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NIELSEN COINCIDENCE THEORY OF FIBRE-PRESERVING MAPS AND DOLD`S FIXED POINT INDEX

GONCALVES, Daciberg L.; KOSCHORKE, Ulrich
Fonte: JULIUSZ SCHAUDER CTR NONLINEAR STUDIES Publicador: JULIUSZ SCHAUDER CTR NONLINEAR STUDIES
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
35.93%
Let M -> B, N -> B be fibrations and f(1), f(2): M -> N be a pair of fibre-preserving maps. Using normal bordism techniques we define an invariant which is an obstruction to deforming the pair f(1), f(2) over B to a coincidence free pair of maps. In the special case where the two fibrations axe the same and one of the maps is the identity, a weak version of our omega-invariant turns out to equal Dold`s fixed point index of fibre-preserving maps. The concepts of Reidemeister classes and Nielsen coincidence classes over B are developed. As an illustration we compute e.g. the minimal number of coincidence components for all homotopy classes of maps between S(1)-bundles over S(1) as well as their Nielsen and Reidemeister numbers.; Universidade de São Paulo - Institute de Matematica e Estatistica-USP; Universidade de São Paulo - Institute de Matematica e Estatistica-USP; DAAD-Capes; DAAD; Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES); DAAD; Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES); international cooperation program DAAD-Capes

Índice geométrico na determinação da perda de carga localizada em conexão de emissores sobre tubos de polietileno de pequenos diâmetros; Geometrical Index in the determination of head losses located in connection of emitters on polyethylene pipes of small diameters

Cardoso, Gabriel Greco de Guimarães
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 01/08/2007 PT
Relevância na Pesquisa
56.19%
O procedimento de dimensionamento de uma linha lateral de microirrigação necessita avaliar com precisão as perdas de carga distribuídas na tubulação e as perdas de carga localizadas nas inserções dos emissores com os tubos. Estas perdas localizadas podem ser significativas quando comparadas com as perdas de carga totais, devido ao grande número de emissores instalados ao longo da linha lateral. Este trabalho reporta os resultados de um experimento sobre perda de carga distribuída, fator de atrito e perda de carga localizada em conexões de emissores "on-line" em tubos de polietileno de pequeno diâmetro. Foram utilizados cinco tubos com diâmetros internos de 10,0 mm, 13,0 mm, 16,3 mm, 17,4 mm e 19,7 mm. O experimento foi conduzido para números de Reynolds no intervalo de 5000 a 68000, obtidos pela variação da vazão nos tubos, a uma temperatura média da água de 20 ± 2 °C. Os resultados foram analisados e concluiu-se que o fator de atrito f da equação de Darcy-Weisbach pode ser estimado com c = 0,300 e m = 0,25. A equação de Blasius com c = 0,316 e m = 0,25 mostrou-se conservadora na estimativa do fator de atrito, porém esse fato não constitui limitação para sua utilização em projetos de microirrigação. As análises mostraram que as duas equações proporcionam estimativas de f com pequeno desvio médio (5...

Comparação entre as técnicas de dacriocistografia por ressonância magnética e por raios X no diagnóstico da obstrução das vias lacrimais; Comparison between magnetic resonance and x-ray dacryocystography in the evaluation of the obstruction of the lacrimal apparatus

