Tanaffos最新文献_第7页

Sonography Guided Evaluation of Hemodynamic Indices in Critically Ill Patients Suffering from AKI during CRRT. 超声引导下急性肾损伤危重患者CRRT期间血流动力学指标的评价。

Tanaffos Pub Date : 2024-04-01

Morteza Foroumandi, Seyedpouzhia Shojaei, Batoul Khoundabi, Farin Rashid Farokhi, Mehrdad Bakhshayesh Karam, Ahsina Jahan Lopa, Hasan Safdari, Ranajit Chatterjee, Seyed Mohammad Reza Hashemian

{"title":"Sonography Guided Evaluation of Hemodynamic Indices in Critically Ill Patients Suffering from AKI during CRRT.","authors":"Morteza Foroumandi, Seyedpouzhia Shojaei, Batoul Khoundabi, Farin Rashid Farokhi, Mehrdad Bakhshayesh Karam, Ahsina Jahan Lopa, Hasan Safdari, Ranajit Chatterjee, Seyed Mohammad Reza Hashemian","doi":"","DOIUrl":"","url":null,"abstract":"Background: Recent pieces of evidence have shown higher efficacy of continuous renal replacement therapy (CRRT) with regard to improvement of survival in critically ill patients by maintaining hemodynamic stability. The present study aimed to assess hemodynamic conditions before and after CRRT with the point-of-care approach.Materials and methods: The present interventional before-after study was performed on 20 critically ill patients with unstable hemodynamic status admitted to the ICU at Masih-e-Daneshvari Hospital in Tehran in 2019. They were candidate for CRRT due to acute kidney injury (AKI). The main pointed parameters for assessment before and after CRRT included heart rate, mean arterial pressure (MAP), central vein pressure (CVP), the carotid corrected flow time (FTc), carotid peak systolic velocity (PSV), inferior vena cava collapsibility (cIVC), resistive index (RI), and inferior vena cava (IVC) size and distensibility aided by ultrasonography.Results: Regarding the changes in ultrasonography parameters after CRRT, except for carotid PSV, heart rate, and carotid area, other parameters showed a significant change. In this regard, IVC size, FTc, MAP, CVP, internal jugular vein (IJV) area, and RI all significantly decreased while IVC distensibility index significantly increased following CRRT. Similar changes were revealed in the subgroup of patients with hypotension, but in another subgroup without hypotension, the decrease in carotid PSV was also meaningful.Conclusion: Applying CRRT in AKI patients in critically ill situations can effectively balance cardiovascular and hemodynamic parameters and thus lead to more appropriate survival.","PeriodicalId":22247,"journal":{"name":"Tanaffos","volume":"23 4","pages":"341-348"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12464838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hekmat-Based Medicine Approach in Masih Daneshvari Referral Pulmonary Hospital. Masih Daneshvari转诊肺部医院基于hekmat的医学方法。

Tanaffos Pub Date : 2024-04-01

Ali Akbar Velayati, Mohammad Varahram, Elham Ghazanchaei

引用次数: 0

Methylprednisolone-Induced Hyperlactatemia: A Case Report. 甲强的松龙致高乳酸血症1例报告。

Tanaffos Pub Date : 2024-04-01

Sarah Saenz, Anila Bhatti, Aaron Beck, Micah T Long

{"title":"Methylprednisolone-Induced Hyperlactatemia: A Case Report.","authors":"Sarah Saenz, Anila Bhatti, Aaron Beck, Micah T Long","doi":"","DOIUrl":"","url":null,"abstract":"Lactic acidosis is commonly encountered in critical care and can be a harbinger of life-threatening conditions and end-organ ischemia. Importantly, however, other etiologies of lactic acidosis exist. We review the first case of methylprednisolone-induced lactic acidosis in a previously healthy patient who suffered from traumatic spinal cord injury (SCI). A 19-year-old female presented to a level 1 trauma center after a fall resulted in lower extremity paralysis. After imaging revealed a chance fracture dislocation of T7-8 along with spinal cord compromise and swelling, the patient underwent emergent T5-T11 instrumented fusion. Postoperatively, she was given high-dose methylprednisolone in hopes of improving neurologic outcome; soon after administration, she developed lactic acidosis. After workup ruled out hypoperfusion and type A lactic acidosis, we determined that methylprednisolone likely induced non-ischemic, type B, lactic acidosis. The lactate quickly returned to baseline after steroid discontinuation. It is important for clinicians to consider type B lactic acidosis in the ICU in patients with persistent lactic acidosis after tissue hypoperfusion has been ruled out.","PeriodicalId":22247,"journal":{"name":"Tanaffos","volume":"23 4","pages":"409-412"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12464832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimized Conservative Surgical Treatment of Pulmonary Hydatid Cyst: A Retrospective Observational Cohort Study. 肺包虫囊肿的最佳保守手术治疗：回顾性观察队列研究。

