The effect of treatment time, dialysis frequency, and ultrafiltration rate on intradialytic hypotension

2017 ◽  
Vol 30 (6) ◽  
pp. 489-491 ◽  
Author(s):  
George R. Aronoff
Keyword(s):  
Treatment Time ◽  
Intradialytic Hypotension ◽  
Ultrafiltration Rate ◽  
Effect Of Treatment ◽  
Dialysis Frequency

scholarly journals 214 The effects of an 18-hour transit or complete feed and water restriction on feed bunk displacements and need preferences in growing feedlot steers

2020 ◽  
Vol 98 (Supplement_3) ◽  
pp. 5-5
Author(s):  
Katie J Heiderscheit ◽  
Erin Deters ◽  
Alyssa Freestone ◽  
Joshua Peschel ◽  
Stephanie L Hansen
Keyword(s):  
Repeated Measures ◽  
Dry Matter ◽  
Treatment Time ◽  
Dry Matter Intake ◽  
Feed Restriction ◽  
Water Restriction ◽  
Trained Observer ◽  
Aggressive Interactions ◽  
Feedlot Steers ◽  
Effect Of Treatment

Abstract The objective was to investigate effects of 18 h feed and water restriction or transit on cattle behavior. Angus-cross steers (36; 353 ± 33 kg) were housed in pens of 6 and assigned to treatments: control (CON), full access to feed and water; deprived (DEPR), no feed or water for 18 h; or transported (TRANS), trucked for 18 h. Individual BW (n = 12 steers/treatment) was recorded on d 0, 1, 3, 8, and 14, and individual dry matter intake (DMI) was determined via GrowSafe bunks. Bunk displacements on d 1 were recorded for each pen (n = 2 pens/treatment) by one trained observer continuously for 2 h in 10 min intervals via video analysis. Steer need preferences were assessed as time individuals took to perform behaviors (eat, drink, lay) after treatments ended on d 1. Data were analyzed using Proc Mixed of SAS with fixed effect of treatment; displacements, BW, and DMI were analyzed as repeated measures. Upon return to pens, time to eat or drink did not differ between DEPR and TRANS (P ≥ 0.17), but time to lay was 70.5 min for DEPR vs. 16.5 min for TRANS (P = 0.01). Displacements were greater for DEPR than CON or TRANS during the first 90 min after accessing feed, while CON displaced more frequently than TRANS for the first 30 min (treatment × time; P = 0.02). While DMI for TRANS was not recovered until d 2, DEPR and CON had similar DMI on d 1 (treatment × day; P < 0.01). Similarly, TRANS BW were, and DEPR tended to be, lesser than CON on d 1; however, BW among treatments were not different on other days (treatment × day; P < 0.01). Thus, restricting feed increases aggressive interactions at the bunk and cattle trucked long distances are quick to lay down when allowed. These behaviors should be considered when managing an unintentional feed restriction event or receiving cattle into the feedlot.

Pneumatic Compression, But Not Exercise, Can Avoid Intradialytic Hypotension: A Randomized Trial

2017 ◽  
Vol 45 (5) ◽  
pp. 409-416 ◽  
Author(s):  
Valeria R.C. Álvares ◽  
Camila D. Ramos ◽  
Benedito J. Pereira ◽  
Ana Lucia Pinto ◽  
Rosa M.A. Moysés ◽  
...  
Keyword(s):  
Blood Pressure Measurement ◽  
Extracellular Fluid ◽  
Bioelectrical Impedance ◽  
Phosphate Removal ◽  
Crossover Fashion ◽  
Intradialytic Hypotension ◽  
Ultrafiltration Rate ◽  
Induced Hypotension ◽  
Conventional Hemodialysis ◽  
Fluid Parameters

Background: Conventional hemodialysis (HD) is associated with dialysis-induced hypotension (DIH) and ineffective phosphate removal. As the main source of extracellular fluid removed during HD are the legs, we sought to reduce DIH and increase phosphate removal by using cycling and pneumatic compression, which would potentially provide higher venous return, preserving central blood flow and also offering more phosphate to the dialyzer. Methods: We evaluated 21 patients in a randomized crossover fashion in which each patient underwent 3 different HD: control; cycling exercise during the first 60 min; and pneumatic compression during the first 60 min. Data obtained included bioelectrical impedance, hourly blood pressure measurement, biochemical parameters, and direct quantification of phosphate through the dialysate. DIH was defined as a drop in mean arterial pressure (MAP) ≥20 mm Hg. Results: There was no difference in the ultrafiltration rate (p = 0.628), delta weight (p = 0.415), delta of total, intra and extracellular body water among the control, cycling, and pneumatic compression (p = 0.209, p = 0.348, and p = 0.467 respectively). Delta MAP was less changed by pneumatic compression when compared to control, cycling, and pneumatic compression respectively (-4.7 [-17.2, 8.2], -4.7 [-20.5, -0.2], and -2.3 [-8.1, 9.0] mm Hg; p = 0.021). DIH occurred in 43, 38, and 24% of patients in control, cycling, and pneumatic compression respectively (p = 0.014). Phosphate removal did not increase in any intervention (p = 0.486). Higher phosphate removal was dependent on ultrafiltration, pre dialysis serum phosphate, and higher parathyroid hormone. Conclusion: Pneumatic compression during the first hour of dialysis was associated with less DIH, albeit there was no effect on fluid parameters. Neither exercise nor pneumatic compression increased phosphate removal.

