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Gill T, Locskai LF, Burton AH, Alyenbaawi H, Wheeler T, Burton EA, Allison WT. Delivering Traumatic Brain Injury to Larval Zebrafish. Methods Mol Biol 2024; 2707:3-22. [PMID: 37668902 DOI: 10.1007/978-1-0716-3401-1_1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/06/2023]
Abstract
We describe a straightforward, scalable method for administering traumatic brain injury (TBI) to zebrafish larvae. The pathological outcomes appear generalizable for all TBI types, but perhaps most closely model closed-skull, diffuse lesion (blast injury) neurotrauma. The injury is delivered by dropping a weight onto the plunger of a fluid-filled syringe containing zebrafish larvae. This model is easy to implement, cost-effective, and provides a high-throughput system that induces brain injury in many larvae at once. Unique to vertebrate TBI models, this method can be used to deliver TBI without anesthetic or other metabolic agents. The methods simulate the main aspects of traumatic brain injury in humans, providing a preclinical model to study the consequences of this prevalent injury type and a way to explore early interventions that may ameliorate subsequent neurodegeneration. We also describe a convenient method for executing pressure measurements to calibrate and validate this method. When used in concert with the genetic tools readily available in zebrafish, this model of traumatic brain injury offers opportunities to examine many mechanisms and outcomes induced by traumatic brain injury. For example, genetically encoded fluorescent reporters have been implemented with this system to measure protein misfolding and neural activity via optogenetics.
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Affiliation(s)
- Taylor Gill
- Centre for Prions & Protein Folding Disease, University of Alberta, Edmonton, AB, Canada
- Department of Biological Sciences, University of Alberta, Edmonton, AB, Canada
| | - Laszlo F Locskai
- Centre for Prions & Protein Folding Disease, University of Alberta, Edmonton, AB, Canada
- Department of Biological Sciences, University of Alberta, Edmonton, AB, Canada
| | - Alexander H Burton
- Departments of Chemical and Biomedical Engineering, College of Engineering, Carnegie Mellon University, Pittsburgh, PA, USA
| | - Hadeel Alyenbaawi
- Department of Medical Laboratories, Majmaah University, Majmaah, Saudi Arabia
| | - Travis Wheeler
- Department of Cell Biology, University of Pittsburgh, Pittsburgh, PA, USA
| | - Edward A Burton
- Department of Neurology, University of Pittsburgh, Pittsburgh, PA, USA
- Geriatric Research, Education and Clinical Center, Pittsburgh VA Healthcare System, Pittsburgh, PA, USA
| | - W Ted Allison
- Centre for Prions & Protein Folding Disease, University of Alberta, Edmonton, AB, Canada.
- Department of Biological Sciences, University of Alberta, Edmonton, AB, Canada.
- Department of Medical Genetics, University of Alberta, Edmonton, AB, Canada.
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Michard F, Futier E, Desebbe O, Biais M, Guinot PG, Leone M, Licker MJ, Molliex S, Pirracchio R, Provenchère S, Schoettker P, Zieleskiewicz L. Pulse contour techniques for perioperative hemodynamic monitoring: A nationwide carbon footprint and cost estimation. Anaesth Crit Care Pain Med 2023; 42:101239. [PMID: 37150442 DOI: 10.1016/j.accpm.2023.101239] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 04/27/2023] [Accepted: 05/02/2023] [Indexed: 05/09/2023]
Abstract
BACKGROUND The question of environmentally sustainable perioperative medicine represents a new challenge in an era of cost constraints and climate crisis. The French Society of Anaesthesia and Intensive Care (SFAR) recommends stroke volume optimization in high-risk surgical patients. Pulse contour techniques have become increasingly popular for stroke volume monitoring during surgery. Some require the use of specific disposable pressure transducers (DPTs), whereas others can be used with standard DPTs. OBJECTIVE Quantify and compare the carbon footprint and cost of pulse contour techniques using specific and standard DPTs on a yearly basis and at a national level. METHODS We estimated the number of high-risk surgical patients monitored every year in France with a pulse contour technique, and the plastic waste, carbon footprint and cost associated with the use of specific and standard DPTs. MAIN FINDINGS When compared to pulse contour techniques working with a standard DPT, techniques requiring a specific DPT are responsible for an increase in carbon dioxide emission estimated at 65-83 tons/yr and for additional hospital cost estimated at €67 million/yr. If, as recommended by the SFAR, all high-risk surgical patients were monitored, the difference would reach 179-227 tons/yr for the environmental impact and €187 million/yr for the economic impact. CONCLUSION From an environmental and economic standpoint, pulse contour techniques working with standard DPTs should be recommended for the perioperative hemodynamic monitoring of high-risk surgical patients.
