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1.
Artif Organs ; 44(7): 753-763, 2020 Jul.
Article in English | MEDLINE | ID: mdl-31944338

ABSTRACT

Convection-based renal replacement therapies (RRTs) have the potential to improve patient outcomes when compared to diffusion-based RRT such as hemodialysis (HD), but have limited clearance rates. We propose and characterize multipoint dilution hemofiltration (MPD-HF), a purely convective blood purification technology which removes the fundamental filtration limit associated with convective RRT resulting in clearance rates on par with HD. In MPD-HF, filtration of liquid and solutes occurs along the length of the hollow fibers that convey the blood, and substitution fluid is pushed into the fibers at multiple points along their length. Since multiple filtration and dilution steps are contained within one pass of the blood through the hollow fiber, the fraction of fluid that can be filtered may be increased to allow a high clearance rate that removes a wide range of toxins. In vitro tests yielded an average steady-state filtrate fraction of 68%, exceeding commercial HDF cartridge filtrate fractions by a factor of approximately 3. The molecular weights of molecules cleared spans up to the cutoff of 66 kDa for albumin.


Subject(s)
Dialysis Solutions/analysis , Hemofiltration/methods , Kidney Failure, Chronic/therapy , Models, Cardiovascular , Dialysis Solutions/chemistry , Equipment Design , Finite Element Analysis , Hemofiltration/instrumentation , Humans , Kidney Failure, Chronic/blood , Molecular Weight , Toxins, Biological/analysis , Toxins, Biological/blood , Toxins, Biological/chemistry , Toxins, Biological/pharmacokinetics
2.
J Synchrotron Radiat ; 18(Pt 4): 595-600, 2011 Jul.
Article in English | MEDLINE | ID: mdl-21685676

ABSTRACT

Automatic loop centring has been developed as part of the automation process in crystallographic data collection at the Swiss Light Source. The procedure described here consists of an optional set-up part, in which the background images are taken, and the actual centring part. The algorithm uses boundary and centre-of-mass detection at two different microscope image magnifications. Micromounts can be handled as well. Centring of the loops can be achieved in 15-26s, depending on their initial position, and as fast as manual centring. The alignment of the sample is carried out by means of a new flexural-hinge-based compact goniometer head. The device features an electromagnet for robotic wet mounting of samples. The circle of confusion was measured to be smaller than 1 µm (r.m.s.); its bidirectional backlash is below 2 µm.

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