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At least 109 records · Page 6Linked to original sources
PubMed2003

Exploiting thermal noise for an efficient actomyosin sliding mechanism.

With reference to the experimental observations by Yanagida and his co-workers concerning actomyosin interaction during muscle contraction processes, we propose a phenomenological model for the sliding of the myosin head on the actin filament, in which the myosin head is viewed as an active Brownian particle in a periodic, elastic-type potential subject to tilting. The sample paths thus obtained are qualitatively alike to those experimentally recorded. Furthermore, our model is proved to be susceptible of a consistent parameters regulation yielding step frequencies, mean step dwell time and dwell time distribution in excellent agreement with the experimental evidence.

Actomyosin↗
PubMed1994

Open states of nuclear envelope ion channels in cardiac myocytes.

Prevalent nucleocytoplasmic transport theory views flow of monoatomic ions as completely unrestricted, resulting from the presence of large diameter pore complexes (NPCs) that perforate, but hold together, the two separate membranes of the nuclear envelope (NE). However, three lines of investigations indicate that, at least in some cell types, monoatomic ion flow is restricted. (i) Patch clamp reveals quantized, ion channel-like activity in several NE preparations; activity thought to result from nuclear ion channels (NICs) connected to NPCs. (ii) Ratiometric fluorescence microscopy demonstrates that ions, as well as small molecules relevant to signal transduction, do distribute as if there is a NE barrier. (iii) Electron microscopy shows that NPCs contain material that behaves like a plug. NICs' large conductance (up to 1,000 pS) makes them a major determinant of nuclear ion concentrations which, in turn, influence nuclear processes. Therefore, NICs are an important modulating force of gene and transcriptional activities--two major determinants of gene expression. As nuclear processes may take from seconds (e.g., signaling) to minutes (e.g., transcription), the time the channels dwell in the ion-conducting open state is relevant to understanding NICs' role in nuclear function. Consequently, dwell-times and lifetimes of open NIC states were studied in 61 patch-clamped adult mouse cardiac myocyte nuclei. Upon voltage stimulation, NICs opened to main states of large conductance (281 +/- 198 pS, range = 120-490 pS, n = 55) and wide-range mean dwell-times (approximately 100 msec, 1-10 sec, and min). Closed states (0 pS) also had widely distributed mean dwell-times (approximately 100 msec, 1-10 sec, and min). Putative open substates (37 +/- 11 pS, range = 25-50, pS, n = 6) of high bursting frequency (< 1 msec) were observed without intervening main states (approximately 5% of patches). Fast (approximately 0.1 msec) and slow (approximately 10 msec) state-transitions were also detected. These observations suggest a role of NICs in mediating cytoplasmic signal control of cardiomyocyte gene expression.

Animals↗
PubMed1998

Independent technique of verifying high-dose rate (HDR) brachytherapy treatment plans.

PURPOSE: An independent technique for verifying high-dose rate (HDR) brachytherapy treatment plans has been formulated and validated clinically. METHODS AND MATERIALS: In HDR brachytherapy, dwell times at respective dwell positions are computed, using an optimization algorithm in a HDR treatment-planning system to deliver a specified dose to many target points simultaneously. Because of the variability of dwell times, concerns have been expressed regarding the ability of the algorithm to compute the correct dose. To address this concern, a commercially available low-dose rate (LDR) algorithm was used to compute the doses at defined distances, based on the dwell times obtained from the HDR treatment plans. The percent deviation between doses computed using the HDR and LDR algorithms were reviewed for HDR procedures performed over the last year. RESULTS: In this retrospective study, the difference between computed doses using the HDR and LDR algorithms was found to be within 5% for about 80% of the HDR procedures. All of the reviewed procedures have dose differences of less than 10%. CONCLUSION: An independent technique for verifying HDR brachytherapy treatment plans has been validated based on clinical data. Provided both systems are available, this technique is universal in its applications and not limited to either a particular implant applicator, implant site, or implant type.

Algorithms↗
PubMed2001

A preceding exchange with polyglucose versus glucose solution modifies peritoneal equilibration test results.

