Hemodialysis of Acetaminophen in Uremic Patients

1980 ◽  
Vol 3 (5) ◽  
pp. 263-266 ◽  
Author(s):  
T.C. Marbury ◽  
L.H. Wang ◽  
C.S. Lee

The effect of the artificial kidney on the removal of acetaminophen was investigated in 6 chronic hemodialysis patients. Acetaminophen, 650 mg, was given orally 2 hrs prior to hemodialysis. Plasma and dialysate samples were collected periodically over 3 hours and analyzed by HPLC for acetaminophen content. Dialysis clearance was calculated by Arterial-Venous difference and simultaneous dialysate measurement. The extraction efficiency of the hollow-fiber dialyzers averaged 47.5%. The mean dialysis clearance of 112 ml/min measured with blood as the body fluid of reference was confirmed by calculation of clearance using dialysate measurement. A mean of 70.5 mg of acetaminophen or 11% of the administered dose was removed during the 3 hour dialysis period. The beta phase had a mean half-life of 1.6 hours in our patients on hemodialysis compared with 2.0 hours reported for both normal patients and uremic patients. Despite the favorable extraction ratio and dialyzer clearance, the artificial kidney is not very effective in competing with the liver for removal of the parent compound acetaminophen because of the drug's short half-life and rapid hepatic metabolism. Hence, the chronic hemodialysis patient may not need a dosage adjustment during or following hemodialysis.

1968 ◽  
Vol 19 (1) ◽  
pp. 129
Author(s):  
PH Springell

Twenty-four steers, comprising British (Hereford and Hereford x Shorthorn), Zebu (Africander), and Zebu cross (British x Brahman or Africander) breeds, were either maintained on pasture, or yarded and fed on diets of a low and a high nutritional value. Tritiated water was injected into the animals on five occasions at intervals of 3 months. The body water content and the water turnover rate were calculated, and some of the sources of variation defined. Observed differences in the water content are attributable to nutritional factors rather than to breed differences. The mean body water content ranged from 615 to 809 ml/kg fasting body weight, where the higher values were associated with a poor diet. The mean half-life of tritiated water was lower in summer (as low as 58 hr) than in winter (up to 128 hr) in grazing and well-fed yarded steers. On a poor diet, however, the half-life in yarded cattle remained high and almost constant throughout the year, dropping to below 100 hr on only a single occasion. Occasionally the half-life was breed dependent, but generally no significant differences between breeds could be found. While mean turnover rates of up to 7.1 ml kg-1 hr-1 were found in better-fed cattle in summer, the value in poorly fed animals was almost constant throughout the year at about 3.3 ml kg-1 hr-1. There was, however, a winter minimum in the well-fed yarded and grazing groups. The turnover rate was also influenced by breed only to a limited extent. The results are interpreted in the light of their possible significance in the adaptation to a tropical environment, and in relation to their value in predicting the body composition.


1966 ◽  
Vol 66 (3) ◽  
pp. 389-393 ◽  
Author(s):  
B. F. Sansom

1. The metabolism of 137Cs in dairy cows has been studied after single oral and intravenous doses and during twice daily oral dosing for 28 days.2. Gastrointestinal absorption of 137Cs was about 70-80% of the oral doses.3. After 28 days continuous feeding the mean concentration of 137Cs in milk was 0.84% daily dose/1. and the body burden of the isotope varied between 5.7 and 8.2 times the daily intake.4. When feeding of 137Cs stopped the concentration of the isotope in milk fell by a factor of five in 8 days, by a factor of ten in 16 days, by a factor of twenty in 32 days, and thereafter exponentially with a half-life of 30 days. The concentrations of the isotope in muscle decreased at first rather slowly but finally also exponentially with a half-life of approximately 30 days.


2000 ◽  
Vol 44 (3) ◽  
pp. 578-582 ◽  
Author(s):  
Makoto Tanaka ◽  
Kinuyo Kato ◽  
Hideo Hakusui ◽  
Yoichi Murakami ◽  
Kenichi Sato ◽  
...  

