• Title/Summary/Keyword: abdominal

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A New Approach Method of Measuring Abdominal Pressure for Urodynamic Monitoring System (요역동학 측정시스템을 위한 새로운 복압측정 기법)

  • Seo, Jeong-Hwan;Kim, Keo-Sik;An, Yang-Su;Kim, Kyeong-Seop;Song, Chul-Gyu
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.56 no.6
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    • pp.1170-1176
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    • 2007
  • The conventional urodynamic monitoring is fulfilled by artificially filling a bladder with saline. Generally. it is difficult to evaluate the physiological functions of the storage and voiding of a bladder. With this aim, we constructed an ambulatory urodynamic monitoring (AUM) system and proposed a novel method estimating abdominal pressure by measuring bio-impedance variations. Our system was clinically evaluated for 10 patients. It turned out to be that as the intensity of the abdomen contraction increased, the amplitude of bio-impedance signal and the RMS value of EMG increased more as compared to those who observed during the rest mode. Also, we determined the optimum electrode pair for estimating the abdominal pressure using bio-impedance method and consequently compared with the conventional methods. Because impedance changes differ from a weight, a height, contractile force, volume of muscle and blood other or whatever of individuals, it was quantified in terms of impedance change, correlation coefficient and SNR Our results showed the optimum electrode pair (1,9) which could detect impedance changes due to the increase of the intensity in the abdominal pressure. The correlation coefficient and quadratic function between the RMS values of EMG and the impedance changes were 0.87 and $y=0.0014x^2+0.0620x+0.6958$, respectively. Thus, our system demonstrated that the abdominal pressure could be measured noninvasively and conveniently by simply estimating bio-impedance values. We propose that this optimum electrode configuration would be useful for the future studies involving the handy measurements of abdominal pressure with our suggested ambulatory urodynamics monitoring system.

A Study on the Effects of Abdominal Obesity Management Program in Middle Aged Women (중년여성의 복부비만관리 프로그램 효과)

  • Yoon Young Suk
    • Journal of Korean Public Health Nursing
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    • v.15 no.2
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    • pp.363-375
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    • 2001
  • The purpose of this study is to analyse the effects of obesity management program in food attitude and food habit, body composition(body fat ratio, body fat weight, lean body mass, total body water), abdominal girth(waist, hip, thigh), and serum lipid level(cholesterol, low density lipoprotein, triglyceride, phospholipid, NE fatty acid, high density lipoprotein) of middle aged women. Data for the study were collected from July 4 to August 25, 2000. The study objects were 20 middle aged women(10 controls and 10 experimental objects) from 40 to 50 years old who had body fat ratio more than $30\%$ and waist girth more than 80cm. The results were as follows: 1. Similarity test between experimental group and control group processed by serum HDL level showed the significant difference(t=3.25, p=0.004), but that processed by age, body weight, body fat ratio, body fat weight, lean body mass, total body water, waist girth, hip girth, thigh girth, cholesterol level, LDL level, triglyceride level, NE fatty acid level, food attitude and food habit score showed no significant difference(p>0.05). These findings imply that the two groups are similar in the sample distribution. 2. The effects of the abdominal obesity management program The obtained results indicate that the abdominal obesity management program in middle aged women changes the food attitude & the food habit. decreases the body fat ratio & the body fat weight and increases the lean body mass, and decreases the girth of waist & hip and the serum level of cholesterol & LDL. Therefore, it is concluded that the abdominal obesity management program can be applied for nursing intervention to decrease the body fat weight and abdominal obesity.

