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Effect of Optimization of Hemodialysis on Ophthalmological Variables in Patients with End Stage Renal Disease

Open Journal of Ophthalmology 2023年第4期13卷 398-406页

作者： Nashaat shawky Zaky Eman Gamal Megahed Sherein Mahmoud Hagras Abd Elmonaem Abo Elfetoh Elhesy ahmed Mohamed Naguib Attiya Salwa Mahmoud Elwasif Mohamed Abdul Kader Sobh Adel Elsayed Ellayeh Ophthalmology Department Faculty of Medicine Mansoura University Mansoura Egypt Nephrology Department Mansoura Urology and Nephrology Center Mansoura Egypt Internal Medicine Department Faculty of Medicine Mansoura University Mansoura Egypt

Background: Conventional hemodialysis (HD) used in treating end stage renal disease (ESRD) can result in multiorgan insult including the eye-owing to the resultant reperfusion after the ischemic event. Optimization of HD can be done using a process called remote ischemia which includes applying cycles of brief, nonlethal ischemia followed by reperfusion to one limb. This method sends signal to the end organs to prepare themselves for the upcoming ischemia thus preventing their injury. Aim: To evaluate the effect of remote ischemia preconditioning in HD on ophthalmological variables. Patients and Methods: A pre-post interventional analytical study conducted on patients receiving hemodialysis. Remote ischemia preconditioning was done before each HD session incorporating 3 cycles of alternating ischemia and reperfusion (5 minutes each) performed in the upper limb using sphygmomanometer cuff. Ophthalmic examination was done at baseline and 3 months after HD optimization. Assessment was done half to one hour pre- and post-session for visual acuity, corneal, conjunctival deposits, tear break up time (TBUT), anterior chamber depth and central macular thickness. Results: The study included 50 eyes of 25 patients with almost equal gender distribution and mean age of 37.52 ± 9.824 years. They were maintained on hemodialysis for median 10 years (range 3-25 years). The commonest cause of ESRD was hypertension. The studied ocular parameters showed insignificant change after pre-conditioned HD except for TBUT that was statistically longer (p = 0.018). Conclusion: Optimization of hemodialysis using remote ischemia does not seem to have significant ocular effect apart from prolonged TBUT. .

关键词： Hemodialysis Optimization Tear Break Up Time Ophthalmology

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Role of the injected water salinity and ion concentrations on the oil recovery in carbonate reservoirs

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Petroleum Research 2022年第3期7卷 394-400页

作者： M.Fouad Snosy Mahmoud Abu El Ela ahmed El-Banbi Helmy Sayyouh Petroleum Engineer General Petroleum CompanyEgypt Professor of Petroleum Engineering Cairo UniversityEgypt Professor of Petroleum Engineering The American University in CairoEgypt

Low salinity water flooding(LSWF)was initially considered using water with a low concentration of dissolved salts and was later extended to include modifying the ionic content of injected *** work investigates the effects of changing water salinity and composition along with the concentration of sulfate and iodide ions on oil recovery in carbonate reservoirs during the tertiary recovery *** experimental study was carried out using crude oil of 29°API,8 core samples extracted from the Eocene carbonate reservoir(Egypt),and 6 different water *** results showed additional oil recovery up to 5%of the original oil in place(OOIP)in the tertiary recovery stage with changing water salinity and water *** of high salinity(HS)and low salinity(LS)brines with high sulfate concentrations increased the incremental oil recovery by a value ranging from 1.7 to 3.8%of the *** the contrary,injection of HS and LS brines with low sulfate concentrations showed insignificant incremental oil recovery(less than 1%of the OOIP).Furthermore,injection of water with potassium iodide(KI)after injection of water with high sulfate brines showed additional oil recovery of about 1.7%of the *** the other hand,injection of water with KI after injection of water with low sulfate concentration showed insignificant incremental oil recovery(less than 0.4%of the OOIP).The concentration of sulfate in the injected water appeared to be key parameter to achieve effective waterflooding(WF)projects in carbonate ***,the results revealed that the multi-component ion exchange(MIE)mechanism seems to be the primary recovery mechanism for LSWF in carbonate *** results and conclusions of this study can be used to develop guidelines for designing waterflooding projects in carbonate reservoirs with optimum salinity.

关键词： Low salinity waterflooding Carbonate reservoirs Waterflooding LSWF

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