11 research outputs found
PHP96 SENSE OF COHERENCE—AS MEDIATING FACTOR IN REMAINING EMPLOYED IN HEALTH CARE PROFESSION
Experimental observation and simulation of the equilibration of electron swarms in a scanning drift tube
We investigate the spatially and temporally resolved electron kinetics in a homogeneous electric field in argon gas, in the vicinity of an emitting boundary. This (transient) region, where the electron swarm exhibits non-equilibrium character with energy gain and loss processes taking place at separate positions (in space and time), is monitored experimentally in a scanning drift tube apparatus. Depending on the strength of the reduced electric field we observe the equilibration of the swarm over different length scales, beyond which the energy gain and loss mechanism becomes locally balanced and transport properties become spatially invariant. The evolution of the electron swarm in the experimental apparatus is also described by Monte Carlo simulations, of which the results are in good agreement with the experimental observations, over the domains of the reduced electric field and the gas pressure covered
Measured and predicted resting metabolic rate in obese and nonobese adolescents.
OBJECTIVES: The validity of equations for the calculation of resting metabolic rate (RMR) were studied and new predictive equations were developed.
STUDY DESIGN: The RMR was measured in a sample of 371 10- to 16-year-old prepubertal and postpubertal children. The study group included 193 male (116 nonobese and 77 obese) and 178 female (119 nonobese and 59 obese) subjects; for each group the RMRs predicted from five equations recommended for this age group were compared. The RMR was assessed by indirect calorimetry with a ventilated hood system for 45 minutes after an overnight fast. Body composition was estimated from skin-fold measurements.
RESULTS: The mean +/- SD RMR was found to be 5600 +/- 972 kJ/24 hr and 7223 +/- 1220 kJ/24 hr in nonobese and obese boys, and 5112 +/- 632 kJ/24 hr and 6665 +/- 1106 kJ/24 hr in nonobese and obese girls, respectively. All five equations applicable to 10- to 16-year-old children overestimated RMR by 7.5% to 18.1% (p < 0.001 for each equation). Stepwise regression analysis, with independent variables such as age, weight, height, and gender, allowed development of new predictive equations for the calculation of RMR in 10- to 16-year-old boys (RMR = 50.9 Weight (kg) + 25.3 Height (cm) -50.3 Age (yr) + 26.9; R2 = 0.884, p < 0.0001) and girls (RMR = 51.2 Weight (kg) + 24.5 Height (cm) - 207.5 Age (yr) + 1629.8; R2 = 0.824, p < 0.0001). These predictive equations were tested in a second, independent cohort of children (80 male and 61 female subject) and were found to give a reliable estimate of RMR in 10- to 16-year-old obese and nonobese adolescents.
CONCLUSIONS: The currently used predictive equations overestimate RMR in 10- to 16-year-old children. The use of the newly developed equations is recommended
Darkening of third molar roots on panoramic radiographs: is it really predominantly thinning of the lingual cortex?
This study investigated the exact intra-alveolar aetiology of a panoramic high-risk sign, darkening of the third molar roots. 83 mandibular third molar surgical removals demonstrating dark bands on the third molar roots in preoperative radiographs were included in this prospective study. Exposure of the inferior alveolar nerve (IAN), the root morphology of the third molar (e.g. groove or hook) and the integrity of the mandibular canal or lingual cortical wall were observed. Differences between single (increased radiolucency alone) and multiple darkening cases (increased radiolucency with accompanying ‘high risk' signs) and between IAN exposure and groove formation were analysed. In 38 cases (45.8%), the IAN was visible during the operation. Groove was present in 37.4% of cases. 26.5% of the cases showed lingual cortical thickening, while specious root
conformation explained the formation of darkening on the
radiographic images of an additional 9.6% of the cases. IAN
exposure (P < 0.001) and groove formation (P < 0.001) were
significantly more frequent in multiple darkening cases than in single darkening cases. According to these findings, darkening of the third molar roots is more often the result of fenestration of the inferior alveolar canal wall or groove formation of the root than lingual cortical thickening
Quantitative pixel gray measurement of the “high-risk” sign, darkening of third molar roots: a pilot study
OBJECTIVES: Our aim was to examine the panoramic darkening of the root, which is a “high-risk” sign, using quantitative measurements of pixel grey values to determine different aetiological backgrounds, namely inferior alveolar nerve (IAN) exposure with or without groove formation of the third molar roots or thinning/fenestration of the lingual cortex (LCTF). METHODS: 38 impacted third molars that had been surgically removed and had darkened roots on panoramic radiographs were included in this retrospective case–control study. 15 IAN exposure cases were selected for the case group, and 23 cases with proven lingual cortical thinning or fenestration were chosen for the control group. The mean pixel grey values of selected areas in the dark band (D) and control areas within the same roots (R) were determined with the ImageTool (University of Texas Health Science Center, San Antonio, TX) software. The differences in pixel values (R–D) of the IAN and LCTF groups were analysed using the Mann–Whitney U-test and Pearson's χ(2) test. RESULTS: The medians of the R–D pixel values were 45.7 in the IAN group and 34.3 in the LCTF group, whereas the interquartile ranges were 12.0 (IAN) and 18.3 (LCTF) (p < 0.001). The R–D critical value at which the outcomes differed significantly was 38. If the differences in pixel grey values (R–D) were higher than 38, the chance of IAN exposure was approximately 32 times higher than the chance of LCTF (χ(2) test, p < 0.001; odds ratio, 32.0; 95% confidence interval, 3.5–293.1). CONCLUSIONS: The pre-operative prediction of IAN exposure or lingual cortical thinning in cases with “darkening” is possible based on pixel grey measurements of digital panoramic radiographs