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Affiliation(s)
| | - Emmanuel Futier
- Department of Anaesthesiology and Intensive Care, Hôpital Estaing, CHU Clermont-Ferrand, France
| | - Olivier Desebbe
- Department of Anaesthesiology and Intensive Care, Ramsay Sante, Sauvegarde Clinic, Lyon, France
| | - Matthieu Biais
- Department of Anesthesiology and Critical Care, Bordeaux University Hospital, Bordeaux, France
| | - Pierre G Guinot
- Department of Anaesthesiology and Critical Care, Dijon University Medical Centre, Dijon, France
| | - Marc Leone
- Department of Anaesthesiology and Critical Care, Aix Marseille Université, Assistance Publique Hôpitaux de Marseille, Hôpital Nord, Marseille, France
| | - Marc J Licker
- Service d'Anesthésie-Réanimation Cardiaque, CHU de la Martinique, Fort-de France, France
| | - Serge Molliex
- Department of Anaesthesiology and Critical Care, Université Jean Monnet, CHU de Saint-Etienne, Saint-Étienne, France
| | - Romain Pirracchio
- Department of Anaesthesia and Perioperative Care, UCSF, San Francisco, USA
| | - Sophie Provenchère
- Department of Anaesthesiology and Critical Care Medicine, Bichat Hospital, AP-HP, Paris, France
| | - Patrick Schoettker
- Department of Anesthesiology, CHUV and University of Lausanne, Lausanne, Switzerland
| | - Laurent Zieleskiewicz
- Department of Anaesthesiology and Critical Care, Aix Marseille Université, Assistance Publique Hôpitaux de Marseille, Hôpital Nord, Marseille, France
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Wang C, Yan X, Gao C, Liu S, Zhang D, Jiang J, Wu A. Effect of continuous measurement and adjustment of endotracheal tube cuff pressure on postoperative sore throat in patients undergoing gynecological laparoscopic surgery: study protocol for a randomized controlled trial. Trials 2023; 24:358. [PMID: 37237312 DOI: 10.1186/s13063-023-07406-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 05/23/2023] [Indexed: 05/28/2023] Open
Abstract
BACKGROUND Postoperative sore throat (POST) is a common postoperative complication after endotracheal tube removal. There are still no effective preventive methods for POST. The aim of this trial is to confirm whether maintaining intraoperative cuff pressure below the tracheal capillary perfusion pressure could effectively reduce the incidence of POST among patients undergoing gynecological laparoscopic surgery. METHODS This study is a single-center, randomized, parallel-controlled, superiority trial with a 1:1 allocation ratio. Sixty patients whose age is between 18 and 65 years and scheduled for gynecological laparoscopic surgery will be randomized to the cuff pressure measurement and adjustment (CPMA) group and the only cuff pressure measurement without adjustment group (control group). The primary endpoint is the incidence of sore throat at rest within 24 h after extubation. The secondary endpoints include the incidence of cough, the incidence of hoarseness, the incidence of postoperative nausea and vomiting (PONV), POST, and pain intensity within 24 h after extubation. Blocked randomization will be conducted with a computer-generated central randomization online service. The blind method will be applied to subjects, data collectors, outcome evaluators, and statisticians. Outcome assessments will be performed at 0 h and 24 h post-extubation. DISCUSSION This randomized controlled study hypothesizes that cuff pressure is the primary influencing factor of POST. By continuous monitoring of endotracheal tube cuff pressure and maintaining it within the range of 18-22 mmHg compared with only continuous measurement without adjustment, it aims to prove that continuous measurement and adjustment of endotracheal tube cuff pressure could be effective in reducing the incidence of POST in gynecological laparoscopic surgery patients. The result of this study could be used as a reference for future multicenter studies to confirm the effect of cuff pressure on POST and provides a scientific theoretical basis for preventing POST to further support comfort medicine. TRIAL REGISTRATION Chinese Clinical Trial Registry ChiCTR2200064792. Registered on 18 October 2022. This protocol (version 1.0, 16 March 2022) was approved by the Ethics Committee of Beijing Chaoyang Hospital.
