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1.
Int J Mol Sci ; 24(3)2023 Jan 26.
Article in English | MEDLINE | ID: mdl-36768738

ABSTRACT

Anthocyanins are one of the natural pigments that humanity has employed the most and can substitute synthetic food dyes, which are considered toxic. They are responsible for most purple, blue, and red pigment nuances in tubers, fruits, and flowers. However, they have some limitations in light, pH, oxygen, and temperature conditions. Combining biomolecules and inorganic materials such as clay minerals can help to reverse these limitations. The present work aims to produce materials obtained using cetyltrimethylammonium bromide in bentonite clay for incorporation and photostabilization of anthocyanin dye. Characterizations showed that the organic molecules were intercalated between the clay mineral layers, and the dye was successfully incorporated at a different pH. Visible light-driven photostability tests were performed with 200 h of irradiation, confirming that the organic-inorganic matrices were efficient enough to stabilize the quinoidal base form of anthocyanin. The pigment prepared at pH 10 was three-fold more stable than pH 4, showing that the increase in the synthesis pH promotes more stable colors, probably due to the stronger intermolecular interaction obtained under these conditions. Therefore, organobentonite hybrids allow to stabilize the fragile color coming from the quinoidal base form of anthocyanin dyes.


Subject(s)
Anthocyanins , Coloring Agents , Anthocyanins/chemistry , Coloring Agents/chemistry , Bentonite/chemistry , Clay , Light
2.
Environ Monit Assess ; 189(1): 27, 2017 Jan.
Article in English | MEDLINE | ID: mdl-28000123

ABSTRACT

Thermotolerant coliform (TC) loadings were quantified for 49 catchments draining into the North and South Bays of Santa Catarina (SC, southeastern Brazil), an area known for its tourism and aquaculture. TC loadings were calculated based on flow measurements taken in 26 rivers. TC concentrations ere quantified based on surface water samples collected at 49 catchment outlets in 2012 and 2013. Median TC loads ranged from 3.7 × 103 to 6.8 × 108 MPN s-1. TC loadings in the catchments increased in proportion to increases in resident human population, population density and percentage of urbanised area. Catchments with more than 60% of area covered by wastewater collection and treatment systems had higher TC loads per person than catchments with less than 25%. Based on the study catchments, these results indicate that current sewerage infrastructure is ineffective in reducing contamination of faecal origin to surface waters. These findings have important implications for the management of microbiological health hazards in bathing, recreational and shellfish aquaculture waters in the North and South Bays of Santa Catarina Island.


Subject(s)
Environmental Monitoring/methods , Water Microbiology , Water Pollution/analysis , Water/analysis , Aquaculture , Brazil , Feces/chemistry , Feces/microbiology , Humans , Recreation , Rivers/microbiology , Shellfish/microbiology , Urbanization
3.
Sci Total Environ ; 880: 163086, 2023 Jul 01.
Article in English | MEDLINE | ID: mdl-36996989

ABSTRACT

This study aimed to form a basis for future predictive modeling efforts in support of the harmful algal blooms (HAB) surveillance program currently in force in the Brazilian State of Santa Catarina (SC). Data from monitoring toxin-producing algae were merged with both meteorological and oceanographic data and analyzed. Data from four sources were used in this study: climate reanalysis (air temperature, pressure, cloud cover, precipitation, radiation, U and V winds); remote sensing (chlorophyll concentration and sea surface temperature); Oceanic Niño Index; and HAB monitoring data (phytoplankton counts and toxin levels in shellfish samples obtained from 39 points located in shellfish farms distributed along the SC coastline). This study analyzed the period from 2007-01-01 to 2019-12-31 (7035 records in the HAB database) and used descriptive, bivariate and multivariate analyses to draw correlations among environmental parameters and the occurrence of algal blooms (AB), HAB and toxic events. Dinophysis spp. AB were the most registered type of event and tended to occur during the late autumn and winter months. These events were associated with high atmospheric pressure, predominance of westerly and southerly winds, low solar radiation and low sea and air temperature. An inverted pattern was observed for Pseudo-nitzschia spp. AB, which were mostly registered during the summer and early autumn months. These results give evidence that the patterns of occurrence of highly prevalent toxin-producing microalgae reported worldwide, such as the Dinophysis AB during the summer, differ along the coast of SC. Our findings also show that meteorological data, such as wind direction and speed, atmospheric pressure, solar radiation and air temperature, might all be key predictive modeling input parameters, whereas remote sensing estimates of chlorophyll, which are currently used as a proxy for the occurrence of AB, seem to be a poor predictor of HAB in this geographic area.