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A Case Report of Korean Medicine Treatment for a Patient with Functional Abdominal Pain (한의약 치료 후 호전된 기능성 복통 환자 치험 1례)

  • Kim, Hakkyeom;Kim, Youngji;Song, Juyeon;Moon, Jiseong;Min, Seonwoo;Ahn, Lib;Lim, Seong-woo
    • The Journal of Internal Korean Medicine
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    • v.41 no.5
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    • pp.885-891
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    • 2020
  • Objectives: The aim of this case report was to present the effects of Korean medicine treatment in a patient with functional abdominal pain. Methods: A 24-year-old female patient was treated with Sogeonjung-tang and Gammaekdaejo-tang extract granules with acupuncture therapy. Abdominal pain and soreness were assessed daily with a numeric rating scale (NRS) Results: With 7 days of treatment, abdominal pain was relieved from NRS 7 to NRS 3. By the 6th day of treatment, abdominal soreness had disappeared. Conclusion: These results show that functional abdominal pain can be relieved with Korean medicine treatment. However, further well-designed studies are required to confirm these findings.

Estimation of the Combining Abilities of Abdominal Eat Deposition of Broiler (육용계의 복강지방축적에 대한 결합능력추정연구)

  • 정선부;정일정
    • Korean Journal of Poultry Science
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    • v.10 no.2
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    • pp.83-89
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    • 1983
  • Sixteen crosses from two strains of White Cornish and White Plymouth Rock were reared seperately on floors and abdominal fat was measured every two weeks interval from two weeks to twelve weeks of age. The abdominal fat weights surgically removed were slightly heavier in female than male. Estimates of general combining ability variances of body weight showed significant at all weeks of age in both sexes but those of abdominal fat weight were significant at 2, 8, 10 and 12 weeks of age in female and 2, 6 and 12 weeks of age in male. In percentage of abdominal fat to body weight, the significant differences were observed at 10 and 12 weeks of age only in female. The specific combining ability variances were significant at 4, 6, 10 and 12 weeks of age in female and 4, 8 and 12 weeks of age in male in body weight. In abdominal fat weight, there were significant differences at 4, 8, 10 and 12 weeks of age in female but no significant differences in male. The specific combining ability variances of percentage of abdominal fat to body weight showed significant differences at 4 and 8 weeks of age in female but no significant difference in male.

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Feasibility of Early Definitive Internal Fixation of Pelvic Bone Fractures in Therapeutic Open Abdomen

  • Choi, Kyunghak;Jung, Kwang-Hwan;Keum, Min Ae;Kim, Sungjeep;Kim, Jihoon T;Kyoung, Kyu-Hyouck
    • Journal of Trauma and Injury
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    • v.33 no.1
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    • pp.18-22
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    • 2020
  • Purpose: Damage control laparotomy has contributed to improved survival rates for severe abdominal injuries. A large part of severe abdominal injury occurs with a concomitant pelvic bone fracture. The safety and effectiveness of internal fixation of pelvic bone fracture(s) has not been established. The aim of the present study was to evaluate infection risk in the pelvic surgical site in patients who underwent emergent abdominal surgery. Methods: This single-center retrospective observational study was based on data collected from a prospectively maintained registry between January 2015 and June 2019. Patients who underwent laparotomy and pelvic internal fixation were included. Individuals <18 and ≥80 years of age, those with no microbiological investigations, and those who underwent one-stage abdominal surgery were excluded. Comprehensive statistical comparative analysis was not performed due to the small number of enrolled patients. Results: A total of six patients met the inclusion criteria, and the most common injury mechanism was anterior-posterior compression (67%). The average duration of open abdomen was 98 hours (range, 44-98), and the time interval between abdominal closure and pelvic surgery was 98 hours. One patient (16.7%) died due to multi-organ dysfunction syndrome. Micro-organisms were identified in the abdominal surgical site in five patients (83%), with no micro-organisms in pelvic surgical sites. There was no unplanned implant removal. Conclusions: Internal fixation of pelvic bone fracture(s) could be performed in the state of open abdomen, and the advantages of early fixation may countervail the risks for cross contamination.

