Official websites use. Share sensitive information only on official, secure websites. Address for correspondence: Talar Vartanoğlu Aktokmakyan, M. We aimed to reveal the protective effect of body mass index BMI and subcutaneous adipose tissue thickness SATTtogether with scores covering the abdomen, in patients with penetrating abdominal trauma. The data of abdominal penetrating trauma patients over the age of 16 who applied to the emergency general surgery unit of Istanbul Medipol Hospital between and were analyzed retrospectively. A cutoff value to be determined for SATT with larger and multicenter studies can take its place as a parameter in the penetrating trauma algorithm. Obesity, as characterized by the World Health Organization,[ 1 ] has emerged as a pervasive non-communicable epidemic. It is well-documented that individuals afflicted by obesity face an elevated risk of comorbidities, including cancer, hypertension, heart diseases, diabetes mellitus, hyperlipidemia, and arthritis. Consequently, their overall mortality risk surpasses that of their non-obese counterparts. Extensive research has been dedicated to exploring the intricate relationship between obesity and these chronic diseases. However, the impact of obesity on traumatic injuries has not received commensurate attention in the medical literature. In certain studies, obesity has been identified as an independent risk factor, particularly in the context of high-energy blunt trauma. Some assert that obesity heightens the risk of mortality, while others contend that there is no significant disparity. Penetrating abdominal trauma, a subset of traumatic injuries, predominantly involves the small intestine as the most frequently injured organ, followed by the large intestine. Among the segments of the large intestine, the transverse colon sustains the highest incidence of injuries, trailed by the left colon and the right colon. Importantly, the severity of colonic injury exhibits a direct correlation with the degree of contamination, which, in turn, is linked to the systemic inflammatory response syndrome-multiorgan failure syndrome cascade. It is noteworthy that in the realm of penetrating abdominal trauma, the protective role of subcutaneous adipose tissue has garnered increasing attention. This adipose tissue can act as a protective barrier against trauma, with potential implications, particularly in obese patients. A noteworthy study comparing obese and non-obese trauma patients concerning mortality rates has suggested that obese individuals may experience a lower mortality rate, potentially attributed to the presence of excess adipose tissue. In light Can Fat People Have Sex these considerations, this study aims to elucidate the protective effects of body mass index BMI and subcutaneous adipose tissue thickness SATTin conjunction with abdominal scoring systems, among patients afflicted with penetrating abdominal trauma. By examining these variables, we seek to contribute to the growing body of knowledge on this critical topic, shedding light on the role of obesity in the context of traumatic injuries. This retrospective study involved the comprehensive analysis of abdominal penetrating trauma patients aged 16 and above, who presented to the emergency general surgery unit of Istanbul Medipol Hospital during the period from to A total of patients were included in this study. Patient data, encompassing their medical records, were meticulously reviewed and subsequently categorized into two distinct groups: Gunshot Wound GW and Stab Wound SW. SATT was meticulously measured in millimeters mm using axial plane abdominal computed tomography CT images. Specifically, SATT was calculated by measuring the distance from the middle part of the right rectus muscle to the skin in sections passing through the umbilicus on the axial plane abdominal CT images. In this study, we collected and evaluated a comprehensive set of parameters for all patients, including gender, age, length of hospital stay, the necessity for intensive care unit ICU hospitalization, requirement for blood transfusion, direct transfer from the emergency room to the operating room, mortality rate, Injury Severity Score ISSpenetrating Abdominal Trauma Index PATIand Flint Colon Injury Score FCIS. ISS: The ISS is a widely accepted scoring system that quantifies the overall severity of trauma based on the anatomical regions of the body that are affected. It is calculated by summing the squares of the highest Abbreviated Injury Scale scores from three different body regions. It takes into account various factors such as the location and extent of injury, vascular injuries, and associated injuries within the abdomen. It considers the location and extent of colonic injury to predict patient outcomes. Inclusion criteria comprised patients aged 16 and above who had undergone CT imaging upon emergency admission and had complete height and weight data available in their medical records. This study Can Fat People Have Sex conducted by ethical guidelines and was approved by the İstanbul Medipol University Ethics Committee, with approval number E SPSS Categorical measurements were summarized as numbers and percentages, and continuous measurements as mean, deviation, and minimum-maximum. Conformity to normal distribution was examined using the Shapiro—Wilk test. Mann—Whitney U-test was used for pairwise analysis in groups that did not fit a normal distribution, and Kruskal—Wallis tests were used for the analysis of more than two groups. The sensitivity and specificity values to the SATT mm value were calculated based on the mortality variable of the patients included in the study, and the cutoff value was determined by examining the area under the Receiver Operating Characteristic ROC curve. The statistical significance level was taken as 0. A total of patients were included in the study, 44 of which were GW and were SW. The differences between the parameters related to the GW and SW groups of the patients included in the study were examined in Table 1. Examining the differences between parameters related to BMI classification of patients in the GW group. Examining the differences between parameters related to BMI classification of patients in the SW group. Examination of the differences between the operation findings and related parameters of the patients in the GW group.
