scholarly journals Serum Levels and Removal by Haemodialysis and Haemodiafiltration of Tryptophan-Derived Uremic Toxins in ESKD Patients

2020 ◽  
Vol 21 (4) ◽  
pp. 1522
Author(s):  
Joosep Paats ◽  
Annika Adoberg ◽  
Jürgen Arund ◽  
Annemieke Dhondt ◽  
Anders Fernström ◽  
...  
Keyword(s):  
High Performance ◽  
High Efficiency ◽  
Serum Levels ◽  
Uremic Toxins ◽  
Dialysis Session ◽  
Prospective Multicentre Study ◽  
Dietary Amino Acid ◽  
Spent Dialysate ◽  
Uremic Solutes ◽  
End Stage

Tryptophan is an essential dietary amino acid that originates uremic toxins that contribute to end-stage kidney disease (ESKD) patient outcomes. We evaluated serum levels and removal during haemodialysis and haemodiafiltration of tryptophan and tryptophan-derived uremic toxins, indoxyl sulfate (IS) and indole acetic acid (IAA), in ESKD patients in different dialysis treatment settings. This prospective multicentre study in four European dialysis centres enrolled 78 patients with ESKD. Blood and spent dialysate samples obtained during dialysis were analysed with high-performance liquid chromatography to assess uremic solutes, their reduction ratio (RR) and total removed solute (TRS). Mean free serum tryptophan and IS concentrations increased, and concentration of IAA decreased over pre-dialysis levels (67%, 49%, −0.8%, respectively) during the first hour of dialysis. While mean serum total urea, IS and IAA concentrations decreased during dialysis (−72%, −39%, −43%, respectively), serum tryptophan levels increased, resulting in negative RR (−8%) towards the end of the dialysis session (p < 0.001), despite remarkable Trp losses in dialysate. RR and TRS values based on serum (total, free) and dialysate solute concentrations were lower for conventional low-flux dialysis (p < 0.001). High-efficiency haemodiafiltration resulted in 80% higher Trp losses than conventional low-flux dialysis, despite similar neutral Trp RR values. In conclusion, serum Trp concentrations and RR behave differently from uremic solutes IS, IAA and urea and Trp RR did not reflect dialysis Trp losses. Conventional low-flux dialysis may not adequately clear Trp-related uremic toxins while high efficiency haemodiafiltration increased Trp losses.

Effect of Intradialytic Parenteral Nutrition on Quality of Life in Hemodialysis Patients

1993 ◽  
Vol 16 (8) ◽  
pp. 599-603 ◽  
Author(s):  
M.S. Siskind ◽  
Y-H. H. Lien
Keyword(s):  
Quality Of Life ◽  
Parenteral Nutrition ◽  
High Efficiency ◽  
Hemodialysis Patients ◽  
Dialysis Session ◽  
Eligibility Requirements ◽  
Stage Renal Disease ◽  
End Stage ◽  
Intradialytic Parenteral Nutrition

The purpose of this study was to determine the effect of intradialytic parenteral nutrition (IDPN) on the quality of life of malnourished patients with end-stage renal disease on high-efficiency and high-flux hemodialysis therapy. Patients, who met the Medicare eligibility requirements for IDPN, were asked to fill out and extensive questionnaire covering several measures of quality of life prior to initiating and again after completing four months of IDPN therapy. Although the IDPN improved serum albumin levels significantly, aside from improved sleep patterns, no significant improvements in quality of life could be demonstrated. The mortality rate of these enrolled patients was as high as 28% within 4 months. We concluded that the limited amount of nutrition delivered over the course of a short dialysis session may not be enough to appreciably change the lives of our malnourished patients.

Protein-bound uremic toxins: a long overlooked culprit in cardiorenal syndrome

2016 ◽  
Vol 311 (1) ◽  
pp. F52-F62 ◽  
Author(s):  
Suree Lekawanvijit ◽  
Andrew R. Kompa ◽  
Henry Krum
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Biological Effects ◽  
Cardiorenal Syndrome ◽  
Uremic Toxins ◽  
Kidney Transplant Recipients ◽  
Excretory Function ◽  
Dietary Amino Acid ◽  
Stage Renal Disease ◽  
End Stage

Protein-bound uremic toxins (PBUTs) accumulate once renal excretory function declines and are not cleared by dialysis. There is increasing evidence that PBUTs exert toxic effects on many vital organs, including the kidney, blood vessels, and heart. It has been suggested that PBUTs are likely to be a potential missing link in cardiorenal syndrome, based on the high incidence of cardiovascular events and mortality in the dialysis population, which are dramatically reduced in successful kidney transplant recipients. These data have led the call for more effective dialysis or additional adjunctive therapy to eradicate these toxins and their adverse biological effects. Indoxyl sulfate and p-cresyl sulfate are the two most problematic PBUTs, conferring renal and cardiovascular toxicity, and are derived from dietary amino acid metabolites by colonic microbial organisms. Therefore, targeting the colon where these toxins are initially produced appears to be a potential therapeutic alternative for patients with chronic kidney disease. This strategy, if approved, is likely to be applicable to predialysis patients, thereby potentially preventing progression of chronic kidney disease to end-stage renal disease as well as preventing the development of cardiorenal syndrome.