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Affiliation(s)
- Chen Wang
- Department of Anesthesiology, Beijing Chaoyang Hospital, Capital Medical University, Gongrentiyuchang South Road No. 8, Beijing, China
| | - Xiang Yan
- Department of Anesthesiology, Beijing Chaoyang Hospital, Capital Medical University, Gongrentiyuchang South Road No. 8, Beijing, China
| | - Chao Gao
- Department of Anesthesiology, Beijing Chaoyang Hospital, Capital Medical University, Gongrentiyuchang South Road No. 8, Beijing, China
| | - Simeng Liu
- Department of Anesthesiology, Beijing Chaoyang Hospital, Capital Medical University, Gongrentiyuchang South Road No. 8, Beijing, China
| | - Di Zhang
- Department of Clinical Epidemiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China
| | - Jia Jiang
- Department of Anesthesiology, Beijing Chaoyang Hospital, Capital Medical University, Gongrentiyuchang South Road No. 8, Beijing, China
| | - Anshi Wu
- Department of Anesthesiology, Beijing Chaoyang Hospital, Capital Medical University, Gongrentiyuchang South Road No. 8, Beijing, China.
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Camacho-Juárez JS, Alexander-Reyes B, Morante-Lezama A, Méndez-García M, González-Aguilar H, Rodríguez-Leyva I, Nuñez-Olvera OF, Polanco-González C, Gorordo-Delsol LA, Castañón-González JA. A novel disposable sensor for measure intra-abdominal pressure. CIR CIR 2020; 88:7-14. [PMID: 31967613 DOI: 10.24875/ciru.19000756] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background Measurement of intra-abdominal pressure (IAP) is realized with the Kron's method. However, this technique has drawbacks like an infusion of water into the bladder of the patient. Objective The prove a new novel disposable sensor in the way to measure the IAP (DSIAP) this one addresses some limitations of the Kron method. Materials and methods The DSIAP was tested in vitro and clinical settings. The proposed technique was compared with Kron's method through Pearson correlation and Bland-Altman analysis. For in vitro tests, 159 measurements were taken performed by simulating the IAP in the bladder. For the clinical test, 20 pairs of measurements were made in patients with routine IAP monitoring in the intensive care unit. Results In vitro measurements showed a strong correlation between the DSIAP and the reference (r = 0.99, p-value < 2.2 × 10-16). The bias and 95% confidence intervals were 0.135 and -0.821-1.091 cmH2O, respectively. Measurements in patients with DSIAP versus Kron's method shown a very good correlation (r = 0.973, p-value < 5.46 × 10-13), while the bias and confidence intervals were 0.018 and -3.461-3.496 mmHg, respectively. Conclusions The results suggest that the proposed DSIAP showed a profile similar to pressure transducers already in clinical use while overcoming some limitations of the former.