ABSTRACT DZ-2640 is the ester-type oral carbapenem prodrug of an active parent compound, DU-6681. The pharmacokinetics and safety of DU-6681 were investigated in six studies after oral administration of a single dose of DZ-2640 to healthy male Japanese volunteers at doses of 25, 50, 100, 200, and 400 mg (as the equivalents of DU-6681) in the fasted state. The same volunteers received the drug at a dose of 100 mg in the fasted and fed states to examine the effect of food intake on the bioavailability of DZ-2640. The concentrations of DU-6681 in plasma and urine were determined by a validated high-performance liquid chromatography method and a bioassay. A good correlation between both methods was seen, indicating an absence of major active metabolites. The mean maximum concentrations of DU-6681 in plasma (C max) ranged from 0.263 μg/ml (25-mg dose) to 2.489 μg/ml (400-mg dose) and were reached within 1.5 h following drug administration. After reaching theC max, plasma DU-6681 concentrations declined in a monophasic manner, with a half-life of 0.47 to 0.89 h. The area under the concentration-time curve (AUC) andC max increased almost linearly with the dose up to the 200-mg dose. The AUC and C max increased less than proportionally after administration of the 400-mg dose, suggesting a reduction in drug absorption. The plasma protein binding of DU-6681 was in the range of 23.3 to 25.6%. The cumulative urinary recoveries (0 to 24 h) were in the range of 31.9 to 44.9%. The AUC was slightly but statistically significantly reduced by food intake. However, the C max, half-life, and recovery in urine were not affected by food intake. The renal clearance (402 to 510 ml/min) was much greater than the mean glomerular filtration rate (ca. 120 ml/min), which indicated active tubular secretion of the drug. A mild transient and moderate diarrhea was observed in two of six volunteers in the study with a single dose of 25 mg. Mild soft stools were observed in two of six volunteers who received a 400-mg dose of the drug.


1968 ◽  
Vol 19 (1) ◽  
pp. 129
Author(s):  
PH Springell

Twenty-four steers, comprising British (Hereford and Hereford x Shorthorn), Zebu (Africander), and Zebu cross (British x Brahman or Africander) breeds, were either maintained on pasture, or yarded and fed on diets of a low and a high nutritional value. Tritiated water was injected into the animals on five occasions at intervals of 3 months. The body water content and the water turnover rate were calculated, and some of the sources of variation defined. Observed differences in the water content are attributable to nutritional factors rather than to breed differences. The mean body water content ranged from 615 to 809 ml/kg fasting body weight, where the higher values were associated with a poor diet. The mean half-life of tritiated water was lower in summer (as low as 58 hr) than in winter (up to 128 hr) in grazing and well-fed yarded steers. On a poor diet, however, the half-life in yarded cattle remained high and almost constant throughout the year, dropping to below 100 hr on only a single occasion. Occasionally the half-life was breed dependent, but generally no significant differences between breeds could be found. While mean turnover rates of up to 7.1 ml kg-1 hr-1 were found in better-fed cattle in summer, the value in poorly fed animals was almost constant throughout the year at about 3.3 ml kg-1 hr-1. There was, however, a winter minimum in the well-fed yarded and grazing groups. The turnover rate was also influenced by breed only to a limited extent. The results are interpreted in the light of their possible significance in the adaptation to a tropical environment, and in relation to their value in predicting the body composition.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Faten Ghabi ◽  
Salma Toumi ◽  
Asma Amouri ◽  
Hanen Chaker ◽  
Ikram Agerbi ◽  
...  

