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| 2. |
- Lins, Lars Eric, et al.
(författare)
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Blood pressure reduction during hemodialysis correlates to intradialytic changes in plasma volume
- 1992
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Ingår i: Clinical Nephrology. - : Dustri-Verlag Dr. Karl Feistle. - 0301-0430. ; 37:6, s. 308-313
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Tidskriftsartikel (refereegranskat)abstract
- lood pressure alterations during hemodialysis were related to changes in body fluid in 14 patients with chronic renal failure. Changes in plasma volume (PV) and extracellular volume (ECV) were calculated from determinations of fluid volumes before and after hemodialysis, using 125I-albumin and 51Cr EDTA respectively. Reduction in body water was estimated from body weight changes. Weight loss was 3.3 ± 0.3 kg (range 1.8-6.0 kg). The relative reduction of fluid was greater in the ECV, 21.6 ± 3.2%, compared to plasma volume, 6.9 ± 1.8%. The reduction in systolic blood pressure was related to both absolute (r = 0.66, p < 0.05) and relative PV reduction (r = 0.72, p < 0.02). There was no correlation between blood pressure reduction and weight loss or ECV changes. Only minor alterations were found in diastolic blood pressure. Plasma volume maintenance relates to blood pressure changes. Plasma volumemonitoring could be useful for improving intradialytic hemodynamic control.
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| 3. |
- Ljungqvist, Olle, 1954-, et al.
(författare)
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Whole body impedance measurements reflect total body water changes : A study in hemodialysis patients
- 1990
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Ingår i: International Journal of Clinical Monitoring and Computing. - : Springer Netherlands. - 0167-9945 .- 2214-7314. ; 7:3, s. 163-169
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Tidskriftsartikel (refereegranskat)abstract
- Fluid volume changes during hemodialysis was monitored by continuous whole body impedance measurements. The fluid changes recorded using this method was compared to fluid volume changes measured in plasma water (PV) using125I-albumin, and extracellular volume (ECV) using51Cr-EDTA before and after treatment, and total body water (TBW) changes reflected by continuous bed scale monitoring. Changes in impedance correlated to TBW changes, r=0.80, p<0.001, while correlations to changes in ECV and PV were: r=0.57 and r=0.55, respectively, p<0.05. Alterations in body fluid volumes recorded with whole body impedance is best correlated to total body water changes. The use of continuous whole body impedance monitoring has been shown to offer a simple non-invasive method for recording total body water changes during hemodialysis.
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| 4. |
- Wikman, Marianne, et al.
(författare)
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Ambivalence towards parenthood among pregnant women and their men
- 1993
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Ingår i: Acta Obstetricia et Gynecologica Scandinavica. - 0001-6349 .- 1600-0412. ; 72:8, s. 619-626
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Tidskriftsartikel (refereegranskat)abstract
- 369 pregnant women and 345 expectant fathers visiting antenatal clinics were examined by a questionnaire concerning attitudes towards pregnancy and parenthood. Data were processed by factor analysis and the degree of agreement to important factors was estimated. Attitudes were dominated by two conflicting views: children mean existential satisfaction and children mean restriction of freedom for women as well as for men. There was a tendency to deny the items concerning the disadvantages of having children. An important factor in the women's as well as in the men's analysis was the importance of own parents as models in parenthood. The findings from this unselected population of pregnant women and their men are consistent with earlier in-depth interviews. It can be concluded that ambivalence should be regarded as a normal constituent of the adaptation to pregnancy and parenthood. Experiences of own parents play an important role in the transition to parenthood. An important task for the medical profession should be to inform about ambivalence as a normal phenomenon as it, left unaccepted, may cause unnecessary anxiety and feelings of guilt.
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