Tanaffos Pub Date : 2024-04-01

Abdoulhossein Davoodabadi, Fatemeh Najjarian, Mohammad Java Azadchehr, Esmail Abdorrahhmkashi, Hassan Davoodabadi, Aboulhassan Alijanpour, Babak Haghpanah

{"title":"Optimized Conservative Surgical Treatment of Pulmonary Hydatid Cyst: A Retrospective Observational Cohort Study.","authors":"Abdoulhossein Davoodabadi, Fatemeh Najjarian, Mohammad Java Azadchehr, Esmail Abdorrahhmkashi, Hassan Davoodabadi, Aboulhassan Alijanpour, Babak Haghpanah","doi":"","DOIUrl":"","url":null,"abstract":"Background: There are some controversies on surgical options for pulmonary hydatid cysts. We analyzed our experience in lung tissue preservation during the surgical treatment and optimal surgical options.Materials and methods: This observational cohort analysis was conducted from July 2008 to July 2022. The Age, sex, clinical manifestation, recurrent rate, hospital length of stay, postoperative complications, and long-term results in each group were assessed. The American Society of Anesthesiologists Physical Status, Charlson Co-Morbidity Index (CCI), Complexity of surgery, and Clavien-Dindo score were also determined.Results: Out of 138 patients, 81case (53.5%) had intact cysts (G1), and the rest were infected cysts which in turn were subdivided into early infected (G2) and cavity suppurated=28 cases (18.4%) as (G3). Group G3 required special attention because the pericyst surface was severely inflamed, dirty, and had pus, so they were subdivided into 3 distinctive groups including G3a, undergone cystectomy, bronchial opening closure alone, G3b group, undergone cystectomy, capitonnage+bronchial opening closure and G3c group, in which pericystectomy also added to previously mentioned procedures. Major complications in the subgroups of G3a were 2 patients and G3b 3 patients, but in the subgroup of G3c, no considerable complications were seen. Cystectomy, closure of major bronchial opening, and capitonnage were done in intact, and early infected cysts. The results of both were the same, with no considerable major complication.Conclusion: Capitonnage significantly decreased the complication rate. The optimized approach in both G1 and G2 was: cystectomy, closure of major bronchial opening, and capitonnage. In G3, bronchial opening closure, pericystectomy, and capitonnage were the preferred procedures.","PeriodicalId":22247,"journal":{"name":"Tanaffos","volume":"23 4","pages":"355-363"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12464839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case of Pneumothorax Following Radiation Therapy for Small Cell Lung Cancer in a Patient with Scleroderma-ILD. 硬皮病- ild小细胞肺癌放疗后发生气胸1例。

Tanaffos Pub Date : 2024-04-01

Fatih Uzer, Aykut Cilli

{"title":"A Case of Pneumothorax Following Radiation Therapy for Small Cell Lung Cancer in a Patient with Scleroderma-ILD.","authors":"Fatih Uzer, Aykut Cilli","doi":"","DOIUrl":"","url":null,"abstract":"Connective tissue diseases, particularly scleroderma, pose a heightened risk for the development of malignancies such as breast and lung cancer. Stereotactic Body Radiation Therapy (SBRT) has emerged as an effective treatment modality for various cancers, including lung and breast cancers, due to its curative potential, especially for localized extracranial tumors. A 69-year-old patient with a 30-pack-year smoking history presented with shortness of breath and bilateral diffuse rales on chest auscultation during the outpatient clinic visit. Notably, the patient had not received scleroderma treatment for a year at the time of radiation therapy. Despite the recognized sensitivity of the lungs to radiotherapy, the occurrence of pneumothorax and pneumomediastinum following SBRT in this case raises concerns about the potential complications in scleroderma-ILD patients with lung cancer. This report underscores the need for comprehensive risk assessment and careful consideration of alternative treatment strategies for lung cancer in scleroderma patients, particularly those with pre-existing lung involvement. Further research is warranted to elucidate the mechanisms and risk factors associated with complications following radiotherapy in this patient population, guiding clinicians in optimizing therapeutic approaches for improved outcomes.","PeriodicalId":22247,"journal":{"name":"Tanaffos","volume":"23 4","pages":"413-416"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12464833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Cognitive Behavioral Therapy and Motivational Interviewing on Perceived Stress and ICU Stay in Neurosurgical Patients: A Quasi-Experimental Study. 认知行为疗法和动机性访谈对神经外科患者感知压力和ICU住院时间的影响：一项准实验研究。

