Basic science and renal transplant

2013 ◽  
pp. 793-814
Author(s):  
John Reynard ◽  
Simon Brewster ◽  
Suzanne Biers

Basic physiology of bladder and urethra 794 Basic renal anatomy 796 Renal physiology: glomerular filtration and regulation of renal blood flow 800 Renal physiology: regulation of water balance 802 Renal physiology: regulation of sodium and potassium excretion 803 Renal physiology: acid–base balance 804 Renal replacement therapy ...

2019 ◽  
pp. 827-846
Author(s):  
John Reynard ◽  
Simon F Brewster ◽  
Suzanne Biers ◽  
Naomi Laura Neal

This chapter covers the basic physiological functions of the kidney, bladder, and urethra. Renal anatomy is detailed, including the anatomical relations of the kidney. Renal physiology is covered in detail, including the regulation of renal blood flow and regulation of water, acid–base, sodium, and potassium balance. It includes the principles of renal replacement therapy and the principles of renal transplantation, including assessment of both the recipient and the donor. Transplant surgery is outlined, including commonly used drugs and complications and their management and common complications of renal transplant surgery. The different types of organ rejection are discussed, including their treatments.


1982 ◽  
Vol 63 (1) ◽  
pp. 56-56
Author(s):  
E. S. Karashurov ◽  
S. E. Karashurov

Frequent complications of glomectomy are headaches and a mild, less-like state for several days or weeks after surgery, and sometimes hemi- and monoparesis. The reasons for these complications have not yet been revealed. In search of their explanation, we decided to study the volumetric blood flow of the brain and the acid-base state (ACS). Volumetric blood flow was studied by rheoencephalography (REG) in 43 patients, and acid base balance - in 100 patients (age from 22 to 67 years). The course of bronchial asthma before the operation in the examined patients was moderate and severe.


Author(s):  
Dr Mark Harrison

5.1 Kidneys, 310 5.2 Mechanism of filtration, 313 5.3 Acid-base balance, 323 5.4 Potassium balance, 327 5.5 Calcium balance, 327 For the full anatomy of the kidneys see Section A.4.11 of Chapter A4. • Within the dense, connective tissue of the renal capsule, the kidney substance is divided into:...


1983 ◽  
Vol 244 (6) ◽  
pp. H749-H755 ◽  
Author(s):  
R. B. Wilkening ◽  
G. Meschia

The rate of O2 delivery to the pregnant uterus (FaO2) was decreased in chronic sheep preparations by mechanical occlusion of uterine blood flow. The relationship of uterine venous O2 saturation (SVO2) to FaO2 was curvilinear with convexity toward the SVO2 axis. As SVO2 decreased, there was a decrease in uterine and umbilical venous O2 tension (PO2), with no appreciable reduction of the PO2 difference between the two veins and a decrease in the umbilical vein O2 delivery rate. Fetal O2 uptake and base excess remained normal as the umbilical vein O2 delivery rate was reduced from 1.1 to 0.6 mmol . min-1 . kg-1 but decreased markedly at an O2 delivery rate less than 0.5. Umbilical venous CO2 tension (PCO2) was higher than, and strongly correlated with, uterine venous PCO2 (R = 0.954). These observations support a venous equilibration model of ovine placental exchange and demonstrate that under normal physiological conditions the O2 supply to the fetal lamb is approximately twice the value necessary to maintain an adequate fetal O2 uptake and a normal fetal base excess.


1970 ◽  
Vol 39 (5) ◽  
pp. 539-548 ◽  
Author(s):  
N. J. Christensen

1. Resting forearm blood flow was increased in untreated juvenile diabetics and a slight but significant reduction took place during insulin treatment. The peak flow after ischaemia was also increased, but no difference could be demonstrated before and after insulin administration. 2. Reactive hyperaemia was found to be considerably prolonged in the diabetic patients with moderate ketosis and mild disturbances of the blood acid-base balance as compared to non-diabetics. This abnormality disappeared after insulin treatment. 3. The prolonged blood flow recovery showed a strong association with total CO2 in plasma. In subjects with non-ketotic metabolic acidosis of a degree similar to that seen in the diabetic patients no abnormality was found. 4. Urinary excretion of catecholamines was normal in the untreated juvenile diabetics. The observed alterations in the diabetics are similar to those observed by others in non-diabetics after administration of adrenaline or reserpine.


1994 ◽  
Vol 22 (11) ◽  
pp. 1827-1834
Author(s):  
Ahamed H. Idris ◽  
Edward D. Staples ◽  
Daniel J. Oʼbrien ◽  
Richard J. Melker ◽  
William J. Rush ◽  
...  

2021 ◽  
Vol 11 ◽  
Author(s):  
Yago Medeiros Dutra ◽  
Gabriel Machado Claus ◽  
Elvis de Souza Malta ◽  
Daniela Moraes de Franco Seda ◽  
Anderson Saranz Zago ◽  
...  

PurposeThe aim of the current study was to investigate the effects of photobiomodulation therapy (PBMT) applied 30 min or 6 h prior to cycling on blood flow velocity and plasma nitrite concentrations at rest, time to exhaustion, cardiorespiratory responses, blood acid-base balance, and K+ and lactate concentrations during exercise.MethodsIn a randomized, crossover design, 13 healthy untrained men randomly completed four cycling bouts until exhaustion at the severe-intensity domain (i.e., above respiratory compensation point). Thirty minutes or 6 h prior to the cycling trials, participants were treated with PBMT on the quadriceps, hamstrings, and gastrocnemius muscles of both limbs using a multi-diode array (11 cm × 30 cm with 264 diodes) at doses of 152 J or a sham irradiation (with device turned off, placebo). Blood samples were collected before and 30 min or 6 h after treatments to measure plasmatic nitrite concentrations. Doppler ultrasound exams of the femoral artery were also performed at the same time points. Cardiorespiratory responses, blood acid-base balance, and K+ and lactate concentrations were monitored during exercise sessions.ResultsPBMT did not improve the time to exhaustion (p = 0.30). At rest, no differences were found in the peak systolic velocity (p = 0.97) or pulsatility index (p = 0.83) in the femoral artery, and in plasma nitrite concentrations (p = 0.47). During exercise, there were no differences for any cardiorespiratory response monitored (heart rate, p = 0.15; oxygen uptake, p = 0.15; pulmonary ventilation, p = 0.67; carbon dioxide output, p = 0.93; and respiratory exchange ratio, p = 0.32), any blood acid-base balance indicator (pH, p = 0.74; base excess, p = 0.33; bicarbonate concentration, p = 0.54), or K+ (p = 0.22) and lactate (p = 0.55) concentrations.ConclusionsPBMT at 152 J applied 30 min or 6 h before cycling at severe-intensity did not alter resting plasma nitrite and blood flow velocity in the femoral artery, exercise-induced physiological responses, or time to exhaustion in healthy untrained men.


1994 ◽  
Vol 22 (11) ◽  
pp. 1827-1834 ◽  
Author(s):  
Ahamed H. Idris ◽  
Edward D. Staples ◽  
Daniel J. OʼBrien ◽  
Richard J. Melker ◽  
William J. Rush ◽  
...  

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