[The modification of method of erythrograms in patients under chronic hemodyalisis using hardware-controlled administration of laser low-angle light scattering].

The detailed analysis of structural characteristics of erythrocytes can be implemented with method of erythrograms. However its practical application in conditions of medical laboratory is a long and labor-intensive process of little avail for express-diagnostic. To register alterations of morphologic functional characteristics of erythrocytes in patients under chronic dialysis as compared with patients without renal pathology the new technique of low-angle light scattering never applied before for this purpose. Therefore, the purpose of this study is to resolve issue concerning validity of application of this technique for registration of alterations of functional status of erythrocytes in patients of department of chronic dialysis as compared with patients without renal pathology. The experiments concerning the identification of resistance of erythrocytes established significant differences for acid and ammonium models of lysis between patients without renal pathology and patients under chronic dialysis and also in patients in the course of dialysis session. In case of ammonium lysis, the differences were statistically significant between patients without renal pathology and patients under chronic hemodyalisis. In case of acid model, the differences were statistically significant in patients in course of dialysis session. Therefore, the application of low-angle light scattering technique is valid and informative for evaluation of functional status of erythrocytes in patients with terminal stage of chronic renal disease receiving treatment of regular hemodyalisis. The technique itself is low-cost, simple in application and easily reproduced. Therefore, the technique of low-angle light scattering can be applied both in research studies and clinical practice to identify characteristics of stability of membrane systems.

[Clinical and laboratory evaluation of the efficiency of chronic hemodialysis treatment using acidosuccinate in patients with terminal renal failure].

AIM: To evaluate the efficiency of using a succinate-containing dialysis solution (SCDS) in terminal renal failure patients treated with chronic hemodialysis (CHD). SUBJECTS AND METHODS: Ninety patients from two hemodialysis units took part in the crossover study and were allocated to 2 groups. For 6 months, study group patients received CHD using SCDS and control group patients had CHD with a standard bicarbonate dialysis solution after 3-month washout period followed by decussation. The time course of changes in blood biochemical parameters, 24-hour ECG monitoring data, and quality of life indicators were estimated in the patients. RESULTS: After using acidosuccinate during hemodialysis, there was a significant reduction in the predialysis serum level of inorganic phosphate, a calcium phosphate product, gamma-glutamyl transpeptidase, urea, and aldosterone as compared to the control group. The blood concentration of total protein was also increased. After 6-month administration of acidosuccinate, the patients showed reductions in systolic blood pressure, heart rate, and the frequency and duration of ST-segment depression episodes. There were positive changes in the quality of life of patients according to the KDQOL-SF questionnaire. CONCLUSION: The use of SCDS in patients with CHD causes positive changes in a number of laboratory parameters and improves the physical and general status, and quality of life of patients.

[The use of ion-selective field transistors (ISFT) with photopolymerizable polyurethane membranes in nephrology for determination of potassium concentration (activity)]. / Primenenie ionoselektivnykh polevykh tranzistorov (ISPT) s fotopolime rizuemymi poliuretanovymi membranami v nefrologii dlia opredeleniia kontsentratsii (aktivnosti) ionov kaliia.

The applicability is examined of ion selective field transistors with photocurable polyurethane membranes to control of the electrolytic composition of dialyzing solutions used in artificial kidney apparatus, and also of plasma in patient treated by chronic hemodialysis. The short- and long-time characteristics of the efficiency of K(+)-selective field transistors in continuous contact with solutions. Comparative testing of such transistors and other sensing systems is made. It is demonstrated that a sufficient reliability of measurements in the range of physiological concentrations in combination with low cost provide the possibility of using K(+)-selective field transistors for monitoring of the potassium concentration both in dialyzing solutions and plasma in patients on chronic hemodialysis treatment.

[Na+ and K+ ion transport across the human erythrocyte membrane during the formation of nystatin channels under in-vitro conditions: the characteristics and an analysis of the processes]. / Transport ionov Na+ i K+ cherez membranu éritrotsiov cheloveka pri formirovanii v nei nistatinovykh kanalov v usloviiakh in vitro: nekotorye osobennosti i analiz protsessov.

The kinetic properties (the spontaneous lysis velocity, the time of achievement, and the concentration level of the stationary stage) are shown to be strongly different, while the human erythrocytes are resuspended in various salt media. The analysis of Na+ and K+ concentrations, under the effect of a polyene antibiotic nistatin, on the human erythrocytes as an integral kinetic function of time is carried out. The processes engaged in this kinetic function are characterized.

[An ionometric study of Na+ and K+ fluxes across the nystatin-modified human erythrocyte membrane]. / Ionometricheskoe izuchenie potokov Na+ i K+ cherez membranu éritrotsitov cheloveka, modifitsirovannuiu nistatinom.

The application of ion-selective electrodes is discussed for the kinetic determination of K+ and Na+ concentrations in the system, containing human red blood cells modified by nystatin. A series of mixed solutions was worked out, according to which the Na(+)-glass and the K(+)-thick membrane valinomycin electrodes were calibrated. The human erythrocytes were washed for 3 times with the basic solution (in mol per liter: 0.141 NaCl, 0.004 KCl, 0.002 CaCl2, 0.003 MgCl2, 0.01 glucose), and then were resuspended in it. The suspension was kept in a shaking bath at 37 degrees C. The modification of the cell membranes was performed by the introduction of different amounts of the antibiotic nystatin into the probe. Under these conditions the concentration of Na+ decreased, while K+ concentration increased. The values of concentration were registered ionometrically. In an hour and a half the stationary lines were obtained. Being based on the values of the stationary cation concentrations and the final concentrations, registered after the complete lysis of erythrocytes promoted by saponin, the ratio of cation fluxes across the modified membrane to the flux across the nonmodified membrane was calculated in accordance with the Hodgkin-Katz equation.