scholarly journals Optical Method and Biochemical Source for the Assessment of the Middle-Molecule Uremic Toxin β2-Microglobulin in Spent Dialysate

Toxins ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 255
Author(s):  
Joosep Paats ◽  
Annika Adoberg ◽  
Jürgen Arund ◽  
Ivo Fridolin ◽  
Kai Lauri ◽  
...  
Keyword(s):  
Optical Method ◽  
Optical Signal ◽  
Uremic Toxins ◽  
Water Soluble ◽  
Uremic Toxin ◽  
Small Peptides ◽  
Entire Cohort ◽  
Β2 Microglobulin ◽  
Spent Dialysate ◽  
End Stage

Optical monitoring of spent dialysate has been used to estimate the removal of water-soluble low molecular weight as well as protein-bound uremic toxins from the blood of end stage kidney disease (ESKD) patients. The aim of this work was to develop an optical method to estimate the removal of β2-microglobulin (β2M), a marker of middle molecule (MM) uremic toxins, during hemodialysis (HD) treatment. Ultraviolet (UV) and fluorescence spectra of dialysate samples were recorded from 88 dialysis sessions of 22 ESKD patients, receiving four different settings of dialysis treatments. Stepwise regression was used to obtain the best model for the assessment of β2M concentration in the spent dialysate. The correlation coefficient 0.958 and an accuracy of 0.000 ± 0.304 mg/L was achieved between laboratory and optically estimated β2M concentrations in spent dialysate for the entire cohort. Optically and laboratory estimated reduction ratio (RR) and total removed solute (TRS) of β2M were not statistically different (p > 0.35). Dialytic elimination of MM uremic toxin β2M can be followed optically during dialysis treatment of ESKD patients. The main contributors to the optical signal of the MM fraction in the spent dialysate were provisionally identified as tryptophan (Trp) in small peptides and proteins, and advanced glycation end-products.

High-Performance Hardware Interpolation Architecture for High Efficiency Video Coding Decoder

2016 ◽  
Vol 11 (9) ◽  
pp. 764
Author(s):  
Lella Aicha Ayadi ◽  
Nihel Neji ◽  
Hassen Loukil ◽  
Mouhamed Ali Ben Ayed ◽  
Nouri Masmoudi
Keyword(s):  
Video Coding ◽  
High Performance ◽  
High Efficiency ◽  
High Efficiency Video Coding

Pilot Study of Probiotic Supplementation on Uremic Toxicity and Inflammatory Cytokines in Chronic Kidney Patients

2020 ◽  
Vol 16 (4) ◽  
pp. 470-480
Author(s):  
Cristina T. Roth-Stefanski ◽  
Carla Dolenga ◽  
Lia S. Nakao ◽  
Roberto Pecoits-Filho ◽  
Thyago P. de Moraes ◽  
...  
Keyword(s):  
Pilot Study ◽  
Inflammatory Cytokines ◽  
Lactobacillus Acidophilus ◽  
Serum Levels ◽  
Uremic Toxins ◽  
Indoxyl Sulfate ◽  
Bacterial Metabolism ◽  
Probiotic Supplementation ◽  
Primary Endpoints ◽  
Inflammatory Profile

Background: Bacterial metabolism contributes to the generation of uremic toxins in patients with chronic kidney disease (CKD). It has been investigated the use of probiotics in the reduction of uremic toxins intestinal production. Objective: The aim of this pilot study was to evaluate the effect of probiotic supplementation on reducing the production of uremic toxins and the inflammatory profile of CKD patients. Methods: We performed a randomized, blind, placebo-controlled, crossover study on patients with CKD stages 3 and 4. The intervention was a probiotic formulation composed of Lactobacillus acidophilus strains given orally three times a day for 3 months. Changes in uremic toxins (p-Cresylsulfate and Indoxyl Sulfate) and serum inflammatory cytokines were the primary endpoints. Results: Of the 44 patients randomized, 25 completed the study (mean age 51 ± 9.34, 64% female, mean eGFR 36 ± 14.26 mL/min/1.73m², mean BMI 28.5 ± 5.75 kg/m²). At 3 months, there were no significant changes in any of the studied biomarkers including p-cresylsulfate (p = 0.57), Indoxyl sulfate (p = 0.08) and interleukin-6 (p = 0.55). Conclusion: Lactobacillus acidophilus strains given as probiotic were not able to reduce serum levels of uremic toxins and biomarkers of inflammation in CKD patients in stage 3 and 4.

scholarly journals Investigation on the La Replacement and Little Additive Modification of High-Performance Permanent Magnetic Strontium-Ferrite

Processes ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 1034
Author(s):  
Ching-Chien Huang ◽  
Chin-Chieh Mo ◽  
Guan-Ming Chen ◽  
Hsiao-Hsuan Hsu ◽  
Guo-Jiun Shu
Keyword(s):  
High Performance ◽  
Single Phase ◽  
Permanent Magnets ◽  
High Efficiency ◽  
Cobalt Content ◽  
Preparation Condition ◽  
Milling Process ◽  
Experimental Parameters ◽  
La Substitution ◽  
Hard Magnets

