• Title/Summary/Keyword: 투석액

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Peritoneal Protein Loss in Nephrotic Syndrome on Peritoneal Dialysis (복막 투석 중인 신증후군 환자의 복막을 통한 단백 소실)

  • Ahn, Yo-Han;Jung, Eui-Seok;Lee, Se-Eun;Lee, Hyun-Gyung;Lee, So-Hee;Kang, Hee-Gyung;Ha, Il-Soo;Jung, Hae-Il;Choi, Yong
    • Childhood Kidney Diseases
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    • v.13 no.2
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    • pp.189-196
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    • 2009
  • Purpose : The pathophysiologic mechanism of nephrotic syndrome is not yet known clearly. At least in some cases, certain 'circulating factors' are thought to increase the glomerular protein permeability. Considering the systemic effect of the circulating factor on peritoneal membrane, we evaluated the loss of protein through peritoneal membrane in patients on peritoneal dialysis due to the end stage renal disease (ESRD) caused by steroid resistant nephrotic syndrome (SRNS). Methods : We retrospectively reviewed the medical records of 26 pediatric patients on peritoneal dialysis ensued during the period from 2001 to 2007 at our clinic. Twelve patients had SRNS, while 14 patients had ESRD caused by the congenital anomalies of urinary system. Results : While the other parameters including nPNA indicating the adequacy of protein intake were similar between the two groups, serum albumin was lower in SRNS patients than the non-SRNS patients ($3.7{\pm}0.3$ g/dL vs. $4.0{\pm}0.4$ g/dL, P=0.021). Peritoneal protein loss was higher in SRNS patients than in non-SRNS patients ($3,044.4{\pm}837.6\;mg/m^2$/day vs. $1,791.6{\pm}1,244.0\;mg/m^2$/day, P=0.007). The protein permeability of the peritoneal membrane measured by the ratio of total protein concentration in dialysate to plasma was twice as high in SRNS patients as the non-SRNS ($1.06{\pm}0.46%$ vs. $0.58{\pm}0.43%$, P=0.010). After 1 year, peritoneal protein loss increased in both patient groups, but to a significantly greater degree in non-SRNS patient (P=0.023). Conclusion : The results of our study support the notion that in nephrotic syndrome there are some 'circulating factors' with the systemic effect. Since the greater protein loss through peritoneal membrane in SRNS was confirmed in this study, more meticulous nutritional support and close monitoring on the nutrition are required in these patients.

Characterization of Desalination on the Boiled Extract of Baby Neck Clam(Tapes variegata) by Electrodialysis (전기투석기를 이용한 바지락 자숙액의 탈염 특성)

  • 박표잠;이상훈;김세권
    • Membrane Journal
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    • v.10 no.2
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    • pp.92-101
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    • 2000
  • For selective elimination of salt in the boiled extract of baby neck clam (Tapes variegata, BEBNC), electrodialyzer was used and the desalination conditions of BEBNC were determined at various concentrations, pH's and volumes of BEBNC. The ion-exchange membrane with a molecular weight cut off 100 Da was used for desalting of BEBNC. The desalination times on BEBNC concentrations of 0.5% and 4% were 100 min and 170 min and the final desalting ratio was above 90%. 1'he desalination of BEBNC at pH 4.0 was 12% higher than that at pH 9.0 for 60 min. The electrodialysis process could remove above 90% of the initial salt content in 2% BEBNC of 1 L for 80 min. The results obtained prove that electrodialysis is a practical solution to the problem of selective elimination of salt from BEBNC.

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Study on the Quality Improvement of Acidic Citrus Juices, Citrus natsudaidai and Citrus grandis, by Bipolar Membrane Electrodialysis (전기투석용 bipolar 막을 이용한 하밀감 및 당유자 주스의 품질개선에 관한 연구)

  • Yang, Min-Ho;Kang, Yeung-Joo
    • Korean Journal of Food Science and Technology
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    • v.39 no.6
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    • pp.630-636
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    • 2007
  • Acidic citrus juices obtained from C. natsudaidai and C. grandis were electrodialyzed with bipolar and organic acid selective membrane (ion exchange membrane) cartridges. The pH levels of the acidic citrus juices gradually increased to 14.5% (C. grandis) and 25.2% (C. natsudaidai) by electrodialysis with the bipolar membranes, while levels remained consistent when organic acid selective membranes were applied. The total acidity levels decreased more with the organic selective membrane than with the bipolar membrane. Conductivity rose with the bipolar membranes while the value continued to fall rapidly with the organic selective membranes. Sugar and flavonoid contents remained relatively unchanged, without any significant differences before and after electrodialysis with each membrane. Also, ion contents were almost unchanged with the bipolar membranes and the electrolyte, $K_2SO_4$, as compared to rapid changes in sodium and potassium levels with the organic selective membranes and the electrolyte, $K_2SO_4$. In summary, the use of bipolar membranes provided juice with better sensory quality than that of the organic acid selective membranes.