Abreu Júnior, Luiz de
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 30/07/2008 PT
Relevância na Pesquisa
26.31%
Introdução: Epífora corresponde ao hiperlacrimejamento decorrente de causa obstrutiva. Quase sempre se indica o tratamento cirúrgico, e a determinação do nível e da natureza da obstrução solicita exames de imagem. A ressonância magnética pode ser utilizada nesse contexto. Objetivos: Verificar a eficácia da dacriocistografia por RM, na avaliação de obstrução das vias lacrimais, correlacionando com o exame de imagem padrão-ouro, a dacriocistografia por RX. Métodos: A amostra compreendeu 32 indivíduos (26 mulheres e seis homens, com média de idade de 55,4 ± 21,5 anos) com tempo de sintomatologia oscilando entre três meses e vinte anos. Utilizaram-se seqüências de RM ponderadas em STIR T2 sem e com instilação de soro fisiológico e seqüência gradiente-eco ponderada em T1, após instilação de solução de gadolínio diluído (1:100). Os dados da RM foram correlacionados com o exame padrão-ouro (dacriocistografia por RX). A análise foi realizada por dois observadores. Foram calculados: a sensibilidade, a especificidade e os valores preditivos - positivo (VPP) e negativo (VPN) - de cada uma das seqüências de RM, para a detecção da presença de obstrução das vias lacrimais. Calculou-se, ainda, a concordância intra- e interobservador para os diagnósticos da presença e do nível da obstrução...

Perda localizada de carga em gotejadores integrados em tubos de polietileno; Local head losses for integrated drippers in polyethylene pipes

Gomes, Anthony Wellington Almeida
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 30/03/2009 PT
Relevância na Pesquisa
46.43%
A inserção de gotejadores em uma tubulação modifica as linhas de fluxo, provocando turbulência local, que resulta em perdas de carga adicionais maiores que as perdas contínuas na tubulação. Para avaliar a perda total de carga, ao longo da linha lateral de gotejadores, as perdas contínuas e as localizadas, devidas à presença dos emissores no tubo, devem ser consideradas. Este trabalho apresenta os resultados de um experimento conduzido para avaliar as perdas localizadas de carga em gotejadores coaxiais integrados em tubos de polietileno. A perda de carga para diferentes vazões foi determinada em quatro modelos de tubos gotejadores, com sete repetições. Cada segmento de tubo utilizado continha 11 gotejadores. Para cada vazão, a perda localizada de carga foi calculada pela diferença entre a perda de carga no tubo com emissor e a perda de carga continua no tubo uniforme, estimada pela equação de Darcy-Weisbach. Aproximações matemáticas foram sugeridas para calcular a perda de carga com base no coeficiente de carga cinética (K) e em um valor constante de comprimento equivalente (Le). Para cada modelo de tubo gotejador, o coeficiente K foi praticamente independente do número de Reynolds, para R > 10 000, sugerindo que cada gotejador pode ser caracterizado por um valor médio de K...

BODE Index and GOLD Staging as Predictors of 1-Year Exacerbation Risk in Chronic Obstructive Pulmonary Disease

Faganello, Marcia Maria; Tanni, Suzana Erico; Sanchez, Fernanda Figueiroa; Gelamo Pelegrino, Nilva Regina; Lucheta, Paulo Adolfo; Godoy, Irma
Fonte: Lippincott Williams & Wilkins Publicador: Lippincott Williams & Wilkins
Tipo: Artigo de Revista Científica Formato: 10-14
ENG
Relevância na Pesquisa
36.03%
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP); Processo FAPESP: 04/00517-4; Background: The body mass index/airflow obstruction/dyspnea/exercise capacity (BODE) index and global initiative for chronic obstructive]on, disease (GOLD) staging system are validated measures to define disease severity and to predict survival in chronic obstructive pulmonary disease (COPD). We aimed to investigate the influence of BODE classes (score: 0-2, 3-4, 5-7, and 7-10) and GOLD stages (I, II, III, and IV) oil the moderate/severe exacerbation occurrence risk in a cohort of 120 mild/very severe stable patients with COPD. Methods: Demographics, clinical evaluation, spirometry, peripheral oxygen saturation, body composition, 6-minute walking distance, dyspnea, and quality of life measurements were obtained at baseline. patients were followed Lip for I year or until death, and information on exacerbation was collected. Results: The median annual exacerbation rate was 0.8. Logistic regression showed that the relationship between the risk for moderate/severe exacerbations during a 1-year follow-Lip for the GOLD stage was odds ratio: 2.01; 95% confidence interval: 1.39-2.98 and for the BODE index was odds ratio: 2.08; 95% confidence interval: 1.27-3.61. The area under the receiver-operator curve to predict exacerbation during the 1-year follow-up was 0.69 for the GOLD stage and 0.62 for the BODE index. Adjusted multiple logistic regression selected only older age and lower peripheral oxygen saturation as risk factors for COPD exacerbation in the I-year follow-up...