Subject(s)
Dinoflagellida , Harmful Algal Bloom , Brazil , Remote Sensing Technology , Phytoplankton
4.
Can J Gastroenterol ; 23(6): 421-4, 2009 Jun.
Article in English | MEDLINE | ID: mdl-19543572

ABSTRACT

BACKGROUND: Estimates suggest that more than 250,000 Canadians are infected with hepatitis C virus (HCV), but less than 10% have been treated. Access to specialists in Canada is usually via health care professional (HCP) referral and, therefore, may be a barrier to HCV care. However, clinics that operate in conjunction with the Hepatitis Support Program, Edmonton, Alberta, allow self-referral. It is hypothesized that this improves access to care without increasing inappropriate referrals. OBJECTIVE: To compare the baseline characteristics and outcomes of HCV patients who self-referred with those who were HCP-referred. METHODS: Data were collected from the Hepatitis Support Program HCV database and chart reviews. RESULTS: Between December 17, 2002, and December 31, 2007, 1563 patients were referred including 336 self- (21.5%) and 1227 HCP-referrals (78.5%). Self- and HCP-referred patients were similar in terms of age (mean [+/- SD] 43.0+/-10.3 years versus 43.9+/-10.0 years, respectively; P=0.18), sex (56.8% versus 62.0% [men], respectively; P=0.08) and risk factors for HCV (P=0.3), with 49.7% and 52.6%, respectively, identifying injection drug use as the primary risk factor. The two groups had similar HCV genotype distributions and liver biopsy fibrosis scores with similar treatment rates (31.3% versus 33.2%; P=0.6). Treatment outcomes were excellent (sustained virological response 40.2% for genotype 1, 67% for genotypes 2 and 3) in patients completing therapy and were similar between the two groups. CONCLUSION: Self-referred patients comprised 21.5% of patients accessing care in the clinic. Self- and HCP-referred patients had similar characteristics, treatment rates and outcomes. Facilitating self referral to an HCV clinic can improve access to care, including risk reduction education and HCV treatment.


Subject(s)
Ambulatory Care , Health Services Accessibility , Hepatitis C/therapy , Patient Participation , Referral and Consultation/organization & administration , Adult , Alberta , Antiviral Agents/therapeutic use , Cohort Studies , Female , Hepatitis C/diagnosis , Humans , Male , Middle Aged , Retrospective Studies , Treatment Outcome
5.
Sci Total Environ ; 630: 20-31, 2018 Jul 15.
Article in English | MEDLINE | ID: mdl-29471188

ABSTRACT

This study developed, cross-validated and applied a regression-based model to predict concentrations of faecal indicator organisms (FIOs) under different environmental conditions in the North and South bays of Santa Catarina, South of Brazil. The model was developed using a database of FIO concentrations in seawater sampled at 50 sites and the validation was performed using a different database by comparing 288 pairs of measured and modelled results for 15 sites. The index of agreement between the model outputs and the FIO concentrations measured during the validation period was 66%; the mean average error was 0.43 log10 and the root mean square error was 0.58 log10 MPN.100mL-1. These validation results indicate that the model provides a fair representation of the FIO contamination in the bays for the meteorological conditions under which the model was trained. The simulation of different scenarios showed that under typical levels of resident human population in the catchments and median rainfall and solar radiation conditions, the median FIO concentration in the bays is 0.4 MPN.100mL-1. Under extreme meteorological conditions, the combined effect of high rainfall and low solar radiation increased FIO concentrations up to 5 log10 MPN.100mL-1. The simulated scenarios also show that increases in resident population during the summer tourist season and average rainfall concentrations do not increase median FIO concentrations in the bays relative to periods of time with average population, possibly because of higher bacterial die-off in the waters. The models can be an effective tool for management of human health risks in bathing and shellfish waters impacted by sewage pollution.


