankle brachial index, pressure, course of disease in patients with diabetic nephropathy were positive, the incidence of retinopathy(P all<0.01),different ankle brachial index and the prevalence of diabetic foot group comparison, ankle brachial index and diabetic foot group the prevalence of similar "U" type of division, ankle brachial index greater than 1.31 in patients with diabetic foot group the incidence rate was 18.1%;the incidence of 0.9ankle brachial index≤0.5 in the group of patients with diabetic foot disease incidence rate reached 64.29%,the prevalence rate were significantly different. Conclusion Ankle brachial index is negatively related to diabetic foot, ankle brachial index decrease or abnormal rise in early diabetic foot is predicted to occur, patients at high risk for diabetic foot ankle brachial index anomaly to adopt active and effective intervention measures.

  17. Hubungan Antara Nilai Ankle Brachial Index Dengan Jumlah Arteri Koroner Yang Mengalami Stenosis dan Kejadian Kardiovaskular Setelah 6 Bulan Penderita Sindroma Koroner Akut di RS. H. Adam Malik Medan

    OpenAIRE

    Minaswary, Rinelia

    2016-01-01

    The presence of peripheral arterial disease in patients with coronary artery disease and especially with acute coronary syndrome (ACS), is associated with a poor cardiovascular disease. However, the majority of affected patients are assymptomatic and the condition is underdiagnosed. The ankle-brachial index (ABI) provides a simple method of diagnosis PAD. Aim of this study is to assess the usefulness of an abnormal ABI for identifying multivessel disease coronary artery disease in patient...

  18. What Is the Clinical Utility of the Ankle-Brachial Index in Patients With Diabetic Foot Ulcers and Radiographic Arterial Calcification?

    Science.gov (United States)

    Álvaro-Afonso, Francisco Javier; Lázaro-Martínez, José Luis; Aragón-Sánchez, Javier; García-Morales, Esther; García-Álvarez, Yolanda; Molines-Barroso, Raúl Juan

    2015-12-01

    The purpose of this study was to analyze the influence of radiographic arterial calcification (RAC) on the clinical interpretation of ankle-brachial index (ABI) values in patients with diabetic foot ulcers. We analyzed a retrospective clinical database of 60 patients with diabetic foot ulcers from the Diabetic Foot Unit (Complutense University, Madrid, Spain) between January 2012 and March 2014. For each patient, anteroposterior XR-plains were evaluated, and the ABI and toe-brachial index (TBI) were assessed by an experienced clinician. To analyze the correlation among quantitative variables, we applied the Pearson correlation coefficient. Fifty percent (n = 9/18) of our patients with a normal ABI and RAC had a TBI Pearson correlation coefficient among the ABI and TBI in patients with an ABI < 1.4 (n = 46) was lesser (r = .484, P = .001) than in patients with an ABI < 1.4 but without RAC (n = 21; r = .686, P = .001). ABI values between 0.9 and 1.4 would be falsely considered as normal and could underestimate the prevalence of PAD, especially in patients with neuropathy, diabetic foot ulcers, or RAC. PMID:26216917

  19. Ankle Brachial Index <0.9 Underestimates the Prevalence of Peripheral Artery Occlusive Disease Assessed with Whole-Body Magnetic Resonance Angiography in the Elderly

    Energy Technology Data Exchange (ETDEWEB)

    Wikstroem, J.; Hansen, T.; Johansson, L.; Lind, L.; Ahlstroem, H. [Dept. of Radiology and Dept. of Medical Sciences, Uppsala Univ. Hospital, Uppsala (Sweden)

    2008-03-15

    Background: Whole-body magnetic resonance angiography (WBMRA) permits noninvasive vascular assessment, which can be utilized in epidemiological studies. Purpose: To assess the relation between a low ankle brachial index (ABI) and high-grade stenoses in the pelvic and leg arteries in the elderly. Material and Methods: WBMRA was performed in a population sample of 306 subjects aged 70 years. The arteries below the aortic bifurcation were graded after the most severe stenosis according to one of three grades: 0-49% stenosis, 50-99% stenosis, or occlusion. ABI was calculated for each side. Results: There were assessable WBMRA and ABI examinations in 268 (right side), 265 (left side), and 258 cases (both sides). At least one {>=}50% stenosis was found in 19% (right side), 23% (left side), and 28% (on at least one side) of the cases. The corresponding prevalences for ABI <0.9 were 4.5%, 4.2%, and 6.6%. An ABI cut-off value of 0.9 resulted in a sensitivity, specificity, and positive and negative predictive value of 20%, 99%, 83%, and 84% on the right side, and 15%, 99%, 82%, and 80% on the left side, respectively, for the presence of a {>=} 50% stenosis in the pelvic or leg arteries. Conclusion: An ABI <0.9 underestimates the prevalence of peripheral arterial occlusive disease in the general elderly population.

  20. 基于四肢同步检测踝臂指数的方法和临床研究%Detection Method and Clinical Research on Ankle Brachial Index Based on Synchronous Measurements of Four Limbs

    Institute of Scientific and Technical Information of China (English)

    全晓莉; 周南权; 古良玲; 李双

    2012-01-01

    Objective To find a new algorithm for detecting ankle brachial index (ABI) non-invasively by synchronous acquisition of four limbs pulse wave signals and cuff pressure wave signals basing on waveform characteristic method and amplitude coefficient method with priority rule. Methods The turning point was judged in certain range by calculating the difference of adjoining pulse waves and their relative ratio under priority rules. Results The method provided a solution to misjudgment problem of the turning point before systolic blood pressure and around average pressure. Many cases analyses and lots of clinical tests proved the algorithm effective and reliable. Conclusion ABI is a handy and dependable predictor of atherosclerosis, it is associated with conventional risk factors such as age, blood pressure, etc.%目的 利用优选法在波形特征法和幅度系数法的基础上提出1种同步采集四肢脉搏波信号和袖套压力波信号无创检测踝臂指数的新方法.方法 计算出相邻脉搏波的幅度差值和它们的相对比值,并利用优选法在一定范围内进行突变点的判断.结果 该方法能够解决将收缩压以前的点和平均压附近的点误判为突变点的问题,大量的病例分析和临床测试证实了该算法的有效性和可靠性.结论 踝臂指数是动脉硬化的一个简便可靠的预测因素,它与传统的动脉硬化危险因素如年龄、血压等有相关性.

  1. Índice Tornozelo-Braquial (ITB determinado por esfigmomanômetros oscilométricos automáticos Assessing Ankle-Brachial Index (ABI by using automated oscillometric devices

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    Takao Kawamura

    2008-05-01

    Full Text Available FUNDAMENTO: Índice Tornozelo-Braquial (ITB é essencial na prática clínica, mas dificuldades técnicas na sua execução pelo padrão de referência Doppler vascular (DV tornam-no ainda pouco utilizado. OBJETIVO: Avaliar aplicabilidade da determinação do ITB com uso de esfigmomanômetros oscilométricos automáticos (EOA e sugerir a utilização dos índices delta-Bráquio-Braquial (delta-BB e delta-ITB como marcadores de risco cardiovascular. MÉTODOS: Estudo descritivo e observacional de 247 pacientes ambulatoriais (56,2% feminino, média 62,0 anos submetidos à determinação do ITB com aferição simultânea da pressão arterial (PA em membros superiores (MMSS e inferiores (MMII utilizando-se dois EOA (OMRON-HEM705CP. Nos casos em que não foi possível aferir PA em pelo menos um dos MMII utilizou-se DV. Os pacientes divididos em Grupo N (ITB normal: 0,91 a 1,30 e Grupo A (ITB alterado: 1,30 tiveram comparados entre si os valores de delta-ITB (diferença absoluta ITB/MMII e delta-BB (diferença absoluta PAS/MMSS. RESULTADOS: Utilizando-se EOA foi possível determinar ITB em 90,7%. Com dados do Grupo N determinaram-se valores de referência (VR no percentil 95 de delta-ITB (0-0,13 e delta-BB (0-8 mmHg. Quando comparado com o Grupo N, o Grupo A apresentou prevalência mais elevada tanto de delta-ITB (30/52 contra 10/195; Razão de Chances: 25,23; pBACKGROUND: Assessing Ankle-Brachial Index is an essential procedure in clinical settings, but since its measurement by the gold standard Doppler Ultrasonic (DU technique is impaired by technical difficulties, it is underperformed. OBJECTIVE: The aim of this study was to assess the efficacy of an automated oscillometric device (AOD by performing Ankle-Brachial Index (ABI assessments and to suggest delta brachial-brachial (delta-BB and delta-ABI as markers of cardiovascular risk. METHODS: In this observational and descriptive study, 247 patients (56.2% females, mean age 62.0 years had their

  2. Peripheral artery disease assessed by ankle-brachial index in patients with established cardiovascular disease or at least one risk factor for atherothrombosis - CAREFUL Study: A national, multi-center, cross-sectional observational study

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    Tabak Omur

    2011-01-01

    Full Text Available Abstract Background To investigate the presence of peripheral artery disease (PAD via the ankle brachial index (ABI in patients with known cardiovascular and/or cerebrovascular diseases or with at least one risk factor for atherothrombosis. Methods Patients with a history of atherothrombotic events, or aged 50-69 years with at least one cardiovascular risk factor, or > = 70 years of age were included in this multicenter, cross-sectional, non-interventional study (DIREGL04074. Demographics, medical history, physical examination findings, and physician awareness of PAD were analyzed. The number of patients with low ABI ( Results A total of 530 patients (mean age, 63.4 ± 8.7 years; 50.2% female were enrolled. Hypertension and dyslipidemia were present in 88.7% and 65.5% of patients, respectively. PAD-related symptoms were evident in about one-third of the patients, and at least one of the pedal pulses was negative in 6.5% of patients. The frequency of low ABI was 20.0% in the whole study population and 30% for patients older than 70 years. Older age, greater number of total risk factors, and presence of PAD-related physical findings were associated with increased likelihood of low ABI (p Conclusion Our results indicate that advanced age, greater number of total risk factors and presence of PAD-related physical findings were associated with increased likelihood of low ABI. These findings are similar to those reported in similar studies of different populations, and document a fairly high prevalence of PAD in a Mediterranean country.

  3. Comparison of ankle-brachial index measured by an automated oscillometric apparatus with that by standard Doppler technique in vascular patients

    DEFF Research Database (Denmark)

    Korno, M.; Eldrup, N.; Sillesen, H.

    2009-01-01

    was calculated twice using both the methods on both legs. MATERIALS AND METHODS: We tested the automated oscillometric blood pressure device, CASMED 740, for measuring ankle and arm blood pressure and compared it with the current gold standard, the hand-held Doppler technique, by the Bland-Altman analysis...

  4. Predictive value of the ankle-brachial index in the evaluation of intermittent claudication Valor preditivo do índice tornozelo-braço na evolução de pacientes com claudicação intermitente

    Directory of Open Access Journals (Sweden)

    Nelson Wolosker

    2000-04-01

    Full Text Available The purpose of this study was to determine whether the ankle-brachial index (ABI could be used to predict the prognosis for a patient with intermittent claudication (IC. We studied 611 patients prospectively during 28 months of follow-up. We analyzed the predictive power of using various levels of ABI - 0.30 to 0.70 at 0.05 increments - in terms of the measure's specificity (association with a favorable outcome after exercise rehabilitation therapy and sensitivity (association with a poor outcome after exercise rehabilitation therapy. We found that using an ABI of 0.30 as a cut-off value produced the lowest margin of error overall, but the predictive power was still low with respect to identifying the patients with a poor prognosis after non-aggressive therapeutic treatment. Further study is needed to perhaps identify a second factor that could increase the sensitivity of the test.O objetivo deste estudo foi determinar a evolução da distância de marcha de pacientes com claudicação intermitente relacionando com o índice tornozelo-braço (ITB e o valor deste índice como fator preditivo para o prognóstico desses pacientes. Observou-se prospectivamente a evolução de 611 pacientes durante 28 meses. Analisamos o valor preditivo do ITB inicial usando vários valores de corte - 0.30 a 0.70 em incrementos de 0.05 - em relação à especificidade (associação com uma evolução favorável após tratamento clínico e sensibilidade (associação com uma evolução desfavorável após tratamento clínico. Encontramos o ITB de 0.30 como o valor de corte produzindo a menor margem de erro, mas seu valor preditivo ainda foi baixo para identificar os pacientes com mau prognóstico para o tratamento não invasivo. Estudos adicionais são necessários para se identificar um fator adicional que possa aumentar a sensibilidade do teste.

  5. Relação entre índice tornozelo-braquial e doença aterosclerótica carotídea Association between ankle-brachial index and carotid atherosclerotic disease

    Directory of Open Access Journals (Sweden)

    Augusto Cezar Lacerda Brasileiro

    2013-05-01

    Full Text Available FUNDAMENTO: A associação do índice tornozelo-braquial (ITB com a medida do complexo médio intimal das artérias carótidas (MCMI não está amplamente estudada. OBJETIVO: Objetivamos avaliar se pacientes com ITB 0,9. MÉTODOS: No período de janeiro a dezembro de 2011, recrutamos 118 pacientes (48 homens e 70 mulheres que tiveram seus ITB e MCMI mensurados. Os pacientes foram divididos em grupo 1 (ITB 0,9. Utilizamos os testes de Mann-Whitney, qui-quadrado e Fischer para comparações entre os grupos. Para avaliar correlação entre ITB e MCMI empregamos a correlação de Pearson. RESULTADOS: A prevalência de ITB 1,5 mm de 34,7%. Não houve diferença de características clínicas entre os grupos 1 e 2: idade média (64 ± 9 vs. 62 ± 7,2 anos, p = 0,1, homens (40% vs. 41%, p = 0,9, hipertensão (74% vs. 59%, p = 0,1, diabetes melito (54% vs. 35%, p = 0,051, dislipidemia 26% vs. 24%, p = 0,8, tabagismo (57% vs. 65%, p = 0,4. A prevalência de placa carotídea foi maior no grupo 1 (48,6% vs. 28,9%, p = 0,04. A correlação de Pearson entre o ITB e a MCMI foi de - 0,235, com valor de p = 0,01. CONCLUSÕES: Pacientes com ITB BACKGROUND: The association between the ankle brachial index (ABI and the measurement of intimal medial thickness (IMT has not been fully studied. OBJECTIVE: We aimed to evaluate whether the prevalence of carotid atherosclerosis was higher in patients with ABI 0.9. METHODS: From January 2011 to December 2011, 118 patients (48 men and 70 women were enrolled. ABI and IMT Measurements were performed in all patients. Patients were divided in Group 1 (ABI 0.9 according to ABI values. Mann-Whitney, Chi-square and Fischer tests were used for comparison among the groups. Pearson's correlation was used to assess correlation between ABI and IMT. RESULTS: The prevalence of ABI 1.5 mm was 34.7 %. Clinical characteristics were similar between groups 1 and 2: mean age (64 ± 9 vs. 62 ± 7.2 years, p = 0.1, male gender (40% vs. 41%, p

  6. 老年高血压患者踝肱指数及其与冠心病、脑卒中相关性的研究%Association of ankle-brachial index with clinical coronary heart disease, stroke in aged Chinese hypertensive men

    Institute of Scientific and Technical Information of China (English)

    丁一妹; 王玉; 李燕; 杨培; 刘敏艳; 刘亮; 朱平; 李小鹰

    2011-01-01

    目的:了解老年高血压患者外周动脉性疾病(PAD)患病率及其特点,重点研究踝肱指数(ABI)与冠心病、脑卒中相关性的临床意义.方法:入选我院和安贞医院门诊及住院老年男性高血压患者,无损伤周围血管检查仪测定患者踝肱指数、标准问卷调查及各项指标测量确定患者身体基线状况;任一侧肢体ABI≤0.9诊断为PAD,1.01-1.30为临界PAD.结果:244名坚持服用降压药物的老年男性高血压患者,15例除年龄、ABI外部分基线资料不全,平均年龄(76.47±9.75)岁,平均ABI值0.941±0.258,ABI分布频率最高的区间为1.01-1.30.其中85名为PAD患者,22名为临界PAD患者,135名为正常ABI高血压患者,2名ABI>1.3.PAD和临界PAD患者的ABI值、高血压控制率明显低于正常ABI患者(P0.05).PAD、临界PAD、冠心病和脑卒中患病率分别为35.1%、9.1%、64.0%、40.5%,不同年龄组PAD、临界PAD、冠心病和脑卒中的发生率有明显差异(P<0.05),且随着年龄的增加均同步大幅升高.进一步采用logistic回归分析对年龄、体重指数、高血压病程、收缩压、舒张压、高血压控制率、吸烟、饮酒、糖尿病、血脂异常等因素调校后,发现不同ABI水平与冠心病、脑卒中患病率有关(P<0.05),其患病率的OR值表明,ABI水平与冠心痛、脑卒中患病呈明显负相关.结论:老年高血压患者PAD患病率高,ABI降低与冠心痛、脑卒中患病明显相关.%Objective: To assess the clinical significance of ankle-brachial index(ABI) in aged Chinese hypertensive men and to determine the association of ABI with clinical coronary heart disease, stroke. Methods: Ankle-brachial index (ABI) was measured by means of peripheral vascular lab in aged hypertensive men from 301 Hospital and Anzhen Hospital while the clinical characteristics of the study population were investigated and collected. ABI≤0.9 was defined as peripheral arterial disease (PAD), 1.01 ~ 1 .30 as borderline

  7. Intensive Health Education for Patients with Diabetic Foot Based on Ankle-brachial Index and Vibration Perception Threshold%根据踝臂指数和感觉阈值实施糖尿病足强化健康教育

    Institute of Scientific and Technical Information of China (English)

    吴丽琴; 胡朝晖; 陈育群

    2012-01-01

    目的 观察对糖尿病患者根据踝臂指数和感觉阈值实施糖尿病足强化健康教育的效果.方法 对60例糖尿病患者实施踝臂指数和感觉阈值测定、足部评估,根据测定值和评估结果,对患者进行知识宣教和强化;对足部问题及时进行处理;给予糖尿病足部知识指导和生活方式指导.结果 干预后(出院时)60例糖尿病患者的足部皮肤干燥、皲裂、甲沟炎、皮肤损伤较干预前明显改善(P<0.05);干预后(出院3个月)患者对糖尿病足的重视程度提高,足部自护行为改善(P<0.05).结论 对糖尿病患者进行踝臂指数、感觉阈值测定和足部评估,并根据结果进行健康指导和干预,能明显提高健康教育效果;对于糖尿病足高危患者,在出院后给予进一步的电话随访,能强化其足部知识和改善生活方式,预防或减少糖尿病足的发生.%Objective To observe the effect of intensive health education for diabetic foot patients based on ankle-brae hi al index and vibration perception threshold.Methods After the determination of ankle-brachial index and vibration perception threshold and the evaluation of feet conditions,patients were received intensive health education and guidance for diabetic foot and life style.Results There existed less feet rhagadia,paronychia and skin damage after the education and patients' skin become less dehydrated as well (P<0,05),Three months after discharge,patients attached more importance to diabetic foot and conduct more self-care to their feet (P<0.05).Conclusion Health education based on ankle-brachial index and vibration perception threshold is beneficial to the improvement of patients' life style and their knowledge of feet conditions.

  8. Efeito da terapia antirretroviral e dos níveis de carga viral no complexo médio-intimal e no índice tornozelo-braço em pacientes infectados pelo HIV Antirretroviral therapy effect in the intima-medio complex and ankle-brachial index in patients infected by HIV

    Directory of Open Access Journals (Sweden)

    Emmanuelle Tenório Albuquerque Madruga Godoi

    2012-06-01

    Full Text Available OBJETIVOS: Identificar precocemente a prevalência de aterosclerose, por causa do espessamento do complexo médio-intimal das carótidas comuns e do índice tornozelo-braço. Essas medidas foram relacionadas com os fatores de risco clássicos de aterosclerose e os específicos dos infectados pelo HIV (tempo de doença, tempo de tratamento, tipo de tratamento, tipo de terapia antirretroviral utilizada, CD4 e carga viral. MÉTODOS: Setenta casos infectados com o HIV foram avaliados pela medida automática do complexo médio-intimal nas carótidas e do índice tornozelo-braço. Consideraram-se os fatores de risco clássicos de aterosclerose (idade, sexo, hipertensão arterial sistêmica, tabagismo, hipercolesterolemia, hipertrigliceridemia, obesidade e história familiar de evento cardiovascular, as medidas antropométricas e as variáveis relacionadas ao HIV. O nível de significância assumido foi de 5%. RESULTADOS: O tempo médio de diagnóstico do HIV foi de 104,9 meses e de tratamento foi de 97,9 meses. Quanto ao tipo de tratamento, 47 (67,1% fizeram uso de inibidor de protease por mais de seis meses e 36 (51,4% estão em uso atualmente. O índice tornozelo-braço estava aumentado em um único paciente (0,7% e não se evidenciou espessamento do complexo médio-intimal em nenhum indivíduo. Não existiu associação significante da medida do complexo médio-intimal da carótida comum direita com nenhuma das variáveis analisadas. CONCLUSÕES: Indivíduos jovens, sob o uso de terapia antirretroviral por cinco anos ou mais, não apresentaram espessamento do complexo médio-intimal ou aumento do índice tornozelo-braço. Não houve diferença do espessamento do complexo médio-intimal associada ao tipo de esquema antirretroviral utilizado ou nível de carga viral.OBJECTIVES: To precociously identify the prevalence of atherosclerosis caused by thickening of the intima-media complex of the common carotid arteries and of the ankle brachial index

  9. Clinical significance of ankle brachial index in the prediction of chronic complication of type 2 diabetes mellitus%探讨踝肱指数对预测2型糖尿病慢性并发症的临床意义

    Institute of Scientific and Technical Information of China (English)

    白杨; 邓挺

    2014-01-01

    Objective To explore the clinical significance of ankle brachial index (ABI) in the prediction of vascular complication of type 2 diabetes mellitus, and to gain cognition of the differences between different range values in prediction.Methods The ABI of 298 cases with type 2 diabetes mellitus were analyzed, and these cases were divided into three groups. The normal group had 0.9pressure, postprandial 2 h blood glucose, 24 h microalbuminuria and serum creatinine. The incidences of cranial vascular disease, kidney disease, and diabetic foot were obviously increased. The incidences of diabetic foot in PAD group and atherosclerosis group were significantly higher than that of the normal group (P<0.05), and the distribution was U-form.Conclusion ABI is closely related to vascular complication of type 2 diabetes mellitus. The abnormal increase or decrease of ABI can predict and prevent diabetic foot early.%目的:探讨踝肱指数(ABI)对预测2型糖尿病血管并发症的临床意义,并了解踝肱指数不同范围值对预测合并症的差异。方法分析298例2型糖尿病患者的踝肱指数测量值,并按常规标准分组,0.9

  10. 踝肱指数与趾肱指数在下肢动脉疾病诊断中的临床价值%Diagnostic value of ankle-brachial index and toe-brachial index in arterial disease of lower extremity

    Institute of Scientific and Technical Information of China (English)

    李岚; 刘道燕; 祝之明; 赵志钢; 闫振成; 倪银星; 孙芳; 孙靖; 徐兴森; 于浩; 李英莎

    2012-01-01

    Objective To investigate the clinical application and its influencing factors of ankle-brachial index (ABl) and toe-brachial index (TBI) in the diagnosis of arterial disease of lower extremity. Methods ABI and TBI were measured in 800 limbs of 402 patients with diabetes and/or hypertension hospitalized from July 2010 to February 2011 The patients were divided into narrow group (ABI<0.9), normal group (0.9≤ABI<1.3), and calcification group (ABI≤ 1.3) according to the value of ABI, and also into narrow group (TBI<0.7) and normal group (TBI≥ 0.7) according to the value of TBL The correlation of ABI with TBI was analyzed, and the differences in age, obesity parameters, biochemical indicators and other factors were compared between the groups. Influence of high-sensitivity C-reactive protein (hs-CRP) on ABI and TBI was further analyzed. Results Only when ABI<0.9, ABI and TBI have significant correlation (r=0.826, p<0.0l). When the group comparison based on ABI values, it was shown that the age and hs-CRP were significantly higher in the narrow group than in the normal group and calcification group (P<0.0l). The comparison between groups based on TBI values indicated that the age, systolic blood pressure and hs-CRP in the narrow group were significantly higher than those in the normal group (P<0.01 or P<0.05), ABI and TBI in the normal hs-CRP group were significantly higher than those in high hs-CRP group (P<0.05). Conclusion Hs-CRP may play an important role in the development and progression in peripheral arterial atherosclerosis. Therefore, ABI and TBI measurements in combination with hs-CRP level can improve early diagnosis of arterial disease of lower extremity%目的 探讨踝肱指数(ABI)、趾肱指数(TBI)在下肢动脉疾病诊断中的应用价值及其影响因素.方法 对2010年7月-2011年2月收治的402例糖尿病和(或)高血压患者的800条下肢行ABI和TBI检查,根据ABI结果分为狭窄组(ABI<0.9),正常组(0.9≤ABI< 1.3)

  11. Oscillometric blood pressure measurement: a simple method in screening for peripheral arterial disease

    DEFF Research Database (Denmark)

    Mehlsen, Jesper; Wiinberg, Niels; Bruce, Christopher

    2008-01-01

    Blood pressure at the ankle level is a reliable indicator of peripheral arterial disease (PAD) and the ankle brachial index (ABI) is a useful non-invasive screening tool for the early detection of atherosclerosis. In the first part of the study, systolic blood pressures obtained by oscillometry and...... PAD was sufficiently high in subjects over the age of 60 years to warrant screening. The ankle brachial index based on measurements with an oscillometric device was shown reliable in the exclusion of PAD, thereby fulfilling an important criterion for the use in screening....

  12. Predictive value of ankle brachial index combined with serum high sensitivity C-reactive protein for extent of coronary artery disease%踝臂指数联合超敏C反应蛋白对冠状动脉病变的判定价值

    Institute of Scientific and Technical Information of China (English)

    张宁; 牛楠; 曲鹏; 王红艳

    2012-01-01

    目的:探讨踝臂指数(ABI)联合超敏C反应蛋白(hs-CRP)对冠状动脉病变的判定价值.方法:选择2010-09-12期间住院并行冠状动脉造影的120例患者,收集行冠状动脉造影前ABI及hs-CRP的数值,根据冠状动脉病变狭窄程度(Gensini积分评价)及病变血管数量进行分组.结果:以ABI<0.9及hs-CRP>3 mg/L为截断值,二者联合检测判定冠状动脉严重狭窄及多支病变的敏感度分别为85%和92%,特异度分别为69%和61%,与单用ABI或hs-CRP的方法比较,其敏感度均显著提高(均P<0.05),特异度有所下降.结论:ABI、hs-CRP的水平变化与冠状动脉的病变程度密切相关,对于冠状动脉严重狭窄及3支病变的判定,二者联合检测具有更高的实用价值.%Objective: To investigate whether the combination of ankle brachial index (ABI) and serum high sensitivity C-reactive protein (hs-CRP) could improve their diagnosis value for extent of coronary artery disease (CAD) in patients. Method: The study population consisted of 120 patients scheduled to undergo elective cardiac catheterization for suspected CAD (from September 2010 to December). Collected data included ABI and hs-CRP before underwent coronary angiography. According to the degree of coronary stenosis (estimated by Gensini score) and the number of coronary artery stenosis, all subjects were divided into different groups. Result: With ABI 3 mg/L as the cutoff value, combined the 2 methods to predict serious stenosis and multi-vessel CAD, the sensitivity was respectively 85%, 92%, and the specificity was respectively 69%, 61%. Compared with using ABI or hs-CRP alone, the sensitivity of the 2 joint detection for predicting CAD increased significantly (P<0. 05); the specificity decreased, but the difference was not statistically significant. Conclusion: ABI and hs-CRP are closely related to the extent of coronary artery disease, and the combination of ABI and hs-CRP may have higher practical value for

  13. The reliability of toe systolic pressure and the toe brachial index in patients with diabetes

    Directory of Open Access Journals (Sweden)

    Perrin Byron M

    2010-12-01

    Full Text Available Abstract Background The Ankle Brachial Index is a useful clinical test for establishing blood supply to the foot. However, there are limitations to this method when conducted on people with diabetes. As an alternative to the Ankle Brachial Index, measuring Toe Systolic Pressures and the Toe Brachial Index have been recommended to assess the arterial blood supply to the foot. This study aimed to determine the intra and inter-rater reliability of the measurement of Toe Systolic Pressure and the Toe Brachial Index in patients with diabetes using a manual measurement system. Methods This was a repeated measures, reliability study. Three raters measured Toe Systolic Pressure and the Toe Brachial Index in thirty participants with diabetes. Measurement sessions occurred on two occasions, one week apart, using a manual photoplethysmography unit (Hadeco Smartdop 45 and a standardised measurement protocol. Results The mean intra-class correlation for intra-rater reliability for toe systolic pressures was 0.87 (95% LOA: -25.97 to 26.06 mmHg and the mean intra-class correlation for Toe Brachial Indices was 0.75 (95% LOA: -0.22 to 0.28. The intra-class correlation for inter-rater reliability was 0.88 for toe systolic pressures (95% LOA: -22.91 to 29.17.mmHg and 0.77 for Toe Brachial Indices (95% LOA: -0.21 to 0.22. Conclusion Despite the reasonable intra-class correlation results, the range of error (95% LOA was broad. This raises questions regarding the reliability of using a manual sphygmomanometer and PPG for the Toe Systolic Pressure and Toe Brachial Indice.

  14. Association of Interarm Systolic Blood Pressure Difference with Atherosclerosis and Left Ventricular Hypertrophy

    OpenAIRE

    Su, Ho-Ming; Lin, Tsung-Hsien; Hsu, Po-Chao; Chu, Chun-Yuan; Lee, Wen-Hsien; Chen, Szu-Chia; Lee, Chee-Siong; Voon, Wen-Chol; Lai, Wen-Ter; Sheu, Sheng-Hsiung

    2012-01-01

    An interarm systolic blood pressure (SBP) difference of 10 mmHg or more have been associated with peripheral artery disease and adverse cardiovascular outcomes. We investigated whether an association exists between this difference and ankle-brachial index (ABI), brachial-ankle pulse wave velocity (baPWV), and echocardiographic parameters. A total of 1120 patients were included in the study. The bilateral arm blood pressures were measured simultaneously by an ABI-form device. The values of ABI...

  15. Der Knöchel-Arm-Index als prognostischer Faktor für ein erhöhtes kardiovaskuläres Risiko nach ischämischem Schlaganfall und transienter ischämischer Attacke

    OpenAIRE

    Lutz, Katrin

    2011-01-01

    BACKGROUND AND PURPOSE: A low ankle-brachial blood pressure index (ABI) is an established risk marker for cardiovascular disease and mortality in the general population, but little is known about its prognostic value in individuals with acute ischemic stroke or transient ischemic attack (TIA). METHODS: An inception cohort of 204 patients with acute ischemic stroke or TIA was followed up for a mean of 2.3 years. At baseline, patients underwent ABI measurement and were assessed for risk fact...

  16. Four-limb blood pressure as predictors of mortality in elderly Chinese.

    Science.gov (United States)

    Sheng, Chang-Sheng; Liu, Ming; Zeng, Wei-Fang; Huang, Qi-Fang; Li, Yan; Wang, Ji-Guang

    2013-06-01

    The predictive value of blood pressure (BP) for cardiovascular morbidity and mortality diminishes in the elderly, which may be confounded and compensated by the BP differences across the 4 limbs, markers of peripheral arterial disease. In a prospective elderly (≥60 years) Chinese study, we performed simultaneous 4-limb BP measurement using an oscillometric device in the supine position, and calculated BP differences between the 4 limbs. At baseline, the mean age of the 3133 participants (1383 men) was 69 years. During 4 years (median) of follow-up, all-cause and cardiovascular deaths occurred in 203 and 93 subjects, respectively. In multiple regression analyses, arm BPs on the higher arm side of systolic BP did not predict mortality (P≥0.06) except for a negative association between mean arterial pressure and total mortality (P=0.04). However, in adjusted analyses, the hazard ratios associated with a 1-SD decrease in ankle-brachial BP index or increase in interarm or interankle BP difference were 1.15 to 1.23 for total mortality (P≤0.01) and 1.17 to 1.24 for cardiovascular mortality (P≤0.04). In categorical analyses, similar results were observed for a decreased ankle-brachial index (≤0.90, ≤0.95, or ≤1.00) or increased interarm or interankle difference (≥15 mm Hg or ≥10 mm Hg). In conclusion, in the elderly, above and beyond arm BP level and together with ankle-brachial index, the interarm and interankle BP differences improve prediction of mortality. Simultaneous 4-limb BP measurement has become feasible with current technology and might be useful in cardiovascular prevention. PMID:23569084

  17. Elevated osteoprotegerin is associated with abnormal ankle brachial indices in patients infected with HIV: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Jang James J

    2010-03-01

    Full Text Available Abstract Background Patients infected with HIV have an increased risk for accelerated atherosclerosis. Elevated levels of osteoprotegerin, an inflammatory cytokine receptor, have been associated with a high incidence of cardiovascular disease (including peripheral arterial disease, or PAD, acute coronary syndrome, and cardiovascular mortality. The objective of this study was to determine whether PAD is prevalent in an HIV-infected population, and to identify an association with HIV-specific and traditional cardiovascular risk factors, as well as levels of osteoprotegerin. Methods One hundred and two patients infected with HIV were recruited in a cross-sectional study. To identify the prevalence of PAD, ankle-brachial indices (ABIs were measured. Four standard ABI categories were utilized: ≤ 0.90 (definite PAD; 0.91-0.99 (borderline; 1.00-1.30 (normal; and >1.30 (high. Medical history and laboratory measurements were obtained to determine possible risk factors associated with PAD in HIV-infected patients. Results The prevalence of PAD (ABI ≤ 0.90 in a young HIV-infected population (mean age: 48 years was 11%. Traditional cardiovascular risk factors, including advanced age and previous cardiovascular history, as well as elevated C-reactive protein levels, were associated with PAD. Compared with patients with normal ABIs, patients with high ABIs had significantly elevated levels of osteoprotegerin [1428.9 (713.1 pg/ml vs. 3088.6 (3565.9 pg/ml, respectively, p = 0.03]. Conclusions There is a high prevalence of PAD in young HIV-infected patients. A number of traditional cardiovascular risk factors and increased osteoprotegerin concentrations are associated with abnormal ABIs. Thus, early screening and aggressive medical management for PAD may be warranted in HIV-infected patients.

  18. Evaluation of Asymptomatic Peripheral Arterial Disease by Ankle-brachial Index in Patients with Concomitant Coronary Arterial Disease

    Directory of Open Access Journals (Sweden)

    Hosein Vakili

    2012-12-01

    Full Text Available Background: Peripheral arterial disease is associated with adverse cardiovascular outcomes. As such, it is found that screening for peripheral arterial disease (PAD improves risk assessment. Thus, intensive risk factor modification and medical treatment in these patients are necessary. Objectives: The purpose of this study was to determine the prevalence of asymptomatic peripheral arterial disease in patients with concomitant coronary arterial disease. Methods: Asymptomatic peripheral arterial disease was investigated in 400 patients (60% males, 40% females, aged 59.7± 11.3 with a documented coronary arterial disease. Results: Among patients with documented CAD, 12% had asymptomatic PAD with the ABI ratio of less than 0.9. Conclusions: It is advisable to screen for PAD not only as a disease but also as a risk assessment method for atherosclerosis.

  19. Ankle Brachial Index Compared With Different Lipid Ratios to Predict Coronary Events in Patients with Coronary Artery Disease

    Directory of Open Access Journals (Sweden)

    Zinat Nadia Hatmi

    2014-02-01

    Multivariable adjusted relations revealed that HDL-C and #8804;34 Mg/dl significantly increased the risk of future UA, HDL-C and #8804;53 Mg/dl and sedentary life style increased the risk of MI. CONCLUSION: Multivariate adjusted relationships revealed that HDL-C and #8804;34 Mg/dl was a strong predictor of unstable angina pectoris after 15 months of follow up period. HDL-C and #8804;53 Mg/dl and physical inactivity were associated with increased risk of MI after 15 months. Of the lipid ratios the strongest predictors for developing future MI and unstable angina were TC/HDL-C and LDL-C/HDL-C. [TAF Prev Med Bull 2014; 13(1.000: 29-36

  20. Rejection index for pressure tubes

    International Nuclear Information System (INIS)

    The objective of the present study was to establish a set of criteria (or Rejection Index) which could be used to decide whether a zirconium-2 1/2 w/o niobium pressure tube in a CANDU reactor should be removed from service due to in-service degradation. A critique of key issues associated with establishing a realistic rejection index was prepared. Areas of uncertainty in available information were identified and recommendations for further analysis and laboratory testing made. A Rejection Index based on the following limits has been recommended: 1) Limits related to design intent and normal operation: any garter spring must remain within the tolerance band specified for its design location; the annulus gas system must normally be operated in a circulating mode with a procedure in place for purging to prevent accumulation of deuterium. It must remain sensitive to leaks into any part of the systems; and pressure tube dimensions and distortions must be limited to maintain the fuel channels within the original design intent; 2) Limits related to defect tolerance: adequate time margins between occurrence of a leaking crack and unstable failure must be demonstrated for all fuel channels; long lap-type flaws are unacceptable; crack-like defects of any size are unacceptable; and score marks, frat marks and other defects with contoured profiles must fall below certain depth, length and stress intensity limits; and 3) Limits related to property degradation: at operating temperature each pressure tube must be demonstrated to have a critical length in excess of a stipulated value; the maximum equivalent hydrogen level in any pressure tube should not exceed a limit which should be defined taking into account the known history of that tube; the maximum equivalent hydrogen level in any rolled joint should not exceed a limit which is presently recommended as 200 ppm equivalent hydrogen; and the maximum diametral creep strain should be limited to less than 5%

  1. Interrater and intrarater reliability of photoplethysmography for measuring toe blood pressure and toe-brachial index in people with diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Scanlon Christopher

    2012-06-01

    Full Text Available Abstract Background A reliable tool to measure arterial flow to the feet in people with diabetes is required given that they are particularly prone to peripheral arterial disease. Traditionally, the ankle brachial index (ABI has been used to measure arterial circulation, but its application is limited due to calcification of larger arteries. More recently, toe pressure and the toe brachial index (TBI has been suggested as superior to ABI measurements because they assess smaller digital arteries less prone to arterial calcification. However, reliability studies for the clinical use of photoplethysmography (PPG in people with diabetes are lacking. Methods Sixty people with diabetes mellitus (35 males and 25 females, mean age 59.6 yrs consented to take part in the study. The majority (92% had type 2 diabetes and 8% had type 1 diabetes. Forty-three percent were diagnosed as having peripheral neuropathy when tested using a biothesiometer and 15% were current smokers (10 – 40/day. A podiatrist and a diabetes educator measured toe and brachial blood pressure independently and in a random order using PPG. These measurements were repeated again seven days later, and subsequently analysed with intraclass correlation coefficients (ICC, 95% confidence intervals (CI and standard error of measurement (SEM. Results The intrarater reliability of measuring toe pressures was excellent (ICC3,1 =0.78-0.79, SEM 8 mmHg and interrater reliability was also excellent (ICC2,2 = 0.93, SEM 4 mmHg. The intrarater reliability for measuring brachial pressures was generally poor (ICC3,1 = 0.40 – 0.42, SEM 19 mmHg and interrater reliability was fair-good (ICC2,2. 0.65, SEM 14 mmHg. The TBI intrarater reliability was fair-good (ICC3,1 = 0.51-0.72, SEM 0.08, whilst the interrater reliability of TBI was excellent (ICC2,2 = 0.85, SEM 0.07. Conclusions Based on these results, interrater and intrarater reliability of PPG is excellent for measuring toe

  2. Fysiologisten muuttujien vaikutus ja mittaustulosten välinen toistettavuus cardio-ankle vascular - & ankle-brachial indeksien mittaustuloksissa

    OpenAIRE

    Kantell, Niina

    2010-01-01

    Valtimojäykkyys on yksi tärkeä iäkkään väestön sydän- ja verisuonisairauksien riskitekijä, jonka yhtenä ilmenemismuotona on ateroskleroosi eli valtimonkovetustauti. Ateroskleroosin hoitamisen, diagnosoinnin ja sen estämisen kehittäminen ovat tulevaisuuden haasteita suurien sukupolvien ikään-tyessä, ja sen havainnoimiseen onkin kehitetty uusi laskennallinen indeksi, cardio-ankle vascular index eli CAVI-indeksi, joka perustuu jäykkyysparametri β:n, β = In(Ps/Pd)x(D/∆D), ja on riippumaton verenp...

  3. Aortic augmentation index in patients with peripheral arterial disease.

    Science.gov (United States)

    Catalano, Mariella; Scandale, Giovanni; Carzaniga, Gianni; Cinquini, Michela; Minola, Marzio; Antoniazzi, Valeria; Dimitrov, Gabriel; Carotta, Maria

    2014-11-01

    Aortic augmentation index (AIx) is used to investigate arterial stiffness. The authors tested the hypothesis that patients with peripheral arterial disease (PAD) demonstrate a higher AIx and also evaluated several related factors. In 97 patients with PAD, identified by ankle-brachial pressure index (ABPI ≤ 0.9), and 97 controls (ABPI ≥ 0.91< 1.4), AIx (%) was determined using tonometry of the radial artery. There was no significant difference between patients and controls in characteristics of age, sex, height, diastolic blood pressure, mean blood pressure, and heart rate. AIx was higher in patients with PAD (32 ± 9 vs 28 ± 9; P = .001). In multivariate regression analysis, AIx was independently associated with heart rate (β = -0.40, P = .0005). This study showed that AIx increased in patients with PAD and that heart rate is a determinant of AIx. Further studies are necessary to assess the pathophysiological and clinical importance of AIx in patients with PAD. PMID:25228305

  4. All about Peripheral Arterial Disease

    Science.gov (United States)

    ... test is the ankle brachial (BRAY-kee-al) index (ABI). This test uses sound waves (ultrasound) to compare the blood pressure in your ankles to the blood pressure in your arms. If the blood pressure in your ankles is ...

  5. PREVALENCE OF PERIPHERAL VASCULAR DISEASE IN CHRONIC ALCOHOLICS AS MEASURED BY ANKLE TO BRACHIAL INDEX

    Directory of Open Access Journals (Sweden)

    Raj Bahadur

    2015-08-01

    Full Text Available The ankle - brachial pressure index (ABI, which is the ratio of ankle to brachial systolic blood pressure, is the golden standard for the diagnosis of peripheral arterial disease (PAD and is a highly specific method for the assessment of vascular risk in otherwise asymptomatic patients . ABI value of individual with daily alcohol level >60g/d was significantly lower consumption of less than 60g/d had an inverse association with peripheral atherosclerosis whereas consumption of 60 g/d or more had a positive association. Studies have shown the sensitivity of ABPI is 90% with a corresponding 98% specificity for detecting hemodynamically significant (Serious stenosis >50% in major leg arteries, defined by angiogram. AIMS AND OBJECTIVES : To determine the prevalence of peripheral vascular disease in chronic alcoholics using ankle to brachial index and to compare the values of ankle brachial index in chronic alcoholics with age and sex matched healthy controls. MATERIALS AND METHODS : In the present study, 50 cases consuming more than 60gm of absolute alcohol per day for more than 12 months attending out p atient department and admitted were enrolled. 50 age and sex matched healthy controls who have never consumed alcohol (never drinkers were also enrolled . After taking detailed history using Doppler ultrasound blood flow detector mean systolic pressure in upper limb and lower limb was calculated and then the mean ABI was calculated. This value was then compared with variables like LDL levels, Triglycerides levels, age, clinical symptoms of PVD, alcohol consumption amount and duration. RESULTS: It was observed that mean ABI was significantly lower (<0.9 in 11(22% cases and majority of them were between age group of 41 - 50 years. Of these only 7(14% showed clinical symptoms of PVD. The prevalence of PVD was 66% in those who consumed 61 - 70 grams alcohol per day for around 6 - 10 years. Results were found to be statistically significant. CONCLUSION

  6. The correlative study between index of hemodynamics and vibration perception thresholds in type 2 diabetic patients

    International Nuclear Information System (INIS)

    Objective: To investigate the correlation of ankle-brachial index (ABI, pulsatility index (PI), resistent index (RI)and vibration perception thresholds (VPT)in type 2 diabetic patients (T2DM). Methods: A total of 664 type 2 diabetic patients with 1328 legs (362 men and 302 women)were divided into three groups based on the ABI test: group A(ABI < 0.9, n=176), group B(ABI 0.9-1.3, n=368) and group C (ABI ≥1.3, n=120). ABI was measured with Doppler ultrasound and VPT with Bio-Thesiometer. Results: VPT was negatively and positively correlated with ABI < 0.9 and ABI ≥1.3 (r=-0.57 and r=0.61, respectively P<0.05). VPT was also negatively correlated with PI (r=-0.68, P<0.05) and positively correlated with RI (r=0.83, P<0.05). Multivariate analysis, after adjustment with a series of confounding factors such as age, sex, body mass index, heart rate, blood pressure, plasma glucose, plasma lipids and HbAlc, demonstrated that only the presence of RI was independently associated with VPT (SE[B]=0.471, P< 0.05). Conclusion: The more severity of the stricture and hardening of periphery arteries, the higher the value of VPT; and RI is independently associated with VPT in type 2 diabetes. (authors)

  7. Surface‐enhanced Raman spectral biomarkers correlate with Ankle Brachial Index and characterize leg muscle biochemical composition of patients with peripheral arterial disease

    OpenAIRE

    Cluff, Kim; Kelly, Abby M.; Koutakis, Panagiotis; He, Xiang N.; Huang, Xi; Lu, Yong Feng; Pipinos, Iraklis I; Casale, George P.; Subbiah, Jeyamkondan

    2014-01-01

    Abstract Peripheral arterial disease (PAD) is characterized by atherosclerotic blockages of the arteries supplying the lower extremities, which cause a progressive accumulation of ischemic injury to the skeletal muscles of the lower limbs. This injury includes altered metabolic processes, damaged organelles, and compromised bioenergetics in the affected muscles. The objective of this study was to explore the association of Raman spectral signatures of muscle biochemistry with the severity of ...

  8. Accuracy of the ankle-brachial index using the SCVL®, an arm and ankle automated device with synchronized cuffs, in a population with increased cardiovascular risk

    OpenAIRE

    Rosenbaum D; Rodriguez-Carranza S; Laroche P; Bruckert E; Giral P; Girerd X

    2012-01-01

    David Rosenbaum1,2, Sandra Rodriguez-Carranza1,3, Patrick Laroche4, Eric Bruckert1,2, Philippe Giral1,2, Xavier Girerd1,21Unité de Prévention Cardiovasculaire, Service d'Endocrinologie-Métabolisme, Assistance Publique/Hôpitaux de Paris, Groupe Hospitalier Pitié-Salpêtrière – Université Pierre et Marie Curie, 2Dyslipoproteinemia and Atherosclerosis Research Unit, National Institute for Healt...

  9. Index Driven Price Pressure in Corporate Bonds

    DEFF Research Database (Denmark)

    Dick-Nielsen, Jens

    of 356.2 bps (T-stat 2.82). Liquidity provision at exclusions is more profitable than at inclusions because index trackers follow a sampling strategy and returns also increase when liquidity provision becomes more expensive. Furthermore, price reactions following index changes are reversed shortly...... after the event date which indicate temporary price pressure....

  10. Patologisk ankel-arm indeks hos dialysepasienter

    OpenAIRE

    2009-01-01

    Pathological ankle-brachial index in dialysispatients Background. Patients in dialysis have an increased risk of cardiovascular disease and death. The purpose of this study was to evaluate the prevalence of pathologic ankle-brachial index (ABI) in a hemodialysis population at Oslo University Hospital Ullevål. Material and methods. For measurement of the ankle- and brachial-blood pressure, we used a Doppler probe and a blood pressure cuff. The measurements were done 1-2 hours into th...

  11. Peripheral and central arterial pressure and its relationship to vascular target organ damage in carotid artery, retina and arterial stiffness. Development and validation of a tool. The Vaso risk study

    Directory of Open Access Journals (Sweden)

    Patino-Alonso Maria C

    2011-04-01

    Full Text Available Abstract Background Ambulatory blood pressure monitoring (ABPM shows a better correlation to target organ damage and cardiovascular morbidity-mortality than office blood pressure. A loss of arterial elasticity and an increase in carotid artery intima-media thickness (IMT has been associated with increased cardiovascular morbidity-mortality. Tools have been developed that allow estimation of the retinal arteriovenous index but not all studies coincide and there are contradictory results in relation to the evolution of the arteriosclerotic lesions and the caliber of the retinal vessels. The purpose of this study is to analyze the relationship between peripheral and central arterial pressure (clinic and ambulatory and vascular structure and function as evaluated by the carotid artery intima-media thickness, retina arteriovenous index, pulse wave velocity (PWV and ankle-brachial index in patients with and without type 2 diabetes. In turn, software is developed and validated for measuring retinal vessel thickness and automatically estimating the arteriovenous index. Methods/Design A cross-sectional study involving a control group will be made, with a posterior 4-year follow-up period in primary care. The study patients will be type 2 diabetics, with a control group of non-diabetic individuals. Consecutive sampling will be used to include 300 patients between 34-75 years of age and no previous cardiovascular disease, one-half being assigned to each group. Main measurements: age, gender, height, weight and abdominal circumference. Lipids, creatinine, microalbuminuria, blood glucose, HbA1c, blood insulin, high sensitivity C-reactive protein and endothelial dysfunction markers. Clinic and ambulatory blood pressure monitoring. Carotid ultrasound to evaluate IMT, and retinography to evaluate the arteriovenous index. ECG to assess left ventricle hypertrophy, ankle-brachial index, and pulse wave analysis (PWA and pulse wave velocity (PWV with the Sphigmocor

  12. Ischemia-modified albumin in type 2 diabetic patients with and without peripheral arterial disease

    OpenAIRE

    Shao-Gang Ma; Chun-Ling Wei; Bing Hong; Wei-Nan Yu

    2011-01-01

    OBJECTIVE: To determine whether there is an association between serum ischemia-modified albumin and the risk factor profile in type 2 diabetic patients with peripheral arterial disease and to identify the risk markers for peripheral arterial disease. METHODS: Participants included 290 patients (35.2% women) with type 2 diabetes. The ankle-brachial pressure index was measured using a standard protocol, and peripheral arterial disease was defined as an ankle-brachial index 1.3. The basal ischem...

  13. Association of interarm systolic blood pressure difference with atherosclerosis and left ventricular hypertrophy.

    Science.gov (United States)

    Su, Ho-Ming; Lin, Tsung-Hsien; Hsu, Po-Chao; Chu, Chun-Yuan; Lee, Wen-Hsien; Chen, Szu-Chia; Lee, Chee-Siong; Voon, Wen-Chol; Lai, Wen-Ter; Sheu, Sheng-Hsiung

    2012-01-01

    An interarm systolic blood pressure (SBP) difference of 10 mmHg or more have been associated with peripheral artery disease and adverse cardiovascular outcomes. We investigated whether an association exists between this difference and ankle-brachial index (ABI), brachial-ankle pulse wave velocity (baPWV), and echocardiographic parameters. A total of 1120 patients were included in the study. The bilateral arm blood pressures were measured simultaneously by an ABI-form device. The values of ABI and baPWV were also obtained from the same device. Clinical data, ABIindex (LVMI); model 2: significant variables in univariate analysis except ABIindex were also associated with an interarm SBP difference ≥10 mmHg. Our study demonstrated that ABI<0.9, high baPWV, and high LVMI were independently associated with an interarm SBP difference of 10 mmHg or more. Detection of an interarm SBP difference may provide a simple method of detecting patients at increased risk of atherosclerosis and left ventricular hypertrophy. PMID:22927905

  14. NAO Index: An Extreme Pressure Approach

    OpenAIRE

    Boström, Patrik

    2014-01-01

    The North Atlantic Oscillation (NAO) is the major mode of atmospheric winter variability over the North Atlantic. Its current state has long been described by the station‐based NAO Index. This index has been shown to represent winter temperature anomalies over Northern Europe well. Nonetheless, its positions of measurement are stationary and may not catch the moving NAO-pattern’s characteristics sufficiently well to best represent the Scandinavian winter temperature anomalies. A new index bas...

  15. Association of interarm systolic blood pressure difference with atherosclerosis and left ventricular hypertrophy.

    Directory of Open Access Journals (Sweden)

    Ho-Ming Su

    Full Text Available An interarm systolic blood pressure (SBP difference of 10 mmHg or more have been associated with peripheral artery disease and adverse cardiovascular outcomes. We investigated whether an association exists between this difference and ankle-brachial index (ABI, brachial-ankle pulse wave velocity (baPWV, and echocardiographic parameters. A total of 1120 patients were included in the study. The bilateral arm blood pressures were measured simultaneously by an ABI-form device. The values of ABI and baPWV were also obtained from the same device. Clinical data, ABI<0.9, baPWV, echocariographic parameters, and an interarm SBP difference ≥10 mmHg were compared and analyzed. We performed two multivariate forward analyses for determining the factors associated with an interarm SBP difference ≥10 mmHg [model 1: significant variables in univariate analysis except left ventricular mass index (LVMI; model 2: significant variables in univariate analysis except ABI<0.9 and baPWV]. The ABI<0.9 and high baPWV in model 1 and high LVMI in model 2 were independently associated with an interarm SBP difference ≥10 mmHg. Female, hypertension, and high body mass index were also associated with an interarm SBP difference ≥10 mmHg. Our study demonstrated that ABI<0.9, high baPWV, and high LVMI were independently associated with an interarm SBP difference of 10 mmHg or more. Detection of an interarm SBP difference may provide a simple method of detecting patients at increased risk of atherosclerosis and left ventricular hypertrophy.

  16. A Proposed New Index for Clinical Evaluation of Interproximal Soft Tissues: The Interdental Pressure Index

    OpenAIRE

    2014-01-01

    The interdental pressure index (IPI) is introduced to specifically evaluate clinical interproximal-tissue conditions and assess the effect of interproximal hygiene stimulation. This index scores clinical responses of periodontal tissues to the apical pressure of a horizontally placed periodontal probe. It is negative when gingival tissues are firm, bleeding-free, and slightly ischemic by the stimulation; otherwise it is positive. The clinical validation showed high intraoperator agreement (0....

  17. Phenomenon of declining blood pressure in elderly - high systolic levels are undervalued with Korotkoff method

    Directory of Open Access Journals (Sweden)

    Elmståhl Sölve

    2011-10-01

    Full Text Available Abstract Background Systolic blood pressure (SBP decline has been reported in octogenarians. The aim was to study if it could be observed while measuring SBP with two methods: Korotkoff (K-BP and Strain-Gauge-Finger-Pletysmography (SG-BP, and which of them were more reliable in expressing vascular burden. Methods A cohort of 703 men from a population of Malmö, Sweden, were included in "Men born in 1914-study" and followed-up at ages: 68 and 81 years. 176 survivors were examined with K-BP and SG-BP at both ages, and 104 of them with Ambulatory Blood Pressure at age 81/82. Ankle Brachial Index (ABI was measured on both occasions, and Carotid Ultrasound at age 81. Results From age 68 to 81, mean K-BP decreased in the cohort with mean 8.3 mmHg, while SG-BP increased with 13.4 mmHg. K-BP decreased in 55% and SG-BP in 31% of the subjects. At age 81, K-BP was lower than SG-BP in 72% of subjects, and correlated to high K-BP at age 68 (r = --.22; p Conclusion In contrast to K-BP, values of SG-BP in octogenarians strongly correlated with Ambulatory Blood Pressure. The SG-BP decline in the last decade was rare, and increasing SG-BP better than K-BP reflected advanced atherosclerosis. It should be aware, that K-BP underdetected 46% of subjects with SG-BP equal/higher than 140 mmHg at age 81, which may lead to biased associations with risk factors due to differential misclassification by age.

  18. Índice Tornozelo-Braquial (ITB) determinado por esfigmomanômetros oscilométricos automáticos Assessing Ankle-Brachial Index (ABI) by using automated oscillometric devices

    OpenAIRE

    Takao Kawamura

    2008-01-01

    FUNDAMENTO: Índice Tornozelo-Braquial (ITB) é essencial na prática clínica, mas dificuldades técnicas na sua execução pelo padrão de referência Doppler vascular (DV) tornam-no ainda pouco utilizado. OBJETIVO: Avaliar aplicabilidade da determinação do ITB com uso de esfigmomanômetros oscilométricos automáticos (EOA) e sugerir a utilização dos índices delta-Bráquio-Braquial (delta-BB) e delta-ITB como marcadores de risco cardiovascular. MÉTODOS: Estudo descritivo e observacional de 247 paciente...

