Proceedings of the European Dialysis and Transplant Association - European Renal Association. European Dialysis and Transplant Association - European Renal Association. Congress最新文献
{"title":"Effects of dietary protein restriction on the course of early renal failure.","authors":"G Zakar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two groups of patients with histologically proven glomerulonephritis and chronic renal failure were studied. Group 1 comprised 28 patients with an endogenous creatinine clearance of 66ml/min, daily protein excretion of 1.7g. These patients were maintained for eight to 18 months on a diet containing about 40Kcal/kg and 1g/kg of protein. Phosphorous and calcium intake were unrestricted. Group 2 had 32 patients with a mean creatinine clearance of 60ml/min and daily protein excretion of 1.8g. They followed no specific dietary regimen for six to 14 months. Their dietary calorie and protein intakes averaged 30Kcal/kg and 70g respectively. At the end of the observation period creatinine clearance values of Group 1 averaged 74ml/min, the daily protein excretion amounted to 1.1g. Values for Group 2 averaged 53ml/min and 1.9g respectively. Moderate dietary restriction of protein alone results in improving creatinine clearance values and a decreased protein excretion in the early stages of chronic renal failure in patients with glomerulonephritis.</p>","PeriodicalId":77886,"journal":{"name":"Proceedings of the European Dialysis and Transplant Association - European Renal Association. European Dialysis and Transplant Association - European Renal Association. Congress","volume":"21 ","pages":"600-3"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15106561","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":"Effect of dialysate sodium on the dopamine, adrenaline and noradrenaline concentration in haemodialysis patients.","authors":"A Ksiazek, J Solski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In eight stable patients, plasma dopamine (DA), adrenaline (A) and noradrenaline (NA) was measured during haemodialysis with high sodium (148mEq/L) and low sodium (131mEq/L) dialysate. During haemodialysis and ultrafiltration with high dialysate sodium an increase of DA, A and NA was not observed in response to the cold pressor test (CD). However, with the low sodium dialysate an increase in DA and NA was observed during CD. We suggest that high sodium dialysate is connected with the sympathetic dysfunction of haemodialysis patients.</p>","PeriodicalId":77886,"journal":{"name":"Proceedings of the European Dialysis and Transplant Association - European Renal Association. European Dialysis and Transplant Association - European Renal Association. Congress","volume":"21 ","pages":"225-9"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15107195","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 Dudczak, L Fridrich, K Derfler, K Kletter, H Frischauf, L Marosi, P Schmidt, J Zazgornik
{"title":"Myocardial studies in haemodialysis patients.","authors":"R Dudczak, L Fridrich, K Derfler, K Kletter, H Frischauf, L Marosi, P Schmidt, J Zazgornik","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Myocardial perfusion was studied using Thallium-201 (Tl-201) after dipyridamol in 33 patients on maintenance haemodialysis. It could be shown that coronary artery disease was underestimated by clinical symptoms, 55 per cent of patients had abnormal Tl-201 scintigrams, whereas typical or atypical chest pain was present in only 33 per cent of the patients. Eleven patients died within a year of the scintigraphic study, which resulted in an average mortality rate of 7.7 per cent/year. The risk of developing fatal cardiovascular complications was higher in patients with an abnormal Tl-201 perfusion (7 of 18) than in those with a normal scintigram (1 of 15). Thus nuclear medicine procedures appear to be of diagnostic value in haemodialysis patients, which in addition may have prognostic implications.</p>","PeriodicalId":77886,"journal":{"name":"Proceedings of the European Dialysis and Transplant Association - European Renal Association. European Dialysis and Transplant Association - European Renal Association. Congress","volume":"21 ","pages":"251-6"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15107199","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":"Cimetidine the H2-receptor blocker: effect on the renal autoregulation in dogs.","authors":"M A Sobh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two groups of female mongrel dogs were examined. The renal perfusion pressure (RPP) was decreased to 100 then to 85 and to 75 mmHg. The following parameters were measured: renal blood flow (RBF), glomerular filtration rate (GFR), ultraviolet (UV), UNaV and UPo4V. In the first group the autoregulation was found to be intact as the RBF and the GFR were kept constant in the face of a decreasing RPP. In the second group cimetidine infusion 10(-6) M/min caused 11 per cent reduction in the RBF. Reduction of the RPP to 75 mmHg caused a significant decrease in the RBF by 30 per cent and the UV by 50 per cent, the GFR was stable. This work demonstrates the depressive effect of cimetidine on the total RBF and its autoregulation.