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Gholam Reza Noori, Naser Keykhali,
Volume 15, Issue 9 (2-2013)
Abstract

Background: Central venous catheterization (CVC) is a common procedure associated with various side effects such as pneumothorax. Recently, the routine post-catheterization chest X-ray has been challenged. The aim of the present study was to design a scoring system for selecting patients requiring radiography after CVC procedure. Materials and Methods: In this cross-sectional study, 210 patients requiring CVC were enrolled in the study and pneumothorax potential risk factors, including body mass index>30, history of neck or chest surgery, emphysematous disease, history of catheterization, number of punctures, inappropriate position during CVC, and treatment with ventilator were recorded. Finally, chest radiography and clinical signs before and after CVC were compared and scoring system sensitivity and specificity were determined. Results: Incidence of pneumothorax was 5.24%. The number of punctures and patient's position and history of catheterization showed significant associations with pneumothorax development (p<0.001). Pneumothorax incidence in patients with score> 4 was 80% which was significantly higher than patients with score<4 (OR: 174.2, p<0.001). Sensitivity and specificity of using the scoring system at cut-off score> 2 were 81.8% and 87.9%, respectively. Conclusion: The results of this study showed that pneumothorax development risk is very low in patients with score<2 and there is no need for post CVC routine chest X-ray. However, in patients with score>4, pneumothorax development risk is high and it seems that chest radiography with close intervals even more than one time is necessary. Further studies are recommended to validate the proposed scoring system.
Ms Shiva Molavi, Mr Mohammad Parastesh, Mr Abbas Saremi, Mr Mohammad Reza Bayatiyani,
Volume 25, Issue 6 (3-2023)
Abstract

Introduction: In recent years, the use of X-rays in medicine and industry has expanded significantly. X-rays can cause oxidative stress and subsequently induce destructive effects on the kidneys. On the other hand, it has been proven that according to the theory of hormesis, resistance exercises have antioxidant effects, which may be used to reduce the harmful effects of X-rays. This study investigated the effect of resistance training on oxidative stress factors and structural changes in kidney tissue in rats exposed to X-rays
Methods: Twenty-four male rats were randomly divided into 4 groups. The irradiated groups were exposed to 4Gy X-ray. The training groups were exercised 5 times per week for 10 weeks. 24 hours after the last training session, blood samples were collected for evaluation of oxidative and antioxidant factors, and kidney tissue was isolated for stereological studies. The data was analyzed by one-way ANOVA in SPSS 20 software.
Results: In this study, whole-body X-ray irradiation caused a significant increase in kidney volume (P=0.003), cortex volume (P=0.02), glomerular volume (P=0.039), and serum Malondialdehyde (MDA) level (P=0.03). Also, performing the training protocol significantly reduced kidney volume (P=0.03), cortex volume (P=0.04), glomerular volume (P=0.033), and serum MDA level (P=0.02).
Conclusions: Based on this research, it seems that resistance training can lead to a decrease in glomerular filtration by creating adaptation and increasing antioxidant defense and changes in the hemodynamics of the kidneys, and as a result, reducing the volume and number of glomeruli, reducing the volume of the cortex and kidney, and it can improve the structure of kidney tissue in rats exposed to X-ray radiation.


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