  19. Pulse pressure and michigan neuropathy screening instrument are independently associated with asymptomatic peripheral arterial disease among type 2 diabetes community residents: A community-based screening program in Taiwan

    Directory of Open Access Journals (Sweden)

    Li-Chi Fan

    2013-12-01

    Full Text Available Background: Peripheral arterial disease (PAD is one of the major manifestations of systemic atherosclerosis and plays an important role in low-extremity amputation in type 2 diabetic patients. The aim of this study was to explore the prevalence and risk factors for asymptomatic PAD in type 2 diabetic community residents. Methods: This cross-sectional study enrolled 552 type 2 diabetic adults (232 men and 320 women without subjective symptoms of intermittent claudication. We defined the PAD group as an ankle-brachial index (ABI ≤ 0.90, and the normal group as an ABI 0.91-1.30. Their clinical characteristics, Michigan Neuropathy Screening Instrument (MNSI scores and blood pressure were compared. Results: We discovered that 51 patients have asymptomatic PAD. Univariate logistic regression analysis revealed that age, history of stroke, longer duration of diabetes (> 10 years, unemployment or retirement, pulse pressure, systolic blood pressure, and high MNSI score (> 2 were risk factors for PAD. By multivariate logistic regression analysis, pulse pressure, high MNSI score, age, and history of stroke were independent risk factors with odds ratios (95% confidence intervals, CI of 1.032 (1.012-1.053, 2.359 (1.274-4.370, 1.050 (1.010-1.091, and 5.152 (1.985-13.368, respectively. Furthermore, the prevalence of PAD increased significantly with increment in the pulse pressure and MNSI. Conclusions: In summary, the overall prevalence of asymptomatic PAD in the type 2 diabetic adults was 9.2%. Age, history of stroke, pulse pressure and MNSI score may provide important clinical information. Primary care physicians should be aware of asymptomatic patients with high pulse pressure and MNSI scores.

  20. Treating P.A.D.

    Science.gov (United States)

    ... loss plan. P.A.D. Glossary Ankle-brachial index (ABI) A simple test that can be used to diagnose P.A.D. The ABI compares blood pressure in the ankle with blood pressure in the arm to see how well blood is flowing. Atherosclerosis ( ...

  1. Treating P.A.D. | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... loss plan. P.A.D. Glossary Ankle-brachial index (ABI) A simple test that can be used to diagnose P.A.D. The ABI compares blood pressure in the ankle with blood pressure in the arm to see how well blood is flowing. Atherosclerosis ...

  2. The inter-arm difference in systolic blood pressure is a novel risk marker for subclinical atherosclerosis in patients with type 2 diabetes.

    Science.gov (United States)

    Tanaka, Yoshimitsu; Fukui, Michiaki; Tanaka, Muhei; Fukuda, Yukiko; Mitsuhashi, Kazuteru; Okada, Hiroshi; Yamazaki, Masahiro; Hasegawa, Goji; Yoshioka, Keiji; Nakamura, Naoto

    2014-06-01

    Recent studies have suggested that the inter-arm blood pressure difference (IAD) is associated with cardiovascular events and mortality. The aim of this study was to assess whether the IAD could be a marker for subclinical atherosclerosis in patients with type 2 diabetes who are at high risk of cardiovascular disease (CVD). In a cross-sectional retrospective study of 206 Japanese patients with type 2 diabetes aged 49-76 years, we examined the correlation of the IAD with the carotid intima-media thickness (IMT), ankle-brachial index (ABI) or cardio ankle vascular index (CAVI). The IAD was positively correlated with the maximum IMT (r=0.266, P<0.0001), mean IMT (r=0.209, P=0.00726) or CAVI (r=0.240, P=0.0005). The IAD was higher in patients with CVD than in those without (P=0.0020). A multiple linear regression analysis demonstrated that the IAD was an independent determinant of maximum IMT (β=0.169, P=0.0167), mean IMT (β=0.178, P=0.0153), ABI (β=-0.222, P=0.0033) or CAVI (β=0.213, P=0.0011) after adjusting for known risk factors. The area under the receiver operating characteristic curve (AUC) of the IAD as a predictor of subclinical atherosclerosis was similar to the AUC of the Framingham 10-year coronary heart disease risk score. In conclusion, the IAD could be a novel risk marker for subclinical atherosclerosis in patients with type 2 diabetes. PMID:24599017

  3. A Proposed New Index for Clinical Evaluation of Interproximal Soft Tissues: The Interdental Pressure Index

    Directory of Open Access Journals (Sweden)

    Checchi Luigi

    2014-01-01

    Full Text Available The interdental pressure index (IPI is introduced to specifically evaluate clinical interproximal-tissue conditions and assess the effect of interproximal hygiene stimulation. This index scores clinical responses of periodontal tissues to the apical pressure of a horizontally placed periodontal probe. It is negative when gingival tissues are firm, bleeding-free, and slightly ischemic by the stimulation; otherwise it is positive. The clinical validation showed high intraoperator agreement (0.92; 95% CI: 0.82–0.96; P=0.0001 and excellent interoperator agreement (0.76; 95% CI: 0.14–1.38; P=0.02. High internal consistency with bleeding on probing (κ=0.88 and gingival index (Cronbach’s α=0.81 was obtained. Histological validation obtained high sensitivity (100% and specificity (80% for IPI+ toward inflammatory active form. The same results were recorded for IPI− toward chronic inactive form. IPI results as a simple and noninvasive method with low error probability and good reflection of histological condition that can be applied for oral hygiene motivation. Patient compliance to oral hygiene instructions is essential in periodontal therapy and IPI index can be a practical and intuitive tool to check and reinforce this important aspect.

  4. Body mass index relates to blood pressure among adults

    Directory of Open Access Journals (Sweden)

    Suman Dua

    2014-01-01

    Full Text Available Background: The blood pressure and anthropometric measurements are important for evaluating the health of children, adolescents as well as adults. Aim: The aim is to study the blood pressure and body dimensions and to find out the prevalence of overweight/obesity and hypertension among adults. Materials and Methods: A cross-sectional study was conducted of all the people belonging to the Punjabi community, residing in Roshanara area and Jaina building in Delhi, for the past 20 years and aged 18-50 years. The men were engaged in transport business and women were mainly housewives. Results: Mean values of all the measurements, that is, height, weight, upper arm circumference, pulse rate, systolic blood pressure (SBP, and diastolic blood pressure (DBP were higher among males as compared with females, except skinfold thicknesses. Body mass index (BMI and fat percentage was found to be higher among females as compared with males. There was a significant positive correlation between BMI, fat percentage, and blood pressure both SBP as well as DBP. Odds ratio showed that overweight/obese subjects were more likely to have hypertension than those with normal BMI. Conclusion: Prevalence of prehypertension among overweight/obese suggested an early clinical detection of prehypertension and intervention including life style modification, particularly weight management.

  5. Body mass index and blood pressure measurement during pregnancy.

    LENUS (Irish Health Repository)

    Hogan, Jennifer L

    2012-02-01

    OBJECTIVE: The accurate measurement of blood pressure requires the use of a large cuff in subjects with a high mid-arm circumference (MAC). This prospective study examined the need for a large cuff during pregnancy and its correlation with maternal obesity. METHODS: Maternal body mass index (BMI), fat mass, and MAC were measured. RESULTS: Of 179 women studied, 15.6% were obese. With a BMI of level 1 obesity, 44% needed a large cuff and with a BMI of level 2 obesity 100% needed a large cuff. CONCLUSION: All women booking for antenatal care should have their MAC measured to avoid the overdiagnosis of pregnancy hypertension.

  6. Complex Nonlinear Autonomic Nervous System Modulation Link Cardiac Autonomic Neuropathy and Peripheral Vascular Disease

    OpenAIRE

    Kinda eKhalaf; Jelinek, Herbert F.; Caroline eRobinson; Cornforth, David J.; Tarvainen, Mika P.; Hayder eAl-Aubaidy

    2015-01-01

    Background: Physiological interactions are abundant within, and between, body systems. These interactions may evolve into discrete states during pathophysiological processes resulting from common mechanisms. An association between arterial stenosis, identified by low ankle-brachial pressure index (ABPI) and cardiovascular disease (CVD) as been reported. Whether an association between vascular calcification - characterized by high ABPI and a different pathophysiology - is similarly associated ...

  7. Use of a hydrocapillary dressing in the management of highly exuding ulcers: a comparative study

    DEFF Research Database (Denmark)

    Norkus, A; Dargis, V; Thomsen, J K;

    2005-01-01

    was conducted on 97 patients with an ankle brachial pressure index > or = 0.8 and a highly exuding leg ulcer. Ulcer duration was at least four weeks.Treatment continued until healing or for a maximum of 12 months. RESULTS: There was no statistically significant difference in healing time or wound area reduction...

  8. Maximal Inspiratory Pressure: A Lost Point Trying to Explain a S-Index Function Line Index

    Directory of Open Access Journals (Sweden)

    Paulo Eugênio Silva, João Luiz Quaglioti Durigan, Gerson Cipriano

    2015-12-01

    Full Text Available Minahan et al. (2015 recently published a study that examined respiratory strength using a new device, POWERbreathe K5, before and after a strenuous exercise, in comparison with an well-established maneuver to evaluate the maximum inspiratory pressure (MIP. In this study, authors have compared a dynamic evaluation of the inspiratory muscles (S-Index with a quasi-isometric evaluation (MIP including a scientific rational about an isokinetic and isometric limb muscles evaluation, even considering that the S-index is not an isokinetic parameter. The authors did not find respiratory muscle fatigue evaluated by these two different parameters before and after whole body exercise protocol. However, the present results may have been influenced by two confounders: 1 The exercise protocol used to induce respiratory muscle fatigue and 2 The learning effect of the test.

  9. Multivariate Modeling of Body Mass Index, Pulse Pressure, Systolic and Diastolic Blood Pressure in Chinese Twins

    DEFF Research Database (Denmark)

    Wu, Yili; Zhang, Dongfeng; Pang, Zengchang;

    2015-01-01

    Systolic and diastolic blood pressure, pulse pressure (PP), and body mass index (BMI) are heritable traits in human metabolic health but their common genetic and environmental backgrounds are not well investigated. The aim of this article was to explore the phenotypic and genetic associations among...... PP, systolic blood pressure (SBP), diastolic blood pressure (DBP), and BMI. The studied sample contained 615 twin pairs (17-84 years) collected in the Qingdao municipality. Univariate and multivariate structural equation models were fitted for assessing the genetic and environmental contributions...... multivariate model estimated (1) high genetic correlations for DBP with SBP (0.87), PP with SBP (0.75); (2) low-moderate genetic correlations between PP and DBP (0.32), each BP component and BMI (0.24-0.37); (3) moderate unique environmental correlation for PP with SBP (0.68) and SBP with DBP (0.63); (4) there...

  10. Indian monsoon variability in relation to Regional Pressure Index

    Indian Academy of Sciences (India)

    S S Dugam; S B Kakade

    2003-12-01

    In this paper Regional Pressure Index (RPI) over the Indian region (20°N-40°N and 70°E-85°E) has been constructed for 101 years (1899-1999) on a monthly scale. The relationship of these indices was carried out with the Indian Summer Monsoon Rainfall (June-September) (ISMR) over the various homogeneous regions, for all the time scales. From the analysis it has been seen that RPI in the month of May is significantly associated with ISMR over various regions on all the scales. The relationship is statistically significant at 1% level. The study reveals that RPI in the month of May and January will be a new precursor for the long range forecasting of ISMR on the smaller spatial scale. On the decadal and climatological scale, winter and spring time RPI show a significant inverse relationship with the rainfall over the regions Peninsular India (PI) and North West India (NWI), while the association is direct with Central North East India (CNEI) and North East India (NEI). The relationship is significant at 0.1 and 1% level respectively.

  11. Evaluation of the cerebrovascular pressure reactivity index using non-invasive finapres arterial blood pressure

    International Nuclear Information System (INIS)

    A pressure reactivity index (PRx) can be assessed in patients with continuous monitoring of arterial blood pressure (ABP) and intracranial pressure (ICP) as a moving correlation coefficient between slow fluctuations of these two signals within a low frequency bandwidth. The study aimed to investigate whether the invasive ABP monitoring can be replaced with non-invasive measurement of ABP using a Finapres plethysmograph (fABP) to calculate the fPRx. There is a well-defined group of patients, suffering from hydrocephalus and undergoing CSF pressure monitoring, which may benefit from such a measurement. 41 simultaneous day-by-day monitoring of ICP, ABP and fABP were performed for about 30 min in 10 head injury patients. A Bland–Altman assessment for agreement was used to compare PRx and fPRx calculations. Performance metrics and the McNemary test were used to determine whether fPRx is sensitive enough to distinguish between functioning and disturbed cerebrovascular pressure reactivity. The fPRx correlated with PRx (RSpearman = 0.92, p < 0.001; bias = −0.04; lower and upper limits of agreement: −0.26 and 0.17, respectively). The fPRx distinguished between active and passive reactivity in more than 89% cases. The fPRx can be used with care for assessment of cerebrovascular reactivity in patients for whom invasive ABP measurement is not feasible. The fPRx is sensitive enough to distinguish between functional and deranged reactivity

  12. Evaluation of the cerebrovascular pressure reactivity index using non-invasive finapres arterial blood pressure.

    Science.gov (United States)

    Kasprowicz, M; Schmidt, E; Kim, D J; Haubrich, C; Czosnyka, Z; Smielewski, P; Czosnyka, M

    2010-09-01

    A pressure reactivity index (PRx) can be assessed in patients with continuous monitoring of arterial blood pressure (ABP) and intracranial pressure (ICP) as a moving correlation coefficient between slow fluctuations of these two signals within a low frequency bandwidth. The study aimed to investigate whether the invasive ABP monitoring can be replaced with non-invasive measurement of ABP using a Finapres plethysmograph (fABP) to calculate the fPRx. There is a well-defined group of patients, suffering from hydrocephalus and undergoing CSF pressure monitoring, which may benefit from such a measurement. 41 simultaneous day-by-day monitoring of ICP, ABP and fABP were performed for about 30 min in 10 head injury patients. A Bland-Altman assessment for agreement was used to compare PRx and fPRx calculations. Performance metrics and the McNemary test were used to determine whether fPRx is sensitive enough to distinguish between functioning and disturbed cerebrovascular pressure reactivity. The fPRx correlated with PRx (R(Spearman) = 0.92, p agreement: -0.26 and 0.17, respectively). The fPRx distinguished between active and passive reactivity in more than 89% cases. The fPRx can be used with care for assessment of cerebrovascular reactivity in patients for whom invasive ABP measurement is not feasible. The fPRx is sensitive enough to distinguish between functional and deranged reactivity. PMID:20664157

  13. Prediction of Cerebral Hyperperfusion Syndrome with Velocity Blood Pressure Index

    Directory of Open Access Journals (Sweden)

    Zhi-Chao Lai

    2015-01-01

    Full Text Available Background: Cerebral hyperperfusion syndrome is an important complication of carotid endarterectomy (CEA. An >100% increase in middle cerebral artery velocity (MCAV after CEA is used to predict the cerebral hyperperfusion syndrome (CHS development, but the accuracy is limited. The increase in blood pressure (BP after surgery is a risk factor of CHS, but no study uses it to predict CHS. This study was to create a more precise parameter for prediction of CHS by combined the increase of MCAV and BP after CEA. Methods: Systolic MCAV measured by transcranial Doppler and systematic BP were recorded preoperatively; 30 min postoperatively. The new parameter velocity BP index (VBI was calculated from the postoperative increase ratios of MCAV and BP. The prediction powers of VBI and the increase ratio of MCAV (velocity ratio [VR] were compared for predicting CHS occurrence. Results: Totally, 6/185 cases suffered CHS. The best-fit cut-off point of 2.0 for VBI was identified, which had 83.3% sensitivity, 98.3% specificity, 62.5% positive predictive value and 99.4% negative predictive value for CHS development. This result is significantly better than VR (33.3%, 97.2%, 28.6% and 97.8%. The area under the curve (AUC of receiver operating characteristic: AUC VBI = 0.981, 95% confidence interval [CI] 0.949-0.995; AUC VR = 0.935, 95% CI 0.890-0.966, P = 0.02. Conclusions: The new parameter VBI can more accurately predict patients at risk of CHS after CEA. This observation needs to be validated by larger studies.

  14. Refraction index of shock compressed water in the megabar pressure range

    Science.gov (United States)

    Batani, D.; Jakubowska, K.; Benuzzi-Mounaix, A.; Cavazzoni, C.; Danson, C.; Hall, T.; Kimpel, M.; Neely, D.; Pasley, J.; Rabec Le Gloahec, M.; Telaro, B.

    2015-11-01

    We compressed water to megabar pressures by laser-driven shock waves and evidenced transparent, opaque and reflecting phases as pressure increases. The refraction index of water in the first two states was measured using a VISAR system. At high compression a sharp increase of the real and imaginary part of the refraction index is observed. Experiments were performed at the LULI and RAL laboratories.

  15. Central blood pressure and pulse wave velocity: relationship to target organ damage and cardiovascular morbidity-mortality in diabetic patients or metabolic syndrome. An observational prospective study. LOD-DIABETES study protocol

    Directory of Open Access Journals (Sweden)

    Castaño-Sánchez Carmen

    2010-03-01

    Full Text Available Abstract Background Diabetic patients show an increased prevalence of non-dipping arterial pressure pattern, target organ damage and elevated arterial stiffness. These alterations are associated with increased cardiovascular risk. The objectives of this study are the following: to evaluate the prognostic value of central arterial pressure and pulse wave velocity in relation to the incidence and outcome of target organ damage and the appearance of cardiovascular episodes (cardiovascular mortality, myocardial infarction, chest pain and stroke in patients with type 2 diabetes mellitus or metabolic syndrome. Methods/Design Design: This is an observational prospective study with 5 years duration, of which the first year corresponds to patient inclusion and initial evaluation, and the remaining four years to follow-up. Setting: The study will be carried out in the urban primary care setting. Study population: Consecutive sampling will be used to include patients diagnosed with type 2 diabetes between 20-80 years of age. A total of 110 patients meeting all the inclusion criteria and none of the exclusion criteria will be included. Measurements: Patient age and sex, family and personal history of cardiovascular disease, and cardiovascular risk factors. Height, weight, heart rate and abdominal circumference. Laboratory tests: hemoglobin, lipid profile, creatinine, microalbuminuria, glomerular filtration rate, blood glucose, glycosylated hemoglobin, blood insulin, fibrinogen and high sensitivity C-reactive protein. Clinical and 24-hour ambulatory (home blood pressure monitoring and self-measured blood pressure. Common carotid artery ultrasound for the determination of mean carotid intima-media thickness. Electrocardiogram for assessing left ventricular hypertrophy. Ankle-brachial index. Retinal vascular study based on funduscopy with non-mydriatic retinography and evaluation of pulse wave morphology and pulse wave velocity using the SphygmoCor system. The

  16. Pressure dependence of the refractive index in wurtzite and rocksalt indium nitride

    Energy Technology Data Exchange (ETDEWEB)

    Oliva, R. [Institut Jaume Almera, Consell Superior d' Investigacions Científiques (CSIC), Lluís Solé i Sabarís s.n., 08028 Barcelona, Catalonia (Spain); MALTA-Consolider Team, Departament de Física Aplicada, ICMUV, Universitat de València, c/Dr. Moliner 50, 46100 Burjassot, València (Spain); Segura, A. [MALTA-Consolider Team, Departament de Física Aplicada, ICMUV, Universitat de València, c/Dr. Moliner 50, 46100 Burjassot, València (Spain); Ibáñez, J., E-mail: jibanez@ictja.csic.es; Artús, L. [Institut Jaume Almera, Consell Superior d' Investigacions Científiques (CSIC), Lluís Solé i Sabarís s.n., 08028 Barcelona, Catalonia (Spain); Yamaguchi, T.; Nanishi, Y. [Faculty of Science and Engineering, Ritsumeikan University, Shiga 525-8577 (Japan)

    2014-12-08

    We have performed high-pressure Fourier transform infrared reflectance measurements on a freestanding InN thin film to determine the refractive index of wurtzite InN and its high-pressure rocksalt phase as a function of hydrostatic pressure. From a fit to the experimental refractive-index curves including the effect of the high-energy optical gaps, phonons, free carriers, and the direct (fundamental) band-gap in the case of wurtzite InN, we obtain pressure coefficients for the low-frequency (electronic) dielectric constant ε{sub ∞}. Negative pressure coefficients of −8.8 × 10{sup −2 }GPa{sup −1} and −14.8 × 10{sup −2 }GPa{sup −1} are obtained for the wurtzite and rocksalt phases, respectively. The results are discussed in terms of the electronic band structure and the compressibility of both phases.

  17. Sex Differences in Peripheral Augmentation Index and Arterial Reservoir Pressure during Upper Limb Postural Shifts

    Directory of Open Access Journals (Sweden)

    Kevin S. Heffernan

    2014-01-01

    Full Text Available We examined the peripheral hemodynamic response to passive arm postural changes in young men and women. Radial artery pulse waveforms were captured using applanation tonometry in 20 men (age 27 ± 2 yrs, BMI 25 ± 1 kg/m2 and 20 women (age 27 ± 2 yrs, BMI 23±1 kg/m2. Arm position was maintained at either heart level or supported 14 cm above/below heart level in a randomized fashion. Systolic augmentation index (sAIx and diastolic augmentation index (dAIx were used as estimates of pressure from wave reflections arriving in systole and diastole, respectively. A novel reservoir-wave separation technique was used to obtain arterial reservoir pressure (pressure generated by arterial capacitance. Women showed a significant reduction in radial diastolic pressure-time integral (DPTI (P0.05 or dAIx (P>0.05 when moving the arm from below to above heart level. Conversely, men showed an attenuated change in radial DPTI (P>0.05 concomitant with significant increases in reservoir pressure (P<0.05, sAIx (P<0.05, and dAIx (P<0.05. Gravity-mediated changes in regional hemodynamics produced by passive arm postural shifts are sex specific. Men demonstrate less change in regional diastolic pressure concomitant with increased augmentation index and arterial reservoir pressure.

  18. Improving interMediAte Risk management. MARK study

    OpenAIRE

    Garcia-Gil Maria; Feuerbach Natalia; Agudo-Conde Cristina; Recio-Rodriguez Jose I; García-Regalado Natividad; Sempere Irene; Gómez-Marcos Manuel A; Rigo Fernando; García-Ortiz Luís; Parramon Dídac; Martí Ruth; Ponjoan Anna; Quesada Miquel; Ramos Rafel

    2011-01-01

    Abstract Background Cardiovascular risk functions fail to identify more than 50% of patients who develop cardiovascular disease. This is especially evident in the intermediate-risk patients in which clinical management becomes difficult. Our purpose is to analyze if ankle-brachial index (ABI), measures of arterial stiffness, postprandial glucose, glycosylated hemoglobin, self-measured blood pressure and presence of comorbidity are independently associated to incidence of vascular events and w...

  19. VenUS II:a randomised controlled trial of larval therapy in the management of leg ulcers

    OpenAIRE

    Dumville, J. C.; Worthy, G; Soares, M. O.; Bland, J M; Cullum, N; Dowson, C; C. Iglesias; McCaughan, D.; Mitchell, J. L.; Nelson, E. A.; Torgerson, D. J.

    2009-01-01

    Objectives: To compare the clinical effectiveness and cost-effectiveness of larval therapy with a standard debridement technique (hydrogel). Design: A pragmatic, three-arm, randomised controlled trial with an economic evaluation. Setting: Community nursing services, community leg ulcer clinics and hospital outpatient leg ulcer clinics. A range of urban and rural settings. Participants: Patients with venous or mixed venous/arterial ulcers (minimum ankle brachial pressure index of 0.6) where a ...

  20. Skin tissue cholesterol is not related to vascular occlusive disease

    OpenAIRE

    Reiter, Markus; Wirth, Susan; Pourazim, Ali; Puchner, Stefan; Baghestanian, Mehrdad; Minar, Erich; Bucek, Robert A.

    2007-01-01

    Abstract The objective of the present study was to evaluate the role of skin tissue cholesterol (SkinTc) in predicting the presence of atherosclerosis. SkinTc concentrations were determined in 318 consecutive patients by using the non-invasive PREVU POC Skin Sterol Test. Additionally, a complete lipid status and cardiovascular risk profile according to the PROCAM and Framingham scores as well as an evaluation by carotid duplex sonography and ankle?brachial blood pressure index test...

  1. A Comparison of Blood Pressure, Body Mass Index, and Acanthosis Nigricans in School-Age Children

    Science.gov (United States)

    Otto, Debra E.; Wang, Xiaohui; Tijerina, Sandra L.; Reyna, Maria Elena; Farooqi, Mohammad I.; Shelton, Margarette L.

    2010-01-01

    The purpose of this retrospective quantitative study was to examine the relationships among acanthosis nigricans (AN), body mass index (BMI), blood pressure (BP), school grade, and gender in children attending elementary school located in South West Texas. Data were collected by attending school district nurses. Researchers reviewed 7,026…

  2. Arterial compliance in patients with cirrhosis: stroke volume-pulse pressure ratio as simplified index

    DEFF Research Database (Denmark)

    Fuglsang, S; Bendtsen, F; Christensen, E;

    2001-01-01

    Arterial function may be altered in patients with cirrhosis. We determined compliance of the arterial tree (C(1)) in relation to systemic and splanchnic hemodynamic derangement and clinical variables. C(1) and the stroke volume-pulse pressure index (SV/PP) were significantly higher (+62% and +40....../PP on one side and age, sex, body weight, portal pressure, systemic hemodynamics, biochemical variables, and severity of disease on the other. In the multiple-regression analysis, sex, age, mean arterial blood pressure, systemic vascular resistance, and biochemical variables were significant independent...

  3. Estimation of Pressure Index and Temperature Sensitivity Coefficient of Solid Rocket Propellants by Static Evaluation

    Directory of Open Access Journals (Sweden)

    Himanshu Shekhar

    2009-11-01

    Full Text Available Burning rate of a solid rocket propellant depends on pressure and temperature. Conventional strand burner and Crawford bomb test on propellant strands was conducted to assess these dependent parameters. However, behaviour of propellant in rocket motor is different from its behaviour in strand form. To overcome this anomaly, data from static evaluation of rocket motor was directly used for assessment of these burningrate controlling parameters. The conventional empirical power law (r=aoexp[p{T-To}]Pn was considered and a method was evolved for determination of pressure index (n and temperature sensitivity coefficient (p of burning rate for solid rocket propellants from static evaluation data. Effect of pressure index and temperature sensitivity coefficient on firing curve is also depicted. Propellant grain was fired in progressive mode to cover a very wide pressure range of 50 kg/cm2 to 250 kg/cm2 and propellant burning rate index was calculated to be 0.32 in the given pressure range. Propellant grain was fired at +35 °C and –20 °C temperatures and temperature sensitivity coefficient of burning rate was calculated to be 0.27 % per °C. Since both the values were evaluated from realised static evaluation curves, these are more realistic and accurate compared to data generated by conventional methods.Defence Science Journal, 2009, 59(6, pp.666-669, DOI:http://dx.doi.org/10.14429/dsj.59.1573

  4. Daily liquorice consumption for two weeks increases augmentation index and central systolic and diastolic blood pressure.

    Directory of Open Access Journals (Sweden)

    Miia H Leskinen

    Full Text Available Liquorice ingestion often elevates blood pressure, but the detailed haemodynamic alterations are unknown. We studied haemodynamic changes induced by liquorice consumption in 20 subjects versus 30 controls with average blood pressures of 120/68 and 116/64 mmHg, respectively.Haemodynamic variables were measured in supine position before and after two weeks of liquorice consumption (daily glycyrrhizin dose 290-370 mg with tonometric recording of radial blood pressure, pulse wave analysis, and whole-body impedance cardiography. Thirty age-matched healthy subjects maintaining their normal diet were studied as controls.Two weeks of liquorice ingestion elevated peripheral and central systolic and diastolic blood pressure (by 7/4 and 8/4 mmHg, 95% confidence intervals [CI] 2-11/1-8 and 3-13/1-8, respectively, P<0.05, and increased extracellular volume by 0.5 litres (P<0.05 versus controls. Also augmentation index adjusted to heart rate 75/min (from 7% to 11%, 95% CI for change 0.3-7.5, P<0.05 and aortic pulse pressure (by 4 mmHg, 95% CI 1-7, P<0.05 were elevated indicating increased wave reflection from the periphery. In contrast, peripheral (-3/-0.3 mmHg and central blood pressure (-2/-0.5 mmHg, aortic pulse pressure (-1 mmHg, and augmentation index adjusted to heart rate 75/min (from 9% to 7% decreased numerically but not statistically significantly without changes in extracellular volume in the control group. Heart rate, systemic vascular resistance, cardiac output, and pulse wave velocity did not differ between the groups.Two weeks of daily liquorice consumption increased extracellular volume, amplified pressure wave reflection from the periphery, and elevated central systolic and diastolic blood pressure.EU Clinical Trials Register EudraCT 2006-002065-39 ClinicalTrials.gov NCT01742702.

  5. Index

    OpenAIRE

    Editörden

    2013-01-01

    ed and indexed in Copernicus, Index Google Scholarship, the PSCR, DOAJ, Research Bible, Indian Open Access Journals (OAJ), Institutional Repositories (IR), Journal TOCs, J-Gate (Informatics India), Ulrich’s, ResearchGate, International Society of Universal Research in Sciences, DRJI, EyeSource

  6. Index

    OpenAIRE

    Editörden

    2014-01-01

    ed and indexed in Copernicus, Index Google Scholarship, the PSCR, DOAJ, Research Bible, Indian Open Access Journals (OAJ), Institutional Repositories (IR), Journal TOCs, J-Gate (Informatics India), Ulrich’s, ResearchGate, International Society of Universal Research in Sciences, DRJI, EyeSource

  7. Study of blood pressure and blood sugar levels in adolescence and comparison with body mass index

    OpenAIRE

    Ashwin Borade; Gauri Shashank Kadam; Gayatri Bhide; Ram Dhongade

    2011-01-01

    Background: Worldwide prevalence of overweight and obesity is increasing and its consequences prompted the WHO to designate obesity as a global epidemic in 2002. Being overweight is a risk factor for significant illness, especially diabetes and hypertension in adult life. Objectives : To study the blood pressure and blood sugar levels and lifestyle parameters in adolescence and comparison with body mass index. Materials and Methods: In a prospective case control study, out of the 1000 screene...

  8. AGING AND GENDER EFFECTS ON RATE-PRESSURE PRODUCT: AN INDEX OF MYOCARDIAL OXYGEN CONSUMPTION

    OpenAIRE

    Shrilaxmi Chandrashekar Bagali; Jyoti Paramanand Khodnapur; Lata Mallappa Mullur; Sheikh, Gouhar Banu U; Manjunatha Ramakrishna Aithala

    2012-01-01

    Objectives: There are aging associated alterations in cardiac structure, metabolism, function. Evidence suggests alterations in myocardial metabolism contribute to the development, progression of heart failure. Hence it is essential to be aware of the impact of healthy aging on myocardial oxygen consumption. Rate-Pressure Product (RPP) is simple, non-invasive, easily measurable index of MVO2. Seeking the effect of aging, we measured RPP, in apparently healthy men and women of different age gr...

  9. Maximum inspiratory pressure and rapid shallow breathing index as predictors of successful ventilator weaning

    OpenAIRE

    Bien, Umilson dos Santos; Souza, Gerson Fonseca; Campos, Elisangela Siqueira; Farah de Carvalho, Etiene; Fernandes, Matheus Guedes; Santoro, Ilka; Costa, Dirceu; Arena, Ross; Sampaio, Luciana Maria Malosá

    2015-01-01

    [Purpose] To investigate the predictive value of maximum inspiratory pressure (MIP) and the rapid shallow breathing index (RSBI) in a ventilator weaning protocol and to evaluate the differences between clinical and surgical patients in the intensive care unit. [Subjects and Methods] Patients aged ≥15 years who underwent orotracheal intubation for mechanical ventilation and who met the criteria of the weaning protocol were included in the study. Receiver operating characteristic (ROC) curves w...

  10. Efeito da terapia antirretroviral e dos níveis de carga viral no complexo médio-intimal e no índice tornozelo-braço em pacientes infectados pelo HIV Antirretroviral therapy effect in the intima-medio complex and ankle-brachial index in patients infected by HIV

    OpenAIRE

    Emmanuelle Tenório Albuquerque Madruga Godoi; Carlos Teixeira Brandt; Jocelene Tenório Albuquerque Madruga Godoi; Heloísa Ramos de Lacerda; Valéria Maria Gonçalves de Albuquerque; Josefina Cláudia Zirpoli; Juannicelle Tenório Albuquerque Madruga Godoi; Camila Sarteschi

    2012-01-01

    OBJETIVOS: Identificar precocemente a prevalência de aterosclerose, por causa do espessamento do complexo médio-intimal das carótidas comuns e do índice tornozelo-braço. Essas medidas foram relacionadas com os fatores de risco clássicos de aterosclerose e os específicos dos infectados pelo HIV (tempo de doença, tempo de tratamento, tipo de tratamento, tipo de terapia antirretroviral utilizada, CD4 e carga viral). MÉTODOS: Setenta casos infectados com o HIV foram avaliados pela medida automáti...

  11. An environmental pressure index proposal for urban development planning based on the analytic network process

    International Nuclear Information System (INIS)

    This paper introduces a new approach to prioritize urban planning projects according to their environmental pressure in an efficient and reliable way. It is based on the combination of three procedures: (i) the use of environmental pressure indicators, (ii) the aggregation of the indicators in an Environmental Pressure Index by means of the Analytic Network Process method (ANP) and (iii) the interpretation of the information obtained from the experts during the decision-making process. The method has been applied to a proposal for urban development of La Carlota airport in Caracas (Venezuela). There are three options which are currently under evaluation. They include a Health Club, a Residential Area and a Theme Park. After a selection process the experts chose the following environmental pressure indicators as ANP criteria for the project life cycle: used land area, population density, energy consumption, water consumption and waste generation. By using goal-oriented questionnaires designed by the authors, the experts determined the importance of the criteria, the relationships among criteria, and the relationships between the criteria and the urban development alternatives. The resulting data showed that water consumption is the most important environmental pressure factor, and the Theme Park project is by far the urban development alternative which exerts the least environmental pressure on the area. The participating experts coincided in appreciating the technique proposed in this paper is useful and, for ranking ordering these alternatives, an improvement from traditional techniques such as environmental impact studies, life-cycle analysis, etc.

  12. Indexed

    CERN Document Server

    Hagy, Jessica

    2008-01-01

    Jessica Hagy is a different kind of thinker. She has an astonishing talent for visualizing relationships, capturing in pictures what is difficult for most of us to express in words. At indexed.blogspot.com, she posts charts, graphs, and Venn diagrams drawn on index cards that reveal in a simple and intuitive way the large and small truths of modern life. Praised throughout the blogosphere as “brilliant,” “incredibly creative,” and “comic genius,” Jessica turns her incisive, deadpan sense of humor on everything from office politics to relationships to religion. With new material along with some of Jessica’s greatest hits, this utterly unique book will thrill readers who demand humor that makes them both laugh and think.

  13. Ambulatory arterial stiffness index and 24-hour ambulatory pulse pressure as predictors of mortality in Ohasama, Japan

    OpenAIRE

    Asayama, Kei; Metoki, Hirohito; Imai, Yutaka; Satoh, Hiroshi; Ohkubo, Takayoshi; Li, Yan; Kikuya, Masahiro; Thijs, Lutgarde; Staessen, Jan A.; Hoshi, Haruhisa; Wang, Ji-Guang; Dolan, Eamon; Hashimoto, Junichiro; O'Brien, Eoin; Obara, Taku

    2007-01-01

    BACKGROUND AND PURPOSE: Ambulatory arterial stiffness index (AASI) and pulse pressure (PP) are indexes of arterial stiffness and can be computed from 24-hour blood pressure recordings. We investigated the prognostic value of AASI and PP in relation to fatal outcomes. METHODS: In 1542 Ohasama residents (baseline age, 40 to 93 years; 63.4% women), we applied Cox regression to relate mortality to AASI and PP while adjusting for sex, age, BMI, 24-hour MAP, smoking and drinking habits, diabetes me...

  14. Study of blood pressure and blood sugar levels in adolescence and comparison with body mass index

    Directory of Open Access Journals (Sweden)

    Ashwin Borade

    2011-01-01

    Full Text Available Background: Worldwide prevalence of overweight and obesity is increasing and its consequences prompted the WHO to designate obesity as a global epidemic in 2002. Being overweight is a risk factor for significant illness, especially diabetes and hypertension in adult life. Objectives : To study the blood pressure and blood sugar levels and lifestyle parameters in adolescence and comparison with body mass index. Materials and Methods: In a prospective case control study, out of the 1000 screened, a total of 200 adolescents were considered out of which 100 were with high body mass index (BMI and the other 100 were with normal BMI. Height, weight, BMI, waist hip ratio (WHR, blood pressure (BP, BSL, and associated risk factors like physical activity, fast food consumption, and computer/television watching were measured and screened. Results and Observations: 109 (54.5% males and 91 (45.5% females were included. Maximum number [90 (45%] of adolescents screened were in the age group of 17-19 years, while 54 (27% and 56 (28% adolescents were in the age group of 10-13 years and 14-16 years, respectively. According to CDC charts 2000, prevalence of overweight was 24% which was double when compared to WHO charts 2007. There was significant difference in prevalence of obesity; according to CDC chart it was 26%, whereas according to WHO chart it was 39%. The difference in blood pressures between cases and controls as per both CDC and WHO charts was found to be statistically significant (P 0.05 with BMI. Conclusion: The adolescents seem to have become heavier owing to environmental influences on growth patterns. So, a consideration should be given to shift the cut-offs for overweight and obesity to higher BMI percentiles if recent growth charts are to be followed. Adolescents with a BMI above the 95 >th percentile (obese are most likely to have obesity-related health risks.

  15. Elastic compression treatment of chronic superficial venous insufficiency of the lower limbs based on Doppler venous pressure index measurements

    OpenAIRE

    Leonardo Corcos; Daniele Pontello; Tommaso Spina

    2015-01-01

    Ineffectiveness or discomfort from graduated elastic compression stockings (GES) in patients with chronic venous insufficiency (CVI) and/or varicose veins of the lower limbs (VVLL) can depend of inappropriate counter pressure applied. Counter pressure was calculated by Doppler venous pressure index (VPI). The aim of this study was to verify the value VPI in the choice of GES. A total of 1212 LL of 606 patients subjected to VPI measurements VPI correlated with the various sites of reflux (R) a...

  16. Wearable system for non-invasive and continuous monitoring central aortic pressure curve and augmentation index.

    Science.gov (United States)

    Krivoshei, Andrei; Lamp, Jürgen; Min, Mart; Uuetoa, Tiina; Uuetoa, Hasso; Annus, Paul

    2013-01-01

    The paper presents a non-invasive method and system for a long-term and continuous monitoring of the central aortic pressure (CAP) waveform and the augmentation index (AI). The CAP curve is estimated from the measured radial electrical bio-impedance (EBI) using spectral domain transfer functions (TF), which are established on the basis of data analysis during clinical experiments. Experiments were carried out on 3 volunteers by now. During the experiment, a 0.5 mg sublingual nitroglycerin tablet was administrated to each volunteer. Both, the reconstructed CAP curve and the AI have very good correlation with the results obtained by the SphygmoCor system. But, in opposite to the traditional tonometry based CAP curve and AI estimation methods, the proposed one is more convenient to use and allows continuous and long-term personalized monitoring of the CAP curve and of the AI. PMID:23739366

  17. Maximum inspiratory pressure and rapid shallow breathing index as predictors of successful ventilator weaning.

    Science.gov (United States)

    Bien, Umilson Dos Santos; Souza, Gerson Fonseca; Campos, Elisangela Siqueira; Farah de Carvalho, Etiene; Fernandes, Matheus Guedes; Santoro, Ilka; Costa, Dirceu; Arena, Ross; Sampaio, Luciana Maria Malosá

    2015-12-01

    [Purpose] To investigate the predictive value of maximum inspiratory pressure (MIP) and the rapid shallow breathing index (RSBI) in a ventilator weaning protocol and to evaluate the differences between clinical and surgical patients in the intensive care unit. [Subjects and Methods] Patients aged ≥15 years who underwent orotracheal intubation for mechanical ventilation and who met the criteria of the weaning protocol were included in the study. Receiver operating characteristic (ROC) curves were calculated for the analysis of each index. [Results] Logistic regression analysis was also performed. MIP showed greater sensitivity and specificity [area under the curve (AUC): 0.95 vs. 0.89] and likelihood ratios (LR) (positive(+): 20.85 vs. 9.45; negative(-): 0.07 vs. 0.17) than RSBI in the overall sample (OS) as well as in clinical patients (CP) (AUC: 0.99 vs. 0.90; LR+: 24.66 vs. 7.22; LR-: 0.01 vs. 0.15) and surgical patients (SP) (AUC: 0.99 vs. 0.87; LR+: 9.33 vs. 5.86; LR-: 0.07 vs. 0.14). The logistic regression analysis revealed that both parameters were significantly associated with the weaning success. The MIP showed greater accuracy than the RSBI (OS: 0.93 vs. 0.85; CP: 0.98 vs. 0.87; SP: 0.93 vs. 0.87). [Conclusion] Both parameters are good predictors of successful ventilator weaning. PMID:26834339

  18. Effect of relaxation on pressure sensitivity index in a Zr-based metallic glass

    International Nuclear Information System (INIS)

    Shear-banding features of as-cast and annealed Zr41.2Ti13.8Cu12.5Ni10Be22.5 bulk metallic glass were investigated through Rockwell indentation tests. Isothermal annealing of the as-cast samples was conducted at temperatures below its glass transition temperature, T g. The exothermal enthalpy during continuous heating below T g decreases with increasing annealing temperature, indicating the gradual reduction of free-volume upon annealing. The observation on the morphology of shear-banding pattern around the indents implies a reduced shear bands activity in the annealed samples. The included angles (2θ) between two families of shear bands emanating from the edge of Rockwell indent decrease from 88o for the as-cast sample to 79o for the sample annealed at 633 K for 1 h, indicating a pressure sensitive plasticity. By Mohr-Coulomb criterion, the pressure sensitive index can be obtained on the basis of the measured 2θ, which increases with increasing annealing temperature, indicating an increase of 'atomistic friction' due to the reduction of the free volume upon annealing

  19. Correlation of intraocular pressure with blood pressure and body mass index in offsprings of diabetic patients: A cross-sectional study

    OpenAIRE

    Shailaja Patil, Anita Herur, Shashikala GV, Surekharani Chinagudi, Manjula R, Roopa Ankad, Sukanya Badami, Brid SV

    2014-01-01

    Background: Raised intraocular pressure (IOP) has been associated with risk factors like hypertension, diabetes mellitus (DM), obesity, body mass index (BMI) and sex, increasing the risk of glaucoma causing visual impairment and blindness. Since familial inheritance is known with glaucoma and DM, the aim was to study the IOP and its correlation with BMI and blood pressure (BP) in offsprings of DM and also to predict the future/early onset of glaucoma in them. Methods: This was an observation...

  20. The impact of inspiratory pressure on stroke volume variation and the evaluation of indexing stroke volume variation to inspiratory pressure under various preload conditions in experimental animals

    OpenAIRE

    Kawazoe, Yu; Nakashima, Tsuyoshi; Iseri, Toshie; Yonetani, Chiaki; Ueda, Kentaro; Fujimoto, Yuka; Kato, Seiya

    2015-01-01

    Purpose Stroke volume variation (SVV) measures fluid responsiveness, enabling optimal fluid management under positive pressure ventilation. We aimed to investigate the effect of peak inspiratory pressure (PIP) on SVV under various preload conditions in experimental animals and to ascertain whether SVV indexed to PIP decreases the effect. Methods Mild and moderate hemorrhage models were created in nine anesthetized, mechanically ventilated beagle dogs by sequentially removing 10 and then an ad...

  1. Intramuscular pressure and electromyography as indexes of force during isokinetic exercise

    Science.gov (United States)

    Aratow, M.; Ballard, R. E.; Grenshaw, A. G.; Styf, J.; Watenpaugh, D. E.; Kahan, N. J.; Hargens, A. R.

    1993-01-01

    A direct method for measuring force production of specific muscles during dynamic exercise is presently unavailable. Previous studies indicate that both intramuscular pressure (IMP) and electromyography (EMG) correlate linearly with muscle contraction force during isometric exercise. The objective of this study was to compare IMP and EMG as linear assessors of muscle contraction force during dynamic exercise. IMP and surface EMG activity were recorded during concentric and eccentric isokinetic plantarflexion and dorsiflexion of the ankle joint from the tibialis anterior (TA) and soleus (SOL) muscles of nine male volunteers. Ankle torque was measured using a dynamometer, and IMP was measured via catheterization. IMP exhibited better linear correlation than EMG with ankle joint torque during concentric contractions of the SOL and the TA, as well as during eccentric contractions. IMP provides a better index of muscle contraction force than EMG during concentric and eccentric exercise through the entire range of torque. IMP reflects intrinsic mechanical properties of individual muscles, such as length-tension relationships, which EMG is unable to assess.

  2. Mean transit time as an index of cerebral perfusion pressure in experimental systemic hypotension

    International Nuclear Information System (INIS)

    Early diagnosis of cerebrovascular disease requires the accurate identification of brain regions with compromised cerebral perfusion pressure (CPP). Current clinical measures of CPP are invasive and lack regional information. Dynamic contrast-enhanced imaging provides a means of looking at regional cerebral hemodynamics. The purpose of this study was to determine if any of the parameters associated with dynamic contrast-enhanced imaging could be used as an index for CPP under graded systemic hypotension in a rabbit model. Cerebral blood flow (CBF), cerebral blood volume, mean transit time (MTT), and cerebrovascular reserve (CVR) were measured using Computed Tomography Perfusion in three groups: normotensive (n = 14), mild hypotensive (n = 9), and moderate hypotensive (n = 6). MTT demonstrated the strongest correlation with CPP (ρ = −0.642, P < 0.05). CBF was the only other parameter to demonstrate a statistically significant correlation (ρ = 0.575, P < 0.05). CVR is gaining momentum for diagnosing cerebrovascular disease; however, the technique requires patients to be given a hemodynamic challenge, which could aggravate symptoms and even trigger stroke. The results of this study suggest that the use of MTT, not requiring hemodynamic manipulation, is more sensitive to subtle changes in CPP, as would occur in the early stages of cerebrovascular disease

  3. An exact analytical solution of the equations of internal ballistics for the pressure-index law of burning

    Directory of Open Access Journals (Sweden)

    J. N. Kapur

    1960-04-01

    Full Text Available In the present paper, an exact analytical solution of the equation of ballistics, for the specific case of a tubular charge has been given. This solution applies to some particular values, of the pressure-index alpha greater than unity, and for these values, the function G (gamma, alfa of Clemmow has also been explicitly determined.

  4. Percutaneous Transluminal Angioplasty Combine with Salvia Injection Cura the Below Knee Vascular Lesion of Diabetic By Pressurize Injection%长球囊联合丹参注射液加压注射治疗糖尿病膝下血管病变

    Institute of Scientific and Technical Information of China (English)

    路延平; 张健; 张孟增; 王瑞锋

    2012-01-01

    目的 观察长球囊血管腔内成形术(percutaneous transluminal angioplasty,PTA)联合丹参注射液,腔内加压注射治疗糖尿病膝下血管病变的疗效.方法 19例糖尿病患者共23条膝下动脉硬化闭塞肢体,首先采用长球囊开通狭窄、闭塞的血管,再联合丹参注射液腔内加压注射治疗.术后观察踝/肱指数、通畅率、溃疡愈合时间及临床症状的改善.结果 21条患肢得到成功治疗,技术成功率91.3%(21/23).踝/肱指数(ankle brachial index,ABI)由术前的0.31±0.14上升为术后的0.71±0.18,与术前比较差异有统计学意义(P<0.05).术后随访3~10个月,13条患肢(61.9%)间歇性跛行、患肢静息痛等临床症状基本消失,足背或胫后动脉搏动恢复;8条(38.1%)患肢明显缓解.6条肢体术前伴足趾溃疡者,术后创面均愈合;1条足趾坏疽肢体清创换药23天后行截趾术,术后切口愈合良好.术后1、3、6个月通畅率分别为95.2%、85.7%、61.9%.结论 腔内加压注射丹参注射液作为长球囊PTA微创治疗糖尿病合并膝下血管病变的补充,可促进动脉侧支血管生成,改善血供,改善微循环,促进糖尿病足溃疡面愈合,近期疗效好、通畅率高,值得推广.%Objective Review the curative effect of percutaneous transluminal angioplasty ( PTA) combined with salvia injection to the below knee vascular lesion of diabetic. Methods Collect 19 diabetics with together 23 inferior genicular artery blunting. First, remove obstacles from angusty or obliterative blood vessel by percutaneous transluminal angioplasty (PTA) , then begin intracavitary pressurize injection used the salvia miltiorrhiza, and observe the ankle brachial index (ABI) ,patency rate, the time of anabrosis healing and the amelioration of clinical symptom. Results The 21 affected limb of them were Curat successfully,the achievement ratio of technique was 91.3% (21/23). ABI ascensus from 0. 31 ± 0. 14 of preoperative to 0. 71

  5. Exercise transcutaneous oxygen pressure measurement has good sensitivity and specificity to detect lower extremity arterial stenosis assessed by computed tomography angiography.

    Science.gov (United States)

    Koch, Caroline; Chauve, Emmanuel; Chaudru, Ségolène; Le Faucheur, Alexis; Jaquinandi, Vincent; Mahé, Guillaume

    2016-09-01

    Peripheral artery disease (PAD) is a highly prevalent disease diagnosed by the use of ankle-brachial index (ABI) at rest. In some clinical conditions (diabetes, renal insufficiency, advanced age), ABI can be falsely normal and other tests are required for the PAD diagnosis (American Heart Association statement). This study was conducted to determine the accuracy of exercise transcutaneous oxygen pressure measurement (exercise-TcPo2) in detection of arterial stenosis ≥50% using computed tomography angiography (CTA) as the gold standard.We retrospectively analyzed consecutive patients referred to our vascular unit (University Hospital, Rennes, France) for exercise-TcPo2 testing from 2014 to 2015. All included patients had a CTA performed within 3 months of the exercise-TcPo2 test. Exercise-TcPo2 was performed on treadmill (10% slope; 2 mph speed). We calculated the Delta from Resting Oxygen Pressure (DROP) index (expressed in mm Hg) at the proximal and distal levels. Two blinded physicians performed stenosis quantification on CTA. The receiver operating characteristic (ROC) curve was used to define a cutoff point to detect arterial stenosis ≥50%, stenosis ≥60%, and stenosis ≥70%.A total of 34 patients (mean age 64 ± 2 years old; 74% men) were analyzed. The highest areas under the curve (AUC) were found for 60% stenosis at both proximal and distal levels. For stenosis ≥50%, sensitivity and specificity of proximal minimal DROP were 80.9% [67.1-89.7], 81.0% [59.3-92.7] respectively. For stenosis ≥50%, sensitivity and specificity of distal minimal DROP were 73.2% [60.3-83.1], 83.3% [53.8-96.2], respectively. For stenosis ≥60%, sensitivity and specificity of proximal minimal DROP were 82.5% [67.6-91.5] and 85.7% [67.7-94.8] respectively. For stenosis ≥60%, sensitivity and specificity of distal minimal DROP were 80.4% [67.3-89.1] and 88.2% [64.2-97.7], respectively. For stenosis ≥70%, sensitivity and specificity of proximal minimal DROP were 85

  6. Percentile distribution of blood pressure readings in relation to body mass index: a populationbased cross-sectional study ADOPOLNOR

    Directory of Open Access Journals (Sweden)

    Krzyżaniak Alicja

    2015-03-01

    Full Text Available Recent upward trends toward elevated blood pressure and increased weight expressed in terms of body mass index in children and adolescents call for regular monitoring of their physical growth and age-related changes in blood pressure. This requires adequate tools - reference values of a normal blood pressure range. The main objective of this study was to provide sex- and BMI-specific percentile reference values for systolic and diastolic blood pressure based on the adolescent Polish population, participants in the ADOPOLNOR study. A cross-sectional survey was carried out on a representative, randomly selected cohort of 4,941; 2,451 male and 2,490 female students aged 10-18 years, residents in Wielkopolska province and its capital, the city of Poznań. All examinations were performed in school nursery rooms during morning hours according to standard procedures. Body height and weight were measured and BMI was calculated. Blood pressure was measured twice on each occasion on the right arm using a fully calibrated TECH MED TM-Z mercury gauge sphygmomanometer with sets of exchangeable cuffs and a clinical stethoscope. The blood pressure classification was determined using the surveillance method. For each participant, the mean of measurements taken on each of the three occasions was calculated and served as his/her final blood pressure value. Using the LMS method, fitted percentile curves were created for BMI-related systolic and diastolic blood pressure. The findings revealed that age related blood pressure pattern was similar in boys and girls. It showed a steady increase of systolic and diastolic blood pressure with age. There was a positive correlation between the systolic and diastolic blood pressure indicating that when systolic blood pressure increased so diastolic did (r=0.61 at p<0.01. Boys were likely to have relatively higher mean values of systolic and diastolic blood pressure and steeper slope for BMI-related change in blood pressure

  7. Postoperative noninvasive evaluation of femorotibial bypass grafts

    International Nuclear Information System (INIS)

    This paper illustrates the value of conducting frequent postoperative examinations that include recordings of the Doppler velocity tracings and measurements of the ankle brachial index (ABI) of systolic pressure. In a study conducted in the authors' laboratory, these measurements revealed significant decreases in the ABIs of 11 patients, signaling the need for arteriograms and corrective surgery. Obstructive changes in the Doppler velocity tracings, which may occur before significant decreases in ankle pressure, were also noted. Because the laboratory criteria are more sensitive than the history or physical examination, the authors recommend systematic postoperative examination of patients in the vascular laboratory

  8. The Relation of Body Mass Index and Blood Pressure in Iranian Children and Adolescents Aged 7- 18 Years Old

    Directory of Open Access Journals (Sweden)

    M Hosseini

    2010-12-01

    Full Text Available Background: The obesity and hypertension are the major risk factors of several life threatening diseases. The present study was aimed to investigate the relation between body mass index (BMI the validated index of adiposity and different aspect of blood pressure (BP. Methods: Systolic and diastolic blood pressures and also weight and height of 7 to 18 years old children and adolescent col­lected in 2002 and 2004 respectively. Data was consisted of 14865 schoolchildren and adolescents from representative sam­ple of country. BMI was classified according to CDC 2000 standards into normal (BMI<85th percentile, at risk of over­weight (BMI≥85th and <95th percentile and overweight (BMI≥ 95th percentile. Then, age-sex specific prevalence of be­ing overweight was derived. ANOVA was used to investigate the effect of BMI on systolic blood pressure and diastolic blood pressure and mean arterial pressure of participants. Results: Mean systolic blood pressure (SBP, diastolic blood pressure (DBP and mean arterial blood pressure (MAP signifi­cantly increased with BMI (P< 0.0001 and age groups (P< 0.0001, and was significantly (P< 0.0001 higher in boys than girls especially in older ages. (P< 0.0001, interaction of age and BMI level. The proportion of being overweight was signifi­cantly higher in boys than girls was (7.4% vs. 3.6%; P< 0.0001. Conclusion: There is an association between BP and BMI in children and adolescence. SBP, DBP and MAP are associated with rise in BMI and age, which was lower in girls. This data can provide basics for public health policy makers and pri­mary prevention policies in the country.

