Cognitive disorders in patients with chronic kidney disease: Approaches to prevention and treatment

Background: Cognitive impairment is common in patients with chronic kidney disease (CKD), and early intervention may prevent the progression of this condition. Methods: Here, we review interventions for the complications of CKD (anemia, secondary hyperparathyroidism, metabolic acidosis, harmful effects of dialysis, the accumulation of uremic toxins) and for prevention of vascular events, interventions that may potentially be protective against cognitive impairment. Furthermore, we discuss nonpharmacological and pharmacological methods to prevent cognitive impairment and/or minimize the latter's impact on CKD patients' daily lives. Results: A particular attention on kidney function assessment is suggested during work-up for cognitive impairment. Different approaches are promising to reduce cognitive burden in patients with CKD but the availabe dedicated data are scarce. Conclusions: There is a need for studies assessing the effect of interventions on the cognitive function of patients with CKD

Application of new thermodynamic data to grossular phase relations

Recent low temperature, adiabatic calorimetric heat capacity measurements for grossular have been combined with DSC measurements to give entropies up to 1000 K. In conjunction with enthalpy of solution values for grossular, these data have yielded Δ H f o (298.15K) and Δ G f o (298.15K) values of −1583.2 ± 3.5 and −1496.74 ± 3.7 kcal mol −1 respectively. For 15 reactions in the CaO-Al 2 O 3 -SiO 2 -H 2 O system, thermodynamically calculated P-T curves have been compared with experimental reversals and have shown good agreement in most cases. Calculations indicate that gehlenite is probably totally disordered. Estimates of zoisite and lawsonite entropies are consistent with the phase equilibrium and grossular data, but estimates of the entropies of pyrope and andradite show large discrepancies when compared with experimental reversals.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/47323/1/410_2004_Article_BF00371508.pd