</p>","PeriodicalId":77886,"journal":{"name":"Proceedings of the European Dialysis and Transplant Association - European Renal Association. European Dialysis and Transplant Association - European Renal Association. Congress","volume":"21 ","pages":"765-8"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15107202","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}
D Grekas, N Tsakalos, Z Giannopoulos, A Tourkantonis
{"title":"Effect of zinc treatment on cell mediated immunity of chronic renal failure patients.","authors":"D Grekas, N Tsakalos, Z Giannopoulos, A Tourkantonis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study was performed on 13 normal subjects and 34 patients with chronic renal failure (CRF). Oral elemental zinc at a dose of 60 mg/day for four weeks was administered. Delayed type hypersensitivity (DTH) skin tests were performed using the multitest method. Monocyte accessory cell function (MAF) was tested by their ability to support T-cell colony growth in semi-solid cultures stimulated by staph-protein A (SpA). After zinc treatment a significant increase of DTH and MAF was found in all patients with advanced CRF in comparison with controls. These results provide evidence that zinc treatment may restore the impaired cellular mediated immunity of uraemia.</p>","PeriodicalId":77886,"journal":{"name":"Proceedings of the European Dialysis and Transplant Association - European Renal Association. European Dialysis and Transplant Association - European Renal Association. Congress","volume":"21 ","pages":"825-9"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15107205","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}
A Iaina, D Herzog, D Cohen, S Gavendo, S Kapuler, I Serban, G Schiby, H E Eliahou
{"title":"Cyclosporine and short ischaemia: a new model of experimental acute renal failure in rats.","authors":"A Iaina, D Herzog, D Cohen, S Gavendo, S Kapuler, I Serban, G Schiby, H E Eliahou","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To determine whether a mild episode of ischaemia may be a factor in the production of cyclosporine (Cys) toxicity, right nephrectomy was performed in three groups of Charles River rats: I. Ischaemia (left renal pedicle clamping) for 20 minutes, without treatment; II. Ischaemia of 20 minutes, followed by IP Cys 60 mg/kg BW/day; III. Sham (no ischaemia) followed by Cys as in Group II. The rats were sacrificed after four days. Cys plus ischaemia produced a lower creatinine clearance (136 +/- 15 microliter/min/100g BW, p less than 0.001) and a higher FENa per cent (0.94 +/- 0.14, p less than 0.05), FEK (1.07 +/- 0.02, p less than 0.01) compared with ischaemia alone creatinine clearance 261 +/- 39, FENa per cent 0.61 +/- 0.08, FEK 0.54 +/- 0.08, FEH2O -0.04 +/- 0.005. Histology showed more vacuolisation of tubular epithelial cells in the Cys plus ischaemia group than in the ischaemia alone group.</p>","PeriodicalId":77886,"journal":{"name":"Proceedings of the European Dialysis and Transplant Association - European Renal Association. European Dialysis and Transplant Association - European Renal Association. Congress","volume":"21 ","pages":"849-52"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15107208","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}
A Deligiannis, E Paschalidou, G Sakellariou, V Vargemezis, P Geleris, A Kontopoulos, M Papadimitriou
{"title":"Changes in left ventricular anatomy during haemodialysis, continuous ambulatory peritoneal dialysis and after renal transplantation.","authors":"A Deligiannis, E Paschalidou, G Sakellariou, V Vargemezis, P Geleris, A Kontopoulos, M Papadimitriou","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The changes in left ventricular anatomy in 30 patients with end-stage renal disease and stable cardiac function, undergoing regular haemodialysis (10 patients), continuous ambulatory peritoneal dialysis (10 patients) and after successful renal transplantation (10 patients) were evaluated by M-mode echocardiography. Initially all had evidence of left ventricular hypertrophy and dilatation. Reevaluation after a mean follow-up of 22 months on each mode of treatment showed that in the haemodialysis group the left ventricular mass and volume were increased, while in continuous ambulatory peritoneal dialysis (CAPD) and, especially renal transplantation, the hypertrophy and dilatation were reversed. This improvement was probably due to a reduction of cardiac workload.</p>","PeriodicalId":77886,"journal":{"name":"Proceedings of the European Dialysis and Transplant Association - European Renal Association. European Dialysis and Transplant Association - European Renal Association. Congress","volume":"21 ","pages":"185-9"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14288180","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}