  9. Design and methodology for calculating the environmental pressure index as a tool for environmental land planning: the case of Cundinamarca

    International Nuclear Information System (INIS)

    The aim of this work is to provide a practical tool to carry out environmental planning and management processes regarding the use of space, in a complex way including not only biophysical but socioeconomic criteria. In the context of river basin management the Environmental Social Pressure Index was created. This paper presents an Environmental Planning and Management definition, based on the Ecological Supporting Structure, as well as one of sustainability, worked out of several authors. This work offers the methodological sequence to design and calculate a customized Environmental Social Pressure Index according to the specific features of any given territory, using the conceptual framework developed earlier and the multivariate analysis and power laws tools. Finally we present an exercise to illustrate this process, developed for Cundinamarca for 1995

  10. Pressure Sensing in High-Refractive-Index Liquids Using Long-Period Gratings Nanocoated with Silicon Nitride

    Directory of Open Access Journals (Sweden)

    Jiahua Chen

    2010-12-01

    Full Text Available The paper presents a novel pressure sensor based on a silicon nitride (SiNx nanocoated long-period grating (LPG. The high-temperature, radio-frequency plasma-enhanced chemical-vapor-deposited (RF PECVD SiNx nanocoating was applied to tune the sensitivity of the LPG to the external refractive index. The technique allows for deposition of good quality, hard and wear-resistant nanofilms as required for optical sensors. Thanks to the SiNx nanocoating it is possible to overcome a limitation of working in the external-refractive-index range, which for a bare fiber cannot be close to that of the cladding. The nanocoated LPG-based sensing structure we developed is functional in high-refractive-index liquids (nD > 1.46 such as oil or gasoline, with pressure sensitivity as high as when water is used as a working liquid. The nanocoating developed for this experiment not only has the highest refractive index ever achieved in LPGs (n > 2.2 at λ = 1,550 nm, but is also the thinnest (

  11. Yearly evolution of organ damage markers in diabetes or metabolic syndrome: data from the LOD-DIABETES study

    Directory of Open Access Journals (Sweden)

    Rodriguez-Sanchez Emiliano

    2011-10-01

    Full Text Available Abstract Background Cardiovascular disease morbidity-mortality is greater in people with type 2 diabetes mellitus or metabolic syndrome. The purpose of this study was to evaluate the yearly evolution of organ damage markers in diabetes or metabolic syndrome, and to analyze the associated factors. Methods An observational prospective study was carried out in the primary care setting, involving 112 patients: 68 diabetics and 44 subjects with metabolic syndrome, subjected to 12 months of follow-up. Measurements: traditional cardiovascular risk factors (blood pressure, blood glucose, lipids, smoking, body mass index (BMI and and non-traditional risk factors (waist circumference, hsC Reactive Protein and fibrinogen; subclinical vascular (carotid intima-media thickness, pulse wave velocity and ankle/brachial index, cardiac (Cornell voltage-duration product, renal organ damage (creatinine, glomerular filtration and albumin/creatinine index, and antihypertensive and lipid-lowering drugs. Results At baseline, the diabetics presented a mean age of 59.9 years, versus 55.2 years in the subjects with metabolic syndrome (p = 0.03. Diastolic blood pressure, total cholesterol and HDL-cholesterol were lower among the patients with diabetes, while blood glucose and HbA1c, as well as antihypertensive and lipid-lowering drug use, were greater. At evaluation after one year, the diabetics showed a decrease in BMI (-0.39, diastolic blood pressure (-3.59, and an increase in fibrinogen (30.23 mg/dL, ankle/brachial index (0.07 and the number of patients with ankle/brachial index pathologic decreased in 6. In turn, the patients with metabolic syndrome showed an increase in HDL-cholesterol (1-91 mg/dL, fibrinogen (25.54 mg/dL, Cornell voltage-duration product (184.22 mm/ms, ankle/brachial index (0.05 and the use of antihypertensive and lipid-lowering drugs, and a reduction in serum glucose (3.74 mg/dL, HOMA, systolic (-6.76 mmHg, diastolic blood pressure (-3.29 mmHg, and

  12. An evaluation of ankle–brachial blood pressure index in adult Nigerians with sickle cell anaemia

    OpenAIRE

    Oguanobi, NI; Onwubere, BJC; Ike, SO; Ejim, EC; Ibegbulam, OG; Agwu, O.

    2012-01-01

    Aim There are few studies to be found in the literature on ankle–brachial index in sickle cell disease. The aim of this study was to compare ankle–brachial index of steady-state adult sickle cell anaemia patients with that of normal controls. Methods A descriptive cross-sectional study of 62 sickle cell anaemia patients and 62 age- and gender-matched normal controls was carried out in the adult outpatient sickle cell clinics and the cardiac centre of the University of Nigeria Teaching Hospita...

  13. Nitroglycerin reduces augmentation index and central blood pressure independent of effects on cardiac preload

    Institute of Scientific and Technical Information of China (English)

    Mike; Saddon; Karen; McNeil; Philip; Chowienczyk

    2009-01-01

    Objective To determine whether reduction in central pressure augmentation and central systolic blood pressure by nitroglycerine (NTG) results from effects on pre-load or is due to arterial dilation. Methods We compared effects of NTG with those of lower body negative pressure (LBNP). Hemodynamic measurements were made at rest,during LBNP (10,20 and 30 mmHg,each for 15 min) and after NTG (10,30 and 100 μg/min,each dose for 15 min) in ten healthy volunteers. Cardiac pre-load,stroke volume and cardiac output w...

  14. High risk of peripheral arterial disease in the United Kingdom: 2-year results of a prospective registry.

    Science.gov (United States)

    Stansby, Gerard; Mister, Rebecca; Fowkes, Gerry; Roughton, Michael; Nugara, Fiona; Brittenden, Julie; Bradbury, Andrew; Ashley, Simon; Shearman, Cliff; Hannon, Ray; Flather, Marcus

    2011-02-01

    We report a prospective 2-year, multicenter study of patients presenting with intermittent claudication (IC; ankle brachial blood pressure index, ABPI ≤ 0.9). Mean age of the 473 patients enrolled was 68 years, 20% were diabetics, 30% had prior symptomatic coronary heart disease (CHD), 7% had prior stroke, and 39% were current smokers. At baseline, 26.2% of patients had BP ≤ 140/85 mm Hg or lower and at 2 years this figure was 32.5% (P = .01). Current smokers had fallen to 27% (from 39%) at 2 years (P ABPI. PMID:21220371

  15. Prospective comparison of noninvasive techniques for amputation level selection

    International Nuclear Information System (INIS)

    This study prospectively compared the following tests for their accuracy in amputation level selection: transcutaneous oxygen, transcutaneous carbon dioxide, transcutaneous oxygen-to-transcutaneous carbon dioxide, foot-to-chest transcutaneous oxygen, intradermal xenon-133, ankle-brachial index, and absolute popliteal artery Doppler systolic pressure. All metabolic parameters had a high degree of statistical accuracy in predicting amputation healing whereas none of the other tests had statistical reliability. Amputation site healing was not affected by the presence of diabetes mellitus nor were the test results for any of the metabolic parameters

  16. Daily Liquorice Consumption for Two Weeks Increases Augmentation Index and Central Systolic and Diastolic Blood Pressure

    Science.gov (United States)

    Leskinen, Miia H.; Hautaniemi, Elina J.; Tahvanainen, Anna M.; Koskela, Jenni K.; Päällysaho, Marika; Tikkakoski, Antti J.; Kähönen, Mika; Kööbi, Tiit; Niemelä, Onni; Mustonen, Jukka; Pörsti, Ilkka H.

    2014-01-01

    Background Liquorice ingestion often elevates blood pressure, but the detailed haemodynamic alterations are unknown. We studied haemodynamic changes induced by liquorice consumption in 20 subjects versus 30 controls with average blood pressures of 120/68 and 116/64 mmHg, respectively. Methods Haemodynamic variables were measured in supine position before and after two weeks of liquorice consumption (daily glycyrrhizin dose 290–370 mg) with tonometric recording of radial blood pressure, pulse wave analysis, and whole-body impedance cardiography. Thirty age-matched healthy subjects maintaining their normal diet were studied as controls. Results Two weeks of liquorice ingestion elevated peripheral and central systolic and diastolic blood pressure (by 7/4 and 8/4 mmHg, 95% confidence intervals [CI] 2-11/1-8 and 3-13/1-8, respectively, P ClinicalTrials.gov NCT01742702 PMID:25153328

  17. Correlation of intraocular pressure with blood pressure and body mass index in offsprings of diabetic patients: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Shailaja Patil, Anita Herur, Shashikala GV, Surekharani Chinagudi, Manjula R, Roopa Ankad, Sukanya Badami, Brid SV

    2014-07-01

    Full Text Available Background: Raised intraocular pressure (IOP has been associated with risk factors like hypertension, diabetes mellitus (DM, obesity, body mass index (BMI and sex, increasing the risk of glaucoma causing visual impairment and blindness. Since familial inheritance is known with glaucoma and DM, the aim was to study the IOP and its correlation with BMI and blood pressure (BP in offsprings of DM and also to predict the future/early onset of glaucoma in them. Methods: This was an observational study done in medical undergraduate students. 25 students were included in the study group (offsprings of diabetic parents-cases and 23 students in the control group (offsprings without diabetic history in parents. Height, weight, blood pressure and intraocular pressure were recorded in both the groups and these were compared. Statistical analysis was done by student’s t test and Pearson’s correlation. Results: Cases exhibited a lower IOP, BMI, mean arterial pressure (MAP and diastolic blood pressure (DBP, but not SBP, as compared to controls. These differences, however, were not statistically significant except DBP. There was a negative correlation found between IOP and BMI and also between IOP and MAP in cases, whereas in controls, there was a positive correlation found between BMI and IOP and no correlation between IOP and MAP. Conclusion: Offsprings of diabetic patients may be less prone for primary open angle glaucoma. Limitations: The limitations of the present study include a smaller sample size, study of the results in relation to paternal or maternal diabetic status and also of grandparents, so that the inheritance of diabetes and also of IOP can be studied.

  18. Arterial compliance in patients with cirrhosis: stroke volume-pulse pressure ratio as simplified index

    DEFF Research Database (Denmark)

    Henriksen, J H; Fuglsang, Stefan; Bendtsen, Flemming; Christensen, E; Møller, Søren

    2001-01-01

    %, respectively; P < 0.001) in cirrhotic patients (n = 49) than in control subjects (n = 19), and a close correlation between C(1) and SV/PP was found in both cirrhotic patients (r = 0.86, P < 0.001) and control subjects (r = 0.96, P < 0.001). Univariate analysis showed significant relations between C(1) and SV....../PP on one side and age, sex, body weight, portal pressure, systemic hemodynamics, biochemical variables, and severity of disease on the other. In the multiple-regression analysis, sex, age, mean arterial blood pressure, systemic vascular resistance, and biochemical variables were significant independent...

  19. Pressure Sensing in High-Refractive-Index Liquids Using Long-Period Gratings Nanocoated with Silicon Nitride

    OpenAIRE

    Jiahua Chen; Mateusz Smietana; Predrag Mikulic; Bock, Wojtek J.

    2010-01-01

    The paper presents a novel pressure sensor based on a silicon nitride (SiNx) nanocoated long-period grating (LPG). The high-temperature, radio-frequency plasma-enhanced chemical-vapor-deposited (RF PECVD) SiNx nanocoating was applied to tune the sensitivity of the LPG to the external refractive index. The technique allows for deposition of good quality, hard and wear-resistant nanofilms as required for optical sensors. Thanks to the SiNx nanocoating it is possible to overcome a limitation of ...

  20. A novel index for predicting intraocular pressure reduction following cataract surgery

    OpenAIRE

    Issa, S A; Pacheco, J.; Mahmood, U; Nolan, J; Beatty, S

    2005-01-01

    Aim: The results of a study designed to investigate the predictive value of preoperative anterior chamber depth (ACD) and intraocular pressure (IOP) are reported. The relation between these factors and their effect on the reduction in IOP following phacoemulsification cataract surgery was also studied.

  1. Elastic compression treatment of chronic superficial venous insufficiency of the lower limbs based on Doppler venous pressure index measurements

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    Leonardo Corcos

    2015-03-01

    Full Text Available Ineffectiveness or discomfort from graduated elastic compression stockings (GES in patients with chronic venous insufficiency (CVI and/or varicose veins of the lower limbs (VVLL can depend of inappropriate counter pressure applied. Counter pressure was calculated by Doppler venous pressure index (VPI. The aim of this study was to verify the value VPI in the choice of GES. A total of 1212 LL of 606 patients subjected to VPI measurements VPI correlated with the various sites of reflux (R and C of Clinical-Etiology-Anatomy-Pathophysiology (CEAP classification. The difference between standing VPI the and normal values=counter pressure to be applied by GES. Questionnaire to 96 patients with CVI/VVLL wearing GES. Mean VPI values: greater saphenous (GSV>smaller saphenous; GSV with isolated venous reflux (R at the leg>GSV at the thigh; additional R in perforators increases VPI in all the districts; superficial R increases VPI in PT. Relation between VPI/C of CEAP: P<0.05-0.0001; 81/83/96 (97.5% patients improved; 0 complained. R in GSV at the leg and in perforators increases VPI in deep veins. Few discrepancies VPI/CEAP can be expected. Standing VPI is highly predictive. The best choice of GES can be based on the VPI measurement.

  2. Emission Characteristics of High Color Rendering Index Low-Pressure Xe and CO ICP's Light Source

    Science.gov (United States)

    Nazri, Ahmad; Kondo, Akira; Motomura, Hideki; Jinno, Masafumi

    High color rendering index (CRI) has been obtained from mercury-free ICP’s lamp. Due to the strong demand on the development of mercury-free light sources, the authors investigated xenon and CO as an alternative element. These rare (Xe) and molecule (CO) gases have been used as a substitute for mercury as the environmental problems related necessitate the development of new type of light sources. The target of this study is to develop a new type of mercury-free lamp without using a phosphor where the authors concentrate on how to obtain a strong visible light instead of UV. In this paper, the colors, luminance and emission characteristics of these types of mercury-free ICP’s lamp is discussed. Without the use of phosphor, the authors obtained a good color rendering from xenon and CO ICP’s lamp where their CRI’s above 90. A strong continuum emission in visible region is obtained where luminance are ranged from 2000 to 25000 cd/m2 at 100 W of input power. Spectral distribution shows the continuum emissions are similar to the daylight distribution and chromaticity diagrams shows they are close to white region in color coordinates and color temperatures bringing a high index of the lamp’s color rendering.

  3. ASSOCIATION OF BODY MASS INDEX WITH INTERARM BLOOD PRESSURE DIFFERENCE: A COMPARATIVE AND CROSS SECTIONAL STUDY

    Directory of Open Access Journals (Sweden)

    Namala Surya

    2015-11-01

    Full Text Available The major health problem faced by the 13% of world population is obesity and this obesity and overweight may lead to many health consequences such as cardiovascular diseases, diabetes and some cancers to mention a few. Objective of present study is to find the relation between the increased BMI and the interarm blood pressure difference. MATERIALS AND METHODS The present study was conducted on 180 subjects with age ranging from 18 to 50 years. They were divided into two groups based on the BMI. Subjects with normal BMI (25Kg/M2. The study was conducted in the GSL Medical College and General Hospital, Rajahmundry. RESULTS On comparing the results in overweight subjects in the age group of 40-50 were found to have interarm difference in the mean systolic blood pressure of more than 10mmHg, i.e. Mean value of 13.04+ 2.34(<0.001. CONCLUSION The overweight individuals with age more than 40 years, there is interarm difference in the mean systolic blood pressure, which is an indicator of peripheral vascular disease.

  4. Effects of Low-Load, Elastic Band Resistance Training Combined With Blood Flow Restriction on Muscle Size and Arterial Stiffness in Older Adults.

    Science.gov (United States)

    Yasuda, Tomohiro; Fukumura, Kazuya; Uchida, Yusuke; Koshi, Hitomi; Iida, Haruko; Masamune, Ken; Yamasoba, Tatsuya; Sato, Yoshiaki; Nakajima, Toshiaki

    2015-08-01

    We examined the effect of low-load, elastic band resistance training with blood flow restriction (BFR) on muscle size and arterial stiffness in older adults. Healthy older adults (aged 61-85 years) were divided into BFR training (BFR-T, n = 9) or non-BFR training (CON-T, n = 8) groups. Both groups performed low-load arm curl and triceps down exercises (four sets, total 75 repetitions for each) using an elastic band, 2 d/wk for 12 weeks. The BFR-T group wore inflated pneumatic elastic cuffs (120-270 mm Hg) on both arms during training. Magnetic resonance imaging-measured muscle cross-sectional area of the upper arm, maximum voluntary isometric contraction of the elbow flexors and extensors, cardio-ankle vascular index testing, and ankle-brachial pressure index were measured before and 3-5 days after the final training session. Muscle cross-sectional area of the elbow flexors (17.6%) and extensors (17.4%) increased, as did elbow flexion and elbow extension maximum voluntary isometric contraction (7.8% and 16.1%, respectively) improved (p ankle vascular index and ankle-brachial pressure index testing, there were no changes between pre- and post-results in either group. In conclusion, elastic band BFR-T improves muscle cross-sectional area as well as maximal muscle strength but does not negatively affect arterial stiffness in older adults. PMID:24917178

  5. Co-relation of blood pressure with Body Mass Index (BMI and Waist TO Hip Ratio (WHR in middle aged men

    Directory of Open Access Journals (Sweden)

    Dr. D. B. Tambe MD

    2010-07-01

    Full Text Available Obesity and cardiovascular risks are closely associated. Hypertension is the most common and early complication of obesity. Obesity is measured with different parameters like Body Mass Index, Waist to Hip Ratio etc. In the present study we have tried to link parameters of obesity with hypertension. We have found that in hypertensive middle aged Indian males diastolic blood pressure showed a better correlation with Waist to Hip Ratio rather than with Body Mass Index.

  6. [A novel approach of using fouling index to evaluate NOM fouling behavior during low pressure ultrafiltration process].

    Science.gov (United States)

    Xiao, Ping; Xiao, Feng; Zhao, Jing-Hui; Qin, Tong; Wang, Dong-Sheng; Feng, Jin-Rong; Xu, Guang

    2012-12-01

    In this study, fouling index (FI) was introduced as a novel approach to investigate NOM fouling behavior during low pressure membrane ultrafiltration process. Three kinds of typical NOMs, humic acid (HA), bovine serum albumin (BSA) and sodium alginate (NaAlg), were used in the experiments. The results indicated that the fouling caused by NOM can be considered as two steps with different FI values. One is the fast fouling phase, and the other is the slow phase. Apparently, the total fouling index of the fast phase (TFI(F)) was much greater than that of the slow phase (TFI(S)), which means the initial interaction between NOM and membrane would play a significant role in the whole fouling process. A higher TFI(F) could lead to a faster fouling and the flux would decline more rapidly. After hydraulic washing, the flux was recovered and the resistance was reduced, indicating that physical cleaning could remove a part of foulants. Additionally, the results also represented that the sequences of NOM causing irreversible fouling and chemical clean irreversible fouling were BSA > HA > NaAlg and NaAlg > BSA > HA, respectively. Humic acid and protein tended to cause irreversible fouling and were easily removed by alkaline cleaning, while irreversible fouling caused by polysaccharide was difficult to remove by alkaline. The main cause of membrane fouling may be the interaction between foulants and membrane, which needs further research. Generally speaking, FI with a simple expression would play a significant role to describe the membrane fouling. PMID:23379159

  7. Relation of Body's Lean Mass, Fat Mass, and Body Mass Index With Submaximal Systolic Blood Pressure in Young Adult Men.

    Science.gov (United States)

    Prasad, Vivek K; Drenowatz, Clemens; Hand, Gregory A; Lavie, Carl J; Sui, Xuemei; Demello, Madison; Blair, Steven N

    2016-02-01

    We examined the association of body composition and body mass index (BMI) with submaximal systolic blood pressure (SSBP) among young adult men. The analysis included 211 men with BMI between 20 and 35 kg/m(2). Total lean mass and fat mass were measured using dual x-ray absorptiometry and lean mass percentage was calculated from the total lean mass. Fat mass index (FMI) and BMI were calculated using height and weight (total fat mass and total weight, respectively) measurements. SSBP was measured at each stage of a graded exercise test. Quintiles of lean mass percentage, FMI, and BMI were created with quintile 1 the lowest and quintile 5 the highest lean mass percentage, FMI, and BMI. Compared with men in lean mass percentage quintile 1, those in quintiles 2, 3, and 4 had significantly lower SSBP, whereas there was no significant difference in SSBP between quintile 1 and 5 at 6, 8, and 10 minutes. Compared with men in FMI quintile 5, those in quintiles 2, 3, and 4 had significantly lower SSBP, whereas there was no significant difference in SSBP between quintile 1 and 5. SSBP among men in lean mass percentage quintile 5 and FMI quintile 1 were still less than lean mass percentage quintile 1 and FMI quintile 5, respectively. There were no significant differences in SSBP across BMI quintiles 1 to 4 but a significantly higher SSBP in quintile 5 compared with quintiles 1 to 4. In conclusion, there was a J-curve pattern between SSBP and components of body composition, whereas, a linear relation between SSBP and BMI. PMID:26718229

  8. Blood pressure-independent effect of candesartan on cardio-ankle vascular index in hypertensive patients with metabolic syndrome

    Directory of Open Access Journals (Sweden)

    Kanako Bokuda

    2010-07-01

    Full Text Available Kanako Bokuda1, Atsuhiro Ichihara1,2, Mariyo Sakoda1, Asako Mito1, Kenichiro Kinouchi1, Hiroshi Itoh11Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan; 2Department of Endocrinology and Anti-Aging Medicine, Keio University School of Medicine, Tokyo, JapanAbstract: Angiotensin receptor blockers (ARBs are known to reduce the cardiovascular risk in hypertensive patients. This study was designed to examine the effect of an ARB candesartan on subclinical atherosclerosis assessed by cardio-ankle vascular index (CAVI in comparison with calcium channel blockers (CCBs alone in hypertensive patients with metabolic syndrome (MetS. A total of 53 consecutive hypertensive patients with MetS were randomly assigned to the candesartan group, in which candesartan was added on, or the CCBs group, in which CCBs were added on. Clinical and biological parameters were obtained before and after the 12-month treatment period. The primary measure of efficacy was the %change in CAVI. When treated with candesartan, but not CCBs, CAVI significantly decreased from 8.7 to 7.7 by 11%. Blood pressure (BP significantly decreased with both treatments, but the differences between groups were not significant. The changes in other parameters remained unchanged in both the groups. Analysis of covariance found that both the BP reduction and the therapy difference contributed to the decrease in CAVI, but the BP reduction was not involved in the decrease in CAVI caused by the difference in the therapy. Candesartan may be a better antihypertensive drug than CCBs to that subclinical atherosclerosis of patients with MetS.Keywords: albuminuria, ambulatory blood pressure, calcium channel blockers, carotid ­intima-media thickness

  9. Prevalence of peripheral arterial disease in patients with diabetes mellitus in a primary care setting.

    Science.gov (United States)

    Rabia, K; Khoo, E M

    2007-06-01

    The aims of the study were to determine the prevalence of peripheral arterial disease (PAD) in diabetic patients and in different ethnic groups at a primary care setting, and to evaluate risk factors associated with PAD in these diabetic patients. A cross sectional study of 200 diabetic patients over 18 years old who attended a primary care clinic at a teaching hospital in Kuala Lumpur, Malaysia was carried out. Face-to-face interviews were conducted using structured questionnaires for demographic characteristics and risk factors evaluation. Blood pressure measurements, assessment of peripheral neuropathy and ankle brachial pressures were performed. PAD was diagnosed by an ankle brachial pressure index (ABPI) of <0.9 on either leg. The overall prevalence of PAD was 16% in this diabetic population. The prevalence of PAD was 5.8% in Malays, 19.4% in Chinese and 19.8% in Indians. The prevalence of peripheral neuropathy was 41%, foot ulcer 9.5%, and gangrene 3.0%. The presence of foot ulcer was weakly associated with PAD (P=0.052). No significant relationships were found between age, gender, smoking status, duration of diabetes mellitus, hypertension, dyslipidaemia, and PAD. PAD is common in the diabetic population of this study. PMID:18705445

  10. Bispectral index in dogs with high intracranial pressure, anesthetized with propofol and submitted to two levels of FiO2

    Directory of Open Access Journals (Sweden)

    P.C.F. Lopes

    2011-12-01

    Full Text Available The effects of inspired oxygen fractions (FiO2 of 1 and 0.6 on bispectral index (BIS in dogs with high intracranial pressure, submitted to a continuous rate infusion of propofol were evaluated. Eight dogs were anesthetized on two occasions, receiving, during controlled ventilation, an FiO2 = 1 (G100 or an FiO2 = 0.6 (G60. Propofol was used for induction (10mg.kg-1, IV, followed by a continuous rate infusion (0.6mg.kg-1.minute-1. After 20 minutes, a fiber-optic catheter was implanted on the surface of the right cerebral cortex to monitor the intracranial pressure, the baseline measurements of BIS values, signal quality index, suppression ratio number, electromyogram indicator, end-tidal carbon dioxide partial pressure, mean arterial pressure, intracranial pressure and cerebral perfusion pressure were taken. Then, the blood flow from the right jugular vein was interrupted in order to increase intracranial pressure and after 20 minutes additional recordings were performed at 15-minute intervals (T0, T15, T30, T45 and T60. The arterial oxygen partial pressure varied according to the changes in oxygen. For the other parameters, no significant differences were recorded. The BIS monitoring was not influenced by different FiO2.

  11. Investigation of Peak Pressure Index Parameters for People with Spinal Cord Injury Using Wheelchair Tilt-in-Space and Recline: Methodology and Preliminary Report

    Directory of Open Access Journals (Sweden)

    Chi-Wen Lung

    2014-01-01

    Full Text Available The purpose of this study was to determine the effect of the sensel window’s location and size when calculating the peak pressure index (PPI of pressure mapping with varying degrees of wheelchair tilt-in-space (tilt and recline in people with spinal cord injury (SCI. Thirteen power wheelchair users were recruited into this study. Six combinations of wheelchair tilt (15°, 25°, and 35° and recline (10° and 30° were used by the participants in random order. Displacements of peak pressure and center of pressure were extracted from the left side of the mapping system. Normalized PPI was computed for three sensel window dimensions (3 sensels × 3 sensels, 5 × 5, and 7 × 7. At least 3.33 cm of Euclidean displacement of peak pressures was observed in the tilt and recline. For every tilt angle, peak pressure displacement was not significantly different between 10° and 30° recline, while center of pressure displacement was significantly different (P<.05. For each recline angle, peak pressure displacement was not significantly different between pairs of 15°, 25°, and 35° tilt, while center of pressure displacement was significantly different between 15° versus 35° and 25° versus 35°. Our study showed that peak pressure displacement occurs in response to wheelchair tilt and recline, suggesting that the selected sensel window locations used to calculate PPI should be adjusted during changes in wheelchair configuration.

  12. BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report. [v1; ref status: indexed, http://f1000r.es/2oi

    OpenAIRE

    Smith, Matthew M. J.

    2014-01-01

    A patient undergoing general anaesthesia for neurosurgery exhibited an unexpected sudden decrease in the BiSpectral Index (BIS) value to near-zero. This prompted the detection of profound hypotension using non-invasive blood pressure (NIBP) measurement and expedited urgent assessment and treatment, with the patient making a full recovery. Widely regarded as a ‘depth of anaesthesia’ monitor, this case demonstrates the potential extra clinical benefit BIS may have in the detection of critical i...

  13. Multi-index method using offshore ocean-bottom pressure data for real-time tsunami forecast

    Science.gov (United States)

    Yamamoto, Naotaka; Aoi, Shin; Hirata, Kenji; Suzuki, Wataru; Kunugi, Takashi; Nakamura, Hiromitsu

    2016-07-01

    We developed a real-time tsunami forecast method using only pressure data collected from the bottom of the ocean via a dense offshore observation network. The key feature of the method is rapid matching between offshore tsunami observations and pre-calculated offshore tsunami spatial distributions. We first calculate the tsunami waveforms at offshore stations and the maximum coastal tsunami heights from any possible tsunami source model and register them in the proposed Tsunami Scenario Bank (TSB). When a tsunami occurs, we use multiple indices to quickly select dozens of appropriate tsunami scenarios that can explain the offshore observations. At the same time, the maximum coastal tsunami heights coupled with the selected tsunami scenarios are forecast. We apply three indices, which are the correlation coefficient and two kinds of variance reductions normalized by the L2-norm of either the observation or calculation, to match the observed spatial distributions with the pre-calculated spatial distributions in the TSB. We examine the ability of our method to select appropriate tsunami scenarios by conducting synthetic tests using a scenario based on "pseudo-observations." For these tests, we construct a tentative TSB, which contains tsunami waveforms at locations in the Seafloor Observation Network for Earthquakes and Tsunamis along the Japan Trench and maximum coastal tsunami heights, using about 2000 tsunami source models along the Japan Trench. Based on the test results, we confirm that the method can select appropriate tsunami scenarios within a certain precision by using the two kinds of variance reductions, which are sensitive to the tsunami size, and the correlation coefficient, which is sensitive to the tsunami source location. In this paper, we present the results and discuss the characteristics and behavior of the multi-index method. The addition of tsunami inundation components to the TSB is expected to enable the application of this method to real

  14. Does caval aorta index correlate with central venous pressure in intravascular volume assessment in patients undergoing endoscopic transuretheral resection of prostate?

    Directory of Open Access Journals (Sweden)

    G F El-Baradey

    2016-01-01

    Full Text Available Background and Objective: Ultrasonography has been suggested as a useful noninvasive tool for intravascular volume assessment in critically ill-patients. Fluid absorption is an inevitable complication of transurethral resection of the prostate (TURP. However, there are few data comparing the caval aortic index with central venous pressure (CVP measurement for intravascular volume assessment in patients undergoing TURP. Materials and Methods: This is a prospective observer blinded study carried out on 50 patients who underwent elective TURP. The primary outcome measure of our study was the correlation of the caval aorta (Ao index with CVP, and the secondary outcome measures were the sensitivity and specificity of the caval Ao index. Results: There was a positive correlation of inferior vena cava/Ao (IVC/Ao index to CVP (R = 0.9 and significant P = 0.001FNx01. The sensitivity and specificity of the IVC/Ao index were measured to predict the CVP. A CVP ≤7 cm H 2 O correlated with IVC/Ao index 0.8 ± 0.3 mean ± standard deviation (SD (sensitivity 0.93, specificity 0.66, a CVP of 8-12 cm H 2 O correlated with IVC/Ao index 1.5 ± 0.2 mean ± SD (sensitivity 0.96, specificity 0.42, and a CVP >12 cm H 2 O correlated with IVC/Ao index 1.8 ± 0.07 mean ± SD (sensitivity 0.93, specificity 0.58. Conclusion: Sonographic caval Ao index is useful for the evaluation of preoperative and intraoperative volume status, especially in major surgeries with marked fluid shift or blood loss and had the advantage of being noninvasive, safe, quick, and easy technique with no complications.

  15. Comparison of knee-high Mediven ulcer kit and Mediven Plus compression stockings: measurement of leg volume, interface pressure and static stiffness index changes

    Directory of Open Access Journals (Sweden)

    Győző Szolnoky

    2013-06-01

    Full Text Available Ulcer stockings are produced to have higher interface pressure and easier application compared to those of classic medical compression stockings. We aimed to compare volume decrease, pressure loss and stiffness index of a classical medical compression stocking and an ulcer stocking of the same interface pressure range in 10 patients with bilateral venous and 10 persons with lymphatic insufficiency. Interface pressure measurement in supine and standing positions and optoelectronic volumetry served for primary outcome variables. Both stockings were capable of inducing remarkable gradual volume reductions in different time points except classic stocking at 2 h in phleboedema care. Ulcer stocking pressures in lymph- and phleboedema were highly superior. In lymphedema a gradual interface pressure loss was attributed to both stockings regardless of body positions. Static stiffness indices did not differ statistically except classic stocking at baseline (P=0.0312 and 2 h (P=0.0082 comprising venous edema patients. Both stockings acted similarly but ulcer stocking had considerably higher interface pressures in each measurement and raised stiffness indices initially and the two-layer system facilitates donning therefore ulcer stocking could serve an alternative of classic medical compression stocking even in the treatment of leg edema.

  16. Cocoa intake and arterial stiffness in subjects with cardiovascular risk factors

    Directory of Open Access Journals (Sweden)

    Recio-Rodríguez José

    2012-02-01

    Full Text Available Abstract Background To analyze the relationship of cocoa intake to central and peripheral blood pressure, arterial stiffness, and carotid intima-media thickness in subjects with some cardiovascular risk factor. Findings Design: A cross-sectional study of 351 subjects (mean age 54.76 years, 62.4% males. Measurements: Intake of cocoa and other foods using a food frequency questionnaire, central and peripheral (ambulatory and office blood pressure, central and peripheral augmentation index, pulse wave velocity, ambulatory arterial stiffness index, carotid intima-media thickness, and ankle-brachial index. Results: Higher pulse wave velocity and greater cardiovascular risk were found in non-cocoa consumers as compared to high consumers (p Conclusions In subjects with some cardiovascular risk factors, cocoa consumption does not imply improvement in the arterial stiffness values. Trial Registration Clinical Trials.gov Identifier: NCT01325064.

  17. BiSpectral Index (BIS monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP measurement during general anaesthesia; a case report. [v1; ref status: indexed, http://f1000r.es/2oi

    Directory of Open Access Journals (Sweden)

    Matthew M. J. Smith

    2014-01-01

    Full Text Available A patient undergoing general anaesthesia for neurosurgery exhibited an unexpected sudden decrease in the BiSpectral Index (BIS value to near-zero. This prompted the detection of profound hypotension using non-invasive blood pressure (NIBP measurement and expedited urgent assessment and treatment, with the patient making a full recovery. Widely regarded as a ‘depth of anaesthesia’ monitor, this case demonstrates the potential extra clinical benefit BIS may have in the detection of critical incidents such as anaphylaxis during general anaesthesia.

  18. Male sex, height, weight, and body mass index can increase external pressure to calf region using knee-crutch-type leg holder system in lithotomy position

    Directory of Open Access Journals (Sweden)

    Mizuno J

    2016-02-01

    Full Text Available Ju Mizuno,1 Toru Takahashi2 1Department of Anesthesiology and Pain Medicine, Juntendo University Faculty of Medicine, Bunkyo-ku, Tokyo, 2Faculty of Health and Welfare Science, Okayama Prefectural University, Soja-shi, Okayama, Japan Background: Well-leg compartment syndrome (WLCS is one of the catastrophic complications related to prolonged surgical procedures performed in the lithotomy position, using a knee-crutch-type leg holder (KCLH system, to support the popliteal fossae and calf regions. Obesity has been implicated as a risk factor in the lithotomy position-related WLCS during surgery. In the present study, we investigated the relationship between the external pressure (EP applied to the calf region using a KCLH system in the lithotomy position and selected physical characteristics. Methods: Twenty-one young, healthy volunteers (21.4±0.5 years of age, eleven males and ten females participated in this study. The KCLH system used was Knee Crutch®. We assessed four types of EPs applied to the calf region: box pressure, peak box pressure, contact pressure, and peak contact pressure, using pressure-distribution measurement system (BIG-MAT®. Relationships between these four EPs to the calf regions of both lower legs and a series of physical characteristics (sex, height, weight, and body mass index [BMI] were analyzed. Results: All four EPs applied to the bilateral calf regions were higher in males than in females. For all subjects, significant positive correlations were observed between all four EPs and height, weight, and BMI. Conclusion: EP applied to the calf region is higher in males than in females when the subject is supported by a KCLH system in the lithotomy position. In addition, EP increases with the increase in height, weight, and BMI. Therefore, male sex, height, weight, and BMI may contribute to the risk of inducing WLCS. Keywords: well-leg compartment syndrome, pressure-distribution measurement system, peak contact pressure

  19. Kan Doppler-ultralyd erstatte strain gauge til måling af systolisk ankelblodtryk?

    DEFF Research Database (Denmark)

    Sørensen, T L; Perner, A; Hansen, L;

    1992-01-01

    Traditionally, strain gauge technique is used in Denmark to measure ankle blood pressure, a method requiring both time and well-trained personnel. In a study involving 90 limbs in 45 patients, this method was compared with ultrasonic technique using a portable 5 MHz Doppler. The reproducibility of...... Doppler ankle pressure measurement was similar to that found in strain gauge based studies. Two consecutive measurements may differ by 20 mmHg or in terms of ankle-brachial index by 0.15 before this is considered significant. No systematic variation was found between the two methods. Increasing...... difficulties were encountered with the Doppler technique at pressures below 50 mmHg. It is concluded that Doppler is a good alternative to strain gauge for measurement of ankle blood pressure....

  20. Relationship between body mass index and exercise blood pressure%人体质量指数与运动血压的相关性研究

    Institute of Scientific and Technical Information of China (English)

    杨露; 胡伟国; 任颖; 陈逸

    2012-01-01

    Objective: To study changes of exercise blood pressure of patients with different body mass index (BMI) when undergoing treadmill stress test. Methods: A total of 224 patients with normal BMI (normal control group) and 109 obese patients (obesity group) underwent treadmill stress test. Exercise blood pressure was compared between the two groups, and relationship between BMI and exercise blood pressure was also analyzed. Results: Compared with normal control group, resting blood pressure [systolic blood pressure (SBP), diastolic blood pressure (DBP)], peak blood pressure (SBP, DBP) during exercise, blood pressure (SBP, DBP) and pulse pressure during recovery period significantly increased in obesity group (P<0. 05 all). Incidence rate of exercise hypertension in o-besity group was significantly higher than that of normal control group (9. 2% vs. 3. 6% , P<0. 05). Linear correlation analysis showed that BMI was significantly positive correlation with exercise blood pressure ( r - 0. 123 ~ 0.205, P<0. 05). Conclusion: Change of exercise blood pressure is abnormal in obese patients, suggesting that vas-omotor dysfunction and cardiac autonomic nervous dysfunction exist in obese patients.%目的:观察人体质量指数(BMI)不同的患者行平板运动试验时运动血压的变化.方法:BMI正常患者224例(正常对照组),肥胖患者109例(肥胖组),行平板运动实验检查,比较两组之间运动血压的差别,并分析BMI和运动血压之间的相关性.结果:肥胖组患者静息血压(收缩压、舒张压),运动峰值血压(收缩压、舒张压),恢复期血压(收缩压、舒张压)和恢复期脉压均明显高于正常对照组(P<0.05).肥胖组患者运动高血压的发生率明显高于正常对照组(9.2比3.6%,P<0.05),且BMI与运动血压呈明显正相关(r=0.123~0.205,P<0.05).结论:肥胖患者运动中血压变化异常,提示肥胖患者有血管舒缩功能障碍和心脏自主神经功能紊乱.

  1. Male sex, height, weight, and body mass index can increase external pressure to calf region using knee-crutch-type leg holder system in lithotomy position

    Science.gov (United States)

    Mizuno, Ju; Takahashi, Toru

    2016-01-01

    Background Well-leg compartment syndrome (WLCS) is one of the catastrophic complications related to prolonged surgical procedures performed in the lithotomy position, using a knee-crutch-type leg holder (KCLH) system, to support the popliteal fossae and calf regions. Obesity has been implicated as a risk factor in the lithotomy position-related WLCS during surgery. In the present study, we investigated the relationship between the external pressure (EP) applied to the calf region using a KCLH system in the lithotomy position and selected physical characteristics. Methods Twenty-one young, healthy volunteers (21.4±0.5 years of age, eleven males and ten females) participated in this study. The KCLH system used was Knee Crutch®. We assessed four types of EPs applied to the calf region: box pressure, peak box pressure, contact pressure, and peak contact pressure, using pressure-distribution measurement system (BIG-MAT®). Relationships between these four EPs to the calf regions of both lower legs and a series of physical characteristics (sex, height, weight, and body mass index [BMI]) were analyzed. Results All four EPs applied to the bilateral calf regions were higher in males than in females. For all subjects, significant positive correlations were observed between all four EPs and height, weight, and BMI. Conclusion EP applied to the calf region is higher in males than in females when the subject is supported by a KCLH system in the lithotomy position. In addition, EP increases with the increase in height, weight, and BMI. Therefore, male sex, height, weight, and BMI may contribute to the risk of inducing WLCS. PMID:26955278

  2. The relationship between toe-brachial index and body fat and its role in diabetic lower extremity vascular disease risk assessment%趾臂指数与体脂在糖尿病下肢血管病变的研究

    Institute of Scientific and Technical Information of China (English)

    石静琳; 史琳涛; 张美; 刘彦君; 范明

    2016-01-01

    Objective By analyzing the correlation between toe-brachial index ( TBI) and body fat in type 2 dia-betic patients ( DM) , to understand the impact of body fat on TBI in DM, and explore significance of TBI and body fat in evaluating diabetic lower extremity vascular disease. Methods 123 cases of DM whose ankle-brachial index ( ABI) and TBI were both within normal ranges,collected demographic characteristics, clincal and biochamical in-dicators were measured,the main components of the quantitative of different body parts were measured by BCA-2 type a body composition analyzer. TBI was divided into two groups by persantage 50, higher TBI group:0. 82≤TBI<1. 12, lower TBI group:0. 60pressure ( SBP) of supine, pulse pressure of supine, percentage of body fat ( PBF) , physical age, visceral fat/trunk muscles, fat/muscle of upper limbs, fat/muscle of lower limbs were sig-nificantly increased in higher TBI group. Multiple regression analysis showed that physical age, pulse pressure of orthostatic, percentage of body fat were independent risk factors for lowering TBI. Conclusion Our study finds that the lower the TBI, the more body fat content, physical age and pulse pressure in DM with normal ABI. In-creased body fat content, body age and pulse pressure are independent risk factors for TBI reduced. The result sug-gests that it is important to check TBI and body fat for detection and intervention earlier in the risk of lower extremi

  3. Relationship between early diastolic intraventricular pressure gradients, an index of elastic recoil, and improvements in systolic and diastolic function

    Science.gov (United States)

    Firstenberg, M. S.; Smedira, N. G.; Greenberg, N. L.; Prior, D. L.; McCarthy, P. M.; Garcia, M. J.; Thomas, J. D.

    2001-01-01

    BACKGROUND: Early diastolic intraventricular pressure gradients (IVPGs) have been proposed to relate to left ventricular (LV) elastic recoil and early ventricular "suction." Animal studies have demonstrated relationships between IVPGs and systolic and diastolic indices during acute ischemia. However, data on the effects of improvements in LV function in humans and the relationship to IVPGs are lacking. METHODS AND RESULTS: Eight patients undergoing CABG and/or infarct exclusion surgery had a triple-sensor high-fidelity catheter placed across the mitral valve intraoperatively for simultaneous recording of left atrial (LA), basal LV, and apical LV pressures. Hemodynamic data obtained before bypass were compared with those with similar LA pressures and heart rates obtained after bypass. From each LV waveform, the time constant of LV relaxation (tau), +dP/dt(max), and -dP/dt(max) were determined. Transesophageal echocardiography was used to determined end-diastolic (EDV) and end-systolic (ESV) volumes and ejection fractions (EF). At similar LA pressures and heart rates, IVPG increased after bypass (before bypass 1.64+/-0.79 mm Hg; after bypass 2.67+/-1.25 mm Hg; PEDV (IVPG=-0.027[EDV]+4.30, r=-0.70). Improvements in IVPGs correlated with improvements in apical tau (Deltatau =5.93[DeltaIVPG]+4.76, r=0.91) and basal tau (Deltatau =2.41[DeltaIVPG]+5.13, r=-0.67). Relative changes in IVPGs correlated with changes in ESV (DeltaESV=-0.97[%DeltaIVPG]+23.34, r=-0.79), EDV (DeltaEDV=-1.16[%DeltaIVPG]+34.92, r=-0.84), and EF (DeltaEF=0.38[%DeltaIVPG]-8.39, r=0.85). CONCLUSIONS: Improvements in LV function also increase IVPGs. These changes in IVPGs, suggestive of increases in LV suction and elastic recoil, correlate directly with improvements in LV relaxation and ESV.

  4. Assessment of pressurized nuclear equipment compliance - Guide nr 8 - Index 1, Release of 31/03/2009

    International Nuclear Information System (INIS)

    This document describes the modalities according to which the compliance assessment of pressurized nuclear equipment must be performed by inspecting organisations according to a decree of December 1999 and an order of December 2005. After an indication of reference documents and some technical definitions, this guide describes the equipment classification and the principles of intervention. These principles concern the assessment request and the various assessment tasks to be performed by the inspecting organisation

  5. The nonlinear optical absorption and corrections to the refractive index in a GaAs n-type delta-doped field effect transistor under hydrostatic pressure

    Energy Technology Data Exchange (ETDEWEB)

    Martinez-Orozco, J.C. [Unidad Academica de Fisica, Universidad Autonoma de Zacatecas, Zacatecas (Mexico); Mora-Ramos, M.E. [Facultad de Ciencias, Universidad Autonoma del Estado de Morelos, Cuernavaca (Mexico); Duque, C.A. [Instituto de Fisica, Universidad de Antioquia, Medellin (Colombia)

    2012-01-15

    The theoretical study of linear and nonlinear optical absorption, and the nonlinear corrections to the refractive index in a GaAs n-type delta-doped field effect transistor is preformed taking into account the effects of applied hydrostatic pressure on the quantum well energy states, the size of the system and the Schottky barrier height. The potential well model includes Hartree and exchange effects via a Thomas-Fermi-based local density approximation. The allowed levels are calculated within the effective mass and envelope function approximations by means of an expansion over an orthogonal set of infinite well eigenfunctions. The results for the linear, nonlinear and total optical absorption, as well that those corresponding to the relative corrections of the host material refractive index in first and third order of the susceptibility, are reported for several values of the hydrostatic pressure. For P around 5 kbar, an enhancement in the linear and nonlinear contributions is detected. (Copyright copyright 2012 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim)

  6. Impact of a Glaucoma Severity Index on Results of Trabectome Surgery: Larger Pressure Reduction in More Severe Glaucoma

    Science.gov (United States)

    Loewen, Ralitsa T.; Roy, Pritha; Parikh, Hardik A.; Dang, Yalong; Schuman, Joel S.; Loewen, Nils A.

    2016-01-01

    Purpose To stratify outcomes of trabectome-mediated ab interno trabeculectomy (AIT) by glaucoma severity using a simple and clinically useful glaucoma index. Based on prior data of trabectome after failed trabeculectomy, we hypothesized that more severe glaucoma might have a relatively more reduced facility compared to mild glaucoma and respond with a larger IOP reduction to trabecular meshwork ablation. Methods Patients with primary open angle glaucoma who had undergone AIT without any other same session surgery and without any second eye surgery during the following 12 months were analyzed. Eyes of patients that had less than 12 months follow up or were diagnosed with neovascular glaucoma were excluded. A glaucoma index (GI) was created to capture glaucoma severity based on visual field, number of preoperative medications, and preoperative IOP. Visual field (VF) was separated into 3 categories: mild, moderate, and advanced (assigned 1, 2, and 3 points, respectively). Preoperative number of medications (meds) was divided into 4 categories: ≤1, 2, 3 or ≥4, and assigned with a value of 1 to 4. Baseline IOP (IOP) was divided into 3 categories: 12–18 (Group 3) and >18 (Group 4). Linear regression was used to determine if there was an association between GI group and IOP reduction after one year or age, gender, race, diagnosis, cup to disc (C/D) ratio, and Shaffer grade. Results Out of 1340 patients, 843 were included in the analysis. The GI group distribution was GI1 = 164, GI2 = 202, GI3 = 260, and GI4 = 216. Mean IOP reduction after one year was 4.0±5.4, 6.4±5.8, 9.0±7.6, 12.0±8.0 mmHg for GI groups 1 to 4, respectively. Linear regression showed that IOP reduction was associated with GI group after adjusting for age, gender, race, diagnosis, cup to disc ratio, and Shaffer grade. Each GI group increase of 1 was associated with incremental IOP reductions of 2.95±0.29 mmHg. Success rate at 12 months was 90%, 77%, 77%, and 71% for GI groups 1 to 4. The log

  7. Changes in pulse pressure variation and plethysmographic variability index caused by hypotension-inducing hemorrhage followed by volume replacement in isoflurane-anesthetized dogs.

    Science.gov (United States)

    Klein, Adriana V; Teixeira-Neto, Francisco J; Garofalo, Natache A; Lagos-Carvajal, Angie P; Diniz, Miriely S; Becerra-Velásquez, Diana R

    2016-03-01

    OBJECTIVE To compare changes in pulse pressure variation (PPV) and plethysmographic variability index (PVI) induced by hemorrhage followed by volume replacement (VR) in isoflurane-anesthetized dogs. ANIMALS 7 healthy adult dogs. PROCEDURE Each dog was anesthetized with isoflurane and mechanically ventilated. End-tidal isoflurane concentration was adjusted to maintain mean arterial pressure (MAP) at 60 to 70 mm Hg before hemorrhage. Controlled hemorrhage was initiated and continued until the MAP decreased to 40 to 50 mm Hg, then autologous blood removed during hemorrhage was retransfused during VR. Various physiologic variables including PPV and PVI were recorded immediately before (baseline) and after controlled hemorrhage and immediately after VR. RESULTS Mean ± SD PPV and PVI were significantly increased from baseline after hemorrhage (PPV, 20 ± 6%; PVI, 18 ± 4%). After VR, the mean PPV (7 ± 3%) returned to a value similar to baseline, whereas the mean PVI (10 ± 3%) was significantly lower than that at baseline. Cardiac index (CI) and stroke index (SI) were significantly decreased from baseline after hemorrhage (CI, 2.07 ± 0.26 L/min/m(2); SI, 20 ± 3 mL/beat/m(2)) and returned to values similar to baseline after VR (CI, 4.25 ± 0.63 L/min/m(2); SI, 36 ± 6 mL/beat/m(2)). There was a significant positive correlation (r(2) = 0.77) between PPV and PVI after hemorrhage. CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that both PPV and PVI may be useful for identification of dogs that respond to VR with increases in SI and CI (ie, dogs in the preload-dependent limb of the Frank-Starling curve). PMID:26919599

  8. Effect of Positive Airway Pressure Therapy on Body Mass Index in Obese Patients With Obstructive Sleep Apnea Syndrome: A Prospective Study.

    Science.gov (United States)

    Rishi, Muhammad Adeel; Copur, Ahmet Sinan; Nadeem, Rashid; Fulambarker, Ashok

    2016-01-01

    Because obesity is a common cause of obstructive sleep apnea syndrome (OSAS), weight loss can be an effective treatment. OSAS also may cause weight gain in some patients. Effective treatment of sleep apnea may facilitate weight loss in obese patients. We hypothesize that positive airway pressure (PAP) therapy is associated with weight loss in obese patients with OSAS. This was a single-center observational prospective cohort study. Forty-five patients were diagnosed with OSAS after polysomnographic analysis in sleep laboratory and underwent continuous positive airway pressure titration. Patients were followed for 3 months in terms of change in body mass index (BMI) and compliance with PAP therapy. Of the 45 patients recruited, 3 patients were eliminated because of miss recruitment. Nine patients had incomplete data, and the rest (n = 33) were included for analysis. The mean age was 54.9 ± 16.9 years (mean ± SD), 93.9% were male, and 90.9% were whites. Mean apnea-hypopnea index was 36.3 ± 28.17 events per hour. Mean BMI before treatment was 34.7 ± 3.9 kg/m. Fifteen patients (45.5%) were compliant with therapy of OSAS with PAP. There was no difference in age, gender, neck circumference, BMI, and apnea-hypopnea index of patients compliant to therapy when compared with those who were not. There was a significant decrease in BMI in patients compliant with PAP therapy compared with noncompliant patients (-1.2 ± 0.7 vs. 0.3 ± 0.9 kg/m, P ≤ 0.001). PAP therapy may cause significant loss of weight within 3 months in obese patients with OSAS. Further study is needed to elucidate the physiological basis of this change. PMID:25563675

  9. 血压正常高值人群动脉血管功能和结构变化的研究%The change of artery elastic function and structure in persons with high-normal blood pressure

    Institute of Scientific and Technical Information of China (English)

    胡明昕; 高金颖

    2014-01-01

    目的:利用无创方法探讨血压正常高值人群动脉血管功能和结构的变化。方法应用博时全自动动脉硬化检测系统及超声诊断仪对349例血压正常高值人群进行踝臂指数(ABI)、臂-踝脉搏波传导速度(baPWV)、颈动脉内膜中层厚度(IMT)的检测,并与同期受检的201例血压正常人群、303例原发性高血压1级患者及77例原发性高血压2级患者的检测结果进行对比研究。结果正常高值血压组受检人群脉搏波传导速度、颈动脉内膜中层厚度的异常检出率较正常血压组明显增高,而低于原发性高血压1、2级组,且正常高值血压组、原发性高血压1、2级组分别与正常血压组相比,差异均有统计学意义(P<0.0083);而踝臂指数异常的检出率均较低,正常血压组、正常高值血压组、原发性高血压1级组之间无统计学差异(P>0.0083),但以上三组分别与原发性高血压2级组比较差异均有统计学意义(P<0.0083)。结论血压正常高值人群尚未发展至高血压阶段时已经开始出现动脉血管功能和结构的损害,表现为血管顺应性下降,僵硬度增加,动脉内膜增厚,斑块形成,甚至出现管腔狭窄及堵塞等一系列病理改变。%ObjectiveTo explore the artery elastic function and structure changes in high-normal blood pressure persons by non-invasive examination.MethodsThe Intima-media thickness (IMT) were detected, meanwhile, the Ankle-Brachial Index(ABI) and Pulse Wave Velocity (PWV) were measured in 349 prehypertensive people using Boso(BOSCH+SONH) automatic arteriosclerosis measurement system, and were compared with normotensive group(n=201), hypertension grade 1 group(n=303) and hypertension grade 2 group(n=77).Results The level of PWV and IMT in the high-normal blood pressure group were significantly higher than those of the normal blood pressure group and lower than hypertension grade 1 and 2

  10. Change in pulse pressure/stroke index in response to sustained blood pressure reduction and its impact on left ventricular mass and geometry changes: the life study

    DEFF Research Database (Denmark)

    Palmieri, V.; Bella, J.N.; Gerdts, E.; Wachtell, K.; Papademetriou, V.; Nieminen, M.S.; Dahlof, B.; Devereux, R.B.

    2008-01-01

    , -15% at year 2, and -16% at year 3 follow-up, and was sustained through year 4 and year 5 follow-ups; change in PP/SVi was related to increased SVi and decreased PP during the annual follow-ups, but not to LV mass change. Restricting analyses to the first two follow-ups to ensure highest statistical...... power, age >65 and diabetes were associated with higher PP/SVi at baseline and throughout follow-ups; black participants and women had baseline PP/SVi mean values comparable with those of their counterparts, showed blunted PP/SVi reduction after 1 year, but differences became smaller and not...... statistically significant at year 2 follow-up. Losartan- or atenolol-based treatments were associated with comparable reduction of PP/SVi. At year 2 follow-up, reduced PP/SVi was associated with greater reductions in mean blood pressure (BP) and heart rate and greater increase in SVi, but not with lower LV mass...

  11. Can long-term antibiotic treatment prevent progression of peripheral arterial occlusive disease? A large, randomized, double-blinded, placebo-controlled trial

    DEFF Research Database (Denmark)

    Joensen, J B; Juul, Svend; Henneberg, E;

    2007-01-01

    diagnosis of PAD. Their mean age was 66 years (36-85), and 59% were males. Patients were randomized to Roxithromycin 300 mg daily for 28 days. Baseline investigations were ankle blood pressure, ankle-brachial blood pressure index (ABPI), walking distance, C. pneumoniae serology, cholesterol and medical...... history. Follow-up was performed every 6 months. Primary events were defined as death, peripheral revascularization and major lower limb amputation. Secondary events were thrombosis, stroke, transient cerebral ischaemic attack and myocardial infarction. Change in ABPI was also investigated. Data were.......06-5.1 years). In the placebo group, 26 died and 80 primary events occurred in total. In the treatment group, 28 died and 74 primary events were observed. The hazard ratio of death was 1.13 (95% CI: 0.68; 1.90), and of primary events 0.92 (95% CI: 0.67; 1.26). Also on secondary events and ABPI changes...

  12. Non-invasive diagnostic modality for peripheral arterial occlusive disease in hemodialysis patients

    International Nuclear Information System (INIS)

    Peripheral arterial occlusive disease (PAOD) has impacts on mortality and quality of life of hemodialysis (HD) patients. Although ankle-brachial pressure index (ABPI) is widely used to detect PAOD as screening measurement, it yields false negative results due to calcified lesions of vascular walls. Multidetector-row computed tomography (MDCT) was performed in 36 HD patients. Then, we compared these two non-invasive methods: ABPI or skin perfusion pressure (SPP) and MDCT by calculating the sensitivity and specificity to detect PAOD. The sensitivity of ABPI was only 29.9%, while SPP was more accurate with the sensitivity of 84.9% and the specificity of 76.9%. Our findings suggest that SPP is a useful tool to detect PAOD even in HD patients. (author)

  13. [Multiparameter analysis of the ergometric test. Significance of the failure of systolic blood pressure to decrease during recovery phase as an index of coronary disease].