A comparison of nasopharyngeal endoscopy and lateral cephalometric radiography in the diagnosis of nasopharyngeal airway obstruction

Ianni Filho, Daniel; Raveli, Dirceu Barnabé; Raveli, Rosangela B.; De Castro Monteiro Loffredo, Leonor; Gandini Jr., Luiz G.
Fonte: Universidade Estadual Paulista Publicador: Universidade Estadual Paulista
Tipo: Artigo de Revista Científica Formato: 348-352
ENG
Relevância na Pesquisa
36.07%
Two auxiliary methods of diagnosing nasopharyngeal airway obstruction were compared. Cephalometric radiography and nasopharyngeal videoendoscopy were evaluated for efficacy in terms of reproducibility and validity. Thirty orthodontic patients (7 to 12 years of age) seeking otorhinolaryngologic treatment for mouth breathing, or mouth and nose breathing, had nasopharyngeal endoscopy and radiographic examinations performed on the same day. Two otorhinolaryngologists analyzed the results. Nasopharyngeal endoscopy was more reliable in identifying all the obstructive nasopharyngeal processes. Endoscopy obtained kappa index scores of almost perfect agreement for diagnosis of posterior nasal septum deviation, of substantial agreement for anterior nasal septum deviation and lower turbinate hypertrophy, and of moderate agreement for middle turbinate hypertrophy. Lateral cephalometric radiography obtained scores of perfect agreement for imaging hypertrophy of the middle turbinate, of almost perfect agreement for imaging hypertrophy of the posterior portion of the inferior turbinate, and of substantial agreement for imaging hypertrophy of the inferior turbinate. Radiographic diagnoses of hypertrophy of the middle and lower turbinates exhibited high sensitivity and low specificity when compared with diagnoses by nasopharyngeal endoscopy.

Analysis of the videolaparoscopy potentiality in the surgical treatment of the bowel obstruction

Ghezzi,Tiago Leal; Moschetti,Laura; Corleta,Oly Campos; Abreu,Gabriela Pilau de; Abreu,Laís Pilau de
Fonte: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE ; Colégio Brasileiro de Cirurgia Digestiva - CBCD ; Sociedade Brasileira de Motilidade Digestiva - SBMD ; Federação Brasileira de Gastroenterologia - FBG; Sociedade Brasileira de Hepatologia - SBH; Sociedade Brasileira de Endoscopia Digestiva - SOBED Publicador: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE ; Colégio Brasileiro de Cirurgia Digestiva - CBCD ; Sociedade Brasileira de Motilidade Digestiva - SBMD ; Federação Brasileira de Gastroenterologia - FBG; Sociedade Brasileira de Hepatologia - SBH; Sociedade Brasileira de Endoscopia Digestiva - SOBED
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2010 EN
Relevância na Pesquisa
36.17%
CONTEXT: Laparotomy is the gold standard treatment of patients with intestinal obstruction without response to clinical management. Nowadays, literature has been demonstrating the feasibility of videolaparoscopy in the treatment of intestinal obstruction. OBJECTIVES: To report the clinical-epidemiological profile of patients with intestinal obstruction submitted to surgery and verify the presence of contraindications for laparoscopy. METHODS: It was done a observational, descriptive and retrospective study including adults patients with intestinal obstruction submitted to surgery at Hospital de Clínicas de Porto Alegre, RS, Brazil, between January of 2004 and October of 2008. RESULTS: It was included 135 patients in the study, with a total of 126 patients submitted to open surgery and 9 to laparoscopy. There was similar distribution between gender and the mean age was 59 years (SD ± 16.9). The most frequent site of obstruction was the small bowel and the most frequent etiology was adhesions. Among the patients submitted to laparotomy, 75.4% presented with abdominal distention, 68.3% previous abdominal surgery, 11.9% body mass index >30 kg/m², 4.8% coagulopathy and 3.2% hemodynamic instability. Among the 135 patients, only 5 of them presented with none contraindications for videolaparoscopy. CONCLUSION: The epidemiological findings of this study are similar to the ones of the worldwide literature. Indications of videolaparoscopy in retrospective analyses have the limitation of subjective evaluation of intestinal obstruction...

