PubMed Health⌕ Search

Biomedical subjects

I A Pronchenko

Publications and source records attributed to I A Pronchenko.

28 records · Page 2Linked to original sources
PubMedDate not supplied

[Use of the equipment for hemodialysis in the diagnosis of calcium metabolism disorders in terminal chronic renal failure].

As many as 18 patients with terminal chronic renal failure were treated by program hemodialysis. The initial concentration of ionized calcium in those patients' blood plasma amounted to 1.06 +/- 0.22 mmol/l. To assess function of the systems counteracting hypocalcemia, use was made of a session of hemodialysis against calcium-free dialysate. 2/3 of the patients demonstrated satisfactory function of the homeostatic system, maintained by a high secretion of PTH and involvement into regulation processes of the extraplasmic system marked by higher buffer capacities and a large pool of metabolism-capable calcium and apparently localized in the skeleton. In 1/3 of the patients, homeostatic function turned out to be dramatically impaired, which was provoked by inhibition of the secretory capacity of the parathyroid glands and manifested clinically by low tolerance to calcium losses and osteomalacia.

Adolescent↗
PubMedDate not supplied

[Results of test-bed and clinical trials of DIP-03-02 dialyzers manufactured by the West German firm Frezenius using polysulfone hollow fibers].

The authors provide the results of the clinical trial of the dialyzers DIP-03-02 manufactured by the USSR in cooperation with the FRG (Frezenius Company). In accordance with clearances of low-, medium- and high-molecular compounds as well as with the ultrafiltration characteristics, DIP-03-02 are similar to the modern capillary dialyzers from hollow fibers on the basis of cellulose membranes with an analogous surface. During manufacture of the dialyzers DIP-03-02, the polysulfone membrane possessing low permeability for liquid was obtained for the first time. The tentative data on biocompatibility (the complement activation test) are positive.

Adolescent↗
PubMedDate not supplied

[Osmoregulatory function of the kidneys in diabetes mellitus].

In 42 patients with insulin dependent diabetes mellitus of average and grave forms with preserved glomerular renal function without signs of dehydration and hypovolemia renal function was investigated by maximum osmotic urine concentration (on dry food for 36 h) which was assessed on the basis of maximum osmolarity of urine and renal capacity for osmotic dilution of urine (on the 2nd hour after water load per os, 20 ml per 1 kg of body mass) assessed on the basis of the clearance of osmotically free water from 100 ml of the glomerular filtrate. Disorder of function of osmotic urine concentration revealed in 1/4 th of the patients, was moderate; it was most frequent in complication of disease with diabetic glomerulosclerosis, less frequent in diabetic angiopathies and was absent in patients without vascular lesion. Disorder of the capacity of the kidneys for osmotic urine dilution was revealed in 50% of the patients, it was probably of functional nature and was mainly associated with raised permeability of nephron distal segments for water.

Adolescent↗
PubMedDate not supplied

[Phosphorus-calcium metabolism and calcium-regulating hormones in endogenous hypercorticism].

The authors presented the results of a study of the indices of phosphorocalcium homeostasis, metabolism of osseous tissue and calcium regulating hormones in 44 patients with Icenko-Cushing's syndrome with regard to severity of disease and expression of osteoporosis. It was shown that disturbances of phosphorocalcium homeostasis and an increase in the level of the parathyroid hormone were characteristic for the active stage of Icenko-Cushing's disease and were most noticeable in a severe course of disease accompanied by sharply marked osteoporosis. Hypocalcemia, hypophosphatemia, hypercalciuria, a decrease in phosphate maximum resorption and an increase in AP activity in the blood serum were revealed in this form of disease. Patients with the average gravity of disease and weakly pronounced osteoporosis were characterized by hypercalcemia and an increase in calcium intestinal absorption. Patients with the active stage of hypercorticism were characterized by hypermagnesemia. Secondary hyperparathyrosis was found in 25% of patients with the active stage of Icenko-Cushing's disease.

Adolescent↗
PubMedDate not supplied

[A method of calculating complexed calcium in patients with in-vitro simulated hypo- and hypercalcemia].

Assessment of plasma protein calcium-binding capacity in disease involves measurements of Ca fractions in native plasma and its samples after in vitro stimulation of hypo- and hypercalcemia; such measurements include multiple and labor-consuming anaerobic ultrafiltration procedures. Values of Ca bound to plasma complexons and effective constants of their associations with Ca were experimentally assessed in 20 normal subjects, 7 patients before and 20 ones after kidney transplantation with the use of ultrafiltration. A method for estimation of integrated calcium in a sample lot has been developed, based on a single experimental value of integrated calcium in native plasma and the mean association constant in health. Experimental and estimated values of liganded Ca were in good correlation, this confirming the rightfulness of clinical use of the suggested method. This method essentially simplifies assessment of plasma proteins Ca-binding properties and requires lesser blood volumes.

Calcium↗
PubMedDate not supplied

[The functional characteristics of the calcium-regulating systems and the calcium content of the blood following a cadaveric kidney allograft].

Total plasma calcium (Ca), Ca renal reabsorption, Ca tissue transport, parathyroid hormones and calcitonin were measured in fasting 30 recipients of a renal allotransplant, 95 healthy subjects, 9 primary hyperparathyroidism patients, 12 patients with bronchial asthma and exogenic hypercorticism. Total Ca proved normal in 26 but lowered in 4 recipients. Canalicular Ca reabsorption got enhanced in 17 recipients with high parathormone levels in 10 of them. Normal Ca reabsorption was registered in 13 recipients through parathormone elevated in 6 of them. Tissue Ca binding enhanced in its high reabsorption in the transplant. The binding did not depend either on parathormone secretion intensity or cyclosporin A treatment, being partially determined by steroid therapy. When investigated under Ca intravenous drop infusion in 20 recipients and 14 healthy subjects, Ca tissue binding confirmed its physiochemical nature and revealed in one third of the recipients impaired buffer capacity of the tissues as well as Ca retention and release rates. The impairment was related neither to changes in the basal level nor with secretion fluctuations of parathormone and calcitonin. Increased tissue Ca binding accounts for the absence of hypercalcemia in renal transplantation.

Adrenocortical Hyperfunction↗