    Science.gov (United States)

    Doria, G; Scaccianoce, G; Artale, S; Francaviglia, B; Platania, F; Circo, A

    1990-10-01

    Ergometric tests were performed in 27 patients who had previously undergone coronarography following instrumental findings and/or symptoms which seemed highly indicative of ischemic cardiopathy. The aim of the study was to assess the diagnostic importance of the failure of systolic blood pressure to decrease during the third minute of the recovery phase of the test as an index of coronary disease. In particular, as reported by other studies, the ratio between systolic blood pressure at the third minute of recovery and maximum systolic blood pressure during the test was also assessed values above 0.7 were considered pathological. Sixteen out the 27 patients examined showed lesions which were hemodynamically significant, whereas 11 patients were free of lesions and 9 had previous myocardial necrosis. The level of the above ratio in subjects without significant coronary lesions was 0.66 +/- 0.05, whereas it was 0.85 +/- 0.04 (p less than 0.01) in patients with coronary disease. Sensitivity, specificity, and positive and negative prognostic values were respectively 91.6%, 62%, 64.7% and 90.9%. In patients with lesions to the three main arteries both the sensitivity and the specificity were 100%. In the same patients, the ST criteria were 85.7%, 50%, 81.8% and 74.3%. PMID:2074932

  14. Office and 24-hour heart rate and target organ damage in hypertensive patients

    Directory of Open Access Journals (Sweden)

    García-García Ángel

    2012-03-01

    Full Text Available Abstract Background We investigated the association between heart rate and its variability with the parameters that assess vascular, renal and cardiac target organ damage. Methods A cross-sectional study was performed including a consecutive sample of 360 hypertensive patients without heart rate lowering drugs (aged 56 ± 11 years, 64.2% male. Heart rate (HR and its standard deviation (HRV in clinical and 24-hour ambulatory monitoring were evaluated. Renal damage was assessed by glomerular filtration rate and albumin/creatinine ratio; vascular damage by carotid intima-media thickness and ankle/brachial index; and cardiac damage by the Cornell voltage-duration product and left ventricular mass index. Results There was a positive correlation between ambulatory, but not clinical, heart rate and its standard deviation with glomerular filtration rate, and a negative correlation with carotid intima-media thickness, and night/day ratio of systolic and diastolic blood pressure. There was no correlation with albumin/creatinine ratio, ankle/brachial index, Cornell voltage-duration product or left ventricular mass index. In the multiple linear regression analysis, after adjusting for age, the association of glomerular filtration rate and intima-media thickness with ambulatory heart rate and its standard deviation was lost. According to the logistic regression analysis, the predictors of any target organ damage were age (OR = 1.034 and 1.033 and night/day systolic blood pressure ratio (OR = 1.425 and 1.512. Neither 24 HR nor 24 HRV reached statistical significance. Conclusions High ambulatory heart rate and its variability, but not clinical HR, are associated with decreased carotid intima-media thickness and a higher glomerular filtration rate, although this is lost after adjusting for age. Trial Registration ClinicalTrials.gov: NCT01325064

  15. Physical exercise, fitness and dietary pattern and their relationship with circadian blood pressure pattern, augmentation index and endothelial dysfunction biological markers: EVIDENT study protocol

    Directory of Open Access Journals (Sweden)

    Nicolás Eguskiñe

    2010-05-01

    Full Text Available Abstract Background Healthy lifestyles may help to delay arterial aging. The purpose of this study is to analyze the relationship of physical activity and dietary pattern to the circadian pattern of blood pressure, central and peripheral blood pressure, pulse wave velocity, carotid intima-media thickness and biological markers of endothelial dysfunction in active and sedentary individuals without arteriosclerotic disease. Methods/Design Design: A cross-sectional multicenter study with six research groups. Subjects: From subjects of the PEPAF project cohort, in which 1,163 who were sedentary became active, 1,942 were sedentary and 2,346 were active. By stratified random sampling, 1,500 subjects will be included, 250 in each group. Primary measurements: We will evaluate height, weight, abdominal circumference, clinical and ambulatory blood pressure with the Radial Pulse Wave Acquisition Device (BPro, central blood pressure and augmentation index with Pulse Wave Application Software (A-Pulse and SphymgoCor System Px (Pulse Wave Analysis, pulse wave velocity (PWV with SphymgoCor System Px (Pulse Wave Velocity, nutritional pattern with a food intake frequency questionnaire, physical activity with the 7-day PAR questionnaire and accelerometer (Actigraph GT3X, physical fitness with the cycle ergometer (PWC-170, carotid intima-media thickness by ultrasound (Micromax, and endothelial dysfunction biological markers (endoglin and osteoprotegerin. Discussion Determining that sustained physical activity and the change from sedentary to active as well as a healthy diet improve circadian pattern, arterial elasticity and carotid intima-media thickness may help to propose lifestyle intervention programs. These interventions could improve the cardiovascular risk profile in some parameters not routinely assessed with traditional risk scales. From the results of this study, interventional approaches could be obtained to delay vascular aging that combine physical

  16. Association between altered lipid profile, body mass index, low plasma adiponectin and varied blood pressure in trinidadian type 2 diabetic and non-diabetic subjects

    Directory of Open Access Journals (Sweden)

    Shivananda B Nayak

    2012-01-01

    Full Text Available Background: The obesity and hypertension have become the causes for the development type 2 diabetes. There is a limited study done on the contribution of body mass index (BMI to blood pressure (BP in the Caribbean population. Aim of our study was to determine the associations between lipid profile, BMI, adiponectin, and BP in Trinidadian type 2 diabetic patients with regards to age and ethnicity. Materials and Methods: This was a cohort study comprised of 266 subjects (85 males and 181 females attending primary and tertiary healthcare settings in central Trinidad. Of which, 126 diabetic subjects were matched with 140 non-diabetic subjects. Along with clinical history and anthropometry, adiponectin and lipid profile were measured in fasting blood samples. Results: The diabetic group had higher triglycerides, very low density lipoprotein (VLDL, and BP values which were statistically significant (P < 0.05 when compared to non-diabetic subjects. The high-density lipoprotein cholesterol (HDL-c and adiponectin were lower in diabetic subjects. HDL-c showed significant changes for ethnicity (P = 0.013 and gender (P = 0.043. The mean adiponectin concentrations were found to be significantly different among the ethnic groups (P = 0.001. Systolic pressure varied significantly with age (P = 0.018. As age increased, BP also increased. Ethnic groups had a significant difference in diastolic pressure (P = 0.027. East Indians had the highest mean diastolic pressure (80.74 ± 10.29 when compared to all other ethnic groups. Conclusion: HDL-cholesterol, low levels of adiponectin, and varied BP are associated in Trinidadian type 2 diabetic subjects with regards to age, gender, and ethnicity.

  17. Dietary modification, Body Mass Index (BMI), Blood Pressure (BP) and cardiovascular risk in medical students of a government medical college of Karachi

    International Nuclear Information System (INIS)

    Objective: To determine the prevalence of major risk factors including dietary modification, Body Mass Index (BMI), Blood Pressure (BP) and physical activity in medical students of government teaching hospitals of Karachi. Methods: A cross sectional study was conducted on students of Dow Medical College, Karachi, Pakistan through a structured pre-tested questionnaire. Non-probability purposive sampling was used. Smoking, hypertension, family history of cardiovascular disease (CVD), overweight and low physical activity levels are risk factors the presence of which can lead to development of CVD. Prevalence of these risk factors was determined by asking appropriate questions and through measurement of BMI and blood pressure for overweight and hypertension respectively. Awareness of risk factors was determined through knowledge of the effect of various food substances on development of CVD and of adoption of dietary changes keeping in mind the risk of developing CVD. SPSS 16.0 was used for statistical analysis. Results: A total of 132 medical students were included in the study of which 57 (43.2%) and 75 (56.8%) were male and female respectively with mean age of 20.85 +- 1.21 years. About 15.9% of students had elevated blood pressure i.e. > 140/90 mmHg. Twenty eight percent of the total students were found to be underweight and 17.4% were overweight, 5% had some history of CVD, 56.8% had family history of CVD, 9.4% were smokers and 29.5% had high physical activity level. About 87.1% had modified their diet for preventing CVD. Most of the students had adequate knowledge about the cardiovascular risk factors Conclusion: Majority of students were not overweight. A high prevalence of cardiovascular risk factors; family history and elevated blood pressure was present. Awareness in terms of knowledge was satisfactory but implementation in terms of diet modification and adequate physical activity was lacking. (author)

  18. Muscular scintigraphy at effort and the index of systolic pressure (ISP) at rest in the detection of obliterative arteriopathy of inferior limbs (OAIL)

    International Nuclear Information System (INIS)

    The diminution of fixation of 201Tl at effort on the leg muscles can reveal a debuting or confirmed OAIL. The same is valid for the ISP. This study compares the 2 techniques in asymptomatic subjects, the ISP being used as 'reference method'. We have measured in 105 patients the ISP at rest (posterior-tibial pressure/humeral pressure, left and right), the asymmetry index (AI), defined as fixation in a limb divided by fixation in the other, and the segmentary fixation index (SFI), defined as fixation in a limb divided by fixation in the entire body, after the injection of 92 MBq of 201Tl at the moment of a maximal effort test, achieved on a running belt. An ISP < 0.90 was considered as pathologic (13/105 i.e. 12.4%). A table is presented, giving the percentage values of AI, SFI and AI + SFI corresponding to the sensitivity, specificity, positive predictive value and negative predictive value. In conclusion, the sensitivity of the muscular scintigraphy at effort in detection of OAIL, characterized by a significant diminished ISP at rest, varies according to the criteria of positivity. The AIs is less sensible but more specific. The sensitivity is maximal (100%) when one couples the 2 indices, to detriment of specificity (55%). The best compromise is provided by the ISF. Although the positivity in case of normal at-rest ISP is rather frequent. The significance of the muscular anomalies detected at effort remains to be elucidated, taking into account the limits of ISP

  19. Common polymorphisms in CYP2C9, subclinical atherosclerosis and risk of ischemic vascular disease in 52,000 individuals

    DEFF Research Database (Denmark)

    Kaur-Knudsen, D; Bojesen, S E; Nordestgaard, B G

    2009-01-01

    Cytochrome P450 2C9 (CYP2C9) enzymes metabolize warfarin and arachidonic acid. We hypothesized that the CYP2C9(*)2 (rs.1799853) and CYP2C9(*)3 (rs.1057910) polymorphisms with decreased enzyme activity affect risk of subclinical atherosclerosis (reduced ankle brachial index and increased C-reactiv...

  20. The StethoDop: a Doppler stethoscope attachment for investigation of arterial and venous insufficiency of the lower extremities.

    NARCIS (Netherlands)

    Ven, A.C. van de; Bredie, S.J.H.; Vleuten, C.J.M. van der; Holewijn, S.; Thien, Th.

    2004-01-01

    BACKGROUND: The aim of the current study was to investigate whether the StethoDop can serve as a valid and reproducible instrument for measuring the ankle-brachial index (ABI) and assessing venous reflux, even when used by inexperienced investigators, in comparison with the classic Doppler. METHODS:

  1. Association between peripheral arterial disease and creactive protein in the japanese-brazilian population

    Directory of Open Access Journals (Sweden)

    Luciana Garofolo

    2014-06-01

    Full Text Available OBJECTIVE: To evaluate the relationship between peripheral arterial disease and elevated levels of C-reactive protein in the Japanese-Brazilian population of high cardiovascular risk. METHODS: We conducted a cross-sectional study derived from a population-based study on the prevalence of diabetes and associated diseases in the Japanese-Brazilian population. One thousand, three hundred and thirty individuals aged e" 30 underwent clinical and laboratory examination, including measurement of ultrasensitive C-reactive protein. The diagnosis of peripheral arterial disease was performed by calculating the ankle-brachial index. We considered with peripheral arterial disease patients who had ankle-brachial index d" 0.9. After applying the exclusion criteria, 1,038 subjects completed the study. RESULTS: The mean age of the population was 56.8 years; 46% were male. The prevalence of peripheral arterial disease was 21%, with no difference between genders. Data analysis showed no association between peripheral arterial disease and ultrasensitive C-reactive protein. Patients with ankle-brachial index d" 0.70 showed higher values of ultrasensitive C-reactive protein and worse cardiometabolic profile. We found a positive independent association of peripheral arterial disease with hypertension and smoking. CONCLUSION: The association between low levels of ankle-brachial index and elevated levels of ultrasensitive C-reactive protein may suggest a relationship of gravity, aiding in the mapping of high-risk patients.

  2. Carotid plaque burden as a measure of subclinical atherosclerosis

    DEFF Research Database (Denmark)

    Sillesen, Henrik; Muntendam, Pieter; Adourian, Aram; Entrekin, Robert; Garcia, Mario; Falk, Erling; Fuster, Valentin

    2012-01-01

    The purpose of this study was to compare carotid plaque burden, carotid intima-media thickness (cIMT), ankle-brachial index (ABI), and abdominal aortic diameter (AAD) to coronary artery calcium score (CACS) in people without known cardiovascular disease....

  3. Correlation of non - invasive central aortic blood pressure with other arterial function measures in healthy people%健康人无创中心动脉压水平与常规血管功能测量指标的相关分析

    Institute of Scientific and Technical Information of China (English)

    于凯; 白小涓; 韩璐璐

    2011-01-01

    [ Objective] To evaluate the correlation of central aortic blood pressure with age, peripheral blood pressure,maximal carotid artery intima -media thickness (IMTmax), brachial ankle pulse wave velocity (baPWV), ankle brachial index ( ABI), and the risk score of estimation of 10 - year risk of ischemic cardiovascular disease in both male and female Chinese healthy adults. [ Methods] A community- based cross- sectional study was conducted in Shenyang. There were 128 healthy adults divided into two groups by gender (53 men and 75 women). Central systolic blood pressure (CSBP),central pulse pressure (SPP), peripheral systolic blood pressure (PSBP), peripheral diastolic blood pressure (PDBP),peripheral pulse pressure (PPP), IMTmax, baPWV, ABI and risk score were examined. The trigalloylglycerol (TG) ,total cholesterol (TC), high density lipoprotein (HDL), low density hpoprotein (LDL) and fast blood glucose also were tested at the same time. [Results] There were significant differences, between men and women, in waste -hip rate (WHR),PSBP, PDBP, CSBP, baPWV, TC, HDL and Glu (P <0.05). CSBP and CPP were significantly correlated with age,PSBP, PPP, IMTmax, baPWV and risk score in both groups, but were not correlated with ABI, TG, TC, HDL, LDL and fast blood glucose. [ Conclusions ] The central blood pressures are well correlated with other non - invasive arterial function exams, and can be used as a tool to evaluate the arterial function in healthy population.%[目的]研究健康男性和女性中心动脉压与年龄、周围动脉压、常规无创血管功能检测指标:最大颈动脉内-中膜厚度(IMTmax)、臂踝脉搏波速度(baPWV)和踝臂指数(ABI)以及中国人简易心血管疾病危险评分(简称危险评分)的相关性.[方法]以沈阳社区为基础的横断面研究,将128名健康研究对象按性别分为男性和女性两组(其中男性53人,女性75人),分别测量中心动脉收缩压(CSBP)和脉压(CPP),周围动脉收缩压(PSBP)、

  4. The influence of puberty onset, body mass index, and pressure to be thin on disordered eating behaviors in children and adolescents.

    Science.gov (United States)

    Tremblay, Line; Lariviere, Michel

    2009-04-01

    The main objective of this study is to verify the hypothesis that pubertal development, obesity, body satisfaction, as well as family and peer influences predict unhealthy eating habits in children and adolescents. A randomized stratified sample of young Quebecers aged 9, 13, and 16 years on March 31, 1999 [608 children aged of 9 years (325 girls and 283 boys) and 662 adolescents aged of 13 and 16 years (349 girls and 313 boys)] were used. Children's weight, height, and Body Mass Index (BMI) were recorded. Questionnaires were administered to children and a parent (usually the mother). Among 9-year-old children, this study found that weight loss or weight control behaviors were predicted mainly by the onset of puberty, lower maternal abusive control, and the level of peer pressure. Among adolescents, mother's BMI, income, peer pressure, and negative comments about the child's weight most strongly predicted behaviors to control weight, strategies to lose weight and the frequency of such behaviors. The findings suggest that both parents and children need to understand the impact of comments on a child's behavior. PMID:19447348

  5. Intersubband optical absorption coefficients and refractive index changes in a graded quantum well under intense laser field: Effects of hydrostatic pressure, temperature and electric field

    Energy Technology Data Exchange (ETDEWEB)

    Ungan, F., E-mail: fungan@cumhuriyet.edu.tr [Department of Physics, Cumhuriyet University, 58140 Sivas (Turkey); Grupo de Materia Condensade-UdeA, Instituto de Fisica, Facultad de Ciencias Exactas y Naturales, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín (Colombia); Restrepo, R.L. [Grupo de Materia Condensade-UdeA, Instituto de Fisica, Facultad de Ciencias Exactas y Naturales, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín (Colombia); Escuela de Ingeniería de Antioquia AA 7516, Medellín (Colombia); Mora-Ramos, M.E. [Grupo de Materia Condensade-UdeA, Instituto de Fisica, Facultad de Ciencias Exactas y Naturales, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín (Colombia); Facultad de Ciencias, Universidad Autonoma del Estado de Morelos, Ave. Universidad 1001, CP 62209, Cuernavaca, Morelos (Mexico); Morales, A.L.; Duque, C.A. [Grupo de Materia Condensade-UdeA, Instituto de Fisica, Facultad de Ciencias Exactas y Naturales, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín (Colombia)

    2014-02-01

    The effects of hydrostatic pressure, temperature, and electric field on the optical absorption coefficients and refractive index changes associated with intersubband transition in a typical GaAs/Ga{sub 0.7}Al{sub 0.3}As graded quantum well under intense laser field have been investigated theoretically. The electron energy eigenvalues and the corresponding eigenfunctions of the graded quantum well are calculated within the effective mass approximation and envelope wave function approach. The analytical expressions of the optical properties are obtained using the compact density-matrix approach and the iterative method. The numerical results show that the linear and nonlinear optical properties depend strongly on the intense laser field and electric field but weakly on the hydrostatic pressure and temperature. Additionally, it has been found that the electronic and optical properties in a GaAs/Ga{sub 0.7}Al{sub 0.3}As graded quantum well under the intense laser field can be tuned by changing these external inputs. Thus, these results give a new degree of freedom in the devices applications.

  6. Intersubband optical absorption coefficients and refractive index changes in a graded quantum well under intense laser field: Effects of hydrostatic pressure, temperature and electric field

    International Nuclear Information System (INIS)

    The effects of hydrostatic pressure, temperature, and electric field on the optical absorption coefficients and refractive index changes associated with intersubband transition in a typical GaAs/Ga0.7Al0.3As graded quantum well under intense laser field have been investigated theoretically. The electron energy eigenvalues and the corresponding eigenfunctions of the graded quantum well are calculated within the effective mass approximation and envelope wave function approach. The analytical expressions of the optical properties are obtained using the compact density-matrix approach and the iterative method. The numerical results show that the linear and nonlinear optical properties depend strongly on the intense laser field and electric field but weakly on the hydrostatic pressure and temperature. Additionally, it has been found that the electronic and optical properties in a GaAs/Ga0.7Al0.3As graded quantum well under the intense laser field can be tuned by changing these external inputs. Thus, these results give a new degree of freedom in the devices applications

  7. Continuous crossover femoropopliteal bypass in a 68-year-old gentleman with rest pain.

    LENUS (Irish Health Repository)

    Smith, F M

    2012-02-03

    Patients who have had multiple previous attempts at limb salvaging surgery frequently go on to have an amputation. This, however, results both in psychological perturbation for the patient and high rehabilitation costs for the community. Successful limb salvage surgery therefore has an important role in vascular surgery. We describe the management of a patient with critical limb ischemia that had previously undergone multiple limb salvage procedures and whose limb was saved by the use of a continuous femoropopliteal crossover bypass graft. The patient, who may have been deemed by some as a candidate for amputation, has full use of his limb 6 months after surgery with ankle brachial pressure index readings of 0.6. Continuous femoropopliteal crossover bypass grafting is a poorly described surgical technique that may be appropriate in a subgroup of patients and may allow salvage of a limb that otherwise may have been deemed fit for amputation.

  8. Does knee replacement surgery lead to chronic limb ischemia?

    Science.gov (United States)

    Dawson, Alan G; Bachoo, Paul; Sutherland, Alasdair G

    2010-12-01

    Total knee replacement (TKR) may be associated with chronic limb ischemia (CLI) due to arterial injury intraoperatively. The aim of this study was to determine the incidence of CLI after TKR surgery. Patients who received a unilateral TKR in 2003-2004 were identified from our database. Patients with diabetes mellitus and preexisting peripheral arterial disease were excluded. Patient assessment was by collection of demographic details, completion of the Oxford Knee Score, Short Form-12 Health Survey, and King's College Hospital's Vascular Quality of Life Questionnaire, and measurement of the ankle brachial pressure index (ABPI). Of the 209 eligible patients, 86 (41%) participated (median age, 73 years; 50% male). Five (5.8%) patients had a reduced ABPI compared with population norms of 4.6 to 7%. Patients with reduced ABPI measurements had higher Oxford Knee Scores, but no relationships between other variables were demonstrated. TKR surgery does not appear to increase the risk of CLI. PMID:21446628

  9. An introduction and guide to effective Doppler assessment.

    Science.gov (United States)

    Benbow, Maureen

    2014-12-01

    Accurate and timely diagnosis of leg ulceration is an essential factor in making evidence-based, effective decisions regarding patient management with the aim of swift wound healing and/or referral to the appropriate specialty. Nurses are professionally responsible for ensuring that patients receive the appropriate assessment and evidence-based management. This article examines the most up-to-date guidance on Doppler ultrasound as a key element of this assessment. Approaches to assessment will be explored, with emphasis on the need to include a Doppler ultrasound as one key element of a larger, holistic assessment. An introduction to the ankle-brachial pressure index (ABPI) will be given, followed by a step-by-step guide to standard procedures for carrying out a full Doppler ultrasound. Alternative options for measuring ABPI are also provided. PMID:25478852

  10. Diagnosing and managing venous leg ulcers in patients in the community.

    Science.gov (United States)

    Day, Julie

    2015-12-01

    Venous leg ulcers (VLUs) are a chronic condition affecting between 0.1% and 0.3% of the population in the UK. Healing rates are variable and recurrence rates are high. The diagnosis, assessment, and management of this patient group is primarily carried out in the community. Assessment of this patient group requires skill and competence to ensure a correct diagnosis is made. When carrying out the assessment, it is important to consider the patient's past medical history, medication, and allergies, as well as to record the ankle brachial pressure index (ABPI), pain level, palpation of pulses, and ankle joint movement, among other aspects of the assessment. VLUs heal with compression therapy, and practitioners should be knowledgeable about the various compression systems available in order to offer patients the most suitable and informed choices. PMID:26639070

  11. Peripheral artery disease in korean patients undergoing percutaneous coronary intervention: prevalence and association with coronary artery disease severity.

    Science.gov (United States)

    Kim, Eun Kyoung; Song, Pil Sang; Yang, Jeong Hoon; Song, Young Bin; Hahn, Joo-Yong; Choi, Jin-Ho; Gwon, Hyeon-Cheol; Lee, Sang Hoon; Hong, Kyung Pyo; Park, Jeong Euy; Kim, Duk-kyung; Choi, Seung-Hyuk

    2013-01-01

    Peripheral artery disease (PAD) is an important marker for the risk stratification of patients with coronary artery disease (CAD). We investigated the prevalence of PAD in patients undergoing percutaneous coronary intervention (PCI) with CAD and the relationship between ankle-brachial pressure index (ABPI) and CAD severity. A total of 711 patients undergoing PCI for CAD from August 2009 to August 2011 were enrolled. PAD diagnosis was made using the ABPI. The prevalence of PAD was 12.8%. In PAD patients, mean values of right and left ABPI were 0.71 ± 0.15 and 0.73 ± 0.15. Patients with PAD had a higher prevalence of left main coronary disease (14.3% vs 5.8%, P = 0.003), more frequently had multivessel lesions (74.9% vs 52.1%, P ABPI-based PAD screening should be implemented in all patients undergoing PCI with CAD, especially in severe cases. PMID:23341717

  12. Recommended frequency of ABPI review for patients wearing compression hosiery.

    Science.gov (United States)

    Furlong, Winnie

    2015-11-11

    This paper is a sequel to the article 'How often should patients in compression have ABPI recorded?' ( Furlong, 2013 ). Monitoring ankle brachial pressure index (ABPI) is essential, especially in those patients wearing compression hosiery, as it can change over time ( Simon et al, 1994 ; Pankhurst, 2004 ), particularly in the presence of peripheral arterial disease (PAD). Leg ulceration caused by venous disease requires graduated compression ( Wounds UK, 2002 ; Anderson, 2008). Once healed, compression hosiery is required to help prevent ulcer recurrence ( Vandongen and Stacey, 2000 ). The Royal College of Nursing ( RCN, 2006 ) guidelines suggest 3-monthly reviews, including ABPI, with no further guidance. Wounds UK (2002) suggests that patients who have ABPI<0.9, diabetes, reduced mobility or symptoms of claudication should have at least 3/12 Doppler, and that those in compression hosiery without complications who are able to report should have vascular assessment yearly. PMID:26559232

  13. Vasculopathy in the diabetic foot.

    Science.gov (United States)

    Richards-George, P

    This paper attempts to distil some of the results of vasculopathy studies performed on Jamaican diabetic clinic attendees. Doppler measurements of ankle/brachial pressure index (A/BI) revealed that 23% of the diabetics had peripheral occlusive arterial disease (POAD) which was mostly asymptomatic. Plethysmographic blood flow studies revealed a profound reduction in the vasodilatory response to increased flow demand. Prevalence of POAD determined by Doppler testing of A/BI reported by other researchers ranged from 13% in a large community study, one-third of whom were diabetic, to 47% in patients who had been diabetic for 20 years. Isolated posterior tibial disease has been reported to carry a three-fold risk of all cause mortality and a four-fold risk of coronary heart disease mortality. This underscores the need for regular Doppler A/BI testing in order to improve the recognition, and treatment of POAD, and prevent further cardiovascular morbidity and mortality. PMID:15973809

  14. Perceived spatial stigma, body mass index and blood pressure: a global positioning system study among low-income housing residents in New York City

    Directory of Open Access Journals (Sweden)

    Dustin T. Duncan

    2016-05-01

    Full Text Available Previous research has highlighted the salience of spatial stigma on the lives of low-income residents, but has been theoretical in nature and/or has predominantly utilised qualitative methods with limited generalisability and ability to draw associations between spatial stigma and measured cardiovascular health outcomes. The primary objective of this study was to evaluate relationships between perceived spatial stigma, body mass index (BMI, and blood pressure among a sample of low-income housing residents in New York City (NYC. Data come from the community-based NYC Low-income Housing, Neighborhoods and Health Study. We completed a crosssectional analysis with survey data, which included the four items on spatial stigma, as well objectively measured BMI and blood pressure data (analytic n=116; 96.7% of the total sample. Global positioning systems (GPS tracking of the sample was conducted for a week. In multivariable models (controlling for individual-level age, gender, race/ethnicity, education level, employment status, total household income, neighborhood percent non-Hispanic Black and neighborhood median household income we found that participants who reported living in an area with a bad neighborhood reputation had higher BMI (B=4.2, 95%CI: -0.01, 8.3, P=0.051, as well as higher systolic blood pressure (B=13.2, 95%CI: 3.2, 23.1, P=0.01 and diastolic blood pressure (B=8.5, 95%CI: 2.8, 14.3, P=0.004. In addition, participants who reported living in an area with a bad neighborhood reputation had increased risk of obesity/overweight [relative risk (RR=1.32, 95%CI: 1.1, 1.4, P=0.02 and hypertension/pre-hypertension (RR=1.66, 95%CI: 1.2, 2.4, P=0.007. However, we found no differences in spatial mobility (based GPS data among participants who reported living in neighborhoods with and without spatial stigma (P>0.05. Further research is needed to investigate how placebased stigma may be associated with impaired cardiovascular health among individuals

  15. Excimer laser-assisted recanalisation of femoral arterial stenosis or occlusion caused by the use of Angio-Seal

    International Nuclear Information System (INIS)

    The aim of this study was to demonstrate the effect of excimer laser and balloon angioplasty of femoral artery stenosis and occlusion after use of a haemostatic puncture closure device. A haemostatic puncture closure device (Angio-Seal) was used in 6000 patients after diagnostic or therapeutic artery catheterisation. In 34 of those patients symptoms of peripheral artery disease occurred. Sixteen of those 34 cases were transferred to our clinic for excimer laser angioplasty. All 16 patients presented with symptoms of acute peripheral artery disease within 1-14 days: superficial femoral artery (SFA) occlusions (4 cases); superficial femoral artery stenosis (3 cases); high-grade stenosis of the common femoral artery (CFA; 3 cases); high-grade stenosis of CFA; SFA and profund femoral artery (PFA; 3 cases); and occlusions of CFA, SFA and PFA (3 cases). Before any procedure was performed, informed consent was given by the patient, which included the use of the Angio-Seal closure device. Every patient who had to undergo recanalisation procedures gave additional informed consent which especially included the usage of the excimer laser for recanalisation. A measurement of the walking distance, ankle-brachial systolic pressure index (ABI) and diagnostic angiography was performed in 13 cases before and immediate after as well as 3 and 6 months after therapeutic percutaneous transluminal laser angioplasty followed by balloon angioplasty (PTLA/PTA). In 3 patients the risks of PTLA/PTA was considered too high; those patients underwent surgical repair. Angiographic and clinical improvement was achieved in 13 of 13 patients. The mean walking distance increased from 81 to >400 m. The average ankle-brachial systolic pressure index (ABI) increased from 0.47 to 0.84. One patient developed a dissection of the SFA, and in 1 case a peripheral embolisation was seen. The PTLA/PTA technique is a successful therapeutic option for patients with femoral artery occlusion or high-grade stenosis

  16. The prevalence of peripheral arterial disease in diabetic subjects in south-west Nigeria

    Directory of Open Access Journals (Sweden)

    Bolaji O. Oyelade

    2012-02-01

    Full Text Available Background: Peripheral arterial disease (PAD is rarely sought for and generally underdiagnosed even in diabetics in developing countries like Nigeria. PAD is easily detected and diagnosed by the ankle-brachial index, a simple and reliable test. Objectives: To determine the prevalence of PAD in diabetic subjects aged 50–89 years and the value of ankle-brachial index measurement in the detection of PAD.Method: A cross-sectional descriptive study of 219 diabetic subjects aged 50–89 years was carried out. The participants were administered a pre-tested questionnaire and measurement of ankle-brachial index (ABI was done. The ankle-brachial index < 0.90 was considered equivalent to peripheral arterial disease.Results: The overall prevalence of PAD was 52.5%. The prevalence of symptomatic PAD was 28.7% whilst that of asymptomatic PAD was 71.3%. There were a number of associations with PAD which included, age (p < 0.05, sex (p < 0.05, and marital status (p < 0.05. The use of the ankle-brachial index in the detection of PAD was clearly more reliable than the clinical methods like history of intermittent claudication and absence or presence of pedal pulses.Conclusion: The prevalence of PAD is relatively high in diabetic subjects in the southwestern region of Nigeria. Notable is the fact that a higher proportion was asymptomatic. Also the use of ABI is of great value in the detection of PAD as evidenced by a clearly more objective assessment of PAD compared to both intermittent claudication and absent pedal pulses.

  17. Relationship between body mass index changes and blood pressure changes from childhood to adulthood in a general Chinese population: a 26 year cohort follow-up study.

    Science.gov (United States)

    Wang, Man; Chu, Chao; Mu, Jianjun

    2016-10-01

    The aim of this study was to estimate the relationship between body mass index (BMI) and blood pressure (BP) in a Chinese population with 26 year follow-up. The study included 4211 schoolchildren aged 6-17 years in Hanzhong, Shaanxi Province, China. Body weight, height, waist circumference, and BP were measured in 1987, 1989, 1992, 1995 and 2013. Cox proportional hazards model were fitted to examine the effect of BMI on BP. At the 26 year follow-up, 6.93% of male and 3.43% of female subjects had high SBP, and 12.8% of male and 4.56% of female had high DBP. The average age of subjects with high SBP was 40.3 years in males and 41.4 years in females; while the average age with high DBP was 38.1 years in males and 38.9 years in females. Obese subjects were 2.96 times and 2.88 times more likely to have high SBP and high DBP than normal weight counterparts, respectively; while overweight subjects were 1.81 times and 2.03 times more likely to have high SBP and high DBP, respectively. These findings underscore the urgent need to prevent increasing body weight. Targeting intervention in adolescence may be a critical method for preventing high BP in later life. PMID:27138219

  18. The value of the different indexes of electrocardiogram in diagnosing high blood pressure with left ventricular hypertrophy%心电图不同指标对高血压病左室肥厚的诊断价值

    Institute of Scientific and Technical Information of China (English)

    严国平; 颜玉芳

    2009-01-01

    目的 探讨心电图(ECG)各指标对诊断高血压病左室肥厚(LVH)的价值.方法 根据超声心动图(UCG)报告,确定观察组(A组)高血压病伴LVH 55例及对照组(B组)高血压病不伴LVH 50例;测定ECG各指标数据并计算其敏感性.结果 ECG不同指标对诊断高血压病LVH的价值存在较大差异,其中QRS波群电压指标敏感性最高,肢体导联室壁激动时间(VAT)次之,余指标敏感性较低.结论 ECG不同指标在诊断高血压病LVH时的价值不同.%Objective To investigate the value of the different indexes of electrocardiogram (ECG) in diagnosing high blood pressure with left ventricular hypertrophy. Methods 55 cases of high blood pressure with left ventricular hy-pertrophy and 50 cases of high blood pressure without left ventricular hypertrophy by the investigation of ultrasonic cardio-gram(UCG) were studied. The figure and sensitivity of the different indexes of ECG were determined. Results There was obvious difference among each ECG index in the diagnosing value of high blood pressure with left ventricular hypertro-phy, QRS wave amplitude had the most sensitive value compared with others. Conclusion It was different for each ECG index in the value of diagnosing high blood pressure with left ventricular hypertrophy. In order to improve the diagnosing ac-curacy, it is important to understand the different diagnosing value of each ECG index.

  19. Tricuspid annular plane systolic excursion and pulmonary arterial systolic pressure relationship in heart failure: an index of right ventricular contractile function and prognosis.

    Science.gov (United States)

    Guazzi, M; Bandera, F; Pelissero, G; Castelvecchio, S; Menicanti, L; Ghio, S; Temporelli, P L; Arena, R

    2013-11-01

    Echo-derived pulmonary arterial systolic pressure (PASP) and right ventricular (RV) tricuspid annular plane systolic excursion (TAPSE; from the end of diastole to end-systole) are of basic relevance in the clinical follow-up of heart failure (HF) patients, carrying two- to threefold increase in cardiac risk when increased and reduced, respectively. We hypothesized that the relationship between TAPSE (longitudinal RV fiber shortening) and PASP (force generated by the RV) provides an index of in vivo RV length-force relationship, with their ratio better disclosing prognosis. Two hundred ninety-three HF patients with reduced (HFrEF, n = 247) or with preserved left ventricular (LV) ejection fraction (HFpEF, n = 46) underwent echo-Doppler studies and N-terminal pro-brain-type natriuretic peptide assessment and were tracked for adverse events. The median follow-up duration was 20.8 mo. TAPSE vs. PASP relationship showed a downward regression line shift in nonsurvivors who were more frequently presenting with higher PASP and lower TAPSE. HFrEF and HFpEF patients exhibited a similar distribution along the regression line. Given the TAPSE, PASP, and TAPSE-to-PASP ratio (TAPSE/PASP) collinearity, separate Cox regression and Kaplan-Meier analyses were performed: one with TAPSE and PASP as individual measures, and the other combining them in ratio form. Hazard ratios for variables retained in the multivariate regression were as follows: TAPSE/PASP index of the length-force relationship may be a step forward for a more efficient RV function evaluation and

  20. Impact of gender and healthy aging on pulmonary capillary wedge pressure estimated by the kinetics-tracking index using two-dimensional speckle tracking echocardiography.

    Science.gov (United States)

    Kawasaki, Masanori; Tanaka, Ryuhei; Ono, Koji; Minatoguchi, Shingo; Watanabe, Takatomo; Arai, Masazumi; Nishigaki, Kazuhiko; Noda, Toshiyuki; Watanabe, Sachiro; Minatoguchi, Shinya

    2016-05-01

    Risk stratification in heart failure (HF) among patients and healthy subjects using pulmonary capillary wedge pressure (PCWP) is important for understanding when and why HF develops. The aim of the present study was to evaluate the impact of gender and healthy aging on estimated PCWP using a kinetics-tracking index in patients and in healthy subjects without hypertension. The study population consisted of 198 healthy subjects without cardiovascular or other systemic diseases and who were not taking any medications. Echocardiographic studies were performed using an ACUSON Sequoia 512 ultrasound system. Active left atrial (LA) emptying function (EF) was defined as (pre-atrial contraction LA volume-minimum LA volume)/pre-atrial contraction LA volume × 100%. With an increase in age, the E/A and E/e' ratios (markers of left ventricular (LV) diastolic dysfunction (DD)) showed a similar decrease in males and females. PCWP was maintained at 8.3±1.8 mm Hg in males and 8.2±2.3 mm Hg in females because of compensation by an increase in active LA EF. In contrast, the compensation for LV DD with an increase in active LA EF in females tended to be more gradual (slope=0.11) than in males (slope=0.18, P=0.060 vs. female). The parameters that indicated LV DD deteriorated with advancing age. PCWP might be maintained because of compensation, namely an increase in active LA EF in both males and females. The compensation in female septuagenarians and octogenarians was weaker than in male septuagenarians and octogenarians. This difference in compensation may explain why HF with preserved LV ejection fraction occurs more frequently in females than in males. PMID:26791012

  1. A study on the physical fitness index, heart rate and blood pressure in different phases of lunar month on male human subjects

    Science.gov (United States)

    Chakraborty, Ujjwal; Ghosh, Tusharkanti

    2013-09-01

    The gravitational pull of the moon on the earth is not the same in all phases of the lunar month, i.e. new moon (NM), first quarter (FQ), full moon (FM) and third quarter (TQ), and as a result the amplitude of tide differs in different phases. The gravitational pull of the moon may have effects on the fluid compartments of the human body and hence the cardiovascular system may be affected differentially in the different phases of the lunar month. In the present study resting heart rate (HR) and blood pressure (BP), physical fitness index (PFI), peak HR and BP immediately after step test, and recovery HR and BP after step test were measured during different phases of the lunar month in 76 male university students (age 23.7 ± 1.7 years). At rest, both systolic and mean arterial BP were ˜5 mmHg lower in NM and FM compared to FQ and TQ, but resting HR was not significantly different between phases. Further, peak HR and peak systolic BP after step test were lower (˜4 beat/min and ˜5 mmHg, respectively) in NM and FM compared to FQ and TQ. PFI was also higher (˜5) in NM and FM compared to FQ and TQ. Recovery of HR after step test was quicker in NM and FM compared to that of FQ and TQ. It appears from this study that gravitational pull of the moon may affect the cardiovascular functions of the human body. Moreover, the physical efficiency of humans is increased in NM and FM due to these altered cardiovascular regulations.

  2. Relation of electrocardiographic left ventricular hypertrophy to blood pressure, body mass index, serum lipids and blood sugar levels in adult Nigerians.

    Science.gov (United States)

    Opadijo, O G; Omotoso, A B O; Akande, A A

    2003-12-01

    Left ventricular hypertrophy (LVH) is considered an independent risk factor even in the absence of systemic hypertension. Electrocardiographic (ECG) LVH with repolarisation changes has been found in some countries to carry more coronary risk than LVH alone. How far this observation is true among adult Nigerians is not known. We therefore decided to study adult Nigerians with ECG-LVH with or without ST-T waves changes and compare them with normal age matched controls (without ECG-LVH) in relation with established modifiable risk factors such as systemic hypertension (BP), body mass index (BMI), fasting blood sugar (FBS) and serum lipids such as total cholesterol (Tc), low density lipoprotein cholesterol (LDL-C), high density lipoprotein cholesterol (HDL-C) and triglyceride (TG). Adult Nigerians who were consecutively referred to the ECG laboratory were randomly recruited. Three hundred patients were studied. Their blood pressures (BP) as well as body mass indices were recorded after recording their resting 12 read ECG using portable Seward 9953 ECG machine. Their waist-hip ratio (WHR) was also recorded. Blood samples were taken to determine their fasting blood sugar and serum lipids. Their ECG tracings were read by the cardiologists involved in the study while the blood samples were analysed by the chemical pathologist also involved in the study. At the end of the ECG reading, the patients were divided into 3 groups according to whether there was no ECG-LVH (control group A), ECG-LVH alone (group B), and ECG-LVH with ST-T waves changes (group C). One hundred and fifty (50%) patients belonged to group A, 100 (33.3%) patients to group B and 50 (16.7%) group C. Group B patients were found to have higher modifiable risk factors in form of systemic BP. Tc, LDL-C, and WHR compared to group A. However, the group C patients had increased load of these coronary risk factors in terms of BP elevation, higher BMI, FBS, and scrum cholesterol compared to group B. In addition

  3. Indexing books

    CERN Document Server

    Mulvany, Nancy C

    2009-01-01

    Since 1994, Nancy Mulvany's Indexing Books has been the gold standard for thousands of professional indexers, editors, and authors. This long-awaited second edition, expanded and completely updated, will be equally revered.Like its predecessor, this edition of Indexing Books offers comprehensive, reliable treatment of indexing principles and practices relevant to authors and indexers alike. In addition to practical advice, the book presents a big-picture perspective on the nature and purpose of indexes and their role in published works. New to this edition are discus

  4. A computational analysis of the long-term regulation of arterial pressure [v2; ref status: indexed, http://f1000r.es/2hm

    Directory of Open Access Journals (Sweden)

    Daniel A. Beard

    2013-12-01

    Full Text Available The asserted dominant role of the kidneys in the chronic regulation of blood pressure and in the etiology of hypertension has been debated since the 1970s. At the center of the theory is the observation that the acute relationships between arterial pressure and urine production—the acute pressure-diuresis and pressure-natriuresis curves—physiologically adapt to perturbations in pressure and/or changes in the rate of salt and volume intake. These adaptations, modulated by various interacting neurohumoral mechanisms, result in chronic relationships between water and salt excretion and pressure that are much steeper than the acute relationships. While the view that renal function is the dominant controller of arterial pressure has been supported by computer models of the cardiovascular system known as the “Guyton-Coleman model”, no unambiguous description of a computer model capturing chronic adaptation of acute renal function in blood pressure control has been presented. Here, such a model is developed with the goals of: 1. representing the relevant mechanisms in an identifiable mathematical model; 2. identifying model parameters using appropriate data; 3. validating model predictions in comparison to data; and 4. probing hypotheses regarding the long-term control of arterial pressure and the etiology of primary hypertension. The developed model reveals: long-term control of arterial blood pressure is primarily through the baroreflex arc and the renin-angiotensin system; and arterial stiffening provides a sufficient explanation for the etiology of primary hypertension associated with ageing. Furthermore, the model provides the first consistent explanation of the physiological response to chronic stimulation of the baroreflex.

  5. A computational analysis of the long-term regulation of arterial pressure [v1; ref status: indexed, http://f1000r.es/1xq

    Directory of Open Access Journals (Sweden)

    Daniel A. Beard

    2013-10-01

    Full Text Available The asserted dominant role of the kidneys in the chronic regulation of blood pressure and in the etiology of hypertension has been debated since the 1970s. At the center of the theory is the observation that the acute relationships between arterial pressure and urine production—the acute pressure-diuresis and pressure-natriuresis curves—physiologically adapt to perturbations in pressure and/or changes in the rate of salt and volume intake. These adaptations, modulated by various interacting neurohumoral mechanisms, result in chronic relationships between water and salt excretion and pressure that are much steeper than the acute relationships. While the view that renal function is the dominant controller of arterial pressure has been supported by computer models of the cardiovascular system known as the “Guyton-Coleman model”, no unambiguous description of a computer model capturing chronic adaptation of acute renal function in blood pressure control has been presented. Here, such a model is developed with the goals of: 1. capturing the relevant mechanisms in an identifiable mathematical model; 2. identifying model parameters using appropriate data; 3. validating model predictions in comparison to data; and 4. probing hypotheses regarding the long-term control of arterial pressure and the etiology of primary hypertension. The developed model reveals: long-term control of arterial blood pressure is primarily through the baroreflex arc and the renin-angiotensin system; and arterial stiffening provides a sufficient explanation for the etiology of primary hypertension associated with ageing. Furthermore, the model provides the first consistent explanation of the physiological response to chronic stimulation of the baroreflex.

  6. 压痕法测量Zr基非晶压力敏感因子%A New Approach to Measure the Pressure Sensitivity Index of Zr-Based Metallic Glasses Using the Indentation Tests

    Institute of Scientific and Technical Information of China (English)

    喻更生; 林建国

    2008-01-01

    In this work, the indentation test is employed to characterise the pressure-dependent yield behavior of two Zr-based BMGs, and the pressure sensitivity index of the alloys was measured on the basis of the measurement of the included angles (2θ) between two families of shear bands. The nanoindentation P-h curves of the alloys with the different pressure sensitivity indexes were measured and the results are compared with the finite element simulations. The experimental curves are in good agreement with the simulate dones. The included angles (2θ) and the P-h curve depend markedly on the above index. This dependence can be exploited to determine it from indentation experiments using an inverse approach.%采用压痕法研究了两种Zr基非晶依横于压力屈服行为,非晶的压力敏感因子可以通过对剪切带之间的夹角(2θ)测量得到.纳米压痕P-h曲线也表现出相似的结果,随着压力敏感因子而改变,这个结果与有限元模拟压痕测量的结果非常一致.剪切带之间的夹角(2θ)和纳米压痕P-h曲线都显著的依赖压力敏感因子改变而变化,这说明非晶是一种依赖于压力屈服行为.压痕实验结果依赖压力敏感因子变化行为进一步说明可以采用压痕法测量非晶压力敏感因子.

  7. Index Numbers

    OpenAIRE

    Diewert, Erwin

    2007-01-01

    Index numbers are used to aggregate detailed information on prices and quantities into scalar measures of price and quantity levels or their growth. The paper reviews four main approaches to bilateral index number theory where two price and quantity vectors are to be aggregated: fixed basket and average of fixed baskets, stochastic, test or axiomatic and economic approaches. The paper also considers multilateral index number theory where it is necessary to construct price and quantity aggrega...

  8. Resource Endowments and Responses to Regulatory Pressure: Publications of Economics, Management, and Political Science Departments of Turkish Universities in Indexed Journals, 2000-2008

    Science.gov (United States)

    Onder, Cetin; Kasapoglu-Onder, Rana

    2011-01-01

    This paper investigates how differences in resource endowments of universities shape variation in their response to regulatory pressures. Earlier research on higher education institutions tends to conceive regulatory rules as the primary basis of action and does not attend to differences in the salient characteristics of universities. This paper…

  9. AP Index

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Planetary Amplitude index - Bartels 1951. The a-index ranges from 0 to 400 and represents a K-value converted to a linear scale in gammas (nanoTeslas)--a scale that...

  10. Afghanistan Index

    DEFF Research Database (Denmark)

    Linnet, Poul Martin

    2007-01-01

    information on progress or lack of progress in the reconstruction of the post Taliban Afghanistan. The index is mainly based on information collected on the internet in order to provide quick access to the original source. The index is under development and thus new information will be added on a continuous...

  11. Selecting fish-based metrics responding to human pressures in French natural lakes and reservoirs: towards the development of a fish-based index (FBI) for French lakes

    OpenAIRE

    Launois, L.; Veslot, J.; Irz, P.; ARGILLIER C.

    2010-01-01

    1.Fish-based indices of biotic integrity (IBI) have been developed for many lotic systems but remain scarce for lakes. The goal of the present study was to assess the responses of lentic fish assemblages to anthropogenic pressures when environmental variability was controlled for, and to compare them between French natural lakes and reservoirs. 2.Environmental features, catchment-scale anthropogenic descriptors and fish data were collected from 30 natural lakes and 59 reservoirs throughout...

  12. GCUBE INDEXING

    Directory of Open Access Journals (Sweden)

    M.Laxmaiah

    2013-07-01

    Full Text Available Spatial Online Analytical Processing System involves the non-categorical attribute information also whereas standard online analytical processing system deals with only categorical attributes. Providing spatial information to the data warehouse (DW; two major challenges faced are; 1.Defining and Aggregation of Spatial or Continues values and 2.Representation, indexing, updating and efficient query processing. In this paper, we present GCUBE (Geographical Cube storage and indexing procedure to aggregate the spatial information/Continuous values. We employed the proposed approach storing and indexing using synthetic and real data sets and evaluated its build, update and Query time. It is observed that the proposed procedure offers significant performance advantage.

  13. Spiral-CT angiography after intraarterial iliac stent placement

    International Nuclear Information System (INIS)

    In a prospective study 32 patients underwent CT-A after stent placement in the iliac arteries. The vascular morphology was analyzed regarding neointimal hyperplasia and calcification pattern. The results were compared with those of clinical findings (walking distance), Doppler ultrasound (ankle-brachial index) and DSA. All 47 stents were visible and patent (100%). One misplacement was identified. A good correlation was found between an improved ankle-brachial index and CT-A (88.5%) and extension of the walking distance and CT-A (92.3%). Concerning location, number and grade of stenoses the results between CT-A and DSA matched in 42.1%. An exact mapping of calcified plaques was possible in all cases. (orig./MG)

  14. AA Index

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The geomagnetic aa index provides a long climatology of global geomagnetic activity using 2 antipodal observatories at Greenwich and Melbourne- IAGA Bulletin 37,...

  15. Walkability Index

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Walkabiliy Index dataset characterizes every Census 2010 block group in the U.S. based on its relative walkability. Walkability depends upon characteristics of...

  16. Intravenous isotope calf scanning in the assessment of intermittent claudication

    International Nuclear Information System (INIS)

    A method of hyperaemic calf scanning using a bolus injection of 99Tcsup(m) pertechnetate into an arm vein is described and evaluated in 26 patients with intermittent claudication. From the calf image displayed on a visual display unit after 21/2 minutes' scanning with a gamma camera, an assessment of the patency of the lower popliteal artery and run-off vessels can be made and of the distribution of blood flow to the calf muscles. The technique enables the measurement of a calf 'perfusion index', which was found to be reproducible and to correlate well with the severity of disease in the proximal arteries leading to the calf, as assessed by the resting ankle/brachial pressure index (r = 0.65, P<0.001) and the ankle pressure response to exercise (r = 0.71, P<=0.001). The perfusion index correlated with maximum walking time (r = 0.57, P <0.01) but not with claudication time measured on a treadmill (r = 0.30). Calf scanning is useful in the initial assessment of patients with claudication, and when combined with ankle pressure measurements it can provide objective flow and pressure data for evaluation of the progression of disease in conservatively managed patients with claudication, and for assessment of the results of operation. (author)

  17. Intelligent indexing

    International Nuclear Information System (INIS)

    In this paper we discuss the relevance of artificial intelligence to the automatic indexing of natural language text. We describe the use of domain-specific semantically-based thesauruses and address the problem of creating adequate knowledge bases for intelligent indexing systems. We also discuss the relevance of the Hilbert space ι2 to the compact representation of documents and to the definition of the similarity of natural language texts. (author). 17 refs., 2 figs

  18. 周围动脉硬化指标结合运动负荷试验预测冠状动脉狭窄程度的临床意义%Clinical significance of combined peripheral arteriosclerosis index and exercise load test in predictiing severity of coronary artery stenosis

    Institute of Scientific and Technical Information of China (English)

    张红; 李小鹰; 罗学胜; 陈穗; 张建; 陈琳; 孟艳玲; 何璐

    2012-01-01

    Objectives To study the clinical significance of peripheral arteriosclerosis index in predicting early occurrence and severity of coronary heart disease. Methods Fifty-six patients admitted to Department of Cardiology, Chinese PLA General Hospital, were enrolled in this study. Their ankle-brachial index( ABI) ,brachial ankle artery pulse wave velocity(baPWV) ,and haPWV were measured before and after exercise by treadmill test followed by coronary angiography and analyzed by chi-squre test. The patients were divided into non-disease group(n= 9), non-significant stenosis group(n= 12) ,single vessel lesion group(n=17) ,2-vessel lesion group and 3-vessel lesion group according to their angiographic findings. Results No significant difference was found in ABI among the 4 groups at rest(P>0. 05). The baPWV and haPWV were significantly higher in coronary heart disease group than in non-disease group(P0. 05). The ABI, baPWV and haPWV decreased immediately after treadmill exercise. Conclusion The significantly increased resting baPWV and haPWV can predict coronary heart disease,but cannot predict its severity. The ABI before and after exercise and the baPWV and haPWV after exercise can hardly predict the occurrence and severity of coronary heart disease.%目的 探讨周围动脉硬化指标对早期预测冠心病及冠状动脉病变程度的临床意义.方法 随机选取解放军总医院心内科住院患者56例,平板运动试验前后完成静息性及运动后即刻踝臂指数( ankle-brachial index,ABI);肱动脉-踝动脉脉搏波速度(brachial ankle artery pulse wave velocity,baPWV)、上行主动脉-踝动脉脉搏波速度(haPWV)检测,同时完成冠状动脉造影检查,根据造影结果,分为无病变组9例,无意义狭窄组12例,单支病变组17例,双支病变组9例及3支病变组9例,对各组患者运动前后ABI、baPWV及haPWV进行统计学分析.结果 静息状态下,与无病变组比较,冠状动脉病变各

  19. Determinants of Microbial Load in Infected Diabetic Foot Ulcers: A Pilot Study

    OpenAIRE

    2013-01-01

    We examined the determinants of microbial load in infected diabetic foot ulcers in 62 patients (38 men and 24 women, mean age: 65.63 ± 12.71 years) with clinically infected diabetic foot ulcers. Tissue cultures were taken from ulcers by 4 mm punches. Ulcer grade (University of Texas classification), neuropathy disability score (NDS), neuropathy symptom score (NSS), ankle-brachial index (ABI), perfusion, extent, depth, infection, and sensation (PEDIS) grade of diabetic foot infection, and labo...

  20. The Addition of Vascular Calcification Scores to Traditional Risk Factors Improves Cardiovascular Risk Assessment in Patients with Chronic Kidney Disease

    OpenAIRE

    Liabeuf, Sophie; Desjardins, Lucie; Diouf, Momar; Temmar, Mohamed; Renard, Cédric; Choukroun, Gabriel; Massy, Ziad A.

    2015-01-01

    Background Although a variety of non-invasive methods for measuring cardiovascular (CV) risk (such as carotid intima media thickness, pulse wave velocity (PWV), coronary artery and aortic calcification scores (measured either by CT scan or X-ray) and the ankle brachial index (ABI)) have been evaluated separately in chronic kidney disease (CKD) cohorts, few studies have evaluated these methods simultaneously. Here, we looked at whether the addition of non-invasive methods to traditional risk f...

  1. The Association Between Physical Activity and Subclinical Atherosclerosis: The Multi-Ethnic Study of Atherosclerosis

    OpenAIRE

    Bertoni, Alain G.; Whitt-Glover, Melicia C.; Chung, Hyoju; Le, Katherine Y.; Barr, R. Graham; Mahesh, Mahadevappa; Jenny, Nancy S.; Burke, Gregory L; Jacobs, David R.

    2008-01-01

    Prior reports regarding the association between physical activity and subclinical cardiovascular disease have not been consistent. The authors assessed physical activity and walking pace via questionnaire among 6,482 US adults aged 45–84 years without prior clinical cardiovascular disease participating in the Multi-Ethnic Study of Atherosclerosis from 2000 to 2002. Ankle-brachial index (ABI), coronary artery calcification, and internal and common carotid intima-media thickness (IMT) were meas...

  2. A Study of Prevalence and Association of Risk Factors for Diabetic Vasculopathy in an Urban Area of Gujarat

    OpenAIRE

    Jayesh D Solanki; Makwana, Amit H.; Hemant B Mehta; Pradnya A Gokhale; Chinmay J Shah

    2013-01-01

    Background: Peripheral arterial disease (PAD) is an aftermath of type 2 diabetes posing a significant health problem in developing countries. Its silent progression warrants presymptomatic screening by ankle brachial index (ABI), which cannot be applied to the whole population. We tried to measure the burden of PAD in diabetics of this region correlating various risk factors for it quantitatively and qualitatively. Materials and Methods: From various out-patient departments, 110 known under t...