Subject(s)
Bathing Beaches/statistics & numerical data , Environmental Monitoring , Models, Statistical , Seawater/microbiology , Water Microbiology , Water Pollution/statistics & numerical data , Brazil
6.
Article in English | MEDLINE | ID: mdl-16730222

ABSTRACT

The benzyl radical was studied by optical emission spectroscopy in gas phase. This radical was produced in a radio-frequency (RF, 13.56 MHz) discharge, using benzyl alcohol (ØCH(2)OH) as a precursor. The fluorescence from the first excited electronic state 1(2)A(2) to ground state 1(2)B(2) (450 nm) was studied as a function of several external parameters (pressure, RF power, electrodes and mixtures of the inert gases Ar, Ne, He, N(2), with the precursor). We also used a DC discharge to produce this radical but, in this case, the decomposition was fast. We observed changes in the electronic transitions of this radical, and found the best conditions to study it by optogalvanic spectroscopy.


Subject(s)
Free Radicals , Spectrophotometry/methods , Argon/chemistry , Helium/chemistry , Models, Chemical , Models, Statistical , Neon/chemistry , Nitrogen/chemistry , Pressure
7.
J Clin Endocrinol Metab ; 43(1): 240-3, 1976 Jul.
Article in English | MEDLINE | ID: mdl-947943

ABSTRACT

Administration of growth hormone-release inhibiting hormone (GH-RIH, somatostatin), as a 90 minute infusion (10 mug/min), to 3 healthy young men under conditons of active renin secretion acheived by pretreatment with furosemide (80 mg daily for 5 days), caused a mean 30% fall in plasma renin activity, which returned to basal levels immediately after stopping the GH-RIH infusion. Plasma aldosterone levels were not affected during the course of this experiment.


Subject(s)
Aldosterone/blood , Renin/blood , Somatostatin/pharmacology , Adult , Angiotensin II/blood , Depression, Chemical , Furosemide/pharmacology , Humans , Infusions, Parenteral , Male , Sodium/metabolism , Somatostatin/administration & dosage , Time Factors
8.
Clin Nephrol ; 7(3): 101-5, 1977 Mar.
Article in English | MEDLINE | ID: mdl-870266

ABSTRACT

The effect of increasing dialyzate sodium concentration from 130 to 136 mmoles/l on the incidence of muscle cramps in patients on regular dialysis treatment is assessed. This change was found to be effective in markedly reducing the incidence of cramp at the cost of a slight rise in the complaint of thirst. Mean arterial pressure rose slightly but significantly and exchangeable sodium was increased to levels comparable to those measured during 1969, when with twice weekly dialysis hypertension was a problem. It is concluded that dialyzate sodium concentration may with benefit be increased to 136 mmoles/l, provided that blood pressure is carefully monitored.


Subject(s)
Renal Dialysis/adverse effects , Sodium/pharmacology , Thirst , Blood Pressure/drug effects , Humans , Hypertension/etiology , Muscle Cramp/epidemiology , Muscle Cramp/etiology , Osmolar Concentration
9.
Clin Nephrol ; 16(6): 307-13, 1981 Dec.
Article in English | MEDLINE | ID: mdl-7032775