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Affiliation(s)
- José S Camacho-Juárez
- Facultad de Ciencias, Universidad Autónoma de San Luis Potosí, San Luis Potosí. México
| | | | | | - Martín Méndez-García
- Facultad de Ciencias, Universidad Autónoma de San Luis Potosí, San Luis Potosí. México
| | | | | | - Oscar F Nuñez-Olvera
- Instituto de Investigación en Comunicación Óptica, Universidad Autónoma de San Luis Potosí, San Luis Potosí. México
| | | | | | - Jorge A Castañón-González
- Facultad de Ciencias, Universidad Autónoma de México, Ciudad de México. México.,Unidad de Cuidados Intensivos, Hospital Juárez de México, Ciudad de México. México
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Kerl J, Noeke P, Heyse D, Dellweg D. Normal and obstructive breathing physiology during sleep. Sleep Breath 2020; 25:1335-1341. [PMID: 33128177 DOI: 10.1007/s11325-020-02217-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 09/30/2020] [Accepted: 10/06/2020] [Indexed: 11/24/2022]
Abstract
PURPOSE To estimate the severity of flow limitation in patients with OSA, the number of breaths with flattened inspiratory flow curves should be identified. Attempts to do a quantitative analysis of the flattening degree for all breaths in a nighttime recording have failed up to now. METHODS SOMNOmedics (Randersacker, Germany) developed an automated flattening analysis parameter called the obstructive coefficient (OC). Polysomnographic measurement including esophageal manometry was done in 25 subjects (10 healthy, 9 patients with mild OSA, and 6 with severe OSA). For each breath, the data couple of OC and esophageal pressure (EP) was used for analysis. RESULTS Data couples of OC and EP were recorded for 104,608 breaths. Airway patency histogram profiles for each study group showed no remarkable differences between each other. Increase in EP with increasing RDI was identified as the only marker of OSA severity. A strong shift was observed in N3 breaths from maximum OC/lowest EP values in healthy subjects to low OC values in association with maximum EP values in OSA. CONCLUSION The OC enables quantification of all breaths of a nighttime recording according to their degree of flattening. The relation of strong limited to less strong limited breaths is the same across the three study groups. The analysis of the corresponding EP to a given OC value for each study group identified the EP that is necessary to cause a given flow as the only parameter that discriminates degrees of severity of OSA. The trial registration number is DRKS00018095 from 2019 to 10-09.
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Affiliation(s)
- Jens Kerl
- Fachkrankenhaus Kloster Grafschaft GmbH, Annostr. 1, 57392, Schmallenberg, Germany.
| | - Pia Noeke
- Fachkrankenhaus Kloster Grafschaft GmbH, Annostr. 1, 57392, Schmallenberg, Germany
| | - Detlev Heyse
- Fachkrankenhaus Kloster Grafschaft GmbH, Annostr. 1, 57392, Schmallenberg, Germany
| | - Dominic Dellweg
- Fachkrankenhaus Kloster Grafschaft GmbH, Annostr. 1, 57392, Schmallenberg, Germany
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Feng GH, Wang LC. Electroactive polymer-based inner vessel-wall pressure transducer capable of integration with a PTA balloon catheter for examining blood vessel health. Mater Sci Eng C Mater Biol Appl 2020; 114:111047. [PMID: 32994009 DOI: 10.1016/j.msec.2020.111047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2019] [Revised: 04/10/2020] [Accepted: 05/01/2020] [Indexed: 11/19/2022]
Abstract
This study presents a state-of-the-art soft and biocompatible transducer capable of detecting vessel inner-wall pressure for biomedical applications. The device includes a 3D electroactive polymer core element encapsulated by polydimethylsiloxane with an ellipsoidal structure. The device produces a voltage output when its sensing mechanism experiences different pressures, resulting in deformation at different orientations. Thus, it can be employed to detect the pressure exerted by inner vessel walls of different stiffness values. The output voltage is induced by the strain experienced by the sensing mechanism of the device without the need for any external electrical power source. The core element, which is made of an ionic polymer-metal composite, possesses a unique hollow design; this allows a catheter to pass through, and the core element can be anchored at an arbitrary position on the catheter. We also demonstrate that the fabricated device can be integrated with a medically used percutaneous transluminal angioplasty balloon catheter to form a smart sensing module. This module can detect different levels of fat accumulation around the inner wall of a blood vessel phantom. Evaluating vessel blockage and stiffness using the signals acquired from the developed device is discussed.
