Intra-Dialysis Hypotension in Patients Undergoing Hemodialysis

Introduction: Intra-dialysis hypotension occurs in 20- 55% of hemodialysis sessions. We aimed to define the prevalence and impact of pre-dialysis blood pressure, inter-dialysis weight gain, vasodilator agents, and characteristics of dialysis, serum calcium, and adjusted calcium, sodium, and albumin levels on intra-dialysis hypotension.Materials and Methods: In an observational prospective study, 44 hemodialysis cases aged 4.8-25 years were evaluated in 552 dialysis sessions. A decrease in the mean arterial blood pressure ≥ 10 mm Hg was defined as intra-dialysis hypotension. The characteristics of the patients were compared between cases and those without intra-dialysis hypotension.Results: Intra-dialysis hypotension was noted in 61.4% of the cases and 24.6% of the dialysis sessions. The duration of hemodialysis, weight gain between dialysis sessions, using vasodilator medications, serum sodium and adjusted calcium levels were compared between IDH + and IDH – cases. No significant differences were found in these variables between the 2 groups (P> 0.05 for all). Intra-dialysis hypotension was significantly more prevalent in cases with normal versus high systolic and diastolic blood pressure (P=0.014 and P=0.005 respectively). Intra-dialysis hypotension was significantly more frequent in girls, anuric patients, and patients with a history of transplantation (p=0.022, 0.011 and 0.008 respectively). A Significantly lower serum albumin concentration was found in cases with intra –dialysis hypotension (P=0.021).Conclusions: Intra-dialysis hypotension is a common complication of hemodialysis and is more prevalent in girls, normotensive patients, subjects with lower serum albumin concentrations, cases with a history of transplantation, and anuric patients. Keywords: Hemodialysis; Blood Pressure; Hypotension; Serum Albumin; Serum Calcium

Humidifying, heating and trap-density effects on triple-cation perovskite solar cells

Abstract The effect of moisture and heat are important challenges in perovskite solar cells (PSCs). Herein we studied the performance of triple-cation PSCs in different operating environmental conditions. Humidified cells exhibited a hopeful character by increasing the open-circuit voltage (V OC ) and short-circuit current density (J SC ) to 940 mV and 22.85 mA cm−2 with a power conversion efficiency (PCE) of 14.34%. In addition, further analyses showed that hysteresis index and charge transfer resistance decrease down to 0.4% and 1.67 kΩ. The origin of superior stability is ion segregation to the interface, which removes the antisite defect states. Finally, the effect of operating temperature and trap density on structure and performance was also studied systematically