• Journal of Veterinary Clinics
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• v.32 no.5
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• pp.399-403
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• 2015

Peritoneal dialysis (PD) is a treatment for renal failure and acute poisoning, and uses the patient's peritoneum in the abdomen as a membrane across which fluids and dissolved substances are exchanged from the blood. In this study, we evaluated the therapeutic efficacy and complications of automated peritoneal dialyzer (APD) in dogs with renal failure. PD was performed in 10 dogs using a swan neck catheter (Neonatal, Coviden) and automatic APD. The efficacy for each dog was assessed by calculating urea reduction ratio (URR) and creatinine reduction ratio (CRR). Mean concentrations of pre-dialysis creatinine and blood urea (BUN) were $7.09{\pm}3.84$ and $145.8{\pm}48.5$, respectively. The mean number of peritoneal dialysis cycles applied was $6{\pm}1$ cycles. Peritoneal dialysis resulted in a significant decrease in BUN concentration in 7/10 dogs, while a significant decrease in creatinine concentration in 9/10 dogs. The mean of URR was higher than that of CRR ($0.39{\pm}0.16$ vs $0.38{\pm}0.13$). The mean CRR and URR per dialysis cycles were $0.064{\pm}0.023$ and $0.065{\pm}0.023$, respectively. Complications found in this study were catheter occlusion, subcutaneous dialysate leakage, septic peritonitis, hypoalbuminemia and overhydration. This study found PD using a swan neck catheter and APD machine showed acceptable efficacy for successful peritoneal dialysis in dogs. However, close monitoring is required to minimize the risk of complication.

• Childhood Kidney Diseases
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• v.22 no.2
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• pp.86-90
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• 2018

Non-infectious complications of peritoneal dialysis (PD) are relatively less common than infectious complications but are a potentially serious problem in patients on chronic PD. Here, we present a case of a non-infectious complication of PD in a 13-year- old boy on chronic PD who presented with symptoms such as hypertension, edema, dyspnea, and decreased ultrafiltration. Chest and abdominal radiography showed pleural effusion and migration of the PD catheter tip. Laparoscopic PD catheter reposition was performed because PD catheter malfunction was suspected. However, pleural effusion relapsed whenever the dialysate volume increased. To identify peritoneal leakage, computed tomography (CT) peritoneography was performed, and a defect of the peritoneum in the left lower abdomen with contrast leakage to the left rectus and abdominis muscles was observed. He was treated conservatively by transiently decreasing the volume of night intermittent PD and gradually increasing the volume. At the 2-year follow-up visit, the patient had not experienced similar symptoms. Patients on PD who present with refractory or recurrent pleural effusion that does not respond to therapy should be assessed for the presence of infection, catheter malfunction, and pleuroperitoneal communication. Thoracentesis and CT peritoneography are useful for evaluating pleural effusion, and timely examination is important for identifying the defect or fistula.

• Applied Chemistry for Engineering
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• v.17 no.3
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• pp.303-309
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• 2006

In this study, functional anion-exchange membranes have been prepared and characterized to improve the permeation fluxes of the anion and urea for peritoneum dialysis. They were prepared by UV and radiation graft polymerization methods. The separation-membrane prepared by UV graft polymerization showed the highest grafting degree when HEMA and VBTAC were mixed by 1:2 ratio. However, the grafting degree decreased slightly at compositions above the 1:2 ratio because of the disruption of UV penetration caused by build-up of homopolymer. In the case of photo-initiator, the grafting degree increased up to 0.2 wt%, above which it decreased to a small extent. For the two membranes prepared by radiation graft polymerization, the VBTAC/HEMA membrane showed 96% grafting degree for 6 h reaction time and the GMA membrane showed over 100% grafting degree for 2 h reaction time. Anion-exchange membranes were prepared with 113% grafting degree and with DEA and TEA exchange groups. The DEA membrane showed the conversion degree of 70% in 4 h reaction time while the TEA membrane showed 30% in 2 h reaction time. The prepared anion-exchange membranes were permeable to only anions and urea, but not cations.

