We describe a patient with severe hypernatremia and uremia caused by paranoid adipsia who was treated successfully with hydration and hemodialysis. A previously healthy 40-year-old woman developed the paranoid idea that her water was poisoned, so she refused to drink any water. On admission, her blood urea nitrogen was 208mg/dL, creatinine 4.90mg/dL, serum osmolality 452mOsm/L, serum sodium 172...

Also described as low viscous or low viscosity dextran, dextran 40 is prepared by acid hydrolysis and differential fractionation of a crude macromolecular polysaccharide produced from the fermentation of sucrose by the bacterium, Leuconostoc mesenteroides (strain B-512). The crude material is composed of linked glucose units. In the fraction represented by dextran 40, 80% of the molecules have ...

Newborn infants at risk for hypoglycemia are typically managed with feedings or the administration of dextrose gel. Despite these measures, many require admission to a special care nursery neonatal intensive unit (NICU) intravenous dextrose. Unfortunately, NICU separates mothers and infants, may lead unintended consequence difficulties in establishing breastfeeding. Therefore, it is important i...

1. The authors have now clarified which fluids they mean: 0.45% saline in 5% dextrose AND 0.9% saline in 5% dextrose, which are referred to as hypotonic and isotonic respecitvely. Whilst I understand that this is common parlance in paediatric fluid therapy, it is misleading without some qualification. Both these fluids are HYPERTONIC, but are regarded as EFFECTIVELY hypotonic or isotonic (respe...

In this work, simulations of the complete separation process in anhydrous bioethanol production were carried out in Aspen Plus. This process comprises distillation and rectification columns as well as an extractive column. Equilibrium stage model and Barros & Wolf efficiency correlations were used to perform the calculations. Efficiency profiles were obtained for all columns showing that effici...

The present paper describes the results of experimentation, carried out on intra-lipid phantom to study the optical clearing properties of glucose. For this intra lipid phantom with different concentration of dextrose levels have been used and the measurement based on selected mathematical parameters have been obtained using indigenously designed amplitude modulated ultrasound & infrared system...