Abstract Background and Aims Pruritus is a common symptom in chronic hemodialysis patients, its intensity varies from patient to patient and which plays a major role in impairing their quality of life. Its pathophysiology is poorly understood and its management remains a challenge. The main objective of our study is to estimate the frequency of pruritus in our population and its impact on their quality of life. Material and methods This is a cross-sectional study involving 53 patients carried out in the dialysis unit of the CHU Hédi chaker in sfax. The DLQI (Dermatology Life Quality Index), the Pittsburgh Sleep Quality Index (PSQI) and the verbal analogue scale to specify the intensity of pruritus were used to assess the impact of pruritus on quality of life. Results The mean age of our patients was 48 ± 28 years with a predominance of men (60%). The mean duration on hemodialysis was 5.4 years. The prevalence of pruritus was 28% of cases. Pruritus affects 75% of the body surface in 90% of patients, an intensity greater than or equal to 5 in 93.33% of cases on an intensity scale of 0 to 10, the impact was moderate on the quality of life according to the DLQI in 66.66% of the cases, 86.66% of the patients presented a nocturnal recrudescence of the pruritus, and an alteration of the quality of sleep was present in 73.33% of the cases according to the PSQI. The Comparison of the groups with (G1) or without pruritus (G2) showed the predominance of hyperposphoraemia in the first group with averages of 1.92mmol / l and 1.4mmol / l respectively in G1 and G2 Conclusion Pruritus remains the most frequent complaint for hemodialysis patients, which in our patients was linked mainly to hyperposphoraemia requiring optimization of phosphorus chelators and hemodialysis measures.


1987 ◽  
Vol 58 (03) ◽  
pp. 850-852 ◽  
Author(s):  
M B McCrohan ◽  
S W Huang ◽  
J W Sleasman ◽  
P A Klein ◽  
K J Kao

SummaryThe use of plasma thrombospondin (TSP) concentration was investigated as an indicator of intravascular platelet activation. Patients (n = 20) with diseases that have known vasculitis were included in the study. The range and the mean of plasma TSP concentrations of patients with vasculitis were 117 ng/ml to 6500 ng/ml and 791±1412 ng/ml (mean ± SD); the range and the mean of plasma TSP concentrations of control individuals (n = 33) were 13 ng/ml to 137 ng/ml and 59±29 ng/ml. When plasma TSP concentrations were correlated with plasma concentrations of another platelet activation marker, β-thromboglobulin (P-TG), it was found that the TSP concentration inei eased exponentially as the plasma β-TG level rose. A positive correlation between plasma levels of plasma TSP and serum fibrin degradation products was also observed. The results suggest that platelets are the primary source of plasma TSP in patients with various vasculitis and that plasma TSP can be a better indicator than β-TG to assess intravascular platelet activation due to its longer circulation half life.


2019 ◽  
Vol 22 (7) ◽  
pp. 496-501
Author(s):  
Fatemeh Ahmadi-Motamayel ◽  
Parisa Falsafi ◽  
Hamidreza Abolsamadi ◽  
Mohammad T. Goodarzi ◽  
Jalal Poorolajal

Background: Cigarette smoke free radicals can cause cellular damage and different diseases. All the body fluids have antioxidants which protect against free radicals. Objective: The aim of this study was to evaluate salivary total antioxidant capacity and peroxidase, uric acid and malondialdehyde levels in smokers and a nonsmoking control group. Methods: Unstimulated saliva was collected from 510 males. A total of 259 subjects were current smokers and 251 were non-smokers. The levels of salivary total antioxidant capacity, uric acid, peroxidase and malondialdehyde were measured using standard procedures. Data were analyzed with t test and ANOVA. Results: The smokers were younger and dental hygiene index was higher than healthy nonsmoking controls. The mean total antioxidant capacity in smokers and nonsmokers was 0.13±0.07 and 0.21±011, respectively (P=0.001). Smokers had significantly lower peroxidase and uric acid levels than healthy controls. In addition, the mean malondialdehyde levels in the smokers and nonsmokers were 4.55 ±2.61 and 2.79 ±2.21, respectively (P=0.001). Conclusion: Cigarette smoke produces free radical and oxidative stress, causing many side effects. Salivary antioxidant levels decreased and malondialdehyde levels increased in smokers, indicating the high oxidative stress among smokers compared to nonsmokers. Cigarette smoke had deleterious effects on main salivary antioxidants levels.