The Effects of the Individual Application of Low Sodium Dialysate on Weight Gain, Blood Pressure, and Intradialytic Side Effects in Patients on Maintenance Hemodialysis (개별적 저나트륨 투석액 적용이 혈액투석 환자의 체중증가, 혈압 및 투석 중 부작용에 미치는 효과)

  • Song, Ji Sook;Kim, Eun Sook;Lee, Yu Na
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.1
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    • pp.45-56
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    • 2013
  • Purpose: The purpose of this study is to identify the effect of low sodium dialysate (LSD) rather than conventional dialysate on interdialytic weight gain (IWG), blood pressure (BP), and intradialytic side-effects (ISEs) in patients on maintenance hemodialysis (HD). Methods: The study was performed in 43 patients, who were treated in the university hospital over 8 weeks. Each participant's serum sodium set point was measured using dialysate sodium 140 mEq/L during the first 4 weeks. For the next 4 weeks dialysate sodium concentrate (134,136,and138 mEq/L) was provided to each participant but only to an experimental group (EG) (n=22) based on the individual set point, although 140 mEq/L dialysate was given to all of the control group (CG) (n=21). Consequently, outcomes including IWG, BP, and ISE were evaluated. Results: In EG, difference of pre-HD SBP (p=.047) and post-HD serum sodium (p=.006) were significantly decreased compared to CG. Also, ISEs was not more frequent in EG. However, the differences were not statistically significant, IWG (kg & %), pre-HD DBP, post-HD SBP & DBP, and serum osmolality in EG. Conclusion: Individual application of LSD in patients on maintenance hemodialysis is beneficial to decrease pre-HD SBP and post-HD serum sodium without increasing ISE. Therefore, LSD can be better treatment than conventional dialysate.

Comparative Study on Recovery of Nickel by Ion Exchange and Electrodialysis (이온교환과 전기투석을 이용한 니켈회수의 비교연구)

  • Sim, Joo-Hyun;Seo, Hyung-Joon;Seo, Jae-Hee;Kim, Dae-Hwan
    • Journal of Korean Society of Environmental Engineers
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    • v.28 no.6
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    • pp.640-647
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    • 2006
  • It is difficult to treat wastewater involved in heavy metal in electroplating industry. Recently, many industries adopt the clean technology to prevent production of pollutant in the process or reuse after the appropriate pollutant treatment. In this study, we estimate the ability of recovery of nickel and the efficiency using lab-scale ion exchange and electrodialysis process with electroplating industry wastewater. In the ion exchange experiments with 5 types of resin, the result showed that S 1467(gel-type strong acidic cation exchange resin) has the highest exchange capacity. And it showed that the 4 N HCl has the highest in regeneration efficiency and maximum concentration in the regeneration experiments with various kinds md concentration of the regenerant. During the electrodialysis experiments, we varied the current density, the concentration of electrode rinse solution, the flow rate of concentrate and electrode rinse solution in order to find the optimum operating condition. As a result, we obtained $250A/m^2$ of current density, 2 N $H_2SO_4$ of concentration of electrode rinse solution, 30 mL/min of flow rate of concentrate and electrode rinse solution as the best operating conditions. We performed the scale-up experiments on the basis of ion exchange and electrodialysis experiments. And we obtained the experimental result that exchange capacity of S 1467 was 1.88 eq/L resin, and regeneration efficiency was 93.7% in the ion exchange scale-up experiment, we also got the result that concentration and dilution efficiency increased, and current efficiency kept constant in the scale-up experiments.

