H Humayun, J T Daugirdas, V C Gandhi, W P Geis, J Giacchino, T S Ing
{"title":"Intra-abdominal abscesses in a patient treated with maintenance peritoneal dialysis.","authors":"H Humayun, J T Daugirdas, V C Gandhi, W P Geis, J Giacchino, T S Ing","doi":"10.3109/08860227909063950","DOIUrl":"https://doi.org/10.3109/08860227909063950","url":null,"abstract":"","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"3 4","pages":"331-5"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227909063950","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11478290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R Bianchi, A Bionda, F Carmassi, R Palla, C Donadio, M Galli, E Chiellini, N Molea, G Mariani
{"title":"Evaluation of new membranes for hemodialysis: preliminary studies with a polycarbonate membrane.","authors":"R Bianchi, A Bionda, F Carmassi, R Palla, C Donadio, M Galli, E Chiellini, N Molea, G Mariani","doi":"10.3109/08860227909063956","DOIUrl":"https://doi.org/10.3109/08860227909063956","url":null,"abstract":"<p><p>A synthetic polycarbonate (PC) membrane supplied by C.R. Bard Inc. was assessed as to its clinical usefulness and suitability to regular use with artificial kidney. The permeability of the PC membrane to 11 solutes of increasing molecular volumes (Na+, Ca++, K+, Cl-, HPO4-, urea, creatinine, uric acid, glucose, BSP, cyanocobalamine) was measured in vitro by rotating dialysis cells, as compared to that of Cuprophan PT 150. The evaluation of the PC membrane in vivo was carried out during a regular hemodialytic treatment in 5 patients using a Kiil dialyzer. The dialysance of 6 solutes (HPO4-, urea, creatinine, uric acid, hypaque, cyanocobalamine) across the PC membrane was measured at 200 ml/min blood flow rate. Both in vitro and in vivo the PC membrane showed permeability and dialysance coefficients to small molecules approximately the same than standard PT 150; the ultrafiltration rate of the PC membrane was also superimposable to that of PT 150. On the contrary, larger molecules were removed much more efficiently by the polycarbonate membrane than by PT 150. These data suggest that the membrane evaluated in this study possesses some peculiar features which could possibly result in an improvement of the quality of regular hemodialysis.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"3 4","pages":"383-93"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227909063956","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11478295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M B Affrime, D L Blecker, P J Lyons, J M Pitone, C D Swartz, D T Lowenthal
{"title":"The effect of renal transplantation on plasma protein binding.","authors":"M B Affrime, D L Blecker, P J Lyons, J M Pitone, C D Swartz, D T Lowenthal","doi":"10.3109/08860227909063941","DOIUrl":"https://doi.org/10.3109/08860227909063941","url":null,"abstract":"<p><p>The in vitro plasma protein binding was determined in nine maintenance hemodialysis patients who later underwent renal transplantation. The organic acid fluorescein (10 micrograms/ml) or the organic base quinidine (5 micrograms/ml) was added to the pre and post transplant serum of these patients. Drug concentrations were measured spectrophotofluorometrically after equilibrium dialysis. The results were compared with the plasma protein binding of eight normal volunteers. The patients on maintenance hemodialysis had lower plasma protein binding of fluorescein than normals (78 +/- 5% vs 89 +/- 4, p less than 0.001). Plasma protein binding improved significantly after renal transplantation (85 +/- 3, p less than 0.01) but was still lower than in normals (p 0.05). Plasma protein binding of quinidine was not significantly different than in normal volunteers (77 +/- 8%) either prior to (72 +/- 10%) or after (73 +/- 12%) kidney transplantation. Plasma protein binding of quinidine remains unaffected by renal transplantation. However, the abnormal plasma protein binding or organic acids in chronic renal failure may be significantly improved by renal transplantation.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"3 2-3","pages":"207-18"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227909063941","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11597293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dialysis of middle molecules at pulsatile flow.","authors":"A R Ozdural, E Pişkin","doi":"10.3109/08860227909064914","DOIUrl":"https://doi.org/10.3109/08860227909064914","url":null,"abstract":"<p><p>Pulsatile flow was used in a continuous flow flat-plate dialyzer in order to achieve the more efficient removal of middle molecules. The solutes ranged in the molecular weights from 342 (sucrose) to 1355 (vitamin B-12). The permeability of Cuprophane membrane to sucrose, raffinose and vitamin B-12 were calculated both for pulseless and pulsatile flows. It was found that pulsatile flow is more favorable than steady flow with regard to increase of membrane permeability. However, as the solute molecular weight increases, fluid-phase resistances become relatively less important and the transport rate becomes dominated by the membrane properties.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"3 1","pages":"89-96"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227909064914","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11675090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R M Vilbar, J T Daugirdas, T S Ing, V C Gandhi, S Popli, W T Chen