2019 ◽  
Vol 15 (02) ◽  
pp. 14-17
Author(s):  
K K Hadiya ◽  
A J Dhami ◽  
D V Chaudhari ◽  
P M Lunagariya

This study was initiated on 24 prepubertal Holstein x Kankrej crossbred heifers of nearly identical age (7-9 months) and body weight (130-140 kg) at University farm to evaluate the effect of high plane of nutrition on blood biochemical and minerals profile and the age at puberty. Twelve heifers were managed under routine farm feeding (control) and the rest 12 under ideal optimum feeding regime (treatment) that included extra 1 kg concentrate, 30 g min mix and ad-lib dry fodder. The body weight and ovarian ultrasonography together with blood sampling was carried out at monthly interval from 10 to 18 months of age to study the ovarian dynamics and blood biochemical changes. High plane of nutrition to growing heifers was beneficial in reducing the age of onset of puberty (by 2-3 months) compared to routine farm fed group. The mean plasma total protein and cholesterol concentrations showed a rising trend with significant variations from 10 to 16 months of age, where it got mostly stabilized indicating adult profile. The activity of enzymes GOT and GPT also rose gradually and significantly from 10 months till 14-15 months of age, and thereafter it remained more or less static till 18 months of age. The levels of both these enzymes were higher, with lower protein and cholesterol, in control than the treatment group from 15-16 months of age onwards. The mean plasma levels of both calcium and phosphorus increased gradually and significantly with advancing age till 16-17 months of age, with little higher values in supplemented than a control group. The plasma levels of zinc, iron, copper, and cobalt also showed rising trend with significant differences between 10th and 12th-14th months of age, and from 15th to 18th months of age the levels were statistically the same in all the groups with slightly higher values in the treatment group.


2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Ayman Ali Abdel Fattah ◽  
Abdel Hay Rashad Elasy ◽  
Ahmed Helmy Hoseini ◽  
Tarek Abdel Rahman Abdel Hafez

Abstract Background Repair of a perforated tympanic membrane (myringoplasty) can facilitate normal middle ear function, resist infection, and help re-establish normal hearing. Autogenous graft materials are the most popular graft materials used in myringoplasty because of their easy acceptability by the body. This study is conducted to compare between temporalis fascia graft and fascia lata graft in myringoplasty for patients with tubo-tympanic dry perforation. Results A total of 60 patients with persistent dry tympanic membrane perforation were included in our study during the period from January 2018 to May 2020. Patients underwent myringoplasty with temporalis fascia (30 patients as group A) or fascia lata (30 patients as group B). Patients were scheduled for follow-up visits concerning graft status, ear discharge, and audiograms. The mean postoperative air-bone gap in group A was 17.5 ± 4 after 1 month and 8.6 ± 6.9 after 3 months, while in group B, the mean postoperative air-bone gap was 17.6 ± 4.9 after 1 month and 9.4 ± 7.5 after 3 months. There was 90% success in graft uptake in group A, while there was 80% success in group B. Conclusion Using temporalis fascia is still the best and most trustworthy technique of myringoplasty compared to fascia lata graft. However, fascia lata can be a good alternative to temporalis fascia especially in cases of revision myringoplasty, ears having large perforation, or near-total perforation where the chances of residual perforation are high because of the limited margin of remnant tympanic membrane overlapping the graft.


Sensors ◽  
2021 ◽  
Vol 21 (11) ◽  
pp. 3771
Author(s):  
Alexey Kashevnik ◽  
Walaa Othman ◽  
Igor Ryabchikov ◽  
Nikolay Shilov

Meditation practice is mental health training. It helps people to reduce stress and suppress negative thoughts. In this paper, we propose a camera-based meditation evaluation system, that helps meditators to improve their performance. We rely on two main criteria to measure the focus: the breathing characteristics (respiratory rate, breathing rhythmicity and stability), and the body movement. We introduce a contactless sensor to measure the respiratory rate based on a smartphone camera by detecting the chest keypoint at each frame, using an optical flow based algorithm to calculate the displacement between frames, filtering and de-noising the chest movement signal, and calculating the number of real peaks in this signal. We also present an approach to detecting the movement of different body parts (head, thorax, shoulders, elbows, wrists, stomach and knees). We have collected a non-annotated dataset for meditation practice videos consists of ninety videos and the annotated dataset consists of eight videos. The non-annotated dataset was categorized into beginner and professional meditators and was used for the development of the algorithm and for tuning the parameters. The annotated dataset was used for evaluation and showed that human activity during meditation practice could be correctly estimated by the presented approach and that the mean absolute error for the respiratory rate is around 1.75 BPM, which can be considered tolerable for the meditation application.


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