Comparative Study of Postoperative Pain in Lower and Upper Abdominal Surgery Using Patient-Controlled Analgesia (통증 자가 조절법을 이용한 상복부와 하복부 수술 후 통증의 비교)

  • Ko, Seong-Hoon;Kim, Dong-Chan;Lee, Jun-Rye;Han, Young-Jin;Choe, Huhn
    • The Korean Journal of Pain
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    • v.13 no.2
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    • pp.208-212
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    • 2000
  • Background: We studied 250 patients who received intravenous patient-controlled analgesia (PCA) after lower and upper abdominal surgery to evaluate pain relief, analgesic consumption, patient's mood and side effects. Methods: We made total 60 ml of analgesic mixture with morphine 60 mg, ketorolac 180 mg, droperidol 5 mg and normal saline. Loading and bolus dose and lockout interval were 0.05 ml/kg, 1.0 ml and 7 min, respectively. The duration of operation and the length of skin incision were recorded. Visual analog scale (VAS) pain and mood scores, cumulative analgesic consumption, and incidence of side effect were evaluated. Results: In the upper abdominal surgery group (Group 2), the duration of operation and length of skin incision were longer than Group 1. The average postoperative pain scores at 6, 24, and 48 hours in lower (Group 1) vs upper (Group 2) abdominal surgery were $4.3{\pm}2.1$ vs $4.7{\pm}2.4$, $3.3{\pm}1.9$ vs $4.3{\pm}2.8$, and $2.4{\pm}2.7$ vs $3.2{\pm}2.1$, respectively. There were no significant differences in the cumulative analgesic consumption and number of analgesic demands and at 6, 24, 48 hours after the operation between two groups. Group 2 patients required significantly longer pain control using PCA as compared to Group 1 patients. There were no significant differences in the incidence of side effects between the two groups. Conclusions: There was little difference in postoperative pain after lower and upper abdominal surgery.

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Study on Characteristics of Abdominal Obesity among Acute Stroke Patients (뇌졸중 환자의 복부비만에 따른 제특성 연구)

  • Choi, Won-Woo;Kim, Mi-Young;Park, Su-Kyung;Leem, Jung-Tae;Park, Sung-Wook;Jung, Woo-Sang;Cho, Ki-Ho
    • The Journal of Internal Korean Medicine
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    • v.30 no.4
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    • pp.799-805
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    • 2009
  • Objectives : This study was aimed to assess characteristics in acute stroke patients according to abdominal obesity. Method : 1,506 subjects were included from the patients admitted to the Internal Medical Department at Kyunghee University Oriental Medical Center, Kyunghee University East-West Neo Medical Center, Kyungwon University Songpa Oriental Medical Center, Kyungwon University Incheon Oriental Medical Center, and D ongguk University Ilsan Oriental Medical Center from April 2007 to August 2009. Results : 1. Considering the demographic variables of the patients, the gender, older age, diabetes, hyperlipidemia and multiple infarction were significantly higher in the abdominal obesity group than in the control group. 2. Sasang constitution and oriental medical diagnosis showed significant difference in the abdominal obesity group. By oriental medical diagnosis, the D amp ness-Phlegm group was significantly higher in abdominal obesity group than in the control group. According to this analysis, we observed the general disposition of various characteristic distributions according to abdominal obesity in acute stoke patients These results can be utilized in the future as a basis material.

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Clinical Studies of Sweet Bee Venom to The Effect of Abdominal Fat Accumulation (Sweet BV가 복부비만에 미치는 영향)

