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1.
Sci Rep ; 14(1): 19795, 2024 08 27.
Artigo em Inglês | MEDLINE | ID: mdl-39187518

RESUMO

Air Force pilots and some athletes (e.g., in sledding sports) are frequently exposed to high G-forces. High-intensity physical activity is essential to withstand gravitational acceleration, and morphological symmetry and functional movement are directly related to injury in those who perform these activities. However, the relationship between G-endurance and physical imbalance and the effect on physical performance is poorly understood. This study aimed to analyze the physical performance of those exposed to a high load of G-tolerance and who performed high-intensity physical activity. A total of 363 male cadets from the Korean Air Force Academy underwent functional movement screen tests, anatomical structure measurements, G-tests (fourth grade), and body composition and physical fitness tests. Participants were classified into the G-test-pass and -fail groups depending on the G-test results. The pass group showed significantly different bilateral imbalance in active straight leg raises (p < 0.05), while the fail group showed a significant difference in deep squats (p < 0.05), shoulder mobility (p < 0.01), rotary stability (p < 0.05), and functional leg length (p < 0.05). Leg length was significantly correlated with the hurdle step (p < 0.01), inline lunge (p < 0.01), and active straight leg raise (p < 0.01). Functional leg lengths on both sides and structural leg lengths were also significantly correlated (p < 0.01). High body balance positively affects gravitational acceleration and exercise performance. Therefore, functional movement and physical imbalance affect performance in pilots affected by gravitational acceleration. This study can also be applied to strengthen the performance of winter sports athletes affected by gravitational acceleration.


Assuntos
Aceleração , Gravitação , Militares , Humanos , Masculino , Adulto Jovem , Adulto , Exercício Físico/fisiologia , Aptidão Física/fisiologia , Pilotos , Equilíbrio Postural/fisiologia , Atletas
2.
Orthop Nurs ; 43(4): 202-211, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39047271

RESUMO

Halo gravity traction (HGT) is a preoperative modality for children with severe spinal deformity used to optimize spine flexibility and balance while decreasing the likelihood of neurologic injury. HGT is a dependable solution for these challenging spinal deformities. Aligning treatment guidelines and providing resources, education, and training for staff are key components for a successful HGT program. The HGT program at Children's Mercy Hospital was then developed with a systems approach with the holistic goal of multidisciplinary collaboration with physical/occupational therapy, hospital medicine, pulmonology, psychology, nutrition, child life, and complex care management. Education, research, and national collaboration to standardize this therapy should improve patient safety and support quality improvement.


Assuntos
Tração , Humanos , Tração/métodos , Gravitação , Criança , Equipe de Assistência ao Paciente , Escoliose/terapia
4.
J Environ Sci (China) ; 146: 91-102, 2024 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38969465

RESUMO

In this study, a gravity-driven membrane (GDM) filtration system and hydroponic system (cultivating basil and lettuce) were combined for nutrient recovery from primary municipal wastewater. The GDM system was optimized by increasing the periodic air sparging flow rate from 1 to 2 L/min (∼15 hr per 3-4 days), resulting in a ∼52% reduction of irreversible fouling. However, the total fouling was not alleviated, and the water productivity remained comparable. The GDM-filtrated water was then delivered to hydroponic systems, and the effects of hydroponic operation conditions on plant growth and heavy metal uptake were evaluated, with fertilizer- and tap water-based hydroponic systems and soil cultivation system (with tap water) for comparison. It was found that (i) the hydroponic system under batch mode facilitated to promote vegetable growth with higher nutrient uptake rates compared to that under flow-through feed mode; (ii) a shift in nutrient levels in the hydroponic system could impact plant growth (such as plant height and leaf length), especially in the early stages. Nevertheless, the plants cultivated with the GDM-treated water had comparable growth profiles to those with commercial fertilizer or in soils. Furthermore, the targeted hazard quotient levels of all heavy metals for the plants in the hydroponic system with the treated water were greatly lower than those with the commercial fertilizer. Especially, compared to the lettuce, the basil had a lower heavy metal uptake capability and displayed a negligible impact on long-term human health risk, when the treated water was employed for the hydroponic system.


