|
|
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char = t;code = 116
char = r;code = 114
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char = t;code = 116
char = e;code = 101
char = -;code = 45
char = B;code = 66
char = u;code = 117
char = f;code = 102
char = f;code = 102
char = e;code = 101
char = r;code = 114
char = e;code = 101
char = d;code = 100
char = ,;code = 44
char = ;code = 32
char = M;code = 77
char = a;code = 97
char = g;code = 103
char = n;code = 110
char = e;code = 101
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char = m;code = 109
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char = e;code = 101
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char = a;code = 97
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char = y;code = 121
char = s;code = 115
char = a;code = 97
char = t;code = 116
char = e;code = 101
char = ;code = 32
char = o;code = 111
char = n;code = 110
char = ;code = 32
char = C;code = 67
char = a;code = 97
char = l;code = 108
char = c;code = 99
char = i;code = 105
char = f;code = 102
char = i;code = 105
char = c;code = 99
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = o;code = 111
char = n;code = 110
char = ;code = 32
char = P;code = 80
char = r;code = 114
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char = p;code = 112
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char = i;code = 105
char = t;code = 116
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char = ;code = 32
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = H;code = 72
char = e;code = 101
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char = s;code = 115
char = ;code = 32
char = P;code = 80
char = a;code = 97
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char = i;code = 105
char = e;code = 101
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char = t;code = 116
char = s;code = 115
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char = -;code = 45
char = ;code = 32
char = T;code = 84
char = h;code = 104
char = e;code = 101
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char = C;code = 67
char = i;code = 105
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char = M;code = 77
char = a;code = 97
char = g;code = 103
char = ;code = 32
char = S;code = 83
char = t;code = 116
char = u;code = 117
char = d;code = 100
char = y;code = 121
char = .;code = 46
result sql = Citrate-Buffered, Magnesium-Enriched Dialysate on Calcification Propensity in Hemodialysis Patients - The CitMag Study.
Citrate-Buffered, Magnesium-Enriched Dialysate on Calcification Propensity in Hemodialysis Patients - The CitMag Study.char = S;code = 83
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char = f;code = 102
char = i;code = 105
char = c;code = 99
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char = t;code = 116
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char = o;code = 111
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char = .;code = 46
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char = H;code = 72
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char = v;code = 118
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char = d;code = 100
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char = M;code = 77
char = g;code = 103
char = <;code = 60
char = s;code = 115
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char = b;code = 98
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char = 1;code = 49
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char = m;code = 109
char = m;code = 109
char = o;code = 111
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char = l;code = 108
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char = c;code = 99
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char = m;code = 109
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char = l;code = 108
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char = m;code = 109
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char = f;code = 102
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char = e;code = 101
char = e;code = 101
char = k;code = 107
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char = T;code = 84
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char = w;code = 119
char = a;code = 97
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char = d;code = 100
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char = c;code = 99
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char = i;code = 105
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char = T;code = 84
char = 5;code = 53
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char = t;code = 116
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char = b;code = 98
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char = w;code = 119
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char = e;code = 101
char = n;code = 110
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char = t;code = 116
char = h;code = 104
char = e;code = 101
char = ;code = 32
char = S;code = 83
char = ;code = 32
char = g;code = 103
char = r;code = 114
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char = u;code = 117
char = p;code = 112
char = ;code = 32
char = a;code = 97
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char = e;code = 101
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char = C;code = 67
char = i;code = 105
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char = M;code = 77
char = g;code = 103
char = <;code = 60
char = s;code = 115
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char = b;code = 98
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char = 0;code = 48
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char = 7;code = 55
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char = b;code = 98
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char = o;code = 111
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char = p;code = 112
char = .;code = 46
char = <;code = 60
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char = r;code = 114
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char = T;code = 84
char = h;code = 104
char = e;code = 101
char = r;code = 114
char = e;code = 101
char = ;code = 32
char = w;code = 119
char = a;code = 97
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char = n;code = 110
char = o;code = 111
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char = s;code = 115
char = i;code = 105
char = g;code = 103
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char = f;code = 102
char = i;code = 105
char = c;code = 99
char = a;code = 97
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char = f;code = 102
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char = c;code = 99
char = e;code = 101
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char = i;code = 105
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char = T;code = 84
char = 5;code = 53
char = 0;code = 48
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char = t;code = 116
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char = b;code = 98
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char = e;code = 101
char = n;code = 110
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char = S;code = 83
char = ;code = 32
char = g;code = 103
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char = u;code = 117
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char = C;code = 67
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char = M;code = 77
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char = b;code = 98
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char = 7;code = 55
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char = >;code = 62
char = P;code = 80
char = <;code = 60
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char = .;code = 46
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char = T;code = 84
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char = C;code = 67
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char = P;code = 80
char = <;code = 60
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char = 0;code = 48
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char = I;code = 73
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char = l;code = 108
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char = h;code = 104
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result sql = Serum calcification propensity (T50 time) is associated with mortality in patients on dialysis. Several solitary interventions improve T50. However, whether a combination of interventions yields further increases in T50 is unknown. We hypothesized that a combination of 2 interventions, namely increasing magnesium concentration while simultaneously substituting acetate for citrate in the dialysis fluid, leads to increases in T50 values.
