A model for evening home hemodialysis

A model for evening home hemodialysis

Nephrotic Kidneys Hemodialysis Shortened dialysis time The purpose of this study was to evaluate the simultaneous use of two hollow fiber artifici...

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Nephrotic

Kidneys

Hemodialysis Shortened

dialysis time

The purpose of this study was to evaluate the simultaneous use of two hollow fiber artificial kidneys (HFAK) with respect to efficiency of clearances, preferable delivery system, potential for reuse of dialyzer, as well as the effect of dialysate flow rate, and in series versus in parallel blood flow on clearance rates. The tolerance of patients for this shortened, more efficient form of dialysis also was assessed. The results presented herein provide some answers to these questions.

Kuruvila KC, Cadnapaphornchai P, Leasor G, Popovtzer M, Alfrey A, Schrier RW: A model for evening home hemodialysis. Am J Med 57: 706-713, 1974.

Double hollow flber artificial kidneys

Home dialysis

These authors examined renal biopsy specimens from 21 addicts with renal disease and found a wide variety of glomerular lesions. In a separate study of consecutive medical examiner’s cases, they found no significant difference microscopically in the frequency of glomerular lesions in renal tissue from 50 narcotic addicts as compared to that from 45 agematched controls. The findings in this study fail to confirm previous reports suggesting the existence of specific gtomerular lesions consistently associated with narcotic use,

Treser G, Cherubin C, Lonergan ET, Yoshizawa N, Viswanathan V, Tannenberg AM, Pompa D, Lange K: Renal lesions in narcotic addicts. Am J f&d 57: 687-694, 1974.

syndrome

Renal lesions

lesions

Narcotic addiction

Glomerular

Focal segmental Kidney disease

glomerulosclerosis

Proteinuria

Intravenous

pyelogram

uropathy Methylprednisolone

Obstructive Lymphangiogram

Lymphocele

Within a 27 month period, during which 83 renal allotransptantations were performed at the Cleveland Clinic, a lymphocele developed in 15 patients (18.1 per cent). This study of these 15 patients provides data on the clinical development and diagnosis of a lymphocele, effect of the lymphocele on allograft function, chemical and protein characteristics of the lymphatic fluid and response to different forms of therapy.

Braun WE, Banowsky LH, Straffon RA, Nakamoto S, Kiser WS, Popowniak KL, Hewitt CB, Stewart BH. Zelch JV, Magalhaes RL, Lachance J-G, Manning RF: Lymphoceles associated with renal transplantation. Report of 15 cases and review of the literature. Am J Med 57: 714-729, 1974.

Kidneys

Renal transplantation/allograft

In this clinicopathologic study of 16 cases of focal segmental glomerulosclerosis, the median age at onset was 21 years. Persistent microscopic hematuria was present in 60 per cent and the nephrotic syndrome in 88 per cent. Steroid-resistant proteinuria was present in all. The clinical course was not affected by corticosteroid or immunosuppressive agents. The typical juxtamedullary focal segmental sclerotic lesions contained immunofluorescent deposits of IgM, C’3 and C’4. Electron dense deposits were identified in the sclerotic glomerular segments. Because of the different morphologic and immunologic findings and the grave prognosis, focal segmental glomerulosclerosis should be differentiated from lipoid nephrosis.

Jenis EH, Teichman S, Briggs WA. Sandler P, Hollerman CE, Calcagno PL, Knieser MR, Jensen GE, Valeski JE: Focal segmental glomerulosclerosis. Am J Med 57: 695-705, 1974.

Renal biopsy