Assuntos
Filtração , Hidroponia , Nutrientes , Eliminação de Resíduos Líquidos , Águas Residuárias , Eliminação de Resíduos Líquidos/métodos , Nutrientes/análise , Nutrientes/metabolismo , Cerâmica , Membranas Artificiais , Poluentes Químicos da Água/análise , Gravitação , Fertilizantes
5.
Sci Adv ; 10(27): eadn8356, 2024 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-38968348

RESUMO

Eukaryotic phytoplankton, also known as algae, form the basis of marine food webs and drive marine carbon sequestration. Algae must regulate their motility and gravitational sinking to balance access to light at the surface and nutrients in deeper layers. However, the regulation of gravitational sinking remains largely unknown, especially in motile species. Here, we quantify gravitational sinking velocities according to Stokes' law in diverse clades of unicellular marine microalgae to reveal the cell size, density, and nutrient dependency of sinking velocities. We identify a motile algal species, Tetraselmis sp., that sinks faster when starved due to a photosynthesis-driven accumulation of carbohydrates and a loss of intracellular water, both of which increase cell density. Moreover, the regulation of cell sinking velocities is connected to proliferation and can respond to multiple nutrients. Overall, our work elucidates how cell size and density respond to environmental conditions to drive the vertical migration of motile algae.


Assuntos
Tamanho Celular , Nutrientes , Nutrientes/metabolismo , Gravitação , Fitoplâncton/fisiologia , Fitoplâncton/metabolismo , Fotossíntese , Microalgas/metabolismo
6.
Cognition ; 250: 105869, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38971021

RESUMO

When people indicate the vanishing location of a moving target that suddenly disappears, systematic errors forward (in the direction of motion) and downward (in the direction of gravity) emerge. These spatial displacements were coined, respectively, Representational Momentum and Representational Gravity, and are believed to reflect internalized ecologically relevant physical invariants useful for the anticipation of future states of an event. Previous research has shown that sports athletes exhibit increased Representational Momentum, indicating enhanced motion extrapolation and anticipation, albeit it is still not clear up to what degree this effect is specific for the expertise context or if it generalizes to other dynamic events. Furthermore, the influence of expertise on Representational Gravity, particularly in contexts where anticipation of vertically moving objects is crucial, remains understudied. This study aimed to address these gaps by focusing on Volleyball as a context of expertise due to the prevalence of fast vertically moving balls. Volleyball athletes and non-athletes indicated the perceived offset location of a smoothly moving target, which moved at a constant speed or was subjected to acceleration/deceleration, embedded either in a Volleyball or neutral context. Outcomes revealed that for the Volleyball context, athletes, but not non-athletes, revealed a significant trend to misperceive targets moving along the left diagonal to be further displaced forward beyond what would be expected due to Representational Momentum alone. This finding is discussed in relation to the natural statistics of Volleyball games, where crossed ball trajectories, particularly by the outside hitter, are more prevalent, fast, and offensive, requiring better anticipation to be efficiently dealt with.


Assuntos
Atletas , Percepção de Movimento , Voleibol , Humanos , Voleibol/fisiologia , Masculino , Feminino , Adulto Jovem , Percepção de Movimento/fisiologia , Adulto , Antecipação Psicológica/fisiologia , Gravitação
8.
J Exp Biol ; 227(12)2024 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-38887874

RESUMO

When you take the time to observe another organism, there is a sort of gravity that can take hold, a mixture of curiosity and connection that expands and strengthens the more you interact with that organism. Yet, in research, a connection with one's study organism can, at times, feel countercultural. Study organisms are sometimes viewed more as tools to conveniently study biological questions. Here, we explicitly highlight the importance of organism-centered research not only in scientific discovery, but also in conservation and in the communication and perception of science.


Assuntos
Gravitação , Animais , Biologia/métodos
9.
J Environ Manage ; 363: 121438, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38861885

