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Mean Pressures (mean + pressure)
Terms modified by Mean Pressures Selected AbstractsBlood Pressure Components in Clinical HypertensionJOURNAL OF CLINICAL HYPERTENSION, Issue 9 2006Michel E. Safar MD This review offers a critical evaluation of the remarkable progress in antihypertensive therapy since its inception. Despite the introduction of newer, more sophisticated drugs, treatment results have remained stable. Problems impeding further improvement include limited patient compliance, clinical inertia, incomplete adherence to guidelines, and dependence on brachial artery cuff pressures for diagnosis, risk assessment, and treatment response. Brachial artery systolic and pulse pressures do not reliably represent aortic or carotid artery pressures, which are better risk predictors for the heart and brain. Mean pressure, which is the same throughout the arterial tree, is directly measurable by cuff oscillometry, and might become the best single risk predictor. Available drugs have limited ability to decrease the aortic stiffness that is responsible for the elevated systolic blood pressure of aging. Therefore, to improve risk assessment and therapeutic benefit, we might include mean blood pressure and pulse pressure into blood pressure measurements, pursue efforts to measure central blood pressure, and search for new drugs to reduce arterial stiffness. [source] Differences in ano-neorectal physiology of ileoanal and coloanal reconstructions for restorative proctectomyCOLORECTAL DISEASE, Issue 4 2010A. D. Rink Abstract Objective, Restorative proctectomy with straight coloanal anastomosis (CAA) and restorative proctocolectomy with ilealpouch-anal anastomosis (IPAA) are options for maintaining bowel integrity after rectal resection. The aim of this study was to compare clinical function and anorectal physiology in patients treated with CAA and IPAA. Method, Three-dimensional vector-manometry and neorectal volumetry were performed in straight CAA [53 patients (34 male)] and IPAA [61 patients (39 male)] for ulcerative colitis. Function was assessed using a 14 day incontinence diary. Results, Function was similar in both groups, but neorectal compliance and threshold volumes for sensation, urge and maximum tolerated volume (MTV) were significantly higher after IPAA than after CAA. Mean pressure, vector volume and sphincter symmetry at rest were significant determinants of continence in both groups but squeeze pressure did not correlate significantly with function in either group. Threshold volume, MTV, and compliance were significantly correlated with frequency of defecation in patients with IPAA but not with CAA. Conclusion, A strong consistent resting anal sphincter pressure is one determinant of continence after both IPAA and CAA. Squeeze pressures do not influence the functional result. In IPAA but not CAA, the neorectum has a reservoir function which correlates with the postoperative frequency of defaecation. [source] Does limb angular motion raise limb arterial pressure?ACTA PHYSIOLOGICA, Issue 3 2009D. D. Sheriff Abstract Aim:, Mechanical factors such as the muscle pump have been proposed to augment flow by several mechanisms. The potential for limb angular motion to augment local perfusion pressure (pressure = ½,r2,2, where , is the fluid density, r the radius and , the angular velocity) has been overlooked. We sought to test the hypothesis that limb angular motion augments limb arterial pressure. Methods:, Nine human subjects performed horizontal shoulder flexion (,±90° at 0.75 Hz for 30 s). We measured finger arterial pressure (photoplethysmography) in the moving (Trial 1) and non-moving arm (Trial 2) in separate trials along with the pressure (strain gauge) generated at the fingers within a length of water-filled tubing mounted on the moving arm in both trials. Results:, Arm swinging raised (P < 0.05) the mean pressure measured in the tubing by 11 ± 2 and 14 ± 2 mmHg (Trials 1 and 2 respectively). In response to exercise, the rise in mean finger arterial pressure in the swinging limb (18 ± 3 mmHg, Trial 1) exceeded (P < 0.05) the rise in the resting limb (8 ± 2 mmHg, Trial 2) by an amount similar to the 11 mmHg rise in pressure generated in the tubing in Trial 1. Conclusions:, We conclude that the swinging of a limb creates centrifugal force (a biomechanical centrifuge) which imparts additional pressure to the arteries, but not the veins owing to the venous valves, which further widens the arterial,venous pressure difference. [source] Association between Attributes of a Cyclist and Bicycle Seat PressureTHE JOURNAL OF SEXUAL MEDICINE, Issue 10 2010Eadric Bressel PhD ABSTRACT Introduction., Bicycle seat pressure is thought to be the principal risk factor for bicycle seat injuries such as erectile dysfunction; however there is a lack of understanding regarding the characteristics of a cyclist that predict bicycle seat pressure. Aim., The purpose of this study was to determine if select attributes of a cyclist are associated with seat pressure during stationary bicycling. A secondary purpose was to determine which of the associated attributes were the best predictors of seat pressure and if