Scintigraphy and Doppler ultrasonography for the evaluation of obstructive urinary calculi

Gandolpho,L.; Sevillano,M.; Barbieri,A.; Ajzen,S.; Schor,N.; Ortiz,V.; Heilberg,I.P.
Fonte: Associação Brasileira de Divulgação Científica Publicador: Associação Brasileira de Divulgação Científica
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2001 EN
Relevância na Pesquisa
26.31%
Forty-seven patients with unilateral obstructive calculi (12 males and 35 females) were submitted to 99mTc-diethylene triamine pentaacetic acid (DTPA) or 99mTc-dimercaptosuccinic acid (DMSA) scans for assessment of renal function. The scans revealed unilateral functional deficit in 68 and 66% of the patients, respectively. A calculus size of 1.1 to 2.0 cm was significantly associated with deficit detected by DTPA, but duration of obstruction and calculus localization were not. After relief of the obstruction, the mean percent renal function of the affected kidney was found to be significantly increased from 25 ± 12% to 29 ± 12% in DTPA and from 21 ± 15% to 24 ± 12% in DMSA. Initial Doppler ultrasonography performed in 35 patients detected an increased resistive index in 10 (29%). In the remaining patients with a normal resistive index, ureteral urinary jet was observed, indicating partial obstruction. The high frequency of renal function impairment detected by DTPA and of tubulointerstitial damage detected by DMSA as well as the slight amelioration of unilateral renal function after relief of obstruction suggest that scintigraphy assessment may help evaluate the unilateral percentage of renal function and monitor renal function recovery when it occurs. The presence of a urinary jet detected by Doppler ultrasonography further indicates the severity of obstruction and the recovery prognosis.

The efficacy and safety of oral Tamsulosin controlled absorption system (OCAS) for the treatment of lower urinary tract symptoms due to bladder outlet obstruction associated with benign prostatic hyperplasia: an open-label preliminary study

Lojanapiwat,Bannakij; Permpongkosol,Sompol
Fonte: Sociedade Brasileira de Urologia Publicador: Sociedade Brasileira de Urologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2011 EN
Relevância na Pesquisa
36.13%
AIMS: Tamsulosin, a superselective subtype alpha 1a and 1d blocker, is used for the treatment of male lower urinary tract symptoms (LUTS) commonly caused by benign prostatic hyperplasia (BPH). This prospective study evaluated the efficacy and safety of a new formulation, Tamsulosin OCAS® (Oral Controlled Absorption System), for LUTS associated with BPH in Thai patients. MATERIALS AND METHODS: Fifty one patients over 40 years old with complaints of LUTS associated with BPH were recruited. Patients received an 8 week course of once daily 0.4 mg tamsulosin OCAS®, and were followed up at 2 (visit 3), 4 (visit 4) and 8 (visit 5) weeks post-treatment. At each visit, patients were assessed using the International Prostate Symptom Score (IPSS), Nocturia Quality of Life (N-QoL) Questionnaire, QoL Assessment Index (IPSS-QoL), and International Index of Erectile Function (IIEF). The primary outcome was efficacy of Tamsulosin. The secondary outcomes included change in the mean number of nocturia episodes, hours of undisturbed sleep (HUS) and uroflowmetry measurements. RESULTS: Total IPSS significantly decreased at week 8 from baseline (from 19.52 to 6.08; p < 0.001). Similarly, the voiding and storage subscores of IPSS also continued to improve significantly starting from the second and third visits...