F Mastrangelo, S Rizzelli, V De Blasi, C Corlianò, L Alfonso, M Napoli, A M Montinaro, M Aprile, P Patruno
{"title":"Favourable effects of bicarbonate dialysis on the body pool of phosphate.","authors":"F Mastrangelo, S Rizzelli, V De Blasi, C Corlianò, L Alfonso, M Napoli, A M Montinaro, M Aprile, P Patruno","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An intravenous infusion of 3,430mg of PO4- has been given to 11 patients on acetate and to 11 patients on bicarbonate haemodialysis. The 'phosphate spaces' and dialytic removal were determined. The bicarbonate dialysis causes lower values of phosphate pool, total phosphate space, cellular space and phosphate cellular clearance. There is also a greater phosphate removal during bicarbonate dialysis. The better correction of metabolic acidosis and the absence of acetate metabolism are two factors which may be responsible for these phenomena.</p>","PeriodicalId":77886,"journal":{"name":"Proceedings of the European Dialysis and Transplant Association - European Renal Association. European Dialysis and Transplant Association - European Renal Association. Congress","volume":"21 ","pages":"215-20"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14120910","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 Ramzy, M Habib, N el-Sheemy, M Dunn, I Iskander, S Samney, S H Doss
{"title":"Glycosylated proteins in diabetic nephropathy.","authors":"M Ramzy, M Habib, N el-Sheemy, M Dunn, I Iskander, S Samney, S H Doss","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study was carried out on 55 diabetic patients, 20 of whom had diabetic nephropathy, and 10 controls. Glycosylated haemoglobin, glycosylated serum protein, glucoprotein, serum protein electrophoresis, blood urea, serum creatinine and beta 2-microglobulin were measured. A significant increase of glucoprotein was observed in patients with diabetic nephropathy. No correlation was found between glycosylated serum protein and glycosylated haemoglobin and duration of diabetes. Glycosylated serum protein showed a positive correlation with beta 2-microglobulin, indicating a link between renal involvement and the rise in glycosylated serum protein. Whether there is a pathogenic relation between glycosylated serum protein and the development of nephropathy awaits further evidence.</p>","PeriodicalId":77886,"journal":{"name":"Proceedings of the European Dialysis and Transplant Association - European Renal Association. European Dialysis and Transplant Association - European Renal Association. Congress","volume":"21 ","pages":"649-54"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13723735","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}
B Charra, E Calemard, M Uzan, J C Terrat, T Vanel, G Laurent
{"title":"Carpal tunnel syndrome, shoulder pain and amyloid deposits in long-term haemodialysis patients.","authors":"B Charra, E Calemard, M Uzan, J C Terrat, T Vanel, G Laurent","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Carpal Tunnel Syndrome (CTS), and Shoulder Pain and Stiffness (SPS) are common in very long-term haemodialysis patients. To know whether this is a fortuitous association or if there is a link between these two manifestations a retrospective analysis of clinical charts, CTS surgical reports, tendon and synovia biopsies (Congo red, Crystal violet and Thioflavin T) was undertaken for 110 patients treated by haemodialysis (HD) for eight years or more. SPS was less frequent (24%) in 58 patients not operated on for CTS than in 52 operated patients (SPS incidence: 77%). Furthermore the 38 patients with amyloid deposits at carpal biopsy had a very significantly (p less than 0.001) higher incidence of SPS (95%) than the 14 operated patients free of amyloid deposits (SPS incidence: 28%). Hence, amyloid deposits represent a pathological link between these two correlated manifestations in very long-term haemodialysis patients.</p>","PeriodicalId":77886,"journal":{"name":"Proceedings of the European Dialysis and Transplant Association - European Renal Association. European Dialysis and Transplant Association - European Renal Association. Congress","volume":"21 ","pages":"291-5"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15103694","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}