Biomedical subjects

M N Souza

Publications and source records attributed to M N Souza.

3 recordsLinked to original sources

PubMed2004

Bioelectrical impedance spectroscopy for the assessment of body fluid volumes of term neonates.

The assessment of fluid volume in neonates by a noninvasive, inexpensive, and fast method can contribute significantly to increase the quality of neonatal care. The objective of the present study was to calibrate an acquisition system and software to estimate the bioelectrical impedance parameters obtained by a method of bioelectrical impedance spectroscopy based on step response and to develop specific equations for the neonatal population to determine body fluid compartments. Bioelectric impedance measurements were performed by a laboratory homemade instrument. The volumes were estimated in a clinical study on 30 full-term neonates at four different times during the first month of life. During the first 24 hours of life the total body water, extracellular water and intracellular water were 2.09 +/- 0.25, 1.20 +/- 0.19, and 0.90 +/- 0.25 liters, respectively. By the 48th hour they were 1.87 +/- 0.27, 1.08 +/- 0.17, and 0.79 +/- 0.21 liters, respectively. On the 10th day they were 2.02 +/- 0.25, 1.29 +/- 0.21, and 0.72 +/- 0.14 liters, respectively, and after 1 month they were 2.34 +/- 0.27, 1.62 +/- 0.20, and 0.72 +/- 0.13 liters, respectively. The behavior of the estimated volume was correlated with neonatal body weight changes, leading to a better interpretation of such changes. In conclusion, this study indicates the feasibility of bioelectrical impedance spectroscopy as a method to help fluid administration in intensive care neonatal units, and also contribute to the development of new equations to estimate neonatal body fluid contents.

Body Composition↗

PubMed2004

Determination of radial artery compliance can increase the diagnostic power of pulse wave velocity measurement.

Pulse wave velocity (PWV) is an indicator associated with the arterial stiffness. Although this technique has been used in the diagnosis of systemic arterial hypertension (SAH), it cannot supply alone enough information about the pathogenesis of this disturbance. This paper aims to determine the compliance of brachial-radial arterial segment by applying a three-element windkessel model, and by using the same pressure waveforms acquired to calculate the PWV. The proposed method to determine the arterial compliance was evaluated with a physical simulation of the arterial system, where parameters were known, resulting in an estimation error of 0.73 x 10(-7) cm5 dyne(-1). In a clinical study the estimated compliance was statistically different (p < 0.01) in a controlled group ((3.12 +/- 3.53) x 10(-7) cm5 dyne(-1)) and in an SAH group ((1.04 +/- 0.74) x 10(-7) cm5 dyne(-1)). It was observed that the PWV value calculated using the maximum of the first derivative of the pressure waveform upstroke as characteristic points was the best correlated (r = -0.71) with the determined compliance. Because SAH normally results, among other causes. from a decreased arterial compliance the results suggest that the determined compliance could be used concomitantly with PWV to supply more diagnostic information about the pathogenesis of SAH.

Blood Flow Velocity↗

PubMed2000

A method for bio-electrical impedance analysis based on a step-voltage response.

Bioimpedance analysis (BIA) has been researched broadly, since it is simple, it presents good results and the analysers are portable, allowing it to be used in field studies. This paper presents a new technique of BIA based on a step-voltage current response and bipolar electrode array. A prototype of this new kind of analyser was developed and constructed to test the technique. Bench tests were performed to calibrate the prototype and the obtained results were comparable to those of commercial analysers. Body composition tests were conducted on 67 subjects of both sexes. Besides the bioimpedance analysis, anthropometric measures, consisting of weight, height, circumference and skinfold thickness, were also obtained from the subjects to allow an estimation of the body composition from anthropometric equations established in the literature. The results point to a good correlation (Pearson coefficient, r = 0.9645) between the anthropometric estimated fat-free mass (FFM) and its analogue estimated by the new bioimpedance technique.

Adult↗