Biomedical subjects

T Hölttä

Publications and source records attributed to T Hölttä.

5 recordsLinked to original sources

PubMed2005

Field measurements of ultrasonic acoustic emissions and stem diameter variations. New insight into the relationship between xylem tensions and embolism.

We examined interrelated xylem water tensions and embolism dynamics under field conditions by simultaneously monitoring ultra-acoustic emissions and changes in stem xylem diameter. Variation in stem xylem diameter was measured with linear displacement transducers to estimate variation in sap tension. Measured ultrasonic acoustic emissions coincided well with changes in xylem diameter, indicating that individual peaks in embolism occurred simultaneously with peaks in water tension. The good time resolution between measurements makes this method especially suitable for observing embolism dynamics on a short timescale. Longer lasting measurements can also be made to monitor inter-daily patterns in water tension and embolism because the techniques are non-destructive. Ultra-acoustic emissions occurred mainly during periods of decreasing stem xylem diameter, i.e., increasing water tension, when the water tension was high enough. Embolism also occurred during periods of increasing xylem diameter, i.e., decreasing water tension, but the number of embolizing conduits under these conditions was small.

Pinus sylvestris↗

PubMed2002

Relationships between embolism, stem water tension, and diameter changes.

A model for embolism in the sapflow process was developed, in which embolism is described as a physical process linked to real physical properties of the conduits and the thermodynamic state of water. Different mechanisms leading to embolism and their effect on water relations and especially diurnal diameter changes in a tree were examined. The mechanisms of heterogeneous nucleation, air-seeding, and bubble growth have been considered. The significance of embolism has been revealed here by examining diameter changes, which is an easily measurable quantity under field conditions. The most fundamental effects of embolism on sapflow are decrease in permeability and release of water from embolizing conduits to the transpiration stream. These can be indirectly detected by observing diameter changes. If possible changes in elasticity are not accounted for, embolism generally tends to enhance the amplitude of the diurnal diameter changes due to reduced permeability and increased tensions. In the case of reduced elasticity, embolism gives rise to smaller amplitudes of diameter changes.

Circadian Rhythm↗

PubMed2001

Hypertension, cardiac state, and the role of volume overload during peritoneal dialysis.

The cardiac state and the prevalence of high blood pressure (BP) were analyzed in 21 pediatric patients (mean age 5.3 +/- 5.3 years) on chronic peritoneal dialysis (CPD), the aim being to specify the impact of hypervolemia in the etiology of hypertension. C- and N-terminal atrial natriuretic peptide (ANP-C, ANP-N) were measured as possible additional markers of hypervolemia. Baseline investigations were carried out 0.2 years after initiation of PD, and repeated after 0.9 +/- 0.2 years. Fifty-two percent of the patients had high BP, and in 40% the nocturnal BP decline was decreased. Left ventricular hypertrophy was present in 45%, but the systolic and diastolic functions of the heart were not impaired. Left ventricular mass correlated significantly with the severity of hypertension and with ANP-N (r = 0.79, P < 0.01 and r = 0.66, P < 0.01, Spearman rank correlation). Significant correlations were also found between the severity of hypertension and ANP-N and ANP-C (r = 0.82, P < 0.01 and r = 0.66, P < 0.01, Spearman rank correlation). High BP and cardiac impairment were more frequent in the younger and nephrectomized patients in whom volume overload seemed to be the most-important etiological factor. Our results suggest further that an ANP-N over 3.0 nmol/l combined with hypertension is strongly indicative of volume overload in patients on PD.

Atrial Natriuretic Factor↗

PubMed2000

Clinical outcome of pediatric patients on peritoneal dialysis under adequacy control.

Clinical outcome under adequacy control was studied in 10 pediatric patients under 5 years and 11 patients over 5 years of age on continuous peritoneal dialysis (PD). Outcome was compared between the age groups and with our previous results in patients under 5 years of age. Peritoneal equilibration test and 24-h dialysate collection were performed. Laboratory data, clinical status, and diet were recorded. PD prescription was adjusted for these parameters. The mean weekly urea Kt/V was similar and stable in the two age groups (3.1+/-0.6 vs. 3.2+/-0.4 at baseline). The mean weekly creatinine clearance (C(Cr)) was at baseline significantly lower in the younger age group (58.7+/-11.9 vs. 78.0+/-14.9 l/week per 1.73 m2, P=0.004), but later similar. Urea Kt/V and C(Cr) correlated significantly. Hematological and biochemical parameters were stable, and catch-up growth was observed in 62% of the patients during 9 months of follow-up. The outcome for children under and over 5 years of age did not differ significantly. The clinical outcome in patients under 5 years of age improved under adequacy control, when compared with our previous results in patients of the same age. This suggests a positive effect of adequacy control on clinical outcome.

Adolescent↗

PubMed2000

Adequacy of dialysis with tidal and continuous cycling peritoneal dialysis in children.

BACKGROUND: Today the major outcome measure for peritoneal dialysis is adequacy. We seek the optimal dialysis modality and prescription for each patient. Tidal dialysis (TPD) was introduced in 1990 to increase efficacy. However, studies with TPD have been inconsistent, and results in small children are lacking. METHODS: Nine patients under and eight patients over 5 years of age who were undergoing or starting maintenance peritoneal dialysis (PD) were studied. Patients were dialysed with TPD and with continuous cycling PD (CCPD), each for 6 months. To optimize TPD and CCPD modalities, we recorded urea K(t)/V, creatinine clearance (CrCl), peritoneal membrane capacity, clinical examination, biochemical values and nutrition. RESULTS: The mean nightly dialysate flow rate was significantly higher with TPD than with CCPD (46.4+/-3.7 vs 32.7+/-4.6 ml/kg/h, P:<0.001). Mean total CrCl at the baseline was significantly higher with TPD (79. 3+/-18.5 vs 72.5+/-16.0, P:=0.02), but urea K(t)/V was similar (3. 5+/-0.5 vs 3.3+/-0.4, P:=0.28). Urea K(t)/V and CrCl were higher during TPD in patients with high peritoneal membrane permeability, but similar in patients with high-average membrane permeability. Urea K:(t)/V and CrCl in CCPD and TPD did not differ significantly in the age groups. Nor did the incidence of hypertension differ in CCPD and TPD, despite a significantly lower glucose concentration during TPD. CONCLUSIONS: Both TPD and CCPD provide adequate dialysis for paediatric patients under and over 5 years of age. Because of higher costs, we recommend TPD only for paediatric patients with high membrane permeability and reduced ultrafiltration or with mechanical outflow problems or outflow pain.

Adolescent↗