In a randomized controlled trial, 60 patients on chronic hemodialysis were allocated to either continue on standard (S) dialysate (3 mmol/l acetate, 0.5 mmol/l magnesium) or a sequence of magnesium-enriched (Mg0.75) dialysate (3 mmol/l acetate, 0.75 mmol/l magnesium) for 2 weeks followed by combination treatment using citrate-buffered, magnesium-enriched (Cit+Mg0.75) dialysate (1 mmol/l citrate, 0.75 mmol/l magnesium) for 3 weeks. The primary end point was the difference in T50 times between the S group and the Cit+Mg0.75 group.
There was no significant difference in T50 time between the S group and the Cit+Mg0.75 group (236 ± 77 vs. 265 ± 97 min, P = 0.23). The size (hydrodynamic radius) of secondary calciprotein particles did not differ between the S group and the Cit+Mg0.75 group (294 ± 95 vs. 309 ± 91 nm, P = 0.56). In longitudinal analyses, serum magnesium concentrations increased from 1.07 ± 0.17 to 1.24 ± 0.17 mmol/l with the Mg0.75 dialysate (P < 0.0001) but decreased again to 1.19 ± 0.16 mmol/l with the Cit+Mg0.75 dialysate (P < 0.0001).
The combination of citrate buffer with increased magnesium concentration in dialysate does not improve T50.
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result sql = Citrate-Buffered, Magnesium-Enriched Dialysate on Calcification Propensity in Hemodialysis Patients - The CitMag Study.
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char = 3;code = 51
char = ;code = 32
char = m;code = 109
char = m;code = 109
char = o;code = 111
char = l;code = 108
char = /;code = 47
char = l;code = 108
char = ;code = 32
char = a;code = 97
char = c;code = 99
char = e;code = 101
char = t;code = 116
char = a;code = 97
char = t;code = 116
char = e;code = 101
char = ,;code = 44
char = ;code = 32
char = 0;code = 48
char = .;code = 46
char = 7;code = 55
char = 5;code = 53
char = ;code = 32
char = m;code = 109
char = m;code = 109
char = o;code = 111
char = l;code = 108
char = /;code = 47
char = l;code = 108
char = ;code = 32
char = m;code = 109
char = a;code = 97
char = g;code = 103
char = n;code = 110
char = e;code = 101
char = s;code = 115
char = i;code = 105
char = u;code = 117
char = m;code = 109
char = );code = 41
char = ;code = 32
char = f;code = 102
char = o;code = 111
char = r;code = 114
char = ;code = 32
char = 2;code = 50
char = ;code = 32
char = w;code = 119
char = e;code = 101
char = e;code = 101
char = k;code = 107
char = s;code = 115
char = ;code = 32
char = f;code = 102
char = o;code = 111
char = l;code = 108
char = l;code = 108
char = o;code = 111
char = w;code = 119
char = e;code = 101
char = d;code = 100
char = ;code = 32
char = b;code = 98
char = y;code = 121
char = ;code = 32
char = c;code = 99
char = o;code = 111
char = m;code = 109
char = b;code = 98
char = i;code = 105
char = n;code = 110
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = o;code = 111
char = n;code = 110
char = ;code = 32
char = t;code = 116
char = r;code = 114
char = e;code = 101
char = a;code = 97
char = t;code = 116
char = m;code = 109
char = e;code = 101
char = n;code = 110
char = t;code = 116
char = ;code = 32
char = u;code = 117
char = s;code = 115
char = i;code = 105
char = n;code = 110
char = g;code = 103
char = ;code = 32
char = c;code = 99
char = i;code = 105
char = t;code = 116
char = r;code = 114
char = a;code = 97
char = t;code = 116
char = e;code = 101
char = -;code = 45
char = b;code = 98
char = u;code = 117
char = f;code = 102
char = f;code = 102
char = e;code = 101