{"title":"Treatment of dialysis elbow by simple aspiration.","authors":"R M Vilbar, J T Daugirdas, T S Ing, V C Gandhi, S Popli, W T Chen","doi":"10.3109/08860227909063949","DOIUrl":"https://doi.org/10.3109/08860227909063949","url":null,"abstract":"<p><p>Olecranon bursitis with effusion in four maintenance hemodialysis patients was successfully treated with simple aspiration.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"3 4","pages":"327-30"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227909063949","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11478434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In vivo measurement of blood recirculation during \"Y\" type single needle dialysis.","authors":"D A Ogden","doi":"10.3109/08860227909063945","DOIUrl":"https://doi.org/10.3109/08860227909063945","url":null,"abstract":"<p><p>A method has been described and validated for obtaining a sample of blood, without separate venapuncture, which has the same urea and creatinine composition as systemic venous blood during hemodialysis. Using this technique, recirculation in vivo during \"Y\" type single needle dialysis, measured in 20 bovine fistulas, ranged from 6.9% to 56.5% and averaged 19.4% of blood flow rate as calculated from blood urea nitrogen; and averaged 22.0% with a range of 3.3% to 62.1% of blood flow rate as calculated from serum creatinine concentration. These results suggest that fistula puncture methods and devices that eliminate recirculation in the ex vivo blood circuit should be used to maximize dialysis efficiency.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"3 2-3","pages":"265-76"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227909063945","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11716140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hemodialysis for phenformin associated lactic acidosis.","authors":"M Tobin, B K Mookerjee","doi":"10.3109/08860227809080093","DOIUrl":"https://doi.org/10.3109/08860227809080093","url":null,"abstract":"<p><p>A patient who attempted suicide by ingesting a large amount of phenformin developed a severe lactic acidosis. After receiving hemodialysis on two successive days, she recovered without sequela. On both occasions, the dialyses temporarily improved the degree of acidosis. The amount of phenformin extracted during these two procedures was measured and found to be only 1.5% of the total amount of drug ingested. Therefore, it is felt that hemodialysis does not remove the offending drug but does play a supportive role in the management of these patients by temporarily ameliorating some of the biochemical abnormalities.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"2 3","pages":"273-85"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227809080093","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11253900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analysis of tonic muscle activity and muscle cramps during hemodialysis.","authors":"R C Howe, D G Wombolt, D D Michie","doi":"10.3109/08860227809103866","DOIUrl":"https://doi.org/10.3109/08860227809103866","url":null,"abstract":"<p><p>A problem associated with some patients undergoing hemodialysis is the presence of muscle cramps. As the etiology of these cramps is still unknown, the purpose of this study was to evaluate tonic muscle activity and muscle cramps during hemodialysis. Forty-six complete dialysis treatment sessions were studied. Electromyographic (EMG) activity was recorded from a leg muscle in patients who cramped and control patients who did not cramp. EMG was analyzed via a minicomputer for each minute of recording time. Results indicated the mean muscle cramp latency from start of dialysis was 248 minutes. Average muscle cramp was 10 minutes in duration and took three minutes to develop and seven minutes to fully dissipate. Tonic EMG activity in patients with muscle cramps showed a continued increase throughout the latter part of dialysis whereas the control patients showed a continual decline. The results suggest that the latent increase in EMG activity may be causally related to muscle cramps and may be a useful predictor as to the onset of muscle cramps during hemodialysis.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"2 1","pages":"85-99"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227809103866","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11843657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dialysis dementia -- the Chicago experience.","authors":"S D Mahurkar, E C Smith, B H Mamdani, G Dunea","doi":"10.3109/08860227809080098","DOIUrl":"https://doi.org/10.3109/08860227809080098","url":null,"abstract":"<p><p>In the four years between 1972 and 1976 twenty out of 160 maintenance dialysis patients developed dialysis dementia. Their illness was characterized by an insidious onset of mental deterioration, speech disturbance, apraxia, and myoclonus. The disease progressed inexorably to a fatal outcome, the onset of seizures being an ominous sign, and the average duration of the illness being seven months. Routine biochemical studies were unremarkable, and osteodystrophy was not a prominent feature. Serial electroencephalograms (EEG) showed progressive slowing of the rhythm, usually antedating the neurologic symptoms. Brain scan and flow studies were normal. Radio-iodinated serum albumin (RISA) scans in seven patients showed changes suggesting altered cerebrospinal fluid (CSF) dynamics. Treatment was generally ineffective, but ventriculo-peritoneal shunting produced transient neurologic improvement in one patient. Epidemiologic investigations showed high aluminum levels in city water during the period of the outbreak.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"2 5-6","pages":"447-58"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227809080098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11950371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recognition and management of emotional problems associated with end-stage kidney disease.","authors":"J E Baxter","doi":"10.3109/08860227809079317","DOIUrl":"https://doi.org/10.3109/08860227809079317","url":null,"abstract":"","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"2 2","pages":"175-212"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227809079317","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11565670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}