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Dehydration may lead to acute renal failure in kids, say experts - Times of India |
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AURANGABAD: With the temperature rising, a host of health problems are affecting children in the city, beginning from minor heat ailments, urine infection and diarrhoea to jaundice and even chicken pox. Hospitals have also been witnessing cases of acute renal problems, which can be due to severe dehydration due to summer season.
Over the past few days, the mercury has been soaring in the city with temperatures reported above marginally normal. On Monday, the city recorded a maximum temperature of 40.4 degrees celsius and a minimum of 25.4 degrees celsius, both were one degree above normal.
City-based paediatric nephrologist Pankaj Bhansali said, "Every year, our hospital reports around 15 newborn patients suffering from renal problems in summer. Dehydration plays a major role in causing acute renal failure in neonates."
Neonatologist L S Deshmukh at the Government medical College and Hospital (GMCH) also said that complications of dehydration include renal problems, jaundice, seizures and brain damage. "The Neo-natal Intensive Care Unit (NICU) is reporting cases of jaundice due to dehydration. One in four newborns suffer from jaundice," he said.
Bhansali said as many as eight neonates suffering from renal problems accompanied with fever, poor sucking and decreased urine output were admitted between April and May 2015. "Renal failure during summer is generally due to dehydration and if treated on time, the children can recover very well. But, if treatment is delayed, it effects brain and kidney," he said.
"Such cases occur when the baby's feed is inadequate leading to water dehydration. In some cases, post delivery mothers either have decreased milk production or have nipple-related abnormalities that create feeding difficulty and result in inadequate fluid and caloric intake in their infants. Especially, in summer if the baby is poorly fed and is dehydrated the child's activities too reduce further," warned Bhansali.
He said, "To address such cases, timely feeding in summer every 2-3 hours is necessary. First-time mothers should not be discharged from hospital until proper breastfeeding technique is observed. Mothers with identifiable problems should be referred promptly to lactation management specialists and close follow-up should be maintained following discharge."
He also advised that the urine output of the neonates should be monitored closely during summer. "The baby should pass urine at least 6-8 times a day and the lactating mothers should drink adequate milk and water," he said.
While describing other summer ailments, he said urine infection and heatstroke are the other worrisome health problems reported among children. "Repeated urine infection is caused due to less water intake and more water loss from the body. Parents should make sure that children urinate often instead of controlling it," added Bhansali.
Deshmukh said, "Dehydration fever is another the common ailment observed when the temperature rises. Jaundice cases too go up due to dehydration as bilirubin, which needs adequate water to be cleared from the body. If the baby gets less water, it can lead to jaundice."
"Preventive steps such as adequate feeding, maintaining room temperature between 26-28 degrees celsius is required to avoid complications. If the child is not treated on time, it can also prove fatal," cautioned Deshmukh.
"Cases of heatstroke are usually common when the mercury reaches 40 degrees celsius," said former Indian Paediatric Association (IAP), Aurangabad chapter president Prashant Jadhav.
He advised that children should drink enough fluid before indulging in sports activity and prevent playing in the sun. "There should be 30% more intake of water during the summer season. Juices should preferably be homemade," he added.
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Prevalence and clinical impact of magnesium disorders in end-stage renal ... - 7thSpace Interactive (press release) |
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Prevalence and clinical impact of magnesium disorders in end-stage renal disease: a protocol for a systematic review
Magnesium plays a key role in maintaining internal homeostasis through actions in the musculoskeletal, nervous, endocrine and cellular messenger systems. Renal excretion is the major route of magnesium elimination from the body. A positive magnesium balance would be expected in renal failure. However, a compensatory decrease in tubular reabsorption is expected to operate to maintain adequate urinary magnesium excretion even when glomerular filtration rate is very low.Patients with end-stage renal disease and those on dialysis have impaired regulatory mechanisms, predisposing them to disturbances in magnesium levels. The effects of high or low magnesium can have deleterious health outcomes, which impact on the co-morbidities and outcomes of chronic renal disease. This systematic review aims to determine the prevalence and clinical outcomes of magnesium disorders in end-stage renal disease.Methods/designWe will undertake a comprehensive search of various databases, MEDLINE, PubMED, EMBASE, Cochrane Library, Cochrane Collaboration, CIHNAL (Ebsco), Web of Science and Google Scholar, for observational studies and clinical trials on magnesium disorders in end-stage renal disease using key terms to identify papers for inclusion. Paper selection and data extraction (where appropriate) will be performed in duplicate on socio-demographic characteristics of participants, diagnosis of end-stage renal disease, magnesium levels, prevalence and clinical outcomes. An assessment of quality will be performed using a modified Newcastle-Ottawa Scale (NOS), including identification of any bias, which may influence findings. Data will be pooled together according to whether the studies were on pre-dialysis, hemodialysis or peritoneal dialysis participants. References from individual papers will also be screened as appropriate. Paper organisation and data extraction and analysis will take place using Microsoft Excel®and Stata version 13®.DiscussionThis systematic review will represent a significant effort at pooling together information on prevalence and outcomes of magnesium disturbances amongst end-stage renal disease patients, which may guide further research and management of the disorders.Systematic review registrationPROSPERO: CRD42014014354 Author: John FloridisAsanga AbeyaratneSandawana Majoni
Credits/Source: Systematic Reviews 2015, 4:76 Published on: 2015-05-25
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Research and Markets: China Dialysis Market 2015-2020: Research and Future ... - Business Wire (press release) |
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DUBLIN--(BUSINESS WIRE)--Research and Markets (http://www.researchandmarkets.com/research/qzc6wm/research_and) has announced the addition of the "Research and Future Development Trend Forecast of China Dialysis Market, 2015-2020" report to their offering.