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Affiliation(s)
- Guo-Hua Feng
- Department of Mechanical Engineering, National Chung Cheng University, Chiayi 621, Taiwan.
| | - Liang-Chao Wang
- Department of Mechanical Engineering, National Chung Cheng University, Chiayi 621, Taiwan
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El Helou M, Nassar R, Khoury E, Ghoubril J. Variation of upper lip pressure on upper teeth during non-extraction orthodontic treatment: A prospective clinical study. Int Orthod 2019; 17:693-700. [PMID: 31494088 DOI: 10.1016/j.ortho.2019.08.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
OBJECTIVE The objectives of this prospective clinical study are to quantify the variation of pressure exerted by the upper lip on the upper teeth during the alignment phase and to evaluate its capacity to adapt to changes in dental position. MATERIALS AND METHODS Thirty young subjects in skeletal Class I relationship requiring non-extraction orthodontic treatment were included in this study. The pressure exerted by the upper lip on the upper central incisors and right canine were measured during rest and swallowing positions using a pressure transducer before bracket placement (T0), after bracket placement (T1), three months (T2) and six months later (T3). Maxillary intercanine width (CC), upper arch length (U) and crowding (C) were measured on stone models at T1, T2 and T3 to determine the existence of a correlation between the variation of lip pressure and these variables. RESULTS The lip pressure significantly increased after bracket placement and remained relatively stable during the six-month period. The labial pressure on the incisors was the only variable to significantly decrease at T3, though remaining significantly higher than the starting pressure. A positive correlation was found between the variation of the inter-canine distance and the labial pressure on the canine at rest whereas a negative correlation exists between the crowding and the labial pressure on the incisors at rest. CONCLUSION This study showed that increasing inter-canine width disrupts the muscle equilibrium and therefore is prone to relapse, whereas the upper lip can better adapt to the protrusion of upper incisors.
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Affiliation(s)
- Marwan El Helou
- Saint-Joseph University, School of Dental Medicine, Department of Orthodontics, Beirut, Lebanon; Clermont-Auvergne University, School of Dental Medicine, Department of Orthodontics, 63100 Clermont-Ferrand, France
| | - Rania Nassar
- Saint-Joseph University, School of Dental Medicine, Department of Orthodontics, Beirut, Lebanon
| | - Elie Khoury
- Saint-Joseph University, School of Dental Medicine, Department of Orthodontics, Beirut, Lebanon.
