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جستجوی مقالات مرتبط با کلیدواژه « fluid » در نشریات گروه « پزشکی »

  • Seyed Mahmoud Mahdi Zadeh Diva, Pooria Gill, Adele Rafati *

    Considering the importance of early diagnosis of diseases as a challenge in medicine, which can be significantly effective in increasing the health level of society via preventing the progress and spread of infectious diseases, especially in developing and underprivileged countries with insufficient medical facilities. On the other hand, medical diagnosis methods that require advanced equipment and tools with expert staff limit the use of these tests. Along with the continuous development of technology, microfluidic systems have shown great potential to advance biomedical research that was previously unattainable using conventional techniques. For point-of-care applications, these systems can quickly detect diseases at low cost. This study discusses the challenges in the field of medical diagnosis and the importance of microfluidic systems as the best candidate to answer this need. Also, it describes the components of the microfluidic system, their manufacturing methods, and some of their most important applications in the field of health.

    Keywords: Microfluidic System, Point Of Care, Diagnostics, Fluid, Lab On A Chip, Portable Platform}
  • Rahul Tatyarao Shete, Bhaskar Narayan Thorat, Purnima Dhanraj Amin*
    Background

    Carbamazepine (CBZ) is a BCS II class drug, having many challenges in solubility, flowability, and compactibility. The study focused on the improvement of solubility, flow behavior, and drug release of carbamazepine.

    Methods

    Low shear granulation (LSG), extrusion spheronization (ES), high shear granulation (HSG), fluid bed granulation (FBG), and hot melt granulation (HMG) methods were employed to prepare CBZ granules. Polyvinylpyrrolidone (PVP) K29/32, PVP K90, and Hydroxypropyl methylcellulose (HPMC) E5 were used as a binder. The drug to binder ratio was maintained in the proportion of 95:5. The nature of granules was analyzed by using X-ray Diffraction and Differential Scanning Calorimetry techniques. A powder flow tester was utilized to study the flow characteristics of the granules.

    Results

    The HMG has successfully converted the crystalline structure of CBZ granules into an amorphous form. Dispersive and distributive mixing in the HMG has achieved better solid dispersion and fast drug release. The ES technique has reported the incompressible nature of the granules. PVP K90 and HPMC E5 were superior binders for imparting strength to the CBZ granules than PVP K29/32. The FBG has exhibited the free-flowing nature of granules due to their uniform and spherical shape.

    Conclusion

    The HMG and FBG were the most effective methods that have remarkably improved drug release, flow properties, and compactibility of CBZ granules.

    Keywords: Binder, Carbamazepine, Fluid, Granulation, Melt}
  • Zahra Fallah_Gordon A Ferns_Majid Ghayour Mobarhan*
    Background

    Functio nal Gastrointestinal Diseases ( FGIDs ) impose a huge health burden , and lead to metabolic and mental disorders, impaired social function and productivity, reduced quality of life, higher total mortality and health care cost . Beverages are one of the major c omponents of habitual dietary habits that may influence the symptoms of FGIDs.

    Objective

    The purpose of this study was to review the effect of frequent dietary fluids on common causes of FGIDS including functional dyspepsia (FD), irritable bowel syndrome (IBS), gastroesophageal reflux disease (GERD) and functional constipation (FC) .

    Methods

    A literature search was done using the following search engine s : PubMed, Google S cholar and ISI web of science with the following search terms “beverage s ”, tea”, “caff eine”, “coffee”, “milk”, “water”, “fruit juice”, “carbonated beverage”, “constipation”, “irritable bowel syndrome”, “gastroesophageal reflux disease”, “dyspepsia”,.

    Results

    In this review, 85 studies were evaluated . It was shown that to higher intakes of caffeinated drinks, fruit juice, milk, soft drinks and carbonated beverages a re associated with aggravating symptoms in GERD, IBS and FD. The data on the relation between water consumption with GERD, IBS and FD a re limited and inconsistent. However, consu mption of fruit juices and water was related to an improvement in constipation.