Evaluation of anatomical obstruction by Doppler echocardiography and magnetic resonance imaging in patients with coarctation of the aorta.

Teien, D E; Wendel, H; Björnebrink, J; Ekelund, L
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /04/1993 EN
Relevância na Pesquisa
26.39%
OBJECTIVE--To evaluate a new Doppler echocardiographic index of obstruction in patients with native coarctation or recoarctation. PATIENTS--32 patients (mean age 20, range 3 months--50 years). METHODS--Magnetic resonance imaging (MRI) was used to investigate the descending aorta. The cross sectional area of the obstruction was compared with the area of the abdominal aorta as an index of obstruction (CoA index). Doppler echocardiography was used to record the velocities in the coarctation jet and in the abdominal aorta. According to the continuity equation the ratio of these velocities should equal the ratios of the cross sectional areas. The gradients and diastolic half time of the Doppler curve were calculated. RESULTS--There was a close correlation between the MRI index of obstruction and the Doppler velocity ratio (r = 0.92). The sensitivity and specificity of this ratio in detecting a CoA index equal to or less than 0.25 were better than those obtained with gradients only or the combination of gradients and diastolic half time. CONCLUSION--The new Doppler velocity ratio correlated closely with an anatomical index of obstruction. It was easy to record in most patients and it avoided difficulties about the choice of instantaneous or peak to peak gradients and whether or not to subtract proximal velocities for the calculation of gradients.

Assessment of Upper Airways Obstruction

Empey, D. W.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 26/08/1972 EN
Relevância na Pesquisa
26.29%
An indication of obstruction to the upper airways (trachea and larynx) may be obtained by calculating the ratio of the forced expired volume in one second to the peak expiratory flow rate (FEV1/PEFR). This index was found to be usually less than 10 in normal subjects (mean 7·3), and in patients with asthma (mean 6·9), chronic bronchitis (mean 7·7), or interstitial lung disease (mean 6·3). A study of simulated upper airways obstruction showed that this index rises as the obstruction becomes more severe. All of 18 patients with proved upper airways obstruction had FEV1/PEFR indices greater than 10 (mean 14·0). This test can be carried out with forced expiratory manoeuvres only, and it does not require the use of complicated equipment. An FEV1/PEFR ratio greater than 10, when upper airways obstruction is suspected, indicates that significant obstruction may be present. High values suggest that the obstruction may be severe, and that further investigations are indicated.

Evaluation of computed tomography obstruction index in guiding therapeutic decisions and monitoring percutanous catheter fragmentation in massive pulmonary embolism

Yu, Tongfu; Yuan, Mei; Zhang, Qingbo; Shi, Haibing; Wang, Dehang
Fonte: Editorial Department of Journal of Biomedical Research Publicador: Editorial Department of Journal of Biomedical Research
Tipo: Artigo de Revista Científica
Publicado em /11/2011 EN
Relevância na Pesquisa
46.22%
In the present study, we evaluated computed tomography pulmonary angiography (CTPA) in guiding therapeutic decisions and monitoring patients undergoing percutaneous catheter fragmentation in acute massive pulmonary embolism. From Jan 2003 to Dec 2009, 35 patients were diagnosed with acute massive pulmonary embolism by CTPA (T0) and treated with percutaneous catheter fragmentation. The severity was assessed by CT obstruction index (Qanadli index) and compared with Miller index. CTPA, oxygen saturation (SaO2) and pulmonary artery pressure were performed as follow-up index. The mean percentage of Qanadli index was (55±13)% (range, 40%-75%), and Miller index was (62±15)% (range, 45%–85%). Correlations between them were statistically significant (r = 0.867, P < 0.0001). The Qanadli index showed significant reduction [T0: (55±13)%; T1: (12±10)%; P < 0.001] in 33 patients. Significant correlation was observed between the Qanadli index, SaO2 (r = 0.934), and pulmonary artery pressure (r = 0.813). The Qanadli index provides an accurate method for distinguishing massive pulmonary embolism from sub-massive pulmonary embolism. It can be used to determine therapeutic options and monitor clinical outcomes.

