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  1. Article ; Online: Strong ions and charge-balance.

    Ring, Troels

    Scandinavian journal of clinical and laboratory investigation

    2023  Volume 83, Issue 2, Page(s) 111–118

    Abstract: It has been shown that the ability to predict the pH in any chemically characterized fluid, together with its buffer-capacity and acid content can be based on the requirement of electroneutrality, conservation of mass, and rules of dissociation as ... ...

    Abstract It has been shown that the ability to predict the pH in any chemically characterized fluid, together with its buffer-capacity and acid content can be based on the requirement of electroneutrality, conservation of mass, and rules of dissociation as provided by physical chemistry. More is not required, and less is not enough. The charge in most biological fluids is dominated by the constant charge on the completely dissociated strong ions but, nonetheless, a persistent narrative in physiology has problematized the notion that these have any role at all in acid-base homeostasis. While skepticism is always to be welcomed, some common arguments against the importance of strong ions are examined and refuted here. We find that the rejection of the importance of strong ions comes with the prize that even very simple systems such as fluids containing nothing else, or solutions of sodium bicarbonate in equilibrium with known tensions of CO
    MeSH term(s) Humans ; Acid-Base Equilibrium/physiology ; Hydrogen-Ion Concentration ; Ions ; Homeostasis
    Chemical Substances Ions
    Language English
    Publishing date 2023-02-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 3150-1
    ISSN 1502-7686 ; 0036-5513
    ISSN (online) 1502-7686
    ISSN 0036-5513
    DOI 10.1080/00365513.2023.2180658
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Modeling citrate excretion.

    Ring, Troels

    Kidney international

    2017  Volume 91, Issue 6, Page(s) 1518

    Language English
    Publishing date 2017-06
    Publishing country United States
    Document type Letter
    ZDB-ID 120573-0
    ISSN 1523-1755 ; 0085-2538
    ISSN (online) 1523-1755
    ISSN 0085-2538
    DOI 10.1016/j.kint.2017.01.035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Modeling amount of acid.

    Ring, Troels

    Kidney international

    2017  Volume 91, Issue 6, Page(s) 1519–1520

    Language English
    Publishing date 2017-06
    Publishing country United States
    Document type Letter
    ZDB-ID 120573-0
    ISSN 1523-1755 ; 0085-2538
    ISSN (online) 1523-1755
    ISSN 0085-2538
    DOI 10.1016/j.kint.2017.01.036
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Acid content and buffer-capacity: a charge-balance perspective.

    Ring, Troels / Rees, Stephen Edward / Frische, Sebastian

    Scandinavian journal of clinical and laboratory investigation

    2022  Volume 82, Issue 5, Page(s) 356–362

    Abstract: Rational treatment and thorough diagnostic classification of acid-base disorders requires quantitative understanding of the mechanisms that generate and dissipate loads of acid and base. A natural precondition for this tallying is the ability to quantify ...

    Abstract Rational treatment and thorough diagnostic classification of acid-base disorders requires quantitative understanding of the mechanisms that generate and dissipate loads of acid and base. A natural precondition for this tallying is the ability to quantify the acid content in any specified fluid. Physical chemistry defines the pH-dependent charge on any buffer species, and also on strong ions on which, by definition, the charge is pH-invariant. Based, then, on the requirement of electroneutrality and conservation of mass, it was shown in 1914 that pH can be calculated and understood on the basis of the chemical composition of any fluid. Herein we first show that this specification for [H
    MeSH term(s) Acid-Base Equilibrium/physiology ; Humans ; Hydrogen-Ion Concentration ; Ions ; Sudden Infant Death
    Chemical Substances Ions
    Language English
    Publishing date 2022-07-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 3150-1
    ISSN 1502-7686 ; 0036-5513
    ISSN (online) 1502-7686
    ISSN 0036-5513
    DOI 10.1080/00365513.2022.2092903
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Sulfate and acid-base balance.

    Ring, Troels / Frische, Sebastian / Rees, Stephen Edward / Nybo, Jette / Kristensen, Søren Risom

    Scandinavian journal of clinical and laboratory investigation

    2023  Volume 83, Issue 3, Page(s) 166–172

    Abstract: It has been acknowledged for years that compounds containing sulfur (S) are an important source of endogenous acid production. In the metabolism, S is oxidized to sulfate, and therefore the mEq sulfate excreted in the urine is counted as acid retained in ...