The peritoneal equilibration test (PET) is an important tool for evaluating peritoneal membrane characteristics. The polyglucose icodextrin induces ultrafiltration caused by colloid osmosis through the small pores of the peritoneal membrane and therefore is especially effective during long dwell times. The main indications for polyglucose solutions are daytime dwells in patients on automated peritoneal dialysis and nighttime exchanges in continuous ambulatory peritoneal dialysis (CAPD) patients. In CAPD patients, PET is started immediately after the icodextrin exchange. Therefore, we performed two PETs in each of 15 CAPD patients. PET post-1.36% glucose was performed immediately after a preceding exchange with 2 L of 1.36% glucose dialysate solution (dwell time, 10 hours). PET postpolyglucose was started immediately after a preceding exchange with 2 L of 7.5% icodextrin solution (dwell time, 10 hours). The dialysate to plasma (D/P) ratio of creatinine, phosphate, and sodium during PET postpolyglucose was significantly greater than during PET post-1.36% glucose at 1, 2, 3, and 4 hours of dwell time. The quotient of dialysate glucose at 1, 2, and 4 hours of dwell time to dialysate glucose at 0 dwell time was significantly lower in PET postpolyglucose compared with PET post-1.36% glucose. In the case of creatinine, phosphate, and glucose, PET postpolyglucose curves tended to be steeper than those of PET post-1.36% glucose during the first hour of dwell time, whereas both curves were parallel between 1 and 4 hours of dwell time. The course of D/P ratio curves of urea nitrogen, protein, and albumin was nearly identical between PET postpolyglucose and PET post-1.36% glucose. In a subgroup of 5 patients, D/P ratios of creatinine and phosphate were also greater in PET postpolyglucose compared with PET performed after a long dwell with 2.27% glucose solution. Before a scheduled PET, CAPD patients using icodextrin solution during the nighttime should perform their nighttime exchange with conventional glucose solution.

Adult↗
PubMed1999

Comparison of the effects of viscoelastic agents on clinical properties of the Unfolder lens injection system.

PURPOSE: To evaluate the effect of 7 viscoelastic materials on the physical properties of the Unfolder lens injection system. SETTING: John A. Moran Eye Center, University of Utah School of Medicine, Salt Lake City, Utah, USA. METHODS: New sterile SI-40NB intraocular lenses (IOLs) were loaded into the Unfolder (AMO PhacoFlex II SofTip insertion system (Allergan) using 7 viscoelastic materials: sodium hyaluronate 1.0% (Healon, Provisc), sodium hyaluronate 1.4% (Healon GV), sodium hyaluronate 1.6% (Amvisc Plus), hydroxypropyl methylcellulose 2.0% (Occucoat), sodium chondroitin 4.0%--sodium hyaluronate 3.0% (Viscoat), and hyaluronate 3.0% (Vitrax). The IOLs were then injected after 10 or 120 seconds in the chamber (chamber dwell time) and 10, 60, or 180 seconds in the barrel of the Unfolder cartridge (barrel dwell time). Torque values (g/cm) required to extrude the lenses were measured with a torque gauge, and the cartridges and IOLs were inspected for damage. RESULTS: Longer chamber dwell times resulted in lower torque values to extrude the IOLs (P < .001). Conversely, longer barrel dwell times resulted in higher torque requirements for IOL extrusion (P < .001). Furthermore, rates of adverse events, such as nondelivery, IOL damage, or Unfolder cartridge damage, were higher with shorter chamber dwell times and longer barrel dwell times (P < .001). However, IOL damage was avoided when the manufacturer's recommended chamber and barrel times were used. CONCLUSION: Increasing chamber dwell time and decreasing barrel dwell time resulted in lower torque values to extrude IOLs from the Unfolder and increased successful use. Moreover, dispersive viscoelastic agents tended to be more forgiving of changing dwell times and therefore had lower torque values and adverse event rates overall.

Chondroitin↗
PubMedDate not supplied

Clinical evaluation of elastomeric hydrogel peripheral catheters during home infusion therapy.

The use of elastomeric hydrogel (Aquavene, Menlo Care, Menlo Park, Calif.) peripheral catheters in home infusion therapy was prospectively evaluated. Elastomeric hydrogel catheter composition differs from that of conventional peripheral catheters made of Teflon or silicone in that it softens upon insertion and expands two gauge sizes within 30 minutes of insertion. Fifty-four test catheters were successfully placed in 44 home infusion therapy patients, for a total dwell time of 290 days. Average dwell time was 5.37 days, with a range of 1 to 20 days. The extension of dwell time beyond the accepted standard of 72 hours was not associated with an increased incidence of phlebitis when compared to the incidence of phlebitis reported in the scientific literature. The ability to extend peripheral catheter dwell time without increasing the incidence of catheter-related complications may have major clinical and economic advantages for the payors, providers, and consumers of home infusion therapy.

