♦ Aims: We investigated dialysis duration, dose of erythropoietin (EPO), and clinical manifestations in peritoneal dialysis (PD) patients with subclinical hypothyroidism. ♦ Methods: This cross-sectional study, performed in 3 centers, assessed 122 adult patients on PD for more than 6 months with regard to demographic data, dialysis duration, thyroid function, biochemical data, EPO dose, and clinical manifestations. Thyroid dysfunction was determined by serum thyroid-stimulating hormone, free thyroxine, total thyroxine, total triiodothyronine, antithyroid peroxidase antibodies, and auto-antibodies against thyroglobulin. ♦ Results: Of the 122 study patients, 98 (80.3%) were assessed as having euthyroidism; 19 (15.6%), subclinical hypothyroidism; and 5 (4.1%), subclinical hyperthyroidism. The proportion of women (74.2% vs. 57.1%, p = 0.038), the mean duration of PD (58.1 months vs. 37.9 months, p = 0.032), and the weighted mean monthly EPO dose (1.22 μg/kg vs. 1.64 μg/kg, p = 0.009 ) were significantly higher in the subclinical hypothyroidism group than in the euthyroidism group, but the prevalences of coronary artery disease and cerebrovascular disease were not. From the multivariate model, PD duration was more significant than sex as a risk factor for subclinical hypothyroidism (p = 0.0132). ♦ Conclusions: Subclinical hypothyroidism is frequent in PD patients, especially female patients and patients with a longer PD duration. Compared with euthyroid patients, patients with subclinical hyperthyroidism need a higher dose of EPO to maintain a stable hemoglobin level.

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In this article,we report the results obtained from a study adopting solution of sodium naphthalene complex to modify the poly(chloro-p-xylylene)(parylene C) thin film.In this work,the function group and the crystal structure of the film before and after modifying are characterized separately with Attenuated Total Reflection Fourier transformation infrared spectroscopy(ATR- FTIR)and X-ray diffraction(XRD).The result of test shows that the bond of carbon(C) and chlorine(Cl) is damaged;The crystalline of the film reduces,and the NaCl crystal exist on the film surface.The surface energy of the film is increased from 28.64mJ/m2 to 41.48mJ/m2.The generalized analysis result indicated that nucleophilic reagent destructs the C-Cl bond on the benzene ring, the chlorine(Cl) atom on the benzene ring and the sodium ion in modified reagent forms the sodium chloride which adheres to the film surface.