• The Korean Journal of Nuclear Medicine
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• v.24 no.2
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• pp.279-285
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• 1990

Simultaneous presence of ascites and pleural effusion has been documented in patients with cirrhosis of the liver, renal disease, Meigs' syndrome and in patients undergoing peritoneal dialysis. Mechanisms proposed in the formation of pleural effusion in most of the above diseases are lymphatic drainage and diaphragmatic defect. But sometimes, hepatic hydrothoraxes in the absence of clinical ascites and pleural effusion secondary to pulmonary or cardiac disease are noted. It is not always possible to differentiate between pleural effusion caused by transdiaphragmatic migration of ascites and by other causes based soly on biochemical analysis. Authors performed radionuclide scintigraphy after intraperitoneal administration of $^{99m}Tc-labeled$ colloid in 23 patients with both ascites and pleural effusion in order to discriminate causative mechanisms responsible for pleural effusion. Scintigraphy demonstrated the transdiaphragmatic flow of fluid from the peritoneum to pleural cavities in 13 patients correctly. In contrast, in 5 patients with pleural effusion secondary to pulmonary, pleural and cardiac diseases, radiotracers fail to traverse the diaphragm and localize in the pleural space. Ascites draining to mediastinal lymph nodes and blocked passage of lymphatic drainage were also clarified, additionaly. Conclusively, radionuclide peritoneal scintigraphy is an accurate, rapid and easy diagnostic tool in patients with both ascites and pleural effusion. It enables the causes of pleural effusion to be elucidated, as well as providing valuable information required when determining the appropriate therapy.

• Membrane Journal
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• v.17 no.1
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• pp.54-60
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• 2007

In this research, the cation-exchange membrane (SS membrane) containing sulfonic acid group was prepared by radiation induced grafted polymerization onto a porous hollow fiber membrane to effectively remove ammonia which was produced by urea decomposition for peritoneum dialysis system. And the metal ionic cross-linking cation-exchange membrane (SS-M membrane) was prepared by the adsorption of metallic ions (Cu, Ni, Zn) to the SS membranes. The pure water flux and adsorption capacities of ammonia to SS and SS-M membranes were examined. The pure water flux of SS membrane decreased rapidly with the density of $SO_3H$ group increasing. As the metallic ions were adsorbed to the SS membrane, the pure water flux was increased. The adsorption capacities of ammonia at the SS membrane increased with increasing of density of $SO_3H$ group. The ion-exchange capacity of ammonia of the SS membrane was approximately proportional 1 : 1 to the density of $SO_3H$ group. The SS membrane had higher adsorption capacities than the SS-M membrane. The highest adsorption capacities of SS and SS-M membrane appeared the highest pH 9.

• Applied Chemistry for Engineering
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• v.18 no.1
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• pp.10-16
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• 2007

In this study, we examined the preparation and hydrolysis property of immobilized urease membrane to decompose harmful urea in the body and remove ammonia which was produced by its decomposition. Urease immobilized membrane was prepared by introducing anion-exchange group DEA into porous hollow-fiber membrane by radiation graft polymerization method, and immobilization of urease. When urease was immobilized at membrane introduced with anion-exchange group, the more increasing grafting rate, the more increasing immobilization amount. The result originates from the fact that a greater amount of protein was immobilized by forming a multilayer on the longer grafted chain. Meanwhile, the addition of the cross-linker was possible not only to suppress separation phenomenon produced during a washing process of immobilized urease membrane but also to enable the recycling of membrane. Urease Immobilized membrane with no separation phenomenon was prepared by cross-linking reaction for 5 h, and the hydrolysis rate of prepared urease immobilized membrane was over 98% and 50%, respectively, in 1 mol and 4 mol urea solutions.