Sharif Digital Repository

This study considers blood flow in total cavopulmonary connection (TCPC) morphology created in Fontan surgical procedure in patients with a single ventricle heart disease. Ordinary process of TCPC operation reduces pulmonary blood flow pulsatility since the right ventricle being bypassed. This reduction may limit the long term outcome of Fontan circulation. There is an idea of increasing pulmonary flow pulsations by keeping Main Pulmonary Artery (MPA) partially open while it was closed in ordinary TCPC operation. The purpose of the present study is to verify the effects of Antegrade Flow (AF) coming through stenosed MPA on pulmonary flow pulsations. The 3D geometry is reconstructed from CT... 

A one dimensional model of the pulmonary arterial network along with systemic circulation was introduced to quantify the human pulmonary artery hemodynamics. A lumped parameter model of the right ventricle was used as the inlet boundary condition. A time varying elastance related the volume and pressure of the right ventricle was imposed in the model. By using a four element Windkessel model, blood flow rate throughout the right ventricle was in hand. An asymmetric structured tree was chosen as the outlet boundary conditions. Simulation was based on solving one-dimensional equations of conservation of mass and momentum by using finite volume method. Blood flow rate, pressure and velocity... 

The Fontan surgery is performed on patients with a single ventricle heart defect to prevent the combination of highlyoxygenated and poorly-oxygenated blood. Blood flow in total cavopulmonary connection (TCPC) which culminates an ordinary Fontan operation is practically steady-state but this flow is not appropriate for respiratory systems. This article investigates an approach in Fontan surgery that has been recently proposed in order to make the pulmonary blood flow pulsating. Moreover, for investigating the compliance of vessels and its effects on blood flow in TCPC, we have used the FSI (Fluid Structure Interaction) method as well as rigid wall assumption for comparison purposes. Our TCPC... 

Fontan operation is a final palliative surgical treatment for patients with a single ventricle (SV) physiology. One of the common disadvantages of Fontan operation is to generate a non-pulsatile flow instead of the normal pulsatile flow produced by contraction of the ventricle. Theoretically, in SV patients, maintaining the antegrade flow through pulmonary valve can produce flow pulsatility in the right and left pulmonary arteries. However, it not only increases the energy loss in the Fontan of total cavopulmonary pathway (TCPC), but also imposes an extra load on pulmonary arteries as well as the ventricle. In this study, the potential capability of pulmonary valve of the patient that can be... 

Biologic products are large molecules such as proteins, peptides, nucleic acids, etc., which have already produced many new drugs for clinical use in the last decades. Due to the inherent challenges faced by biologics after oral administration (e.g., acidic stomach pH, digestive enzymes, and limited permeation through the gastrointestinal tract), several alternative routes of administration have been investigated to enable sufficient drug absorption into systemic circulation. This review describes the buccal, sublingual, pulmonary, and transdermal routes of administration for biologics with relevant details of the respective barriers. While all these routes avoid transit through the... 

Single-ventricle anomaly is a hereditary heart disease that is characterized by anatomical malformations. The main consequence of this malformation is desaturated blood flow, which without proper treatment increases the risk of death. The classical treatment is based on a three-stage palliative procedure which should begin from the first few days of patient’s life. The final stage is known as Fontan procedure, in which inferior vena cava is directly connected to pulmonary arteries without going through the ventricle. This connection is called total cavopulmonary connection (TCPC). After surgery, the single ventricle supplies adequate and saturated systemic blood flow to the body; however,... 

The respiratory system is a vital organ system which makes breathing and gas exchange possible for human's body. The loss of functionality in this system is due to either genetical problems or environmental issues like pollution or toxic gases which in many cases is inevitable. These circumstances may cause different respiratory diseases which may not be curable presently but their side effects can be partly controlled by careful and timely analysis improving the quality of patient's life. So, an appropriate device for conducting different analysis can be effective for people who suffer from respiratory diseases such as chronic obstructive pulmonary disease (COPD), asthma, occupational lung... 

Mechanical ventilation (MV) can result in long-term brain impairments that are resistant to treatment. The mechanisms underlying MV-induced brain function impairment remain unclear. Since nasal airflow modulates brain activity, here we evaluated whether reinstating airflow during MV could influence the memory performance of rats after recovery. Rats were allocated into two study groups: one group received rhythmic air-puff into the nasal cavity during MV and a control group that underwent ventilation without air-puff. During MV, air-puffs induced time-locked event potentials in OB, mPFC and vHPC and significantly increased the oscillatory activity at the air-puff frequency. Furthermore, in... 

Purpose: Cardiac multimodal image fusion can offer an image with various types of information in a single image. Many coronary stenosis, which are anatomically clear, are not functionally significant. The treatment of such kind of stenosis can cause irreversible effects on the patient. Thus, choosing the best treatment planning depend on anatomical and functional information is very beneficial. Methods: An algorithm for the fusion of coronary computed tomography angiography (CCTA) as an anatomical and transthoracic echocardiography (TTE) as a functional modality is presented. CCTA and TTE are temporally registered using manifold learning. A pattern search optimization algorithm, using... 

A Non-rigid Air Flow Active Sensor (NAFAS) to detect the respiratory patterns is introduced in this paper. The main part of NAFAS is an ionic electroactive polymer-based ( ${i}$ -EAP) soft sensor. It can accurately detect breathing patterns and has promising features to develop low cost, wearable, and ubiquitous spirometers. Patients with respiratory diseases need to take pulmonary function tests consistently. Hence, it is time-consuming and expensive. To address these problems, NAFAS presents point-of-care testing (POCT) of the respiratory system's function. The proposed ${i}$ -EAP based sensor is a small strip of Ionic Polymer Metal Composite (IPMC) that has been fabricated using a Nafion... 

Numerous people suffer from accidental or deliberate exposure to different pesticides when poisoning with aluminum phosphate (AlP) is increasing in the eastern countries. Aluminum phosphate is a conventional insecticide that quickly reacts with water or the moistures in the atmosphere and produces fatal phosphine gas, which absorbs quickly by the body. Oral consumption or inhalation of AlP leads to excessive reaction of the body such as fatigue, vomiting, fever, palpitation, vasodilatory shock, increasing blood pressure, cardiac dysfunction, pulmonary congestion, shortness of breath, and death. The garlic smell from the patient's mouth or exhale is one of the methods to recognize the... 

Asthma is a chronic inflammatory disease associated with a high prevalence of psychiatric disorders. There are specific brain networks responsible for emotional processes, including two important networks associated with psychiatric problems: the default mode network (DMN), which is more active in the resting state, and the salience network (SN), which is structurally connected to DMN. Although previous studies suggested that neuro-phenotypes of asthma may be recognizable by the neural activity of brain circuits, an association between the brain's functional alterations and psychiatric impairments induced by asthma remains unknown. We aimed to assess DMN and SN activity and its association...