  3. Diagnostik der peripheren arteriellen Verschlusskrankheit (PAVK) bei geriatrischen Patienten

    OpenAIRE

    Sturm W

    2015-01-01

    Die Prävalenz der symptomatischen und asymptomatischen peripheren arteriellen Verschlusskrankheit (PAVK) steigt mit dem Alter der Patienten, häufig liegen bei den Betroffenen neben der PAVK mehrere Begleiterkrankungen gleichzeitig vor. Diese Multimorbidität beeinflusst die Symptomatik (verschleierte Symptome bei diabetischer Neuropathie), die Diagnostik (z. B. eingeschränkte Aussagekraft der Knöchel-Arm-Blutdruckmessung [Ankle-brachial- Index, ABI]) und auch das therapeutische Proce...

  4. Prognostic value of physical function tests: hand grip strength and six-minute walking test in elderly hospitalized patients

    OpenAIRE

    Esther Martín-Ponce; Iván Hernández-Betancor; Emilio González-Reimers; Rubén Hernández-Luis; Antonio Martínez-Riera; Francisco Santolaria

    2014-01-01

    To discern if physical function test are better mortality predictors than muscle mass in elderly hospitalized patients, we analyzed the prognostic value of muscle mass malnutrition and compared it with physical muscle function tests, including the six-minute walking test (6MWT) and hand grip strength. We included the ankle brachial index (ABI) to assess arterial disease, related to muscle atrophy due to hypoperfusion. We also analyzed the relationship of ABI with malnutrition, physical functi...

  5. Cadmium exposure, intercellular adhesion molecule-1 and peripheral artery disease: a cohort and an experimental study

    OpenAIRE

    Fagerberg, Björn; Bergström, Göran; Borén, Jan; Barregard, Lars

    2013-01-01

    Objectives Cadmium exposure has been found to be associated with atherosclerotic plaques in the carotid arteries and with circulating levels of the proatherogenic intercellular adhesion molecule-1 (ICAM-1). The research questions were (1) if blood and urinary cadmium levels are associated with low ankle-brachial index (ABI) as a measure of peripheral artery disease in a longitudinal study and (2) if ICAM-1 mediates proatherogenic effects of cadmium exposure. Design A prospective, observationa...

  6. Midterm Outcome of Femoral Artery Stenting and Factors Affecting Patency

    OpenAIRE

    Yu, Jae Seoung; Park, Keun-Myoung; Jeon, Yong Sun; Cho, Soon Gu; Hong, Kee Chun; Shin, Woo Young; Choe, Yun-Mee; Shin, Seok-Hwan; Kim, Kyung Rae

    2015-01-01

    Purpose: The purpose of this study was to evaluate the early and midterm results of superficial femoral artery (SFA) stenting with self-expanding nitinol stents and to identify the factors affecting patency. Materials and Methods: SFA stenting was performed in 165 limbs of 117 patients from January 2009 to December 2013. Patients were followed-up for the first occurrence of occlusion or stenosis based on computed tomography and duplex scan results and a decrease in ankle brachial index of >15...

  7. Study of cardiovascular disease biomarkers among tobacco consumers, part 2: biomarkers of biological effect

    OpenAIRE

    Nordskog, Brian K.; Brown, Buddy G.; Marano, Kristin M.; Campell, Leanne R.; Jones, Bobbette A.; Borgerding, Michael F.

    2015-01-01

    Abstract An age-stratified, cross-sectional study was conducted in the US among healthy adult male cigarette smokers, moist snuff consumers, and non-tobacco consumers to evaluate cardiovascular biomarkers of biological effect (BoBE). Physiological assessments included flow-mediated dilation, ankle-brachial index, carotid intima-media thickness and expired carbon monoxide. Approximately one-half of the measured serum BoBE showed statistically significant differences; IL-12(p70), sICAM-1 and IL...

  8. Louisiana ESI: INDEX (Index Polygons)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains vector polygons representing the boundaries of all the hardcopy cartographic products produced as part of the Environmental Sensitivity Index...

  9. GCUBE Indexing

    Directory of Open Access Journals (Sweden)

    M.Laxmaiah

    2013-07-01

    Full Text Available Spatial Online Analytical Processing System involves the non-categorical attribute information alsowhereas standard online analytical processing system deals with only categorical attributes. Providingspatial information to the data warehouse (DW; twomajor challenges faced are; 1.Defining andAggregation of Spatial or Continues values and 2.Representation, indexing, updating and efficient queryprocessing. In this paper, we present GCUBE (Geographical Cube storage and indexing procedure toaggregate the spatial information/Continuous values. We employed the proposed approach storing andindexing using synthetic and real data sets and evaluated its build, update and Query time. It is observedthat the proposed procedure offers significant performance advantage.

  10. Macrovascular disease and systemic sclerosis

    OpenAIRE

    Ho, M; Veale, D; Eastmond, C.; Nuki, G.; Belch, J

    2000-01-01

    OBJECTIVE—To determine if macrovascular disease is more prevalent in systemic sclerosis (SSc) compared with unaffected subjects.
METHODS—54 patients with SSc (both limited and diffuse disease) and 43 unaffected control subjects of similar age and sex were recruited. All subjects underwent a basic screen for conventional atherosclerotic disease risk factors. All had non-invasive vascular assessments—that is, carotid duplex scanning and measurement of ankle brachial blood pressure index—to iden...

  11. Facile Atmospheric Pressure Synthesis of High Thermal Stability and Narrow-Band Red-Emitting SrLiAl3N4:Eu(2+) Phosphor for High Color Rendering Index White Light-Emitting Diodes.

    Science.gov (United States)

    Zhang, Xuejie; Tsai, Yi-Ting; Wu, Shin-Mou; Lin, Yin-Chih; Lee, Jyh-Fu; Sheu, Hwo-Shuenn; Cheng, Bing-Ming; Liu, Ru-Shi

    2016-08-01

    Red phosphors (e.g., SrLiAl3N4:Eu(2+)) with high thermal stability and narrow-band properties are urgently explored to meet the next-generation high-power white light-emitting diodes (LEDs). However, to date, synthesis of such phosphors remains an arduous task. Herein, we report, for the first time, a facile method to synthesize SrLiAl3N4:Eu(2+) through Sr3N2, Li3N, Al, and EuN under atmospheric pressure. The as-synthesized narrow-band red-emitting phosphor exhibits excellent thermal stability, including small chromaticity shift and low thermal quenching. Intriguingly, the title phosphor shows an anomalous increase in theoretical lumen equivalent with the increase of temperature as a result of blue shift and band broadening of the emission band, which is crucial for high-power white LEDs. Utilizing the title phosphor, commercial YAG:Ce(3+), and InGaN-based blue LED chip, a proof-of-concept warm white LEDs with a color rendering index (CRI) of 91.1 and R9 = 68 is achieved. Therefore, our results highlight that this method, which is based on atmospheric pressure synthesis, may open a new means to explore narrow-band-emitting nitride phosphor. In addition, the underlying requirements to design Eu(2+)-doped narrow-band-emitting phosphors were also summarized. PMID:27403812

  12. Muscular scintigraphy at effort and the index of systolic pressure (ISP) at rest in the detection of obliterative arteriopathy of inferior limbs (OAIL); Scintigraphie musculaire a l`effort et index de pression systolique (IPS) au repos dans la detection de l`arteriopathie obliterante des members inferieurs (AOMI)

    Energy Technology Data Exchange (ETDEWEB)

    Tellier, P.; Lecouffe, P.; Aquilanti, S.; Vasseur, C. [Centre de Medecine Nucleaire de l`Artois, Arras (France)

    1997-12-31

    The diminution of fixation of {sup 201}Tl at effort on the leg muscles can reveal a debuting or confirmed OAIL. The same is valid for the ISP. This study compares the 2 techniques in asymptomatic subjects, the ISP being used as `reference method`. We have measured in 105 patients the ISP at rest (posterior-tibial pressure/humeral pressure, left and right), the asymmetry index (AI), defined as fixation in a limb divided by fixation in the other, and the segmentary fixation index (SFI), defined as fixation in a limb divided by fixation in the entire body, after the injection of 92 MBq of {sup 201}Tl at the moment of a maximal effort test, achieved on a running belt. An ISP < 0.90 was considered as pathologic (13/105 i.e. 12.4%). A table is presented, giving the percentage values of AI, SFI and AI + SFI corresponding to the sensitivity, specificity, positive predictive value and negative predictive value. In conclusion, the sensitivity of the muscular scintigraphy at effort in detection of OAIL, characterized by a significant diminished ISP at rest, varies according to the criteria of positivity. The AIs is less sensible but more specific. The sensitivity is maximal (100%) when one couples the 2 indices, to detriment of specificity (55%). The best compromise is provided by the ISF. Although the positivity in case of normal at-rest ISP is rather frequent. The significance of the muscular anomalies detected at effort remains to be elucidated, taking into account the limits of ISP

  13. Low pressure support changes the rapid shallow breathing index (RSBI) in critically ill patients on mechanical ventilation Baixos níveis de pressão de suporte alteram o índice de respiração rápida e superficial (IRRS) em pacientes graves sob ventilação mecânica

    OpenAIRE

    Elaine C. Gonçalves; Elaine C. Silva; Anibal Basile Filho; Maria Auxiliadora-Martins; Edson A. Nicolini; Ada C. Gastaldi

    2012-01-01

    BACKGROUND: The rapid shallow breathing index (RSBI) is the most widely used index within intensive care units as a predictor of the outcome of weaning, but differences in measurement techniques have generated doubts about its predictive value. OBJECTIVE: To investigate the influence of low levels of pressure support (PS) on the RSBI value of ill patients. METHOD: Prospective study including 30 patients on mechanical ventilation (MV) for 72 hours or more, ready for extubation. Prior to extuba...

  14. 山东省儿童脂肪组织和非脂肪组织指数对血压水平的影响%Influence of fat mass index and fat-free mass index on blood pressure among children in Shandong

    Institute of Scientific and Technical Information of China (English)

    张迎修; 王淑荣; 赵金山; 张俊黎

    2011-01-01

    Objective To analyze the influence of fat mass index (FMI) and fat-free mass index (FFMI) distribution on blood pressure (BP) , and to provide bases for early prevention against adult diseases. Methods A total of 4 321 children aged 7-12 participated in this study, their height,weight,skinfold thickness(SFT), systolic blood pressure(SBP) and diastolic blood pressure(DBP) were measured. Body fat percentage (BF%)were calculated by regression equation,fat mass index( FMI)and fat-free mass index(FFMI)were calculated. Results The Z score of SBP and DBP were positively correlated with the Z score of FMI and FFMI in both boys and girls(P<0.01). The prevalence of relative high BP increased from3.74% (boys) and 7.48% (girls) in

  15. 福州市儿童青少年体质指数与血压的相关性分析%Study on relativity between children and adolescents body mess index and blood pressure

    Institute of Scientific and Technical Information of China (English)

    张晓阳; 徐幽琼; 李红; 王代榕; 林小宇

    2014-01-01

    目的:分析福州市7~18岁儿童青少年体质指数与血压的相关性,为开展相关的健康教育、健康促进提供基线资料。方法随机抽取福州市2个城区中等水平的小学和中学各一所,从各年级每个年龄段随机抽取至少20人,男女各半,共调查7~18岁儿童青少年590人并进行身高、体重和血压的测量。依据《中国学龄儿童青少年超重肥胖筛查体重指数值分类标准》,将学生分为正常、超重和肥胖3类,比较3类学生的收缩压及舒张压。结果7~12岁男生的超重率和肥胖率均高于13~18岁的男生,差异有统计学意义(P<0.05);与正常体重组比较,7~12岁、13~18岁和7~18岁男生超重肥胖组的SBP和DBP均值以及13~18岁和7~18岁女生超重肥胖组SBP均值均明显升高,差异有统计学意义(P<0.05);7~12岁男生的BMI与SBP、DBP均呈显著正相关(P<0.05),13~18岁男生和女生的BMI与SBP、DBP均呈显著正相关(P<0.05);在控制了年龄、性别因素后,7~12岁男生及13~18岁男生、女生BMI与SBP仍呈独立正相关(P<0.05),13~18岁男生BMI与DBP也呈独立正相关(P<0.05)。结论福州市7~18岁儿童青少年超重肥胖检出率男生比女生高、低年龄组比高年龄组高;BMI 与血压呈独立正相关,BMI 与 SBP 的相关性比BMI与DBP相关性强,年龄越大BMI与SBP的相关性也越强,男生的BMI与SBP、DBP的相关性较女生更为显著。%Objective To analyze children and adolescents body mass index and blood pressure correlation in Fuzhou, so as to provide baseline data to carry out health education and health promotion. Methods A primary school and a secondary school of moderate level were randomly selected in cangshan. At least 20 children of 7-18 were randomly sampled at each age group, evenly composed of boys and girls. A total of 590 children were recruited and assessed on their body

  16. Early Results of Clinical Application of Autologous Whole Bone Marrow Stem Cell Transplantation for Critical Limb Ischemia with Buerger's Disease.

    Science.gov (United States)

    Heo, Seon-Hee; Park, Yoong-Seok; Kang, Eun-Suk; Park, Kwang-Bo; Do, Young-Soo; Kang, Kyung-Sun; Kim, Dong-Ik

    2016-01-01

    Our goal was to evaluate early results of the clinical application of autologous whole bone marrow stem cell transplantation (AWBMSCT) for critical limb ischemia (CLI) in patients with Buerger's disease. We retrospectively analyzed the data of 58 limbs of 37 patients (mean age, 43.0 years; range, 28-63 years; male, 91.9%) with Buerger's disease with CLI who were treated with AWBMSCT from March 2013 to December 2014. We analyzed Rutherford category, pain score, pain-free walking time (PFWT), total walking time (TWT), ankle brachial pressure index (ABPI), and toe brachial pressure index (TBPI), and investigated wound healing and occurrence of unplanned amputations. The mean follow-up duration was 11.9 ± 7.2 months (range, 0.9-23.9 months) and 100%, 72.4%, and 74.1% of patients were available to follow-up 1, 3 and 6 months after AWBMST, respectively. At 6 months, patients demonstrated significant improvements in Rutherford category (P ABPI was increased compared to baseline, but the difference was not significant. A total of 76.5% ischemic wounds achieved complete or improved healing. AWBMSCT is a safe and effective alternative or adjunctive treatment modality to achieve clinical improvement in patients with CLI. PMID:26791280

  17. Early Results of Clinical Application of Autologous Whole Bone Marrow Stem Cell Transplantation for Critical Limb Ischemia with Buerger’s Disease

    Science.gov (United States)

    Heo, Seon-Hee; Park, Yoong-Seok; Kang, Eun-Suk; Park, Kwang-Bo; Do, Young-Soo; Kang, Kyung-Sun; Kim, Dong-Ik

    2016-01-01

    Our goal was to evaluate early results of the clinical application of autologous whole bone marrow stem cell transplantation (AWBMSCT) for critical limb ischemia (CLI) in patients with Buerger’s disease. We retrospectively analyzed the data of 58 limbs of 37 patients (mean age, 43.0 years; range, 28–63 years; male, 91.9%) with Buerger’s disease with CLI who were treated with AWBMSCT from March 2013 to December 2014. We analyzed Rutherford category, pain score, pain-free walking time (PFWT), total walking time (TWT), ankle brachial pressure index (ABPI), and toe brachial pressure index (TBPI), and investigated wound healing and occurrence of unplanned amputations. The mean follow-up duration was 11.9 ± 7.2 months (range, 0.9–23.9 months) and 100%, 72.4%, and 74.1% of patients were available to follow-up 1, 3 and 6 months after AWBMST, respectively. At 6 months, patients demonstrated significant improvements in Rutherford category (P ABPI was increased compared to baseline, but the difference was not significant. A total of 76.5% ischemic wounds achieved complete or improved healing. AWBMSCT is a safe and effective alternative or adjunctive treatment modality to achieve clinical improvement in patients with CLI. PMID:26791280

  18. Increased aortic stiffness and related factors in patients with peripheral arterial disease.

    Science.gov (United States)

    Catalano, Mariella; Scandale, Giovanni; Carzaniga, Gianni; Cinquini, Michela; Minola, Marzio; Dimitrov, Gabriel; Carotta, Maria

    2013-10-01

    A number of conditions have been associated with functional changes of large arteries. The aim of this study was to evaluate the factors associated with aortic stiffness in patients with peripheral arterial disease (PAD). The authors studied 86 patients with PAD (ankle-brachial pressure index [ABPI] ≤0.9) and 86 controls. Aortic stiffness was determined by pulse wave velocity (aPWV) using applanation tonometry. In PAD patients, aPWV was higher compared with controls (11 ± 3 vs 9.8 ± 1.8; P=.002). In multiple regression analysis, aPWV was independently associated with pulse pressure (β=0.05, P=.01) in the PAD patients and with age in the control group (β=0.08, P=.0005). The results of this study confirm an aPWV increase in patients with PAD and emphasize the association between blood pressure and aPWV. Further studies are necessary to assess whether higher aortic stiffening adds prognostic value to ABPI, which is the most powerful prognostic indicator in PAD. PMID:24088278

  19. [Ascending-descending Aortic Bypass and Aortic Valve Replacement for Aortic Coarctation with Bicuspid Aortic Valve and an Aberrant Right Subclavian Artery;Report of a Case].

    Science.gov (United States)

    Asano, Ryota; Nakano, Kiyoharu; Kodera, Kojiro; Sato, Atsuhiko; Kataoka, Go; Tatsuishi, Wataru; Kubota, Sayaka; Namiki, Shigetaka; Suzuki, Seiya

    2015-08-01

    A 53-year-old woman was developed congestive heart failure. She was diagnosed as having aortic coarctation, incompetent bicuspid aortic valve and an aberrant right subclavian artery by using echocardiography and enhanced computed tomography. Ankle brachial pressure index(ABI)in the right was 0.71 and 0.69 in the left. Blood pressure of the right arm was 60 mmHg lower than that of the left arm. To avoid perioperative adverse cardiac events due to a 2-staged operation, we performed ascending-descending aortic bypass and aortic valve replacement simultaneously through a median sternotomy. The heart was retracted cranially, and a vascular prosthesis was anastomosed to the descending aorta just above the diaphragm in an end-to-side manner. Then the graft was placed curvilinearly around the right atrium and was anastomosed to the ascending aorta. After the operation, the right and left ABI increased to 0.90 and 0.98 respectively. There was no pressure difference between the arms. The postoperative course was uneventful. PMID:26329712

  20. Dynamic analysis with a fractional-order chaotic system for estimation of peripheral arterial disease in diabetic foot

    International Nuclear Information System (INIS)

    Lower-extremity peripheral arterial disease (PAD) is caused by narrowing or occlusion of vessels in patients like type 2 diabetes mellitus, the elderly and smokers. Patients with PAD are mostly asymptomatic; typical early symptoms of this limb-threatening disorder are intermittent claudication and leg pain, suggesting the necessity for accurate diagnosis by invasive angiography and ankle-brachial pressure index. This index acts as a gold standard reference for PAD diagnosis and categorizes its severity into normal, low-grade and high-grade, with respective cut-off points of ≥0.9, 0.9–0.5 and <0.5. PAD can be assessed using photoplethysmography as a diagnostic screening tool, displaying changes in pulse transit time and shape, and dissimilarities of these changes between lower limbs. The present report proposed photoplethysmogram with fractional-order chaotic system to assess PAD in 14 diabetics and 11 healthy adults, with analysis of dynamic errors based on various butterfly motion patterns, and color relational analysis as classifier for pattern recognition. The results show that the classification of PAD severity among these testees was achieved with high accuracy and efficiency. This noninvasive methodology potentially provides timing and accessible feedback to patients with asymptomatic PAD and their physicians for further invasive diagnosis or strict management of risk factors to intervene in the disease progression. (paper)

  1. Chronic venous ulceration of leg associated with peripheral arterial disease: an underappreciated entity in developing country.

    Science.gov (United States)

    Nag, Falguni; De, Abhishek; Hazra, Avijit; Chatterjee, Gobinda; Ghosh, Arghyaprasun; Surana, Trupti V

    2014-10-01

    Chronic venous ulcer can often be associated with asymptomatic peripheral arterial disease (PAD), which usually remains undiagnosed adding significantly to the morbidity of these patients. The Ankle-Brachial Pressure Index (ABPI) is suggested for PAD evaluation. Many PAD studies were conducted in western countries, but there is a scarcity of data on the prevalence of PAD in clinical venous ulcer patient in developing countries. We conducted a study in a tertiary care hospital of eastern part of India to find out the prevalence of PAD in venous ulcer patients, and also to find the sensitivity of ABPI as a diagnostic tool in these patients. We evaluated clinically diagnosed patients with venous ulcer using ABPI and Colour Doppler study for the presence of PAD. Possible associations such as age, sex, body mass index (BMI), smoking, hypertension and atherosclerosis were studied. All results were analysed using the software Statistica version 6. PAD was present in 23 (27·71%) patients. Older age, longer duration, smoking, high BMI and hypertension were found to be significantly associated with PAD. A very strong level of agreement was found between venous Doppler and ABPI. Assessment for the presence of PAD is important in all clinically diagnosed venous ulcer patients. ABPI being a simple, non-invasive outpatient department (OPD)-based procedure, can be routinely used in cases of venous ulcer to find out the hidden cases of PAD even in developing countries. PMID:23170845

  2. Dynamic analysis with a fractional-order chaotic system for estimation of peripheral arterial disease in diabetic foot

    Science.gov (United States)

    Li, Chien-Ming; Du, Yi-Chun; Wu, Jian-Xing; Lin, Chia-Hung; Ho, Yueh-Ren; Chen, Tainsong

    2013-08-01

    Lower-extremity peripheral arterial disease (PAD) is caused by narrowing or occlusion of vessels in patients like type 2 diabetes mellitus, the elderly and smokers. Patients with PAD are mostly asymptomatic; typical early symptoms of this limb-threatening disorder are intermittent claudication and leg pain, suggesting the necessity for accurate diagnosis by invasive angiography and ankle-brachial pressure index. This index acts as a gold standard reference for PAD diagnosis and categorizes its severity into normal, low-grade and high-grade, with respective cut-off points of ≥0.9, 0.9-0.5 and diabetics and 11 healthy adults, with analysis of dynamic errors based on various butterfly motion patterns, and color relational analysis as classifier for pattern recognition. The results show that the classification of PAD severity among these testees was achieved with high accuracy and efficiency. This noninvasive methodology potentially provides timing and accessible feedback to patients with asymptomatic PAD and their physicians for further invasive diagnosis or strict management of risk factors to intervene in the disease progression.

  3. Imaging of vascular dynamics within the foot using dynamic diffuse optical tomography to diagnose peripheral arterial disease

    Science.gov (United States)

    Khalil, M. A.; Kim, H. K.; Hoi, J. W.; Kim, I.; Dayal, R.; Shrikande, G.; Hielscher, A. H.

    2013-03-01

    Peripheral Arterial Disease (PAD) is the narrowing of the functional area of the artery generally due to atherosclerosis. It affects between 8-12 million people in the United States and if untreated this can lead to ulceration, gangrene and ultimately amputation. The current diagnostic method for PAD is the ankle-brachial index (ABI). The ABI is a ratio of the patient's systolic blood pressure in the foot to that of the brachial artery in the arm, a ratio below 0.9 is indicative of affected vasculature. However, this method is ineffective in patients with calcified arteries (diabetic and end-stage renal failure patients), which falsely elevates the ABI recording resulting in a false negative reading. In this paper we present our results in a pilot study to deduce optical tomography's ability to detect poor blood perfusion in the foot. We performed an IRB approved 30 patient study, where we imaged the feet of the enrolled patients during a five stage dynamic imaging sequence. The patients were split up into three groups: 10 healthy subjects, 10 PAD patients and 10 PAD patients with diabetes and they were imaged while applying a pressure cuff to their thigh. Differences in the magnitude of blood pooling in the foot and rate at which the blood pools in the foot are all indicative of arterial disease.

  4. Atmospheric stability index using radio occultation refractivity profiles

    Indian Academy of Sciences (India)

    D Jagadheesha; B Manikiam; Neerja Sharma; P K Pal

    2011-04-01

    A new stability index based on atmospheric refractivity at ∼500 hPa level and surface measurements of temperature, pressure and humidity is formulated. The new index named here as refractivity based lifted index (RLI) is designed to give similar results as traditionally used lifted index derived from radiosonde profiles of temperature, pressure and humidity. The formulation of the stability index and its comparison with the traditional temperature profile based lifted index (LI) is discussed. The index is tested on COSMIC radio occultation derived refractivity profiles over Indian region. The forecast potential of the new index for rainfall on 2° × 2° latitude–longitude spatial scale with lead time of 3–24 hours indicate that the refractivity based lifted index works better than the traditional temperature based lifted index for the Indian monsoon region. Decreasing values of RLI tend to give increasing rainfall probabilities.

  5. Index effects: Evidence from Australia

    Directory of Open Access Journals (Sweden)

    Zhao R

    2016-04-01

    Full Text Available This paper presents the findings of the first study of the index effects from changes in the composition of Australia’s tradeable benchmark index: the S&P/ASX 200. Prior to the introduction of the S&P/ASX200 changes to the composition of the market’s (then benchmark index (the All Ordinaries Index became evident before the formal announcement dates and the changes were made the following trading day. These announcement arrangements enabled profitable front-running trading. Along with the introduction of the new indices (including the S&P/ASX200 the arrangements for announcing changes to the composition of the index were changed to remove the opportunity for profitable frontrunning trading. While this objective was largely met for additions to the index the study found statistically significant evidence of price pressure between the announcement and implementation dates which were partially offset over the subsequent 20-day period. In relation to deletions the study found negative abnormal returns prior to announcement dates as well as between the announcement and implementation dates that were partially reversed over the subsequent 20-day period. The overall conclusion is that the event of changes in the composition of the S&P/ASX200 is on average associated with positive abnormal returns for additions and negative abnormal returns for deletions.

  6. Haemostatic factors, atherosclerosis and risk of abdominal aortic aneurysm.

    Science.gov (United States)

    Lee, A J; Fowkes, F G; Lowe, G D; Rumley, A

    1996-10-01

    Abdominal aortic aneurysms have traditionally been thought to be a consequence of severe atherosclerosis of the arterial wall. To date, the role of haemostatic factors in aneurysmal disease has not been extensively researched. The aim of this study was to see if such factors were independently related to the occurrence of aortic aneurysm. Furthermore, were the associations maintained after taking into account the presence of underlying atherosclerotic disease? Using data from the Edinburgh Artery Study, a nested case-control design was used involving 40 cases of aortic aneurysm, each being matched to five controls by sex and within a 5-year age band. After adjustment for age and sex, both fibrinogen (P D-dimer (P aneurysm. Further adjustment for packyears, history of cardiovascular disease and the ankle brachial pressure index resulted in odds ratios of 1.51 (95% CI 1.05 to 2.16, P D-dimer. These associations probably arise as a consequence of fibrin deposition and turnover within the aneurysmal sac, although further prospective studies are needed before thrombotic factors can be used in the identification of a group who are at high risk of developing an abdominal aortic aneurysm. PMID:8958392

  7. An evaluation of short-stretch compression systems for chronic lower-limb leg ulcers.

    Science.gov (United States)

    Carr, Caryn; Shadwell, Janice; Regan, Pip; Hammett, Susan

    2015-03-01

    An evaluation of a new short-stretch compression system (CoFlex UBZ, TLC and TLC Lite, Aspen Medical Europe Ltd) was undertaken in four leg ulcer clinics. A total of 19 patients aged 42-93 years were treated for up to 4 weeks, or until healed. Collated data included age, underlying diseases, leg ulcer type, ulcer duration and current treatment. The evaluation included quality of life measurements, wear time, slippage, exudate strikethrough and pain using a numerical pain score. Patients were asked to document sleep patterns. Compression was applied according to clinical need. Inclusion criteria were non-healing wounds on the lower limb existing for more than 6 weeks that were suitable for compression. Exclusion criteria included patients with untreated peripheral disease, ankle-brachial pressure index (ABPI)<0.5 or those unable to consent. Staff were asked to rate performance, wear time, fluid handling and conformability. Wound tissue types improved significantly for n=16 (84%) patients. Pain scores reduced significantly by week 2, n=11 (58%) patient leg ulcers had improved, n=2 (11%) patients in standard compression noted a marked reduction in malodour and sloughy tissue. n=16 (84%) rated the overall performance as 'very good' or 'good'. A detailed cost analysis was undertaken on one patient, suggesting a potential cost saving of £186.92 per month and a cost efficiency saving of 43.4%. PMID:25757382

  8. Peripheral arterial disease: implications beyond the peripheral circulation.

    Science.gov (United States)

    Paraskevas, Kosmas I; Mukherjee, Debabrata; Whayne, Thomas F

    2013-11-01

    Peripheral arterial disease (PAD) affects a considerable percentage of the population. The manifestations of this disease are not always clinically overt. As a result, PAD remains underdiagnosed and undertreated. PAD is not just a disease of the peripheral arteries, but also an indication of generalized vascular atherosclerosis. PAD patients also have a high prevalence of other arterial diseases, such as coronary/carotid artery disease and abdominal aortic aneurysms. PAD is also a predictor of increased risk of lung and other cancers. The most often used examination for the establishment of the diagnosis of PAD, the ankle-brachial pressure index (ABPI), is also a predictor of generalized atherosclerosis, future cardiovascular events and cardiovascular mortality. Several markers that have been linked with PAD (e.g. C-reactive protein, serum bilirubin levels) may also have predictive value for other conditions besides PAD (e.g. kidney dysfunction). The management of PAD should therefore not be restricted to the peripheral circulation but should include measurements to manage and decrease the systemic atherosclerotic burden of the patient. PMID:23221278

  9. Percutaneous peripheral laser angioplasty with a pulsed Nd:YAG laser and sapphire tips

    Science.gov (United States)

    Kvasnicka, Jan; Stanek, Frantisek; Boudik, Frantisek; Kubecek, Vaclav; Krivanek, Jiri; Keclik, Richard; Prochazkova, Helena; Hamal, Karel

    1990-07-01

    Percutaneous transluminal laser angioplasty with a pulsed Nd:YAG laser (1,064 nm wavelength, 100 jig pulse duration, up to 0.4 J per pulse, 10 Hz repetition rate) coupled to optical fibers with sapphire tips of 1.8, 2.2 and 2.9 mm diameter was performed in 17 chronic occlusions of iliac, femoral, popliteal and fibular arteries in 15 patients. Clinically the procedure was successful in 14 cases. The probe formed a primary channel of at least 2.0 mm width which was further dilated by conventional balloon catheter. Ankle/brachial systolic pressure index (ABPI) increased from 0.46 0.13 to 0.84 0.21 after the procedure. Two failures were due to an extensive dissection which occurred after balloon angioplasty and resulted in an early reocclusion. In the remaining case a balloon catheter could not be introduced through the 30 cm long primary channel which reoccluded shortly after the recanalization. The initial patency rate was 82 % and in 5 patients followed for more then 6 months the ABPI showed only a minor decrease. These first results are encouraging and it is likely that this method could become an important alternative to conventional balloon angioplasty.

  10. The Use of Below-Knee Percutaneous Transluminal Angioplasty in Arterial Occlusive Disease Causing Chronic Critical Limb Ischemia

    International Nuclear Information System (INIS)

    Purpose: To determine the efficacy, safety and long-term results of crural artery percutaneous transluminal angioplasty (PTA) in limbs with chronic critical limb ischemia (CLI). Methods: Patients undergoing crural artery PTA due to CLI were followed at regular clinic visits with ankle brachial pressure index (ABPI) measurements. PTA of the crural arteries was attempted either alone (n= 39) or in combination with PTA of the superficial and/or popliteal artery (n= 55) in 86 limbs (82 patients and 94 procedures) presenting with CLI. The ages of patients ranged from 37 to 94 years (mean 72 years). The indications for PTA were rest pain in 10 and ulcer/gangrene in 84 limbs.Results: A technically successful PTA with at least one crural level was achieved in 88% of cases (n= 83). Cumulative primary clinical success rates at 6, 12, 24, and 36 months were 55%, 51%, 36%, and 36%, respectively. Cumulative secondary clinical success and limb salvage rates at 36 months were 44% and 72%, respectively. Conclusion: PTA of the crural arteries might be considered the primary choice of treatment in patients with CLI and distal lesions with localized stenosis or segmental short occlusions

  11. Laser angioplasty using a lensed-fiber delivery system and a pulsed Nd:YAG laser: early clinical results

    Science.gov (United States)

    White, Christopher J.; Ramee, Stephen R.; Mesa, Juan E.; Hollier, Larry H.; Murgo, Joseph P.; Aita, Michael; Samson, Gene; Godfrey, Maureen A.

    1990-07-01

    We performed a clinical trial to evaluate the safety and efficacy of a unique lensed-fiber delivery system with a pulsed Neodymium-yttrium aluminum garnet (Nd-YAG) laser in patients with atherosclerotic peripheral vascular disease. The lensed-fiber consists of a spherical silica lens, 1 .5 mm in diameter, mounted at the distal tip of a 300 im silica optical fiber. The Nd-YAG laser is pulsed at 10 Hz, and we delivered 0.5 J/pulse with a pulse duration of 100 msecs in 2- to 5-second bursts. Successful recanalization of stenoses or occlusions was obtained in 9 of 10 patients and was manifested by improvement in blood flow as measured angiographically and with ankle-brachial blood pressure index improvement (> 0. 15). There were no arterial perforations or dissections associated with the laser angioplasty. All successfully recanalized patients required adjunctive balloon angioplasty to obtain a satisfactory reduction in luminal diameter stenosis of the treated artery. We conclude that this unique delivery system and the pulsed Nd-YAG laser are a safe and effect method of recanalizing arterial stenoses not amenable to conventional balloon angioplasty alone.

  12. Storm pulse chemographs of saturation index and carbon dioxide pressure: implications for shifting recharge sources during storm events in the karst aquifer at Fort Campbell, Kentucky/Tennessee, USA

    Science.gov (United States)

    Vesper, Dorothy J.; White, William B.

    Continuous records of discharge, specific conductance, and temperature were collected through a series of storm pulses on two limestone springs at Fort Campbell, western Kentucky/Tennessee, USA. Water samples, collected at short time intervals across the same storm pulses, were analyzed for calcium, magnesium, bicarbonate, total organic carbon, and pH. Chemographs of calcium, calcite saturation index, and carbon dioxide partial pressure were superimposed on the storm hydrographs. Calcium concentration and specific conductance track together and dip to a minimum either coincident with the peak of the hydrograph or lag slightly behind it. The CO2 pressure continues to rise on the recession limb of the hydrograph and, as a result, the saturation index decreases on the recession limb of the hydrograph. These results are interpreted as being due to dispersed infiltration through CO2-rich soils lagging the arrival of quickflow from sinkhole recharge in the transport of storm flow to the springs. Karst spring hydrographs reflect not only the changing mix of base flow and storm flow but also a shift in source of recharge water over the course of the storm. L'enregistrement en continu du débit, de la conductivité et de la température de l'eau a été réalisé au cours d'une série de crues à deux sources émergeant de calcaires, à Fort Campbell (Kentucky occidental, Tennessee, États-Unis). Des échantillons d'eau, prélevés à de courts pas de temps lors de ces crues, ont été analysés pour le calcium, le magnésium, les bicarbonates, le carbone organique total et le pH. Les chimiogrammes de calcium, d'indice de saturation de la calcite et de la pression partielle en CO2 ont été superposés aux hydrogrammes de crue. La concentration en calcium et la conductivité de l'eau se suivent bien et passent par un minimum correspondant au pic de l'hydrogramme ou légèrement retardé. La pression partielle en CO2 continue de croître au cours de la récession de l

  13. EJSCREEN Indexes 2015 Public

    Data.gov (United States)

    U.S. Environmental Protection Agency — There is an EJ Index for each environmental indicator. There are eight EJ Indexes in EJSCREEN reflecting the 8 environmental indicators. The EJ Index names are:...

  14. EJSCREEN Indexes 2015 Internal

    Data.gov (United States)

    U.S. Environmental Protection Agency — There is an EJ Index for each environmental indicator. There are 12 EJ Indexes in EJSCREEN reflecting the 12 environmental indicators. The EJ Index names are:...

  15. Study on the Correlation of Central Venous Pressure with Intrathoracic Blood Volume Index and Global End-Diastolic Volume Index after Pulmonary Lobectomy%肺手术后中心静脉压与血容量指数、全心舒张末期容积指数的相关性研究

    Institute of Scientific and Technical Information of China (English)

    王素梅; 黎阳; 黄冰; 茅乃权; 阮林; 彭丹晖; 杜学柯

    2013-01-01

    Objective To investigate the correlation of central venous pressure ( CVP ) with intrathoracic blood volume index(ITBVI) and global end-diastolic volume index(GEDVI) after pulmonary lobectomy,and to dis-cuss the value of CVP as a parameter of volume load after pulmonary lobectomy .Methods Twenty-three cases of ASA I-II grade lung cancer who underwent radical resection were enrolled in the study .Pulse indicator continuous cardiac output ( PiCCO) monitoring technology was used to record their postoperative CVP ,GEDVI and ITBVI at the time of off-lining(T1),after tracheal extubation instantly(T2),2 hours after extubation(T3),5 hours after extubation ( T4 ) ,and 15 hours after extubation ( T5 ) .The correlation of CVP with ITBVI and GEDVI was analyzed .Results The correlation coefficient of CVP and GEDVI was equal to -0 .138 ( P>0 .05 ); The correlation coefficient of CVP and ITBVI was equal to -0.153(P>0.05).Conclusion CVP can not indicate the volume load of patients after pulmonary lobectomy .It should be based on the clinical features or using more monitoring techniques when performing load monitoring and evaluation .%目的:探讨肺手术患者术后胸腔内血容量指数( ITBVI)、全心舒张末期容积指数( GEDVI)与中心静脉压( CVP)的相关性,研究肺手术后CVP用于评价肺手术后容量负荷的价值。方法 ASAⅠ~Ⅱ级行肺癌根治术患者23例,术后应用脉搏指示剂心排量连续监测( PiCCO)技术监测患者脱机后( T1)、拔管后( T2)、拔管后2h(T3)、拔管后5 h(T4)、拔管后15 h(T5)的CVP、ITBVI、GEDVI,分析CVP与ITBVI、GEDVI的相关性。结果 CVP与GEDVI的相关系数为r=-0.138(P>0.05); CVP与ITBVI r为-0.153(P>0.05)。结论CVP不能反映肺手术后机体的容量状态,在容量监测与评估时要根据临床表现或增加其他监测手段。

  16. Analysis in indexing

    DEFF Research Database (Denmark)

    Mai, Jens Erik

    2005-01-01

    The paper discusses the notion of steps in indexing and reveals that the document-centered approach to indexing is prevalent and argues that the document-centered approach is problematic because it blocks out context-dependent factors in the indexing process. A domain-centered approach to indexin...... explain the indexing process and suggests that the domain-centered approach offers a guide for indexers that can help them manage the complexity of indexing. © 2004 Elsevier Ltd. All rights reserved....

  17. A relationship study on ambulatory pulse pressure,pulse pressure index and cognitive function in vascular cognitive impairment patients%血管性认知障碍患者动态脉压、脉压指数与认知功能损害的相关性研究

    Institute of Scientific and Technical Information of China (English)

    王登芹; 闫中瑞

    2014-01-01

    目的 探讨动态脉压(PP)、脉压指数(PPI)与认知功能损害(VCI)程度的关系.方法 将60名重度、中度、轻度认知功能障碍患者作为研究对象,40名健康人作为对照组,所有患者进行动态血压的监测.结果 重度VCI组的PP、PPI显著高于中度、轻度VCI组及对照组[PP(mmHg):(59.10±11.82、54.94±10.86、50.28±8.33、45.54±9.22,P<0.05),PPI:(0.61±0.08、0.53±0.06、0.44±0.05、0.37±0.03,P<0.05)],其MMSE评分显著低于中度、轻度及对照组[(15.56±2.64)分、(19.32±3.32)分、(22.62±3.11)分、(26.45±2.94)分,P<0.05];中度VCI组PP、PPI显著高于对照组(P<0.05),MMSE评分显著低于轻度VCI及对照组(P<0.05).直线相关分析显示PP,PPI与MMSE评分呈明显负相关.结论 动态脉压、脉压指数的增加与认知功能的损害有关.%Objective To assess the relationship between ambulatory pulse pressure (PP),pulse pressure indices (PPI) and the severity of cognitive function.Methods Sixty patients with severe,moderate,mild vascular cognitive impairment(VCI) as the research object,and forty healthy people as control group.All of the patients of ambulatory blood pressure were monitored.Results Severe VCI group of PP and PPI was significantly higher than moderate,mild VCI group and the control group (PP (mmHg):(59.10 ± 11.82,54.94 ± 10.86,50.28 ±8.33,45.54±9.22,P<0.05),PPI:(0.61±0.08,0.53±0.06,0.44±0.05,0.37±0.03,P<0.05),and the MMSE score was significantly lower than moderate,mild,and the control group(15.56±2.64,19.32±3.32,22.62±3.11,26.45±2.94,P<0.05).Moderate VCI group of PP and PPI was significantly higher than the control group(P<0.05).MMSE score was significantly lower than mild VCI and the control group(P<0.05).Linear correlation analysis showed that PP and PPI was significantly negative related to MMSE score.Conclusion The increase of dynamic pulse pressure,pulse pressure index is associated with the damage of cognitive function.

  18. Sovereign debt crises in Latin America : A market pressure approach

    NARCIS (Netherlands)

    Boonman, T.M.; Jacobs, J.P.A.M.; Kuper, G.H.

    2013-01-01

    We construct a continuous sovereign debt crisis index for four large Latin American countries for the period 1870-2012. Our sovereign debt crisis index is similar to the Exchange Market Pressure Index for currency crises, and the Money Market Pressure Index for banking crises. To obtain the optimal

  19. Post marketing surveillance on safety and effectiveness of ANGIPARS in treatment of diabetic foot ulcers

    OpenAIRE

    Ebrahimi, M.; S Bakhshayeshi; R Heshmat; Shahbazi, S.; M Aala; M Peimani; G Khushechin; M.R. Mohajeri Tehrani; A Shojaeefard; Kamali, K; O Azimaraghi; Larijani, B.

    2010-01-01

    "n "nBackground and the purpose of the study:One of the most important complications of diabetes is foot ulcers with a life time risk of 15% among diabetics. The main objectives of this study was to evaluate adverse drug reactions(ADR) of oral and topical application of ANGIPARS, a novel compound applied in treatment of diabetic foot ulcers and also its effect on wound surface area, Ankle Brachial Index(ABI), Toe Brachial Index(TBI) and wound temperature . "nMaterial and Method...

  20. How indexes have changed

    International Nuclear Information System (INIS)

    The accompanying table compares refinery construction and operating wages monthly for the years 1990 and 1991. The Nelson-Farrar refinery construction cost indexes are inflation indexes, while the operating indexes incorporate a productivity which shows improvement with experience and the increasing size of operations. The refinery construction wage indexes in the table show a steady advance over the 2-year period. Common labor indexes moved up faster than skilled indexes. Refinery operating wages showed a steady increase, while productivities averaged higher near the end of the period. Net result is that labor costs remained steady for the period

  1. Human Use Index

    Data.gov (United States)

    U.S. Environmental Protection Agency — Human land uses may have major impacts on ecosystems, affecting biodiversity, habitat, air and water quality. The human use index (also known as U-index) is the...

  2. Glycemic Index and Diabetes

    Science.gov (United States)

    ... A A Listen En Español Glycemic Index and Diabetes The glycemic index, or GI, measures how a ... 08-book-sabores-de-cuba.html More from diabetes.org Shopdiabetes.org: Take the Guesswork out of ...

  3. Master Veteran Index (MVI)

    Data.gov (United States)

    Department of Veterans Affairs — As of June 28, 2010, the Master Veteran Index (MVI) database based on the enhanced Master Patient Index (MPI) is the authoritative identity service within the VA,...

  4. The Glycemic Index

    OpenAIRE

    Williams, Pauline; Stubbs, Wendy

    2003-01-01

    The glycemic index is a ranking of carbohydrate containing foods. Foods are ranked according to their immediate effect on blood sugar levels. The higher a food raises blood sugar, the higher its glycemic index

  5. Body mass index

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/007196.htm Body mass index To use the sharing features on this ... your height is to figure out your body mass index (BMI). You and your health care provider ...

  6. UV Index Widget

    Data.gov (United States)

    U.S. Environmental Protection Agency — The UV Index Widget displays the ultraviolet (UV) Index providing a daily forecast of the expected risk of overexposure to the sun for a user-specified area of...

  7. Human Use Index (Future)

    Data.gov (United States)

    U.S. Environmental Protection Agency — Human land uses may have major impacts on ecosystems, affecting biodiversity, habitat, air and water quality. The human use index (also known as U-index) is the...

  8. American Samoa ESI: INDEX (Index Polygons)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains vector polygons representing the boundaries of all the hardcopy cartographic products produced as part of the Environmental Sensitivity Index...

  9. Measurement of the refractive index of silica aerogel in vacuum

    International Nuclear Information System (INIS)

    The photo injector test facility at DESY Zeuthen (PITZ) uses Cherenkov radiation of electrons inside aerogel to measure the bunch length of an electron beam. To evaluate the results the refractive index of the aerogel has to be precisely known. The aerogel is used either at atmospheric pressure or in vacuum. The pressure dependence of the refractive index of two aerogel samples is investigated in the range between high vacuum (10-5 mbar) and atmospheric pressure

  10. The Europe 2020 Index

    Science.gov (United States)

    Pasimeni, Paolo

    2013-01-01

    This paper presents a new index to quantify, measure and monitor the progress towards the objectives of the Europe 2020 strategy. This index is based on a set of relevant, accepted, credible, easy to monitor and robust indicators presented by the European Commission at the time the strategy was launched. The internal analysis of the index shows…

  11. Textile Index Monitor

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Part I–Price Index National Index for China Textile City (located in Keqiao, Shaoxing county in Zhejiang Province, east of China) concludes its price index (periodic code:20101101) at 100.31 points rise of 0.68% as against its previous week.

  12. Blood pressure

    Science.gov (United States)

    ... the walls of the arteries is called blood pressure. Blood pressure is measured both as the heart contracts, which ... as it relaxes, which is called diastole. Normal blood pressure is considered to be a systolic blood pressure ...

  13. 云南省城镇上山压力指标体系测算与分析%Calculation and Analysis of Pressure Index System of “Building Urban Projects on Mountains” in Yunnan Province

    Institute of Scientific and Technical Information of China (English)

    许明军; 杨子生

    2016-01-01

    The concept of pressure was put forward in this paper, and the “Building Urban Projects on Mountains” pressure indicator system was built up.The pressure level of Yunnan Provinces’ s “Building Urban Projects on Mountains” in 2020 was analyzed and estimated at the municipal level by the methods of analytic hier-archy process,Delphi method and the comprehensive fuzzy evaluation .The results show that:1) The“Building Ur-ban Projects on Mountains” pressure in Yunnan exists obvious unbalance on the space, because the cultivated land resources, population, economic development level and the rural social development are different.2) The article divided pressure level into four ranks: Ultra high pressure levelⅠ mainly in the middle of central region of Yun-nan;High pressure levelⅡmainly distributed in the west and east of central region of Yunnan,the west of south-east Yunnan and the south of southwest Yunnan; Medium pressure level Ⅲ is mainly distributed in the middle of central region of Yunnan, the northwest of southwest Yunnan,the east of the northwest Yunnan and the north of northeast Yunnan;Low pressure levelⅣmainly distributed in the east of southeast Yunnan, the northwest of north-west Yunnan and the central of southwest Yunnan.3) The paper argues that the obvious unbalance of“Building Ur-ban Projects on Mountains” pressure can be narrowed by differentiated policy, so according to the research,the fu-ture focus area of“Building Urban Projects on Mountains” are mainly concentrated in the eastern Yunnan, the west of southeast Yunnan and the south of southwest Yunnan.%在提出城镇上山压力概念的同时构建了城镇上山压力指标体系,并进一步运用层次分析法、德尔菲法和综合模糊评价法测算和分析了2020年云南各州(市)的压力等级。研究结果表明:①由于耕地资源、人口、经济发展水平、农村社会发展不同,云南省城镇上山压力存在明显的空间非均

  14. The Empirical Analysis of Index Effect in Chinese Stock Market: Based on the SHSZ 300 Index

    Directory of Open Access Journals (Sweden)

    Yanan He

    2015-04-01

    Full Text Available Index effect is an abnormal phenomenon in the security market. It is contrary to the efficient market hypothesis (EMH and has been well-observed in mature markets. As an emerging market, China plays a more and more essential role in the world. In 2005, first composite index—the SHSZ 300 Index, which combines Shanghai and Shenzhen stock markets was launched in China and got the chasing of investors since then. We attempt to find the performance of index effect in this newly index and we are interested in whether this so-called composite index is more perfect than the traditional single-market index in China or not. Furthermore, we will determine the stage of development of Chinese stock market with an international perspective. The result exhibits that the SHSZ 300 Index has a significant index effect around announcement date (AD and relatively weak index effect on effective date (ED, corresponded with the price pressure hypothesis. Investors can make extra profit from this effect. In the meantime, this composite index shows its superiority compared to single-market index for showing the entire stock market. On the other hand, it is still at the early stage compared with the mature market all over the word. 

  15. Lower-leg symptoms in peripheral arterial disease are associated with anxiety, depression, and anhedonia

    DEFF Research Database (Denmark)

    Smolderen, Kim G; Hoeks, Sanne E; Pedersen, Susanne S.;

    2009-01-01

    were associated with mood states such as anxiety, depressive symptoms, and anhedonia (i.e. lack of positive affect). A cohort of consecutive PAD patients (n = 628) from the Erasmus Medical Center, Rotterdam, The Netherlands, completed the Hospital Anxiety and Depression Scale and the San Diego...... Claudication questionnaire. The ankle-brachial index and clinical factors were assessed in all patients at baseline. Anxiety was present in 29%, depressive symptoms in 30%, and anhedonia in 28% of patients. Pain at rest was independently associated with anxiety, depressive symptoms, and anhedonia (ORs between...

  16. Peripheral artery disease (PAD) screening in the asymptomatic population

    DEFF Research Database (Denmark)

    Sillesen, Henrik; Falk, Erling

    2011-01-01

    Measurement of ankle-brachial index (ABI) was developed to assess peripheral artery disease (PAD) in patients with symptoms of peripheral ischemia being present at rest or only functionally dependent (intermittent claudication). Reduced ABI is caused by arterial obstruction between the aortic arch....... Measuring ABI identifies asymptomatic persons at increased risk of cardiovascular morbidity and mortality: an ABI 25% in people between 80 and 90 years of age. The majority of persons with reduced ABI are asymptomatic and therefore unaware of the increased risk they are living with, thus, screening by...

  17. Risk Factors for Peripheral Arterial Disease among Patients with Chronic Kidney Disease

    OpenAIRE

    Chen, Jing; Mohler, Emile R.; Xie, Dawei; Shlipak, Michael G.; Townsend, Raymond R.; Appel, Lawrence J; Raj, Dominic S.; Ojo, Akinlolu O.; Schreiber, Martin J.; Strauss, Louise F.; Zhang, Xiaoming; Wang, Xin; He, Jiang; Hamm, L. Lee

    2012-01-01

    Patients with chronic kidney disease (CKD) have an increased risk of developing peripheral arterial disease (PAD). We examined the cross-sectional association between novel risk factors and prevalent PAD among patients with CKD. A total of 3,758 patients with an estimated glomerular filtration rate (eGFR) of 20-70 mL/min/1.73 m2 who participated in the chronic renal insufficiency cohort (CRIC) study were included in the current analysis. PAD was defined as an ankle-brachial index

  18. Depressive symptoms, atherosclerotic burden and cerebral blood flow disturbances in a cohort of octogenarian men from a general population

    OpenAIRE

    Siennicki-Lantz, Arkadiusz; André-Petersson, Lena; Wollmer, Per; Elmståhl, Sölve

    2013-01-01

    Background: The aim of this study was to examine in elderly men a relationship between depressive symptoms, peripheral vascular disease and cerebral blood flow (CBF). Methods: Population-based cohort study started with an examination of 809 men at age 55, followed by the first (age 68ys) and second follow up (age 82ys). 128 survivors were examined at age 82 with Tc-99m-HMPAO-SPECT to estimate CBF, Zung-Self-Rating-Depression Scale (ZSDS), and Ankle-Brachial Index (ABI). Analysis was performed...

  19. Investigation on the relationship between body mass index and blood pressure in undergraduate students and exercise intervention%青年大学生BMI与血压的相关性分析及运动干预实验

    Institute of Scientific and Technical Information of China (English)

    吴秋桃; 胡蓉; 叶春姬

    2012-01-01

    目的 探讨大学生人群中体质量指数(BMI)对血压水平的影响.方法 将重庆城市管理职业学院2008~2010年入学新生共8 757例大学生的身高、体质量、收缩压(SBP)、舒张压(DBP)作为基础资料进行统计分析,超重肥胖者进行有氧运动干预.结果 BMI分别与SBP、DBP呈正相关(SBP:r=0.23,P=0.000,DBP:r=0.16,P=0.000),且SBP、DBP水平均表现为:肥胖组[(117.65±14.28)mm Hg,(75.65±9.55)mm Hg]大于超重组[(117.41±12.86)mm Hg,(74.78±8.91)mm Hg]大于体质量正常组[(111.78±11.38)mm Hg,(71.49±8.14)mm Hg]大于低体质量组[(107.85±10.66)mm Hg,(69.80±7.95)mm Hg],3组比较差异有统计学意义(P<0.05),随BMI增长而增高.对超重组及肥胖组大学生进行运动干预,发现干预后人群的BMI、SBP、DBP及血压阳性率、正常血压高值阳性率[(22.93±2.74)mm Hg,(103.65±10.14)mm Hg,(69.62±7.83)mm Hg,2.4%,27.13%]均较未干预前[(26.50±3.07)mm Hg,(117.45±13.45)mm Hg,(74.93±9.02)mm Hg,6.1%,47.4%]下降,均P<0.05.结论 BMI增高对大学生血压水平有负面影响,可将BMI作为血压偏高的重要预测指标对学生的肥胖及血压情况进行监测,通过控制他们的体质量来降低今后患高血压的危险.%To investigate the relationship between BMI and blood pressure in undergraduate student and intervention study. Methods We choose freshmen students of the Chongqing City Management College from 2008 to 2010,total of 8757 cases, and the height, weight and blood pressure of the students were analyzed statistically. The overweight and obesity students were taken aerobic exercise. Results We found that the BMI had positive correlation with the blood pressure (systolic pressure: r = 0. 23,P = 0. 000 ;diastolic pressure: r = 0. 16,P = 0. 000). The relationship of blood pressure levels among the groups were: obese group [(117. 65 + 14. 28)mm Hg,(75. 65 + 9. 55)mm Hg]>overweight group[(117. 41 +12. 86)mm Hg,(74. 78 + 8. 91)mm Hg] >normal group[(lll. 78

  20. Hyperaldosteronism and cardiovascular risk in patients with autosomal dominant polycystic kidney disease.

    Science.gov (United States)

    Lai, Silvia; Petramala, Luigi; Mastroluca, Daniela; Petraglia, Emanuela; Di Gaeta, Alessandro; Indino, Elena; Panebianco, Valeria; Ciccariello, Mauro; Shahabadi, Hossein H; Galani, Alessandro; Letizia, Claudio; D'Angelo, Anna Rita

    2016-07-01

    Hypertension is commonly associated with autosomal dominant polycystic kidney disease (ADPKD), often discovered before the onset of renal failure, albeit the pathogenetic mechanisms are not well elucidated. Hyperaldosteronism in ADPKD may contribute to the development of insulin resistance and endothelial dysfunction, and progression of cardiorenal disease. The aim of study was to evaluate the prevalence of primary aldosteronism (PA) in ADPKD patients and identify some surrogate biomarkers of cardiovascular risk.We have enrolled 27 hypertensive ADPKD patients with estimated glomerular filtration rate (eGFR) ≥ 60 mL/min, evaluating the renin-angiotensin-aldosterone system (RAAS), inflammatory indexes, nutritional status, homocysteine (Hcy), homeostasis model assessment-insulin resistance (HOMA-IR), mineral metabolism, microalbuminuria, and surrogate markers of atherosclerosis [carotid intima media thickness (cIMT), ankle/brachial index (ABI), flow mediated dilation (FMD), renal resistive index (RRI) and left ventricular mass index (LVMI)]. Furthermore, we have carried out the morpho-functional magnetic resonance imaging (MRI) with high-field 3 T Magnetom Avanto.We have divided patients into group A, with normal plasma aldosterone concentration (PAC) and group B with PA, present in 9 (33%) of overall ADPKD patients. Respect to group A, group B showed a significant higher mean value of LVMI, HOMA-IR and Hcy (P = 0.001, P = 0.004, P = 0.018; respectively), and a lower value of FMD and 25-hydroxyvitamin D (25-OH-VitD) (P = 0.037, P = 0.019; respectively) with a higher prevalence of non-dipper pattern at Ambulatory Blood Pressure Monitoring (ABPM) (65% vs 40%, P FMD, and 25-OH-VitD, considered as surrogate markers of atherosclerosis, compared to ADPKD patients with normal PAC values. Our results indicate a higher overall cardiovascular risk in ADPKD patients with inappropriate aldosterone secretion, and a screening for PA in all patients with

  1. The Glycemic Index

    OpenAIRE

    Williams, Pauline

    2004-01-01

    The glycemic index is a ranking of carbohydrate containing foods. Foods are ranked according to their immediate effect on blood sugar levels. The higher a f ood raises blood sugar, the higher its glycemic index. Scientists published the first index in 1981 when they were researching diet therapy for diabetes. This first list contained 51 foods, and the list has continued to expand, with the most recent official list containing 750 foods. Fruits, grains, dairy products, some vegetables, pastas...

