Hypertriglyceridemia is often present in chronically uremic patients treated with maintenance hemodialysis and has been considered a risk factor in the accelerated development of atheroma. Muscle carnitine content is low in hemodialyzed patients. This abnormality may help to explain the myopathy and cardiomyopathy often observed in these subjects. In addition, carnitine might play a role in the hypertriglyceridemia in renal failure. Carnitine, which is necessary for fatty acid oxidation, has been recently reported to lower serum triglycerides in patients with type IV hyperlipoproteinemia. Carnitine was administered intravenously three times weekly at the end of hemodialysis in eight patients. Carnitine was given in 0.5 g doses for 8 weeks and then in 1.0 g doses for 6 additional weeks. There was a significant decrease in serum triglycerides at the end of treatment. In contrast, serum lipids in eight hemodialysis patients receiving placebo did not change significantly. Carnitine administration does not cause any side effect except some euphoria. These results suggest that carnitine may be effective in the treatment of hypertriglyceridemia in dialysis patients.

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Uremic patients undergoing hemodialysis are often catabolic and malnourished. To treat malnutrition effectively, a preliminary nutritional assessment is needed. Available techniques should enable the clinician to readily detect the presence of malnutrition and to follow the response to nutritional therapy. In a group of chronic uremic patients undergoing maintenance hemodialysis, the authors evaluated the nutritional status with the following indices: 1) assessment of the somatic fat and protein compartments by means of anthropometric measurements (weight/height ratio, triceps and subscapular skinfold thickness, and arm muscle circumference); 2) assessment of the visceral protein compartment (serum total protein, albumin, transferrin, pseudocholinesterase, C3, and immunoglobulin content); 3) assessment of cell-mediated immunity by means of skin tests ("skin window," PPD and phytohemagglutinin) and blood lymphocyte content; and 4) assessment of the dietary intake of nutrients with dietary diaries. Anthropometric indices, serum protein content (except immunoglobulins), and the immune response was generally lower than in normal subjects, suggesting a mixed marasmus-like and kwashiorkor-like pattern of protein-calorie malnutrition. The protein intake was normal, whereas the energy intake tended to be low. Protein intake was significantly correlated with the predialysis serum urea nitrogen. Due to the difficulties in improving oral energy intake and the negative nitrogen balance reported during the days of dialysis therapy, patients were given intravenous supplements of essential or essential and nonessential amino acids for 2 months. The effects of this short-term supplementation were limited.

The dynamic range of an image is defined as the ratio between the highest and the lowest luminance level. In a high dynamic range (HDR) image, this value exceeds the capabilities of conventional display devices; as a consequence, dedicated visualization techniques are required. In particular, it is possible to process an HDR image in order to reduce its dynamic range without producing a significant change in the visual sensation experienced by the observer. In this paper, we propose a dynamic range reduction algorithm that produces high-quality results with a low computational cost and a limited number of parameters. The algorithm belongs to the category of methods based upon the Retinex theory of vision and was specifically designed in order to prevent the formation of common artifacts, such as halos around the sharp edges and clipping of the highlights, that often affect methods of this kind. After a detailed analysis of the state of the art, we shall describe the method and compare the results and performance with those of two techniques recently proposed in the literature and one commercial software.

Edge-preserving lowpass filters are a valuable tool in several image processing tasks, including noise reduction and dynamic range compression. A high-quality algorithm is the bilateral filter, but its computational cost is very high. A fast but approximate implementation was introduced by Durand and Dorsey. Introduced are two modifications in this technique which allow further acceleration and a significant increase in quality