| | - Joseph Ghoubril
- Saint-Joseph University, School of Dental Medicine, Department of Orthodontics, Beirut, Lebanon
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Darrow D, Lee-Norris A, Larson A, Samadani U, Netoff TI. Discrepancy Between Internal and External Intracranial Pressure Transducers: Quantification of an Old Source of Error in EVDs? World Neurosurg 2020; 133:e18-25. [PMID: 31394360 DOI: 10.1016/j.wneu.2019.07.213] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Revised: 07/28/2019] [Accepted: 07/29/2019] [Indexed: 11/22/2022]
Abstract
BACKGROUND Intracranial pressure monitoring remains the foundation for prevention of secondary injury after traumatic brain injury and is most commonly performed using an external ventricular drain or intraparenchymal pressure monitor. The Integra Flex ventricular catheter combines an external ventricular catheter with a pressure transducer embedded in the tip of the catheter to allow continuous pressure readings while simultaneously draining cerebrospinal fluid. Discrepancies between measurements from the continuously reported internal pressure transducer and intermittently assessed and externally transduced ventricular drain prompted an analysis and characterization of pressures transduced from the same ventricular source. METHODS More than 500 hours of high-resolution (125 Hz) continuous recordings were manually reviewed to identify 73 hours of simultaneous measurements (clamped external ventricular drain) from internal and external transducers in patients with traumatic brain injury. RESULTS A significant positive bias was found in pressure readings obtained from external relative to internal measurements. The 2 methods of measurement generally correlated poorly with each other and variably. Although proportional bias was found with Bland-Altman analysis, coherence revealed rare shifts in the external transducer as a major source of discrepancy. Infrequent changes in the 0-level of the external transducer were found to be the primary source of discrepancy. Relative to the observed differences, no significant trend was observed over time between the 2 modalities. CONCLUSIONS This study suggests that the internal pressure transducer may be a more reliable estimate of intracranial pressure relative to bedside external transducers due to the inherent behavioral requirement of leveling.
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Chen L, Lucas RF, Feng B. A Novel System to Measure Infants' Nutritive Sucking During Breastfeeding: the Breastfeeding Diagnostic Device (BDD). IEEE J Transl Eng Health Med 2018; 6:2700208. [PMID: 29888144 PMCID: PMC5991864 DOI: 10.1109/jtehm.2018.2838139] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/26/2017] [Revised: 04/17/2018] [Accepted: 05/14/2018] [Indexed: 01/19/2023]
Abstract
Breastfeeding is optimal for infant health, but more than 66% of mothers cease exclusive breastfeeding within three months after giving birth. Evaluating infants’ sucking effort provides valuable diagnosis to mothers encountering barriers with breastfeeding. Sucking microstructure is defined as an array of metrics that comprehensively capture infants’ ability to create a sealed latch onto mother’s nipple and regulate feeding, including number of sucks, sucks per burst, number of bursts, intra suck interval, and maximal sucking pressure. In this paper, we proposed a breastfeeding diagnostic device (BDD) which allows convenient and objective measurement of infants’ sucking microstructure in both home and clinical settings. BDD utilizes an air-based pressure transducer to measure infants’ sucking behavior. We conducted pilot clinical studies on six dyads of mother and infant to test the feasibility of the BDD system. To facilitate comparison, both breastfeeding and bottle-feeding were conducted on the six dyads using the BDD in home settings, and the outcomes are comparable with prior recordings in research or clinical settings. By offering a convenient and objective measurement of the sucking microstructure, the BDD will provide clinically meaningful guidance and diagnosis to mothers struggling with breastfeeding. BDD will also serve as an objective metric useful in research areas relevant to infant behaviors, assessment of neurodevelopment, and potentially a screening tool for developmental disabilities.
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Affiliation(s)
- Longtu Chen
- Biomedical Engineering DepartmentUniversity of ConnecticutStorrsCT06269USA
| | - Ruth F Lucas
- School of NursingUniversity of ConnecticutStorrsCT06269USA
| | - Bin Feng
- Biomedical Engineering DepartmentUniversity of ConnecticutStorrsCT06269USA
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Niederauer S, de Gennaro J, Nygaard I, Petelenz T, Hitchcock R. Development of a novel intra-abdominal pressure transducer for large scale clinical studies. Biomed Microdevices 2017; 19:80. [PMID: 28844111 DOI: 10.1007/s10544-017-0211-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Intra-abdominal pressure may be one of the few modifiable risk factors associated with developing a pelvic floor disorder. With one in eight women having surgery to correct a pelvic floor disorder in their lifetimes, intra-abdominal pressure may be a key to understanding the disease etiology and how to mitigate its occurrence and progression. Many traditional methods of intra-abdominal pressure measurement have limitations in data quality, environment of use, and patient comfort. We have modified a previously reported intravaginal pressure transducer that has been shown to overcome other intra-abdominal pressure measurement technique limitations (Coleman et al. 2012). Our modifications to the intravaginal pressure transducer make it easier to use, less costly, and more reliable than previous designs, while maintaining accuracy, integrity, and quality of data. This device has been used in over 400 participants to date as part of one of the most comprehensive studies examining the relationship between intra-abdominal pressure and pelvic floor disorders.
