A report of thrombocytopenia related with triamterene-H

This article does not have an abstract  

Improving flow-induced hemolysis prediction models.

Partial or complete failure of red blood cell membrane, also known as hemolysis, is a persistent issue with almost all blood contacting devices. Many experimental and theoretical contributions over the last few decades have increased insight into the mechanisms of mechanical hemolysis in both laminar and turbulent flow regimes, with the ultimate goal of developing a comprehensive, mechanistic and universal hemolysis prediction model. My research is broadly divided into two sections: theoretical/analytical/Computational Fluid Dynamics (CFD) analyses and experimental tests. The first part of my research revolved entirely around analyzing the simplest and most popular hemolysis model, commonly called as the power-law model. This model was developed only for laminar pure shear flow within a limited range of exposure time. Subsequently, modified versions of this model have been developed to be used for more complex flows. Many of these modified models assume that hemolysis scales with a resultant, scalar stress representing all components of the fluid stress tensor. The most common representative stress used in the power-law model is a von-Mises-like stress. However, using membrane tension models for pure shear and pure extension in both laminar and turbulent flows, for some simple example cases, we have shown that scalar stress alone is inadequate for scaling hemolysis. Alternatively, the rate of viscous energy dissipation rate has also been proposed as the parameter to scale hemolysis with. Applying the same order-of-magnitude estimate as vi mentioned above, we have found that dissipation rate even behaves worse than the resultant scalar stress for hemolysis prediction. It is therefore concluded that energy dissipation rate alone is also not sufficient to universally scale blood damage across complex flows. These show that a realistic model of hemolysis must take into account different responses of the viscoelastic cell membrane to different stress type. Various discretized version of the power-law model has also been introduced for post-processing of the CFD results. The power law can be either discretized in space, Eulerian treatment, or in time, Lagrangian treatment. Our study on the Eulerian approach revealed that the current equations used in the literature has a missing term, and thus incorrect. We also examined the mathematical stability of the discretized power-law model, and found that it may introduce significant error in red cell damage prediction for certain pathlines with specific stress history. Experimental results on deformation of red cell in pure shear flow is present for a relatively wide range of shear rates. However, red cell deformation/elongation in pure laminar extensional flow is scarce, with only one publication reporting their results on red cell deformation for only up to stress level of 10 Pa. For the experimental part of my research, we conducted experiments to observe the difference in deformation of red cell in pure shear and pure extensional flows, for stresses beyond what has already been reported in the literature. This dissertation is composed of three chapters. Chapter I is the literature survey and introductory materials. Chapter II contains the discussion and results for the theoretical/analytical/CFD part of the research. Finally, discussion and results for the experimental tests are presented in Chapter III

Indoor Air Pollution in Exercise Centers

As many people and athletes exercise indoor, in their homes or other sports arenas because of outdoor air pollution or other reasons, it is important for health professionals to know briefly about indoor air pollutants and its possible health effects on athletes who exercise in these environments. In this review the most common indoor air pollutants and their possible health effects on athletes are discussed

Doping and the Latest Prohibited List of the World Anti-Doping Agency (WADA)

Doping is defined as the occurrence of one or more of the anti-doping rule encroachments. According to the world anti-doping agency code, athletes or other persons shall be responsible for knowing what constitutes an anti-doping rule encroachment and the substances and methods which have been placed on the prohibited list. It is each athlete’s personal task to be sure that no prohibited substance enters his or her body. Athletes must be responsible for any forbidden substance or its metabolites or markers found to be present in their samples. Therefore, it is not necessary that any attempt, mistake, neglect or understanding of use on the athlete’s part be demonstrated in order to establish an anti-doping ..

Flowfield-dependent variant method for moving-boundary problems

A novel numerical scheme using the combination of flowfield-dependent variation method and arbitrary Lagrangian–Eulerian method is developed. This method is a mixed explicit–implicit numerical scheme, and its implicitness is dependent on the physical properties of the flowfield. The scheme is discretized using the finite-volume method to give flexibility in dealing with complicated geometries. The formulation itself yields a sparse matrix, which can be solved by using any iterative algorithm. Several benchmark problems in two-dimensional inviscid and viscous flow have been selected to validate the method. Good agreement with available experimental and numerical data in the literature has been obtained, thus showing its promising application in complex fluid–structure interaction problems