  2. Diet quality assessment indexes

    OpenAIRE

    Kênia Mara Baiocchi de Carvalho; Eliane Said Dutra; Nathalia Pizato; Nádia Dias Gruezo; Marina Kiyomi Ito

    2014-01-01

    Various indices and scores based on admittedly healthy dietary patterns or food guides for the general population, or aiming at the prevention of diet-related diseases have been developed to assess diet quality. The four indices preferred by most studies are: the Diet Quality Index; the Healthy Eating Index; the Mediterranean Diet Score; and the Overall Nutritional Quality Index. Other instruments based on these indices have been developed and the words 'adapted', 'revised', or 'new version I...

  3. Supplement: Commodity Index Report

    Data.gov (United States)

    Commodity Futures Trading Commission — Shows index traders in selected agricultural markets. These traders are drawn from the noncommercial and commercial categories. The noncommercial category includes...

  4. EJSCREEN Supplementary Indexes 2015 Public

    Data.gov (United States)

    U.S. Environmental Protection Agency — There are 40 supplementary EJSCREEN indexes that are divided into 5 categories: EJ Index with supplementary demographic index, Supplementary EJ Index 1 with...

  5. EJSCREEN Supplementary Indexes 2015 Internal

    Data.gov (United States)

    U.S. Environmental Protection Agency — There are 60 supplementary EJ Indexes in EJSCREEN that are divided into 5 categories: EJ Index with supplementary demographic index, Supplementary EJ Index 1 with...

  6. Dacron or PTFE for above-knee femoropopliteal bypass

    DEFF Research Database (Denmark)

    Jensen, Leif P.; Lepäntalo, M.; Fossdal, J.E.;

    2007-01-01

    analysis. Age, gender, indication (claudication: 65%), run-off (2 or 3 vessels: 76%), diabetes (17%) and hypertension (31%) as well as cerebrovascular (9%) and cardiac (33%) risks were evenly distributed. Patients were followed postoperatively at 1, 12 and 24 months. Patency assessment was based on ankle......-brachial pressures or imaging in case of doubt. RESULTS: The two-year primary patency rates for Dacron and PTFE were 70% and 57% (p=0.02), whereas the secondary patency rates were 76% and 65% (p=0.04), respectively. Primary patency at two years was significantly influenced by the number of patent crural vessels (two...

  7. Watts Poverty Index

    OpenAIRE

    SAISANA Michaela

    2014-01-01

    The Watts poverty index is the first distribution-sensitive poverty measure, and it was proposed in 1964 by Harold W. Watts (1964). The index is computed by dividing the poverty line by income, taking logs, and taking the sum over the poor.

  8. ParkIndex

    DEFF Research Database (Denmark)

    Kaczynski, Andrew T; Schipperijn, Jasper; Hipp, J Aaron; Besenyi, Gina M; Stanis, Sonja A Wilhelm; Hughey, S Morgan; Wilcox, Sara

    2016-01-01

    A lack of comprehensive and standardized metrics for measuring park exposure limits park-related research and health promotion efforts. This study aimed to develop and demonstrate an empirically-derived and spatially-represented index of park access (ParkIndex) that would allow researchers, plann...... significance for researchers and professionals in diverse disciplines....

  9. EMMSE Media Index.

    Science.gov (United States)

    Hewitt, Clifford A., Comp.; McKinstry, Herbert A., Comp.

    This index provides a topical taxonomy of media which have been selected for their relevance in the teaching of materials science and engineering. The index is keyed to a matrix which matches topical and/or class material with six classifications of media: print, 16mm film, super 8 film, slide/tape, videotape, and other (including interactive…

  10. Global Ecosystem Restoration Index

    DEFF Research Database (Denmark)

    Fernandez, Miguel; Garcia, Monica; Fernandez, Nestor

    2015-01-01

    The Global ecosystem restoration index (GERI) is a composite index that integrates structural and functional aspects of the ecosystem restoration process. These elements are evaluated through a window that looks into a baseline for degraded ecosystems with the objective to assess restoration...

  11. Measuring Intracranial Pressure And Volume Noninvasively

    Science.gov (United States)

    Cantrell, John H.; Yost, William T.

    1994-01-01

    Ultrasonic technique eliminates need to drill into brain cavity. Intracranial dynamics instrument probes cranium ultrasonically to obtain data for determination of intracranial pressure (ICP) and pressure-volume index (PVI). Instrument determines sensitivity of skull to changes in pressure and by use of mechanical device to exert external calibrated pressure on skull. By monitoring volume of blood flowing into jugular vein, one determines change of volume of blood in cranial system. By measuring response of skull to increasing pressure (where pressure increased by tilting patient known amount) and by using cranial blood pressure, one determines intial pressure in cerebrospinal fluid. Once PVI determined, ICP determined.

  12. Effects of rosiglitazone on metabolic parameters and large artery sclerosis in nondiabetic patients with metabolic sydrome

    International Nuclear Information System (INIS)

    Objective: To observe the effects of rosiglitazone on metabolic parameters, carotid intimamedia thickness (IMT), brachial-ankle pulse wave velocity (baPWV) and ankle-brachial index (ABI) in nondiabetic patients with metabolic syndrome. Methods: Seventy-nine nondiabetic patients with metabolic syndrome were randomly divided into treatment group (n = 41) and control group (n = 38). The patients in treatment group were treated with rosiglitazone on the basis of life-style intervention, those in control group were treated with life-style intervention for 9 months. All patients were followed up every 3 months. Body mass index (BMI) ,waist circumference(WC), systolic blood pressure (SBP), diastolic blood pressure(DBP), fasting blood glucose (FBG), triglyceride (TG), total cholesterol (TC), highdendity lipoprotein (HDL-C), Low-density lipoprotein (LDL), high sensitivity C-reactive protein (hsCRP), HbA1C, fasting insulin (FIns), HOMA-IR, IMT, baPWV and ABI were measured in both groups before treatment and at the 6th, 9th month after treatment. Results: (1) After treatment with rosiglitazone for 6 months, FPG, TG, HDL-C, hsC RP, HbA1C, Fins and HOMA-IR in treatment group were improved (P 1C, Fins and HOMA-IR got further improvement at the 9th month after treatment (P 1C, Fins and HOMA-IR were changed significantly in treatment group compared to those in control group (P 1C and HOMA-IR was independently related to the improvement of ABI by multivarient analysis. Conclusion: In nondiabetic patients with metabolic syndrome, rosiglitazone can significantly improve insulin resistance, correct metabolic disorders, has anti-inflammatory effect and retard atherosclerosis at some extent. (authors)

  13. Improving interMediAte Risk management. MARK study

    Directory of Open Access Journals (Sweden)

    Garcia-Gil Maria

    2011-10-01

    Full Text Available Abstract Background Cardiovascular risk functions fail to identify more than 50% of patients who develop cardiovascular disease. This is especially evident in the intermediate-risk patients in which clinical management becomes difficult. Our purpose is to analyze if ankle-brachial index (ABI, measures of arterial stiffness, postprandial glucose, glycosylated hemoglobin, self-measured blood pressure and presence of comorbidity are independently associated to incidence of vascular events and whether they can improve the predictive capacity of current risk equations in the intermediate-risk population. Methods/Design This project involves 3 groups belonging to REDIAPP (RETICS RD06/0018 from 3 Spanish regions. We will recruit a multicenter cohort of 2688 patients at intermediate risk (coronary risk between 5 and 15% or vascular death risk between 3-5% over 10 years and no history of atherosclerotic disease, selected at random. We will record socio-demographic data, information on diet, physical activity, comorbidity and intermittent claudication. We will measure ABI, pulse wave velocity and cardio ankle vascular index at rest and after a light intensity exercise. Blood pressure and anthropometric data will be also recorded. We will also quantify lipids, glucose and glycosylated hemoglobin in a fasting blood sample and postprandial capillary glucose. Eighteen months after the recruitment, patients will be followed up to determine the incidence of vascular events (later follow-ups are planned at 5 and 10 years. We will analyze whether the new proposed risk factors contribute to improve the risk functions based on classic risk factors. Discussion Primary prevention of cardiovascular diseases is a priority in public health policy of developed and developing countries. The fundamental strategy consists in identifying people in a high risk situation in which preventive measures are effective and efficient. Improvement of these predictions in our country

  14. Hemoglobin A1c and arterial and ventricular stiffness in older adults.

    Directory of Open Access Journals (Sweden)

    Susan J Zieman

    Full Text Available OBJECTIVE: Arterial and ventricular stiffening are characteristics of diabetes and aging which confer significant morbidity and mortality; advanced glycation endproducts (AGE are implicated in this stiffening pathophysiology. We examined the association between HbA(1c, an AGE, with arterial and ventricular stiffness measures in older individuals without diabetes. RESEARCH DESIGN & METHODS: Baseline HbA(1c was measured in 830 participants free of diabetes defined by fasting glucose or medication use in the Cardiovascular Health Study, a population-based cohort study of adults aged ≥ 65 years. We performed cross-sectional analyses using baseline exam data including echocardiography, ankle and brachial blood pressure measurement, and carotid ultrasonography. We examined the adjusted associations between HbA(1c and multiple arterial and ventricular stiffness measures by linear regression models and compared these results to the association of fasting glucose (FG with like measures. RESULTS: HbA(1c was correlated with fasting and 2-hour postload glucose levels (r = 0.21; p<0.001 for both and positively associated with greater body-mass index and black race. In adjusted models, HbA(1c was not associated with any measure of arterial or ventricular stiffness, including pulse pressure (PP, carotid intima-media thickness, ankle-brachial index, end-arterial elastance, or left ventricular mass (LVM. FG levels were positively associated with systolic, diastolic and PP and LVM. CONCLUSIONS: In this sample of older adults without diabetes, HbA(1c was not associated with arterial or ventricular stiffness measures, whereas FG levels were. The role of AGE in arterial and ventricular stiffness in older adults may be better assessed using alternate AGE markers.

  15. Upwelling Index, 21N 107W, 6-hourly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Upwelling index computed from 1-degree FNMOC sea level pressure for 15 locations off the North American West Coast at each 3 degrees of latitude from 21N to 60N....

  16. Upwelling Index, 30N 119W, 6-hourly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Upwelling index computed from 1-degree FNMOC sea level pressure for 15 locations off the North American West Coast at each 3 degrees of latitude from 21N to 60N....

  17. Upwelling Index, 54N 134W, 6-hourly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Upwelling index computed from 1-degree FNMOC sea level pressure for 15 locations off the North American West Coast at each 3 degrees of latitude from 21N to 60N....

  18. Upwelling Index, 42N 125W, 6-hourly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Upwelling index computed from 1-degree FNMOC sea level pressure for 15 locations off the North American West Coast at each 3 degrees of latitude from 21N to 60N....

  19. Upwelling Index, 33N 119W, 6-hourly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Upwelling index computed from 1-degree FNMOC sea level pressure for 15 locations off the North American West Coast at each 3 degrees of latitude from 21N to 60N....

  20. Upwelling Index, 57N 137W, 6-hourly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Upwelling index computed from 1-degree FNMOC sea level pressure for 15 locations off the North American West Coast at each 3 degrees of latitude from 21N to 60N....

  1. Upwelling Index, 36N 122W, 6-hourly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Upwelling index computed from 1-degree FNMOC sea level pressure for 15 locations off the North American West Coast at each 3 degrees of latitude from 21N to 60N....

  2. Upwelling Index, 27N 116W, 6-hourly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Upwelling index computed from 1-degree FNMOC sea level pressure for 15 locations off the North American West Coast at each 3 degrees of latitude from 21N to 60N....

  3. Upwelling Index, 39N 125W, 6-hourly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Upwelling index computed from 1-degree FNMOC sea level pressure for 15 locations off the North American West Coast at each 3 degrees of latitude from 21N to 60N....

  4. Climate Prediction Center Equatorial Southern Oscillation Index (1949-present)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This is one of the CPC?s Monthly Atmospheric and SST Indices. It contains Equatorial Southern Oscillation Index (standardized sea level pressure differences between...

  5. Upwelling Index, 60N 149W, 6-hourly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Upwelling index computed from 1-degree FNMOC sea level pressure for 15 locations off the North American West Coast at each 3 degrees of latitude from 21N to 60N....

  6. Upwelling Index, 45N 125W, 6-hourly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Upwelling index computed from 1-degree FNMOC sea level pressure for 15 locations off the North American West Coast at each 3 degrees of latitude from 21N to 60N....

  7. Upwelling Index, 48N 125W, 6-hourly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Upwelling index computed from 1-degree FNMOC sea level pressure for 15 locations off the North American West Coast at each 3 degrees of latitude from 21N to 60N....

  8. Upwelling Index, 51N 131W, 6-hourly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Upwelling index computed from 1-degree FNMOC sea level pressure for 15 locations off the North American West Coast at each 3 degrees of latitude from 21N to 60N....

  9. Upwelling Index, 24N 113W, 6-hourly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Upwelling index computed from 1-degree FNMOC sea level pressure for 15 locations off the North American West Coast at each 3 degrees of latitude from 21N to 60N....

  10. Upwelling Index, 60N 146W, 6-hourly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Upwelling index computed from 1-degree FNMOC sea level pressure for 15 locations off the North American West Coast at each 3 degrees of latitude from 21N to 60N....

  11. Abdominal obesity vs general obesity for identifying arterial stiffness, subclinical atherosclerosis and wave reflection in healthy, diabetics and hypertensive

    Directory of Open Access Journals (Sweden)

    Recio-Rodriguez Jose I

    2012-02-01

    Full Text Available Abstract Background Our aim was to analyze the relationship between abdominal obesity and general obesity, with subclinical atherosclerosis, arterial stiffness and wave reflection in healthy, diabetics and hypertensive subjects. Methods A cross-sectional descriptive study was made of 305 individuals (diabetics 32.8%, hypertensive subjects 37.0% and healthy individuals 30.2%. Measurements: Body mass index (BMI, waist circumference (WC, body fat percentage (BFP and waist/height ratio (WHtR. Arterial stiffness was assessed according to pulse wave velocity (PWV, intima-media thickness of the common carotid artery (C-IMT, augmentation index (central and peripheral, ankle-brachial index (ABI, and central and peripheral pulse pressure. Results WC and WHtR showed a positive correlation to PWV and C-IMT in the studied groups. After adjusting for age, gender, high sensitivity c-reactive protein, serum glucose and the presence of diabetes, hypertension, smoking, dyslipidemia, antidiabetic drugs, lipid-lowering drugs, and atherosclerotic plaques, it was seen that for every 0.1 point increase in WHtR, and for every cm increase in WC, the PWV increased 0.041 and 0.029 m/sec, and C-IMT increased 0.001 mm and 0.001 mm, respectively. Conclusions The measures of abdominal obesity (WHtR and WC correlates better than BMI and BFP with arterial stiffness evaluated by PWV, and with subclinical atherosclerosis evaluated by C-IMT, independently of the presence of diabetes or hypertension. Trial Registration Clinical Trials.gov Identifier: NCT01325064

  12. Assessment of intrinsic vulnerability of an alluvial aquifer under anthropogenic pressure: cross comparison of 4 index-based groundwater vulnerability mapping models within the Biguglia lagoon watershed (Corsica, France).

    Science.gov (United States)

    Jaunat, Jessy; Huneau, Frédéric; Garel, Emilie; Devos, Alain; Lejeune, Olivier

    2016-04-01

    KEYWORDS: Alluvial aquifer, Vulnerability mapping, Index-based methods, DRASTIC, SINTACS, SI, GOD The geographical position of the Biguglia lagoon watershed south of the Bastia city (80 000 inhabitants), lead to a highly vulnerable hydrosystem setting. This littoral plain is the unique territory available for the urbanisation and for the agriculture activities (cattle breeding). All the activities developed are likely to have a qualitative impact on water infiltration and therefore on groundwater, which is in hydraulic connection with the lagoon system. Beyond this ecological issue, groundwater of this watershed is intensively used as drinking water supply. It appears essential to control the long-term groundwater quality of the Biguglia plain which is the major economic zone of Corsica. Achievement of this issue requires the identification of the areas where the alluvial aquifer is mostly vulnerable to anthropogenic activities. The results given by 4 of the most popular index-based vulnerability mapping methods (DRASTIC, SI, SINTACS and GOD) are compared. The water table, net recharge, aquifer and soils properties, topography, vadose zone and land uses have been precisely mapped and numerically translated in GIS with a 25m precision. 4 final maps were finally compiled according to the weighting factors of each methods. Hydrochemical investigations were also carried out on 30 sampling points (major ions and anthropogenic tracers) to evaluate the effect of anthropogenic activities on groundwater quality and also to validate the results of the vulnerability mapping. A comparison between the parametric models shows a significant agreement between the DRASTIC, SINTACS and SI results (2% to 5% of the total area in very low vulnerability class, 10% to 13% in low vulnerability, 16% to 23% in medium vulnerability, 31% to 53% in high vulnerability and 14% to 23% in very high vulnerability). The two first methods are quite similar, which explains the proximity of the

  13. Supersymmetric Berry index

    CERN Document Server

    Ilinskii, K N; Melezhik, V S; Ilinski, K N; Kalinin, G V; Melezhik, V V

    1994-01-01

    We revise the sequences of SUSY for a cyclic adiabatic evolution governed by the supersymmetric quantum mechanical Hamiltonian. The condition (supersymmetric adiabatic evolution) under which the supersymmetric reductions of Berry (nondegenerated case) or Wilczek-Zee (degenerated case) phases of superpartners are taking place is pointed out. The analogue of Witten index (supersymmetric Berry index) is determined. As the examples of suggested concept of supersymmetric adiabatic evolution the Holomorphic quantum mechanics on complex plane and Meromorphic quantum mechanics on Riemann surface are considered. The supersymmetric Berry indexes for the models are calculated.

  14. Hedonic House Price Index

    OpenAIRE

    Säterbrink, Filip

    2013-01-01

    Nasdaq OMX Valueguard-KTH Housing Index (HOX) is a hedonic price index that illustrates the price development of condominiums in Sweden, and that is obtained by using regression technique. Concerns have been raised regarding the influence of the monthly fee on the index. Low fee condominiums could be more popular because of the low monthly cost, high fee condominiums tend to sell for a lower price due to the high monthly cost. As the price of a condominium rises the importance of the monthly ...

  15. Computerized dynamic posturography for postural control assessment in patients with intermittent claudication.

    Science.gov (United States)

    Vanicek, Natalie; King, Stephanie A; Gohil, Risha; Chetter, Ian C; Coughlin, Patrick A

    2013-01-01

    Computerized dynamic posturography with the EquiTest is an objective technique for measuring postural strategies under challenging static and dynamic conditions. As part of a diagnostic assessment, the early detection of postural deficits is important so that appropriate and targeted interventions can be prescribed. The Sensory Organization Test (SOT) on the EquiTest determines an individual's use of the sensory systems (somatosensory, visual, and vestibular) that are responsible for postural control. Somatosensory and visual input are altered by the calibrated sway-referenced support surface and visual surround, which move in the anterior-posterior direction in response to the individual's postural sway. This creates a conflicting sensory experience. The Motor Control Test (MCT) challenges postural control by creating unexpected postural disturbances in the form of backwards and forwards translations. The translations are graded in magnitude and the time to recover from the perturbation is computed. Intermittent claudication, the most common symptom of peripheral arterial disease, is characterized by a cramping pain in the lower limbs and caused by muscle ischemia secondary to reduced blood flow to working muscles during physical exertion. Claudicants often display poor balance, making them susceptible to falls and activity avoidance. The Ankle Brachial Pressure Index (ABPI) is a noninvasive method for indicating the presence of peripheral arterial disease and intermittent claudication, a common symptom in the lower extremities. ABPI is measured as the highest systolic pressure from either the dorsalis pedis or posterior tibial artery divided by the highest brachial artery systolic pressure from either arm. This paper will focus on the use of computerized dynamic posturography in the assessment of balance in claudicants. PMID:24378378

  16. PERIPHERAL ARTERIAL DISEASE IN THE LEG

    Directory of Open Access Journals (Sweden)

    Nair P

    2014-09-01

    Full Text Available INTRODUCTION: Peripheral arterial disease (PAD is a condition characterized by atherosclerotic occlusive disease of the lower extremities. While PAD is a major risk factor for lower-extremity amputation, it is also accompanied by a high likelihood for symptomatic cardiovascular and cerebrovascular disease. Atherosclerosis accounts for more than 90% of cases of PAD, and uncommon vascular syndromes account for the remaining 10%. The femoral and popliteal arteries are affected in 80% to 90% of symptomatic PAD patients, the tibial and peroneal arteries in 40% to 50%, and the aortoiliac arteries in 30%.Although 65–75% of patients with PAD are asymptomatic, the classic presenting symptom is usually described as muscle cramps, fatigue or pain in the lower legs induced by exercise and rapidly relieved by rest; often the symptom location indicates the level of arterial involvement. RISK FACTORS: Diabetes and smoking are the strongest risk factors for PAD. Other well-known risk factors are advanced age, hypertension, and hyperlipidemia. DIAGNOSIS: PAD can be easily and accurately diagnosed by calculating the ankle-brachial index (ABI.The ABI is defined as the ratio of the systolic blood pressure in the ankle divided by the systolic blood pressure at the arm. The tools required to perform the ABI measurement include a hand-held 5–10 MHz Doppler probe and a blood pressure cuff. MANAGEMENT: Most patients' symptoms improve with optimal medical treatment and invasive intervention is often not required. Smoking cessation and exercise are considered the two most important treatments for PAD. CONCLUSION: Symptomatic PAD often impairs a patient's quality of life and untreated disease can lead to limb loss. Aggressive management of atherosclerotic risk factors, a structured exercise program, use of antiplatelet agents and when indicated percutaneous or surgical revascularizations are the keys for successful management.

  17. Clinical and angiographic outcome after interventional treatment of the iliac arteries with a new carbofilm trademark coated stent: preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Butz, B.; Paetzel, C.; Stern, U.; Schleicher, T.; Feuerbach, S.; Lenhart, M. [Dept. of Radiology, Univ. of Regensburg Hospital, Regensburg (Germany); Pfister, K. [Dept. of Surgery, Univ. of Regensburg Hospital, Regensburg (Germany); Link, J. [Dept. of Radiology, Spitalregion St. Gallen, St. Gallen (Switzerland)

    2004-11-01

    Purpose: To evaluate the handling, the procedural success rate and the six-month outcome of a new Carbofilm trademark coated balloon-expandable stent in iliac artery lesions. Materials and Methods: In a prospective study, 46 stenoses and 2 occlusions of the iliac arteries were primarily stented in 30 patients with the Isthmus CarboStent trademark (Sorin Biomedica Cardio S.p.A., Saluggia, Italy). The ankle-brachial index (ABI) at rest was determined before intervention and at the six-month follow-up visit. Iliac angiography, including intraarterial pressure measurement, was performed before intervention, post-procedurally and at the follow-up visit. Results: All lesions were treated with procedural success. The mean degree of all stenoses was 73.9%{+-}14.6 before and 2.4%{+-}8.2 after intervention. The mean pressure gradient was 15.6 mm Hg{+-}10.1 before and 2.5 mm Hg{+-}2.7 after treatment. Nor or only a mild restenosis developed in 27 patients. The mean ABI increased from 0.64{+-}0.21 to 0.86{+-}0.33 and the mean pressure gradient was 2.7 mm Hg{+-}5.4 at the six-month visit. The six-month patency rate was 97.9%. Three patients showed acute stent thrombosis due to an insufficient postprocedural antiplatelet regimen. Discussion: the Isthmus CarboStent trademark is a safe and easy to handle balloon-expandable stent for interventional therapy of iliac artery lesions. The six-month patency rate is good. Despite its Carbofilm trademark coating, postprocedural antiplatelet therapy is necessary. (orig.)

  18. Tree-Indexed Processes

    OpenAIRE

    Pemantle, Robin

    1995-01-01

    This article examines a recent body of work on stochastic processes indexed by a tree. Emphasis is on the application of this new framework to existing probability models. Proofs are largely omitted, with references provided.

  19. Textile Index Monitor

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Textile Index Monitor is a new column that delivers a textile-specific price index profile in weeks that are bygone when this monthly magazine comes to your hand. China Textile City is the name of the world-largest yarn&fabric marketplace in the famous town of Keqiao in Zhejiang,China.Several years ago,Ministry of Commerce(MOC)set up a national price index centre for textiles-specific category,China Textile City takes the leading role in publishing its analytical report of textile price index on weekly,monthly,quarterly and yearly basis,making it possible for Keqiao or its textile city to be the weathercock for textiles market trend in China and in the world as well.From this issue,a new column is given to cover the gist&feeds of the latest developments&gradients in this market barometer.

  20. TOMS Absorbing Aerosol Index

    Data.gov (United States)

    Washington University St Louis — TOMS_AI_G is an aerosol related dataset derived from the Total Ozone Monitoring Satellite (TOMS) Sensor. The TOMS aerosol index arises from absorbing aerosols such...

  1. Arizona - Social Vulnerability Index

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Social Vulnerability Index is derived from the 2000 US Census data. The fields included are percent minority, median household income, age (under 18 and over...

  2. Palmer Drought Severity Index

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — PDSI from the Dai dataset. The Palmer Drought Severity Index (PDSI) is devised by Palmer (1965) to represent the severity of dry and wet spells over the U.S. based...

  3. Index Futures Come Nearer

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Chinese investors have seen the dawn of stock index futures. The longexpected investment tool may be launched soon, but officials at the China Securities Regulatory Commission(CSRC) are working to further improve

  4. National Death Index

    Data.gov (United States)

    U.S. Department of Health & Human Services — The National Death Index (NDI) is a centralized database of death record information on file in state vital statistics offices. Working with these state offices,...

  5. Regional Snowfall Index (RSI)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA's National Climatic Data Center is now producing the Regional Snowfall Index (RSI) for significant snowstorms that impact the eastern two thirds of the U.S....

  6. Exploring volumetrically indexed cups

    Science.gov (United States)

    Jones, Dustin L.

    2011-03-01

    This article was inspired by a set of 12 cylindrical cups, which are volumetrically indexed; that is to say, the volume of cup n is equal to n times the volume of cup 1. Various sets of volumetrically indexed cylindrical cups are explored. I demonstrate how this children's toy is ripe for mathematical investigation, with connections to geometry, algebra and differential calculus. Students with an understanding of these topics should be able to complete the analysis and related exercises contained herein.

  7. Methods explained: Index numbers

    OpenAIRE

    Peter Goodridge

    2007-01-01

    Attempts to explain the subtle differences in the methodologies used to construct index numbers.Many of the statistics produced by the Office for National Statistics,particularly economic statistics, are published in the form ofindices. However, there are a number of different forms of indices and this article attempts to explain the subtle differences in themethodologies used to construct them, and also factors that feed into the choice of which type of index to use. Hypothetical examplesare...

  8. Index of Financial Inclusion

    OpenAIRE

    Mandira Sarma

    2008-01-01

    The promotion of an inclusive financial system is considered a policy priority in many countries. While the importance of financial inclusion is widely recognized, the literature lacks a comprehensive measure that can be used to measure the extent of financial inclusion across economies. This paper attempts to fill this gap by proposing an index of financial inclusion (IFI). The IFI is a multi-dimensional index that captures information on various dimensions of financial inclusion in one sing...

  9. The preparation and refractive index of BST thin films

    International Nuclear Information System (INIS)

    Radio-frequency magnetron sputtering technique is used to deposit Ba0.65Sr0.35TiO3 (BST) thin films on fused quartz substrates. In order to prepare the high-quality BST thin films, the crystallization and microstructure of the films were characterized by X-ray diffraction (XRD), field emission scanning electron microscopy (FESEM) and atomic force microscopy (AFM). More intense characteristic diffraction peaks and better crystallization can be observed in BST thin films deposited at 600 deg. C and subsequently annealed at 700 deg. C. The refractive index of the films is determined from the measured transmission spectra. The dependences of the refractive index on the deposition parameters of BST thin films are different. The refractive index of the films increases with the substrate temperature. At lower sputtering pressure, the refractive index increases from 1.797 to 2.197 with pressure increase. However, when the pressure increases up to 3.9 Pa, the refractive index reduces to 1.86. The oxygen to argon ratio also plays an important effect on the refractive index of the films. It has been found that the refractive index increases with increase in the ratio of oxygen to argon. The refractive index of BST thin films is strongly dependent on the annealing temperature, which also increases as the annealing temperature ascends. In a word, the refractive index of BST thin films is finally affected by the films' microstructure and texture

  10. The tree BVOC index

    Energy Technology Data Exchange (ETDEWEB)

    Simpson, J.R., E-mail: jrsimpson@ucdavis.edu [U.S. Forest Service, Pacific Southwest Research Station, Urban Ecosystems and Processes, 1731 Research Park Drive, Davis, CA 95616 (United States); McPherson, E.G. [U.S. Forest Service, Pacific Southwest Research Station, Urban Ecosystems and Processes, 1731 Research Park Drive, Davis, CA 95616 (United States)

    2011-08-15

    Urban trees can produce a number of benefits, among them improved air quality. Biogenic volatile organic compounds (BVOCs) emitted by some species are ozone precursors. Modifying future tree planting to favor lower-emitting species can reduce these emissions and aid air management districts in meeting federally mandated emissions reductions for these compounds. Changes in BVOC emissions are calculated as the result of transitioning to a lower-emitting species mix in future planting. A simplified method for calculating the emissions reduction and a Tree BVOC index based on the calculated reduction is described. An example illustrates the use of the index as a tool for implementation and monitoring of a tree program designed to reduce BVOC emissions as a control measure being developed as part of the State Implementation Plan (SIP) for the Sacramento Federal Nonattainment Area. - Highlights: > A Tree BVOC index based on reduced emissions from low emitting trees is described. > An example illustrates use of the index as an implementation and monitoring tool. > This index could be useful for including urban trees in air quality mitigation plans. - A tree BVOC index is presented that calculates reduced BVOC emissions from planting lower-emitting urban tree species that has potential application for SIP compliance.

  11. The tree BVOC index

    International Nuclear Information System (INIS)

    Urban trees can produce a number of benefits, among them improved air quality. Biogenic volatile organic compounds (BVOCs) emitted by some species are ozone precursors. Modifying future tree planting to favor lower-emitting species can reduce these emissions and aid air management districts in meeting federally mandated emissions reductions for these compounds. Changes in BVOC emissions are calculated as the result of transitioning to a lower-emitting species mix in future planting. A simplified method for calculating the emissions reduction and a Tree BVOC index based on the calculated reduction is described. An example illustrates the use of the index as a tool for implementation and monitoring of a tree program designed to reduce BVOC emissions as a control measure being developed as part of the State Implementation Plan (SIP) for the Sacramento Federal Nonattainment Area. - Highlights: → A Tree BVOC index based on reduced emissions from low emitting trees is described. → An example illustrates use of the index as an implementation and monitoring tool. → This index could be useful for including urban trees in air quality mitigation plans. - A tree BVOC index is presented that calculates reduced BVOC emissions from planting lower-emitting urban tree species that has potential application for SIP compliance.

  12. Exact relationships between fisher indexes and theoretical indexes

    OpenAIRE

    Grifell i Tatjé, Emili; Lovell, C.A. Knox

    2015-01-01

    In this paper we develop exact relationships between empirical Fisher indexes and their theoretical Malmquist and Konus counterparts. We begin by using implicit Malmquist price and price recovery indexes to establish exact relationships between Malmquist quantity and productivity indexes and Fisher quantity and productivity indexes. We then show that Malmquist quantity and productivity indexes and Fisher price and price recovery indexes “almost” satisfy the product test with the rele...

  13. Predictors of atherosclerotic lesions of limb arteries according to cardioangiological screening of the adult population

    Directory of Open Access Journals (Sweden)

    R. A. Khokhlov

    2015-11-01

    Full Text Available Aim. To study the predictors of atherosclerotic lesions of arteries identified through a multi-channel volume sphygmography (MCVS. Material and methods. Simultaneous survey of 441 rural residents over 40 years old was performed. Synchronous registration of blood pressure (BP on four limbs using MCVS was fulfilled, and differences in systolic BP between arms (ΔSBParm and legs (ΔSBPleg were calculated. Ankle-brachial index (ABI was also evaluated. │ΔSBParm│≥15 mm Hg or │ΔSBPleg│≥15 mm Hg or ABI≤0.9 were considered as the markers of atherosclerotic arterial disease. Results. A significant asymmetry of SBP (≥15 mmHg was found in 7.7% [95% confidence interval (CI 5.5-10.6%] of patients in the upper limbs and in 6.8% (95 % CI 4.89.6% of patients in the lower extremities. The relative risk of asymmetry of SBP (≥15 mm Hg in the upper limbs increased in hypertension and obesity, and in the lower limbs in men and diabetes. Various quantitative risk factors of the onset and progression of atherosclerosis (age, body mass index, waist circumference, blood glucose, BP level had a positive correlation with the level of asymmetry of SBP on the limbs. Using MCVS and the appropriate combinations of features (SBP asymmetry or ABI≤0.9 allowed us at the stage of screening to find out blood flow disturbances in the arteries of the extremities in 14.7% (95% CI 11.7-18.4% of patients. This detection frequency was significantly higher than that when using only ABI. Conclusion. Identification of significant SBP asymmetry (≥15 mm Hg in the limbs may improve the diagnosis of atherosclerotic arterial disease at the stage of screening.

  14. Sex differences in correlates of intermediate phenotypes and prevalent cardiovascular disease in the general population

    Directory of Open Access Journals (Sweden)

    Renate B. Schnabel

    2015-04-01

    Full Text Available Background-There are marked sex differences in cardiovascular disease [CVD] manifestation. It is largely unknown how the distribution of CVD risk factors or intermediate phenotypes explain sex-specific differences.Methods and Results-In 5000 individuals of the population-based Gutenberg Health Study, mean age 55±11 years, 51% males, we examined sex-specific associations of classical CVD risk factors with intima-media thickness, ankle-brachial index, flow-mediated dilation, peripheral arterial tonometry, echocardiographic and electrocardiographic variables. Intermediate cardiovascular phenotypes were related to prevalent CVD (coronary artery disease, heart failure, stroke, myocardial infarction, lower extremity artery disease [LEAD] N=561.We observed differential distributions of CVD risk factors with a higher risk factor burden in men. Manifest coronary artery disease, stroke, myocardial infarction and LEAD were more frequent in men; the proportion of heart failure was higher in women. Intermediate phenotypes showed clear sex differences with more beneficial values in women. Fairly linear changes towards less beneficial values with age were observed in both sexes. In multivariable-adjusted regression analyses age, systolic blood pressure and body mass index were consistently associated with intermediate phenotypes in both sexes with different ranking according to random forests, maximum model R² 0.43. Risk factor-adjusted associations with prevalent CVD showed some differences by sex. No interactions by menopausal status were observed. Conclusions-In a population-based cohort we observed sex differences in risk factors and a broad range of intermediate phenotypes of noninvasive cardiovascular structure and function. Their relation to prevalent CVD differed markedly. Our results indicate the need of future investigations to understand sex differences in CVD manifestation.

  15. Relationship between body composition index and blood pressure among children aged 7-12%山东省4326名7~12岁儿童体成分指数与血压水平的相关性研究

    Institute of Scientific and Technical Information of China (English)

    张迎修; 王淑荣

    2010-01-01

    目的 探讨儿童体成分指数与血压水平的相关性.方法 对4326名7~12岁儿童进行身高、体重、血压和皮褶厚度测量,采用回归方程推算体脂比(BF%),用公式计算脂肪组织指数(FMI)=BF%×体重/身高2和非脂肪组织指数(FFMI)=(体重-BF%×体重)/身高2.结果 FMI、FFMI与收缩压(SBP)和舒张压(DBP)呈一定程度正相关,7~12岁儿童FMI与SBP的相关系数为0.432~0.531(男生)、0.413~0.485(女生),与DBP的相关系数为0.316~0450(男生)、0.345~0.421(女生).FFMI与SBP的相关系数为0.214~0.366(男生)、0.108~0.383(女生);与DBP的相关系数为0.090~0.250(男生)、0.063~0.214(女生).血压与FMI的相关性高于FFMI.血压偏高儿童的体成分指数显著高于正常儿童,以FMI差距最大.结论 预防儿童高血压应从控制体脂肪、预防肥胖做起.%Objective To explore the relationship between body composition index and blood pressure of children, and to provide bases for early prevention against adult diseases. Methods A total of 4326 children aged 7-12 participated in this study, with height, weight, skinfold thickness (SFT)and blood pressure(BP)of all subjects measured. Body fat percentage(BF%)were calculated by regression equation, fat mass index(FMI)and fat-free mass index(FFMI)were calculated according to following expressions: FMI(kg/m2)=BF% × weight/height2 and FFMI(kg/m2)=(weight - BF% × weight)/height2. Results Systolic blood pressure(SBP)and diastolic blood pressure(DBP)were positively correlated with FMI and FFMI in both boys and girls. Correlation coefficients between SBP, DBP and FMI were 0.432-0.531, 0.316-0.450 for boys, and 0.413-0.485, 0.345-0.421 for girls respectively and the correlation coefficients between SBP, DBP and FFMI were 0.214-0.366, 0.090-0.250 for boys, and 0.108-0.383, 0.063-0.214 for girls respectively. The coefficient between BP and FMI were larger than those between BP and FFMI. The mean values of FMI and FFMI of children

  16. Pressure Sores

    Science.gov (United States)

    ... pressure sore include the following: Thick yellow or green pus A bad smell from the sore Redness ... spots, color changes or other signs of sores. Pay special attention to the pressure points where sores ...

  17. Pressure ulcers.

    Science.gov (United States)

    O'Byrne, Deborah

    2016-04-13

    My nursing experience is in acute care. Acute medical nurses are well placed to assess skin integrity, identify patients at risk of pressure ulcer development, and commence appropriate interventions to prevent or treat pressure ulcers. PMID:27073966

  18. A case series to describe the clinical characteristics of foot ulceration in patients with rheumatoid arthritis.

    Science.gov (United States)

    Siddle, Heidi J; Firth, Jill; Waxman, Robin; Nelson, E Andrea; Helliwell, Philip S

    2012-03-01

    The aim of this study was to describe the clinical characteristics of foot ulceration in patients with rheumatoid arthritis (RA). Adults with RA and current foot ulceration but without diabetes were recruited. Clinical examination included assessment of RA disease activity, foot deformity, peripheral vascular disease, neuropathy and plantar pressures. Location, wound characteristics and time to healing were recorded for each ulcer. Participants completed the Health Assessment Questionnaire and Leeds Foot Impact Scale. Thirty-two cases with 52 current ulcers were recruited. Thirteen patients (41%) experienced more than one current ulcer: 5 (16%) had bilateral ulceration, 15 (47%) had previous ulceration at a current ulcer site. The majority (n = 33) of open ulcers were located over the dorsal aspect of the interphalangeal joints (n = 12), plantar aspect of the metatarsophalangeal joints (MTPJs) (n = 12) and medial aspect of first MTPJs (n = 9). In ulcerated limbs (n = 37), ankle brachial pressure index (ABPI) was 6 kg/cm(2) in 6 (16%). Mean ulcer size was 4.84 by 3.29 mm. Most ulcers (n = 42, 81%) were superficial; five (9.6%) were infected. Time to healing was available for 41 ulcers: mean duration was 28 weeks. Three ulcers remained open. In conclusion, foot ulceration in RA is recurrent and multiple ulcers are common. Whilst ulcers are small and shallow, time to achieve healing is slow, posing infection risk. Reduced protective sensation is common in affected patients. The prevalence of arterial disease is low but may be under estimated due to high intolerance of ABPI. PMID:22052587

  19. Detection of peripheral arterial disease with an improved automated device: comparison of a new oscillometric device and the standard Doppler method.

    Science.gov (United States)

    Špan, Matjaž; Geršak, Gregor; Millasseau, Sandrine C; Meža, Marko; Košir, Andrej

    2016-01-01

    In occidental countries, peripheral arterial disease (PAD) is an important health issue; however, most subjects are asymptomatic (~50%) and therefore undiagnosed and untreated. Current guidelines recommend screening for PAD in primary care setting using ankle brachial index (ABI) in all patients with cardiovascular risks. This is, however, not performed strictly because the standard Doppler method is cumbersome and time-consuming. Here, we evaluate the accuracy and reproducibility of ABI measurements obtained by an improved automated oscillometric device, the MESI ABPI MD(®) device, and the standard Doppler method. ABI was measured in random order in a general practice with Doppler probes by two operators separately (ABI_dop) and twice with the MESI ABPI MD device (ABI_mesi). ABI_dop was calculated dividing the highest systolic blood pressure from both tibial and dorsalis pedis arteries by the highest systolic blood pressure of both brachial arteries. ABI_mesi was obtained automatically with simultaneous measurements on three extremities. According to ABI_dop, PAD was present in 10% of the 136 screened subjects (68.2±7.4 years). Interoperator coefficient of variation was 5.5% for ABI_dop, while the intrasubject coefficient of variation for ABI_mesi was 3.0%. ABI_mesi was correlated with ABI_dop (R=0.61, PABPI MD measurements to be performed. In conclusion, MESI improved automated oscillometric method and offered a faster and repeatable measurement of ABI with only a small, clinically irrelevant overestimation of ABI value. The tested MESI ABPI MD-improved oscillometric system can be used as a screening tool for patients in general practice and would enable family doctors to comply with current guidelines for PAD. PMID:27536125

  20. Peer Pressure

    Science.gov (United States)

    ... How Can I Help a Friend Who Cuts? Peer Pressure KidsHealth > For Teens > Peer Pressure Print A A A Text Size What's in ... She'd just had a big dose of peer pressure. Who Are Your Peers? When you were a ...

  1. Sustainability index for Taipei

    International Nuclear Information System (INIS)

    Sustainability indicators are an effective means of determining whether a city is moving towards sustainable development (SD). After considering the characteristics of Taipei, Taiwan, discussions with experts, scholars and government departments and an exhaustive literature review, this study selected 51 sustainability indicators corresponding to the socio-economic characteristic of Taipei City. Such indicators should be regarded as a basis for assessing SD in Taipei City. The 51 indicators are classified into economic, social, environmental and institutional dimensions. Furthermore, statistical data is adopted to identify the trend of SD from 1994 to 2004. Moreover, the sustainability index is calculated for the four dimensions and for Taipei as a whole. Analysis results demonstrate that social and environmental indicators are moving towards SD, while economic and institutional dimensions are performing relatively poorly. However, since 2002, the economic sustainability index has gradually moved towards SD. Overall, the Taipei sustainability index indicates a gradual trend towards sustainable development during the past 11 years

  2. [Acute and chronic limb ischemia in endurance athletes - a serious diagnosis of exercise-induced lower limb pain].

    Science.gov (United States)

    Regus, Susanne; Lang, Werner

    2016-07-01

    Lower extremity pain due to acute or chronic ischemia in high performance endurance athletes is an often forgotten differential diagnosis. A variety of symptoms constitues a multi-disciplinary challenge. Intermittent claudication or acute ischemia are clinical symptoms indicative of this vascular disease. The most important basic methods of investigation are anamnesis and clinical examination. Furthermore, the determination of the ankle-brachial index (ABI) and duplexsonography should be considered. In addition, modern cross-sectional imaging techniques such as computed tomography angiography (CTA) or magnetic resonance angiography (MRA) are recommended. In case of suspect findings, the digital substraction angiography (DSA) represents a high resolution image technique for illustration of the vessel lumen. If necessary, interventional therapy (balloon angioplasty or clot lysing) can be performed simultaneously. Surgical revision remains the gold-standard of therapy and the fastest way in which athletes regain maximum performance abilities. Correct diagnosis of lower limb ischemia affecting endurance athletes should be performed without delays. Determining the ankle-brachial index following maximal exertion represents the most important diagnostic tool. Surgical treatment techniques as decompression and revascularisation provide the best long-term results. PMID:27464284

  3. A New Technique of Graphic Representation of Myocardial Reserve and Responsiveness of Peripheral Arteries when Choosing the Surgical Approach in Patients with Multifocal Atherosclerosis

    Directory of Open Access Journals (Sweden)

    Ivanov L.N.

    2013-06-01

    Full Text Available The aim of the investigation was to develop a new technique to estimate myocardial and peripheral reserves; and on the basis of the obtained responsiveness indices of coronary and peripheral arteries — to improve the diagnostics and optimize the choice of surgical treatment modality of patients with multifocal atherosclerosis. Materials and Methods. 296 patients with concomitant lesions of coronary arteries and lower extremity vessels were examined. In 15 patients, according to the findings of synchronously performed stress-echocardiography and ultrasound Doppler of lower extremities, we compared the severity of coronary and peripheral syndromes using the developed technique of graphic representation of ejection fraction and ankle brachial index (initial, load-peak, recovery time 3 min, 6 min later on phase plane. Results. The study of the distribution dynamics of the indices of ejection fraction and ankle brachial index — the basic indices of intracardiac regional circulatory dynamics — enabled to distinguish 4 zones: А1 zone — low coronary and satisfactory peripheral reserves, А2 zone — low coronary and peripheral reserves, А3 zone — low peripheral and satisfactory coronary reserves, B zone — satisfactory coronary and peripheral reserves. A surgical approach will depend on the zone the indices of the measured parameters are referred to. Conclusion. The suggested technique for the assessment of functional coronary and peripheral reserves by means of graphic representation of the findings on phase plane enables to specify the indications to surgical management and prognosticate ischemic complications.

  4. Life quality index revisited

    DEFF Research Database (Denmark)

    Ditlevsen, Ove Dalager

    2004-01-01

    The derivation of the life quality index (LQI) is revisited for a revision. This revision takes into account the unpaid but necessary work time needed to stay alive in clean and healthy conditions to be fit for effective wealth producing work and to enjoyable free time. Dimension analysis...

  5. Indexing Moving Points

    DEFF Research Database (Denmark)

    Agarwal, Pankaj K.; Arge, Lars Allan; Erickson, Jeff

    2003-01-01

    We propose three indexing schemes for storing a set S of N points in the plane, each moving along a linear trajectory, so that any query of the following form can be answered quickly: Given a rectangle R and a real value t, report all K points of S that lie inside R at time t. We first present an...

  6. Indexical Hybrid Tense Logic

    DEFF Research Database (Denmark)

    Blackburn, Patrick Rowan; Jørgensen, Klaus Frovin

    2012-01-01

    In this paper we explore the logic of now, yesterday, today and tomorrow by combining the semantic approach to indexicality pioneered by Hans Kamp [9] and refined by David Kaplan [10] with hybrid tense logic. We first introduce a special now nominal (our @now corresponds to Kamp’s original now...

  7. Detection of peripheral arterial disease with an improved automated device: comparison of a new oscillometric device and the standard Doppler method

    Directory of Open Access Journals (Sweden)

    Špan M

    2016-07-01

    Full Text Available Matjaž Špan,1 Gregor Geršak,2 Sandrine C Millasseau,3 Marko Meža,4 Andrej Košir4 1Cardiovascular Department, Izola General Hospital, Izola, 2Laboratory of Metrology and Quality, Faculty of Electrical Engineering, University of Ljubljana, Ljubljana, Slovenia; 3Pulse Wave Consulting, Saint Leu La Foret, France; 4Faculty of Electrical Engineering, User-adapted Communication and Ambient Intelligence Lab, University of Ljubljana, Ljubljana, Slovenia Abstract: In occidental countries, peripheral arterial disease (PAD is an important health issue; however, most subjects are asymptomatic (~50% and therefore undiagnosed and untreated. Current guidelines recommend screening for PAD in primary care setting using ankle brachial index (ABI in all patients with cardiovascular risks. This is, however, not performed strictly because the standard Doppler method is cumbersome and time-consuming. Here, we evaluate the accuracy and reproducibility of ABI measurements obtained by an improved automated oscillometric device, the MESI ABPI MD® device, and the standard Doppler method. ABI was measured in random order in a general practice with Doppler probes by two operators separately (ABI_dop and twice with the MESI ABPI MD device (ABI_mesi. ABI_dop was calculated dividing the highest systolic blood pressure from both tibial and dorsalis pedis arteries by the highest systolic blood pressure of both brachial arteries. ABI_mesi was obtained automatically with simultaneous measurements on three extremities. According to ABI_dop, PAD was present in 10% of the 136 screened subjects (68.2±7.4 years. Interoperator coefficient of variation was 5.5% for ABI_dop, while the intrasubject coefficient of variation for ABI_mesi was 3.0%. ABI_mesi was correlated with ABI_dop (R=0.61, P<0.0001. The difference between the two techniques was 0.06±0.14 with ABI_mesi providing slightly higher values (P<0.0001 and negligible bias across the range (R=0.19, P<0.0001. Therefore, ABI

  8. Fiber optic refractive index monitor

    Science.gov (United States)

    Weiss, Jonathan David

    2002-01-01

    A sensor for measuring the change in refractive index of a liquid uses the lowest critical angle of a normal fiber optic to achieve sensitivity when the index of the liquid is significantly less than the index of the fiber core. Another embodiment uses a liquid filled core to ensure that its index is approximately the same as the liquid being measured.

  9. Scientific Journal Indexing

    Directory of Open Access Journals (Sweden)

    Getulio Teixeira Batista

    2007-08-01

    Full Text Available It is quite impressive the visibility of online publishing compared to offline. Lawrence (2001 computed the percentage increase across 1,494 venues containing at least five offline and five online articles. Results shown an average of 336% more citations to online articles compared to offline articles published in the same venue. If articles published in the same venue are of similar quality, then they concluded that online articles are more highly cited because of their easier access. Thomson Scientific, traditionally concerned with printed journals, announced on November 28, 2005, the launch of Web Citation Index™, the multidisciplinary citation index of scholarly content from institutional and subject-based repositories (http://scientific.thomson. com/press/2005/8298416/. The Web Citation Index from the abstracting and indexing (A&I connects together pre-print articles, institutional repositories and open access (OA journals (Chillingworth, 2005. Basically all research funds are government granted funds, tax payer’s supported and therefore, results should be made freely available to the community. Free online availability facilitates access to research findings, maximizes interaction among research groups, and optimizes efforts and research funds efficiency. Therefore, Ambi-Água is committed to provide free access to its articles. An important aspect of Ambi-Água is the publication and management system of this journal. It uses the Electronic System for Journal Publishing (SEER - http://www.ibict.br/secao.php?cat=SEER. This system was translated and customized by the Brazilian Institute for Science and Technology Information (IBICT based on the software developed by the Public Knowledge Project (Open Journal Systems of the British Columbia University (http://pkp.sfu.ca/ojs/. The big advantage of using this system is that it is compatible with the OAI-PMH protocol for metadata harvesting what greatly promotes published articles

  10. Effect of osmotic pressure to bioimpedance indexes of erythrocyte suspensions

    Science.gov (United States)

    Melnikov, A. A.; Nikolaev, D. V.; Malahov, M. V.; Smirnov, A. V.

    2012-12-01

    In the paper we studied effects of osmotic modification of red blood cells on bioimpedance parameters of erythrocyte suspension. The Cole parameters: the extracellular (Re) and intracellular (Ri) fluid resistance, the Alpha parameter, the characteristic frequency (Fchar) and the cell membranes capacitance (Cm) of concentrated erythrocyte suspensions were measured by bioimpedance analyser in the frequency range 5 - 500 kHz. Erythrocytes were incubated in hypo-, hyper- and isoosmotic solutions to achieve changes in cell volume. It was found that Re and Alpha increased in the suspensions with low osmolarity and decreased in the hypertonic suspensions. Ri, Fchar and Cm were higher in the hyperosmotic and were lower in the hypoosmotic suspensions. Correlations of all BIS parameters with MCV were obtained, but multiple regression analysis showed that only Alpha parameter was independently related to MCV (β=0.77, p=0.01). Thus Alpha parameter may be related the mean corpuscular volume of cells.

  11. Effect of osmotic pressure to bioimpedance indexes of erythrocyte suspensions

    International Nuclear Information System (INIS)

    In the paper we studied effects of osmotic modification of red blood cells on bioimpedance parameters of erythrocyte suspension. The Cole parameters: the extracellular (Re) and intracellular (Ri) fluid resistance, the Alpha parameter, the characteristic frequency (Fchar) and the cell membranes capacitance (Cm) of concentrated erythrocyte suspensions were measured by bioimpedance analyser in the frequency range 5 – 500 kHz. Erythrocytes were incubated in hypo-, hyper- and isoosmotic solutions to achieve changes in cell volume. It was found that Re and Alpha increased in the suspensions with low osmolarity and decreased in the hypertonic suspensions. Ri, Fchar and Cm were higher in the hyperosmotic and were lower in the hypoosmotic suspensions. Correlations of all BIS parameters with MCV were obtained, but multiple regression analysis showed that only Alpha parameter was independently related to MCV (β=0.77, p=0.01). Thus Alpha parameter may be related the mean corpuscular volume of cells.

  12. The tree BVOC index.

    Science.gov (United States)

    Simpson, J R; McPherson, E G

    2011-01-01

    Urban trees can produce a number of benefits, among them improved air quality. Biogenic volatile organic compounds (BVOCs) emitted by some species are ozone precursors. Modifying future tree planting to favor lower-emitting species can reduce these emissions and aid air management districts in meeting federally mandated emissions reductions for these compounds. Changes in BVOC emissions are calculated as the result of transitioning to a lower-emitting species mix in future planting. A simplified method for calculating the emissions reduction and a Tree BVOC index based on the calculated reduction is described. An example illustrates the use of the index as a tool for implementation and monitoring of a tree program designed to reduce BVOC emissions as a control measure being developed as part of the State Implementation Plan (SIP) for the Sacramento Federal Nonattainment Area. PMID:21435760

  13. Towards Cryptocurrency Index

    OpenAIRE

    Trimborn, Simon

    2015-01-01

    In dieser Thesis wird ein Marktindex konstruiert, wobei neu entwickelte Methoden für solch eine Aufgabe verwendet werden. Die Entscheidung über die Anzahl der Indexteilnehmer wird mithilfe des AIC und BIC Kriteriums getroffen und die Liquiditätsregel wird auf Grundlage der BIS Umfrage ermittelt. Dieser neu entwickelte Index, CRIX, wird dann benutzt, um den Kryptowährungsmarkt gegen Bitcoins und andere Märkte zu vergleichen. Es wurde herausgefunden, dass dieser Markt wesentlich risikoreicher i...

  14. Indexing dif/2

    OpenAIRE

    Neumerkel, Ulrich; Kral, Stefan

    2016-01-01

    Many Prolog programs are unnecessarily impure because of inadequate means to express syntactic inequality. While the frequently provided built-in `dif/2` is able to correctly describe expected answers, its direct use in programs often leads to overly complex and inefficient definitions --- mainly due to the lack of adequate indexing mechanisms. We propose to overcome these problems by using a new predicate that subsumes both equality and inequality via reification. Code complexity is reduced ...