char = r;code = 114
char = e;code = 101
char = d;code = 100
char = ,;code = 44
char = ;code = 32
char = m;code = 109
char = a;code = 97
char = g;code = 103
char = n;code = 110
char = e;code = 101
char = s;code = 115
char = i;code = 105
char = u;code = 117
char = m;code = 109
char = -;code = 45
char = e;code = 101
char = n;code = 110
char = r;code = 114
char = i;code = 105
char = c;code = 99
char = h;code = 104
char = e;code = 101
char = d;code = 100
char = ;code = 32
char = (;code = 40
char = C;code = 67
char = i;code = 105
char = t;code = 116
char = +;code = 43
char = M;code = 77
char = g;code = 103
char = <;code = 60
char = s;code = 115
char = u;code = 117
char = b;code = 98
char = >;code = 62
char = 0;code = 48
char = .;code = 46
char = 7;code = 55
char = 5;code = 53
char = <;code = 60
char = /;code = 47
char = s;code = 115
char = u;code = 117
char = b;code = 98
char = >;code = 62
char = );code = 41
char = ;code = 32
char = d;code = 100
char = i;code = 105
char = a;code = 97
char = l;code = 108
char = y;code = 121
char = s;code = 115
char = a;code = 97
char = t;code = 116
char = e;code = 101
char = ;code = 32
char = (;code = 40
char = 1;code = 49
char = ;code = 32
char = m;code = 109
char = m;code = 109
char = o;code = 111
char = l;code = 108
char = /;code = 47
char = l;code = 108
char = ;code = 32
char = c;code = 99
char = i;code = 105
char = t;code = 116
char = r;code = 114
char = a;code = 97
char = t;code = 116
char = e;code = 101
char = ,;code = 44
char = ;code = 32
char = 0;code = 48
char = .;code = 46
char = 7;code = 55
char = 5;code = 53
char = ;code = 32
char = m;code = 109
char = m;code = 109
char = o;code = 111
char = l;code = 108
char = /;code = 47
char = l;code = 108
char = ;code = 32
char = m;code = 109
char = a;code = 97
char = g;code = 103
char = n;code = 110
char = e;code = 101
char = s;code = 115
char = i;code = 105
char = u;code = 117
char = m;code = 109
char = );code = 41
char = ;code = 32
char = f;code = 102
char = o;code = 111
char = r;code = 114
char = ;code = 32
char = 3;code = 51
char = ;code = 32
char = w;code = 119
char = e;code = 101
char = e;code = 101
char = k;code = 107
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = T;code = 84
char = h;code = 104
char = e;code = 101
char = ;code = 32
char = p;code = 112
char = r;code = 114
char = i;code = 105
char = m;code = 109
char = a;code = 97
char = r;code = 114
char = y;code = 121
char = ;code = 32
char = e;code = 101
char = n;code = 110
char = d;code = 100
char = ;code = 32
char = p;code = 112
char = o;code = 111
char = i;code = 105
char = n;code = 110
char = t;code = 116
char = ;code = 32
char = w;code = 119
char = a;code = 97
char = s;code = 115
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = e;code = 101
char = ;code = 32
char = d;code = 100
char = i;code = 105
char = f;code = 102
char = f;code = 102
char = e;code = 101
char = r;code = 114
char = e;code = 101
char = n;code = 110
char = c;code = 99
char = e;code = 101
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = T;code = 84
char = 5;code = 53
char = 0;code = 48
char = ;code = 32
char = t;code = 116
char = i;code = 105
char = m;code = 109
char = e;code = 101
char = s;code = 115
char = ;code = 32
char = b;code = 98
char = e;code = 101
char = t;code = 116
char = w;code = 119
char = e;code = 101
char = e;code = 101
char = n;code = 110
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = e;code = 101
char = ;code = 32
char = S;code = 83
char = ;code = 32