they were consistent between two different seats. Methods., There were two data collection phases to this correlational study in which 40 males between the ages 20 and 50 years volunteered. For the first phase, select attributes of the cyclist (age, weight, flexibility, experience level, and ischial tuberosity width) were measured. The second phase required participants to ride a stationary cycle ergometer while pelvic tilt angles and seat pressures were measured on two different traditional seats. Main Outcome Measure., The main outcome is the mean and peak bicycle seat interface pressure over the anterior and total seat. Results., Body weight explained up to 50% of the variance in mean total seat pressure (P = 0.001). Regarding peak total pressure, pelvic tilt angle and flexibility explained 43% and 17% of the variance, respectively, for the two seats tested (P = 0.01). Conclusion., These results indicate that predictors of mean seat pressure are not the same for peak pressure. Body weight alone accounted for the most variance in mean pressure whereas pelvic tilt and flexibility accounted for the most variance in peak pressure. These variables related to seat pressure may give some guidance to cyclists and clinicians who intend to prevent or alleviate the symptoms associated with bicycle seat injuries that include erectile dysfunction. Bressel E, Nash D, and Dolny D. Association between attributes of a cyclist and bicycle seat pressure. J Sex Med 2010;7:3424,3433. [source] Axial Distribution of Oxygen Concentration in Different Airlift Bioreactor Scales: Mathematical Modeling and SimulationCHEMICAL ENGINEERING & TECHNOLOGY (CET), Issue 9 2006H. Znad Abstract Steady and unsteady state oxygen concentration distributions in the liquid and gas phases along the axial direction of different airlift bioreactor scales have been simulated for various gas flow rates and oxygen consumption rates by applying the axial dispersion model to the riser and the downcomer, and a complete mixing model for the top (separator) and the bottom sections of the bioreactor. The results show that the dissolved oxygen concentration is very low at the lower part of the downcomer when the rate of oxygen consumption by microorganisms is very high. Furthermore, the shorter (small) bioreactor shows relatively more uniform axial dissolved oxygen concentrations than the longer (large) bioreactor, due to the effect of the hydrostatic pressure along the bioreactor. One of the most important geometric factors for mass transfer is the reactor height, which dominates the mean pressure and thus influences the saturation concentration and mass transfer driving force. The presented model can be applied for modeling and scale-up of practical airlift bioreactors. [source] Experimental and clinical study of the combined effect of arterial stiffness and heart rate on pulse pressure: Differences between central and peripheral arteriesCLINICAL AND EXPERIMENTAL PHARMACOLOGY AND PHYSIOLOGY, Issue 3 2005Theodoros G Papaioannou SUMMARY 1.,Pulse pressure (PP) constitutes an independent predictor of cardiovascular events and mortality in various populations. Heart rate (HR) and arterial stiffness, in addition to their independent predictive value for cardiovascular complications, seem to interact with regard to the modification of PP. The aim of the present study was to investigate the association of PP with HR under different levels of arterial compliance (AC), revealing their synergistic effects. 2.,Seventy-one normotensive and untreated hypertensive subjects were examined. Arterial compliance was measured by the ,area' method, whereas central blood pressures and wave reflections were evaluated using the Sphygmocor® system (AtCor Medical, Sydney, NSW, Australia). A hydraulic Windkessel model was also used to evaluate the independent effect of HR and AC on PP. Peripheral PP was associated only with mean pressure and AC. In contrast, central PP was further related to HR (20 b.p.m. decrease in HR resulted in central PP augmentation by 5.6 mmHg) regardless of mean pressure, stroke volume, age and gender. However, this association was statistically significant only for subjects with lower AC (< 1.1 mL/mmHg) and not for those with more compliant arteries. These findings are also in accordance with the experimental data. 3.,Aortic PP is affected to a greater degree by HR changes compared with peripheral PP. This response was observed only at high levels of arterial stiffness. 