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Affiliation(s)
- Stefan Niederauer
- Department of Bioengineering, University of Utah, 36 S. Wasatch Drive Rm. 3100, Salt Lake City, UT, 84112, USA
| | - Johanna de Gennaro
- Department of Bioengineering, University of Utah, 36 S. Wasatch Drive Rm. 3100, Salt Lake City, UT, 84112, USA
| | - Ingrid Nygaard
- Department of Obstetrics and Gynecology, School of Medicine, University of Utah, 50 N. Medical Dr, Salt Lake City, UT, USA
| | - Tomasz Petelenz
- Department of Bioengineering, University of Utah, 36 S. Wasatch Drive Rm. 3100, Salt Lake City, UT, 84112, USA
| | - Robert Hitchcock
- Department of Bioengineering, University of Utah, 36 S. Wasatch Drive Rm. 3100, Salt Lake City, UT, 84112, USA.
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Kalra P, Nadiger R, Shah FK. An investigation into the effect of denture adhesives on incisal bite force of complete denture wearers using pressure transducers - a clinical study. J Adv Prosthodont 2012; 4:97-102. [PMID: 22737315 PMCID: PMC3381210 DOI: 10.4047/jap.2012.4.2.97] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2012] [Revised: 05/02/2012] [Accepted: 05/15/2012] [Indexed: 11/10/2022] Open
Abstract
PURPOSE Study was conducted to determine and assess the effect of different type of denture adhesives on the incisal bite force of complete denture wearers until the dislodgement of upper denture, using pressure transducer. MATERIALS AND METHODS 30 patients out of 100 were included in the study. Based on the Kapur's method of scoring denture retention and stability, these patients were divided into 3 groups- Group A - Clinically good dentures; Group B - Clinically fair dentures; and Group C - Clinically poor dentures. A custom made occlusal force meter was constructed based on the load cell type of pressure transducers. Different adhesives (powder, paste and adhesive strips) were used in the study. Complete denture wearers were asked to bite on the load cell and the readings of incisal bite force were recorded. The readings of incisal bite force were subjected to statistical analysis using Repeated measures ANOVA followed by post-hoc bonferroni test. RESULTS The result suggests that denture adhesives improved the incisal bite force of complete denture wearers significantly The incisal bite force (in kg) in Group A without using adhesives, with powder adhesive, with paste adhesive and with adhesive strips was found to be 2.48 (± 0.16), 3.43 (± 0.11), 6.01 (± 0.11), 3.22 (± 0.09) respectively. The incisal bite force (in kg) in Group B without using adhesives, with powder adhesive, with paste adhesive and with adhesive strips was found to be 1.87 (± 0.18), 3.35 (± 0.14), 5.34 (± 0.18), 3.21 (± 0.12) respectively. The incisal bite force (in kg) in Group C without using adhesives, with powder adhesive, with paste adhesive and with adhesive strips was found to be 1.00 (± 0.17), 3.07 (± 0.14), 4.37 (± 0.26), 2.99 (± 0.14) respectively. CONCLUSION Within the limitations of the study, it was concluded that the use of denture adhesive was found to be significantly effective in improving the incisal bite force of complete dentures until the dislodgement of upper denture. Fittydent paste adhesive was found to be more effective than the powder and strips adhesives. The improvement in incisal bite force was found to be higher in Group C in comparison to that of Group A and Group B.
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Affiliation(s)
- Pawan Kalra
- Department of Prosthodontics, Harsarandas Dental College, Ghaziabad, India
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