Respiratory sinus arrhythmia during sleep in children with upper airway obstruction

Kabir, M.; Kohler, M.; Pamula, Y.; Martin, A.; Kennedy, J.; Abbott, D.; Baumert, M.
Fonte: Blackwell Publishing Ltd Publicador: Blackwell Publishing Ltd
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
26.42%
Upper airway obstruction during adulthood is associated with cardiovascular morbidity; cardiovascular consequences of childhood upper airway obstruction are less well established. This study aimed at investigating the effect of childhood upper airway obstruction on respiratory sinus arrhythmia as a measure of cardiac vagal modulation during night-time sleep. Overnight polysomnography was conducted in 40 healthy children (20 M; age: 7.5 ± 2.6 years; body mass index percentile: 60.7 ± 26.4%) and 40 children with upper airway obstruction (24 M; age: 7.5 ± 2.7 years; body mass index percentile: 65.8 ± 31.9%). We used the phase-averaging technique to compute respiratory sinus arrhythmia amplitude and phase delay. To study sleep stage effects and the effect of upper airway obstruction, respiratory sinus arrhythmia was measured during all artefact-free sleep episodes, and after exclusion of respiratory events. A significant increase in respiratory sinus arrhythmia amplitude and phase delay was observed during stage 4 sleep as compared with rapid eye movement sleep in both groups (amplitude: controls = 0.10 ± 0.03 versus 0.07 ± 0.02 s, P < 0.01, respectively, and upper airway obstruction = 0.07 ± 0.03 versus 0.05 ± 0.03 s, P < 0.05...

Movement distribution: a new measure of sleep fragmentation in children with upper airway obstruction

Coussens, S.; Baumert, M.; Kohler, M.; Martin, J.; Kennedy, D.; Lushington, K.; Saint, D.; Pamula, Y.
Fonte: American Academy of Sleep Medicine Publicador: American Academy of Sleep Medicine
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
36.11%
STUDY OBJECTIVES: To develop a measure of sleep fragmentation in children with upper airway obstruction based on survival curve analysis of sleep continuity. DESIGN: Prospective repeated measures. SETTING: Hospital sleep laboratory. PARTICIPANTS: 92 children aged 3.0 to 12.9 years undergoing 2 overnight polysomnographic (PSG) sleep studies, 6 months apart. Subjects were divided into 3 groups based on their obstructive apnea and hypopnea index (OAHI) and other upper airway obstruction (UAO) symptoms: primary snorers (PS; n = 24, OAHI <1), those with obstructive sleep apnea syndrome (OSAS; n = 20, OAHI ≥1) and non-snoring controls (C; n = 48, OAHI <1). INTERVENTIONS: Subjects in the PS and OSAS groups underwent tonsillectomy and adenoidectomy between PSG assessments. MEASUREMENTS AND RESULTS: Post hoc measures of movement and contiguous sleep epochs were exported and analyzed using Kaplan-Meier estimates of survival to generate survival curves for the 3 groups. Statistically significant differences were found between these group curves for sleep continuity (P < 0.05) when using movement events as the sleep fragmenting event, but not if stage 1 NREM sleep or awakenings were used. CONCLUSION: Using conventional indices of sleep fragmentation in survival curve analysis of sleep continuity does not provide a useful measure of sleep fragmentation in children with upper airway obstruction. However...

