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A significantly lower incidence of DDS, hypotension, and impending shock was found during and after hemofiltration as compared with conventional hemodialysis. Hemofiltration, in contrast to hemodialysis, showed less decrease of circulating plasma volume, mild change in plasma osmolality without red cell swelling, better compensation of acidosis despite less uptake of acetate, more stable PCO2 during the procedure, less paradoxical acidosis in cerebrospinal fluid, and a lower urea concentration gradient between cerebrospinal fluid and plasma. These phenomena might be explained by better mass transfer between compartments bithin the body during hemofiltration. Mass transfer from the intracellular as well as the extracellular space to circulating plasma occurred more rapidly and smoothly during HF than during HD. HF is preferable to HD in patients with severe cardiovascular complications such as hypertension, as well as hypotension and cardiac failure, and in those subject to DDS during HD. Accordingly, hemofiltration therapy promises patients more comfortable and more stable treatment of chronic uremia.

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This paper describes the pressure distribution in the bearing clearance of circular aerostatic thrust bearings with a single air supply inlet. For high air supply pressure, large bearing clearance, and a relatively small bearing outer radius, it was believed that shock waves are caused and that a complex fluid flow structure is formed in the bearing clearance. Accordingly, analytical models based on the occurrence of shock wave in the bearing clearance have been proposed. Recently, very small aerostatic bearings have been used in various machine devices where the pressure distribution near the air inlets has a large influence on the bearing characteristics due to a short distance between air inlets and the bearing edge. In order to predict various bearing characteristics accurately for these kinds of bearings, a proper analytical model has to be established. However, it is very difficult to obtain the detailed information about the flow structure from flow visualization because of a very thin bearing clearance. Therefore, we calculated the flow field using computational fluid dynamics, which can solve the Navier-Stokes equations directly. It was found that the airflow just after entering the bearing clearance becomes turbulent in a region where relatively rapid pressure recovery occurs and that no shock wave is generated at the boundary between subsonic and supersonic flow. In addition, the numerical results presented show good agreement with experimental data.

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