  • Lim, Chung-San;Park, Won-Pil;Jang, Seong-Bong;Choi, Young-Chon;Kim, Kwan-Soo;Kwon, Ki-Rok;Lee, Hee-Choon
    • Journal of Pharmacopuncture
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    • v.11 no.2
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    • pp.33-40
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    • 2008
  • Objective The purpose of this study was to investigate the effects of Sweet Bee Venom to the abdominal fat accumulation clinically. Methods The 20 healthy women volunteers who showed the notice of this study by the home page of Sangji University were treated with Sweet Bee Venom(SBV) during twenty times. To investigate the effects of Sweet Bee Venom of the abdominal fat accumulation, abdominal CT, LFT, Thermography, BMI, Inbody 3.0 etc. were performed during clinical trials. And statistical analysis was carried out the data of 10 volunteers who performed all the schedule of this study. Results Following results were obtained from the clinical studies Sweet Bee Venom showed the effect of decreased the body weight, thickness of abdominal skin and fat layer, BMI, and increased abdominal heat, but they are not showed statistical significant. Conclusions These results suggest that treatment Sweet Bee Venom on the abdomen was effective to decrease fat tissue but for the treatment of obesity was performed with right diet program and exercise.

Usefulness of Abdominal Fat Measured by Computed Tomography and Bioelectric Impedance Analysis as an Obesity Index (컴퓨터단층촬영과 생체전기 저항 분석법으로 측정된 복부지방의 비만지표로서의 유용성)

  • Kim, Mi-Young;Kim, Hwa-Sun
    • The Journal of the Korea Contents Association
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    • v.11 no.12
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    • pp.807-813
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    • 2011
  • For obesity management requires accurate measurement of abdominal fat. The purpose of this study was to find out the correlation between abdominal fat and lipid measured with BIA and CT. Secondly, This study investigate for usefulness of abdominal fat measured by BIA and CT as an obesity index. As a result, TG showed higher value in the overweight obese group than normal group but HDL showed lower value in the overweight obese group than normal group. TG and HDL appeared significantly relationship with by BIA and CT in the normal group. However, in the overweight obese group TG showed significantly relationship with the BIA. According to multiple regression analysis on BMF and TAF was affected by HDL in the normal group. And BMF, %BF was affected by TG in overweight obese group. In conclusion, abdominal fat showed significant correlation with lipid. Abdominal fat measured by BIA and CT to assess obesity index is considered as a useful way to evaluate.

New Technique of Intracorporeal Anastomosis and Transvaginal Specimen Extraction for Laparoscopic Sigmoid Colectomy

  • Wang, Zheng;Zhang, Xing-Mao;Zhou, Hai-Tao;Liang, Jian-Wei;Zhou, Zhi-Xiang
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.16
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    • pp.6733-6736
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    • 2014
  • Background: Despite the growing acceptance of laparoscopic colon surgery, an abdominal incision is needed to remove the specimen and perform an anastomosis. Recently, natural orifice specimen extraction (NOSE) and intracorporeal anastomosis have been proposed to minimize abdominal wall trauma and improve the quality of laparoscopic colon resections Objective: To evaluate the feasibility and safety of a new approach combining intracorporeal delta-shaped anastomosis and transvaginal specimen extraction for totally laparoscopic sigmoid colectomy. Materials and Methods: Mobilization of bowel and dissection of lymph nodes were performed laparoscopically. After both proximal and distal incisal edges about 10.0 cm distance from sigmoid neoplasm were transected with an Endoscopic Linear Cutter-Straight, a small incision about 1.0 cm was created on the each colon wall of the contralateral side of the mesentery. Then anvils of an Endoscopic Linear Cutter-Straight were inserted into each colon through the small incisions, and incision and anastomosis between the walls of each colon were performed with a linear stapler. A V-shaped anastomosis was made on the wall and the remnant openings was reclosed with the Endoscopic Linear Cutter-Straight. The culdotomy was enlarged with laparoscopic ultrasound dissector. Transvaginal extraction of specimens was accomplished through a wound protector. Results: Surgery was performed for 11 patients with sigmoid cancer. No intraoperative complications or conversions occurred. The mean operating time was 132 min. All the patients were treated laparoscopically without any postoperative complications. Conclusions: The procedures of intracorporeal delta-shaped anastomosis and transvaginal specimen extraction are safe and oncologically acceptable for selected colon cancer cases.