    Conclusion

    Fluid intake can be effective in the management of FGIDs symptoms. However, further investigation on the role of various fluids consumption on symptoms of FGIDS is required

    Keywords: Functional Gastrointestinal Disease, Water, Fluid, Beverages, Juice}
  • Mahmood Ghafoori Yazdi, Arya Shoghli, Sina Faghihi, Alireza Baratloo
    Hemodynamic monitoring is needed in up to 58% of patients presented to the emergency department. Central venous pressure (CVP) monitoring is generally useful to assess general volume status. There are several methods of CVP measurement, which can be categorized as invasive and non-invasive. CVP manometer and electronic transducer are among the invasive methods and direct observation, ultrasonography and plethysmography are examples of non-invasive ones. All the mentioned methods have some negative points and shortcomings. Here we introduce a new device that can facilitate CVP measurement and provide physicians with further data that can be helpful regarding decision making and patient management.
    Keywords: emergency medicine, cvp, medical equipment, trauma, fluid, Hemodynamic Monitoring}
  • Keyvan Hajirayat, Seifollah Gholampour, Amir Saeed Seddighi, Nasser Fatouraee
    Background
    Aneurysm is a blood-filled bulge in the wall of vessels that occurred in abdominal aortic and cerebral vessels. The dilation of artery leads to aneurysm.
    Methods
    Three dimensional modelling was utilized for a patient with cerebral aneurysm and a normal subject, and additional fluid-structural interaction simulation was performed. We consider pulsatile blood velocity as inlet, and blood pressure as outlet of flow.
    Results
    The main results including blood velocity, wall shear stress (WSS) of vessel and displacement of wall of vessel. The maximum velocity in normal subject has been 0.2 m/s, that this value in a patient has increased into 0.27 m/s. Blood flow in normal subject and patient remained in limitation of laminar flow and occurrence of aneurysm, has not lead into the turbulent flow. The results showed, WSS in the of vessel after occurrence of aneurysm has increased into 6.3 times greater than normal, which this difference revealed that this parameter was proper index for evaluation of aneurysm. Also, the phase lag of WSS between the normal subject and patient has been 98º that this phase lag was significant in two cases. Due to occurrence of aneurysm, the thickness of the wall decreased during the disease by up to 10% which the continuation of disease progress result in rupture of vessel.
    Conclusion
    To help the physician, besides analysing hemodynamic parameters of blood flow through non-invasive method, the effective numerical indices (WSS magnitude and WSS phase lag between patient and normal subject) introduced in order to evaluation cerebral aneurysm conditions.
    Keywords: Fluid, structural interaction, Wall shear stress, Numerical index, Blood velocity, Displacement of vessel}
  • Masoud Dehdashtian, Mohammadreza Aramesh, Arash Malakian, Mohammad, Hasan Aletayeb, Anahita Ghaemmeghami
    Objective
    The incidence of Transient Tachypnea of Newborn (TTN) is higher in infants born by cesarean section than with vaginal delivery. Treatment of transient tachypnea of newborn is supportive. The purpose of this study was to assess the effect of restricted fluid volume intake on the course of respiratory distress in patients with TTN.
    Methods
    This is a quasi-experimental clinical trial of 83 neonates diagnosed with TTN admitted to a neonatal intensive care unit in south west Iran. In this study the effect of restriction of maintenance fluid volume in the course of respiratory distress in newborns with transient tachypnea was assessed.
    Findings
    In the standard fluid volume intake group 18 (42.8%) cases needed nasal continuous positive airway pressure (NCPAP) and one (2.38%) case mechanical ventilation, and in restricted fluid volume intake group 13 (32.5%) cases needed NCPAP and two (5%) cases mechanical ventilation. 54.82% of cases were supported with oxyhood in the standard fluid volume and 62.5% in the restricted fluid volume intake group. Differences in duration of the needed NCPAP and oxygen hood between the two groups were significant. Fluid restriction had no adverse effect on the urine specific gravity or weight loss of the studied newborns.