ABSTRACT

Twenty-seven patients with hypertension and varying degrees of renal failure were studied before and during the administration of frusemide. In 15 patients studies were repeated following the addition of propranolol. Mean exchangeable sodium was increased before the introduction of frusemide or propranolol in patients with azotemia, possibly due in part to the administration of other antihypertensive drugs, and was reduced to normal during frusemide treatment increasing slightly but significantly following the addition of propranolol. Blood pressure fell significantly with frusemide but there was no further significant fall with propranolol. The relationship of change in blood pressure to change in exchangeable sodium with frusemide did not reach significance. There was no relationship between changes in blood pressure and changes in plasma renin activity with frusemide, suggesting that the blood pressure response to frusemide is not limited by the rise in renin. The fall in blood pressure following the addition of propranolol was proportional to the dose of the drug but inversely proportional to the change in renin suggesting that renin levels are to some extent determined by the blood pressure response to propranolol rather than themselves determining that response. Serum creatinine was significantly increased during treatment with frusemide probably due to a combination of the effects of sodium depletion and the natural progression of the underlying renal disease rather than to nephrotoxicity. The further slight increase in serum creatinine following the addition of propranolol is in keeping with the reported effect of this drug on renal blood flow and glomerular filtration rate in patients without renal disease.


Subject(s)
Furosemide/therapeutic use , Hypertension, Renal/etiology , Propranolol/therapeutic use , Renin/physiology , Sodium/physiology , Adolescent , Adult , Aged , Creatinine/blood , Female , Humans , Hypertension, Renal/drug therapy , Kidney Diseases/physiopathology , Male , Middle Aged , Renin/blood
10.
Clin Nephrol ; 11(4): 196-201, 1979 Apr.
Article in English | MEDLINE | ID: mdl-455818

ABSTRACT

Plasma renin activity has been measured daily in 36 patients suffering from self poisoning with acetaminophen. In 3 developing porto-systemic encephalopathy terminal renal failure developed with high plasma renin activity. In 2 who developed acute renal failure without porto-systemic encephalopathy, plasma renin activity was noted to rise before serum creatinine and to return to initial levels after 3 or 4 days while renal failure persisted. Six other patients with similar hepatic damage showed comparable rises in renin without developing renal failure. Our findings are consistent with but do not establish a pathogenetic role for renin in acetaminophen-induced acute renal failure. It is suggested that other factors may act with renin to bring about renal failure.


Subject(s)
Acetaminophen/adverse effects , Acute Kidney Injury/chemically induced , Renin/blood , Acute Kidney Injury/blood , Acute Kidney Injury/pathology , Adolescent , Adult , Creatinine/blood , Hepatic Encephalopathy/complications , Humans , Kidney/pathology , Middle Aged
11.
Pesqui. vet. bras ; 38(8): 1691-1695, Aug. 2018. tab
Article in Portuguese | LILACS, VETINDEX | ID: biblio-976484

ABSTRACT

Objetivou-se com este estudo comparar os efeitos do fornecimento de dietas glicogênicas ou lipogênicas sobre metabolitos sanguíneos e hormônios em vacas primíparas (n=40) durante o período de transição. Os animais foram aleatoriamente distribuídos em quatro tratamentos: controle, sais de cálcio de ácidos graxos poli-insaturados (Megalac-E, 100g pré-parto e 250g pós-parto), soja tostada (400g pré-parto e 800g pós-parto) e propilenoglicol (300ml pré e pós-parto). Os suplementos foram fornecidos individualmente. Foram realizadas coletas de sangue para determinação das concentrações plasmáticas de insulina, glicose, ácidos graxos não esterificados (AGNE) e IGF-I. As concentrações de insulina e de glicose foram maiores nos animais do tratamento com sais de cálcio de ácidos graxos poli-insaturados. A maior concentração de AGNE foi observada no grupo controle. A concentração plasmática de IGF-I foi mais elevada para os animais do tratamento que receberam suplementos lipogênicos. A adição de sais de cálcio de ácidos graxos poli-insaturados a dieta foi capaz de amenizar as mudanças hormonais e metabólicas características do período de transição.(AU)


