MARC details
| 000 -LEADER |
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| fixed length control field |
02894nam a22003857a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
221213s20222022 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
2000-9666 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.55729/2000-9666.1080 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
jchim-12-04-114 [pii] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
PMC9533803 [pmc] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
36262891 |
| 245 ## - TITLE STATEMENT |
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| Title |
Effects of Oral Leak Size on Valsalva Responses. |
| 251 ## - Source |
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| Source |
Journal of Community Hospital Internal Medicine Perspectives. 12(4):114-120, 2022. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
J Community Hosp Intern Med Perspect. 12(4):114-120, 2022. |
| 253 ## - Journal Name |
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| Journal name |
Journal of community hospital internal medicine perspectives |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2023 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
epublish |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2022-12-13 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Conclusions: Oral leak size affected VM hemodynamic parameters and level of difficulty. Oral leak size exceeding 1.01 mm significantly affected phase II L MBP. Level of difficulty rose with increasing leak size and was significantly correlated with increase in phase II L MBP. Copyright © 2022 Greater Baltimore Medical Center. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Introduction: We hypothesized that oral leak size, a hitherto unstudied technical variable, would influence hemodynamic responses and difficulty level in executing the Valsalva maneuver (VM). |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Methods: Based on power analysis, 38 healthy participants were included. Oral leak size in random order was 0.35, 0.71, 1.01,1.40 mm. Level of difficulty was rated 1 to 10, with >=7-10 being severe. VM was performed at 40 mmHg expiratory strain for 15 s. Three trials were averaged for each leak size. Data were analyzed by repeated measures ANOVA and pairwise comparisons with Tukey adjustment, a mixed effect model, and a generalized linear model. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Results: Of the 38 participants, 4 were excluded from analysis for protocol deviation. Phase II L mean BP (MBP) was significantly higher with the largest leak versus all others (P < 0.001). TL was significantly lower with the largest leak versus all others (P = 0.0029). Difficulty performing the VM increased significantly with every increase in leak size (P < 0.001), and a significantly higher percentage of participants reported severe difficulty with leak 4 compared with leak 1 (P < 0.001), 2 (P = 0.0068), and 3 (P = 0.0068). There was no significant effect of phase II E SBP decline on phase II L MBP increase (P = 0.0752). Difficulty increased significantly with one unit increase in phase II L MBP (P = 0.0002). |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Union Memorial Hospital |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Medicine |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Khurana, Ramesh K |
| Institution Code |
MUMH |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Mittal, Deepika |
| Institution Code |
MUMH |
| 790 ## - Authors |
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| All authors |
Khurana RK, Mittal D |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.55729/2000-9666.1080">https://dx.doi.org/10.55729/2000-9666.1080</a> |
| Public note |
https://dx.doi.org/10.55729/2000-9666.1080 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
