Literature DB >> 21468193

Inevitability of balance restoration.

Man S Oh1.   

Abstract

Prolonged imbalance between input and output of any element in a living organism is incompatible with life. The duration of imbalance varies, but eventually balance is achieved. This rule applies to any quantifiable element in a compartment of finite capacity. Transient discrepancies occur regularly, but given sufficient time, balance is always achieved, because permanent imbalance is impossible, and the mechanism for eventual restoration of balance is foolproof. The kidney is a central player for balance restoration of fluid and electrolytes, but the smartness of the kidney is not the reason for perfect balance. The kidney merely accelerates the process. The most crucial element of the control system is that discrepancy between intake and output inevitably leads to a change in total content of the element in the system, and uncorrected balance has a cumulative effect on the overall content of the element. In a living organism, the speed of restoration of balance depends on the permissible duration of imbalance without death or severe disability. The three main factors that influence the speed of balance restoration are: magnitude of flux, basal store, and capacity for additional storage. For most electrolytes, total capacity is such that a substantial discrepancy is not possible for more than a week or two. Most control mechanisms correct abnormality partially. The infinite gain control mechanism is unique in that abnormality is completely corrected upon completion of compensation.

Entities:  

Keywords:  acid-base equilibrum; body composition; external balance; infinite gain control; water-eletrolyte balance

Year:  2010        PMID: 21468193      PMCID: PMC3041493          DOI: 10.5049/EBP.2010.8.1.18

Source DB:  PubMed          Journal:  Electrolyte Blood Press        ISSN: 1738-5997


  6 in total

1.  Surfeit and deficit of sodium; a kinetic concept of sodium excretion.

Authors:  M B STRAUSS; E LAMDIN; W P SMITH; D J BLEIFER
Journal:  AMA Arch Intern Med       Date:  1958-10

Review 2.  Irrelevance of bone buffering to acid-base homeostasis in chronic metabolic acidosis.

Authors:  M S Oh
Journal:  Nephron       Date:  1991       Impact factor: 2.847

3.  Arterial pressure regulation. Overriding dominance of the kidneys in long-term regulation and in hypertension.

Authors:  A C Guyton; T G Coleman; A V Cowley; K W Scheel; R D Manning; R A Norman
Journal:  Am J Med       Date:  1972-05       Impact factor: 4.965

4.  Sodium homeostasis: steady states without a set point.

Authors:  J V Bonventre; A Leaf
Journal:  Kidney Int       Date:  1982-06       Impact factor: 10.612

5.  Salt output in relation to salt intake versus salt output alone: which is a better predictor of effective vascular volume?

Authors:  M S Oh
Journal:  Nephron       Date:  1992       Impact factor: 2.847

6.  Atmospheric carbon dioxide concentrations over the past 60 million years.

Authors:  P N Pearson; M R Palmer
Journal:  Nature       Date:  2000-08-17       Impact factor: 49.962

  6 in total

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