Magnetic resonance-determined sodium removal from tissue stores in hemodialysis patients

We have previously reported that sodium is stored in skin and muscle. The amounts stored in hemodialysis (HD) patients are unknown. We determined whether (23)Na magnetic resonance imaging (sodium-MRI) allows assessment of tissue sodium and its removal in 24 HD patients and 27 age-matched healthy controls. We also studied 20 HD patients before and shortly after HD with a batch dialysis system with direct measurement of sodium in dialysate and ultrafiltrate. Age was associated with higher tissue sodium content in controls. This increase was paralleled by an age-dependent decrease of circulating levels of vascular endothelial growth factor-C (VEGF-C). Older (>60 years) HD patients showed increased sodium and water in skin and muscle and lower VEGF-C levels compared with age-matched controls. After HD, patients with low VEGF-C levels had significantly higher skin sodium content compared with patients with high VEGF-C levels (low VEGF-C: 2.3 ng/ml and skin sodium: 24.3 mmol/l; high VEGF-C: 4.1 ng/ml and skin sodium: 18.2 mmol/l). Thus, sodium-MRI quantitatively detects sodium stored in skin and muscle in humans and allows studying sodium storage reduction in ESRD patients. Age and VEGF-C-related local tissue-specific clearance mechanisms may determine the efficacy of tissue sodium removal with HD. Prospective trials on the relationship between tissue sodium content and hard end points could provide new insights into sodium homeostasis, and clarify whether increased sodium storage is a cardiovascular risk factor

Lightning activity related to satellite and radar observations of a mesoscale convective system over Texas on 7-8 april 2002

A multi-sensor study of the leading-line, trailing-stratiform (LLTS) mesoscale convective system (MCS) that developed over Texas in the afternoon of 7 April 2002 is presented. The analysis relies mainly on operationally available data sources, such as GOES east satellite imagery, WSR-88D radar data, and NLDN cloud-to-ground flash data. In addition, total lightning information in three dimensions from the LDAR II network in the Dallas-Ft. Worth region is used. GOES East satellite imagery revealed several ring-like cloud top structures with a diameter of about 100 km during MCS formation. The throckmorton tornadic supercell which had formed just ahead of the developing linear MCS, was characterized by a high CG+ percentage below a V-shaped cloud top overshoot north of the tornado swath. There were indications of the presence of a tilted electrical dipole in this storm. Also, this supercell had low average CG- first stroke currents and flash multiplicities. Interestingly, especially the average CG+ flash multiplicity in the throckmorton storm showed oscillations with an estimated period of about 15 min. Later on, in the mature LLTS MCS, the radar versus lightning activity comparison revealed two dominant discharge regions at the back of the convective leading edge, and a gentle descent of the upper intracloud lightning region into the trailing stratiform region, apparently coupled to hydrometeor sedimentation. There was evidence for an inverted dipole in the stratiform region of the LLTS MCS, and CG+ flashes from the stratiform region had high first return stroke peak currents. (orig.)Available from TIB Hannover: RR RR 6341(199) / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekSIGLEDEGerman

General discussion

The Gerhard Herzberg fonds is held at the NRC Archives. Contact [email protected] for information about access.Le fonds Gerhard Herzberg est conserv\ue9 aux Archives du CNRC. Contactez [email protected] pour des informations sur l'acc\ue8s.Peer reviewed: YesNRC publication: Ye