Medicine
Elizabet Hitachi
Abstract
It is important to talk comfortably with the patient and their family about the risk factors for coronary heart disease. The patient should know that if these factors such as nutrition and exercise are controlled, other factors such as heredity cannot be very effective. Research has shown that a person ...
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It is important to talk comfortably with the patient and their family about the risk factors for coronary heart disease. The patient should know that if these factors such as nutrition and exercise are controlled, other factors such as heredity cannot be very effective. Research has shown that a person without ischemia can develop ischemia within a year. Recommendations regarding the risk factors for smoking cessation, maintaining blood pressure, low-fat diet and taking medication as needed, participating in regular aerobic exercise, diabetes control, stress management, BODY FAT less than 18-22% are important. Do not use previous medications, if they have not been prescribed after surgery, do not change or stop medications without a doctor's prescription, use medications at their own time, if you forget to take one dose, take only the next dose and do not use it repeatedly. Daily and weekly use of medicines can be used, consult a doctor to use over-the-counter medicines such as painkillers, syrups, herbal medicines to be aware of their interactions and side effects, along with medicines when traveling, in case of flight by plane. Do not leave medicines in the car or in the sun, contact your doctor to maintain the long-term effectiveness of medicines and prevent possible side effects.
Medicine
Fransis Harvardy
Abstract
Indication when upper airway obstruction due to soft tissue or tongue (excluding epiglottis) in a conscious or unconscious patient with a healthy gag reflex and when extensive tissue damage around the mouth and jaw and chin wiring is not possible. It is used in the case of pharyngeal edema or excessive ...
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Indication when upper airway obstruction due to soft tissue or tongue (excluding epiglottis) in a conscious or unconscious patient with a healthy gag reflex and when extensive tissue damage around the mouth and jaw and chin wiring is not possible. It is used in the case of pharyngeal edema or excessive nasal discharge in children to reduce soft tissue damage when nasal tracheal suctioning is frequently required. Nasal airway placement stimulates the patient's nausea reflex. If the tube is too long, it may enter the esophagus and cause the stomach to dilate. Epistaxis may occur and cause blood to be aspirated. The nasal airway should not be used for patients with extensive facial trauma or a fracture of the basilar portion of the cranial base. Choose the nostril that is larger and more open. Examine the passageway for trauma and foreign body wall deviation or polyps. Prepare suction devices for use if necessary. Measure the length of the nasopharyngeal airway from the tip of the nose to the edge of the ear. Nasal bleeding, aspiration, secondary hypoxia with incorrect placement. The endotracheal tube may be inserted through the nose or mouth. The placement method is visible using a laryngoscope and blindly through the nose. The goal is to establish a safe and efficient air route. Protection of trachea and lungs from aspiration of gastric, blood, and fluid contents from airway compartments, airway for mechanical ventilation, direct access to lungs for excretion or suction, discharge of emergency drugs for rapid absorption through bronchial tree.
Medicine
Melika Shojaei
Abstract
A B S T R A C TIntroduction: Since its release, ChatGPT has taken the world by storm with its utilization in various fields of life. This review's main goal CHATGPT is a CHATGPT developed by Open AI. This robot is trained with the help of artificial intelligence on a large amount of data to learn language ...
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A B S T R A C TIntroduction: Since its release, ChatGPT has taken the world by storm with its utilization in various fields of life. This review's main goal CHATGPT is a CHATGPT developed by Open AI. This robot is trained with the help of artificial intelligence on a large amount of data to learn language patterns. In the medical application of CHATGPT, the main topic is the conversation between doctors and patients. Method: In this study we searched in Scopus, Google scholar, PubMed databases and by searching with keywords such as "Nursing Services", "Importance of CHATGPT” and “Medical Education” during 2018-2024 to obtain articles related to the selected keywords. This innovation has the potential to automate daily tasks such as generating patient records or writing reports. By studying more than 45 articles about CHATGPT and the role of artificial intelligence in medicine, the results of this study showed that CHATGPT, with its very high potential, can play an important role in the field of interactions between humans and artificial intelligence and intelligent systems in the future. Results: The move towards the use of artificial intelligence in medicine, which is informed by patient information, can provide more personalized and clinically accurate answers to patients. Also, according to the findings of this research, it can be said: Automating administrative functions, scheduling visits, simplifying notes, checking insurance approvals for drugs, and other repetitive daily tasks can reduce the focus on administrative tasks and more time for providing medical care in to authorize the personnel. Conclusion: In this research, the researchers noticed the mistakes of CHATGPT chat bot in creating cancer treatment programs. According to these researchers, this chat bot had provided one-third of its answers in the field of designing treatment programs with incorrect information.