Financial Disclosure: The authors declared that this study has received no financial support. Categorical measurements were summarized as numbers and percentages, and continuous measurements as mean, deviation, and minimum-maximum. In this study, we collected and evaluated a comprehensive set of parameters for all patients, including gender, age, length of hospital stay, the necessity for intensive care unit ICU hospitalization, requirement for blood transfusion, direct transfer from the emergency room to the operating room, mortality rate, Injury Severity Score ISS , penetrating Abdominal Trauma Index PATI , and Flint Colon Injury Score FCIS. The same is true for SATT. Müşteri yorumu yazın.
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In our study, we aimed to investigate the relationship between sex hormone levels (E2 and T) and lipid profiles, body fat distributions, and NAFLD in boys. Many factors, such as genetic and environmental factors, stress, socioeconomic status, metabolic rate, and body fat ratio, affect the age of. Sezon. My Mad Fat Diary. In recent years, several studies have explored the impact of subcutaneous fat and visceral fat in the context of penetrating and gunshot injuries.[17,18] These. 1.The choice of treatment is made by the trauma surgeon who deals with the trauma patient. By examining these variables, we seek to contribute to the growing body of knowledge on this critical topic, shedding light on the role of obesity in the context of traumatic injuries. Find articles by Zuhal Altay. Ulus Travma Acil Cerrahi Derg. In light of these considerations, this study aims to elucidate the protective effects of body mass index BMI and subcutaneous adipose tissue thickness SATT , in conjunction with abdominal scoring systems, among patients afflicted with penetrating abdominal trauma. Open in a new tab. Üye Paneli. Ana Sayfa. The patients and healthy controls were informed about the study and all study participants provided written informed consent. Mann—Whitney U-test was used for pairwise analysis in groups that did not fit a normal distribution, and Kruskal—Wallis tests were used for the analysis of more than two groups. With a loving heart full of personal experience and clearly hoping to help gay and straight people understand a phenomenon which has shaped his own life and those of far more than some might think , Mr Oliverio tries to supply some intelligent questions he does , and come up with some reflections and some answers also successfully. Bu incelemedeki görüntüler. Gazete Manşetleri. Für Leute, die wollen, dass die Welt ein klein bisschen schöner wird. Tüm değerlendirmeleri Türkçe'ye çevir. And then the penny drops Şu ülkeden en iyi değerlendirmeler: Türkiye. Ürün ayrıntılarının önceki slaydı. The book has a variety of topics and covers them well. Obesity as a cultural taboo affects everyone. The quality of life scale most frequently used in the field of medicine, SF form, consists of 36 items that evaluate health in terms of physical and mental aspects in 8 scaled sections [ 18 ]. By discussing the prejudices, medical issues, sexual kink, as well as proposing new models for sexual. Deteriorating psychiatric condition causes AS to clinically progress more rapidly [ 6 ]. Examination of the differences between the operation findings and related parameters of the patients in the GW group. Specifically, SATT was calculated by measuring the distance from the middle part of the right rectus muscle to the skin in sections passing through the umbilicus on the axial plane abdominal CT images. A Büyüt. Therefore, there is a need for designed studies evaluating the effects of fat distribution on mortality and morbidity in obese or non-obese patients. Amazon Ödeme Araçları. Well, at the age of 50, I'm still having a far richer sex life than many of my slimmer friends. Financial Disclosure: The authors declared that this study has received no financial support. Similar articles. Anatomical changes resulting in vertebral ankylosis lead to typical kyphotic deformity in patients with AS [ 2 ]. Based on study results, we came to conclusion that pre-obesity led to increase in disease activity of AS patients, deterioration of functional condition, and significant decline in quality of life compared with healthy individuals.