Catheterization, Peripheral↗
PubMed2003

The Günther Tulip retrievable filter: prolonged temporary filtration by repositioning within the inferior vena cava.

PURPOSE: To report experience with the retrievable Günther Tulip filter (GTF) as a means of temporary caval filtration for the prevention of pulmonary embolism (PE) with use of a technique that prolongs filter dwell time beyond 14 days. MATERIALS AND METHODS: Eighty-eight GTFs were implanted in 87 patients. The GTFs were placed with the intention of retrieval in all patients within 14 days after initial implantation. In 23 of the 87 patients (26%), there was a need to prolong temporary caval filtration beyond the recommended period of 14 days. This was successfully achieved with use of percutaneous techniques from the right internal jugular vein whereby the filter was repositioned to a different location within the inferior vena cava (IVC) before definitive device removal. RESULTS: Of 88 GTFs implanted in 87 patients, 70 were successfully retrieved and 18 were left in place permanently. Forty-seven filters in 46 patients were removed after initial implantation with no need for percutaneous repositioning within the IVC to prolong dwell time (mean dwell time, 13 days). In the 23 patients who required repositioning of 23 GTFs within the IVC to prolong temporary caval filtration, the mean dwell time was 34.8 days; the mean number of repositioning procedures was 1.5, the mean time between repositioning procedures was 13.8 days, and the mean fluoroscopy time was 4.4 minutes in patients in whom filter retrieval was attempted. One patient underwent placement and subsequent removal of the GTF twice for perioperative prophylaxis against PE on two separate occasions. No filters were misplaced in an unintended location or tilted (>15 degrees ) in relation to the main caval axis after deployment. In one patient, a GTF became permanently fixed in the IVC 16 days after initial implantation and could not be removed percutaneously. Nine patients had mild or moderate-sized cervical hematomas. One patient had recurrent asymptomatic PE 2 months after filter insertion. CONCLUSION: Dwell times of 14 days can be achieved in most patients before device removal. Prolongation of the dwell time beyond 14 days can be safely and easily achieved by performing percutaneous repositioning of the device within the IVC via a jugular approach.

Adolescent↗
PubMed1987

Single channel kinetics of a glutamate receptor.

The glutamate receptor-channel of locust muscle membrane was studied using the patch-clamp technique. Muscles were pretreated with concanavalin A to block receptor-channel desensitization, thus facilitating analysis of receptor-channel gating kinetics. Single channel kinetics were analyzed to aid in identification of the molecular basis of channel gating. Channel dwell-time distributions and dwell-time autocorrelation functions were calculated from single channel data recorded in the precence of 10-4M glutamate. Analysis of the dwell time distributions in terms of mixtures of exponential functions revealed there to be at least three open states of the receptor-channel and at least four closed states. Autocorrelation function analysis showed there to be at least three pathways linking the open states with the closed. This results in a minimal scheme for gating of the glutamate receptor-channel, which is suggestive of allosteric models of receptor-channel gating.

Animals↗
PubMed2002

Instrument scan strategies of F-117A pilots.

BACKGROUND: Eye tracking is an accurate and objective means of measuring an instrument scan pattern. The purpose of this study was to determine if prior aircraft experience, phase of flight, and autopilot mode modified the instrument scan pattern of F-117A pilots. METHODS: There were 23 F-117A pilots, grouped by prior aircraft experience, who flew an instrument approach manually and with autopilot while wearing an El Mar eye tracker in the F-117A simulator at Holloman AFB, NM. Number of fixations, dwell time, and percent total dwell time spent on nine individual instruments were collected and analyzed. RESULTS: The primary flight instrument was determined on the basis of pilot experience, and usage of the primary flight instrument varied significantly with phase of flight and manual vs. autopilot when ANOVA analysis was performed. CONCLUSIONS: Prior aircraft experience affects development of an instrument scan in a new aircraft. Prolonged dwell times on the primary flight instrument and changes in fixations/dwell time during autopilot mode have implications for instrument and cockpit design as well as cognitive load during novel situations. Further studies should be pursued.

Adult↗
PubMed2002

Crossover between classical and quantum shot noise in chaotic cavities.

