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February, 1945 RICE DIET—KEMPNER 85 Phc nolsulf on pht hale in Ten t (Total Excretion in Hours) Per Cent TABLE 6—Continued Nonprotein Nitrogen (mg. per 100 cc. blood) Before After Rice Diet Rice Diet Change Days on Rice Diet 16. 67 ............................ 28 24 _ 4 18 17. 82, 90, 71 ............................. ............................ 30 26 — 4 22 18. 64, 86 .................................... ............................ 30 24 — 6 113 19. 72 ............................ 31 26 — 5 20 20. 53 ............................ 31 29 — 2 18 21. 55 ............................ 35 27 — 8 45 22. 72, 63 ..................................... ............................ 36 32 — 4 126 23. 73 ............................ 35 25 — 10 149 24. 88 ............................ 30 24 — 6 34 25. 70 ............................ 39 27 — 12 4 26. 78 ............................ 28 22 — 6 17 27. 63, 87 ..................................... ............................ 29 24 — 5 96 28. 81 ............................ 30 25 — 5 23 29. 69 ............................ 39 30 — 9 18 Average ............................ 32 26 — 6 53 An erroneous impression might be conveyed by the figures in table 6, because only the nonprotein nitrogen values before the start of treatment and the last ones recorded after treatment are compared. Since many patients with chronic kidney disease, however, do not realize the seriousness of their condition before manifestations of terminal renal failure become apparent, they frequently come to the hospital at a time when the nonprotein nitrogen is no longer at a constant level, but is rising rapidly. The effect of the diet in such instances might therefore be seen more correctly in the difference between the patient's nonprotein nitrogen at the end of the treatment and his highest nonprotein nitrogen value, even if this value was found after he was already on the diet (fig. 24). The lowering of the nonprotein nitrogen in the greater number of patients is not the only point of significance in table 6; the length of time on the rice diet is also important, for it shows that in spite of even critical decrease in renal excretory function, as indicated by the low phenolsulfonphthalein excretion, the usually progressive increase of the nonprotein nitrogen and actual uremia may be prevented for years. Histories 1-3, 5-7 and figures 24, 34, 38, 45, 47 illustrate the response of the nonprotein nitrogen to the diet. Urea Table 7 shows the effect of the strict or modified rice diet on the blood urea nitrogen concentration and on the urea nitrogen-non-protein nitrogen ratio in 63 patients. j w / 41 Chronic Glomorulon«phfitl» PSP/2hr» 70 x Edamo Cofdioc enlorgcment Diobele* mellMui Lues DEC '42 JAN '43 FEB -- Piotmo Prottint (gm par 100cc ) —in hospital Fig. 24. J.W. (m., 41). Blood nonprotein nitrogen (mg. per 100 cc.) of nephritic patient with rapidly developing uremia.
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1945 |
Identifier | NCHH-17-006 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 6 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-006.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-006 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Description
Fixed Title * | Page 85 (image) |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1945 |
Identifier | NCHH-17-006-0097 |
Form General | Periodicals |
Page Type | all; all images; chart/table; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed61945medi_0097.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 6 |
Issue Number | 2 |
Page Number | 85 |
Health Discipline | Medicine |
Full Text | February, 1945 RICE DIET—KEMPNER 85 Phc nolsulf on pht hale in Ten t (Total Excretion in Hours) Per Cent TABLE 6—Continued Nonprotein Nitrogen (mg. per 100 cc. blood) Before After Rice Diet Rice Diet Change Days on Rice Diet 16. 67 ............................ 28 24 _ 4 18 17. 82, 90, 71 ............................. ............................ 30 26 — 4 22 18. 64, 86 .................................... ............................ 30 24 — 6 113 19. 72 ............................ 31 26 — 5 20 20. 53 ............................ 31 29 — 2 18 21. 55 ............................ 35 27 — 8 45 22. 72, 63 ..................................... ............................ 36 32 — 4 126 23. 73 ............................ 35 25 — 10 149 24. 88 ............................ 30 24 — 6 34 25. 70 ............................ 39 27 — 12 4 26. 78 ............................ 28 22 — 6 17 27. 63, 87 ..................................... ............................ 29 24 — 5 96 28. 81 ............................ 30 25 — 5 23 29. 69 ............................ 39 30 — 9 18 Average ............................ 32 26 — 6 53 An erroneous impression might be conveyed by the figures in table 6, because only the nonprotein nitrogen values before the start of treatment and the last ones recorded after treatment are compared. Since many patients with chronic kidney disease, however, do not realize the seriousness of their condition before manifestations of terminal renal failure become apparent, they frequently come to the hospital at a time when the nonprotein nitrogen is no longer at a constant level, but is rising rapidly. The effect of the diet in such instances might therefore be seen more correctly in the difference between the patient's nonprotein nitrogen at the end of the treatment and his highest nonprotein nitrogen value, even if this value was found after he was already on the diet (fig. 24). The lowering of the nonprotein nitrogen in the greater number of patients is not the only point of significance in table 6; the length of time on the rice diet is also important, for it shows that in spite of even critical decrease in renal excretory function, as indicated by the low phenolsulfonphthalein excretion, the usually progressive increase of the nonprotein nitrogen and actual uremia may be prevented for years. Histories 1-3, 5-7 and figures 24, 34, 38, 45, 47 illustrate the response of the nonprotein nitrogen to the diet. Urea Table 7 shows the effect of the strict or modified rice diet on the blood urea nitrogen concentration and on the urea nitrogen-non-protein nitrogen ratio in 63 patients. j w / 41 Chronic Glomorulon«phfitl» PSP/2hr» 70 x Edamo Cofdioc enlorgcment Diobele* mellMui Lues DEC '42 JAN '43 FEB -- Piotmo Prottint (gm par 100cc ) —in hospital Fig. 24. J.W. (m., 41). Blood nonprotein nitrogen (mg. per 100 cc.) of nephritic patient with rapidly developing uremia. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-006.pdf |
Document Sort | all; nchh-17 |
Article Title | Compensation Of Renal Metabolic Dysfunction |
Article Author | Walter Kempner |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-006 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
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