Heparin use in continuous renal replacement procedures: the struggle between filter coagulation and patient hemorrhage.

Heparin is the most widely used anticoagulant in continuous renal replacement procedures but little is known about the balance between filter coagulation and patient hemorrhage during treatment. Filter survival and hemorrhagic complications during 240 filter periods in 78 critically ill patients, treated with continuous arteriovenous hemofiltration and hemodiafiltration, were studied for this article. The crude incidence of filter coagulation was 17.

[Early coronary heart disease together with tyoe II diabetes mellitus in persons of Hindustani origin].

Objective: To investigate the association between early coronary heart disease and non insulin dependent diabetes mellitus in South Asian patients in the Netherlands, a homogeneous population which descends from Indian immigrants to Surinam in the late nineteenth century.

Design: Case control study.

Setting: University hospital Leiden.

Hemisphere-specific treatment of dyslexia subtypes: better reading with anxiety-laden words?

Twenty children (12 boys, 8 girls; mean age = 10.4 years) with P-type dyslexia (accurate but slow and fragmented reading) and 20 children (12 boys, 8 girls; mean age = 10.3 years) with L-type dyslexia (hurried, inaccurate reading) were treated with visual hemisphere-specific stimulation employing the HEMSTIM computer program.

[Nitric oxide to combat pulmonary hypertension in an infant following heart surgery for septum defect].

A 5-month-old female infant with Down syndrome underwent surgical repair of a complete atrioventricular septal defect and a patent ductus arteriosus. The postoperative course was complicated by life-threatening pulmonary hypertensive crises which did not respond to conventional vasodilating therapy. Nitric oxide inhalation resulted in rapid decrease in pulmonary artery pressure and improvement of haemodynamics and oxygenation without causing any untoward side effects.