The aim of this study was to compare the effects of glycogenic supply or lipogenic diets on blood metabolites and hormones in primiparous dairy cows (n=40) during the transition period. The animals were randomly assigned to four treatments: control, calcium salts of polyunsaturated fatty acids (Megalac-E, 100g prepartum and 250g postpartum), roasted soybeans (400g prepartum and 800g postpartum) and propylene glycol (300ml pre- and postpartum). The supplements were provided individually. Blood samples were taken to determine plasma concentrations of insulin, glucose, non-esterified fatty acids (NEFA) and IGF-I. The glucose and insulin concentrations were higher in calcium salts of polyunsaturated fatty acids treatment. The highest concentration of NEFA was observed in the control group. The plasma concentrations of IGF-I were higher for the treatments with lipogenic supplements. Adding calcium salts of polyunsaturated fatty acids diet was able to ease the hormonal and metabolic changes of the transition period features.(AU)


Subject(s)
Animals , Female , Cattle , Cattle/metabolism , Cattle/blood , Electronic Supplementary Materials
13.
J Fluoresc ; 17(4): 377-82, 2007 Jul.
Article in English | MEDLINE | ID: mdl-17549612

ABSTRACT

Silver nanoparticles were synthesized by chemical reduction of silver ions by sodium borohydride in the presence of poly-(N)-vinyl-2-pyrrolidone in solution of short chain alcohols. The nanoparticles are stable in 2-propanol, and the average diameter of the Ag colloid obtained in this solvent is about 6 nm. The photophysical properties of acridinium and coumarin dyes in 2-propanol are affected by the presence of silver nanoparticles. The interaction of silver nanoparticles with acridinium derivative leads to a spectral change of its intramolecular charge transfer (ICT) absorption band. The dye emission increases suddenly with the initial addition of the Ag metal nanoparticles, but at a high concentration of the colloid, static fluorescence quenching occurs with a progressive decrease of the fluorescence efficiency. Amino coumarin fluorescence is only quenched by the silver nanoparticles in solution.


Subject(s)
Acridines/chemistry , Coumarins/chemistry , Fluorescent Dyes/chemistry , Metal Nanoparticles/chemistry , Silver/chemistry , 2-Propanol , Metal Nanoparticles/ultrastructure , Microscopy, Electron, Transmission , Solutions , Spectrometry, Fluorescence , Spectrophotometry
14.
Br Med J ; 1(6162): 520-1, 1979 Feb 24.
Article in English | MEDLINE | ID: mdl-444865

ABSTRACT

Exchangeable sodium was measured in 26 patients undergoing dialysis with a modestly shortened schedule of 14.8 hours weekly and related to blood-pressure control. The group was compared with 27 patients studied in 1969 during twice-weekly dialysis totalling 22 hours, and with 18 patients studied in 1973 during dialysis of 18--21 hours weekly in three sessions. Exchangeable sodium was significantly increased with short dialysis compared with the other schedules and, although mean blood pressure was not significantly increased, significantly more patients required antihypertensive treatment than in either 1969 or 1973. A trend towards more frequent resort to bilateral nephrectomy than in 1973 did not reach significance. Problems of hypertension and the side effects of its treatment, both medical and surgical, should be weighed against the social and economic advantages of short dialysis in deciding on the ideal schedule.


Subject(s)
Hypertension/etiology , Renal Dialysis/methods , Sodium/metabolism , Adult , Female , Humans , Male , Middle Aged , Renal Dialysis/adverse effects , Time Factors
15.
Biol Chem Hoppe Seyler ; 371(5): 423-31, 1990 May.
Article in English | MEDLINE | ID: mdl-2378679

ABSTRACT

The octapeptide Leu-Ser-Arg-Leu-Phe-Asp-Asn-Ala (hGH 6-13) has been reported to show insulin-potentiating properties, and its synthesis by conventional solid-phase synthesis was previously described. It is now shown that peptide synthesized with diisopropylethylamine or N-methylmorpholine as neutralizing base in each cycle does have the above structure. When triethylamine was used as neutralizing base however, the Asp residue was converted to its imide, the presence of which has been demonstrated by means of infrared, 1H-NMR and fast-atom bombardment mass spectra, and by reactivity studies, electrophoresis at several pH values, and enzymic hydrolysis. Only the imide form of the peptide possesses the previously reported biological properties. A study of imide formation from protected and unprotected peptides showed that cyclization occurred during a wide range of acid and base treatments, but 10% triethylamine in CH2Cl2 was most effective, producing over 40% of imide in 90 min. The results of the investigation are compared with others in the literature, including those for the peptide hormone secretin.


