Vida Sheikh, Arefeh Bashiri, Oldooz Aloosh, Salman Khazaei, Zohreh Kahramfar
{"title":"Determining the Effect of Hemodialysis on Shortness of Breath and Peak Expiratory Flow at the Onset and After Dialysis in ESRD Patients","authors":"Vida Sheikh, Arefeh Bashiri, Oldooz Aloosh, Salman Khazaei, Zohreh Kahramfar","doi":"10.18502/jzms.v6i1.13599","DOIUrl":"https://doi.org/10.18502/jzms.v6i1.13599","url":null,"abstract":"Background: End Stage Renal Disease (ESRD) can cause lung dysfunction by several mechanisms. The aim of this study was to determine the effect of hemodialysis on shortness of breath and Peak expiratory flow (PEF) at the onset and after dialysis in hemodialysis and ESRD patients.
 Methods: In this cross-sectional study, 209 patients with ESRD who had been on dialysis for at least 3 months were evaluated. Shortness of breath and PEF were measured before and after dialysis. Data were analyzed significance level of less than 0.05.
 Results: According to the results, 53.1% of patients were male and 46.9% were female. The mean (SD) age of patients was 57.8 (14.3) years and the duration of dialysis was 37.7 (33.6) months. The mean (SD) PEF before dialysis was 267.9 ±106.3 which increased to 284.6 (113.3) liters per minute after dialysis (p value = 0.001). Patients with High-flux filtration had a higher mean PEF before and after dialysis and less dyspnea after dialysis. Spearman correlation showed a positive correlation between hemodialysis duration and PEF (r = 0.2, p value = 0.011) and positive correlation between the number of weekly hemodialysis sessions (r = 0.2, p value = 0.020) and the PEF with patients' age. There was a negative (r = - 0.2, p value = 0.006).
 Conclusion: The results of this study showed that the PEF after dialysis increases in ESRD, which in patients using high-flux filters, in addition to increasing the PEF, decreases the severity of shortness of breath.","PeriodicalId":496933,"journal":{"name":"مجله دانشکده پزشکی زابل","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136072821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparative Evaluation of Routine Laboratory Tests (Based on Cell Ratios) in Patients with Acute Pulmonary Coronavirus Infection and Acute Pulmonary Non-Coronavirus Infection in Zabol City","authors":"Soleyman Saravani, Mohammad Okati, Hamid Reza Ghaffari, Bahman Fouladi, Javad Poursamimi","doi":"10.18502/jzms.v6i1.13603","DOIUrl":"https://doi.org/10.18502/jzms.v6i1.13603","url":null,"abstract":"Background: Acute respiratory infections are caused by a wide range of viruses. Respiratory spread is the main process of disease transmission. In this study we evaluated neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR) and monocyte-lymphocyte ratio (MLR) indices.
 Methods: This descriptive-analytical study was conducted on patients-files between September 2019 and March 2021. 102 patients were evaluated. 26 men and 30 women were included in the acute coronary group, 16 men and 30 women were included in the non-acute coronary group.
 Results: The mean age of women (53.0 ± 1.9) was higher than that of men (50.2 ± 2.02) in the acute COVID-19 group. The mean NLR index in COVID-19 men (1.65 ± 7.47) was higher than non- COVID-19 men (6.7 ± 1.54). It was also higher in COVID-19 women (10.78 ± 2.54) than non- COVID-19 women (7.9 ± 1.24) (p value > 0.05).The PLR index of COVID-19 men (15.43 ± 2.85) was lower than non- COVID-19 men (15.48 ± 3.48). However, this index was lower in COVID-19 women (22.5 ± 3.36) than non- COVID-19 women (25.2 ± 4.2) (p value > 0.05). The mean of MLR index in COVID-19 men (0.16 ± 0.025) was less than that in COVID-19 women (0.26 ± 0.03) (p value > 0.05). The mean MLR index in non- COVID-19 men (0.22 ± 0.04) was lower than that in non- COVID-19 women (0.23 ± 0.02) (p value > 0.05). The mean MLR index in the COVID-19 men (0.16 ± 0.025) was lower than non- COVID-19 men (0.22 ± 0.04). This index was higher in COVID-19 women (0.26 ± 0.03) than non- COVID-19 women (0.23 ± 0.02) (p value > 0.05).
 Conclusion: The changes in NLR, PLR and MLR indices were in accordance with global studies but were not significant. This may be due to immune responses of patients and laboratory errors (sampling and performing techniques).","PeriodicalId":496933,"journal":{"name":"مجله دانشکده پزشکی زابل","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136072554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}