Background: Aphaeresis is a term that means to separate or to take away. The basic idea of aphaeresis is efficient removal of a circulating cellular blood component, either cells (Cytopheresis) or plasma solute (plasmapheresis, plasma exchange).Thus, the treatment goal of aphaeresis is to remove the circulating cell or substance directly responsible for the disease process. Acceleration and development of aphaeresis applications had taken place with the arrival of automated cell separators in 1970s that ensure selectively removal of one or more of blood components from the blood and return the remainder to the individual. Plasmapheresis is separation of plasma from blood cells which are returned to the body. It is accompanied by multiple changes in haemostatic system. As many coagulation factors are removed during procedure, changes in selective parameters: Prothrombin Time (PT), Partial Thromboplastin Time (PTT), Thrombin Time (TT), Fibrinogen (FNG) & platelets count are found when the replacement fluids devoid from coagulation factor are used.
Patients and Methods: This clinico-haematological study conducted during a period of six months, from February 2004 to July 2004 at the National Blood Transfusion Center (NBTC) in Baghdad & 50 patients underwent Therapeutic Plasma Exchange (TPE) for various disorders with the use of two types of automated blood cell separators (Haemonetics MCS + which represent an intermittent flow centrifugation technique – IFC & Fresenius AS. TEC 204 which represent the continuous flow centrifugation technique - CFC) in this study, but no instrument type influenced the coagulation screening tests.
Results: The changes in all selective parameter: Prothrombin Time (PT), Partial Thromboplastin Time (PTT), Thrombin Time (TT), Fibrinogen (FNG), Platelets count, Haemoglobin (Hb) and Packed Cell Volume (PCV) were significant after Therapeutic Plasma Exchange (TPE). There was no significant difference in changes in crystalloid group from that in Fresh Frozen Plasma group. In crystalloid group, significant correlation was observed between Prothrombin Time (PT), Activated Partial Thromboplastin Time (APTT), Thrombin Time (TT) & volume of Plasma Exchanged (PE) /session, while spacing between sessions and the number of sessions is significantly correlated with Thrombin Time (TT). Plasma fibrinogen concentration and platelets count were decreased in the patients included in our current study.
Conclusion: There is no significant difference in changes in haemostatic system whether crystalloid or diluted Fresh Frozen Plasma (FFP) was used as replacement fluid. Thus, crystalloid, solution devoid of coagulation material can be used as a replacement fluid in the Therapeutic Plasma Exchange (TPE) if the volume of Plasma Exchanged (PE) is small. These results are of vital importance from the practical & public health point of view in minimizing the usage of blood components((i.e. Fresh Frozen Plasma (FFP) which is a potential source of Transfusion Transmissible Infections (TTIs) worldwide)) & replaced by crystalloid solution as a safer replacement fluid substitute in Therapeutic Plasma Exchange (TPE) process.
Background: Renal disease results in significant disorder of hemostasis (bleeding diathesis or
hypercoagulable state).
Objectives: This study is to determine the changes in some hemostasis parameters in patients with
chronic renal failure and identify the effect of dialysis on these changes.
Patients and Methods: seventy five patients with end stage chronic renal failure were collected from
Baghdad hospital, a full detailed history and clinical examination were performed, 50 patients were on
maintenance weekly hemodialysis, and 25 patients were without dialysis.