Obesity and risk of sleep related upper airway obstruction in Caucasian children

Kohler, M.; Lushington, K.; Couper, R.; Martin, A.; van den Heuvel, C.; Pamula, Y.; Kennedy, D.
Fonte: The American Academy of Sleep Medicine Publicador: The American Academy of Sleep Medicine
Tipo: Artigo de Revista Científica
Publicado em //2008 EN
Relevância na Pesquisa
36.35%
Obesity is thought to be a significant risk factor for upper airway obstruction during sleep in children. However, the moderating influences of age and ethnicity have not been well explored and the relative contribution of obesity per se to upper airway obstruction has yet to be quantified. Given the markedly increasing prevalence of childhood obesity, an objective understanding of the impact of obesity on upper airway obstruction is important. The purpose of the present study was to examine the interaction between obesity, age and upper airway obstruction in Australian Caucasian children referred for evaluation of snoring. METHODS: This was a retrospective case study involving 190 children (4-12 y) who were referred for evaluation of upper airway obstruction and underwent one night of polysomnography at the Adelaide Women's and Children's Hospital Sleep Disorders Unit. Children were classified as Infrequent Snorers (n = 80), Habitual Snorers (n = 68) or Obstructive Sleep Apnea Syndrome (OSAS) (n = 42) (i.e., obstructive apnea hypopnea index (OAHI) > or = 1). RESULTS: Thirty-five percent (66/190) of children were overweight or obese. Body mass index but not age was a significant but weak predictor of OAHI (< 5% of the variance). CONCLUSION: In Australian Caucasian children aged 4-12 years who snore...

Perda de carga localizada em gotejadores integrados em tubos de polietileno; Local head losses for integrated drippers in polyethylene pipes

GOMES, Anthony W. A.; FRIZZONE, José A.; RETTORE NETO, Osvaldo; MIRANDA, Jarbas H. de
Fonte: Associação Brasileira de Engenharia Agrícola Publicador: Associação Brasileira de Engenharia Agrícola
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
46.04%
Este trabalho foi desenvolvido para analisar as perdas de carga localizadas em gotejadores coaxiais integrados em tubos de polietileno. A perda de carga para diferentes vazões foi determinada em quatro modelos de tubos gotejadores, com sete repetições. Para cada vazão, a perda de carga localizada foi calculada pela diferença entre a perda de carga no tubo com emissor e a perda de carga contínua no tubo uniforme, estimada pela equação de Darcy-Weisbach. Aproximações matemáticas foram sugeridas para calcular a perda de carga com base no coeficiente de carga cinética (K) e em um valor constante de comprimento equivalente (Le). A desconsideração da perda de carga localizada levou à superestimativa do comprimento máximo da linha lateral de até 25,7%, para os gotejadores autocompensados, e de 9,5%, para os não autocompensados. O cálculo da perda de carga localizada, utilizando o modelo potencial para estimar o valor de K em função do índice de obstrução, mostrou bons resultados, comparáveis àqueles obtidos com o valor de K ajustado pelos dados observados em laboratório, o que resultou em pequenas variações na estimativa do comprimento máximo da linha lateral por esses dois procedimentos.; This work was developed to determine localized head losses in coaxial emitter integrated in polyethylene pipes. The localized head losses...

Bladder Outlet Obstruction: Etiology and Evaluation

Dmochowski, Roger R
Fonte: MedReviews, LLC Publicador: MedReviews, LLC
Tipo: Artigo de Revista Científica
Publicado em //2005 EN
Relevância na Pesquisa
36.11%
Numerous gender-specific etiologies are responsible for bladder outlet obstruction (BOO). BOO may be induced by specific functional and anatomic causes. The resulting obstruction frequently produces lower urinary tract symptoms (LUTS). Categorizing and understanding these entities is crucial when proceeding with a LUTS evaluation as specific diagnostic modalities may then be used to fully delineate the degree of BOO and any secondary issues. Although urodynamic evaluation and pressure flow evaluation is the gold standard diagnostic tool, other modalities may also be used, including post void residual analysis, urinary flow rates, cystoscopy, and selected radiologic ones. Patient self-appraisal of symptoms using various inventories such as the American Urologic Association Symptom Index or the International Prostate Symptom Score is relevant to the initial assessment and subsequent longitudinal follow up. Analysis of secondary symptoms of obstruction in women is often performed using a subjective symptom appraisal and is determined urodynamically, assessing the pressure-flow relation during voiding. The complete assessment of LUTS arising from BOO often includes several of these modalities to fully define the obstructive impact on the individual's urinary function and quality of life.