RESUMO

The ubiquitous nature and environmental impacts of microplastic particles and fibers demand effective solutions to remove such micropollutants from sizable point sources, including wastewater treatment plants and road runoff facilities. While advanced methods, e.g., microfiltration and ultrafiltration, have shown high removal efficiencies of small-sized microplastics (<150 µm), the low flux encountered in these systems implies high operation costs and makes them less effective in high-capacity wastewater facilities. The issue presents new opportunities for developing cheap high-flux membrane systems, deployable in low-to high-income economies, to remove small-sized microplastic and nanoplastics in wastewater. Here, we report on developing an ultra-high flux gravity-driven fabric membrane system, assessed through a laboratory-scale filtration and large-scale performance in an actual wastewater treatment plant (WWTP). The method followed a carefully designed water sampling, pre-treatment protocol, and analytical measurements involving Fourier transform infrared (FTIR) spectroscopy and laser direct infrared (LDIR) imaging. The result shows that the ultra-high flux (permeance = 550,000 L/m2h⋅bar) fabric membrane system can effectively remove small-sized microplastics (10-300 µm) in the secondary effluent of an actual WWTP at high efficiency greater than 96 %. The pilot system demonstrated a continuous treatment capacity of 300,000 L/day through a 1 m2 surface area disc, with steady removal rates of microplastics. These findings demonstrate the practical, cheap, and sustainable removal of small-sized microplastics in wastewater treatment plants, and their potential value for other large-scale point sources, e.g., stormwater treatment facilities.


Assuntos
Microplásticos , Eliminação de Resíduos Líquidos , Águas Residuárias , Microplásticos/análise , Águas Residuárias/química , Eliminação de Resíduos Líquidos/métodos , Membranas Artificiais , Purificação da Água/métodos , Poluentes Químicos da Água/análise , Filtração , Gravitação
10.
J Hazard Mater ; 474: 134827, 2024 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-38850953

RESUMO

In our work, a gravity-driven ceramic membrane bioreactor (GDCMBR) was developed to remove Mn2+ and NH3-N simultaneously through the birnessite water purification layer in-situ construction on the ceramic membrane due to chemical pre-oxidation (powdered activated carbon (PAC)-MnOx). Considering the trade-off of biofouling and water production, the daily intermittent short-term vertical aeration mode was involving to balance this contradiction with the excellent water purification and improved membrane permeability. And the GDCMBR permeability of operation flux was improved for 5-7 LHM with intermittent short-term vertical aeration. Furthermore, only ∼7 % irreversible membrane resistance (Rir) also confirmed the improved membrane permeability with intermittent short-term vertical aeration. And some manganese oxidizing bacteria (MnOB) and ammonia oxidizing bacteria (AOB) species at genus level were identified during long-term operation with the contact circulating flowing raw water, resulting in the better Mn2+ and NH3-N removal efficiency. Additionally, the nano-flower-like birnessite water purification layer was verified in ceramsite@PAC-MnOx coupled GDCMBR, which evolute into a porous flake-like structure with the increasing intermittent short-term aeration duration. Therefore, the sustainable and effective intermittent short-term aeration mode in ceramsite@PAC-MnOx coupled GDCMBR could improve the membrane permeability with the satisfactory groundwater purification efficiency, as well as providing an energy-efficient strategy for membrane technologies applications in water supply safety.


Assuntos
Amônia , Cerâmica , Manganês , Membranas Artificiais , Permeabilidade , Cerâmica/química , Manganês/química , Amônia/química , Amônia/metabolismo , Purificação da Água/métodos , Reatores Biológicos , Carvão Vegetal/química , Óxidos/química , Poluentes Químicos da Água/metabolismo , Poluentes Químicos da Água/química , Nitrogênio/química , Nitrogênio/metabolismo , Compostos de Manganês/química , Gravitação , Bactérias/metabolismo
11.
New Phytol ; 243(6): 2201-2213, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38887135

RESUMO

Bamboo, a renewable resource with rapid growth and an impressive height-to-diameter ratio, faces mechanical instability due to its slender structure. Despite this, bamboo maintains its posture without breaking in its battle against environmental and gravitational forces. But what drives this motor function in bamboo? This study subjected Moso bamboo (Phyllostachys edulis) to gravitational stimulation, compelling it to grow at a 45° angle instead of upright. Remarkably, the artificially inclined bamboo exhibited astonishing shape control and adjustment capabilities. The growth strain was detected at both macroscopic and microscopic levels, providing evidence for the presence of internal stress, namely growth stress. The high longitudinal tensile stress on the upper side, along with a significant asymmetry in stress distribution in tilted bamboo, plays a pivotal role in maintaining its mechanical stability. Drawing upon experimental findings, it can be deduced that the growth stress primarily originates from the broad layers of fiber cells. Bamboo could potentially regulate the magnitude of growth stress by modifying the number of fiber cell layers during its maturation process. Additionally, the microfibril angle and lignin disposition may decisively influence the generation of growth stress.