    Abstract It has been acknowledged for years that compounds containing sulfur (S) are an important source of endogenous acid production. In the metabolism, S is oxidized to sulfate, and therefore the mEq sulfate excreted in the urine is counted as acid retained in the body. In this study we show that pH in fluids with constant [Na] and [HEPES] declines as sulfate ions are added, and we show that titratable acidity increases exactly with the equivalents of sulfate. Therefore, sulfate excretion in urine is also acid excretion
    MeSH term(s) Child ; Humans ; Acid-Base Equilibrium ; Sulfates ; Acidosis/metabolism ; Sodium ; Sulfur ; Hydrogen-Ion Concentration
    Chemical Substances Sulfates ; Sodium (9NEZ333N27) ; Sulfur (70FD1KFU70)
    Language English
    Publishing date 2023-03-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 3150-1
    ISSN 1502-7686 ; 0036-5513
    ISSN (online) 1502-7686
    ISSN 0036-5513
    DOI 10.1080/00365513.2023.2188607
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Modeling Acid–Base by Minimizing Charge-Balance

    Troels Ring / John A. Kellum

    ACS Omega, Vol 4, Iss 4, Pp 6521-

    2019  Volume 6529

    Keywords Chemistry ; QD1-999
    Language English
    Publishing date 2019-04-01T00:00:00Z
    Publisher American Chemical Society
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Lixivaptan and hyponatremia.

    Ring, Troels

    Kidney international

    2013  Volume 83, Issue 6, Page(s) 1205–1206

    MeSH term(s) Benzamides/therapeutic use ; Female ; Humans ; Hyponatremia/drug therapy ; Male ; Pyrroles/therapeutic use ; Sodium/blood
    Chemical Substances Benzamides ; Pyrroles ; Sodium (9NEZ333N27)
    Language English
    Publishing date 2013-06
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 120573-0
    ISSN 1523-1755 ; 0085-2538
    ISSN (online) 1523-1755
    ISSN 0085-2538
    DOI 10.1038/ki.2013.39
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Understanding hyponatremia in the emergency department.

    Ring, Troels

    European journal of internal medicine

    2013  Volume 24, Issue 6, Page(s) e71

    MeSH term(s) Critical Care/methods ; Diuretics/adverse effects ; Emergency Service, Hospital ; Female ; Humans ; Hyponatremia/epidemiology ; Male ; Sodium/blood
    Chemical Substances Diuretics ; Sodium (9NEZ333N27)
    Language English
    Publishing date 2013-09
    Publishing country Netherlands
    Document type Comment ; Letter
    ZDB-ID 1038679-8
    ISSN 1879-0828 ; 0953-6205
    ISSN (online) 1879-0828
    ISSN 0953-6205
    DOI 10.1016/j.ejim.2012.12.018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Eculizumab in atypical hemolytic-uremic syndrome.

    Ring, Troels

    The New England journal of medicine

    2013  Volume 369, Issue 14, Page(s) 1377–1378

    MeSH term(s) Antibodies, Monoclonal, Humanized/therapeutic use ; Complement C5/antagonists & inhibitors ; Female ; Hemolytic-Uremic Syndrome/drug therapy ; Humans ; Male ; Thrombotic Microangiopathies/prevention & control
    Chemical Substances Antibodies, Monoclonal, Humanized ; Complement C5
    Language English
    Publishing date 2013-10-03
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc1308826#SA1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Modeling Acid-Base by Minimizing Charge-Balance.

    Ring, Troels / Kellum, John A

    ACS omega

    2019  Volume 4, Issue 4, Page(s) 6521–6529

    Abstract: In this study, we show that equilibrium pH can be obtained for any specified fluid with any number of buffers and dissociations. This is done by root finding in the equation for charge balance. We demonstrate that this equation is monotonic in proton ... ...

    Abstract In this study, we show that equilibrium pH can be obtained for any specified fluid with any number of buffers and dissociations. This is done by root finding in the equation for charge balance. We demonstrate that this equation is monotonic in proton concentration for conceivable buffers. We show that the total charge on any buffer is a function of only the total buffer concentration and pH, given the thermodynamic dissociation constants. Using the Davies' equation as a placeholder for single-ion activity coefficients as a function of charge and ionic strength, we develop an iterative algorithm, whereby the apparent dissociation constants are updated from the thermodynamic dissociation constants, and from this, the equilibrium is also identified in the nonideal state. We show how this algebra leads to guaranteed conservation of both thermodynamic dissociation constants and total buffer concentrations because the distribution of buffer species is fixed by the updated dissociation constants, actual pH, and total buffer concentration. Strong ions are assumed to contribute fixed charges. In order to concentrate on the process of modeling the equilibrium pH alone, this algorithm is examined against a series of theoretical results in which the Davies' equation was given the same status. However, a large sample of clinical pH measurements is also examined. To enhance the practical utility, CO
    Language English
    Publishing date 2019-04-09
    Publishing country United States
    Document type Journal Article
    ISSN 2470-1343
    ISSN (online) 2470-1343
    DOI 10.1021/acsomega.9b00270
    Database MEDical Literature Analysis and Retrieval System OnLINE

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