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the data on this site is provided in order to assist you in solving any problems you might be experiencing.Haemodynamic responses to manual in-situ dilation of human ureteropelvic junction.
In patients with ureteropelvic junction (UPJ) obstruction, retroperitoneal pressure elevation appears to provoke an intrinsic negative feedback mechanism as evidenced by the paradoxical haemodynamic responses. We investigated the haemodynamic responses during manual in-situ dilation of the UPJ, to determine whether the presumed intrinsic negative feedback occurred and whether it would prevent dilation-induced haemodynamic deterioration. The responses were studied during graded manual in-situ dilation of UPJs in 18 patients with confirmed UPJ obstruction. The haemodynamic variables were measured using a water filled endoprosthesis and during infusion of 5% albumin. Pulmonary wedge pressure was measured as an index of right ventricular end diastolic pressure (RVEDP). An increase in cardiac index (CI) was followed by a decrease in mean right atrial pressure and a fall in RVEDP during manual dilation of the UPJ. The haemodynamic changes of the haemodynamic parameters that were observed during manual dilation of the UPJ were significantly reduced during infusion of 5% albumin. We conclude that manual dilation of the UPJ causes significant and sustained haemodynamic improvement in patients with UPJ obstruction. This may be an intrinsic negative feedback that prevents haemodynamic deterioration during dilation of the UPJ.Vilsbollåtheten
Vilsbollåtheten () is a mountain ridge in Wedel Jarlsberg Land at Spitsbergen, Svalbard. It has a length of about 2.5 kilometers, and the highest peak reaches 368 meters.
References
Category:Mountains of Spitsbergen
Category:Ridges of Spitsbergen
Category:Fjorden, Spitsbergen
Category:Littleton, New ZealandThe effect of a school-based, whole-school intervention on children’s physical activity and sedentary behaviours: a cluster-randomised controlled trial.
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