A Novel Intraurethral Device Diagnostic Index to Classify Bladder Outlet Obstruction in Men with Lower Urinary Tract Symptoms

Reis, Leonardo O.; Barreiro, Guilherme C.; Prudente, Alessandro; Silva, Cleide M.; Bassani, José W. M.; D'Ancona, Carlos A. L.
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.25%
Objectives. Using a urethral device at the fossa navicularis, bladder pressure during voiding can be estimated by a minimal invasive technique. This study purposes a new diagnostic index for patients with lower urinary tract symptoms (LUTSs). Methods. Fifty one patients presenting with LUTSs were submitted to a conventional urodynamic and a minimal invasive study. The results obtained through the urethral device and invasive classic urodynamics were compared. The existing bladder outlet obstruction index (BOOI) equation that classifies men with LUTSs was modified to allow minimal invasive measurement of isovolumetric bladder pressure in place of detrusor pressure at maximum urine flow. Accuracy of the new equation for classifying obstruction was then tested in this group of men. Results. The modified equation identified men with obstruction with a positive predictive value of 68% and a negative predictive value of 70%, with an overall accuracy of 70%. Conclusions. The proposed equation can accurately classify over 70% of men without resorting to invasive pressure flow studies. We must now evaluate the usefulness of this classification for the surgical treatment of men with LUTSs.

Is there a correlation between the outcome of transurethral resection of prostate and preoperative degree of bladder outlet obstruction?

Mi Oh, Mi; Wook Kim, Jin; Jong Kim, Je; Geon Moon, Du
Fonte: Nature Publishing Group Publicador: Nature Publishing Group
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.02%
To compare the impact of transurethral resection of prostate (TURP) on symptom scores and maximal flow rates (Qmax) in patients with equivocal bladder outlet obstruction (BOO) and definite BOO and to assess the relationship between the surgical outcomes and degree of preoperative BOO, we prospectively evaluated men with lower urinary tract symptoms and bladder outlet obstruction index (BOOI) greater than 20, who were refractory to conventional medical treatment and underwent TURP. Urodynamic evaluation, International Prostate Symptom Score (IPSS), uroflowmetry, post-void residual volume (PVR) check and transrectal ultrasound were performed. 20

Intravesical protrusion of the prostate as a predictive method of bladder outlet obstruction

Reis,Leonardo O.; Barreiro,Guilherme C.; Baracat,Jamal; Prudente,Alessandro; D'Ancona,Carlos A.
Fonte: Sociedade Brasileira de Urologia Publicador: Sociedade Brasileira de Urologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2008 EN
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OBJECTIVE: Pressure-flow study is the gold standard for diagnosis of bladder outlet obstruction (BOO). A prospective study was carried out to compare urodynamic evaluation and measurement of intravesical protrusion of the prostate for diagnosing BOO. MATERIALS AND METHODS: Patients presenting with lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia and suspected BOO were prospectively evaluated through conventional urodynamics and classified according to the bladder outlet obstruction index (BOOI). They also underwent abdominal ultrasound measurement of the intravesical prostatic protrusion (IPP) and prostatic volume. The IPP was classified into three stages: grade I under 5 mm; grade II, between 5 and 10 mm; and grade III over 10 mm. RESULTS: Forty-two patients, mean age 64.8 ± 8.5 years were enrolled. Transabdominal ultrasound determined a mean prostatic volume of 45 ± 3.2 mL. Achieved IPP's values were the following: grade I - 12 (28.5%), grade II - 5 - (12%) and grade III - 25 (59.5%). The results of prostate volume differed significantly between obstructed and non-obstructed men (p = 0.033) and for IPP among obstructed, inconclusive and non-obstructed men (p = 0.016). For IPP, the area under ROC curve was 0.758 (95% confidence interval - 0.601 to 0.876)...