In this work, an experiment was carried out to investigate the preparation condition of anisotropic, Fe-deficient, M-type Sr ferrite with optimum magnetic and physical properties by changing experimental parameters, such as the La substitution amount and little additive modification during fine milling process. The compositions of the calcined ferrites were chosen according to the stoichiometry LaxSr1-xFe12-2xO19, where M-type single-phase calcined powder was synthesized with a composition of x = 0.30. The effect of CaCO3, SiO2, and Co3O4 inter-additives on the Sr ferrite was also discussed in order to obtain low-temperature sintered magnets. The magnetic properties of Br = 4608 Gauss, bHc = 3650 Oe, iHc = 3765 Oe, and (BH)max = 5.23 MGOe were obtained for Sr ferrite hard magnets with low cobalt content at 1.7 wt%, which will eventually be used as high-end permanent magnets for the high-efficiency motor application in automobiles with Br > 4600 ± 50 G and iHc > 3600 ± 50 Oe.

New hole transport styrene polymers bearing highly π-extended conjugated side-chain moieties for high-performance solution-processable thermally activated delayed fluorescence OLEDs

2021 ◽  
Vol 12 (11) ◽  
pp. 1692-1699
Author(s):  
Ji Hye Lee ◽  
Jinhyo Hwang ◽  
Chai Won Kim ◽  
Amit Kumar Harit ◽  
Han Young Woo ◽  
...  
Keyword(s):  
High Performance ◽  
High Efficiency ◽  
Delayed Fluorescence ◽  
Hole Transport ◽  
Side Chain ◽  
Solution Processed ◽  
Thermally Activated Delayed Fluorescence ◽  
Thermally Activated ◽  
Turn On ◽  
Solution Processable

New polystyrene-based polymers with high π-extended hole transport pendants were synthesized to obtain a low turn-on voltage and high efficiency in solution-processed green TADF-OLEDs.

scholarly journals Neighborhood Energy Modeling and Monitoring: A Case Study

Energies ◽  
2021 ◽  
Vol 14 (12) ◽  
pp. 3716
Author(s):  
Francesco Causone ◽  
Rossano Scoccia ◽  
Martina Pelle ◽  
Paola Colombo ◽  
Mario Motta ◽  
...  
Keyword(s):  
High Performance ◽  
High Efficiency ◽  
Early Stage ◽  
Energy Performance ◽  
Monitoring Plan ◽  
Performance Targets ◽  
Carrier Energy ◽  
Zero Carbon ◽  
Energy Grid

Cities and nations worldwide are pledging to energy and carbon neutral objectives that imply a huge contribution from buildings. High-performance targets, either zero energy or zero carbon, are typically difficult to be reached by single buildings, but groups of properly-managed buildings might reach these ambitious goals. For this purpose we need tools and experiences to model, monitor, manage and optimize buildings and their neighborhood-level systems. The paper describes the activities pursued for the deployment of an advanced energy management system for a multi-carrier energy grid of an existing neighborhood in the area of Milan. The activities included: (i) development of a detailed monitoring plan, (ii) deployment of the monitoring plan, (iii) development of a virtual model of the neighborhood and simulation of the energy performance. Comparisons against early-stage energy monitoring data proved promising and the generation system showed high efficiency (EER equal to 5.84), to be further exploited.

scholarly journals Iodine reduction for reproducible and high-performance perovskite solar cells and modules

2021 ◽  
Vol 7 (10) ◽  
pp. eabe8130
Author(s):  
Shangshang Chen ◽  
Xun Xiao ◽  
Hangyu Gu ◽  
Jinsong Huang
Keyword(s):  
Solar Cells ◽  
High Performance ◽  
High Efficiency ◽  
Electronic Materials ◽  
Substantial Reduction ◽  
Perovskite Solar Cells ◽  
High Yield ◽  
Operation Conditions ◽  
Record Value ◽  
Precursor Powders

Perovskite-based electronic materials and devices such as perovskite solar cells (PSCs) have notoriously bad reproducibility, which greatly impedes both fundamental understanding of their intrinsic properties and real-world applications. Here, we report that organic iodide perovskite precursors can be oxidized to I2 even for carefully sealed precursor powders or solutions, which markedly deteriorates the performance and reproducibility of PSCs. Adding benzylhydrazine hydrochloride (BHC) as a reductant into degraded precursor solutions can effectively reduce the detrimental I2 back to I−, accompanied by a substantial reduction of I3−-induced charge traps in the films. BHC residuals in perovskite films further stabilize the PSCs under operation conditions. BHC improves the stabilized efficiency of the blade-coated p-i-n structure PSCs to a record value of 23.2% (22.62 ± 0.40% certified by National Renewable Energy Laboratory), and the high-efficiency devices have a very high yield. A stabilized aperture efficiency of 18.2% is also achieved on a 35.8-cm2 mini-module.

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