Subject(s)
Growth Hormone/isolation & purification , Peptide Fragments/isolation & purification , Amino Acid Sequence , Aspartic Acid , Chemical Phenomena , Chemistry , Electrophoresis , Ethylamines , Hydrogen-Ion Concentration , Hydrolysis , Magnetic Resonance Spectroscopy , Mass Spectrometry , Molecular Sequence Data , Peptides/isolation & purification
16.
Br J Anaesth ; 80(4): 512-5, 1998 Apr.
Article in English | MEDLINE | ID: mdl-9640161

ABSTRACT

We describe elective Caesarean section performed under extradural anaesthesia in a parturient with symptomatic syringomyelia and coexisting Chiari type I anomaly. Syringomyelia is reviewed and the anaesthetic implications of the condition discussed. Anaesthesia should be directed primarily at avoidance of increased intracranial pressure, which can cause sudden deterioration in these patients.


Subject(s)
Anesthesia, Epidural , Anesthesia, Obstetrical/methods , Arnold-Chiari Malformation , Cesarean Section , Pregnancy Complications , Syringomyelia , Adult , Female , Humans , Pregnancy
17.
Eur J Clin Invest ; 11(4): 299-304, 1981 Aug.
Article in English | MEDLINE | ID: mdl-6795046

ABSTRACT

Exchangeable sodium, plasma renin activity, plasma angiotensin II and plasma aldosterone were measured in forty-six control subjects, nineteen patients with chronic non-cirrhotic liver disease and twenty patients with compensated cirrhosis (i.e. without ascites or oedema). In the three groups respectively, mean exchangeable sodium (mmol/kg lean body mass) was 53 (SD = 3), 50 (SD = 5) and 52 (SD = 8). Mean plasma renin activity (pmol l(-1) min(-1)) was 3.2, 3.1 and 3.0 supine and 6.2, 6.2 and 5.1 erect. Mean plasma angiotensin II (pmol l(-1) was 7.3, 5.8 and 6.6 supine and 10.6, 7.9 and 9.0 erect. Mean plasma aldosterone (pmol l(-1)) was 82, 64 and 77 supine and 188, 133 and 121 erect. There were no significant differences among the mean values of any of these variables. These findings indicate that, on the basis of exchangeable sodium measurements, sodium retention is not present in compensated liver disease and that the renin--angiotensin--aldosterone system is essentially normal.


Subject(s)
Aldosterone/blood , Angiotensin II/blood , Liver Diseases/blood , Renin/blood , Sodium/blood , Adult , Analysis of Variance , Chronic Disease , Female , Humans , Liver Cirrhosis/blood , Male , Middle Aged , Sodium/urine
18.
Q J Med ; 49(196): 395-403, 1980.
Article in English | MEDLINE | ID: mdl-7022539

ABSTRACT

Renin, aldosterone and exchangeable sodium were measured in 38 hypertensive and 56 normotensive renal transplant recipients with good renal function and without renal artery stenosis. Response to competitive blockade of angiotensin II using saralasin was studied in 20 of the hypertensive group. Hypertension was uncommon when bilateral nephrectomy had been performed. When diseased kidneys remained in situ, blood pressure after transplantation correlated well with blood pressure on dialysis. Plasma renin activity was higher in hypertensive patients despite higher exchangeable sodium levels. Urinary aldosterone was also higher and correlated well with blood pressure and plasma renin activity. Angiotensin II blockade produced a fall in blood pressure proportional to plasma renin activity. These observations suggest that hypersecretion of renin is an aetiological factor in the hypertension of renal transplant recipients. It appears to act both through the stimulation of aldosterone secretion, with resultant salt retention, and through the direct vasoconstrictor action of angiotensin II. Since renin levels were lower in patients subjected to bilateral nephrectomy the source of the excess renin is probably the host's kidneys.