The discreteness of charge in units of e led Schottky in 1918 to predict that the electrical current in a vacuum tube fluctuates even if all spurious noise sources are eliminated carefully. This phenomenon is now widely known as shot noise. In recent years, shot noise in mesoscopic conductors, where charge motion is quantum-coherent over distances comparable to the system size, has been studied extensively. In those experiments, charge does not propagate as an isolated entity through free space, as for vacuum tubes, but is part of a degenerate and quantum-coherent Fermi sea of charges. It has been predicted that shot noise in mesoscopic conductors can disappear altogether when the system is tuned to a regime where electron motion becomes classically chaotic. Here we experimentally verify this prediction by using chaotic cavities where the time that electrons dwell inside can be tuned. Shot noise is present for large dwell times, where the electron motion through the cavity is 'smeared' by quantum scattering, and it disappears for short dwell times, when the motion becomes classically deterministic.

Journal Article↗
PubMedDate not supplied

Phagocytosis and killing of suspended and adhered bacteria by peritoneal cells after dialysis.

OBJECTIVE: To determine the effect of dialysis fluid containing various glucose concentrations on the phagocytosis and killing of Staphylococcus aureus by rat peritoneal cells under conditions mimicking the in vivo situation. DESIGN: Phagocytosis and killing were evaluated by quantitation of the killing capacity of macrophages after in vivo phagocytosis of the bacteria as well as by an in vitro flow cytometric assay of the phagocytosis and killing of adhered bacteria by peritoneal cells. ANIMALS: Male Wistar rats. MAIN OUTCOME MEASURE: It was expected that the intraperitoneal administration of dialysis fluid would impair the capacity of peritoneal cells to eliminate bacteria. RESULTS: The first test revealed no effects of glucose concentration or dwell time on the killing of phagocytosed bacteria by macrophages, median percentages ranging between 29% and 64%. In the second series of experiments no effect of glucose concentration on the phagocytosis and killing of adhered bacteria was found either; however, longer dwell times significantly enhanced both the phagocytosis (at a dwell time of 1 hour, under 20%; at dwell times of 4 or 18 hours, above 20%, p < 0.02) and the killing (at a dwell time of 1 hour, under 53%; at dwell times of 4 and 18 hours, above 70%, p < 0.01). CONCLUSIONS: Glucose concentration has no effect on the phagocytosis and killing of Staphylococcus aureus, whereas the dwell time significantly enhances both of these functional capacities of peritoneal cells if the bacteria are adhered to surfaces.

Animals↗
PubMed2003

EEG-based communication and control: speed-accuracy relationships.

People can learn to control mu (8-12 Hz) or beta (18-25 Hz) rhythm amplitude in the EEG recorded over sensorimotor cortex and use it to move a cursor to a target on a video screen. In our current EEG-based brain-computer interface (BCI) system, cursor movement is a linear function of mu or beta rhythm amplitude. In order to maximize the participant's control over the direction of cursor movement, the intercept in this equation is kept equal to the mean amplitude of recent performance. Selection of the optimal slope, or gain, which determines the magnitude of the individual cursor movements, is a more difficult problem. This study examined the relationship between gain and accuracy in a 1-dimensional EEG-based cursor movement task in which individuals select among 2 or more choices by holding the cursor at the desired choice for a fixed period of time (i.e., the dwell time). With 4 targets arranged in a vertical column on the screen, large gains favored the end targets whereas smaller gains favored the central targets. In addition, manipulating gain and dwell time within participants produces results that are in agreement with simulations based on a simple theoretical model of performance. Optimal performance occurs when correct selection of targets is uniform across position. Thus, it is desirable to remove any trend in the function relating accuracy to target position. We evaluated a controller that is designed to minimize the linear and quadratic trends in the accuracy with which participants hit the 4 targets. These results indicate that gain should be adjusted to the individual participants, and suggest that continual online gain adaptation could increase the speed and accuracy of EEG-based cursor control.

Adult↗
PubMed2003

The use of linear programming in optimization of HDR implant dose distributions.