  15. Aortic Bifurcation Reconstruction: Use of the Memotherm Self-Expanding Nitinol Stent for Stenoses and Occlusions

    International Nuclear Information System (INIS)

    Purpose: To assess the technical success, initial clinical outcome, and intermediate follow-up of the Memotherm nitinol self-expanding stent in aortic bifurcation reconstruction. Methods: Thirty-three patients (13 male, 20 female), mean age 64 years, were treated, who had symptoms classified by the Surgical Vascular Society/International Society of Cardiovascular Surgery (SVS/ICVS) classification as grade 2 in 11 (33%), grade 3 in 19 (58%) and grade 4 in 3 (9%) patients. Lesions were classified according to severity and type. Indications for placement of a Memotherm nitinol self-expanding stent were failed angioplasty in 14 (42%), chronic occlusions in 12 (37%), and complex stenoses in seven (21%) patients. Results: Sixty-seven stents were technically successfully placed in 66 aorto-iliac segments in 33 patients, with one major complication. Initial clinical outcome was improvement in 25 (81%), no change in four (13%), and a worsening in two (6%) patients by Rutherford criteria. Mean early ankle/brachial pressure index (ABI) gain was 0.27 for occlusions and 0.05 for stenoses. Clinical follow-up was obtained in all patients, with retrospective angiographic follow-up in 28 (85%) at a mean of 16 months (range 12-26 months). The decrease in ABI and the decrease in angiographic luminal diameter at follow-up was determined as the 'late loss.' The mean ABI late losses were -0.06, 0.00, and 0.09, and the mean angiographic late losses were 6.7%, 10% and 14% for occlusions, stenoses, and normal segments respectively. Primary clinical patency was 96%, primary angiographic patency was 89%, and secondary angiographic patency was 93%. Conclusion: The high technical success of stent placement, the low complication rates for aortic bifurcation reconstruction using the Memotherm self-expanding stent, and high clinical and angiographic patency maintained at intermediate follow-up support their use in aortic bifurcation reconstruction

  16. Stem cell and progenitor cell therapy in peripheral artery disease. A critical appraisal.

    Science.gov (United States)

    Lawall, Holger; Bramlage, Peter; Amann, Berthold

    2010-04-01

    Atherosclerotic peripheral artery disease (PAD) is a common manifestation of atherosclerosis. The occlusion of large limb arteries leads to ischaemia with claudication which can progress to critical limb ischaemia (CLI) with pain at rest, and to tissue loss. At present, common therapy for CLI is either surgical or endovascular revascularisation aimed at improving blood flow to the affected extremity. However, major amputation and death are still frequent complications. Exploring new strategies for revascularisation of ischaemic limbs is thus of major importance. Bone marrow (BM)-derived stem and progenitor cells have been identified as a potential new therapeutic option to induce therapeutic angiogenesis. Encouraging results of preclinical studies have rapidly led to several small clinical trials, in which BM-derived mononuclear cells were administered to patients with limb ischaemia. Clinical benefits were reported from these trials including improvement of ankle-brachial index (ABI), transcutaneous partial pressure of oxygen (TcPO2), reduction of pain, and decreased need for amputation. Nonetheless, large randomised, placebo-controlled, double-blind studies are necessary and currently ongoing (BONMOT-CLI, JUVENTUS and NCT00498069). Further research relates to the optimal cell type and dosage, the isolation method, the role of colony-stimulating factors, administration route, and the supportive stimulation of cells with reduced functioning due to advanced PAD. Autologous stem cell therapy for ischaemic peripheral disease seems to be a promising new tool for the treatment of severe limb ischaemia. Preliminary evidence has established its safety, feasibility and effectiveness on several important endpoints. Several large endpoints studies are underway to further consolidate this evidence. PMID:20174766

  17. Peripheral arterial disease among adult diabetic patients attending a large outpatient diabetic clinic at a national referral hospital in Uganda: a descriptive cross sectional study.

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    Raymond Mbayo Mwebaze

    Full Text Available BACKGROUND: Peripheral arterial disease (PAD is one of the recognised diabetic macro vascular complications. It is a marker of generalised systemic atherosclerosis and is closely associated with symptomatic coronary and cerebrovascular disease, hence significant morbidity and mortality. Among African adult diabetic populations, screening and diagnosis of PAD is frequently suboptimal. The aim of this study was to determine the prevalence and associated clinical factors of PAD in adult ambulatory diabetic patients attending the outpatient diabetic clinic of Mulago national referral and teaching hospital, Kampala Uganda. METHODS: In this descriptive cross sectional study, 146 ambulatory adult diabetic patients were studied. Information about their socio-demographic and clinical characteristics, fasting lipid profile status, blood pressure, glycated haemoglobin (HbA1c levels and presence of albuminuria was collected using a pre tested questionnaire. Measurement of ankle brachial index (ABI to assess for PAD, defined as a ratio less than 0.9 was performed using a portable 5-10 MHz Doppler device. Clinical factors associated with PAD were determined by comparing specific selected characteristics in patients with PAD and those without. RESULTS: The mean age/standard deviation of the study participants was 53.9/12.4 years with a male predominance (75, 51.4%. PAD was prevalent in 57 (39% study participants. Of these, 34 (59.6% had symptomatic PAD. The noted clinical factors associated with PAD in this study population were presence of symptoms of intermittent claudication and microalbuminuria. CONCLUSIONS: This study documents a high prevalence of PAD among adult ambulatory Ugandan diabetic patients. Aggressive screening for PAD using ABI measurement in adult diabetic patients should be emphasised in Uganda especially in the presence of symptoms of intermittent claudication and microalbuminuria.

  18. Validity and reproducibility of arterial pulse wave velocity measurement using new device with oscillometric technique: A pilot study

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    Patnaik Amar

    2005-08-01

    Full Text Available Abstract Background Availability of a range of techniques and devices allow measurement of many variables related to the stiffness of large or medium sized arteries. There is good evidence that, pulse wave velocity is a relatively simple measurement and is a good indicator of changes in arterial properties. The pulse wave velocity calculated from pulse wave recording by other methods like doppler or tonometry is tedious, time-consuming and above all their reproducibility depends on the operator skills. It requires intensive resource involvement. For epidemiological studies these methods are not suitable. The aim of our study was to clinically evaluate the validity and reproducibility of a new automatic device for measurement of pulse wave velocity that can be used in such studies. Methods In 44 subjects including normal healthy control and patients with coronary artery disease, heart brachial, heart ankle, brachial ankle and carotid femoral pulse wave velocities were recorded by using a new oscillometric device. Lead I and II electrocardiogram and pressure curves were simultaneously recorded. Two observers recorded the pulse wave velocity for validation and one observer recorded the velocity on two occasions for reproducibility. Results and Discussion Pulse wave velocity and arterial stiffness index were recorded in 24 control and 20 coronary artery disease patients. All the velocities were significantly high in coronary artery disease patients. There was highly significant correlation between the values noted by the two observers with low standard deviation. The Pearson's correlation coefficient for various velocities ranged from (r = 0.88–0.90 with (p Conclusion The new device "PeriScope" based on oscillometric technique has been found to be a simple, non-invasive and reproducible device for the assessment of pulse wave velocity and can be used to determine arterial stiffness in large population based studies.

  19. How To Prevent Foot Ulcers In Diabetic Patients

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    Ghada Morshed

    2012-03-01

    Full Text Available The prevalence of development of foot ulcers in diabetic patients is 4% to 10%, these ulcers may be infected, cause morbidity and may lead to lower extremity amputation.Objective: Prevention of diabetic foot ulcers in patients known to be diabetics by fasting blood sugar (FBS, HbA1C tests.Material and Methods: The study was done on 120 patients between March 2010 and July 2011 diagnosed as diabetics and they performed simple screening tests for peripheral neuropathy (Semmes-Weinstein monofilament examination (SWME, superficial pain, vibration testing by the on-off method, the timed method. Nerve conduction studies (NCS were used as standard criterion for detection of neuropathy, they also underwent Doppler ultrasound and ankle-brachial pressure index (ABPI measurement to assess the vascularity of their lower limbs. All patients were given proper education to prevent foot ulcers, including optimising glycemic control, cessation of smoking, debridement of calluses, appropriate foot wear and foot care with periodic foot examination.Results: In our study we succeeded in increasing the prevention of foot ulceration in our diabetic patients by 95%, compared to results achieved with the previous measures.Conclusion: Screening tests are effective for all diabetic patients to identify patients at risk of foot ulceration. They may benefit from prophylactic interventions including, optimising glycemic control, cessation of smoking, debridement of calluses, appropriate foot wear and intensive foot care.Also, we take care of patients with low risk of foot ulceration by adequate foot care and periodic foot examination to prevent foot ulceration.

  20. Complex Nonlinear Autonomic Nervous System Modulation Link Cardiac Autonomic Neuropathy and Peripheral Vascular Disease

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    Kinda eKhalaf

    2015-03-01

    Full Text Available Background: Physiological interactions are abundant within, and between, body systems. These interactions may evolve into discrete states during pathophysiological processes resulting from common mechanisms. An association between arterial stenosis, identified by low ankle-brachial pressure index (ABPI and cardiovascular disease (CVD as been reported. Whether an association between vascular calcification - characterized by high ABPI and a different pathophysiology - is similarly associated with CVD, has not been established. The current study aims to investigate the association between ABPI, and cardiac rhythm, as an indicator of cardiovascular health and functionality, utilising heart rate variability (HRV.Methods and Results: Two hundred and thirty six patients underwent ABPI assessment. Standard time and frequency domain, and non-linear HRV measures were determined from 5-minute electrocardiogram. ABPI data were divided into normal (n=101, low (n=67 and high (n=66 and compared to HRV measures.(DFAα1 and SampEn were significantly different between the low ABPI, high ABPI and control groups (p<0.05.Conclusion: A possible coupling between arterial stenosis and vascular calcification with decreased and increased HRV respectively was observed. Our results suggest a model for interpreting the relationship between vascular pathophysiology and cardiac rhythm. The cardiovascular system may be viewed as a complex system comprising a number of interacting subsystems. These cardiac and vascular subsystems/networks may be coupled and undergo transitions in response to internal or external perturbations. From a clinical perspective, the significantly increased sample entropy compared to the normal ABPI group and the decreased and increased complex correlation properties measured by DFA for the low and high ABPI groups respectively, may be useful indicators that a more holistic treatment approach in line with this more complex clinical picture is required.

  1. Early Clinical Results Of Pulsed ND-YAG Laser Angioplasty In Patients

    Science.gov (United States)

    Cross, F. W.; Bowker, T. J.

    1988-06-01

    This paper describes the use of a 100u second pulsed Nd-YAG laser at 1.064 um wavelength in the treatment of critical ischemia of the lower limb in five human subjects. Laser energy was delivered percutaneously to superficial femoral artery occlusions using standard angiography access techniques. The fiber tip was modified by the use of a 2.2mm hemispherical sapphire tip in contact with the tissue and laser energy was delivered at 0.5 Joules per pulse at a repetition rate of 10Hz. Patients were selected because of their unsuitability for standard treatment, either through technical inoperability of poor general health. Their mean age (±SD) was 74 ± 11 years and the mean occlusion length (+SD) in the five patients was 16.3 ± 11.9 cm. Passage of a guidewire across the occlusion was attempted, but failed, in every case. The laser crossed all these occlusions with a mean energy delivery of 129 + 76 Joules. Mean ankle-brachial pressure index (ABPI) in the successful cases doubled from 0.25 to 0.5. Two of the recanalised segments closed within 24 hours due to poor runoff but remained open in the remaining three patients for a followup period of up to one year, averting amputation in one of them. These are poor risk patients with deteriorating critical ischemia and little hope of alternative treatment. Laser angioplasty using a pulsed Nd-YAG laser has been shown to be feasible in femoropopliteal disease and should now be applied in patients with less severe symptoms.

  2. Add-on rosiglitazone therapy improves plasminogen activity and high-density lipoprotein cholesterol in type 2 diabetes mellitus.

    Science.gov (United States)

    Mustaffa, Nazri; Ibrahim, Suhairi; Abdullah, Wan Zaidah; Yusof, Zurkurnai

    2011-09-01

    Rosiglitazone is an oral hypoglycaemic agent of the thiazolidinedione group. This study aimed to assess changes in the diabetic prothrombotic state via plasminogen activity and changes in surrogate markers of atherosclerotic burden via ankle-brachial pressure index (ABPI) measurements after rosiglitazone was added to a pre-existing type 2 diabetes mellitus treatment regime. A nonblinded interventional study was designed. Fifty-nine patients were enrolled. Rosiglitazone-naïve patients were prescribed oral rosiglitazone 4 mg daily for 10 weeks. ABPI, plasminogen activity, glycosylated haemoglobin (HbA1c) and fasting lipid profile were measured pretreatment and post-treatment. Forty-eight patients completed the study. At the end of this study, mean plasminogen activity improvement was nearly 16% (PABPI improvement was 0.01 (P=0.439), mean HbA1c reduction was 0.51% (P<0.05), mean total cholesterol (TC) increase was 0.36 mmol/l (P<0.05), mean high-density lipoprotein cholesterol (HDL-C) increase was 0.15 mmol/l (P<0.05) and mean low-density lipoprotein cholesterol increased by 0.19 mmol/l (P=0.098). Rosiglitazone significantly improved plasminogen activity. There was also significant HbA1c reduction, and rise in both TC and HDL-C. Thus, rosiglitazone potentially improves the atherosclerotic burden and prothrombotic state. In future, more studies are needed to confirm the relationship between rosiglitazone, fibrinolytic system and atheromatous reduction in type 2 diabetes mellitus. PMID:21537159

  3. Primary Infrarenal Aortic Stenting With or Without Iliac Stenting for Isolated and Aortoiliac Stenoses: Single-Centre Experience With Long-Term Follow-Up

    Energy Technology Data Exchange (ETDEWEB)

    Tapping, C. R.; Ahmed, M.; Scott, P. M.; Lakshminarayan, R.; Robinson, G. J.; Ettles, D. F.; Shrivastava, V., E-mail: vivek.shrivastava@hey.nhs.uk [Hull Royal Infirmary, Hull and East Yorkshire Hospitals NHS Trust, Department of Radiology (United Kingdom)

    2013-02-15

    The purpose of this study was to evaluate the technical success, complications, long-term clinical outcome, and patency after primary infrarenal aortic stenting for aortic and aortoiliac stenosis. Between January 1999 and January 2006, 22 consecutive patients underwent endovascular treatment because of infrarenal aortic stenosis with and without common iliac stenosis (10 men; mean age 64 {+-} 14 years). Eleven (11 of 22) patients had an isolated aortic stenosis, whereas 11 of 22 had aortic stenosis that extended into the common iliac arteries (CIAs). Thirteen patients were Rutherford classification type 3, and 9 patients were type 4. Statistical analysis included paired Student t test and Kaplan-Meier life table analysis; p < 0.05 was considered significant. Technical and initial clinical success was achieved in all patients. There were three (14 %) procedure-related complications, which included two access-point pseudoaneurysms and one non-flow-limiting left external iliac dissection. Patients were followed-up for a mean period of 88 months (range 60-132). Mean preprocedure ankle brachial pressure indexes (ABPI) were 0.60 {+-} -0.15 (right) and 0.61 {+-} -0.16 (left). After the procedure they were 0.86 {+-} -0.07 (right) and 0.90 {+-} -0.09 (left). The increase in ABPI was significant (p < 0.05), and this continued throughout follow-up. Four (18 %) patients had recurrence of symptoms during follow-up. These occurred at 36, 48, 48, and 50 months after the original procedure. All four patients were successfully treated with repeat angioplasty procedures. There was a significant difference in primary patency between isolated aortic stenosis (100 %) and aortoiliac stenosis (60 %) (p = 0.031). Cumulative follow-up was 1920 months yielding a reintervention rate of 0.025/events/year. Primary stenting of infrarenal stenosis is safe and successful with a low reintervention rate. It should be considered as first-line treatment for patients with infrarenal aortic stenotic

  4. Placement of hemoparin-coated stents in the iliac arteries: Early experience and midterm results in 28 patients

    Energy Technology Data Exchange (ETDEWEB)

    Kalmar, Peter I., E-mail: peter.kalmar@medunigraz.at; Portugaller, Rupert H., E-mail: rupert.portugaller@medunigraz.at; Schedlbauer, Peter, E-mail: peter.schedlbauer@klinikum-graz.at; Bohlsen, Dennis, E-mail: dennis.bohlsen@medunigraz.at; Deutschmann, Hannes A., E-mail: hannes.deutschmann@medunigraz.at

    2014-07-15

    Purpose: Aim was to determine immediate results and mid-term outcome of the hemoparin-coated (HC) stainless-steel stent (camouflage coating) in the treatment of occlusive lesions of the iliac arteries. Materials and methods: Twenty-eight patients were prospectively treated with the use of a HC stent between January 2007 and March 2010. Clinical examination and color-doppler ultrasound were performed at 1, 3, 6 and 12 months, CT angiography (CTA) or MR angiography (MRA) at 12 months. Indication for treatment was a high-grade stenosis of the common iliac and/or external iliac artery. Results: Successful placement was achieved in all patients. Significant decrease in translesional pressure gradient (>10 mmHg) was measured in 27 patients (96%). In one patient, proximal dissection occurred without flow limitation. A minor complication (small access site hematoma) occurred in one patient (4%). Two patients (7%) were lost to follow-up. After 12 months, stent patency in CTA, MRA and ultrasound was 100%. 20 patients (77%) experienced an initial improvement of at least one clinical stage. In one patient (4%), mild intimal hyperplasia without significant stenosis was observed. In three patients (12%), proximal or distal stenosis occurred. A non-significant increase of mean ankle-brachial index (ABI) after treatment was measured (0.85 ± 0.27 vs. 0.75 ± 0.22, respectively; p = 0.328). Conclusions: The use of HC stents in patients with iliac artery occlusive disease may lead to a lower rate of intimal hyperplasia and thus to increased patency rates even in heavily calcified vessels. However, large-scale prospective trials have to be performed to evaluate the long-term patency rates of the HC coated stents.

  5. Changes in Two Point Discrimination and the law of mobility in Diabetes Mellitus patients

    Directory of Open Access Journals (Sweden)

    Manivannan M

    2008-01-01

    Full Text Available Abstract Background Diabetic neuropathy is a family of nerve disorders with progressive loss of nerve function in 15% of diabetes mellitus (DM subjects. Two-point discrimination (TPD is one method of quantitatively testing for loss of nerve function. The law of mobility for TPD is known for normal subjects in earlier studies but has not been studied for diabetic subjects. This is a pilot study to evaluate and plot the law of mobility for TPD among DM subjects. Methods The Semmes Weinstein monofilament (SWMF was used to measure the loss of protective sensation. An Aesthesiometer was used to find the TPD of several areas in upper and lower extremities for normal and diabetic subjects. All the subjects were screened for peripheral artery occlusive disease with ankle brachial pressure index (0.9 or above. Results TPD of normal and diabetic subjects for different areas of hands and legs from proximal to distal is evaluated for 18 subjects. TPD values decrease from proximal to distal areas. Vierodt's law of mobility for TPD holds good for normal subjects in the hand and foot areas. The law of mobility for TPD in DM subjects holds well in the hand but doesn't hold well in foot areas with or without sensation. Conclusion TPD is a quantitative and direct measure of sensory loss. The TPD value of diabetic subjects reveals that the law of mobility do not hold well for Diabetic subjects in foot areas. The significance of this result is that the TPD of the diabetic subjects could provide direct, cost effective and quantitative measure of neuropathy.

  6. Inflammation and infection do not promote arterial aging and cardiovascular disease risk factors among lean horticulturalists.

    Directory of Open Access Journals (Sweden)

    Michael Gurven

    Full Text Available Arterial aging is well characterized in industrial populations, but scantly described in populations with little access to modern medicine. Here we characterize health and aging among the Tsimane, Amazonian forager-horticulturalists with short life expectancy, high infectious loads and inflammation, but low adiposity and robust physical fitness. Inflammation has been implicated in all stages of arterial aging, atherogenesis and hypertension, and so we test whether greater inflammation associates with atherosclerosis and CVD risk. In contrast, moderate to vigorous daily activity, minimal obesity, and low fat intake predict minimal CVD risk among older Tsimane.Peripheral arterial disease (PAD, based on the Ankle-Brachial Index (ABI, and hypertension were measured in Tsimane adults, and compared with rates from industrialized populations. No cases of PAD were found among Tsimane and hypertension was comparatively low (prevalence: 3.5%, 40+; 23%, 70+. Markers of infection and inflammation were much higher among Tsimane than among U.S. adults, whereas HDL was substantially lower. Regression models examine associations of ABI and BP with biomarkers of energy balance and metabolism and of inflammation and infection. Among Tsimane, obesity, blood lipids, and disease history were not significantly associated with ABI. Unlike the Tsimane case, higher cholesterol, C-reactive protein, leukocytes, cigarette smoking and systolic pressure among North Americans are all significantly associated with lower ABI.Inflammation may not always be a risk factor for arterial degeneration and CVD, but instead may be offset by other factors: healthy metabolism, active lifestyle, favorable body mass, lean diet, low blood lipids and cardiorespiratory health. Other possibilities, including genetic susceptibility and the role of helminth infections, are discussed. The absence of PAD and CVD among Tsimane parallels anecdotal reports from other small-scale subsistence

  7. Association of Brachial-Ankle Pulse Wave Velocity and Cardiomegaly With Aortic Arch Calcification in Patients on Hemodialysis.

    Science.gov (United States)

    Shin, Ming-Chen Paul; Lee, Mei-Yueh; Huang, Jiun-Chi; Tsai, Yi-Chun; Chen, Jui-Hsin; Chen, Szu-Chia; Chang, Jer-Ming; Chen, Hung-Chun

    2016-05-01

    Aortic arch calcification (AoAC) is associated with cardiovascular and all-cause mortality in end-stage renal disease population. AoAC can be simply estimated with an AoAC score using plain chest radiography. The objective of this study is to evaluate the association of AoAC with brachial-ankle pulse wave velocity (baPWV) and cardiomegaly in patients who have undergoing hemodialysis (HD).We retrospectively determined AoAC and cardiothoracic ratio (CTR) by chest x-ray in 220 HD patients who underwent the measurement of baPWV. The values of baPWV were measured by an ankle-brachial index-form device. Multiple stepwise logistic regression analysis was used to identify the factors associated with AoAC score >4.Compared patients with AoAC score ≦4, patients with AoAC score >4 had older age, higher prevalence of diabetes and cerebrovascular disease, lower diastolic blood pressure, higher baPWV, higher CTR, higher prevalence of CTR ≧50%, lower total cholesterol, and lower creatinine level. After the multivariate stepwise logistic analysis, old age, cerebrovascular disease, high baPWV (per 100 cm/s, odds ratio [OR] 1.065, 95% confidence interval [CI] 1.003-1.129, P = 0.038), CTR (per 1%, OR 1.116, 95% CI 1.046-1.191, P = 0.001), and low total cholesterol level were independently associated with AoAC score >4.Our study demonstrated AoAC severity was associated with high baPWV and high CTR in patients with HD. Therefore, we suggest that evaluating AoAC on plain chest radiography may be a simple and inexpensive method for detecting arterial stiffness in HD patients. PMID:27175684

  8. Cardiovascular Risk Surveillance to Develop a Nationwide Health Promotion Strategy

    Science.gov (United States)

    Bansilal, Sameer; Vedanthan, Rajesh; Woodward, Mark; Iyengar, Rupa; Hunn, Marilyn; Lewis, Marcelle; Francis, Lesley; Charney, Alexander; Graves, Claire; Farkouh, Michael E.; Fuster, Valentin

    2015-01-01

    OBJECTIVE The Grenada Heart Project aims to study the clinical, biological, and psychosocial determinants of the cardiovascular health in Grenada in order to develop and implement a nationwide cardiovascular health promotion program. METHODS We recruited 2,827 adults randomly selected from the national electronic voter list. The main outcome measures were self-reported cardiovascular disease and behavioral risk factors, anthropometric measures, blood pressure, point-of-care testing for glucose and lipids, and ankle-brachial index. Risk factors were also compared with the U.S. National Health and Nutritional Survey data. RESULTS Prevalence of cardiovascular disease risk factors were: overweight and obesity—57.7% of the population, physical inactivity—23.4%, diabetes—13.3%, hypertension—29.7%, hypercholesterolemia—8.6%, and smoking—7%. Subjects who were physically active had a significantly lower 10-year Framingham risk score (p < 0.001). Compared with the U.S. National Health and Nutrition Survey data, Grenadian women had higher rates of adiposity, diabetes, hypertension, and elevated low-density lipoprotein cholesterol, whereas Grenadian men had a higher rate of diabetes, a similar rate of hypertension, and lower rates of the other risk factors. Prevalence of peripheral arterial disease was 7.6%; stroke and coronary heart disease were equally prevalent at ~2%. CONCLUSION This randomly selected adult sample in Grenada reveals prevalence rates of obesity, hypertension, and diabetes significantly exceeding those seen in the United States. The contrasting, paradoxically low levels of prevalent cardiovascular disease support the concept that Grenada is experiencing an obesity-related “risk transition.” These data form the basis for the implementation of a pilot intervention program based on the Institute of Medicine recommendations and may serve as a model for other low- and middle-income countries. PMID:25691303

  9. PAPAYYA THERAPY FOR CHRONICULCER: A RETROSPECTIVE C OHORTANDA META: ANALYSIS

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    Gopal Rao

    2015-09-01

    Full Text Available SUMMARY BACKGROUND/OBJECTIVE: Papayya wound therapy (PWT has been used in various wounds including diabetic foot ulcers, venous leg ulcers, pressure ulcers, and acute surgical wounds. However, the efficiency of PWT therapy has been controversial. We therefore conduct ed a cohort study and a meta - analysis to assess PWT effects. METHODS: A retrospective cohort study was performed in diabetic foot ulcer (DFU patients who were treated with PWT or conventional wound ther apy (CWT i n Mahatma Gandhi Memorial Hospital Warangal Telan gana State India. The Kaplan - Meier curve was applied to estimate the healing probability. A meta - analysis was performed to pool our study with four previous cohort studies identified from Medline a nd Scopus. RESULTS: The estimated incidence of wound healing was 5.7/100 (95% CI: 4.49, 7.32 patients - week, and the median time to healing was 14 weeks. The hazard ratio (HR of wound healing . W as 7.87 times significantly higher in the PWT than the CWT (p< 0.001 after adjusting for d uration and size of ulcers, ankle brachial index (ABI, and glycated haemoglobin (HbA1c. Meta - analysis was applied and suggested that the treatment effects were moderately heterogeneous {Chi - square Z 6.18 [degrees of freedom (d . f. Z 4]; p Z 0.186; I2 Z 35.2%}, with the pooled risk ratio (RR of 1.77 [95% confidence intervals (CI Z 1.01, 3.11], i.e., the chance of wound healing was 2 0% significantly higher with PWT than CWT. The average costs of d epartment of Surgery, Mahatma Gandhi Memorial Hospital Warangal Telangana State India.

  10. Fatal pulmonary embolism following ultrasound-guided foam sclerotherapy combined with multiple microphlebectomies.

    Science.gov (United States)

    Bruijninckx, Cornelis Ma

    2016-08-01

    Ambulatory ultrasound-guided foam sclerotherapy (UGFS) for refluxing saphenous veins is considered a safe therapy. Venous thromboembolic complications after UGFS as well as after all other ambulatory ablative venous interventions are rarely reported. This paper reports a fatal pulmonary embolism (PE) following UGFS in combination with an extended phlebectomy, and questions what measures should be taken to minimize the risk for thromboembolic complications after these procedures. In the reported case (unsuspected), extensive non-occluding atherosclerosis as well as obesity in combination with use of an oral contraceptive might have contributed to the development of the PE while the use of a β-blocker might have increased its fatal course considerably. Routine measurement of the ankle-brachial pressure index reduces the risk for undetected atherosclerosis. It appears that 'in the real world' of ambulatory phlebological treatments thromboembolic complications are more common (2.4-4.7%) and appear accompanied by post-procedural mortality. It is concluded therefore that pharmacological thromboprophylaxis appears warranted in selected cases, perhaps even routine application could be considered. Attention is drawn to the highly thrombogenic but not uncommon combination of overweight and use of oral contraceptive. Apart from applying some form of pharmacological thromboprophylaxis, technical adaptations that might prevent or reduce spill over of foam into the deep venous system should be considered. Firstly, next to adherence to the generally accepted maximum of 10 mL of foam per session, it seems prudent to maximize the injected volume of foam per site. Secondly, it seems best to inject the foam in an elevated leg without groin compression. The concentration of the sclerosant does not appear decisive in this respect, although higher concentrations appear more effective and therefore might be injected in lower volumes without compromising efficacy. PMID:26338843

  11. Pulse oximetry in the evaluation of peripheral vascular disease.

    Science.gov (United States)

    Jawahar, D; Rachamalla, H R; Rafalowski, A; Ilkhani, R; Bharathan, T; Anandarao, N

    1997-08-01

    The role of pulse oximetry in the evaluation of peripheral vascular disease (PVD) was investigated. In addition, the value of elevating the limb to improve the sensitivity of detection of PVD by the pulse oximeter was also determined. Pulse oximetry reading in the toes were obtained in 40 young, healthy volunteers and in 40 randomly selected patients referred to the vascular investigation laboratory over a period of two months. All 40 healthy volunteers had normal pulse oximetry readings. Normal pulse oximetry reading in the toes was defined as > 95% O2 Sat and +/-2 of finger pulse oximetry reading. In all 40 patients, pulse oximetry readings were either normal or not detected at all. Since there was no gradation in decrease in the pulse oximetry reading with severity of disease or with elevation of the patient's lower extremity, an absent or no reading was considered as an abnormal result from the test. The frequency of abnormal pulse oximetry readings increased significantly in groups with abnormal ankle-brachial pressure index (ABPI) and also varied significantly with elevation of the patients' lower limbs. In patients with no PVD detected by Doppler (ABPI > 0.9), pulse oximetry readings were normal in all. However, in patients with moderate PVD (ABPI, 0.5-0.9), 84% of the patients' lower limbs had normal pulse oximetry readings and 16% had an abnormal reading at baseline level (flat). An additional 12% of the lower limbs in this group had an abnormal reading on elevation of the limb to 12 inches. In patients with severe PVD (ABPI < 0.5), 54% of the patients' lower limbs had an abnormal reading at baseline and an additional 23% had an abnormal reading at elevation of the limb to 12 inches. In conclusion, pulse oximetry was not a sensitive test for detecting early PVD. PMID:9269142

  12. Risk factors for peripheral arterial disease among patients with chronic kidney disease.

    Science.gov (United States)

    Chen, Jing; Mohler, Emile R; Xie, Dawei; Shlipak, Michael G; Townsend, Raymond R; Appel, Lawrence J; Raj, Dominic S; Ojo, Akinlolu O; Schreiber, Martin J; Strauss, Louise F; Zhang, Xiaoming; Wang, Xin; He, Jiang; Hamm, L Lee

    2012-07-01

    Patients with chronic kidney disease (CKD) have an increased risk for developing peripheral arterial disease (PAD). The aim of this study was to examine the cross-sectional association between novel risk factors and prevalent PAD in patients with CKD. A total of 3,758 patients with estimated glomerular filtration rates of 20 to 70 ml/min/1.73 m(2) who participated in the Chronic Renal Insufficiency Cohort (CRIC) study were included in the present analysis. PAD was defined as an ankle-brachial index arm or leg revascularization. After adjustment for age, gender, race, cigarette smoking, physical activity, history of hypertension and diabetes, pulse pressure, high-density lipoprotein cholesterol, estimated glomerular filtration rate, and CRIC clinical sites, several novel risk factors were significantly associated with PAD. For example, odds ratios for a 1-SD higher level of risk factors were 1.18 (95% confidence interval [CI] 1.08 to 1.29) for log-transformed high-sensitivity C-reactive protein, 1.18 (95% CI 1.08 to 1.29) for white blood cell count, 1.15 (95% CI 1.05 to 1.25) for fibrinogen, 1.13 (95% CI 1.03 to 1.24) for uric acid, 1.14 (95% CI 1.02 to 1.26) for glycosylated hemoglobin, 1.11 (95% CI 1.00 to 1.23) for log-transformed homeostasis model assessment of insulin resistance, and 1.35 (95% CI 1.18 to 1.55) for cystatin C. In conclusion, these data indicate that inflammation, prothrombotic state, oxidative stress, insulin resistance, and cystatin C were associated with an increased prevalence of PAD in patients with CKD. Further studies are warranted to examine the causal effect of these risk factors on PAD in patients with CKD. PMID:22465315

  13. Saphenofemoral ligation as a safe and effective alternative for the treatment of chronic venous leg ulcer

    International Nuclear Information System (INIS)

    To evaluate the effectiveness and safety of isolated saphenofemoral junction ligation for the treatment of chronic venous leg ulcer in comparison to traditional stripping procedure. 36 patients (28 men and 8 women) with mean age of 42.3+-8.7, presented with a venous leg ulcer. After taking the full history, they underwent examination for presence of edema, cellulitis or local ulcer infection. The site and size of ulceration were recorded and ankle-brachial pressure index (ABPI) was measured, Venous valvular incompetence was assessed using Valsalva testand calf compression. Patients were divided into 2 groups. Group I, (n=10) assigned for long saphenous stripping, while group II (n=26) assigned for saphenofemoral ligationan and divided combined with ligation of major tributaries under local infiltration anesthesia. Mean operative time, postoperative complications and hospital stay were recorded. The study was carried out in Benha University Hospital, Egypt and Armed Forces Hospital, Southern Region, Khamis Mushayt, Sadi Arabia between January 2000 and December 2001. The mean operative time and the hospital stay were significantly (p<0.05) reduced in group II compared to group I. The postoperative complications were signficantly (x=7.5, p<0.05) reduced in group II. Ulcer healing started after 3 months in group II and six months in group I, but by 12 month, group II had significant (x=6.7, p<0.05) number of healed ulcers (n=22, 84.6%), compared to group I (n=7, 70%). The isolated ligation of of saphenofemoral junction is a minimally invasive, safe and effective modality for treatment of chronic leg ulcer, and being easily performed under local anesthesia and considerd to be a satisfactory procedure for treatment of leg ulcer in patients who are unfit for general anesthesia. (author)

  14. MULTI-CHANNEL VOLUME SPHYGMOGRAPHY IN CARDIOANGIOLOGICAL SCREENING OF THE ADULT POPULATION

    Directory of Open Access Journals (Sweden)

    R. A. Khokhlov

    2015-09-01

    Full Text Available Aim. To study the possibilities of using multi-channel volume sphygmography (MCVS in prophylactic medical examination of the population.Material and methods. Simultaneous examination of 522 individuals older than 18 years was performed. Along with standard procedures provided by the prophylactic medical examination program synchronous registration of blood pressure (BP on four extremities by MCVS was performed. At that a difference in systolic BP between arms (ΔSBParm and legs (ΔSBPleg and ankle-brachial index (ABI were automatically calculated. Values of │ΔSBParm│ or │ΔSBPleg│≥15 mm Hg or ABI≤0.9 were considered as markers of atherosclerotic vascular disease.Results. Signs of peripheral arterial atherosclerotic lesions among patients ≥40 years old were found in 14.7% of the cases (95% confidence interval [CI] 11.7-18.4. Relative risks of atherosclerotic lesions in arteries increase 1.71-fold (95% CI 1.06-2.74 in arterial hypertension, 1.70-fold (95% CI 1.08-2.68 – in obesity, 1.91 fold (95% CI 1.17-3.12 – in diabetes, as well as with the increasing levels of cardiovascular risk. In patients with ischemic heart disease and a history of cerebral stroke MCVS can detect signs of multifocal atherosclerosis in 21% (95% CI 14-32 and 22% (95% CI 9-46 of the cases, respectively.Conclusion. MCVS with the determination of ΔSBParm, ΔSBPleg and ABI may be regarded as the basis for low-cost and efficient system of cardioangiological screening.

  15. 脐带间充质干细胞移植治疗糖尿病下肢血管病变%Umbilical cord mesenchymal stem cell transplantation for treatment of diabetic lower limb vascular disease

    Institute of Scientific and Technical Information of China (English)

    李晓玲; 朱旅云; 宋光耀; 贾黎静; 杨少玲; 胡丽叶

    2014-01-01

    背景:与骨髓和自体外周血干细胞相比,脐带间充质干细胞更原始,扩增能力更强,且免疫原性弱,无伦理问题,对于年老体弱的糖尿病患者更具有重要意义。目的:分析脐带间充质干细胞移植治疗糖尿病下肢血管病变的有效性和安全性。方法:56例中老年2型糖尿病下肢血管病变患者,随机分为对照组和观察组,对照组采用常规药物治疗,观察组采用脐带间充质干细胞移植治疗。结果与结论:观察组临床显效率高于对照组的临床显效率,差异有显著性意义(P<0.05);两组治疗后皮温、经皮氧、踝肱指数值均有好转表现,观察组踝肱指数值好转更明显(P<0.05);两组均未发现明显的不良反应。结果可见脐带间充质干细胞移植治疗糖尿病下肢血管病变是一种简便、安全、有效的治疗方法,近期疗效显著。%BACKGROUND:Compared with bone marrow and autologous peripheral blood stem cells, umbilical cord mesenchymal stem cells are characterized as more primitive, more powerful amplification and lower immunogenicity, no ethical problems, which are more important to the elderly patients with diabetes mel itus. OBJECTIVE:To evaluate the efficacy and safety of umbilical cord mesenchymal stem cells transplantation in the treatment of the elderly patients with diabetic lower limb vascular disease. METHODS:Fifty-six elderly patients with diabetic lower limb vascular disease were randomly divided into observation group and control group. The control group was treated with conventional therapy, while the observation group was treated with umbilical cord mesenchymal stem cells transplantation. RESULTS AND CONCLUSION:Observation group showed a higher efficiency than the control group, with significant difference (P<0.05). After treatment, foot skin temperature, transcutaneous oxygen pressure, and ankle brachial index were al improved in both two groups, and the ankle

  16. Comparative study among acepromazine, chlorpromazine and methotrimeprazine in different doses, through bispectral index, term and pressure algimetry, in dogs / Estudo comparativo entre a acepromazina, clorpromazina e levomepromazina em diferentes doses, através do exame bispectral, termo e pressoalgimetria, em cães

    Directory of Open Access Journals (Sweden)

    Lidia Mitsuko Matsubara

    2009-12-01

    Full Text Available The study’s objective was to realize comparisons among different acepromazine, chlorpromazine and methotrimeprazine doses, evaluate parametric changes, test analgesia using press and term algimetry, and evaluate bispectral condition. 90 mongrel dogs were used, male and female, adult, weighting 10 to 15 Kg as a rule, distributed in 9 groups with 10 animals each. At first, second and third groups acepromazine was used at 0,1; 0,05 e 0,025 mg/Kg, respectively. At forth, fifth and sixth groups, chlorpromazine was used at 1,0; 0,5 and 0,25 mg/Kg, respectively. At seventh, eighth and ninth groups, methotrimeprazine at 1,0; 0,5 and 0,25 mg/Kg was used, respectively. All drugs were administered intravenously. Objects of study: heart rate (HR, non invasive blood pressure (SAP, MAP, DAP, respiratory rate (f, capnography (ETCO2, pulse oxymetry (SatO2, mouth and rectal temperature, bispectral index (BIS, electromyography (EMG%, press and term algimetry. Somatic analgesia was evaluated by animal’s response to nociceptives stimulus. We concluded that chlorpromazine had more hypotension. Dogs showed higher hypnosis level at chlorpromazine group, with evident myorelaxation. All groups showed analgesia to thermic and mechanic stimulus. Acepromazine group showed high duration to both pain stimuli. Bispectral index was shorten at chlorpromazine group at 1,0 mg/kg doses, showing higher hypnosis index, and acepromazine was the less depressing considering the bispectral index.Objetivou-se comparar, em diferentes doses, a acepromazina, a clorpromazina e a levomepromazina com relação às alterações paramétricas, à analgesia avaliada através da presso e termoalgimetria e a condição bispectral em 90 cães sem raça definida alocados em nove grupos. No primeiro, segundo e terceiro grupo foi empregada a acepromazina nas doses de 0,1; 0,05 e 0,025 mg/kg, respectivamente. No quarto, quinto e sexto grupo foi empregada a clorpromazina nas doses de 1,0; 0,5 e 0

  17. Pressure pain sensitivity

    DEFF Research Database (Denmark)

    Bergmann, Natasha; Ballegaard, Søren; Holmager, Pernille;

    2013-01-01

    induce hyperalgesia.The aim of the present study was to evaluate hyperalgesia by pressure pain sensitivity (PPS) in patients with IHD, and compare PPS to questionnaires measuring depressive symptoms, reduced psychological wellbeing, and QOL as markers of stress. Design. A cross-sectional study of 361...... subjects with IHD. Methods. PPS was measured on the sternum, and compared to the questionnaires: Clinical stress symptoms score (CSS), Major Depression Inventory (MDI), WHO-5 Wellbeing Index, and SF-36 QOL score. Results. PPS correlated to CSS (r = 0.20, p <0.001), MDI (r = 0.14, p = 0.02), SF-36 mental...

  18. Refractive index based measurements

    DEFF Research Database (Denmark)

    2014-01-01

    In a method for performing a refractive index based measurement of a property of a fluid such as chemical composition or temperature by observing an apparent angular shift in an interference fringe pattern produced by back or forward scattering interferometry, ambiguities in the measurement caused...... by the apparent shift being consistent with one of a number of numerical possibilities for the real shift which differ by 2n are resolved by combining measurements performed on the same sample using light paths therethrough of differing lengths....

  19. Negative refractive index metamaterials

    Directory of Open Access Journals (Sweden)

    Willie J. Padilla

    2006-07-01

    Full Text Available Engineered materials composed of designed inclusions can exhibit exotic and unique electromagnetic properties not inherent in the individual constituent components. These artificially structured composites, known as metamaterials, have the potential to fill critical voids in the electromagnetic spectrum where material response is limited and enable the construction of novel devices. Recently, metamaterials that display negative refractive index – a property not found in any known naturally occurring material – have drawn significant scientific interest, underscoring the remarkable potential of metamaterials to facilitate new developments in electromagnetism.

  20. Pressure transducers

    International Nuclear Information System (INIS)

    Strain gauges pressure transducers types are presented. Models, characteristics and calibration procedures were also analysed. Initially, a theoretical study was accomplished to evaluate metallic alloys behavior on sensing elements manufacturing, and diaphragm was used as deflecting elements. Electrical models for potenciometric transducers were proposed at the beginning and subsequently comproved according our experiments. Concerning bridge transducers, existing models confirmed the conditions of linearity and sensitivity related to the electrical signal. All the work done was of help on the calibration field and pressure measurements employing unbounded strain gauge pressure transducers

  1. [Individual pressure tolerance--a "target" pressure?].

    Science.gov (United States)

    Bogdănici, C; Vancea, P P

    1999-01-01

    In literature there are many meanings for the limit between normal and pathological intraocular pressure: "normative pressure", "critic pressure", "individual tolerance pressure" and "target pressure". The aim of this paper is to demonstrate that these terms are synonymous. PMID:10756882

  2. Index Sets and Vectorization

    Energy Technology Data Exchange (ETDEWEB)

    Keasler, J A

    2012-03-27

    Vectorization is data parallelism (SIMD, SIMT, etc.) - extension of ISA enabling the same instruction to be performed on multiple data items simultaeously. Many/most CPUs support vectorization in some form. Vectorization is difficult to enable, but can yield large efficiency gains. Extra programmer effort is required because: (1) not all algorithms can be vectorized (regular algorithm structure and fine-grain parallelism must be used); (2) most CPUs have data alignment restrictions for load/store operations (obey or risk incorrect code); (3) special directives are often needed to enable vectorization; and (4) vector instructions are architecture-specific. Vectorization is the best way to optimize for power and performance due to reduced clock cycles. When data is organized properly, a vector load instruction (i.e. movaps) can replace 'normal' load instructions (i.e. movsd). Vector operations can potentially have a smaller footprint in the instruction cache when fewer instructions need to be executed. Hybrid index sets insulate users from architecture specific details. We have applied hybrid index sets to achieve optimal vectorization. We can extend this concept to handle other programming models.

  3. An improved molecular connectivity index

    Institute of Scientific and Technical Information of China (English)

    李新华; 俞庆森; 朱龙观

    2000-01-01

    Through modification of the delta values of the molecular connectivity indexes, and connecting the quantum chemistry with topology method effectively, the molecular connectivity indexes are converted into quantum-topology indexes. The modified indexes not only keep all information obtained from the original molecular connectivity method but also have their own virtue in application, and at the same time make up some disadvantages of the quantum and molecular connectivity methods.

  4. Pressure Drop

    Science.gov (United States)

    Lawson, Mike

    2010-01-01

    Mike Lawson briefly discussed pressure drop for aerospace applications and presented short stories about adventures experienced while working at NASA and General Dynamics, including exposure to technologies like the Crew and Equipment Translation Aid (CETA) cart and the SWME.

  5. Pressure sensor

    Energy Technology Data Exchange (ETDEWEB)

    Mee, David K.; Ripley, Edward B.; Nienstedt, Zachary C.; Nienstedt, Alex W.; Howell, Jr., Layton N.

    2015-09-29

    Disclosed is a passive, in-situ pressure sensor. The sensor includes a sensing element having a ferromagnetic metal and a tension inducing mechanism coupled to the ferromagnetic metal. The tension inducing mechanism is operable to change a tensile stress upon the ferromagnetic metal based on a change in pressure in the sensing element. Changes in pressure are detected based on changes in the magnetic switching characteristics of the ferromagnetic metal when subjected to an alternating magnetic field caused by the change in the tensile stress. The sensing element is embeddable in a closed system for detecting pressure changes without the need for any penetrations of the system for power or data acquisition by detecting changes in the magnetic switching characteristics of the ferromagnetic metal caused by the tensile stress.

  6. EXFOR-INDEX. Index to EXFOR Neutron Data 1985

    International Nuclear Information System (INIS)

    This document summarizes the contents and documentation of the Index File to EXFOR Neutron Data (X4INDEX). This library is a sequential file of relevant index records extracted from an online Data Index data base at NDS. The data base is updated regularly, and each copy of the EXFOR Neutron Data Index is extracted directly from the current data base file. The second file of the EXFOR Neutron Data Index library is a copy of the relevant EXFOR dictionaries. This file is copied directly from the EXFOR Dictionary master file. The entire Index or selective retrievals from it can be obtained on magnetic tape free of charge from the IAEA Nuclear Data Section. (author)

  7. Metabolic effects of low glycaemic index diets

    Directory of Open Access Journals (Sweden)

    Rusu Emilia

    2009-01-01

    Full Text Available Abstract The persistence of an epidemic of obesity and type 2 diabetes suggests that new nutritional strategies are needed if the epidemic is to be overcome. A promising nutritional approach suggested by this thematic review is metabolic effect of low glycaemic-index diet. The currently available scientific literature shows that low glycaemic-index diets acutely induce a number of favorable effects, such as a rapid weight loss, decrease of fasting glucose and insulin levels, reduction of circulating triglyceride levels and improvement of blood pressure. The long-term effect of the combination of these changes is at present not known. Based on associations between these metabolic parameters and risk of cardiovascular disease, further controlled studies on low-GI diet and metabolic disease are needed.

  8. Automated Water Extraction Index

    DEFF Research Database (Denmark)

    Feyisa, Gudina Legese; Meilby, Henrik; Fensholt, Rasmus;

    2014-01-01

    Classifying surface cover types and analyzing changes are among the most common applications of remote sensing. One of the most basic classification tasks is to distinguish water bodies from dry land surfaces. Landsat imagery is among the most widely used sources of data in remote sensing of water...... resources; and although several techniques of surface water extraction using Landsat data are described in the literature, their application is constrained by low accuracy in various situations. Besides, with the use of techniques such as single band thresholding and two-band indices, identifying...... an appropriate threshold yielding the highest possible accuracy is a challenging and time consuming task, as threshold values vary with location and time of image acquisition. The purpose of this study was therefore to devise an index that consistently improves water extraction accuracy in the presence...

  9. Rapid shallow breathing index.

    Science.gov (United States)

    Karthika, Manjush; Al Enezi, Farhan A; Pillai, Lalitha V; Arabi, Yaseen M

    2016-01-01

    Predicting successful liberation of patients from mechanical ventilation has been a focus of interest to clinicians practicing in intensive care. Various weaning indices have been investigated to identify an optimal weaning window. Among them, the rapid shallow breathing index (RSBI) has gained wide use due to its simple technique and avoidance of calculation of complex pulmonary mechanics. Since its first description, several modifications have been suggested, such as the serial measurements and the rate of change of RSBI, to further improve its predictive value. The objective of this paper is to review the utility of RSBI in predicting weaning success. In addition, the use of RSBI in specific patient populations and the reported modifications of RSBI technique that attempt to improve the utility of RSBI are also reviewed. PMID:27512505

  10. A quality adjusted wage index

    OpenAIRE

    Jennjou Chen; Butler, J. S.

    2006-01-01

    In this paper, a new method of estimating a wage index is proposed and implemented. We construct a wage index by controlling for quantity, as well as quality of labor. Our approach uses a set of year dummies as the basis for calculation of a wage index. The March Current Population Survey Supplement (1983-2000) is employed, and empirical wage equation models are estimated in this paper. The estimation results of the proposed wage index suggest that the existing Employment Cost Index perhaps o...

  11. Terry effects of vasopressin and norepinephrine ≥80 years in patients with septic shock and shock index,mean arterial pressure%特利加压素与去甲肾上腺素对≥80岁感染性休克患者平均动脉压及休克指数的影响

    Institute of Scientific and Technical Information of China (English)

    张光华

    2014-01-01

    Objective To investigate the effects of mean arterial pressure and shock index of terlipressin and norepinephrine on super elderly patient with septic shock. Methods From January 2012 to January 2014 in our hospital,50 cases over 80 years old patients with septic shock was divided randomly into the observation group and control group. Each group included 25 cases. The patients in observation group were given terlipressin combined norepinephrine treatment. The patients in the control group were given treatment of dopamine and norepinephrine. Results In addition to the difference of blood urea nitrogen,creatinine between the two groups was not statistically significant( P ﹥0. 05). The other indicators of the two groups after treatment improved. The mean arterial pressure,urine output in the observation group was significantly higher than that of the control multiple group. The heart rate,shock index were significantly lower than those of the control group. The patients with UV,CCr, FEH20 were significantly higher than the control group. FENa was significantly lower than the control group( P ﹤0. 05). Incidence of postoperative complications observed in patients 16. 0. 0%(4/25),which was significantly lower than the control group,40. 0%(10/25)( P ﹤0. 05). Conclusion Terlipressin is more effective than dopamine. This method can enhance mean arterial pressure in patients with septic shock and reduces its shock index.%目的探讨特利加压素与去甲肾上腺素对≥80岁感染性休克患者平均动脉压及休克指数的影响。方法选取2012年1月至2014年1月收治的50例≥80岁感染性休克患者,依据随机数字表法将这些患者分为两组,即观察组和对照组,每组25例。给予观察组患者特利加压素联合去甲肾上腺素治疗,给予对照组患者多巴胺联合去甲肾上腺素治疗。详细记录两组患者的心率、平均动脉压、休克指数、血尿素氮、肌酐、肌醉清除率( CCr )

  12. Generalizations of Wiener polarity index and terminal Wiener index

    CERN Document Server

    Ilic, Aleksandar

    2011-01-01

    In theoretical chemistry, distance-based molecular structure descriptors are used for modeling physical, pharmacologic, biological and other properties of chemical compounds. We introduce a generalized Wiener polarity index $W_k (G)$ as the number of unordered pairs of vertices $\\{u, v\\}$ of $G$ such that the shortest distance $d (u, v)$ between $u$ and $v$ is $k$. For $k = 3$, we get standard Wiener polarity index. Furthermore, we generalize the terminal Wiener index $TW_k (G)$ as the sum of distances between all pairs of vertices of degree $k$. For $k = 1$, we get standard terminal Wiener index. In this paper we describe a linear time algorithm for computing these indices for trees and partial cubes, and characterize extremal trees maximizing the generalized Wiener polarity index and generalized terminal Wiener index among all trees of given order $n$.

  13. Redução da pressão arterial, da IMC e da glicose após treinamento aeróbico em idosas com diabete tipo 2 Decrease in blood pressure, body mass index and glycemia after aerobic training in elderly women with type 2 diabetes

    Directory of Open Access Journals (Sweden)

    Luciana Zaranza Monteiro

    2010-10-01

    Full Text Available FUNDAMENTO: O processo de envelhecimento associa-se ao desenvolvimento de várias doenças, que podem ser amenizadas pela prática de atividades físicas. O treinamento aeróbico é um meio efetivo para manter e melhorar as funções cardiovasculares. Além disso, desempenha um papel fundamental na prevenção e tratamento de diversas doenças crônico-degenerativas, em especial o diabete melito. OBJETIVO: Verificar os efeitos de 13 semanas de treinamento aeróbico sobre a pressão arterial, o índice de massa corpórea e a glicemia em idosas com diabete tipo 2. MÉTODOS: Onze mulheres idosas diabéticas (61,0 ± 9,1 anos de idade, sedentárias, realizaram 13 semanas de treinamento aeróbico, compondo o grupo G2. Onze idosas (60,2 ± 6,8 anos de idade controladas não realizaram exercícios físicos durante a pesquisa, constituindo o grupo-controle (G1. O grupo G1 foi submetido somente a orientações educativas uma vez na semana, e o grupo G2, a caminhadas três vezes na semana. RESULTADOS: Houve redução significativa da glicemia e da pressão arterial diastólica nos dois grupos. Não foram encontradas reduções significativas no IMC após o treinamento aeróbico em ambos os grupos. CONCLUSÃO: Treze semanas de treinamento aeróbico foi suficiente para promover reduções significativas na pressão arterial diastólica e glicemia, portanto, esse tipo de exercício reduz os fatores de risco para doenças cardiovasculares e metabólicas.BACKGROUND: The aging process is associated with the development of several diseases, which can be attenuated by the practice of physical activities. Aerobic training is an effective method to maintain and improve cardiovascular function. Additionally, it has a crucial role in the prevention and treatment of several chronic-degenerative diseases, especially diabetes mellitus. }OBJECTIVE: To verify the effect of a 13-week aerobic training program on blood pressure (BP, body mass index (BMI and glycemia levels

  14. 2012 Environmental Performance Index and Pilot Trend Environmental Performance Index

    Data.gov (United States)

    National Aeronautics and Space Administration — The 2012 Environmental Performance Index (EPI) ranks 132 countries on 22 performance indicators in the following 10 policy categories: environmental burden of...

  15. All-optical pressure sensor

    DEFF Research Database (Denmark)

    2014-01-01

    The present invention relates to an all-optical pressure sensor comprising a waveguide accommodating a distributed Bragg reflector. Pressure sensing can then be provided by utilizing effective index modulation of the waveguide and detection of a wavelength shift of light reflected from the Bragg...... reflector. Sound sensing may also be provided thereby having an all-optical microphone. One embodiment of the invention relates to an optical pressure sensor comprising at least one outer membrane and a waveguide, the waveguide comprising at least one core for confining and guiding light,at least one...... distributed Bragg reflector located in said at least one core, and at least one inner deflecting element forming at least a part of the core,wherein the pressure sensor is configured such that the geometry and/or dimension of the at least one core is changed when the at least one outer membrane is submitted...

  16. Indexing for summary queries

    DEFF Research Database (Denmark)

    Yi, Ke; Wang, Lu; Wei, Zhewei

    2014-01-01

    Database queries can be broadly classified into two categories: reporting queries and aggregation queries. The former retrieves a collection of records from the database that match the query's conditions, while the latter returns an aggregate, such as count, sum, average, or max (min), of a parti....... Our indexes require linear space and extract a summary with the optimal or near-optimal query cost. We illustrate the efficiency and usefulness of our designs through extensive experiments and a system demonstration.......Database queries can be broadly classified into two categories: reporting queries and aggregation queries. The former retrieves a collection of records from the database that match the query's conditions, while the latter returns an aggregate, such as count, sum, average, or max (min), of a...... particular attribute of these records. Aggregation queries are especially useful in business intelligence and data analysis applications where users are interested not in the actual records, but some statistics of them. They can also be executed much more efficiently than reporting queries, by embedding...

  17. Chemical pressure

    OpenAIRE

    Hauser, Andreas; Amstutz, Nahid; Delahaye, Sandra; Sadki, Asmaâ; Schenker, Sabine; Sieber, Regula; Zerara, Mohamed

    2002-01-01

    The physical and photophysical properties of three classic transition metal complexes, namely [Fe(bpy)3]2+, [Ru(bpy)3]2+, and [Co(bpy)3]2+, can be tuned by doping them into a variety of inert crystalline host lattices. The underlying guest-host interactions are discussed in terms of a chemical pressure.

  18. The Good African Society Index

    OpenAIRE

    Ferdi Botha

    2014-01-01

    This paper constructs a Good Society Index for 45 African countries, termed the Good African Society Index (GASI). The GASI consists of nine main indexes: (i) economic sustainability, (ii) democracy and freedom, (iii) child well-being, (iv) environment and infrastructure, (v) safety and security, (vi) health and health systems, (vii) integrity and justice, (viii) education, and (xi) social sustainability and social cohesion. Each component is split into four sub-components for a total of 36 i...