4.,The present study provides the first evidence regarding the combined effect of AC and HR on aortic PP, which may lead to larger clinical or epidemiological studies aiming to optimization of drug treatment and to a possible reduction of cardiovascular risk. [source] Pressures generated in vitro during Stabident intraosseous injectionsINTERNATIONAL ENDODONTIC JOURNAL, Issue 5 2005J. M. Whitworth Abstract Aim, To test the hypothesis that the Stabident intraosseous injection is a potentially high-pressure technique, which carries serious risks of anaesthetic cartridge failure. Methodology, A standard Astra dental syringe was modified to measure the internal pressure of local anaesthetic cartridges during injection. Intra-cartridge pressures were measured at 1 s intervals during slow (approximately 15 s) and rapid (<10 s) injections of 2% Xylocaine with 1 : 80 000 adrenaline (0.25 cartridge volumes) into air (no tissue resistance), or into freshly prepared Stabident perforation sites in the anterior mandible of freshly culled young and old sheep (against tissue resistance). Each injection was repeated 10 times over 3 days. Absolute maximum pressures generated by each category of injection, mean pressures at 1 s intervals in each series of injections, and standard deviations were calculated. Curves of mean maximum intra-cartridge pressure development with time were plotted for slow and rapid injections, and one-way anova (P < 0.05) conducted to determine significant differences between categories of injection. Results, Pressures created when injecting into air were less than those needed to inject into tissue (P < 0.001). Fast injection produced greater intra-cartridge pressures than slow delivery (P < 0.05). Injection pressures rose more quickly and to higher levels in small, young sheep mandibles than in larger, old sheep mandibles. The absolute maximum intra-cartridge pressure developed during the study was 3.31 MPa which is less than that needed to fracture glass cartridges. Conclusions, Stabident intraosseous injection conducted in accordance with the manufacturer's instructions does not present a serious risk of dangerous pressure build-up in local anaesthetic cartridges. [source] Antarctic climate change during the last 50 yearsINTERNATIONAL JOURNAL OF CLIMATOLOGY, Issue 3 2005John Turner Abstract An erratum has been published for this article in International Journal of Climatology 25 (8) 2005, 1147,1148. The Reference Antarctic Data for Environmental Research (READER) project data set of monthly mean Antarctic near-surface temperature, mean sea-level pressure (MSLP) and wind speed has been used to investigate trends in these quantities over the last 50 years for 19 stations with long records. Eleven of these had warming trends and seven had cooling trends in their annual data (one station had too little data to allow an annual trend to be computed), indicating the spatial complexity of change that has occurred across the Antarctic in recent decades. The Antarctic Peninsula has experienced a major warming over the last 50 years, with temperatures at Faraday/Vernadsky station having increased at a rate of 0.56 °C decade,1 over the year and 1.09 °C decade,1 during the winter; both figures are statistically significant at less than the 5% level. Overlapping 30 year trends of annual mean temperatures indicate that, at all but two of the 10 coastal stations for which trends could be computed back to 1961, the warming trend was greater (or the cooling trend less) during the 1961,90 period compared with 1971,2000. All the continental stations for which MSLP data were available show negative trends in the annual mean pressures over the full length of their records, which we attribute to the trend in recent decades towards the Southern Hemisphere annular mode (SAM) being in its high-index state. Except for Halley, where the trends are constant, the MSLP trends for all stations on the Antarctic continent for 1971,2000 were more negative than for 1961,90. All but two of the coastal stations have recorded increasing mean wind speeds over recent decades, which is also consistent with the change in the nature of the SAM. Copyright © 2005 Royal Meteorological Society [source] Perfusate Lactate Dehydrogenase Level and Intrarenal Resistance Could Not Be Adequate Markers of Perfusion Quality During Isolated Kidney PerfusionARTIFICIAL ORGANS, Issue 11 2000Berta Herrera Abstract: The main goal of this work was to study the influence of perfusion pressure and flow waveform during kidney perfusion, and the relationship between renal vascular resistance (RVR) and lactate dehydrogenase (LDH) concentration in the perfusate. Simultaneous constant pressure kidney perfusions were performed with either pulsatile or continuous flow at either 30 or 80 mm Hg of constant perfusion pressure. Mean flow, pressure, and RVR were displayed online during perfusion. Perfusate samples for LDH, creatine phosphatase kinase (CPK), and alkaline phosphatase (AP) determinations were taken. At the end of the perfusion, 2 ml of Evans blue was injected into the circuit to obtain images of perfusate distribution, and the kidneys were weighed. Also, hematoxylin/eosine studies were performed, showing more Bowman's space and tubular dilation in kidneys perfused with high pressure. We did not find differences in RVR between kidneys perfused at 30 and 80 mm Hg; nevertheless, perfusate distribution was better in the 80 mm Hg perfusions. We did not find any correlation between enzyme release and RVR in kidneys perfused with different mean pressures. These findings suggest that vascular resistance and LDH concentration cannot be independently considered as adequate markers of perfusate distribution. [source] Compliance properties of conduits used in vascular reconstruction,BRITISH JOURNAL OF SURGERY (NOW INCLUDES EUROPEAN JOURNAL OF SURGERY), Issue 11 2000N. R. Tai Background Compliance mismatch between native artery