전기투석에 의한 발효아미노산의 분리

  • O, Seok-Jung;Mun, Seung-Hyeon
    • Clean Technology
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    • v.3 no.2
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    • pp.28-30
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    • 1997
  • 발효 아미노산을 분리하는 기존의 공정인 이온교환법에서 폐액 및 폐수처리에 따른 문제점을 해결하기 위한 새로운 분리공정으로 탈염 전기투석과 Water-splitting Electrodiaysis를 이용한 발효 아미노산의 분리 가능성 및 다양한 cell configuration과 막에 대한 성능 실험을 실시하였다. 실험결과 전기투석에 의해 경도물질을 제거한 후 양이온교환막과 bipolar 막으로 구성된 2-compartment WSED로 효과적으로 발효액에서 아미노산을 분리 할 수 있었으나 1가 양이온에 선택성을 지닌 양이온교환막으로는 아미노산의 분리가 어려움을 알 수 있었다.

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The Effect of Dialysate Flow Rate on Dialysis Adequacy and Fatigue in Hemodialysis Patients (혈액투석 시 투석액 속도가 투석적절도와 피로에 미치는 효과)

  • Cha, Sun Mi;Min, Hye Sook
    • Journal of Korean Academy of Nursing
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    • v.46 no.5
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    • pp.642-652
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    • 2016
  • Purpose: In this single repeated measures study, an examination was done on the effects of dialysate flow rate on dialysis adequacy and fatigue in patients receiving hemodialysis. Methods: This study was a prospective single center study in which repeated measures analysis of variance were used to compare Kt/V urea (Kt/V) and urea reduction ratio (URR) as dialysis adequacy measures and level of fatigue at different dialysate flow rates: twice as fast as the participant's own blood flow, 500 mL/min, and 700 mL/min. Thirty-seven hemodialysis patients received all three dialysate flow rates using counterbalancing. Results: The Kt/V ($M{\pm}SD$) was $1.40{\pm}0.25$ at twice the blood flow rate, $1.41{\pm}0.23$ at 500 mL/min, and $1.46{\pm}0.24$ at 700 mL/min. The URR ($M{\pm}SD$) was $68.20{\pm}5.90$ at twice the blood flow rate, $68.67{\pm}5.22$ at 500 mL/min, and $70.11{\pm}5.13$ at 700 mL/min. When dialysate flow rate was increased from twice the blood flow rate to 700 mL/min and from 500 mL/min to 700 mL/ min, Kt/V and URR showed relative gains. There was no difference in fatigue according to dialysate flow rate. Conclusion: Increasing the dialy-sate flow rate to 700 mL/min is associated with a significant increase in dialysis adequacy. Hemodialysis with a dialysate flow rate of 700 mL/min should be considered in selected patients not achieving adequacy despite extended treatment times and optimized blood flow rate.

Proteolytic Properties of Saewoojeot (Salted and Fermented Shrimp) on Meat Proteins (새우젓의 육류단백질 분해 특성)

  • Oh, Se-Wook;Kim, Young-Myoung;Nam, Eun-Jung;Jo, Jin-Ho
    • Korean Journal of Food Science and Technology
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    • v.29 no.6
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    • pp.1191-1195
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    • 1997
  • This study was conducted to investigate the proteolytic properties of saewoojeot (salted and fermented shrimp) on various meat proteins. NaCl content was decreased less than 2% by electrodialysis. As electrodialysis time was passed, the protease activity was increased. The proteolytic activity of crude protease on muscle proteins of beef, pork, chicken was analyzed by SDS-PAGE. Crude enzyme easily degradated both heat-denatured and native meat proteins. Protein degradation was rapidly occurred within 5 min and most all myofibrilar protein was disappeared. Heat-denatured chicken meat (100%) was most easily degraded than heat-denatured pork meat (47%) and beef meat (31%).

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Hollow Fiber Dialysis Culture of E. coli (대장균의 실관투석배양)

  • 김인호;윤태호
    • KSBB Journal
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    • v.9 no.5
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    • pp.492-498
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    • 1994
  • A hollow fiber device was utilized to perform a dialysis culture for E. coli. Acetic acid inhibition on the growth of E. coli was relieved by dialyzing the acid from broth into a dialysate reservoir. The rate of acetic acid formation was very sensitive to the concentration of glucose and dissolved oxygen. Therefore it was found that the glucose permeation rate should be balanced with the oxygen supply rate. Specific growth rate of E. coli was determined by the glucose permeation rate through membrane. Under a low permeation rate, acetic acid formation was depressed in accordance with high dissolved oxygen concentration as well as low glucose concentration.

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