char = g;code = 103
char = r;code = 114
char = o;code = 111
char = u;code = 117
char = p;code = 112
char = ;code = 32
char = a;code = 97
char = n;code = 110
char = d;code = 100
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = e;code = 101
char = ;code = 32
char = C;code = 67
char = i;code = 105
char = t;code = 116
char = +;code = 43
char = M;code = 77
char = g;code = 103
char = <;code = 60
char = s;code = 115
char = u;code = 117
char = b;code = 98
char = >;code = 62
char = 0;code = 48
char = .;code = 46
char = 7;code = 55
char = 5;code = 53
char = <;code = 60
char = /;code = 47
char = s;code = 115
char = u;code = 117
char = b;code = 98
char = >;code = 62
char = ;code = 32
char = g;code = 103
char = r;code = 114
char = o;code = 111
char = u;code = 117
char = p;code = 112
char = .;code = 46
char = <;code = 60
char = b;code = 98
char = r;code = 114
char = >;code = 62
char = T;code = 84
char = h;code = 104
char = e;code = 101
char = r;code = 114
char = e;code = 101
char = ;code = 32
char = w;code = 119
char = a;code = 97
char = s;code = 115
char = ;code = 32
char = n;code = 110
char = o;code = 111
char = ;code = 32
char = s;code = 115
char = i;code = 105
char = g;code = 103
char = n;code = 110
char = i;code = 105
char = f;code = 102
char = i;code = 105
char = c;code = 99
char = a;code = 97
char = n;code = 110
char = t;code = 116
char = ;code = 32
char = d;code = 100
char = i;code = 105
char = f;code = 102
char = f;code = 102
char = e;code = 101
char = r;code = 114
char = e;code = 101
char = n;code = 110
char = c;code = 99
char = e;code = 101
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = T;code = 84
char = 5;code = 53
char = 0;code = 48
char = ;code = 32
char = t;code = 116
char = i;code = 105
char = m;code = 109
char = e;code = 101
char = ;code = 32
char = b;code = 98
char = e;code = 101
char = t;code = 116
char = w;code = 119
char = e;code = 101
char = e;code = 101
char = n;code = 110
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = e;code = 101
char = ;code = 32
char = S;code = 83
char = ;code = 32
char = g;code = 103
char = r;code = 114
char = o;code = 111
char = u;code = 117
char = p;code = 112
char = ;code = 32
char = a;code = 97
char = n;code = 110
char = d;code = 100
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = e;code = 101
char = ;code = 32
char = C;code = 67
char = i;code = 105
char = t;code = 116
char = +;code = 43
char = M;code = 77
char = g;code = 103
char = <;code = 60
char = s;code = 115
char = u;code = 117
char = b;code = 98
char = >;code = 62
char = 0;code = 48
char = .;code = 46
char = 7;code = 55
char = 5;code = 53
char = <;code = 60
char = /;code = 47
char = s;code = 115
char = u;code = 117
char = b;code = 98
char = >;code = 62
char = ;code = 32
char = g;code = 103
char = r;code = 114
char = o;code = 111
char = u;code = 117
char = p;code = 112
char = ;code = 32
char = (;code = 40
char = 2;code = 50
char = 3;code = 51
char = 6;code = 54
char = ;code = 32
char = &;code = 38
char = #;code = 35
char = x;code = 120
char = b;code = 98
char = 1;code = 49
char = ;;code = 59
char = ;code = 32
char = 7;code = 55
char = 7;code = 55
char = ;code = 32
char = v;code = 118
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = 2;code = 50
char = 6;code = 54
char = 5;code = 53
char = ;code = 32
char = &;code = 38
char = #;code = 35
char = x;code = 120
char = b;code = 98
char = 1;code = 49
char = ;;code = 59
char = ;code = 32
char = 9;code = 57
char = 7;code = 55
char = ;code = 32
