Nephro-Urology Monthly

16/2/2018

Review Article

Peritoneal Dialysis-Related Peritonitis; Tiptoeing Through the Better Approach

Fariba Samadian, Nooshin Dalili

DOI: 10.5812/numonthly.60652

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20/2/2018

Research Article

Effects of Clopidogrel on Longevity of Permanent Double-Lumen Catheter Patency in Dialysis Patients: A Single-Blind Placebo-Controlled Clinical Trial

Mohamad Mozafar, Majid Alborzi, Arash Moradi

DOI: 10.5812/numonthly.58135

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Methods: A total of 100 patients, admitted to our dialysis clinic, were enrolled in this prospective study from January 2014 to June 2016. In this randomized, controlled, comparative study, two groups were recruited and observed to determine the effects of Clopidogrel on the central catheter patency. The function of permanent catheters (permcaths) was evaluated during 6 months. The patients’ demographics, including comorbidities and medical history, were also determined to evaluate the probable effects on permcath patency. In this study, t test was used to analyze quantitative variables, while Chi square and Fisher’s exact tests were used to analyze qualitative variables.

10/3/2018

Research Article

Nephrotoxic Effect of Gentamicin and Amikacin in Neonates with Infection

Saeed Alinejad, Parsa Yousefichaijan, Masoud Rezagholizamenjany, Yosef Rafie, Manijeh Kahbazi, Ali Arjmand

DOI: 10.5812/numonthly.58580

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Methods: This clinical trial and double blind study was conducted on 80 children with aminoglycosides addministration. Initially, during hospital admission, serum and urine samples were collected for diagnosis of infection. Children based on their treatment were divided to 2 groups, 40 children were treated by ampicillin and amikacin and 40 children were treated by ampicillin and gentamicin, during a 7-day period. At the end of the treatment period, serum and urine samples were taken for measurment of laboratory variables, and GFR, for evaluation of kidney function.

19/2/2018

Research Article

The Predictors of Left Ventricular Hypertrophy in Kidney Transplant Recipients

Rizna Abdul Cader, Samir Paul, Rozita Mohd, Noor Izyani Zakaria, Abdul Halim Abdul Gafor, Wei Yen Kong, Arbaiyah Bain

DOI: 10.5812/numonthly.61641

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Results: A total of 30 KTx recipients (20 male, 10 female, mean age: 44.53 ± 13.59 years) were enrolled. One-third had diabetes and 73.3% hypertension. Their mean systolic and diastolic blood pressure (BP) was 132.0 ± 14.4 and 77.8 ± 11.3 mmHg, respectively. BP was well controlled, albeit with more antihypertensive agents of 1.5 (interquartile range (IQR): 0 - 4). Their baseline serum creatinine and eGFR were 108.3 (IQR: 66-319) μM/L and 69.8 ± 20.8 mL/min/1.73 m², respectively. Seven patients had LVH and predominantly had diabetes, a higher pulse pressure, and elevated serum homocysteine. Predictors of left ventricular mass index (LVMI) were the incidence of diabetes, higher pulse pressure, serum homocysteine, and the number of antihypertensive agents prescribed. On multivariate analysis, diabetes and pulse pressure were the main predictors of left ventricular mass index.

12/3/2018

Research Article

Prevalence of White Coat Hypertension in Patients with Chronic Kidney Disease

Rozita Mohd, Noor Hidayah Yahya, Rizna Abdul Cader, Halim A Gafor, Yazmin Yaacob, Rozita Hod

DOI: 10.5812/numonthly.61774

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Results: Ninety-nine patients (42 males and 57 females) with median age of 62 (55 to 69) years old and predominantly Malays ethnicity were recruited. The prevalence of WCHT was 34.3% (34 patients), and 65.7% (65 patients) had sustained hypertension (SHT). Median eGFRs were comparable in both groups (P = 0.479). Despite comparable mean clinic blood pressure (P = 0.85), the WCHT group had significantly lower mean average systolic, daytime, and night time blood pressure when compared with the SHT group (120.82 ± 8.24 vs. 153.20 ± 18.70), (124.50 ± 9.51 vs 155 ± 18.86) , (111.97 ± 20.07 vs 146.22 ± 21.17 ) and diastolic (66.36 ± 85.79 vs. 82.35 ± 12.17), (68.71 ± 10.94 vs 84.11.8) , (62.68 ± 7.78 vs. 79.28 ± 12.17) respectively (P < 0.05). The trend towards significance of LVH in the WCHT compared with the SHT group (52% vs.38% (P = 0.066)) and the SHT group had a significantly higher median CIMT 0.80 mm (0.70 - 0.90) as opposed to the 0.60 mm median of the WCHT group (0.60 to 0.70) (P < 0.05). Two-thirds of SHT were non dippers.