Result: Bleeding time was significantly higher in patients with chronic renal failure who didn’t need
any type of dialysis, positive D-Dimer test. In so
The aim of study is to shed light on an Islamic city which is unknown for a lot of people, it can have an old history in Parisian country and many events happen with it , This city is characterized with political, military, economic scientific ,and social features, This city is called Zanjan and it is one of the most important cities because it dates back to the period of post history and it has a good geographic location whereas it was, passage for trade caravans to pass through as well its land which was specialized in agriculture and industry. the study follows chronological order of historical events for the city, one of the most significant conclusions is to think that this city does belong to artifacts and it is an old city and it
... Show MoreIn this paper, Al and Cu Plasmas that produced by pulsed Nd:YAG laser with fundamental wave length with a pulse duration of 6 nS focused onto Al and Cu targets in atmospheric air are investigated spectroscopically. The influence of pulse laser energy on the some Al and Cu plasmas characteristics was diagnosed by using optical emission spectroscopy for the wavelength range 320-740 nm. The results observed that the increase of pulse laser energy causes to increase all plasma characteristics of both plasmas under study and shown increasing of the emission line intensity. The appearance of the atomic and ionic emission lines of an element in the emission spectrum depends on the ionization energy of target atoms. The plasma characteristics ar
... Show MoreBackground: Changes of coagulation profile have been described in patients with B-Thalassemia major. Prolongation of prothrombin time and partial thromboplastin time and reduced levels of coagulation factors and natural anticoagulants have been variously described though the mechanisms involved in the thrombotic tendency seen in some Thalassemia patients have not been fully clarified.
Objectives: To investigate changes in the coagulation profile in patients with B-Thalassemia according to the available hemostatic parameters in Thalassemia patients in Al-Karama Teaching Hospital in Wasit governorate.
Methods: Hemostatic variables were studied in pre-transfusion blood samples from 50 transfusion-dependent children with Beta Thalassem
سمير خلف فياض * و محسن طالب د.نوال عزت عبد اللطيف*, مجلة الهندسة والتكنولوجيا, 2010
Fifty isolates of Psel.ldomonas aeruginosa were obtained from
(170) isoiates of ctlinical cases. Sensitivity of the isolates t() antibiotic leveled showed a high resistance to cefotaxime, ceftazidime, gentamicin and tobramycin. To less extent was the resistance to· amikacin and ciprofloxacine. All isolates of Pseudomonas aeru,ginosa were highly sensitive tocefepime and imipenem.
Eighty six perce
... Show MoreIn this work, the plasma parameters (electron temperature and
electron density) were determined by optical emission spectroscopy
(OES) produced by the RF magnetron Zn plasma produced by
oxygen and argon at different working pressure. The spectrum was
recorded by spectrometer supplied with CCD camera, computer and
NIST standard of neutral and ionic lines of Zn, argon and oxygen.
The effects of pressure on plasma parameters were studied and a
comparison between the two gasses was made.
In this work, plasma system that operates at vacuum was designed and built using a sheet of cobalt metal for the purpose of diagnosing plasma and measuring its parameters, as it is very important to know the processes that accompany plasma generation and are closely related to them, including the electron density in the plasma and its temperature. The spectroscopic diagnosis was done by optical emission spectroscopy (OES) which relies on the calculation of the optical radiation emitted by the plasma to describe plasma parameters in the chemical, molecular, and ionic radiator's near environment, and applied to cobalt metal at vacuum D.C high voltage power supply. The results showed the rise of spectral lines intensity with increa
... Show MoreNon-thermal plasmas have become popular as plasma technology has advanced in various fields, including waste management, aerospace technology, and medicinal applications. They can be used to replace combustion fuels in stationary hall motors and need little effort to keep running for longer periods of time. To improve overall system performance, non-reactive gases such as )Xe, Ar, and Kr) are utilized in pure or mixed form to generate plasma. Since DC glow discharge is a fundamental topic of importance, these gases have been researched. The paper concentrates on 2-D modeling and simulation. DC glow-discharge tubes are utilized with argon gas to create plasma and learn about its properties. The magnitude of t
... Show MoreCalculation of the power density of the nuclear fusion reactions plays an important role in the construction of any power plants. It is clear that the power released by fusion reaction strongly depended on the fusion cross section and fusion reactivity. Our calculation concentrates on the most useful and famous fuels (Deuterium-tritium) since it represents the principle fuels in any large scale system like the so called tokomak.