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At least 19 recordsLinked to original sources

Determination of body surface area in neonatal swine.

The body surface area of 30 neonatal pigs of both sexes, weighing 445--1,976 g, were determined by the direct skinning technique. The range of measured body surface area values was 635--1,400 cm2 (mean = 895.1 cm2). The regression line, fitted to a scatter diagram and calculated by the least square method, was found to be Y = 337.2 + 0.553X; where X was body weight expressed in grams and Y was body surface area expressed in square centimeters.

Animals

Determination of body surface area in the rhesus monkey.

Body surface areas (BSA) of 31 apparently normal rhesus monkeys of both sexes weighing 3.2-5.3 kg were determined by the direct skinning technique. The range of measured BSA was 1,940-3,020 cm2 (mean = 2,430 cm2). The BSA values of male and female monkeys were not significantly different. The K value, calculated as the ratio of BSA (cm2)/body wt2/3 (kg), was 969 +/- 15 (SE). Based on the principle of least squares for goodness of fit between the measured and calculated BSA, the best equation was determined to be (see article). A nomogram was constructed for rapid determination of the BSA of rhesus monkeys with known body weight and lengths (head to anus). Monkey BSA could also be computed by multiplying the DuBois human BSA equation by a factor of 1.147 for the head-to-anus measure of length or by 0.891 for the head-to-heel measurement.

Animals

Predictability of peak serum gentamicin concentration with dosage based on body surface area.

We examined gentamicin dosage based on body surface area (60 mg/m2 intravenously every eight hours) as a means of attaining therapeutic but nontoxic serum concentrations in 58 patients ranging in age from 0.7 to 73 years. All but one patient had peak serum levels between 3.4 and 8.0 microgram/ml. The mean serum gentamicin half-life was shorter in patients less than 10 years of age (76 minutes) than in patients aged 10 to 50 years (116 minutes) and in patients aged 50 to 63 years (184 minutes) (all significant at P less than 0.01). We conclude that gentamicin dosage based on body surface area produces uniform peak serum gentamicin concentrations in both children and adults, and that the safety and efficacy of a shorter dosage interval for children deserves investigation.

Adolescent

Correlational study of speakers' heights, weights, body surface areas, and speaking fundamental frequencies.

The purpose of this investigation was to determine the relationship among speakers' heights, weights, body surface areas, and speaking fundamental frequencies. The recordings of 30 speakers' readings of a standard prose passage were analyzed by means of the Fundamental Frequency Indicator (FFI) to obtain their speaking fundamental frequency characteristics. The speakers' heights and weights were obtained by means of standard measurement procuedures, and their body surface areas were calculated. Pearson product-moment correlation coefficients, computed separately for men and women, indicated that speakers' heights, weights, and body surface areas were not significantly correlated with their speaking fundamental frequencies; female speakers showed a slight negative correlation while male speakers showed a low, positive trend. Implications of these findings and suggestions for future research are discussed.

Body Height

Geometric method for measuring body surface area: a height-weight formula validated in infants, children, and adults.

Estimates of body surface area were made based on measurement of 81 subjects, ranging from premature infants to adults. SA was calculated geometrically for each subject from 34 body measurements, and the values obtained compared with those based on previously published formulas and graphs. The most widely used formula, that of Du Bois and Du Bois, increasingly underestimated SA as values fell below 0.7 m2; the disparity was greatest in the newborn infant (7.96%). Closer agreement was obtained with the equations and nomograms of Body, Brody, Faber and Melcher, and Sendroy and Cecchini, although minor deviations were noted in some age ranges. The formula SA (m2) = weight (kg)0.5378 X height (cm)0.3964 X 0.024265, derived from the measured data by multiple regression analysis, gave a good fit for all values of SA from less than 0.2 m2 to greater than 2.0 m2 (r = 0.998). This formula was used to construct nomograms for estimation of SA in infants, children, and adults from height (length) and weight.