    Conclusion
    Limited fluid administered to newborns with transient tachypnea of newborn is safe and resulted in shorter duration of respiratory support.
    Keywords: Transient Tachypnea of Newborn, Specific Gravity, Fluid, Newborns, Cesarean Section}
  • میترا ذوالفقاری، فاطمه سوخک *، احمدعلی اسدی نوقابی، حمید حقانی
    مقدمه
    افزایش در مصرف مایعات و رژیم غذایی نامناسب باعث ایجاد عوارض و مرگ و میر زودرس می شود. به منظور بهبود تبعیت از رژیم غذایی و محدودیت مصرف مایعات در بیماران همودیالیزی می توان از استراتژی های مداخله ای مانند آموزش بیمار و استراتژی های شناختی- رفتاری استفاده کرد. لذا این پژوهش با هدف بررسی تاثیر مداخله شناختی- رفتاری بر تبعیت از رژیم غذایی و محدودیت مصرف مایعات در بیماران همودیالیزی انجام شد.
    روش
    این کارآزمایی بالینی در فاصله بهمن 1391 تا خرداد 1392 در بخش همودیالیز بیمارستان امام رضا (ع) لارستان و ولیعصر (عج) لامرد انجام شد. نمونه های پژوهش 70 بیمار در محدوده سنی 20 تا 60 سال بودند که به طور تصادفی در دو گروه مداخله (35 نفر در روزهای زوج) و کنترل (35 نفر در روزهای فرد) قرار گرفتند. در گروه مداخله، مداخله شناختی- رفتاری شش مرحله ای انجام شد مراحل آن شامل: مرحله اول: شناسایی مشکل بیمار، مرحله دوم: ایجاد اعتماد به نفس و تعهد، مرحله سوم: افزایش آگاهی از رفتار، مرحله چهارم: طراحی و اجرای یک برنامه آموزشی، مرحله پنجم: ارزشیابی برنامه طراحی شده، مرحله ششم: حفظ تغییر رفتار مطلوب و جلوگیری از بازگشت به رفتار نامطلوب بود. میزان تبعیت بیماران از رژیم غذایی و محدودیت مایعات با استفاده از پرسشنامه پژوهشگر ساخته تبعیت از رژیم غذایی و محدودیت مایعات به روش خودگزارش دهی، در دو مرحله (قبل از مداخله و بعد از مداخله) بررسی شد. تجزیه و تحلیل داده ها با استفاده از نرم افزار SPSS v.16 با آزمون آماری t مستقل انجام شد. سطح معناداری در این مطالعه 05/0 در نظر گرفته شد.
    یافته ها
    قبل از انجام مداخله دو گروه از نظر میزان تبعیت از رژیم غذایی (47/0=p) و محدودیت مصرف مایعات (43/0=p) اختلاف معناداری نداشتند. اما بعد از مداخله اختلاف معناداری بین دو گروه از لحاظ میزان تبعیت از رژیم غذایی (001/0p<) و محدودیت مصرف مایعات (001/0p<) مشاهده شد.
    نتیجه گیری
    با توجه به اثربخشی مداخله شناختی- رفتاری می توان از این مداخله به منظور طراحی برنامه آموزشی فردی در جهت بهبود تبعیت از رژیم غذایی و محدودیت مصرف مایعات در بیماران همودیالیزی استفاده نمود.
    کلید واژگان: مداخله شناختی, رفتاری, تبعیت از رژیم غذایی, محدودیت مصرف مایعات, همودیالیز}
    M. Zolfaghari, F. Sookhak *, A. Asadi Noughabi, H. Haghani
    Introduction
    Adherence to dietary and fluid-intake restrictions is an important factor in the treatment of patients with chronic renal disease. Using intervention strategies such as patient education and cognitive–behavioral therapy can improve adherence to dietary and fluid restrictions in hemodialysis patients. The aim of the present study was to investigate the effect of cognitive-behavioral intervention on adherence to dietary and fluid-intake restrictions in hemodialysis patients.
    Method
    This clinical trial conducted in Emam Reza and Valiasr Hospitals in the year 2013. Then 70 patients aging from 20 to 60 years recruited randomly into the study and were assigned into two groups: intervention (N=35 on even days) and control (N=35 on odd days). In the intervention group، cognitive-behavioral process performed after the following six steps: 1- Identifying the problem، 2- Creating confidence and commitment، 3- Increasing awareness of behavior، 4- Developing and implementing the action plan، 5- evaluation of the planed design، 6- Maintaining the desired behavior and prevention of undesirable one. Adherence to dietary and fluid-intake restrictions were assessed by using self-report questionnaire، in two stages (pre-test and post-test). Data analysis was performed by SPSS software version 16 and independent t-test. Significant level of study was 0. 05.
    Results
    Before the test، there was no significant difference in terms of adherence to diet (p=0. 47) and fluid restriction (p=0. 43). At post-test، significant differences were observed between the two groups in terms of adherence to dietary (p<0. 001) and fluid restriction (p<0. 001).
    Conclusion
    Cognitive-behavioral intervention could be used in designing an Individualized Educational Program for better adherence to the treatment regimen in hemodialysis patients.
    Keywords: Cognitive, behavioral intervention, adherence to dietary, fluid, intake restrictions, hemodialysis}
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