At present, there are 35,600 dialysis centers in whole world. And the gaps of market concentration ratio are large due to the different regional operating entities: Expect for Japan, dialysis centers in other Asian countries are operated by state-owned medical institutions. The rankings of countries in terms of market concentration ratio are as follows: North America, Europe, Latin America and Asia-Pacific. North America is the region has the most advanced dialysis services and highest market concentration ratio.
According to the 2013 annual report of Fresenius, the market share of the two Giants in hemodialysis services- Fresenius and DaVita was only 10.7% and 6.6%. The global market concentration was low in that year. The reasons accounted for that are the influence of the government policies and market openness of each country, so the expansion barrier of hemodialysis services is high. For example, Fresenius has completely failed to enter into Japanese market by far. However, on the other hand, regional market of hemodialysis services is under the monopoly of a specific brand. For example, the total market shares of Fresenius and DaVita in America have exceeded 60% in 2013.
Key Topics Covered:
1. Overview of Dialysis Industry
2. Global Dialysis Market
3. Current Status of China's Dialysis Market
4. Overview of Industry Segmentations
5. Development of China's Private Dialysis Industry
6. Import and Export of Dialysis Equipment
7. Key Foreign Manufacturers
8. Key Domestic Production Enterprises
9 Analysis and Suggestions of the Investment in China's Dialysis Industry
Companies Mentioned
- Asahi Kasei (Japan)
- B.Braun (Germany)
- Bain Medical Equipment Co., Ltd.
- Baxter (the United States)
- Boxlight
- Chongqing Shanwaishan Science & Technology Co., Ltd (SWS)
- DaVita (America)
- Fresenius (Germany)
- Guangzhou Koncen Biotechnology Co., Ltd.
- Hebei Changshan Biochemical Pharmaceutical Co., Ltd.
- Huaren Pharmaceutical Co., Ltd.
- Jiangsu Lengthen Life Science and Technology Co., Ltd.
- Jihua Medical Apparatus and Instruments Co., Ltd.
- Kelun Pharmaceutical
- Nikkiso (Japan)
- NxStage (America)
- Shandong Blue Sail Plastic & Rubber Co., Ltd. (Blue Sail)
- Shandong Weigao Group Medical Polymer Company Limited
- Shandong Xinhua Medical Instrument Co., Ltd (SHINVA)
For more information visit http://www.researchandmarkets.com/research/qzc6wm/research_and
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Fort McMurray, ESRD preparing amid Alberta wildfires - Fort McMurray Today |
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With wildfires burning on nearly every border, the Fort McMurray wildfire management area of the provincial Environment and Sustainable Resource Development department is ramping-up preparations in their own district.
The local team received an additional five firefighters from Ontario, as part of the 126 firefighters who arrived in Alberta from Ontario on Friday.
According to Robyn Haugen, a spokesperson for the Fort McMurray area, one senior firefighter has been dispatched to Fort Chipewyan, while the other four are stationed in Fort McMurray.
“We are pre-positioned to be able to manage anything that comes up,” she says. “Obviously it is still hot and dry out, and we're not expecting a whole bunch of relief in the forecasted future. So we are prepared.”
As of Sunday afternoon, fires were burning in the neighbouring Lac La Biche and Slave Lake areas, as well as across the border in Saskatchewan. The fire near Cold Lake, Alta. had grown to 10,000 hectares and forced the evacuation of all staff at Cenovus' Foster Creek and Athabasca Gas operations.
“Obviously, we're keeping an eye on everything that's going on,” Haugen says. “And we are prepositioned, and we're manned-up.”
“This is what we prepare for all year. This is what we train for, this is what we practice for.”
The department has been flying routine helicopter air patrols throughout most of Wood Buffalo during the fire season. They're also relying on tips that come in through the 310-FIRE line to spot potential wildfires.
Much of Northern Alberta has been placed under an elevated fire hazard warning. Fort McMurray has been placed under an extreme wildfire hazard warning, and Haugen has said that officials are considering instituting a fire restriction for the provincially controlled areas.
A fire restriction would ban campfires and open fires in “backcountry or random camping areas.”
“We're asking people to absolutely make sure their campfires are fully extinguished,” Haugen says. “And to make sure if they're quadding or using their Off Highway Vehicles out in the forested areas that they're making sure they knock off the hot debris and they look behind them for any smouldering”
“This is crucial, crucial right now.”
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