char = m;code = 109
char = i;code = 105
char = n;code = 110
char = ,;code = 44
char = ;code = 32
char = <;code = 60
char = i;code = 105
char = >;code = 62
char = P;code = 80
char = <;code = 60
char = /;code = 47
char = i;code = 105
char = >;code = 62
char = &;code = 38
char = #;code = 35
char = x;code = 120
char = a;code = 97
char = 0;code = 48
char = ;;code = 59
char = =;code = 61
char = ;code = 32
char = 0;code = 48
char = .;code = 46
char = 2;code = 50
char = 3;code = 51
char = );code = 41
char = .;code = 46
char = ;code = 32
char = T;code = 84
char = h;code = 104
char = e;code = 101
char = ;code = 32
char = s;code = 115
char = i;code = 105
char = z;code = 122
char = e;code = 101
char = ;code = 32
char = (;code = 40
char = h;code = 104
char = y;code = 121
char = d;code = 100
char = r;code = 114
char = o;code = 111
char = d;code = 100
char = y;code = 121
char = n;code = 110
char = a;code = 97
char = m;code = 109
char = i;code = 105
char = c;code = 99
char = ;code = 32
char = r;code = 114
char = a;code = 97
char = d;code = 100
char = i;code = 105
char = u;code = 117
char = s;code = 115
char = );code = 41
char = ;code = 32
char = o;code = 111
char = f;code = 102
char = ;code = 32
char = s;code = 115
char = e;code = 101
char = c;code = 99
char = o;code = 111
char = n;code = 110
char = d;code = 100
char = a;code = 97
char = r;code = 114
char = y;code = 121
char = ;code = 32
char = c;code = 99
char = a;code = 97
char = l;code = 108
char = c;code = 99
char = i;code = 105
char = p;code = 112
char = r;code = 114
char = o;code = 111
char = t;code = 116
char = e;code = 101
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = p;code = 112
char = a;code = 97
char = r;code = 114
char = t;code = 116
char = i;code = 105
char = c;code = 99
char = l;code = 108
char = e;code = 101
char = s;code = 115
char = ;code = 32
char = d;code = 100
char = i;code = 105
char = d;code = 100
char = ;code = 32
char = n;code = 110
char = o;code = 111
char = t;code = 116
char = ;code = 32
char = d;code = 100
char = i;code = 105
char = f;code = 102
char = f;code = 102
char = e;code = 101
char = r;code = 114
char = ;code = 32
char = b;code = 98
char = e;code = 101
char = t;code = 116
char = w;code = 119
char = e;code = 101
char = e;code = 101
char = n;code = 110
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = e;code = 101
char = ;code = 32
char = S;code = 83
char = ;code = 32
char = g;code = 103
char = r;code = 114
char = o;code = 111
char = u;code = 117
char = p;code = 112
char = ;code = 32
char = a;code = 97
char = n;code = 110
char = d;code = 100
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = e;code = 101
char = ;code = 32
char = C;code = 67
char = i;code = 105
char = t;code = 116
char = +;code = 43
char = M;code = 77
char = g;code = 103
char = <;code = 60
char = s;code = 115
char = u;code = 117
char = b;code = 98
char = >;code = 62
char = 0;code = 48
char = .;code = 46
char = 7;code = 55
char = 5;code = 53
char = <;code = 60
char = /;code = 47
char = s;code = 115
char = u;code = 117
char = b;code = 98
char = >;code = 62
char = ;code = 32
char = g;code = 103
char = r;code = 114
char = o;code = 111
char = u;code = 117
char = p;code = 112
char = ;code = 32
char = (;code = 40
char = 2;code = 50
char = 9;code = 57
char = 4;code = 52
char = ;code = 32
char = &;code = 38
char = #;code = 35
char = x;code = 120
char = b;code = 98
char = 1;code = 49
char = ;;code = 59
char = ;code = 32
char = 9;code = 57
char = 5;code = 53
