Biomedical subjects

V Teplan

Publications and source records attributed to V Teplan.

At least 73 records · Page 4Linked to original sources

PubMed1990

[Metabolic characteristics of patients with chronic renal failure in long-term diet therapy and substitution with keto analogs of essential amino acids].

12 patients suffering from chronic renal failure did receive for 12 to 22 months a special protein-poor diet containing 20 g of high-class proteins and essential amino acids (4.8 g/d). During this period the serum levels of albumin, transferrin, immunoglobulins, hemoglobin and ferritin did remain unchanged, whereas the levels of C3 was reduced significantly. The glucose metabolism and the serum levels of cholesterol and triglycerids were constant. The results show no metabolic changes during long-term protein-poor diet containing minimal doses of essential amino acids.

Amino Acids, Essential↗

PubMed1990

[Electrolyte disorders in cadaveric kidney donors before explantation and the functional development of the transplant in the early postoperative period].

In a group of cadaveric kidney transplantations the problem of the dependence of the functional development of the graft on the function of donor kidney before explanation and on the total time of ischaemia in the immediate postoperative period was investigated. Based on the plasma concentration of endogenous creatinine (PKr), urea (PUrea) and the total ischaemic time (GI), the early function of the graft cannot be predicted. On the contrary, the values of PKr, GI and the kidney index (NIKI = PKr x GI) allow an accurate prediction that the early function of the graft will not be sufficient. Early function of the graft is not likely to develop when PKr is higher than 160 mumol/l, total ischaemic time is longer than 30 hours and the NIKI is over 3,500. Severe alterations in the level of serum potassium (SK) occurred in 61.4% of the donors. In cases where SK was 3.0 mmol/l or less, early function of the graft did not develop in 82.3%. With high probability haemodialysis was necessary. More pronounced alterations of the level of SNa occurred in more than 60% of the donors. When SNa was 125 mmol/l or less, early function of the graft did not develop in 76%. Diuresis over 400 ml/h increased significantly the number of early nonfunctional grafts. In cases where fractional sodium excretion (FENa) was over 5%, early function of the graft did not develop. With a FENa less or equal to 1%, early function of the graft was most likely to develop.

Electrolytes↗

PubMed1989

[Electrolyte disorders in brain dead organ donors and early functional development of the transplanted kidney].

In 70 cadaverous donors the authors examined 2 hours before collection of organs the serum and urinary electrolyte levels and the creatinine and urea levels. Serious hypokaliaemia (less than 3.0 mmol/l) was found in 24.5% of the donors, hyperkaliaemia (more than 6.0 mmol/l) in 11.4%. Hyponatraemia (less than 125 mmol/l) was present in 11.4%, hypernatraemia (above 160 mmol/l) in 18.6% of the donors. Hyperchloraemia (above 130 mmol/l) was recorded in 22.8 percentage of the donors. In cases where SK less than or equal to 3.0 mmol/l, early functional development of the graft did not occur in 82.3% (p less than 0.001), in cases where SNa less than or equal to 125 mmol/l in 75% (p less than 0.01). When the value of FENa greater than or equal to 5%, early restoration of the graft did not occur in 81.3% of the cases (p less than 0.01). Conversely when FENa less than or equal to 1%, functional development of the graft was highly probable (p less than 0.001). Diuresis above 400 ml/h had an adverse (p less than 0.01) effect on the early functional development of the graft.

Brain Death↗

PubMed1989

[Long-term administration of a low-protein diet with keto-analogs of essential amino acids and the metabolic status of patients with chronic kidney failure].

To 12 patients with chronic renal failure (CHRI) for 12-22 months a diet containing 20 g high quality protein supplemented by keto analogues of essential amino acids (KA)--4.8 g/day--was administered. During the investigation period no significant change of the albumin, prealbumin or transferrin level was recorded, nor of Whitehead's quotient, immunoglobulin levels and haemoglobin concentration, serum iron and its binding capacity. However, there was decline of the C3 complement component (p less than 0.01). The investigated parameters of carbohydrate metabolism (fasting blood sugar, immunoreactive insulin, oral glucose tolerance test) did not change, similarly as total cholesterol and triglyceride levels. The originally reduced HDL-cholesterol level increased (p less than 0.05). The achieved results suggest that the long-term administration of a diet with 20 g protein supplemented by the minimal necessary dose of KA does not produce undesirable changes of the investigated metabolic parameters.

Amino Acids, Essential↗

PubMed1989

The plasma concentration and renal elimination of phenols in patients with chronic renal insufficiency.

The plasma concentration and renal elimination of phenols was studied in 32 individuals with various renal insufficiency (CRI) and in 30 healthy subjects. In patients with chronic renal insufficiency the increase in P phenols values correlated directly with Per and P urea. Daily urinary excretion of phenols in patients with CRI is only mildly decreased compared with that in healthy controls. Renal clearance (C phenols), 8.52 (+/- 2.69) ml/min on an average, decreases significantly in patients with CRI. While fraction excretion of phenols (FE phenols) was 9.53 (+/- 4.14) % on an average in healthy persons, patients with CRI displayed a significant increase. A significant linear correlation in the values of FE phenols and FEH2O and those of FE phenols and FE urea was documented. Our findings support the assumption that phenols are excreted by the kidney by a mechanism similar to that of urea excretion. Filtration of phenols in the glomeruli is followed, in healthy volunteers, by their significant reabsorption which is a flow-dependent process. In the residual nephrons of patients with CRI, the tubular reabsorption of phenols is decreased, a mechanism largely compensating the effect of decreased filtration of phenols on their total urinary excretion.

Adult↗

PubMed1989

Acidification capacity of the kidneys and aging.

The authors studied the acidification capacity of the kidneys in 60 healthy subjects aged 18-70 years after a single load of NH4Cl in a dose of 0.1 g/kg. The acidification load was followed by a significant increase in NH4+ excretion in the first five hours afterwards in young individuals (18-30 years). In subjects aged over 50, changes in NH4+ excretion were nonsignificant under these conditions. Titratable acid excretion rose significantly after the given acidification load in subjects aged 18-60 years; in older subjects it no longer increased significantly. Changes in titratable acid excretion displayed a significant correlation to the renal excretion of phosphates. The findings indicate that the diminished capacity of older subjects to increase titratable acid excretion after an acute NH4Cl load is due to an insufficient decrease in the tubular resorption of phosphates. Renal capacity for adequate reduction of the urine pH after a NH4Cl load was unimpaired.

Adolescent↗

PubMed1988