Fluid volume management in patients with pulmonary arterial hypertension (PAH) is essential in preventing right ventricular failure. Volume overload may be caused by disease progression, indiscretion of dietary sodium and fluid intake, or medication side effects, and is a frequent complication in patients with PAH. Healthcare professionals (HCPs) who care for patients with PAH have a key role in monitoring, preventing, and managing volume overload. Volume management techniques in patients with PAH include managing diuretic use and electrolyte imbalances, and monitoring fluid retention that can occur from the use of endothelin receptor antagonists or calcium channel blockers. Healthcare providers can create volume management protocols as well as patient educational materials. Patients should be educated to self-monitor their daily weights, incorporate dietary restrictions, and recognize symptoms associated with volume overload. Tools to help HCPs with volume management in patients with PAH are provided in this article.Funding Actelion Pharmaceuticals US, Inc.
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http://dx.doi.org/10.1007/s41030-018-0052-z | DOI Listing |
Cardiovasc Eng Technol
January 2025
Institute for Medical Engineering and Science, Massachusetts Institute of Technology, MA, Cambridge, USA.
Purpose: Atrial fibrillation (AF) is the most common chronic cardiac arrhythmia that increases the risk of stroke, primarily due to thrombus formation in the left atrial appendage (LAA). Left atrial appendage occlusion (LAAO) devices offer an alternative to oral anticoagulation for stroke prevention. However, the complex and variable anatomy of the LAA presents significant challenges to device design and deployment.
View Article and Find Full Text PDFSci Rep
January 2025
College of Engineering, Applied Science University (ASU), Manama, Kingdom of Bahrain.
This paper presents an in-depth analytical investigation into the time-dependent flow of a Casson hybrid nanofluid over a radially stretching sheet. The study introduces the effects of magnetic fields and thermal radiation, along with velocity and thermal slip, to model real-world systems for enhancing heat transfer in critical industrial applications. The hybrid nanofluid consists of three nanoparticles-Copper and Graphene Oxide-suspended in Kerosene Oil, selected for their stable and superior thermal properties.
View Article and Find Full Text PDFIntroduction: There is a general impression that patient-based quality control (PBQC) requires a high volume of laboratory results to detect errors effectively. However, internal quality control (IQC) performed infrequently may be associated with increased risk of missed error (i.e.
View Article and Find Full Text PDFNeuroimage
January 2025
Open Innovation Institute, Kyoto University, Kyoto, Japan; Graduate School of Management, Kyoto University, Kyoto, Japan; Institute of Innovative Research, Tokyo Institute of Technology, Meguro, Tokyo, Japan; ImPACT Program of Council for Science, Technology and Innovation (Cabinet Office, Government of Japan), Chiyoda, Tokyo, Japan; Office for Academic and Industrial Innovation, Kobe University, Kobe, Japan; Brain Impact, Kyoto, Japan.
The impacts of air pollution, local climate, and urbanization on human health have been well-documented in recent studies. In this study, we combined magnetic resonance imaging (MRI) brain analysis with a questionnaire survey on the local environment in 141 healthy middle-aged men and women. Our findings reveal that a favorable environment is positively correlated with gray matter volume (GMV) in the frontal and occipital lobes, cerebellum, and whole brain, as well as with fractional anisotropy (FA) in the fornix (including the fornix stria terminalis), posterior thalamic radiation (PTR), sagittal stratum (SS), and whole brain.
View Article and Find Full Text PDFJ Phys Act Health
January 2025
Department of Physiotherapy, Faculty of Allied Medical Sciences, Middle East University, Amman, Jordan.
Background: Aerobic exercises (AEs) have gained much interest in managing fibromyalgia (FM). This trial aimed to find out how AEs affect women with FM in terms of lung function, chest expansion, dyspnea, exercise capacity, and quality of life.
Methods: Eighty FM-diagnosed women were allocated randomly into 2 equal-sized groups.
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