char = ;code = 32
char = v;code = 118
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = 3;code = 51
char = 0;code = 48
char = 9;code = 57
char = ;code = 32
char = &;code = 38
char = #;code = 35
char = x;code = 120
char = b;code = 98
char = 1;code = 49
char = ;;code = 59
char = ;code = 32
char = 9;code = 57
char = 1;code = 49
char = ;code = 32
char = n;code = 110
char = m;code = 109
char = ,;code = 44
char = ;code = 32
char = <;code = 60
char = i;code = 105
char = >;code = 62
char = P;code = 80
char = <;code = 60
char = /;code = 47
char = i;code = 105
char = >;code = 62
char = &;code = 38
char = #;code = 35
char = x;code = 120
char = a;code = 97
char = 0;code = 48
char = ;;code = 59
char = =;code = 61
char = ;code = 32
char = 0;code = 48
char = .;code = 46
char = 5;code = 53
char = 6;code = 54
char = );code = 41
char = .;code = 46
char = ;code = 32
char = I;code = 73
char = n;code = 110
char = ;code = 32
char = l;code = 108
char = o;code = 111
char = n;code = 110
char = g;code = 103
char = i;code = 105
char = t;code = 116
char = u;code = 117
char = d;code = 100
char = i;code = 105
char = n;code = 110
char = a;code = 97
char = l;code = 108
char = ;code = 32
char = a;code = 97
char = n;code = 110
char = a;code = 97
char = l;code = 108
char = y;code = 121
char = s;code = 115
char = e;code = 101
char = s;code = 115
char = ,;code = 44
char = ;code = 32
char = s;code = 115
char = e;code = 101
char = r;code = 114
char = u;code = 117
char = m;code = 109
char = ;code = 32
char = m;code = 109
char = a;code = 97
char = g;code = 103
char = n;code = 110
char = e;code = 101
char = s;code = 115
char = i;code = 105
char = u;code = 117
char = m;code = 109
char = ;code = 32
char = c;code = 99
char = o;code = 111
char = n;code = 110
char = c;code = 99
char = e;code = 101
char = n;code = 110
char = t;code = 116
char = r;code = 114
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = o;code = 111
char = n;code = 110
char = s;code = 115
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = c;code = 99
char = r;code = 114
char = e;code = 101
char = a;code = 97
char = s;code = 115
char = e;code = 101
char = d;code = 100
char = ;code = 32
char = f;code = 102
char = r;code = 114
char = o;code = 111
char = m;code = 109
char = ;code = 32
char = 1;code = 49
char = .;code = 46
char = 0;code = 48
char = 7;code = 55
char = ;code = 32
char = &;code = 38
char = #;code = 35
char = x;code = 120
char = b;code = 98
char = 1;code = 49
char = ;;code = 59
char = ;code = 32
char = 0;code = 48
char = .;code = 46
char = 1;code = 49
char = 7;code = 55
char = ;code = 32
char = t;code = 116
char = o;code = 111
char = ;code = 32
char = 1;code = 49
char = .;code = 46
char = 2;code = 50
char = 4;code = 52
char = ;code = 32
char = &;code = 38
char = #;code = 35
char = x;code = 120
char = b;code = 98
char = 1;code = 49
char = ;;code = 59
char = ;code = 32
char = 0;code = 48
char = .;code = 46
char = 1;code = 49
char = 7;code = 55
char = ;code = 32
char = m;code = 109
char = m;code = 109
char = o;code = 111
char = l;code = 108
char = /;code = 47
char = l;code = 108
char = ;code = 32
char = w;code = 119
char = i;code = 105
char = t;code = 116
char = h;code = 104
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = e;code = 101
char = ;code = 32
char = M;code = 77
char = g;code = 103
char = <;code = 60
char = s;code = 115
char = u;code = 117
char = b;code = 98
char = >;code = 62
char = 0;code = 48
char = .;code = 46
char = 7;code = 55
char = 5;code = 53