The introduction of high dose rate brachytherapy enabled optimization of dose distributions to be used on a routine basis. The objective of optimization is to homogenize the dose distribution within the implant while simultaneously satisfying dose constraints on certain points. This is accomplished by varying the time the source dwells at different locations. As the dose at any point is a linear function of the dwell times, a linear programming approach seems to be a natural choice. The dose constraints are inherently linear inequalities. Homogeneity requirements are linearized by minimizing the maximum deviation of the doses at points inside the implant from a prescribed dose. The revised simplex method was applied for the solution of this linear programming problem. In the homogenization process the possible source locations were chosen as optimization points. To avoid the problem of the singular value of the dose at a source location from the source itself we define the "self-contribution" as the dose at a small distance from the source. The effect of varying this distance is discussed. Test cases were optimized for planar, biplanar and cylindrical implants. A semi-irregular, fan-like implant with diverging needles was also investigated. Mean central dose calculation based on 3D Delaunay-triangulation of the source locations was used to evaluate the dose distributions. The optimization method resulted in homogeneous distributions (for brachytherapy). Additional dose constraints--when applied--were satisfied. The method is flexible enough to include other linear constraints such as the inclusion of the centroids of the Delaunay-triangulation for homogenization, or limiting the maximum allowable dwell time.

Brachytherapy↗
PubMed2000

Improving the dosimetric coverage of interstitial high-dose-rate breast implants.

PURPOSE/OBJECTIVE: We performed a retrospective computed tomography (CT)-based three-dimensional (3D) dose-volume analysis of high-dose-rate (HDR) interstitial breast implants to evaluate the adequacy of lumpectomy cavity coverage, and then designed a simple, reproducible algorithm for dwell-time adjustment to correct for underdosage of the lumpectomy cavity. METHODS AND MATERIALS: Since March 1993, brachytherapy has been used as the sole radiation modality after lumpectomy in selected protocol patients with early-stage breast cancer treated with breast-conserving therapy. In this protocol, all patients received 32 Gy in 8 fractions of 4 Gy over 4 days. Eleven patients treated with HDR brachytherapy who underwent CT scanning after implant placement were included in this analysis. For each patient, the postimplant CT dataset was transferred to a 3D treatment planning system, and the relevant tissue volumes were outlined on each axial slice. The implant dataset, including the dwell positions and dwell times, were imported into the 3D planning system and then registered to the visible implant template in the CT dataset. The calculated dose distribution was analyzed with respect to defined volumes via dose-volume histograms. Due to the variability of lumpectomy cavity coverage discovered in this 3D quality assurance analysis, dwell times at selected positions were adjusted in an attempt to improve dosimetric coverage of the lumpectomy cavity. Using implant data from 5 cases, a dwell-time adjustment algorithm was designed and was then tested on 11 cases. In this algorithm, a point P was identified using axial CT images, which was representative of the underdosed region within the cavity. The distance (d) from point P to the nearest dwell position was measured. A number of dwell positions (N) nearest to point P were selected for dwell time adjustment. The algorithm was tested by increasing the dwell times of a variable number of positions (N = 1, 3, 5, 7, 10, and 20) by a weighting factor (alpha), where alpha = f(d) and alpha > 1, and subsequently performing 3D dose-volume analysis to evaluate the improvement in lumpectomy cavity coverage. RESULTS: Before adjustment in the 11 implants, the median proportion of the lumpectomy cavity and target volume that received at least the prescription dose was 85% and 68%, respectively. After dwell-time adjustment, lumpectomy cavity coverage was significantly improved in all 11 cases. The median distance from point P to the nearest dwell position (d) was 1.4 cm (range 0.9-1.9). The median volume of the lumpectomy cavity receiving 32 Gy increased from 85.3% in the actual implant to 97.0% (range 74-100%) by increasing the dwell time of a single dwell position by a median factor (alpha) of 12.2 according to the above algorithm. With N = 3, the median proportion of the cavity volume receiving 32 Gy was improved to 97.5% (range 77-100%), with a median alpha of 5.7. Further improvement in lumpectomy cavity coverage was relatively small by increasing additional dwell times. In addition, with N = 20, the median absolute volume of breast tissue receiving 150% of the prescription dose was 70.3 cm3 compared to 26.3 cm3 in the actual implant; whereas with N = 1 or N = 3, this median volume was only 35.9 and 42.0 cm3, respectively. CONCLUSION: Lumpectomy cavity coverage sometimes appears suboptimal with interstitial HDR breast brachytherapy using our current technique. A simple dwell-time increase at only 1-3 dwell positions can compensate for some underdosage without creating significant regions of overdosage. Using simple methodology, a single reference point representing the underdosed region can be utilized for initial selection of the dwell positions to be increased.

Algorithms↗
PubMed1997

Saccade amplitude as a discriminator of flight types.