19/2/2018

Research Article

The Association Between Erythrocyte Sedimentation Rate, C3, C4, Anti-dsDNA Levels, and Renal Disease Activity, Based on BILAG Index in Females With Lupus Nephritis

Razieh Sadat Mousavi Roknabadi, Negin Hadi, Zahra Habib Agahi, Bahareh Rezvan, Ali Mantegh

DOI: 10.5812/numonthly.63075

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20/2/2018

Research Article

Mean Urinary Cytokine MCP-1 in Children with Urinary Tract Obstruction and Healthy Children

Simin Sadeghi-Bojd, Ebrahim Alijani, Mahdie Sadat Mahdavian

DOI: 10.5812/numonthly.63607

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Methods: The present case-control study recruited 20 children with obstructive hydronephrosis, 20 children with non-obstructive hydronephrosis, and 30 healthy children as the control group that matched in terms of gender and age and were selected by the convenience sampling method. Urine samples were taken from these children, and urinary creatinine and MCP-1 levels were measured. Data were analyzed with the SPSS-21 software using analysis of variance (ANOVA), Kruskal-Wallis, and Mann-Whitney tests.

Results: Mean MCP-1 level was 542.56 ng/L in the obstructive hydronephrosis group, 424.7 ng/L in the non-obstructive hydronephrosis, and 335.97 ng/L in the control group. Mean MCP-1 to creatinine ratio was 58.94 in the obstructive hydronephrosis group, 39.58 in non-obstructive hydronephrosis, and 33.1 in the control group. Mean MCP-1 and MCP-1 to creatinine ratio was significantly higher in the obstructive hydronephrosis group compared with non-obstructive hydronephrosis and control groups (P < 0.05). No significant difference was found in MCP-1 and MCP-1 to creatinine ratio between patients with unilateral and bilateral obstructive hydronephrosis (P < 0.05).

19/2/2018

Research Article

The Effect of Intradialytic Isometric Resistance Training on Muscle capacity and Serum Albumin Levels in Hemodialysis Patients

Mehdi Tayebi, Alireza Ramezani, Majid Kashef

DOI: 10.5812/numonthly.65081

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26/2/2018

Research Article

Etiology of Hydronephrosis in Neonates

Parsa Yousefichaijan, Fatemeh Safi, Amir Saleh Jafari, Rahele Movahedkia, Masoud Rezagholizamnjany, Mohamad Rafiei, Ali Arjmand

DOI: 10.5812/numonthly.65307

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Methods: We have evaluated 314 neonates with fetal hydronephrosis (by ultrasonography) as a study group. Cases were followed by voiding cystourethrogram 3 weeks after the start time. In addition, we took a Diethylenetriaminepentaacetic Acid scan at the end of 1st month of childbirth. At the end, we evaluated data based on the statistical analysis. Based on these examinations, etiology of hydronephrosis were examined and recorded.

19/2/2018

Case Report

Recurrent Nephrolithiasis Leading to Renal Failure: A Neglected Primary Hyperparathyroidism

Fatemeh Yaghoubi, Maliheh Yarmohamadi

DOI: 10.5812/numonthly.64318

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Case Presentation: This report presents a 55-year-old male presented with history of multiple kidney stones from 6 years ago, who had undergone multiple interventions by extracorporeal shock wave lithotripsy (ESWL). The result of lab exams were: BUN: 48 mg/dL, Cr: 2.83 mg/dL, calcium: 15.8 mg/dL, phosphorus: 4.4, serum intact parathyroid hormone (iPTH) = 1046pg/mL. At T99scan MIBI, the nuclear showed parathyroid adenoma in the inferior pole of the right thyroid. The patient underwent parathyroidectomy. Serum calcium level returned to normal range within 3 days after surgery.

Nephro-Urology Monthly

Published by: Kowsar

Nephro-Urology Monthly: Mar 2018, 10 (2), 10 articles.