BACKGROUND Osmotherapy is the frequently used for the treatment of intracranial pressure. The purpose of the study was to compare the effect of equiosmolar solution of 3% hypertonic saline and 20% mannitol on brain relaxation in supratentorial tumor surgery. METHODS After institutional review board approval and written informed consent, 50 patients aged >18, Glasgow Coma Scale (GCS) >13 with ...

BACKGROUND Vasopressin plays an essential role in osmoregulation, but has deleterious effects in patients with ADPKD. Increased water intake to suppress vasopressin activity has been suggested as a potential renoprotective strategy. This study investigated whether urine and plasma osmolality can be used as reflection of vasopressin activity in ADPKD patients. METHODS We measured urine and pla...

The airway surface liquid (ASL) is the thin layer of fluid coating the luminal surface of airway epithelial cells at an air interface. Its composition and osmolality are thought to be important in normal airway physiology and in airway diseases such as asthma and cystic fibrosis. The determinants of ASL osmolality include epithelial cell solute and water transport properties, evaporative water ...

BACKGROUND AND PURPOSE Abnormal physiological parameters after acute stroke may induce early neurological deterioration. Studies of the effect of dehydration on stroke outcome are limited. We examined the association of raised plasma osmolality on stroke outcome at 3 months and the change of plasma osmolality with hydration during the first week after stroke. METHODS Acute stroke patients had...

PURPOSE OF THE STUDY Hyaluronic acid is a major component of synovial fluid and an indicator joint viscosity viscoelasticity. Decreased concentrations hyaluronic in the indicate severity osteoarthritis. The aim study was to determine evaluate correlation with osteoarthritis determined based on radiological criteria (evaluation according X-ray classification) physicochemical (measurement osmolal...

“Ecstasy” or 3,4-methylenedioxymethamphetamine (MDMA) is commonly abused in nightclub “raves” and rock concerts, where its euphoric and stimulantlike effects can enhance social interaction and endurance. Recently, it has become increasingly popular as a recreational drug in Taiwan. The amount of Ecstasy confiscated by law enforcement agencies has increased from 700 to 44,650 g over the last fou...

Hyponatremia (hypo-osmolality) is a disorder of water homeostasis due to abnormal renal diluting capacity. The body limits the degree which serum sodium concentration falls through mechanism called “vasopressin escape”. Vasopressin escape process that prevents continuous decrease in even under conditions sustained high plasma vasopressin levels. Previous reports suggest aldosterone may be invol...

A sensitive and specific radioimmunoassay for plasma arginine vasopressin (AVP) has been used to study the effects of blood osmolality and volume in regulating AVP secretion in unanesthetized rats. Under basal conditions, plasma AVP and osmolality were relatively constant, averaging 2.3+/-0.9 (SD) pg/ml and 294+/-1.4 mosmol/kg, respectively. Fluid restriction, which increased osmolality and dec...

A 31-year-old man was admitted to hospital with of anorexia, binge eating, and self induced vomiting. On admission, he showed a pronounced low weight and disturbance of the body image and was diagnosed as having anorexia nervosa. In addition, electrolyte abnormalities, mainly hypokalaemia, and increased serum renin and aldosterone concentrations were recorded, suggesting pseudo-Bartter syndrome...

A 58-year-old male presented with fever, nausea, and vomiting since 15 days along with irritability and confusion since 5 days. His laboratory reports showed low serum sodium, serum osmolality and uric acid. Computerized tomography (CT) scan of brain revealed age-related changes. While on lumbar puncture (LP) and cerebrospinal fluid (CSF) examination, CSF protein, lactate dehydrogenase (LDH) an...