char = <;code = 60
char = /;code = 47
char = s;code = 115
char = u;code = 117
char = b;code = 98
char = >;code = 62
char = ;code = 32
char = d;code = 100
char = i;code = 105
char = a;code = 97
char = l;code = 108
char = y;code = 121
char = s;code = 115
char = a;code = 97
char = t;code = 116
char = e;code = 101
char = ;code = 32
char = (;code = 40
char = <;code = 60
char = i;code = 105
char = >;code = 62
char = P;code = 80
char = <;code = 60
char = /;code = 47
char = i;code = 105
char = >;code = 62
char = &;code = 38
char = #;code = 35
char = x;code = 120
char = a;code = 97
char = 0;code = 48
char = ;;code = 59
char = &;code = 38
char = l;code = 108
char = t;code = 116
char = ;;code = 59
char = ;code = 32
char = 0;code = 48
char = .;code = 46
char = 0;code = 48
char = 0;code = 48
char = 0;code = 48
char = 1;code = 49
char = );code = 41
char = ;code = 32
char = b;code = 98
char = u;code = 117
char = t;code = 116
char = ;code = 32
char = d;code = 100
char = e;code = 101
char = c;code = 99
char = r;code = 114
char = e;code = 101
char = a;code = 97
char = s;code = 115
char = e;code = 101
char = d;code = 100
char = ;code = 32
char = a;code = 97
char = g;code = 103
char = a;code = 97
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = t;code = 116
char = o;code = 111
char = ;code = 32
char = 1;code = 49
char = .;code = 46
char = 1;code = 49
char = 9;code = 57
char = ;code = 32
char = &;code = 38
char = #;code = 35
char = x;code = 120
char = b;code = 98
char = 1;code = 49
char = ;;code = 59
char = ;code = 32
char = 0;code = 48
char = .;code = 46
char = 1;code = 49
char = 6;code = 54
char = ;code = 32
char = m;code = 109
char = m;code = 109
char = o;code = 111
char = l;code = 108
char = /;code = 47
char = l;code = 108
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result sql = Serum calcification propensity (T50 time) is associated with mortality in patients on dialysis. Several solitary interventions improve T50. However, whether a combination of interventions yields further increases in T50 is unknown. We hypothesized that a combination of 2 interventions, namely increasing magnesium concentration while simultaneously substituting acetate for citrate in the dialysis fluid, leads to increases in T50 values.
In a randomized controlled trial, 60 patients on chronic hemodialysis were allocated to either continue on standard (S) dialysate (3 mmol/l acetate, 0.5 mmol/l magnesium) or a sequence of magnesium-enriched (Mg0.75) dialysate (3 mmol/l acetate, 0.75 mmol/l magnesium) for 2 weeks followed by combination treatment using citrate-buffered, magnesium-enriched (Cit+Mg0.75) dialysate (1 mmol/l citrate, 0.75 mmol/l magnesium) for 3 weeks. The primary end point was the difference in T50 times between the S group and the Cit+Mg0.75 group.
There was no significant difference in T50 time between the S group and the Cit+Mg0.75 group (236 ± 77 vs. 265 ± 97 min, P = 0.23). The size (hydrodynamic radius) of secondary calciprotein particles did not differ between the S group and the Cit+Mg0.75 group (294 ± 95 vs. 309 ± 91 nm, P = 0.56). In longitudinal analyses, serum magnesium concentrations increased from 1.07 ± 0.17 to 1.24 ± 0.17 mmol/l with the Mg0.75 dialysate (P < 0.0001) but decreased again to 1.19 ± 0.16 mmol/l with the Cit+Mg0.75 dialysate (P < 0.0001).
The combination of citrate buffer with increased magnesium concentration in dialysate does not improve T50.
Publication: Kidney Int Rep 2024 Jun;9(6):1765-1773.
