206 research outputs found
Compliance, illiteracy and low-protein diet: multiple challenges in CKD and a case of self-empowerment
Background: Low-protein diets (LPD) are an important means of delaying the need for dialysis and attaining a stable metabolic balance in chronic kidney disease (CKD). Many authors consider a low educational level and illiteracy to be adverse features for a good dietary compliance. Case presentation: We report the case of a 77-year old woman, illiterate, affected by advanced CKD (stage 4 according to KDIGO guidelines). She was initially ashamed of her problem and did not declare it, leading to an overzealous reduction in protein intake. However, with her daughter's help, who translated the dietary prescription into images, she overcame the barrier represented by illiteracy and was able to correctly follow the prescriptions, attaining good kidney function stability and preserving an adequate nutritional status. Conclusions: The case underlines the importance of a personalized approach to dietary prescriptions and suggests that it is possible to achieve a good compliance to the dietary treatment of CKD also in patients with relevant cultural barriers
Solution of the kinetic equations governing trap filling. Consequences concerning dose dependence and dose-rate effects
The equations governing the traffic of charge carriers during the filling, by ionizing radiation, of traps and luminescence centers in an insulator are numerically solved. The numerical solution is that of a set of four simultaneous differential equations governing the time-dependent functions of concentrations of electrons and holes in the conduction and valence bands and in traps and centers. The results are more general and accurate than those reported previously since no assumptions concerning the proximity to equilibrium have to be made. Moreover, all previous calculations took into account the accumulated concentrations at the end of the irradiation, whereas we have considered an additional period of time after the excitation which allows for the relaxation of carriers in the bands. This simulates the experimental conditions more accurately because during this time any charge carriers which may have accumulated in the conduction and valence bands will relax into the traps and centers and, in doing so, will contribute to the final concentration of trapped charge. In our calculations we have allowed for this by letting the charge in the bands decay for a period of time T following the cessation of the irradiation (which occurs at time t). Thus, the level of trapped charge n is calculated at time t+ T and this is taken to be a better representation of the trapped charge density. Results were obtained for very high and very low dose rates (intensities) of the radiation. Experimental findings of the dose dependence of thermoluminescence (TL) are susceptible to analysis by the approach developed by us. By adding a competing trapping level and changing the set of equations appropriately, we get a set of five simultaneous differential equations. In this way we can test the previous approximative results yielding a superlinear filling of one of the traps. It is found that, under an appropriate choice of parameters, superlinearity emerges, although the results are not identical to those of the previous approximations. In addition, an important result to emerge from the analysis is the possible dependence of TL output on the dose rate for a constant total dose. Recent experimental results of such a dependence on TL in quartz are shown to be in general accord with the numerical results.Peer reviewedPhysic
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