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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric nephrology 5 (1991), S. 275-276 
    ISSN: 1432-198X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric nephrology 8 (1994), S. 555-560 
    ISSN: 1432-198X
    Keywords: Isolated chloride depletion ; Growth ; Protein turnover ; Young rats
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The effects of feeding a chloride-deficient (CD) diet were examined in young, growing rats. All animals were fed the same sodium-replete, CD diet. The experimental group drank distilled water, while the control group (CS) drank distilled water supplemented with 37 mM sodium chloride. By day 15, the CD rats had negligible concentrations of chloride in their urine and had developed hypochloremic metabolic alkalosis. Both groups had comparable urinary sodium concentrations and creatinine clearances. Food intake (256 vs. 226 g), weight (108.8 vs. 47.0 g) and length (9.6 vs. 7.4 cm) gains were greater in the CS animals and the efficiency of weight gain was lower in the CD rats (25.2 vs. 42.6 g gained/g of food intake). After 15–18 days, blood was drawn for testing, body composition measurements were performed and epitrochlearis muscle protein synthesis and net degradation rates determined. When incubated with or without the addition of insulin (I), epitrochlearis muscle protein synthesis, measured as the incorporation of14C-phenylalanine, was significantly lower in CD rats [(I+45.7 vs. 36.76) and (I-34.72 vs. 26.3) nmol phenylalanine/g wet weight per hour (bothP〈0.05)]. Net protein degradation rates were not significantly different between the two groups. Estimated nitrogen balance was significantly diminished in CD compared with CS rats. Gastrocnemius muscle RNA concentrations were also lower in CD rats (1.34 vs. 1.60 mg RNA/g wet weight,P〈0.001), but gastrocnemius protein concentrations were equal. These results demonstrate that the growth failure seen in CD rats is associated with diminished nitrogen balance, a decrease in protein synthesis rates and lower muscle RNA concentrations. These findings are also seen in rats with isolated sodium deficiency, and suggest that both sodium and chloride deficiency may act through a common pathway to diminish growth in young animals.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric nephrology 6 (1992), S. 334-334 
    ISSN: 1432-198X
    Keywords: Isolated hematuria
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric nephrology 13 (1999), S. 292-297 
    ISSN: 1432-198X
    Keywords: Key words Severe dehydration ; Rapid rehydration regimen
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  We compared current recommendations for treatment of severe dehydration by World Health Organization physicians and by the American Academy of Pediatrics Committee on Pediatric Gastroenterology with those in general textbooks of pediatrics, written mostly by pediatric nephrologists. The former recommend rapid (1- to 2-h) and generous intravenous restoration of extracellular fluid (ECF) volume followed by oral rehydration therapy (ORT) to replace potassium, current maintenance, and diarrheal losses – the rapid rehydration regimen. Oral feedings usually are resumed in 8–24 h. General textbooks of pediatrics usually recommend giving 20 ml/kg saline ”to restore circulation,” followed by the deficit therapy regimen to correct serum electrolyte abnormalities and replace remaining deficits of water, sodium, chloride, and potassium over 1–2 days. Mortality for hospitalized patients with dehydration treated with rapid rehydration was 〈3 per 1,000; no recent results are reported for patients treated by deficit therapy. The rapid rehydration regimen improves patient well being and restores perfusion, so that oral feedings are readily tolerated and renal function corrects serum electrolyte abnormalities in 6 h. Amounts of saline given correspond to amounts given for treating various forms of shock. Deficit therapy regimens provide less ECF restoration and are slower at restoring perfusion; tolerance for oral feedings is delayed. Two hundred pediatric nephrologists were surveyed, asking how they would treat a patient with severe dehydration and a patient with 40% burns. Only 30 of 200 responded; 29 used a deficit therapy regimen, with 20–40 ml/kg ECF replacement, while a majority rapidly and generously restored ECF volume in burn shock. We recommend that fluid therapy chapters should stop teaching deficit therapy for treating severe dehydration and instead teach the rapid rehydration regimen.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric nephrology 5 (1991), S. 501-504 
    ISSN: 1432-198X
    Keywords: Sodium-deficient ; Protein turnover ; Protein synthesis ; Salt-depletion ; Rat
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This study examines the consequences of sodium chloride supplementation to young rats previously made salt deficient by feeding them a sodium-deficient, chloride-replete diet. Salt-deficient rats received the test diet and distilled water for 10 days. As in our previous studies, rats cared for in this manner grew more slowly than rats fed the identical diet but allowed to drink 37 mM sodium chloride. On day 11, half of the salt-depleted animals received 37 mM sodium chloride in their drinking water. Sodium-deficient and supplemented rats were studied 1, 2, 5–6 and 11–12 days later. Urinary sodium rapidly rose from undetectable to 46 mEq/l urine within 1 day of supplementation and there was no further increase the next day, suggesting that extracellular fluid volumes were rapidly repleted. Food intake increased in the supplemented rats compared with the deficient animals but the difference in food intake equalled only 2.25 g/day for the first 2 days of supplementation. Over the last 12 days of the first 2 days of supplementation. Over the last 12 days of the study, the slopes of both weight and length gains were equal in both the supplemented and the control group and significantly higher than those in the deficient rats. Over the course of the study, full catchup was not obtained in either length or weight. In addition to total weight and length gains, liver and kidney weights increased proportionately and by 5–6 days of supplementation were equivalent to the weights seen in the control group. After 2 days of supplementation, the incorporation of14C-phenylalanine into epitrochlearis muscle preparations increased 21% (P=0.02) and by 5–12 days after supplementation, muscle protein synthesis rates increased 30%–40% (P=0.01). Net degradation, was not significantly altered by sodium repletion. Whether measured as total gastrocnemius (or liver) RNA or as the ratio of RNA/DNA, RNA levels rapidly increased after sodium chloride supplementation (P〈0.01). Thus, sodium supplementation rapidly restores weight gain and linear growth, muscle and liver RNA levels and muscle protein synthesis rates in young, salt-depleted rats. Since salt depletion may exist in a variety of clinical conditions often associated with poor growth, its presence must be considered in attempts to maximize growth in infants and children with chronic illness.
    Type of Medium: Electronic Resource
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