Adult

Severity and prognosis after early excisions from one to twenty percent of the body surface area.

The authors review 101 small and medium early excisions with immediate grafting. They study several parameters concerning the severity of the burn, the time and the duration of the surgical procedure, the blood losses, the effect on the protidemia during the shock period, the duration of the hospital care, the septicemic risk, the mortality, and the functional and cosmetic results. They come to the conclusion that, under 15% of the body surface area, early excision can be done at one single operation with hardly any risk, and that it is better to perform it as soon as possible (before 12 hours if possible). With a good splinting and a daily rehabilitation, the cosmetic and functional results are very satisfactory.

Blood Volume

Resting metabolic rate, weight, surface area and body composition in obese women.

Resting metabolic rate was measured in 22 women with varying degrees of obesity. Body composition was estimated from total body potassium and from total body water, and creatinine excretion in urine was measured over a period of three weeks while the patients were on a creatinine and creatine-free reducing diet. Resting metabolic rate was highly significantly correlated with body weight, surface area, creatinine excretion and lean body mass calculated either from potassium or water measurements (P less than 0.001). Correlation with adipose tissue was less strong, and when multiple regression of both fat and lean on metabolic rate was performed, the relationship was seen to depend mostly on the mass of lean rather than adipose tissue. In obese people the water content of fat-free tissue is greater than that in normal subjects, so it is not valid to assume that fat content can be calculated accurately from a measurement of total body water.

Adipose Tissue

Total red cell volume in healthy young males.

Regression equations of total red cell volume on body weight, body surface area, lean body mass, etc., are provided for a series of 79 normal male volunteer subjects. The regression of total red cell volume on a combination of height and weight provided the smallest standard error of the estimate and the largest correlation coefficient. The coefficient of variation was 1.6 percent between the first and second red cell volume determination in 31 of these subjects. The popular expression of total red cell volume in ml per kg remains unsatisfactory. It is recommended that a comparison be made between a measured total red cell volume and a predicted normal range derived from a regression using body surface area as the independent variable. A simplified graph is provided which clearly delineates normal from abnormal and should prove adequate for most clinical situations.

Adolescent

Surface area of the Taiwan monkey.

The surface areas of seven Taiwan monkeys were determined by applying the plastic tape on sheard skin. The equation, surface area (cm2) = 13.5 (body weight (g) 2/3 was found to describe adequately the relationship between the body weight and body surface area of the Taiwan monkeys ranging from 2.58 to 7.5 kg. The relative distribution of total body surface area among four regions selected fro the calculation of a mean skin temperature in the Taiwan monkeys was also determined. From the data a simple equation for calculating the mean skin temperature (Tsk) of the Taiwan monkeys was derived using four measured skin temperatures. The equation is Tsk = 043.Ttrunk+0.36Tlimb+0.07Ttail+0.14Tfoot.

Animals

Comparative efficacy and safety of pharmacokinetically guided and body surface area-based 5-fluorouracil dosing in colorectal cancer: a systematic review and meta-analysis.