Publication Date: Jun 2024
Study Author(s): Cejka Daniel D ; Thiem Ursula U ; Blinzler Eric E ; Machacek Jennifer J ; Voelkl Jakob J ; Smith Edward R ER ; Pasch Andreas A ; Haller Maria C MC ;
Institution: Department of Medicine III - Nephrology, Hypertension, Transplantation, Rheumatology, Geriatrics, Ordensklinikum Linz - Elisabethinen Hospital, Linz, Austria.
Shortcut link to this study:
Publication Date: Jun 2024
Study Author(s): Cejka Daniel D ; Thiem Ursula U ; Blinzler Eric E ; Machacek Jennifer J ; Voelkl Jakob J ; Smith Edward R ER ; Pasch Andreas A ; Haller Maria C MC ;
Institution: Department of Medicine III - Nephrology, Hypertension, Transplantation, Rheumatology, Geriatrics, Ordensklinikum Linz - Elisabethinen Hospital, Linz, Austria.
Shortcut link to this study:
Serum calcification propensity (T50 time) is associated with mortality in patients on dialysis. Several solitary interventions improve T50. However, whether a combination of interventions yields further increases in T50 is unknown. We hypothesized that a combination of 2 interventions, namely increasing magnesium concentration while simultaneously substituting acetate for citrate in the dialysis fluid, leads to increases in T50 values.
In a randomized controlled trial, 60 patients on chronic hemodialysis were allocated to either continue on standard (S) dialysate (3 mmol/l acetate, 0.5 mmol/l magnesium) or a sequence of magnesium-enriched (Mg0.75) dialysate (3 mmol/l acetate, 0.75 mmol/l magnesium) for 2 weeks followed by combination treatment using citrate-buffered, magnesium-enriched (Cit+Mg0.75) dialysate (1 mmol/l citrate, 0.75 mmol/l magnesium) for 3 weeks. The primary end point was the difference in T50 times between the S group and the Cit+Mg0.75 group.
There was no significant difference in T50 time between the S group and the Cit+Mg0.75 group (236 ± 77 vs. 265 ± 97 min, P = 0.23). The size (hydrodynamic radius) of secondary calciprotein particles did not differ between the S group and the Cit+Mg0.75 group (294 ± 95 vs. 309 ± 91 nm, P = 0.56). In longitudinal analyses, serum magnesium concentrations increased from 1.07 ± 0.17 to 1.24 ± 0.17 mmol/l with the Mg0.75 dialysate (P < 0.0001) but decreased again to 1.19 ± 0.16 mmol/l with the Cit+Mg0.75 dialysate (P < 0.0001).
The combination of citrate buffer with increased magnesium concentration in dialysate does not improve T50.
In a randomized controlled trial, 60 patients on chronic hemodialysis were allocated to either continue on standard (S) dialysate (3 mmol/l acetate, 0.5 mmol/l magnesium) or a sequence of magnesium-enriched (Mg0.75) dialysate (3 mmol/l acetate, 0.75 mmol/l magnesium) for 2 weeks followed by combination treatment using citrate-buffered, magnesium-enriched (Cit+Mg0.75) dialysate (1 mmol/l citrate, 0.75 mmol/l magnesium) for 3 weeks. The primary end point was the difference in T50 times between the S group and the Cit+Mg0.75 group.
There was no significant difference in T50 time between the S group and the Cit+Mg0.75 group (236 ± 77 vs. 265 ± 97 min, P = 0.23). The size (hydrodynamic radius) of secondary calciprotein particles did not differ between the S group and the Cit+Mg0.75 group (294 ± 95 vs. 309 ± 91 nm, P = 0.56). In longitudinal analyses, serum magnesium concentrations increased from 1.07 ± 0.17 to 1.24 ± 0.17 mmol/l with the Mg0.75 dialysate (P < 0.0001) but decreased again to 1.19 ± 0.16 mmol/l with the Cit+Mg0.75 dialysate (P < 0.0001).
The combination of citrate buffer with increased magnesium concentration in dialysate does not improve T50.
PMID: 38899177
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