Assuntos
Poaceae , Estresse Mecânico , Estresse Fisiológico , Poaceae/fisiologia , Poaceae/crescimento & desenvolvimento , Gravitação , Fenômenos Biomecânicos , Microfibrilas , Resistência à Tração
12.
Nurs Stand ; 39(8): 39-44, 2024 07 31.
Artigo em Inglês | MEDLINE | ID: mdl-38898723

RESUMO

RATIONALE AND KEY POINTS: This article explains how to prepare and administer an intravenous (IV) infusion using a gravity administration (giving) set or a volumetric pump in a safe, effective manner. Nurses undertaking this procedure must ensure they have the knowledge and skills to do so and work within the limits of their competence. This article serves as a revision of best practice in administering IV infusions of fluids and medicines. • IV infusions are delivered directly into the bloodstream, so care must be taken to protect the patient from harm by following the appropriate policies and protocols and monitoring the patient carefully for adverse reactions. • There is a risk of administering large volumes of IV fluid to the patient when using a gravity administration set, so a burette or volumetric pump should be used in patients who may not tolerate this. • Volumetric pumps vary, so it is essential that the nurse is familiar with the device, uses the specific administration set required and follows the manufacturer's instructions. REFLECTIVE ACTIVITY: 'How to' articles can help to update your practice and ensure it remains evidence-based. Apply this article to your practice. Reflect on and write a short account of: • How this article might improve your practice when preparing and administering an IV infusion. • How you could use this information to educate nursing students or your colleagues on the appropriate methods for preparing and administering an IV infusion.


Assuntos
Bombas de Infusão , Infusões Intravenosas/métodos , Infusões Intravenosas/instrumentação , Humanos , Reino Unido , Gravitação , Competência Clínica
13.
Nature ; 631(8019): 20-23, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38942971

Assuntos
Gravitação , Animais
14.
Sci Rep ; 14(1): 13718, 2024 06 14.
Artigo em Inglês | MEDLINE | ID: mdl-38877059

RESUMO

In their natural environment, animals face a variety of ecological and social challenges, which might be linked to the emergence of different cognitive skills. To assess inter-specific variation in cognitive skills, we used ungulates as a study model, testing a total of 26 captive individuals across 5 different species (i.e., dwarf goats, Capra aegagrus hircus, llamas, Lama glama, guanacos, Lama guanicoe, zebras, Equus grevyi, and rhinos, Diceros bicornis michaeli). Across species, we used the same well-established experimental procedures to test individuals' performance in naïve physics tasks, i.e. object permanence, short-term spatial memory, causality, understanding of object properties, and gravity. Our results revealed that study subjects showed object permanence, were able to remember the position of hidden food after up to 60 s, and inferred the position of hidden food from the sound produced or not produced when shaking containers. Moreover, they showed an understanding of basic object properties, being able to locate objects hidden behind occluders based on their size and inclination, and could reliably follow the trajectory of falling objects across different conditions. Finally, inter-specific differences were limited to the understanding of object properties, and suggest that domesticated species as goats might perform better than non-domesticated ones in tasks requiring these skills. These results provide new information on the cognitive skills of a still understudied taxon and confirm ungulates as a promising taxon for the comparative study of cognitive evolution.


Assuntos
Memória Espacial , Animais , Memória Espacial/fisiologia , Masculino , Feminino , Cabras/fisiologia , Memória de Curto Prazo/fisiologia , Cognição/fisiologia , Gravitação , Especificidade da Espécie , Camelídeos Americanos/fisiologia
15.
Bioinspir Biomim ; 19(5)2024 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-38876097

RESUMO

Gravitational forces can induce deviations in body posture from desired configurations in multi-legged arboreal robot locomotion with low leg stiffness, affecting the contact angle between the swing leg's end-effector and the climbing surface during the gait cycle. The relationship between desired and actual foot positions is investigated here in a leg-stiffness-enhanced model under external forces, focusing on the challenge of unreliable end-effector attachment on climbing surfaces in such robots. Inspired by the difference in ceiling attachment postures of dead and living geckos, feedforward compensation of the stance phase legs is the key to solving this problem. A feedforward gravity compensation (FGC) strategy, complemented by leg coordination, is proposed to correct gravity-influenced body posture and improve adhesion stability by reducing body inclination. The efficacy of this strategy is validated using a quadrupedal climbing robot, EF-I, as the experimental platform. Experimental validation on an inverted surface (ceiling walking) highlights the benefits of the FGC strategy, demonstrating its role in enhancing stability and ensuring reliable end-effector attachment without external assistance. In the experiment, robots without FGC only completed 3 out of 10 trials, while robots with FGC achieved a 100% success rate in the same trials. The speed was substantially greater with FGC, achieving 9.2 mm s-1in the trot gait. This underscores the proposed potential of the FGC strategy in overcoming the challenges associated with inconsistent end-effector attachment in robots with low leg stiffness, thereby facilitating stable locomotion even at an inverted body attitude.