and prosthetic graft used for infrainguinal bypass is implicated in the aetiology of graft failure. The aim was to quantify the elastic properties of a new compliant poly(carbonate)polyurethane (CPU) vascular graft, and to compare the compliance properties of grafts made from CPU, expanded polytetrafluoroethylene (ePTFE), Dacron and human saphenous vein with that of human muscular artery. Methods A pulsatile flow phantom was used to perfuse vessel and prosthetic graft segments at physiological pulse pressure and flow. Intraluminal pressure was measured using a Millar Mikro-tip catheter transducer and vessel wall motion was determined with duplex ultrasonography using an echo-locked wall-tracking system. Diametrical compliance and a stiffness index were then calculated for each type of conduit over mean pressures ranging from 30 to 100 mmHg by 10-mmHg increments. Results The compliance values of CPU and artery (mean over the pressure range) were similar (mean(s.d.) 8·1(0·4) and 8·0(5·9) per cent per mmHg × 10,2 respectively), although the elastic behaviour of artery was anisotropic unlike CPU, which was isotropic. Dacron and ePTFE grafts had lower compliance values (1·8(1·2) and 1·2(0·3) per cent per mmHg × 10,2 respectively, averaged over the pressure range). In both these cases, compliance and stiffness differed significantly from that of artery over a mean pressure range of 30,90 mmHg. Human saphenous vein exhibited anisotropic behaviour and, although compliant at low pressure (30 mmHg), was markedly incompliant at higher pressures. Conclusion Compliant polyurethane grafts offer a greater degree of compliance match than either ePTFE or Dacron. © 2000 British Journal of Surgery Society Ltd [source] Pulmonary venous wedge pressure provides a safe and accurate estimate of pulmonary arterial pressure in children with shunt-dependent pulmonary blood flow,CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, Issue 5 2009Kevin D. Hill MD Abstract Objectives: To compare two methods of pulmonary arterial pressure measurement in children with shunt-dependent pulmonary blood flow. Background: In children with shunt-dependent pulmonary blood flow, direct assessment of pulmonary arterial pressure requires passage of a catheter across the shunt. This can be technically difficult and dangerous. Use of the pulmonary venous wedge pressure offers an alternative but has not been validated in this patient population. Methods: We prospectively studied 18 children with shunt-dependent pulmonary blood flow. Pulmonary venous wedge pressure and directly measured pulmonary arterial pressures were independently assessed by two blinded cardiologists. Results: Directly measured mean pulmonary arterial pressure and pulmonary venous wedge pressure are closely correlated (R2 = 0.80, P < 0.01). Agreement between the two measures is improved at lower mean pressures with greater differences at higher pressures. For 20 of 24 ipsilateral measurements, pulmonary venous wedge pressure was , directly measured pulmonary arterial pressure. Pulmonary venous wedge pressure never underestimated pulmonary arterial pressure by more than 3 mm Hg. Conclusions: Pulmonary venous wedge pressure provides a safe and accurate means of estimating pulmonary arterial pressure in children with shunt-dependent pulmonary blood flow. The slightly lower pressures seen on direct measurement compared with the reverse pulmonary vein may reflect impairment of flow across the shunt by the catheter. © 2009 Wiley-Liss, Inc. [source] Right ventricular myocardial isovolumic relaxation time and pulmonary pressureCLINICAL PHYSIOLOGY AND FUNCTIONAL IMAGING, Issue 1 2006Pulsed Doppler tissue imaging in resurrection of Burstin's nomogram Summary Aims:, Non-invasive assessment of pulmonary artery systolic pressure (PASP) has several limitations. As previously described by Burstin, the right ventricular (RV) isovolumic relaxation time (IVRt) is sensitive to changes in PASP. We therefore compared RV myocardial IVRt, derived by Doppler tissue imaging (DTI), with simultaneously measured invasive PASP. Methods and results:, Twenty-six consecutive patients (18 males, mean age 52 ± 12 years, range 23,75) underwent a simultaneous Doppler echocardiography, including DTI, and cardiac catheterization examination for measurement of PASP and right atrial mean pressures. IVRt was measured using the myocardial velocities by pulsed DTI at both basal and mid cavity segments of the RV free wall. As diastolic time intervals are influenced by heart rate IVRt was corrected for heart rate (IVRt/RR%). A significant correlation was found between PASP and regional IVRt/RR% at both the basal (r = 0·42, P<0·05) and mid cavity segment (r = 0·71, P<0·001). Furthermore, when only patients with normal right atrial pressures (<7 mmHg) were taken into account, the correlation coefficient improved at both basal and mid cavity segments (r = 0·74, P<0·05 and r = 0·83, P<0·01). Conclusion:, Pulsed Doppler-derived IVRt correlates well with PASP. The use of pulsed DTI for measurement of IVRt is simple, reproducible and easy to obtain. We propose this method as an additional non-invasive tool in the assessment of PASP. [source] | |||||||||||||||||||