Medicine
Mohsen Nabiuni; Jaber Hatam; Maryam Milanifard; Elham Seidkhani; Amin Jahanbakhshi
Abstract
Peripheral neuropathy is the result of damage to nerves outside the brain and spinal cord and often causes weakness, numbness and pain, usually in the hands and feet. It can also affect other parts and functions of the body such as digestion, urination and blood circulation. The peripheral nervous system ...
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Peripheral neuropathy is the result of damage to nerves outside the brain and spinal cord and often causes weakness, numbness and pain, usually in the hands and feet. It can also affect other parts and functions of the body such as digestion, urination and blood circulation. The peripheral nervous system is responsible for sending information from the brain and spinal cord to other parts of the body. Also, peripheral nerves send sensory information to the central nervous system. Peripheral neuropathy can be caused by severe injuries, infections, metabolic problems, hereditary causes, and exposure to toxic substances, one of the most common causes of which is diabetes. People with peripheral neuropathy usually experience throbbing, burning, or tingling pain, and in many cases, symptoms improve. Especially if the cause is a treatable problem. Medicine can also reduce the pain of peripheral neuropathy. There are different types of peripheral neuropathy caused by different causes. These cases range from carpal tunnel syndrome to nerve damage due to diabetes. All types of peripheral neuropathy as a group are especially common in people over 55 years of age. This condition affects 3-4% of people in this group. Neuropathies are usually categorized based on the problems they cause and their causes. There are also terms that indicate how severe the nerve damage is.
Medicine
Marjan Dehdilan; Khosrow Hashemzadeh
Abstract
Introduction: In adults, readmission within 30 days of heart surgery is a major factor in hospital costs for heart surgery, but current data on risk factors for readmission are scarce. Therefore, we sought to identify performance-adjusted risk factors for coronary artery bypass graft (CABG) re-admissions.Material ...
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Introduction: In adults, readmission within 30 days of heart surgery is a major factor in hospital costs for heart surgery, but current data on risk factors for readmission are scarce. Therefore, we sought to identify performance-adjusted risk factors for coronary artery bypass graft (CABG) re-admissions.Material and Methods: The records of patients who underwent CABG at our institution between 2012-14 were analyzed for contrast with prospectively recorded case studies, including New York Cardiac Surgery Reporting System (CSRS) events, prescriptions, and testing costs.Results: Read rate 13% ; The CSRS estimated value is 8.7% (observed/predicted ratio = 1.5). The median time from CABG discharge to readmission was 6 days (interquartile range [IQ] 3 to 13 days). The median length of hospital stay was 4 days (IQ 2 to 7 days). The most common causes of readmission were heart disease (n = 40 [25% of readmissions]) and pneumonia (n = 36 [23%]), including pleural effusions. In addition to CSRS status, serum creatinine excretion alone was not associated with increased readings (p=0.5) OR] 5.7, %95 GA 1.7 ila 18.7).Conclusion: Readmission for coronary artery bypass surgery remains an ongoing medical challenge. Given that readmissions usually occur within the first week after discharge and are usually short-term, attention is paid to follow-up care and risk of readmission (compare, for example, abnormal serum creatinine or abnormal reactivity) and/or multiple causes of readmission. may reduce readmission after CABG (eg, pleural effusion).