Assuntos
, Gravitação , Lagartos , Locomoção , Robótica , Robótica/instrumentação , Robótica/métodos , Animais , Locomoção/fisiologia , Lagartos/fisiologia , Pé/fisiologia , Marcha/fisiologia , Fenômenos Biomecânicos , Biomimética/instrumentação , Biomimética/métodos , Desenho de Equipamento , Dedos do Pé/fisiologia , Modelos Biológicos
16.
PLoS One ; 19(5): e0297442, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38728324

RESUMO

In the post-epidemic era, the restart of China's inbound tourism is imminent. However, there are gaps in our current understanding of how distance perception dynamically affects inbound tourism in China. In order to understand the past patterns of inbound tourism in China, we mapped the data of 61 countries of origin from 2004 to 2018 into a dynamic expanding gravity model to understand the effects of cultural distance, institutional distance, geographical distance, and economic distance on inbound tourism in China and revealed the dynamic interaction mechanism of non-economic distance perception on inbound tourism in China. Our research results show that cultural distance has a positive impact on China's inbound tourism, while institutional distance has a negative impact. The significant finding is that the dynamic interaction of the above two kinds of perceived distance can still have a positive impact on China's inbound tourism. Its practical significance is that it can counteract the influence of institutional distance by strengthening the cultural distance. Generally speaking, geographical distance and institutional distance restrict China's inbound tourism flow, while cultural distance, economic distance, and interactive perceptual distance promote China's inbound tourism flow.


Assuntos
Turismo , China , Humanos , Modelos Teóricos , Percepção de Distância , Viagem/economia , Gravitação
17.
Elife ; 122024 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-38712832

RESUMO

The fact that objects without proper support will fall to the ground is not only a natural phenomenon, but also common sense in mind. Previous studies suggest that humans may infer objects' stability through a world model that performs mental simulations with a priori knowledge of gravity acting upon the objects. Here we measured participants' sensitivity to gravity to investigate how the world model works. We found that the world model on gravity was not a faithful replica of the physical laws, but instead encoded gravity's vertical direction as a Gaussian distribution. The world model with this stochastic feature fit nicely with participants' subjective sense of objects' stability and explained the illusion that taller objects are perceived as more likely to fall. Furthermore, a computational model with reinforcement learning revealed that the stochastic characteristic likely originated from experience-dependent comparisons between predictions formed by internal simulations and the realities observed in the external world, which illustrated the ecological advantage of stochastic representation in balancing accuracy and speed for efficient stability inference. The stochastic world model on gravity provides an example of how a priori knowledge of the physical world is implemented in mind that helps humans operate flexibly in open-ended environments.


Assuntos
Gravitação , Processos Estocásticos , Humanos , Feminino , Masculino , Adulto , Adulto Jovem
18.
Otolaryngol Head Neck Surg ; 171(3): 841-848, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38699944

RESUMO

OBJECTIVE: This study aimed to assess the correlation between the spontaneous nystagmus (SN) and the subjective visual vertical/horizontal (SVV/SVH) among patients with vestibular neuritis (VN) at the different head positions. STUDY DESIGN: Case-control study. SETTING: Affiliated Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine. METHODS: This study evaluated the SVV/SVH in both healthy subjects and patients with VN. These evaluations were performed in 5 different head positions: upright, 45° tilt to the left, 90° tilt to the left, 45° tilt to the right, and 90° tilt to the right. Additionally, the intensity of SN, as measured by slow-phase velocity, was recorded. RESULTS: In patients with VN, a significant correlation was observed between SN and SVV/SVH in an upright position. The intensity of SN was higher when the head was tilted 90° toward the affected side compared to other positions. The SVV/SVH displayed an ipsiversive shift, when the head was tilted toward both the lesion and unaffected sides, exhibiting a contraversive direction. Furthermore, the changes in position-induced SN were consistent with the displacements of SVV and SVH caused by head tilt. CONCLUSION: The presence of SN in patients with VN was observed to vary across different head position. These variations could potentially be attributed to the diverse activation patterns of the mechanical properties of otolith organs that are induced by head tilts.