  19. Peripheral "oscillatory" compliance is associated with aortic augmentation index

    NARCIS (Netherlands)

    Segers, P; Qasem, A; De Backer, T; Carlier, S; Verdonck, P; Avolio, A

    2001-01-01

    The augmentation index (AIx) and "oscillatory" compliance (C-2) are wave contour analysis parameters for the central aorta (P-ao) and radial artery pressure wave (P-rad)(x) respectively. Both are sensitive to cardiovascular risk factors such as aging, hypertension, and diabetes and have been propose

  20. Index effects: Evidence from Australia

    OpenAIRE

    Zhao R; Schmidt C.; Terry C

    2016-01-01

    This paper presents the findings of the first study of the index effects from changes in the composition of Australia’s tradeable benchmark index: the S&P/ASX 200. Prior to the introduction of the S&P/ASX200 changes to the composition of the market’s (then) benchmark index (the All Ordinaries Index) became evident before the formal announcement dates and the changes were made the following trading day. These announcement arrangements enabled profitable front-running trading. Along with the in...

  1. Index Bioclimatic "Wind-Chill"

    Directory of Open Access Journals (Sweden)

    Teodoreanu Elena

    2015-05-01

    Full Text Available This paper presents an important bioclimatic index which shows the influence of wind on the human body thermoregulation. When the air temperature is high, the wind increases thermal comfort. But more important for the body is the wind when the air temperature is low. When the air temperature is lower and wind speed higher, the human body is threatening to freeze faster. Cold wind index is used in Canada, USA, Russia (temperature "equivalent" to the facial skin etc., in the weather forecast every day in the cold season. The index can be used and for bioclimatic regionalization, in the form of skin temperature index.

  2. 2008 Environmental Performance Index (EPI)

    Data.gov (United States)

    National Aeronautics and Space Administration — The 2008 Environmental Performance Index (EPI) centers on two broad environmental protection objectives: (1) reducing environmental stresses on human health, and...

  3. Nelson-Farrar cost indexes

    International Nuclear Information System (INIS)

    This paper discusses the Nelson-Farrar Cost Indexs. Topics covered include: economic analysis, petroleum refineries, petroleum industry, pumps, compressors, beat exchangers, cost estimation, productivity and wages

  4. Low pressure support changes the rapid shallow breathing index (RSBI in critically ill patients on mechanical ventilation Baixos níveis de pressão de suporte alteram o índice de respiração rápida e superficial (IRRS em pacientes graves sob ventilação mecânica

    Directory of Open Access Journals (Sweden)

    Elaine C. Gonçalves

    2012-10-01

    Full Text Available BACKGROUND: The rapid shallow breathing index (RSBI is the most widely used index within intensive care units as a predictor of the outcome of weaning, but differences in measurement techniques have generated doubts about its predictive value. OBJECTIVE: To investigate the influence of low levels of pressure support (PS on the RSBI value of ill patients. METHOD: Prospective study including 30 patients on mechanical ventilation (MV for 72 hours or more, ready for extubation. Prior to extubation, the RSBI was measured with the patient connected to the ventilator (DragerTM Evita XL and receiving pressure support ventilation (PSV and 5 cmH2O of positive end expiratory pressure or PEEP (RSBI_MIN and then disconnected from the VM and connected to a Wright spirometer in which respiratory rate and exhaled tidal volume were recorded for 1 min (RSBI_ESP. Patients were divided into groups according to the outcome: successful extubation group (SG and failed extubation group (FG. RESULTS: Of the 30 patients, 11 (37% failed the extubation process. In the within-group comparison (RSBI_MIN versus RSBI_ESP, the values for RSBI_MIN were lower in both groups: SG (34.79±4.67 and 60.95±24.64 and FG (38.64±12.31 and 80.09±20.71; pCONTEXTUALIZAÇÃO: O índice de respiração rápida e superficial (IRRS tem sido o mais utilizado dentro das unidades de terapia intensiva (UTIs como preditor do resultado do desmame, porém diferenças no método de obtenção têm gerado dúvidas quanto a seu valor preditivo. OBJETIVO: Verificar a influência de baixos níveis de pressão de suporte (PS no valor do IRRS em pacientes graves. MÉTODO: Estudo prospectivo, incluindo 30 pacientes sob ventilação mecânica (VM por 72 horas ou mais, prontos para extubação. Anteriormente à extubação, o IRRS foi obtido com o paciente conectado ao ventilador Evita-XL da DragerTM recebendo pressão de suporte ventilatório (PSV e PEEP=5 cmH2O (IRRS_MIN e, logo após, desconectado da VM e

  5. Malaysian Education Index (MEI): An Online Indexing and Repository System

    Science.gov (United States)

    Kabilan, Muhammad Kamarul; Ismail, Hairul Nizam; Yaakub, Rohizani; Yusof, Najeemah Mohd; Idros, Sharifah Noraidah Syed; Umar, Irfan Naufal; Arshad, Muhammad Rafie Mohd.; Idrus, Rosnah; Rahman, Habsah Abdul

    2010-01-01

    This "Project Sheet" describes an on-going project that is being carried out by a group of educational researchers, computer science researchers and librarians from Universiti Sains Malaysia, Penang. The Malaysian Education Index (MEI) has two main functions--(1) Online Indexing System, and (2) Online Repository System. In this brief…

  6. Pressurized hopper

    International Nuclear Information System (INIS)

    A Secure Automated Fuel Fabrication Line is being developed to reduce personnel exposure and to improve safeguards. Fertile and fissile fuel powders are blended in the line for making fuel pellets. A pressurized hopper was developed for use not only as a blender, but also as a storage and feeding device. It works with or without injection tubes to produce a well-blended powder with reduced agglomerate population. Results of blending experiments using dry Kaolin clay and Tempra pigment are given

  7. Satisfiability with Index Dependency

    Institute of Scientific and Technical Information of China (English)

    Hong-Yu Liang; Jing He

    2012-01-01

    We study the Boolean satisfiability problem (SAT) restricted on input formulas for which there are linear arithmetic constraints imposed on the indices of variables occurring in the same clause.This can be seen as a structural counterpart of Schaefer's dichotomy theorem which studies the SAT problem with additional constraints on the assigned values of variables in the same clause.More precisely,let k-SAT(m,A) denote the SAT problem restricted on instances of k-CNF formulas,in every clause of which the indices of the last k-m variables are totally decided by the first m ones through some linear equations chosen from A.For example,if A contains i3 =i1+2i2 and i4 =i2-i1 + 1,then a clause of the input to 4-SAT(2,A) has the form yi1∨yi2∨yi1+2i2∨yi2-i1+1,with yi being xi or (xi).We obtain the following results:1) If m ≥2,then for any set A of linear constraints,the restricted problem k-SAT(m,A) is either in P or NP-complete assuming P ≠ NP.Moreover,the corresponding #SAT problem is always #P-complete,and the MAx-SAT problem does not allow a polynomial time approximation scheme assuming P ≠ NP.2) m =1,that is,in every clause only one index can be chosen freely.In this case,we develop a general framework together with some techniques for designing polynomial-time algorithms for the restricted SAT problems.Using these,we prove that for any A,#2-SAT(1,A) and MAX-2-SAT(1,A) are both polynomial-time solvable,which is in sharp contrast with the hardness results of general #2-SAT and MAX-2-SAT.For fixed k≥ 3,we obtain a large class of non-trivial constraints A,under which the problems k-SAT(1,A),#k-SAT(1,A)and MAx-k-SAT(1,A) can all be solved in polynomial time or quasi-polynomial time.

  8. Transient productivity index for numerical well test simulations

    Energy Technology Data Exchange (ETDEWEB)

    Blanc, G.; Ding, D.Y.; Ene, A. [Institut Francais du Petrole, Pau (France)] [and others

    1997-08-01

    The most difficult aspect of numerical simulation of well tests is the treatment of the Bottom Hole Flowing (BHF) Pressure. In full field simulations, this pressure is derived from the Well-block Pressure (WBP) using a numerical productivity index which accounts for the grid size and permeability, and for the well completion. This productivity index is calculated assuming a pseudo-steady state flow regime in the vicinity of the well and is therefore constant during the well production period. Such a pseudo-steady state assumption is no longer valid for the early time of a well test simulation as long as the pressure perturbation has not reached several grid-blocks around the well. This paper offers two different solutions to this problem: (1) The first one is based on the derivation of a Numerical Transient Productivity Index (NTPI) to be applied to Cartesian grids; (2) The second one is based on the use of a Corrected Transmissibility and Accumulation Term (CTAT) in the flow equation. The representation of the pressure behavior given by both solutions is far more accurate than the conventional one as shown by several validation examples which are presented in the following pages.

  9. Maslov index for Hamiltonian systems

    Directory of Open Access Journals (Sweden)

    Alessandro Portaluri

    2008-01-01

    Full Text Available The aim of this article is to give an explicit formula for computing the Maslov index of the fundamental solutions of linear autonomous Hamiltonian systems in terms of the Conley-Zehnder index and the map time one flow.

  10. Simplifying the Water Poverty Index

    Science.gov (United States)

    Cho, Danny I.; Ogwang, Tomson; Opio, Christopher

    2010-01-01

    In this paper, principal components methodology is used to derive simplified and cost effective indexes of water poverty. Using a well known data set for 147 countries from which an earlier five-component water poverty index comprising of "Resources," "Access," "Capacity," "Use" and "Environment" was constructed, we find that a simplified…

  11. The Carbon City Index (CCI)

    DEFF Research Database (Denmark)

    Boyd, Britta; Straatman, Bas; Mangalagiu, Diana;

    This paper presents a consumption-based Carbon City Index for CO2 emissions in a city. The index is derived from regional consumption and not from regional production. It includes imports and exports of emissions, factual emission developments, green investments as well as low carbon city...

  12. A temporary index

    International Nuclear Information System (INIS)

    The ongoing management of low, intermediate and high-level nuclear waste is an unresolved issue for humanity, not least because the time-frames in question when dealing with the hazards of radioactive wastes, range from as little as a few tens of years to more than 100 000 years. It is from this starting point that we are beginning the development of an ambitious multifaceted artwork aiming to help us consider our relationship with deep-time and our nuclear legacy. The expressed aim of Temporary Index is to raise general awareness about these long-term management issues, and in doing so, to embed this knowledge into our collective cultural memory so as to transmit useful information about our nuclear waste into the future. We wish to create a series of decorative, real-time numeric counters based on the probabilistic decay (including decay of daughter products) of existing nuclear waste that we identify from the earliest weapons' development programmes in the United States right through to contemporary wastes being produced by nuclear energy production today across the world. Each display will countdown in seconds, showing the time remaining before the given item of waste (or a particular site) is considered safe to humans. A hypothetical example of one counter could be a bottle of sludge containing plutonium discovered in 2004 during an attempted clean-up of the Hanford nuclear site in Washington State, United States. Another example might be the geological storage facility for vitrified nuclear waste at Horonobe in Japan, should it be established in the future. Accident sites, such as Chernobyl or Fukushima Daiichi could also be tagged with counters, as could low-level waste (LLW) repositories such as the one at Drigg near Sellafield in the United Kingdom. Whatever the items identified and this will be a complex process requiring collaboration with experts in the field, it is important that a wide range of short- and long-term counters are established to

  13. Trajectory Indexing Using Movement Constraints

    DEFF Research Database (Denmark)

    Pfoser, D.; Jensen, Christian Søndergaard

    2005-01-01

    -the-shelf database management systems typically do not offer higher-dimensional indexing, this reduction in dimensionality allows us to use existing DBMSes to store and index trajectories. Moreover, we argue that, given the right circumstances, indexing these dimensionality-reduced trajectories can be more efficient......With the proliferation of mobile computing, the ability to index efficiently the movements of mobile objects becomes important. Objects are typically seen as moving in two-dimensional (x,y) space, which means that their movements across time may be embedded in the three-dimensional (x,y,t) space...... than using a three-dimensional index. A decisive factor here is the fractal dimension of the network.the lower, the more efficient is the proposed approach. This hypothesis is verified by an experimental study that incorporates trajectories stemming from real and synthetic road networks....

  14. Blood Pressure Quiz

    Science.gov (United States)

    ... page please turn Javascript on. Feature: High Blood Pressure Blood Pressure Quiz Past Issues / Fall 2011 Table of Contents ... About High Blood Pressure / Treatment: Types of Blood Pressure Medications / Blood Pressure Quiz Fall 2011 Issue: Volume 6 Number ...

  15. Hypertension (High Blood Pressure)

    Science.gov (United States)

    ... right away. continue How Do Doctors Measure Blood Pressure? Blood pressure readings are fast and painless. Blood pressure ... same age, height, and gender have lower blood pressure. Blood pressure between 90% and 95% of the normal ...

  16. Blood pressure measurement

    Science.gov (United States)

    Diastolic blood pressure; Systolic blood pressure; Blood pressure reading; Measuring blood pressure ... or your health care provider will wrap the blood pressure cuff snugly around your upper arm. The ...

  17. Louisiana ESI: LG_INDEX (Large Index Polygons)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains vector polygons representing the boundaries of all the hardcopy cartographic products produced as part of the Environmental Sensitivity Index...

  18. Cook Inlet and Kenai Peninsula, Alaska ESI: INDEX (Index Polygons)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains vector polygons representing the boundaries used in the creation of the Environmental Sensitivity Index (ESI) for Cook Inlet and Kenai...

  19. Bristol Bay, Alaska Subarea ESI: INDEX (Index Polygons)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains vector polygons representing the boundaries of all the hardcopy cartographic products produced as part of the Environmental Sensitivity Index...

  20. Guam and the Northern Mariana Islands ESI: INDEX (Index Polygons)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains vector polygons representing the boundaries of all hardcopy cartographic products produced as part of the Environmental Sensitivity Index...

  1. Firm Sustainability Performance Index Modeling

    Directory of Open Access Journals (Sweden)

    Che Wan Jasimah Bt Wan Mohamed Radzi

    2015-12-01

    Full Text Available The main objective of this paper is to bring a model for firm sustainability performance index by applying both classical and Bayesian structural equation modeling (parametric and semi-parametric modeling. Both techniques are considered to the research data collected based on a survey directed to the China, Taiwan, and Malaysia food manufacturing industry. For estimating firm sustainability performance index we consider three main indicators include knowledge management, organizational learning, and business strategy. Based on the both Bayesian and classical methodology, we confirmed that knowledge management and business strategy have significant impact on firm sustainability performance index.

  2. An Index for Venture Capital

    OpenAIRE

    Quigley, John M.; Susan E. Woodward

    2003-01-01

    In this paper we build an index of value for venture capital. Our approach overcomes the problems of intermittent, infrequent pricing of private company deals by using a repeat valuation model to build the index, and it corrects for selection bias in the reporting of values. We use a unique data set from Sand Hill Econometrics. The index measures the return and risk for venture capital. Its covariance with other asset classes from 1987-1999 enables us to explore the role of venture capita...

  3. A cavitation aggressiveness index within the Reynolds averaged Navier Stokes methodology for cavitating flows

    Institute of Scientific and Technical Information of China (English)

    KOUKOUVINIS P.; BERGELES G.; GAVAISES M

    2015-01-01

    The paper proposes a methodology within the Reynolds averaged Navier Stokes (RANS) solvers for cavitating flows capable of predicting the flow regions of bubble collapse and the potential aggressiveness to material damage. An aggressiveness index is introduced, called cavitation aggressiveness index (CAI) based on the total derivative of pressure which identifies surface areas exposed to bubble collapses, the index is tested in two known cases documented in the open literature and seems to identify regions of potential cavitation damage.

  4. Air refractivity index in optical region: formulas and measurement in CZ

    Czech Academy of Sciences Publication Activity Database

    Pešice, Petr; Fišer, Ondřej; Chládová, Zuzana; Brázda, Vladimír

    Portsmouth : University of Portsmouth, 2012, COST IC0802/1-COST IC0802/7. [MCM 7. Portsmouth (GB), 16.04.2012-18.04.2012] R&D Projects: GA MŠk OC09027 Institutional support: RVO:68378289 Keywords : Refractivity index * structure index * free-space optics * temperature * humidity * air pressure Subject RIV: JA - Electronics ; Optoelectronics, Electrical Engineering

  5. A cross-sectional study of vascular risk factors in a rural South African population: data from the Southern African Stroke Prevention Initiative (SASPI

    Directory of Open Access Journals (Sweden)

    Tollman Stephen

    2007-11-01

    Full Text Available Abstract Background Rural sub-Saharan Africa is at an early stage of economic and health transition. It is predicted that the 21st century will see a serious added economic burden from non-communicable disease including vascular disease in low-income countries as they progress through the transition. The stage of vascular disease in a population is thought to result from the prevalence of vascular risk factors. Already hypertension and stroke are common in adults in sub-Saharan Africa. Using a multidisciplinary approach we aimed to assess the prevalence of several vascular risk factors in Agincourt, a rural demographic surveillance site in South Africa. Methods We performed a cross sectional random sample survey of adults aged over 35 in Agincourt (population ≈ 70 000. Participants were visited at home by a trained nurse who administered a questionnaire, carried out clinical measurements and took a blood sample. From this we assessed participants' history of vascular risk, blood pressure using an OMRON 705 CP monitor, waist circumference, body mass index (BMI, ankle brachial index (ABI, and total and HDL cholesterol. Results 402 people (24% men participated. There was a high prevalence of smoking in men, but the number of cigarettes smoked was small. There was a striking difference in mean BMI between men and women (22.8 kg/m2 versus 27.2 kg/m2, but levels of blood pressure were very similar. 43% of participants had a blood pressure greater than 140/90 or were on anti-hypertensive treatment and 37% of participants identified with measured high blood pressure were on pharmacological treatment. 12% of participants had an ABI of 5 mmol/l. Conclusion We found a high prevalence of hypertension, obesity in women, and a suggestion of subclinical atheroma despite relatively favourable cholesterol levels in a rural South African population. South Africa is facing the challenge of an emerging epidemic of vascular disease. Research to establish the

  6. Ozone - Current Air Quality Index

    Science.gov (United States)

    ... more announcements Air Quality Basics Air Quality Index | Ozone | Particle Pollution | Smoke from fires | What You Can ... Partners Kids Movies NAQ Conferences NOAA Older Adults Ozone Particle Pollution (PM2.5, PM10) Publications Publicaciones (En ...

  7. Introduction to indexing and abstracting

    CERN Document Server

    Cleveland, Ana

    2013-01-01

    Successful information access in the digital information age requires robust systems of indexing and abstracting. This book provides a complete introduction to the subject that covers the many recent changes in the field.

  8. Region 9 - Social Vulnerability Index

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Social Vulnerability Index is derived from the 2000 US Census data. The fields included are percent minority, median household income, age (under 18 and over...

  9. French Basic Course. Grammatical Index.

    Science.gov (United States)

    Defense Language Inst., Monterey, CA.

    This index is intended for use with Volumes 1 through 8 of the French Basic Course. It facilitates the finding of grammatical references in those volumes. The items are cross-referenced and arranged in alphabetical order. (Author/AMH)

  10. The Callias index formula revisited

    CERN Document Server

    Gesztesy, Fritz

    2016-01-01

    These lecture notes aim at providing a purely analytical and accessible proof of the Callias index formula. In various branches of mathematics (particularly, linear and nonlinear partial differential operators, singular integral operators, etc.) and theoretical physics (e.g., nonrelativistic and relativistic quantum mechanics, condensed matter physics, and quantum field theory), there is much interest in computing Fredholm indices of certain linear partial differential operators. In the late 1970’s, Constantine Callias found a formula for the Fredholm index of a particular first-order differential operator (intimately connected to a supersymmetric Dirac-type operator) additively perturbed by a potential, shedding additional light on the Fedosov-Hörmander Index Theorem. As a byproduct of our proof we also offer a glimpse at special non-Fredholm situations employing a generalized Witten index.

  11. Allegheny County Map Index Grid

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Map Index Sheets from Block and Lot Grid of Property Assessment and based on aerial photography, showing 1983 datum with solid line and NAD 27 with 5 second grid...

  12. Firm Sustainability Performance Index Modeling

    OpenAIRE

    Che Wan Jasimah Bt Wan Mohamed Radzi; Hashem Salarzadeh Jenatabadi; Maisarah Binti Hasbullah

    2015-01-01

    The main objective of this paper is to bring a model for firm sustainability performance index by applying both classical and Bayesian structural equation modeling (parametric and semi-parametric modeling). Both techniques are considered to the research data collected based on a survey directed to the China, Taiwan, and Malaysia food manufacturing industry. For estimating firm sustainability performance index we consider three main indicators include knowledge management, organizational learn...

  13. A General Interindustry Relatedness Index

    OpenAIRE

    David J. Bryce; Winter, Sidney G.

    2009-01-01

    For empirical work in the resource-based view of the firm, characterizing the resources that are responsible for firm growth is difficult because valuable resources are often tacit, ambiguous, or difficult to identify. This is a particular problem for empirical assessments that rely upon the concept of relatedness between resources to characterize the direction of growth of the firm. We tackle the problem for the general case by developing a general interindustry relatedness index. The index ...

  14. Occupational risk index of pneumoconiosis

    OpenAIRE

    Liu, Linjun; 劉林均

    2014-01-01

    Purpose Pneumoconiosis is a kind of diffuse lung fibrosis disease caused by long-term inhalation of industrial dust and retention in the lungs. In recent years, the incidence of pneumoconiosis decline in Europe, America and other developed countries, but remains stubbornly high in China, and even shows a rising trend. Currently, China does not have a comprehensive pneumoconiosis risk index system for risk assessment. This project aims to review methods to construct the risk index system o...

  15. 1999 who's who category index

    International Nuclear Information System (INIS)

    A classified index and alphabetical directory of Canadian corporate entities involved in the production, manufacturing, conversion, service, retail sales, research and development, transportation, insurance, legal and communications aspects of propane in Canada is provided. The alphabetical directory section provides the usual business information (name, postal address, phone, fax, e-mail and Internet addresses), names of principal officers, affiliations, products or services produced or marketed, and the category under which the company is listed in the classified index

  16. Impact coverage of the success-index

    OpenAIRE

    Egghe, Leo

    2014-01-01

    We show mathematically that the success-index can be any of the following impact indices, dependent on the value of the threshold used in the definition of the success-index: Hirsch-index (h-index), g-index, generalized Wu- and Kosmulski-indices, the average.

  17. Spinal Cord Injury and Pressure Ulcer Prevention: Using Functional Activity in Pressure Relief

    Directory of Open Access Journals (Sweden)

    May Stinson

    2013-01-01

    Full Text Available Background. People with spinal cord injury (SCI are at increased risk of pressure ulcers due to prolonged periods of sitting. Concordance with pressure relieving movements is poor amongst this population, and one potential alternative to improve this would be to integrate pressure relieving movements into everyday functional activities. Objectives. To investigate both the current pressure relieving behaviours of SCI individuals during computer use and the application of an ergonomically adapted computer-based activity to reduce interface pressure. Design. Observational and repeated measures design. Setting. Regional Spinal Cord Injury Unit. Participants. Fourteen subjects diagnosed with SCI (12 male, 2 female. Intervention.Comparing normal sitting to seated movements and induced forward reaching positions. Main Outcome Measures. Interface pressure measurements: dispersion index (DI, peak pressure index (PPI, and total contact area (CA. The angle of trunk tilt was also measured. Results. The majority of movements yielded less than 25% reduction in interface pressure compared to normal sitting. Reaching forward by 150% of arm length during an adapted computer activity significantly reduced DI (P<0.05, angle of trunk tilt (p<0.05, and PPI for both ischial tuberosity regions (P<0.001 compared to normal sitting. Conclusion. Reaching forward significantly redistributed pressure at the seating interface, as evidenced by the change in interface pressures compared to upright sitting.

  18. The predictors of foot ulceration in patients with rheumatoid arthritis.

    Science.gov (United States)

    Firth, Jill; Waxman, Robin; Law, Graham; Nelson, E Andrea; Helliwell, Philip; Siddle, Heidi; Otter, Simon; Butters, Violet; Baker, Lesley; Hryniw, Rosemary; Bradley, Sarah; Loughrey, Lorraine; Alcacer-Pitarch, Begonya; Davies, Samantha; Tranter, Jennifer

    2014-05-01

    This study was conducted to determine the predictors of foot ulceration occurring in patients with rheumatoid arthritis (RA) without diabetes. A multi-centre case control study was undertaken; participants were recruited from eight sites (UK). Cases were adults diagnosed with RA (without diabetes) and the presence of a validated foot ulcer, defined as a full thickness skin defect occurring in isolation on / below the midline of the malleoli and requiring > 14 days to heal. Controls met the same criteria but were ulcer naive. Clinical examination included loss of sensation (10g monofilament); ankle-brachial pressure index (ABPI); forefoot deformity (Platto); plantar pressures (PressureStat); RA disease activity (36 swollen/tender joint counts) and the presence of vasculitis. History taking included past ulceration/foot surgery; current medication and smoking status. Participants completed the Health Assessment Questionnaire (HAQ) and Foot Impact Scale. A total of 83 cases with 112 current ulcers and 190 ulcer naïve controls participated. Cases were significantly older (mean age 71 years; 95 % confidence interval [CI], 69-73 vs. 62 years, 60-64) and had longer RA disease duration (mean 22 years; 19-25 vs. 15, 13-17). Univariate analysis showed that risk of ulceration increases with loss of sensation; abnormality of ABPI and foot deformity. Plantar pressures and joint counts were not significant predictors. HAQ score and history of foot surgery were strongly associated with ulceration (odds ratio [OR] = 1.704, 95 % CI 1.274-2.280 and OR = 2.256, 95 % CI 1.294-3.932). Three cases and two controls presented with suspected cutaneous vasculitis. In logistic regression modelling, ABPI (OR = 0.04; 95 % CI, 0.01-0.28) forefoot deformity (OR = 1.14; 95 % CI, 1.08-1.21) and loss of sensation (OR = 1.22; 95 % CI, 1.10-1.36) predicted risk of ulceration. In patients with RA, ABPI, forefoot deformity and loss of sensation predict risk of ulceration

  19. Index for Assessing Water Trophic Status in Semi-Enclosed Cuban Bays. Case Study: Cienfuegos Bay

    CERN Document Server

    Seisdedo, Mabel; Arencibia, Gustavo

    2013-01-01

    This paper aims at contributing to the coastal environmental management by developing a new trophic status index of the water (TSIW). The index is tailored to semi-enclosed bays with estuarine characteristic like the Cienfuegos bay in Cuba. We also propose pressure indicators related to exporting and assimilation capacities as a tool to assess the vulnerability of the system to eutrophication. The TSIW is based on response indicators to eutrophication processes showing correspondence with the predefined pressure indicators and previous reports on water quality. Thus, the proposed trophic status index is a reliable scientific tool to measure the current stage of the water quality and to establish a baseline for further studies.

  20. High Blood Pressure (Hypertension)

    Science.gov (United States)

    ... your doctor prescribes it, medicine. What Is Blood Pressure? Blood pressure is the force of blood flow inside ... Will I Know if I Have High Blood Pressure? High blood pressure is a silent problem — you won't ...

  1. Understanding Blood Pressure Readings

    Science.gov (United States)

    ... What is the AHA recommendation for healthy blood pressure? This blood pressure chart reflects categories defined by the American ... unusually low blood pressure readings. How is high blood pressure diagnosed? Your healthcare providers will want to get ...

  2. High Blood Pressure

    Science.gov (United States)

    ... Connected Home » High Blood Pressure Heath and Aging High Blood Pressure What Is Blood Pressure? Do ... high blood pressure increases as you get older. Gender. Before age 55, men have a greater chance ...

  3. High Blood Pressure

    Science.gov (United States)

    ... pressure and should be taken seriously. Over time, consistently high blood pressure weakens and damages ... of landmark NIH blood pressure study confirm that lower blood pressure target can reduce ...

  4. Bedsores (Pressure Ulcers)

    Science.gov (United States)

    ... and rashes clinical tools newsletter | contact Share | Bedsores (Pressure Ulcers) Information for adults A A A A well-defined superficial pressure ulcer. Overview Bedsores (pressure ulcers), also known as pressure ...

  5. Glophymed: an index to establish the ecological status for the Water Framework Directive based on phytoplankton in coastal waters.

    Science.gov (United States)

    Romero, I; Pachés, M; Martínez-Guijarro, R; Ferrer, J

    2013-10-15

    Phytoplankton and its attributes (biomass, abundance, composition, and frequency and intensity of phytoplankton blooms) are essential to establish the ecological status in the Water Frame Directive. The aim of this study is to develop an index "Glophymed" based on all phytoplankton attributes for coastal water bodies according to the directive requirements. It is also developed an anthropogenic pressure index that takes into account population density, tourism, urbanization, industry, agriculture, fisheries and maritime transport for Comunitat Valenciana (Spain). Both indexes (Glophymed and human pressure index) based on a multisampling dataset collected monthly during several years, show a significant statistical correlation (r2 0.75 α<0.01) for typology IIA and (r2 0.93 α<0.01) for typology III-W. The relation between these indexes provides suitable information about the integrated management plans and protection measures of water resources since the Glophymed index is very sensitive to human pressures. PMID:23968991

  6. Computerized index for teaching files

    International Nuclear Information System (INIS)

    A computerized index can be used to retrieve cases from a teaching file that have radiographic findings similar to an unknown case. The probability that a user will review cases with a correct diagnosis was estimated with use of radiographic findings of arthritis in hand radiographs of 110 cases from a teaching file. The nearest-neighbor classification algorithm was used as a computer index to 110 cases of arthritis. Each case was treated as an unknown and inputted to the computer index. The accuracy of the computer index in retrieving cases with the same diagnosis (including rheumatoid arthritis, gout, psoriatic arthritis, inflammatory osteoarthritis, and pyrophosphate arthropathy) was measured. A Bayes classifier algorithm was also tested on the same database. Results are presented. The nearest-neighbor algorithm was 83%. By comparison, the estimated accuracy of the Bayes classifier algorithm was 78%. Conclusions: A computerized index to a teaching file based on the nearest-neighbor algorithm should allow the user to review cases with the correct diagnosis of an unknown case, by entering the findings of the unknown case

  7. Energetic consumption levels and human development indexes

    International Nuclear Information System (INIS)

    The article overviews the energetic consumption levels and human development indexes. The human development indexes are described based on the United Nations Development Programme. A comparison between the energetic consumption levels and human development indexes is also presented

  8. Non-storm irregular variation of the Dst index

    Directory of Open Access Journals (Sweden)

    T. Higuchi

    2012-01-01

    Full Text Available The Dst index has a long-term variation that is not associated with magnetic storms. We estimated the long-term non-storm component of the Dst variation by removing the short-term variation related to magnetic storms. The results indicate that the variation of the non-storm component includes not only a seasonal variation but also an irregular variation. The irregular long-term variation is likely to be due to an anti-correlation with the long-term variation of solar-wind activity. In particular, a clear anti-correlation is observed between the non-storm component of Dst and the long-term variation of the solar-wind dynamic pressure. This means that in the long term, the Dst index tends to increase when the solar-wind dynamic pressure decreases. We interpret this anti-correlation as an indication that the long-term non-storm variation of Dst is influenced by the tail current variation. The long-term variation of the solar-wind dynamic pressure controls the plasma sheet thermal pressure, and the change of the plasma sheet thermal pressure would cause the non-storm tail current variation, resulting in the non-storm variation of Dst.

  9. Indexes to Nuclear Regulatory Commission Issuances

    International Nuclear Information System (INIS)

    Digests and indexes for issuances of the Commission (CLI), the Atomic Safety and licensing Board Panel (LBP), the Administrative Law Judges (ALJ) the Directors' Decisions (DD), and the Decisions on Petitions for Rulemaking (DPRM) are presented in this document. These digests and indexes are intended to serve as a guide to the issuances. Information elements are displayed in one or more of five separate formats arranged as follows: Case Name Index; Headers and Digests; Legal Citations Index; Subject Index; and Facility Index

  10. Indexes to Nuclear Regulatory Commission Issuances

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

    Digests and indexes for issuances of the Commission (CLI), the Atomic Safety and licensing Board Panel (LBP), the Administrative Law Judges (ALJ) the Directors` Decisions (DD), and the Decisions on Petitions for Rulemaking (DPRM) are presented in this document. These digests and indexes are intended to serve as a guide to the issuances. Information elements are displayed in one or more of five separate formats arranged as follows: Case Name Index; Headers and Digests; Legal Citations Index; Subject Index; and Facility Index.

  11. Indexing from thesauri to the semantic web

    CERN Document Server

    de Keyser, Piet

    2012-01-01

    Indexing consists of both novel and more traditional techniques. Cutting-edge indexing techniques, such as automatic indexing, ontologies, and topic maps, were developed independently of older techniques such as thesauri, but it is now recognized that these older methods also hold expertise. Indexing describes various traditional and novel indexing techniques, giving information professionals and students of library and information sciences a broad and comprehensible introduction to indexing. This title consists of twelve chapters: an Introduction to subject readings and theasauri; Automatic i

  12. A Multivariate Process Capability Index

    Institute of Scientific and Technical Information of China (English)

    WANG Shaoxi; JIA Xinzhang; JIAO Huifang; BIAN Yingchao; SONG Ning; ZHAO Luyu; WEN Xin

    2006-01-01

    Process capability indices have been widely used in the manufacturing industry, providing numerical measures on process precision, process accuracy, and process performance. Capability measures for processes with a single characteristic have been investigated extensively. However, capability measures for processes with multiple characteristics are comparatively neglected. In this paper, inspired by the approach and model of process capability index investigated by K.S.Chen et al.(2003) and A.B.Yeh et al.(1998), a note model of multivariate process capability index based on non-conformity is presented. As for this index, the data of each single characteristic don't require satisfying normal distribution, of which its computing is simple and particioners will not fell too theoretical. At last the application analysis is made.

  13. Socializing the h-index

    CERN Document Server

    Cormode, Graham; Muthukrishnan, S; Thompson, Brian

    2012-01-01

    A variety of bibliometric measures have been proposed to quantify the impact of researchers and their work. The h-index is a notable and widely-used example which aims to improve over simple metrics such as raw counts of papers or citations. However, a limitation of this measure is that it considers authors in isolation and does not account for contributions through a collaborative team. To address this, we propose a natural variant that we dub the Social h-index. The idea is to redistribute the h-index score to reflect an individual's impact on the research community. In addition to describing this new measure, we provide examples, discuss its properties, and contrast with other measures.

  14. Witten Index for Noncompact Dynamics

    CERN Document Server

    Lee, Seung-Joo

    2016-01-01

    Among gauged dynamics motivated by string theory, we find many with gapless asymptotic directions. Although the natural boundary condition for ground states is $L^2$, one often turns on chemical potentials or supersymmetric mass terms to regulate the infrared issues, instead, and computes the twisted partition function. We point out how this procedure generically fails to capture physical $L^2$ Witten index with often misleading results. We also explore how, nevertheless, the Witten index is sometimes intricately embedded in such twisted partition functions. For $d=1$ theories with gapless continuum sector from gauge multiplets, such as non-primitive quivers and pure Yang-Mills, a further subtlety exists, leading to fractional expressions. Quite unexpectedly, however, the integral $L^2$ Witten index can be extracted directly and easily from the twisted partition function of such theories. This phenomenon is tied to the notion of the rational invariant that appears naturally in the wall-crossing formulae, and ...

  15. Venture Capital Industry Index Portfolio Analysis

    Directory of Open Access Journals (Sweden)

    Dagang Yang

    2013-05-01

    Full Text Available This paper using index analysis method, knowledge of venture capital as well as index funds investment ideas, successively set up the Markowitz model and the single index model of index investing. Markowitz model for the calculation of the risk of workload is too big and single-index model although accuracy is slightly lower, but can certainly be very well used in practice. Therefore, We use index invest to invest in Shanghai 10 index securities with the single-index model , and apply lingo software to figure out the venture capital portfolio which have different yields.

  16. Pulse pressure variation and systolic pressure variation in mechanically ventilated children

    Directory of Open Access Journals (Sweden)

    Johnny Nurman

    2011-01-01

    Full Text Available Background In mechanically ventilated patients, changes in breathing patterns may affect the preload, causing stroke volume fluctuation. Pulse pressure variation (PPV and systolic pressure variation (SPV are dynamic means of the hemodynamic monitoring in ventilated patients. No study on PPV and SPV in children has been reported to date. Objective To study changes in PPV and SPV values in mechanically ventilated children. Method A descriptive cross-sectional study was done at the Pediatric Critical Care Unit (PICU, Cipto Mangunkusumo Hospital, Jakarta. Subjects were mechanically ventilated children aged > 12 months. Echocardiography was performed in all patients to determine the cardiac index. Arterial pressure was measured by connecting an arterial line to a vital signs monitor. PPV and SPV were calculated using the standard formulas. Bivariate correlation tests were performed between cardiac index and PPV and between cardiac index and SPV Receiver- operator characteristic (ROC curve analysis was done to determine the optimum PPV and SPV cut-off points to predict normal cardiac index (?3.5 L/minute/m2. Results Eighteen patients were enrolled in the study, yielding 48 measurements. Mean cardiac index was 2.9 (SD 1-2.6 L/minute/ M2. Median PPV was 18.9 (4.1-45.5% and SPV was 12.1 (3.8¬18.9%. We found strong negative correlations between PPV and cardiac index (r= ; p= and SPV and cardiac index (r= ; p= . To predict normal cardiac index, the optimum cut-off point was 11.4% for PPV (100% sensitivity, 100% specificity and 9.45% for SPV (91.7% sensitivity, 100% specificity. Conclusion In mechanically ventilated children, cardiac index is negatively correlated with PPV and SPV [Paediatr Indones. 2011;51:34,40].

  17. The Powerdomain of Indexed Valuations

    DEFF Research Database (Denmark)

    Varacca, Daniele

    2002-01-01

    This paper is about combining nondeterminism and probabilities. We study this phenomenon from a domain theoretic point of view. In domain theory, nondeterminism is modeled using the notion of powerdomain, while probability is modeled using the powerdomain of valuations. Those two functors do not...... combine well, as they are. We define the notion of powerdomain of indexed valuations, which can be combined nicely with the usual nondeterministic powerdomain. We show an equational characterization of our construction. Finally we discuss the computational meaning of indexed valuations, and we show how...

  18. Complexity of Finding Alphabet Indexing

    OpenAIRE

    Shimozono, Shinichi; Miyano, Satoru

    1992-01-01

    For two finite disjoint sets $P$ and $Q$ of strings over an alphabet $sum$, an alphabet indexing $psi$ for $P,Q$ by an indexing alphabet $Gamma$ with $mid Gamma mid < mid sum mid is a mapping $psi : sum \\to Gamma$ satisfying $\\tilde{psi}(P) cap \\tilde{psi}(Q) = emptyset$, where $\\tilde{psi} : sum^* \\to Gamma^*$ is the homomorphism derived from $psi$. We defined this notion through experiments of knowledge acquisition from amino acid sequences of proteins by learning algorithms. This paper an...

  19. Building A Venture Capital Index

    OpenAIRE

    Liang Peng

    2001-01-01

    This paper builds a venture capital index from 1987 to 1999 that consists of 12,946 rounds of venture financing with 5,643 venture-backed firms. The paper uses two innovative techniques, a re-weighting procedure and a method of moment repeat sales regression, to mitigates three problems - missing data, censored data, and sample selection. We report the time series of capital flows, net asset value, and returns of the venture capital index. We find that the venture capital industry experienced...

  20. Index

    Directory of Open Access Journals (Sweden)

    Antonio Juan SÁNCHEZ

    2013-05-01

    Full Text Available The Advances in Distributed Computing and Artificial Intelligence Journal (ADCAIJ is an open access journal that publishes articles which contribute new results associated with distributed computing and artificial intelligence,and their application in different areas. The artificial intelligence is changing our society. Its application in distributed environments, such as the Internet, electronic commerce, mobile communications, wireless devices, distributed computing and so on, is increasing and becoming and element of high added value and economic potential in industry and research. These technologies are changing constantly as a result of the large research and technical effort being undertaken in both universities and businesses. The exchange of ideas between scientists and technicians from both academic and business areas is essential to facilitate the development of systems that meet the demands of today's society. We would like to thank all the contributing authors for their hard and highly valuable work. Their work has helped to contribute to the success of this special issue. Finally, the Editors wish to thank Scientific Committee of Advances in Distributed Computing and Artificial Intelligence Journal for the collaboration of this special issue, that notably contributes to improve the quality of the journal. We hope the reader will share our joy and find this special issue very useful.

  1. Index

    Directory of Open Access Journals (Sweden)

    Antonio Juan Sánchez

    2012-09-01

    Full Text Available The Advances in Distributed Computing and Artificial Intelligence Journal (ISSN: 2255-2863 is an open access journal that publishes articles which contribute new results associated with distributed computing and artificial intelligence, and their application in different areas. The artificial intelligence is changing our society. Its application in distributed environments, such as the Internet, electronic commerce, mobile communications, wireless devices, distributed computing and so on, is increasing and becoming and element of high added value and economic potential in industry and research. These technologies are changing constantly as a result of the large research and technical effort being undertaken in both universities and businesses. The exchange of ideas between scientists and technicians from both academic and business areas is essential to facilitate the development of systems that meet the demands of today's society.

  2. Index

    Directory of Open Access Journals (Sweden)

    Antonio Juan Sánchez

    2013-08-01

    Full Text Available The Advances in Distributed Computing and Artificial Intelligence Journal (ADCAIJ is an open access journal that publishes articles which contribute new results associated with distributed computing and artificial intelligence,and their application in different areas.The artificial intelligence is changing our society. Its application in distributed environments, such as the Internet, electronic commerce, mobile communications, wireless devices, distributed computing and so on, is increasing and becoming and element of high added value and economic potential in industry and research. These technologies are changing constantly as a result of the large research and technical effort being undertaken in both universities and businesses. The exchange of ideas between scientists and technicians from both academic and business areas is essential to facilitate the development of systems that meet the demands of today's society.We would like to thank all the contributing authors for their hard and highly valuable work. Their work has helped to contribute to the success of this special issue. Finally, the Editors wish to thank Scientific Committee of Advances in Distributed Computing and Artificial Intelligence Journal for the collaboration of this special issue, that notably contributes to improve the quality of the journal. We hope the reader will share our joy and find this special issue very useful.

  3. Index

    OpenAIRE

    --, --

    2015-01-01

    Doç. Dr. İshak Emin Aktepe (Erzincan Üniversitesi)  Doç. Dr. İsmail Sağlam (Uludağ Üniversitesi)  Doç. Dr. Mehmet Boynukalın (Şehir Üniversitesi)  Doç. Dr. Mustafa Macit (Atatürk Üniversitesi)  Doç. Dr. Nuh Arslantaş (Marmara Üniversitesi)  Doç. Dr. Osman Güman (Sakarya Üniversitesi)  Doç. Dr. Tuncay Başoğlu (İSAM)  Doç. Dr. Yusuf Alemdar (Bülent Ecevit Üniversitesi)  Doç. Dr. Celil Kiraz (Uludağ Üniversitesi)  Yrd. Doç. Dr. Ali Hakan Çavuşoğlu (29 Mayıs Üniversitesi)  Yrd. Doç. Dr. Ali Bulut...

  4. Index

    Directory of Open Access Journals (Sweden)

    Antonio Juan Sánchez

    2013-11-01

    Full Text Available The Advances in Distributed Computing and Artificial Intelligence Journal (ADCAIJ is an open access journal that publishes articles which contribute new results associated with distributed computing and artificial intelligence,and their application in different areas.The artificial intelligence is changing our society. Its application in distributed environments, such as the Internet, electronic commerce, mobile communications, wireless devices, distributed computing and so on, is increasing and becoming and element of high added value and economic potential in industry and research. These technologies are changing constantly as a result of the large research and technical effort being undertaken in both universities and businesses. The exchange of ideas between scientists and technicians from both academic and business areas is essential to facilitate the development of systems that meet the demands of today's society.We would like to thank all the contributing authors for their hard and highly valuable work. Their work has helped to contribute to the success of this special issue. Finally, the Editors wish to thank Scientific Committee of Advances in Distributed Computing and Artificial Intelligence Journal for the collaboration of this special issue, that notably contributes to improve the quality of the journal. We hope the reader will share our joy and find this special issue very useful.

  5. Index

    Directory of Open Access Journals (Sweden)

    Antonio Juan SÁNCHEZ

    2012-07-01

    Full Text Available The Advances in Distributed Computing and Artificial Intelligence Journal (ADCAIJ is an open access journal that publishes articles which contribute new results associated with distributed computing and artificial intelligence,and their application in different areas.The artificial intelligence is changing our society. Its application in distributed environments, such as the Internet, electronic commerce, mobile communications, wireless devices, distributed computing and so on, is increasing and becoming and element of high added value and economic potential in industry and research. These technologies are changing constantly as a result of the large research and technical effort being undertaken in both universities and businesses. The exchange of ideas between scientists and technicians from both academic and business areas is essential to facilitate the development of systems that meet the demands of today's society.We would like to thank all the contributing authors for their hard and highly valuable work. Their work has helped to contribute to the success of this special issue. Finally, the Editors wish to thank Scientific Committee of Advances in Distributed Computing and Artificial Intelligence Journal for the collaboration of this special issue, that notably contributes to improve the quality of the journal. We hope the reader will share our joy and find this special issue very useful.

  6. On the validity of the Pristane Formation Index

    Science.gov (United States)

    Burnham, Alan K.

    1989-07-01

    The underlying assumption of the Pristane Formation Index (PFI) - that the sum of pristane and pristene is independent of formation temperature at constant precursor conversion - is found to be true for pyrolysis of several petroleum source rocks over a wide range of pressures and temperatures. It is also shown that it is possible to derive Arrhenius rate parameters involving activation energy distributions that are consistent with both geological and laboratory reactions.

  7. Monitoring cerebrovascular pressure reactivity with rheoencephalography

    Science.gov (United States)

    Brady, K. M.; Mytar, J. O.; Kibler, K. K.; Easley, R. B.; Koehler, R. C.; Czosnyka, M.; Smielewski, P.; Zweifel, C.; Bodo, M.; Pearce, F. J.; Armonda, R. A.

    2010-04-01

    Determining optimal perfusion pressure for patients with traumatic brain injury can be accomplished by monitoring the pressure reactivity index, or PRx, which requires an intracranial pressure monitor. We hypothesized that pressure reactivity could be quantified using a rheoencephalography index, or REGx. We measured the REGx and PRx as repetitive, low-frequency linear correlation between arterial blood pressure and intracranial pressure (PRx) or arterial blood pressure and REG pulse amplitude (REGx) in a piglet model of progressive hypotension. We compared the PRx and REGx against a gold standard determination of the lower limit of autoregulation using laser-Doppler measurements of cortical red cell flux. The PRx produced an accurate metric of vascular reactivity in this cohort, with area under the receiver-operator characteristic curves of 0.91. REGx was moderately correlated to the PRx, (Spearman r = 0.63, p < 0.0001; Bland-Altman bias-0.13). The area under the receiver-operator curve for the REGx was 0.86. Disagreement occurred at extremes of hypotension.

  8. [Use of drug-free methods of treatment in comprehensive therapy of patients with stage II chronic lower limb ischaemia].

    Science.gov (United States)

    Makarov, I V; Lukashova, A V

    2016-01-01

    Analysed herein are the results of treating a total of 139 patients presenting with stage II chronic lower limb ischaemia. The patients were subdivided into three groups, depending on the variant of treatment performed. Group One patients (n=57) received standard conservative therapy combined with ozone therapy, with the Group being further subdivided into two subgroups: patients of subgroup 1a (n=28) were subjected to intravenous administration of ozonated physiological solution (OPS), subgroup 1b patients (n=29) were given big autohemoozonetherapy (BAT). Group Two patients (n=62) underwent complex treatment including beside medical ozone gravitation therapy (GT). Group Two patients were also subdivided into two subgroups: subgroup 2a patients (n=31) received standard conservative therapy combined with OPS and GT, subgroup 2b patients (n=31) received standard conservative therapy in combination with BAT and GT. Group Three (Control Group) was composed of 20 patients receiving standard conservative therapy alone. The highest efficacy was observed in the subgroup of patients receiving OPS and GT, with the patients of this subgroup showing a statistically significant increase in the pain-free walking distance by 116.5% and in the ankle-brachial index by 49.2%, also demonstrating the most pronounced positive dynamics of lipid metabolism parameters: a decrease in total cholesterol by 21.3%, low density lipoproteins by 25.4%, very low density lipoproteins by 24.2% and triglycerides by 18.5%. Besides, a tendency was observed towards normalization of the haemostasis system indices: fibrinogen decreased by 21.8%, prothrombin index by 13%, fibrin monomer complexes retraction by 18.2%, and the clotting time increased by 20.7%. Hence, combined use of ozonated physiological solution and gravitation therapy in treatment of patients with stage II chronic lower limb ischaemia promotes a considerable increase in the pain-free walking distance and ankle-brachial index, as well as

  9. Spiral-CT angiography after intraarterial iliac stent placement; Spiral-CT-Angiographie nach arterieller iliakaler Stentapplikation

    Energy Technology Data Exchange (ETDEWEB)

    Freund, M. [Kiel Univ. (Germany). Klinik fuer Radiologische Diagnostik; Palmie, S. [Kiel Univ. (Germany). Klinik fuer Radiologische Diagnostik; Wesner, F. [Kiel Univ. (Germany). Klinik fuer Radiologische Diagnostik; Heller, M. [Kiel Univ. (Germany). Klinik fuer Radiologische Diagnostik

    1995-10-01

    In a prospective study 32 patients underwent CT-A after stent placement in the iliac arteries. The vascular morphology was analyzed regarding neointimal hyperplasia and calcification pattern. The results were compared with those of clinical findings (walking distance), Doppler ultrasound (ankle-brachial index) and DSA. All 47 stents were visible and patent (100%). One misplacement was identified. A good correlation was found between an improved ankle-brachial index and CT-A (88.5%) and extension of the walking distance and CT-A (92.3%). Concerning location, number and grade of stenoses the results between CT-A and DSA matched in 42.1%. An exact mapping of calcified plaques was possible in all cases. (orig./MG) [Deutsch] Nach perkutaner transluminaler Angioplastie (PTA) und Stenteinlage wurden 32 Patienten prospektiv mittels CT-A untersucht. Es erfolgte eine Analyse der Gefaessmorphologie hinsichtlich neointimaler Hyperplasien und Verkalkungsmuster. Weiterhin wurden die Ergebnisse mit denen der intraarteriellen digitalen Subtraktionsangiographie (i.a. DSA), dem klinischen Befund (Gehstrecke) und der Doppler-Ultraschalluntersuchung (Arm-Knoechel-Index/AKI) verglichen. Alle 47 Stents konnten in der CT-A exakt lokalisiert und als offen identifiziert werden (100%). Eine Stentfehllage wurde diagnostiziert. Der Nachweis neointimaler Hyperplasie gelang aufgrund von Metallartefakten im Stentniveau nicht. Verkalkungen waren in allen Faellen nachweisbar. Eine Uebereinstimmung zwischen DSA und CT-A hinsichtlich des Schweregrades, der Anzahl und Lokalisation von Stenosen fand sich nur in 42,1%. In 88,5% der Faelle bestand eine Uebereinstimmung zwischen CT-morphologischem Befund und verbessertem AKI, in 92,3% mit verlaengerter Gehstrecke. (orig./MG)

  10. Study of Saudi Arabian climatic conditions using Hurst exponent and climatic predictability index

    International Nuclear Information System (INIS)

    This paper utilizes Hurst exponent to study the persistency of meteorological parameters individually and dependency of rainfall/precipitation on pressure and temperature using climate predictability index. For the purpose, daily averages of surface pressure and temperature and daily total rainfall data for a period of 7 years for three locations and 14 years for seven locations has been utilized. The Hurst exponents (H) for above mentioned meteorological parameters were calculated using rescaled range analysis (R/S) and absolute moments methods. These H values were used to calculate the fractal dimension D for pressure, temperature and rainfall data. Finally, these D's were used to calculate the climate predictability index PIC in terms of pressure predictability index (PIP), temperature predictability index (PIT) and rainfall predictability index (PIR). The Hurst exponent analysis showed that H values for rainfall, relative humidity and wind speed time series data for all the stations were >0.5 which is indicative of persistence behavior of the parameters on the previous values while for pressure and temperature H values were <0.5 means anti-persistence behavior. The climate predictability index showed that in most of the cases the rainfall was dependent on both pressure and temperature predictability indices. In some cases it was more dependent on pressure index than the temperature and in some cases otherwise. In Saudi Arabia there is no prevalent or established rainy season and the present analysis could not result into concrete results. It is therefore recommended to analyze the data by breaking the entire data set into seasons and further into different years.

  11. Transportation Environment Data Bank index

    Energy Technology Data Exchange (ETDEWEB)

    Davidson, C.A.; Foley, J.T.

    1976-11-01

    In an effort to determine the environment intensities to which energy materials in transit will be exposed, a ''Data Bank'' of environmental information has been established by Sandia Laboratories, Division 1285 for the ERDA Division of Environmental Control Technology. This document is an index which can be used to request data of interest.

  12. Transportation Environment Data Bank index

    Energy Technology Data Exchange (ETDEWEB)

    Davidson, C.A.; Foley, J.T.

    1977-04-01

    In an effort to determine the environment intensities to which energy materials in transit will be exposed, a ''Data Bank'' of environmental information has been established by Sandia Laboratories, Division 1285 for the ERDA Division of Environmental Control Technology. This document is an index which can be used to request data of interest.

  13. Transportation Environment Data Bank index

    International Nuclear Information System (INIS)

    In an effort to determine the environment intensities to which energy materials in transit will be exposed, a ''Data Bank'' of environmental information has been established by Sandia Laboratories, Division 1285 for the ERDA Division of Environmental Control Technology. This document is an index which can be used to request data of interest

  14. 1988 Bulletin compilation and index

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1989-02-01

    This document is published to provide current information about the national program for managing spent fuel and high-level radioactive waste. This document is a compilation of issues from the 1988 calendar year. A table of contents and one index have been provided to assist in finding information.

  15. Automatic indexing, compiling and classification

    International Nuclear Information System (INIS)

    A review of the principles of automatic indexing, is followed by a comparison and summing-up of work by the authors and by a Soviet staff from the Moscou INFORM-ELECTRO Institute. The mathematical and linguistic problems of the automatic building of thesaurus and automatic classification are examined

  16. Asymptotics for the Hirsch Index

    NARCIS (Netherlands)

    Beirlant, J.; Einmahl, J.H.J.

    2007-01-01

    The last decade methods for quantifying the research output of individual researchers have become quite popular in academic policy making. The h- index (Hirsch, 2005) constitutes an interesting quality measure that has attracted a lot of attention recently. It is now a standard measure available for

  17. USGS 1-min Dst index

    Science.gov (United States)

    Gannon, J.L.; Love, J.J.

    2011-01-01

    We produce a 1-min time resolution storm-time disturbance index, the USGS Dst, called Dst8507-4SM. This index is based on minute resolution horizontal magnetic field intensity from low-latitude observatories in Honolulu, Kakioka, San Juan and Hermanus, for the years 1985-2007. The method used to produce the index uses a combination of time- and frequency-domain techniques, which more clearly identifies and excises solar-quiet variation from the horizontal intensity time series of an individual station than the strictly time-domain method used in the Kyoto Dst index. The USGS 1-min Dst is compared against the Kyoto Dst, Kyoto Sym-H, and the USGS 1-h Dst (Dst5807-4SH). In a time series comparison, Sym-H is found to produce more extreme values during both sudden impulses and main phase maximum deviation, possibly due to the latitude of its contributing observatories. Both Kyoto indices are shown to have a peak in their distributions below zero, while the USGS indices have a peak near zero. The USGS 1-min Dst is shown to have the higher time resolution benefits of Sym-H, while using the more typical low-latitude observatories of Kyoto Dst. ?? 2010.

  18. Index to AEC Information Booklets

    Energy Technology Data Exchange (ETDEWEB)

    None

    1978-01-01

    The U. S. Atomic Energy Commission publishes a series of information booklets for the general public. These booklets explain many aspects of nuclear science. Because these booklets cover such a variety of scientific fields, this index was prepared to help the reader find quickly those booklets that contain the information he needs.

  19. An automatic bibliography indexing programme

    Directory of Open Access Journals (Sweden)

    J. W. Morris

    1974-12-01

    Full Text Available A relatively simple FORTRAN IV programme, designed for a small computer, for author and key-word indexes to bibliographic records is described, and examples of output are given. It is com­pared with some other systems. Suggested improvements to the programme are given.

  20. Index of competences Advanced Materials

    International Nuclear Information System (INIS)

    This index gathers the main french competences in advanced materials field (university laboratories, research and development organisms, technical centers, experts...). The concerned advanced materials are plastics and technical polymers, metals and alloys, composite materials, technical ceramics, glasses, paper, wood and textile. A PC computer version is also available. (A.B.)