Intradialytic Hypotension as an Independent Risk Factor for Long-Term Mortality in Maintaining Hemodialysis Patients: A 5-Year Follow-Up Cohort Study

2018 ◽  
Vol 45 (4) ◽  
pp. 320-326 ◽  
Author(s):  
Jinbo Yu ◽  
Zhonghua Liu ◽  
Bo Shen ◽  
Jie Teng ◽  
Jianzhou Zou ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Mortality Rate ◽  
Independent Risk Factor ◽  
Left Ventricular ◽  
Intradialytic Hypotension ◽  
Ultrafiltration Rate ◽  
Long Term Mortality

Aims: This study aimed to assess risk factors of intradialytic hypotension (IDH) and the association of prognosis and IDH among maintenance hemodialysis (MHD) patients. Methods: Among 293 patients, 117 were identified with IDH (more than 4 hypotensive events during 3 months). The association between IDH and survival was evaluated. Results: The incidence of IDH was 39.9%. Age, ultrafiltration rate, N-terminal pro-B-type natriuretic peptide (NT-proBNP), albumin, β2-microglobulin (β2MG), and aortic root inside diameter (AoRD) were independently associated with IDH. During the 5-year follow-up, 84 patients died with a mortality rate 5.2 per 100 person-year. IDH-prone patients had a higher all-cause mortality rate. IDH and left ventricular mass index were independent risk factors for death (HR 1.655, 95% CI 1.061–2.580; HR 1.008, 95% CI 1.001–1.016). Conclusion: IDH is an independent risk factor for long-term mortality in MHD patients. Patients with older age, high ultrafiltration rate, high level of serum NT-proBNP and β2MG, hypoalbuminemia, and shorter AoRD are at high risk of IDH.

scholarly journals Synthesis and Study the Chelating Activity of some Polymers Containing Heterocyclic Rings, The Derivatives from 1,2,4- trizol Levofloxacin acid

2018 ◽  
Vol 34 (4) ◽  
pp. 2031-2042 ◽  
Author(s):  
Tahseen Saddam Fandi Al-Mathkuri ◽  
Hamid Mohammed Saleh Al-Jubori ◽  
Ali Taha Saleh
Keyword(s):  
Schiff Bases ◽  
Treatment Time ◽  
Phenol Formaldehyde ◽  
Thermal Studies ◽  
Structural Features ◽  
Batch Method ◽  
Synthetic Compounds ◽  
Chelating Activity ◽  
Effect Of Treatment ◽  
Chelating Polymers

The compound 6-amino-5-mercapto-4H-1,2,4-triazol-3-yl)-9-fluoro-3-methyl-10-(4-methylpiperazin-1-yl)-2,3-dihydro-7H-[1,4] oxazino[2,3,4-ij] quinolin-7-one (M1) synthesize from the reaction of thiocarbohydrazide with levofloxacin acid by using ethanol as a solvent, phenolic Schiff bases (Z)-9-fluoro-6-(4-((4-hydroxybenzylidene) amino)-5-mercapto4H1,2,4-triazol-3-yl)-3-methyl-10-(4-methylpiperazin-1-yl)-2,3-dihydro-7H-[1,4]oxazino[2,3,4-ij] quinolin-7-one (M2), (Z)-6-(4-((2,4-dihydroxybenzylidene) amino)-5-mercapto-4H-1,2,4-triazol-3-yl)-9-fluoro-3-methyl-10-(4-methylpiperazin-1-yl)-2,3-dihydro-7H-[1,4] oxazino[2,3,4-ij]quinolin-7-one (M3) and (Z)-6-(4-((5-chloro-2-hydroxybenzylidene) amino)-5-mercapto-4H-1,2,4-triazol-3-yl)-9-fluoro-3-methyl-10-(4-methylpiperazin-1-yl)-2,3-dihydro-7H- [1,4] oxazino[2,3,4-ij] quinolin-7-one (M4) were prepared from the reaction of trizol derivative of [M1] compound with the appropriate phenolic aldehydes by using ethanol as a solvent. The synthetic Schiff bases used to prepare numbers of phenolic polymers [M5-M7] from the reaction of Schiff bases [M2-M4] with phenol formaldehyde. The analytical efficiency of the synthetic chelating polymers studied by the batch method with different transition metals ions (Cd2+, Fe3+, Cu2+), in terms of the effect of treatment time and the pH on the loading capacity of the polymers, controlling the other factors such as temperature, ions concentration and quantity of polymers. The result shows that the capacity of the polymer increased with increasing of the pH and treating time. The synthetic compounds were characterized by various instrumental techniques like FTIR, 1H-NMR, DTG and TGA studies.These spectral and thermal studies provide very valuable information about the structural features.

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