Tanaffos Pub Date : 2024-04-01

Ali Solgi, Alireza Zali, Hassan Ahadi, Farhad Jomehri

{"title":"Effectiveness of Cognitive Behavioral Therapy and Motivational Interviewing on Perceived Stress and ICU Stay in Neurosurgical Patients: A Quasi-Experimental Study.","authors":"Ali Solgi, Alireza Zali, Hassan Ahadi, Farhad Jomehri","doi":"","DOIUrl":"","url":null,"abstract":"Background: Neurosurgical operations, especially for brain tumors, are among the most stressful medical procedures due to diagnostic uncertainties, high morbidity, and long post-operative recovery, including ICU admission. Stress management interventions may improve outcomes. This study aimed to compare the effectiveness of Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI) in reducing perceived pre- and post-operative stress and ICU stay in patients undergoing brain surgery.Materials and methods: In a quasi-experimental design, 80 neurosurgical candidates admitted to Shohadaye Tajrish Hospital during 2020-2022 were randomly assigned to intervention and control groups. The intervention group received 15 CBT-based sessions focused on stress management and cognitive restructuring. Stress levels were assessed using Cohen's Perceived Stress Scale (1983), and CBT protocols followed Miller (2003). Data were analyzed with SPSS using chi-square tests, independent and paired t-tests, and ANCOVA.Results: Patients who received CBT demonstrated significantly lower perceived stress scores postoperatively (p<0.001) and had a shorter ICU stay by an average of 3.2 days (p=0.049). No significant demographic differences were observed between groups.Conclusion: CBT significantly reduces perioperative stress and ICU duration in neurosurgical patients. Integrating psychological interventions like CBT into preoperative care protocols may enhance recovery, reduce complications, and lower healthcare costs.","PeriodicalId":22247,"journal":{"name":"Tanaffos","volume":"23 4","pages":"403-408"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12464836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hodgkin's Lymphoma in a 34-Year-Old Patient with Digital Clubbing: A Case Report. 34岁霍奇金淋巴瘤伴数字球棍1例。

Tanaffos Pub Date : 2024-04-01

Pouyan Ebrahimi, Jalal Heshmatnia, Amirmorteza Solemanijoniani

引用次数: 0

A 15-Year-Old Girl with Chronic Cough and a History of Asthma Treatment. 15岁女孩慢性咳嗽，有哮喘治疗史。

Tanaffos Pub Date : 2024-04-01

Maryam Hassanzad, Korosh Fakhimi Derakhshan, Ali Akbar Velayati

引用次数: 0

Heart Rate Variability in Obstructive Sleep Apnea: Association with Excessive Daytime Sleepiness and Cardiovascular Risk. 阻塞性睡眠呼吸暂停的心率变异性：与白天过度嗜睡和心血管风险相关。

Tanaffos Pub Date : 2024-04-01

Besharat Rahimi, Niloofar Khoshnam Rad, Tayebe Mohammad Alizade, Somaye Mohammadi, Shahram Firoozbakhsh

{"title":"Heart Rate Variability in Obstructive Sleep Apnea: Association with Excessive Daytime Sleepiness and Cardiovascular Risk.","authors":"Besharat Rahimi, Niloofar Khoshnam Rad, Tayebe Mohammad Alizade, Somaye Mohammadi, Shahram Firoozbakhsh","doi":"","DOIUrl":"","url":null,"abstract":"Background: Obstructive sleep apnea (OSA) is associated with increased vagal activity, sympathetic nervous system activation, and cardiovascular complications. Excessive daytime sleepiness (EDS) in OSA patients is a predictor of cardiovascular and all-cause mortality. Heart rate variability (HRV) can be used to assess cardiac autonomic modulation, which is affected by OSA. This study aimed to evaluate the relationship between HRV and daily sleepiness in OSA patients based on the excessive sleep scale (ESS) scores.Materials and methods: The study included 70 patients with OSA, divided into two groups: those with EDS (ESS ≥ 11) and those without sleepiness (ESS < 11). Time and frequency domain parameters were evaluated. The results were compared and analyzed between the two groups.Results: Patients with OSA and EDS had higher cardiovascular risk, as indicated by different HRV parameters (higher low-frequency parameter and higher time domain parameters), compared to non-sleepy OSA patients. A significant positive correlation was found between ODI and AHI with VLF, and significantly higher LF and VLF in EDS patients.Conclusion: OSA patients with EDS had higher cardiovascular risk, as indicated by different HRV parameters, compared to non-sleepy OSA patients. A significant positive correlation was found between ODI and AHI with VLF, and significantly higher LF and VLF in EDS patients. Further studies are needed to better understand the relationship between HRV and daily sleepiness in patients with OSA.","PeriodicalId":22247,"journal":{"name":"Tanaffos","volume":"23 4","pages":"371-375"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12464837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antiviral Effects of Sinamaz®: Potentials for COVID-19 Management. Sinamaz®的抗病毒作用：治疗COVID-19的潜力。

Tanaffos Pub Date : 2024-03-01

Mohsen Naseri, Babak Daneshfard, Mehrdad Ravanshad, Arezoo Nabizadeh, Farzaneh Ghaffari

引用次数: 0