Subject(s)
Hypertension/etiology , Kidney Transplantation , Postoperative Complications , Adult , Aldosterone/urine , Blood Pressure/drug effects , Humans , Hypertension/physiopathology , Kidney/physiopathology , Middle Aged , Postoperative Complications/physiopathology , Renin/blood , Saralasin , Sodium/metabolism , Transplantation, Homologous
19.
Anaesthesia ; 58(2): 161-5, 2003 Feb.
Article in English | MEDLINE | ID: mdl-12622105

ABSTRACT

Over a period of one year, a weekly telephone survey identified 161 stable patients with weaning delay (defined as patients ventilated for at least 6 h per day for more than 2 weeks) in intensive care units in the Northern Region of England. Their median age was 69 years (range 21-88 years). Sixty patients (37%) were admitted with medical conditions, 89 (55%) were postoperative patients, whereas 12 (8%) were surgical but required non-operative admission. One hundred and thirty (89%) were weaned and discharged from the intensive care unit during the year. Twenty-two (14%) died and two were transferred to the home ventilation service. Seven patients remained ventilated in intensive care at the end of the study period. Twenty patients (12%) required more than 28 days of respiratory support. These patients occupied on average 6.0% of available intensive care unit beds in the region. This study suggests that in the Northern Region of England there are a significant number of stable but ventilator-dependent patients occupying intensive care beds.


Subject(s)
Critical Care/statistics & numerical data , Health Facility Planning/statistics & numerical data , Health Services Needs and Demand , Ventilator Weaning/statistics & numerical data , Adult , Age Distribution , Aged , Aged, 80 and over , England , Health Care Surveys , Health Services Research , Humans , Length of Stay/statistics & numerical data , Middle Aged , Postoperative Care/statistics & numerical data
20.
Q J Med ; 52(207): 349-62, 1983.
Article in English | MEDLINE | ID: mdl-6359227

ABSTRACT

We report the experience of a regional centre serving a population of 3 millions in the management of patients with hypertension and unilateral scarred kidneys between 1972 and 1981. Thirty one patients were studied, fifteen have been subjected to nephrectomy and sixteen managed conservatively. The medically and surgically treated patients differed only in that the diseased kidney was smaller, 7.7 +/- 1.9 vs 9.9 +/- 1.7 cm, (p less than 0.01), and systolic blood pressure higher, 224 +/- 34 vs 198 +/- 30 mmHg, (p = 0.05), in the surgically treated group. Following nephrectomy blood pressure was normal without drugs in four patients, control was made easier in 10 patients and only one patient, who had bilateral disease, failed to benefit. In the non-surgical group drugs could be withdrawn in only one patient and control became easier in only five. Serum creatinine did not increase following nephrectomy, but had increased significantly at the time of the most recent follow up in the medically treated patients (89 +/- 20 to 102 +/- 32 mumol 1(-1), p less than 0.05). We conclude that nephrectomy is of value in the management of some patients with unilateral chronic pyelonephritis and need not result in loss of renal function. Renal vein renin studies may be helpful in selecting patients for surgery but examination of the effect of nephrectomy in patients without differences in renal vein renin is necessary to establish this.


Subject(s)
Hypertension, Renal/surgery , Nephrectomy , Pyelonephritis/surgery , Adolescent , Adult , Child , Female , Humans , Hypertension, Renal/blood , Hypertension, Renal/drug therapy , Male , Middle Aged , Pyelonephritis/blood , Pyelonephritis/drug therapy , Renal Veins , Renin/blood
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