PURPOSE: Effectiveness of saccade amplitudes and dwell time lengths in determining pilots' eye scanning behaviors, and thus visual workload, during instrument- and scenery-centered simulator flight tasks was investigated. METHOD: Five male jet-aircraft pilots volunteered, and five different simulated flight tasks, including takeoff to landing, were selected for the study. RESULTS: An aerobatic flight, considered to be a scenery-centered one, showed the largest saccadic amplitude among the five flight tasks, its mean value three times that of S-shaped circular flight (SLW), considered to be instrument-centered. The shortest dwell time was for landing, its dwell time length half those of the other flights, and the longest was for SLW. The post-hoc test result revealed that this measure is only partially successful in differentiating landing from the other types of flights. The regression coefficient of the aerobatic flight was about three times that of SLW, and takeoff was almost two times SLW. CONCLUSION: Saccade amplitude was the most important factor in distinguishing between the two types of flights. Dwell time length was supportive, and shift rate of the line of slight was inconclusive in differentiating flight tasks. A scattergram drawn with amplitudes and dwell times gives us a clear understanding of the difference between the two types of flights.

Adult↗
PubMed1996

Peritoneal dialysis prescription for neonates.

Despite the major advances in the management of renal failure, the mortality and morbidity rates remain higher in neonates than in older children. But, in most of the cases, effective peritoneal dialysis is possible, giving these neonates a chance of life. In infants and neonates, peritoneal permeability seems to be in a hyperpermeable state, perhaps only related to the volume of the instilled dialysate. Practical peritoneal prescriptions in neonates have to be balanced between either short dwell times optimizing ultrafiltration or long dwell times optimizing the diffusive process and blood purification. The recommendations for peritoneal dialysis in neonates usually admitted are short dwell times, one hour or less, adapted to ultrafiltration need, and small instilled dialysate volumes, 10-20 mL/kg initially, to avoid raised intra-abdominal pressure. Age-related particular risks are hyponatremia and hypophosphatemia.

Female↗
PubMed2001

[A fast algorithm for homogeneous Ir-192--afterloading irradiation of cylindrical surfaces].

A fast algorithm was required to homogenise the dose on a cylinder mantle around a single straight applicator for Ir-192 afterloading. For linear applicators, an approximation formula for homogenisation of dose on one arbitrary cylinder mantle around the catheter is derived that predicts the required rise of dwell time tEnd at the end of the applicator. The other positions are loaded with a constant dwell time tMitte. The dwell time at the end tEnd appears to be independent of applicator length and can be described as a function of tMitte. In contrast to homogeneous loaded applicator, the dwell time in the central positions becomes also almost independent of catheter length, and is strictly proportional to the optimisation radius. TLD measurements and comparisons with a commercial planning system show the applicability of the procedure. This guarantees a homogeneous dose distribution even when modifications of the application length or optimisation distance become necessary. The algorithm can also be used to control the results of a planning system independently.

Algorithms↗
PubMed1992

Peritoneal defense in continuous ambulatory versus continuous cyclic peritoneal dialysis.

Several centers have reported a lower rate of peritonitis among adult patients on continuous cyclic peritoneal dialysis (CCPD) as compared to those undergoing continuous ambulatory peritoneal dialysis (CAPD). Preliminary results of our ongoing prospective randomized study comparing CAPD-Y with CCPD also suggest a lower peritonitis incidence among CCPD-treated patients. To investigate whether the two dialysis regimens could result in differences in local host defense, we studied peritoneal macrophage (PMO) function and effluent opsonic activity in eight patients established on CAPD-Y matched with eight chronic CCPD patients. Since short and long dwell times are inherent to both dialysis modalities, and we previously found that dwell time has an impact on PMO function and effluent opsonic activity, patients were studied after both a short (4 hr) and a long (15 hr) dwell time. In both groups PMO phagocytic capacity increased significantly with dwell time (39 +/- 3.3% at 4 hr vs. 58 +/- 4.2% at 15 hr in CAPD patients, and 40 +/- 3.9 vs. 72 +/- 3.3% in CCPD patients; P less than 0.01), as did PMO peak chemiluminescence response (31 +/- 4.9 vs. 77 +/- 7.2 counts.min-1/10(4) cells in CAPD, and 22 +/- 3.9 vs. 109 +/- 21.2 counts.min-1/10(4) cells in CCPD; P less than 0.01) and effluent opsonic activity (41 +/- 7.6 vs. 73 +/- 5.8% in CAPD and 39 +/- 6.2 vs. 70 +/- 5.9% in CCPD; P less than 0.01). However, no significant difference was found in either variable between CAPD and CCPD patients when dwell times were equal.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