Assuntos
Nistagmo Patológico , Neuronite Vestibular , Humanos , Neuronite Vestibular/fisiopatologia , Neuronite Vestibular/complicações , Masculino , Feminino , Estudos de Casos e Controles , Nistagmo Patológico/fisiopatologia , Adulto , Pessoa de Meia-Idade , Gravitação , Idoso
19.
Neural Netw ; 176: 106341, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38692189

RESUMO

The great learning ability of deep learning facilitates us to comprehend the real physical world, making learning to simulate complicated particle systems a promising endeavour both in academia and industry. However, the complex laws of the physical world pose significant challenges to the learning based simulations, such as the varying spatial dependencies between interacting particles and varying temporal dependencies between particle system states in different time stamps, which dominate particles' interacting behavior and the physical systems' evolution patterns. Existing learning based methods fail to fully account for the complexities, making them unable to yield satisfactory simulations. To better comprehend the complex physical laws, we propose a novel model - Graph Networks with Spatial-Temporal neural Ordinary Differential Equations (GNSTODE) - that characterizes the varying spatial and temporal dependencies in particle systems using a united end-to-end framework. Through training with real-world particle-particle interaction observations, GNSTODE can simulate any possible particle systems with high precisions. We empirically evaluate GNSTODE's simulation performance on two real-world particle systems, Gravity and Coulomb, with varying levels of spatial and temporal dependencies. The results show that GNSTODE yields better simulations than state-of-the-art methods, showing that GNSTODE can serve as an effective tool for particle simulation in real-world applications. Our code is made available at https://github.com/Guangsi-Shi/AI-for-physics-GNSTODE.


Assuntos
Simulação por Computador , Redes Neurais de Computação , Gravitação , Física , Aprendizado Profundo , Algoritmos
20.
Eur J Radiol ; 176: 111529, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38810440

RESUMO

PURPOSE: This study investigated strategies to reduce pneumothorax risk in CT-guided lung biopsy. The approach involved administering 10 ml of 1 % lidocaine fluid in the subpleural or pleural space before lung puncture and utilizing the gravitational effect of pleural pressure with specific patient positioning. METHOD: We retrospectively analyzed 72 percutaneous CT-guided lung biopsies performed at a single center between January 2020 and April 2023. These were grouped based on fluid administration during the biopsy and whether the biopsies were conducted in dependent or non-dependent lung regions. Confounding factors like patient demographics, lesion characteristics, and procedural details were assessed. Patient characteristics and the occurrence of pneumothoraces were compared using a Kurskal-Wallis test for continuous variables and a Fisher's exact test for categorical variables. Multivariable logistic regression was used to identify potential confounders. RESULTS: Subpleural or pleural fluid administration and performing biopsies in dependent lung areas were significantly linked to lower peri-interventional pneumothorax incidence (n = 15; 65 % without fluid in non-dependent areas, n = 5; 42 % without fluid in dependent areas, n = 5; 36 % with fluid in non-dependent areas,n = 0; 0 % with fluid in dependent areas; p = .001). Even after adjusting for various factors, biopsy in dependent areas and fluid administration remained independently associated with reduced pneumothorax risk (OR 0.071, p<=.01 for lesions with fluid administration; OR 0.077, p = .016 for lesions in dependent areas). CONCLUSIONS: Pre-puncture fluid administration to the pleura and consideration of gravitational effects during patient positioning can effectively decrease pneumothorax occurrences in CT-guided lung biopsy.


Assuntos
Biópsia Guiada por Imagem , Pleura , Pneumotórax , Tomografia Computadorizada por Raios X , Humanos , Feminino , Masculino , Pneumotórax/prevenção & controle , Pneumotórax/etiologia , Biópsia Guiada por Imagem/métodos , Biópsia Guiada por Imagem/efeitos adversos , Estudos Retrospectivos , Pessoa de Meia-Idade , Pleura/patologia , Pleura/diagnóstico por imagem , Idoso , Pulmão/patologia , Pulmão/diagnóstico por imagem , Radiografia Intervencionista/métodos , Gravitação , Lidocaína/administração & dosagem , Posicionamento do Paciente/métodos , Adulto , Pressão , Punções
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