Adherence to the dialysis prescription: partnering with patients for improved outcomes.

Nonadherence is common in the U.S. dialysis population. No single strategy has been definitely proven to yield universal and/or lasting improvements in adherence. However, using a patient-centered approach, including the removal of barriers to adherence, ongoing education, and cognitive behavioral strategies, may generate increased opportunities for patients and the nephrology staff to improve both adherence and outcomes.     

Monocular preferences in binocular viewing.

Faced with an unobstructed view, both foveas can be readily aligned with a distant visual target. The minor difference in the view of the two eyes (which arises from slightly different lines of sight) presents no special problem and is, indeed, the basis of stereopsis. However, when obstructing objects are present in the foreground, the view provided by one eye becomes wholly or partially incompatible with the view of the other. We have investigated how we cope with this everyday situation by having volunteers observe distant targets through a fenestrated screen. In this circumstance, subjects naturally position themselves to view a target of interest with one eye--usually the right eye. This monocular habit in normal viewing reinforces other evidence for the unorthodox idea that visual perception arises from a union in consciousness of monocular images that are elaborated independently.     

Substance P augments the rate of vasodilation induced by calcitonin gene-related peptide in porcine ophthalmic artery in vitro.

Peptides may function as neurotransmitters liberated antidromically by sensory nerve fibres, provoking vascular responses having potential importance in some neurological disorders. Dose-response relaxation curves induced by substance P (SP) and calcitonin gene related peptide (CGRP) have been studied in porcine ophthalmic arteries in vitro. Both peptides induced vasodilation when tested separately (CGRP much greater than SP). Because of the putative interactions between such peptides in this vascular territory, a computerised system was also used for analysing over time the response to a single addition of either 10(-8) M CGRP, 10(-8) M SP or a combination of 10(-8) M SP + 10(-8) M CGRP. SP did not augment the maximum relaxation induced by CGRP alone, but increased significantly the rate of relaxation during the initial phase of the response. The effect induced by the SP+CGRP combination was stronger than the sum of the individual SP and CGRP-induced relaxations during the first 4 min of the response, which suggests a SP-CGRP synergism in this artery.