BACKGROUND: Body surface area (BSA)-based 5-fluorouracil (5-FU) dosing remains the standard in colorectal cancer despite substantial interpatient pharmacokinetic variability, which may lead to underexposure, treatment failure, or severe toxicity. This systematic review and meta-analysis evaluated whether pharmacokinetically guided 5-FU dosing improves efficacy and safety compared with conventional BSA-based dosing. METHODS: PubMed/MEDLINE, Embase, and Scopus databases were searched from inception to the final search date. The search identified 1,802 records: PubMed/MEDLINE, 47; Embase, 118; and Scopus, 1,637 records. Comparative randomized and non-randomized studies evaluating pharmacokinetically guided, area under the curve-guided, or therapeutic drug monitoring-based 5-FU dosing versus BSA-based dosing in colorectal cancer were included. Random-effects models were employed. The risk of bias was assessed using RoB 2 and ROBINS-I, and the certainty of evidence was evaluated using GRADE. RESULTS: Five studies comprising 809 unique patients were included. Across the primary severe-toxicity analysis, the pooled denominator was 1,338 reported observations, including 625 in the PK-guided 5-FU dosing arm and 713 in the BSA-based 5-FU dosing arm, because one study reported severe toxicity by treatment cycle rather than by patient. PK-guided dosing was associated with lower severe or grade&#x2009;&#x2265;&#x2009;3 toxicity (RR 0.50, 95% CI 0.33-0.76; P&#x2009;=&#x2009;0.001; I&#xb2;=79%). PK-guided dosing was also associated with a higher objective response rate (RR 1.50, 95% CI 1.24-1.80; P&#x2009;<&#x2009;0.0001) and disease control rate (RR 1.18, 95% CI 1.07-1.30; P&#x2009;=&#x2009;0.001). Severe diarrhea was reduced (RR 0.33, 95% CI 0.18-0.62; P&#x2009;=&#x2009;0.0006), whereas mucositis, neutropenia/leukopenia, and hand-foot syndrome were not significantly different between dosing strategies. CONCLUSION: PK-guided 5-FU dosing was associated with lower severe toxicity and diarrhea and higher objective response and disease-control rates than conventional BSA-based dosing. However, the evidence was derived from a small and clinically heterogeneous group of studies, and progression-free or overall-survival benefits could not be established. The findings apply predominantly to metastatic colorectal cancer treated with infusional 5-FU within FOLFOX- or FOLFIRI-based regimens. CLINICAL TRIAL REGISTRATION: Not applicable. This study was a systematic review and metaanalysis, and not a clinical trial.

Humans

Huddling by rat pups: group behavioral mechanisms of temperature regulation and energy conservation.

Body heat loss was attenuated and oxygen consumption was reduced by huddling in litters of developing rats. Rat pups derive physiological benefits from huddling similar to those enjoyed by adult mammals; these findings contrast with previous characterization of the altricial rat as poikilothermic. Huddling insulates by lessening the explosed body surface area of the participants, thus retarding heat loss and enhancing the efficiency of thermogenesis. These physical mechanisms of the clump are actively regulated by the pups. A novel quantitative measure of huddle size revealed a form of group regulatory behavior in rat pups whereby the surface expanded and contracted with increases and decreases in ambient temperature. The individual basis of this group regulatory activity was investigated by marking individual pups and observing them in huddles by means of time-lapse videography. It was found that individual animals circulate throught the huddle, frequently exchanging locations in the group. By studying the huddle positions of an anesthetized pup and a marked control sibling, dynamics of the pup flow were clarified. Ordinarily, the direction of movement was actively downward, into the pile; immobile pups "floated" on the surface. When the nest temperature was raised to thermoneutral, the direction of pup flow reversed and an immobile animal sank to the depths of the huddle. Through individual competitive adjustments the huddle behaves as a self-regulating unit which provides warmth and insulation to all its active members.

Age Factors

Hydroxyproline peptides and bone mass in postmenopausal and osteoporotic women.

Total and nondialyzable hydroxyproline excretion was measured in 59 postmenopausal women and 68 women with spinal osteoporosis. Hydroxyproline excretion was similar in both groups of women and the hypothesis that hydroxyproline excretion is normally distributed could not be rejected for either group. No relationship was found between hydroxyproline excretion (total and percentage of nondialyzable) and body weight, height, body surface area, or total body calcium or bone mineral content of the radius, or these latter values normalized for age, sex, and body size. There was no difference in hydroxyproline excretion in osteoporotic women who took supplemental calcium as compared to those that did not. These data fail to provide any evidence that bone turnover in osteoporotic women differs from that in younger postmenopausal women, or that osteoporosis arises from a subpopulation of women with rapid bone loss.

Body Height