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Govt. hospital in Kancheepuram gets dialysis unit - The Hindu |
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Inauguration of a dialysis unit at Government District Headquarters Hospital on Thursday has fulfilled the long-pending demand for such a facility at the public hospital in this region.
In the past, patients had to depend on private health sector hospitals for dialysis.
Now, with the installation of the unit that has reverse osmosis facility to generate pure water, hospital sources said four patients can avail of the treatment, every day, under the Chief Minister’s Comprehensive Health Insurance Scheme.
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Public Release: 2-Apr-2015 Hormone and bone tests may be indicative of ... - EurekAlert (press release) |
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Highlights
- High parathyroid hormone levels and subsequent bone loss are major risk factors for worsening of coronary artery calcification in patients on dialysis.
Washington, DC (April 2, 2015) -- Bone loss may be a sign of poor heart health in patients on dialysis, according to a study appearing in an upcoming issue of the Journal of the American Society of Nephrology (JASN). Monitoring bone loss in dialysis patients may therefore provide an early alert to physicians concerning cardiovascular problems.
Most patients with chronic kidney disease who are on dialysis have a buildup of calcium in the arteries around the heart. When such coronary artery calcification worsens, it can lead to heart disease, which is the leading cause of death in dialysis patients.
To identify patients at high risk for progression of coronary artery calcification, Hartmut Malluche, MD, FACP (University of Kentucky) and his colleagues conducted tests to analyze abnormalities in blood, bone, and heart vessels in 213 patients on dialysis over a 1-year period. "We discovered that high parathyroid hormone and the consequential bone loss are major risk factors for progression of vascular calcifications," said Dr. Malluche. "These two factors were heretofore not appreciated and were independent from traditional known risk factors." (High parathyroid hormone levels signal the bone to release calcium into the blood, which can lead to the development of thin bones.)
Dr. Malluche noted that there may be important links between the calcification levels in bones and those in blood vessels. "Studies need to be done to find out whether prevention of bone loss will reduce progression of vascular calcifications," he said.
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Study co-authors include Gustav Blomquist, MD, Marie-Claude Monier-Faugere, MD, Thomas Cantor, and Daniel Davenport, PhD.
Disclosures: The authors reported no financial disclosures.
The article, entitled "High Parathyroid Hormone Level and Osteoporosis Predict Progression of Coronary Artery Calcification in Patients on Dialysis," will appear online at http://jasn.asnjournals.org/ on April 2, 2015.
The content of this article does not reflect the views or opinions of The American Society of Nephrology (ASN). Responsibility for the information and views expressed therein lies entirely with the author(s). ASN does not offer medical advice. All content in ASN publications is for informational purposes only, and is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse effects. This content should not be used during a medical emergency or for the diagnosis or treatment of any medical condition. Please consult your doctor or other qualified health care provider if you have any questions about a medical condition, or before taking any drug, changing your diet or commencing or discontinuing any course of treatment. Do not ignore or delay obtaining professional medical advice because of information accessed through ASN. Call 911 or your doctor for all medical emergencies.
Founded in 1966, and with more than 15,000 members, the American Society of Nephrology (ASN) leads the fight against kidney disease by educating health professionals, sharing new knowledge, advancing research, and advocating the highest quality care for patients.
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High costs a worry for renal failure patients - Times of India |
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MUMBAI: Experts estimate that over 2 lakh Indians develop end-stage kidney disease every year. But less than 10% of these can afford treatment because of the high costs.
Suresh Katti, a 28-year-old living in Shiv Shakti Nagar, Nariman Point, is one of those suffering from end-stage kidney disease.
He is lucky to have a ready donor in his mother, Ambavva, but the family does not have the financial resources to fund the operations. "I used to work in a restaurant until my kidney problem was diagnosed in 2013," the youth said. "Thereafter, I have been undergoing dialysis twice a week, costing Rs 25,000 a month."
His doctor suggested that transplant would be the less expensive and better solution.
"But we are bankrupt," Katti said, adding that his only hope is "support from" fellow Mumbaikars.
An estimate prepared by the doctors states that the twin operations — removing a kidney from the mother and then transplanting it to the son —will cost up to Rs 6 lakh as the recipient's surgery alone will cost Rs 4 lakh.
"It doesn't include the cost of pre-transplant dialysis and donor evaluation," a letter signed by Dr B V Gandhi, director of the department of nephrology with Jaslok Hospital on Pedder Road, said.
The Katti family has now begun seeking donations (cheques to Jaslok Hospital Research Centre for Suresh, MR No: 953860). "My hope is that Mumbaikars will help me undergo the operations scheduled for April 30," Katti said.
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Man's iced tea addiction may have killed his kidneys - UPI.com |
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LITTLE ROCK, Ark., April 2 (UPI) -- As a new study in the New England Journal of Medicine highlights, black tea consumed in high quantities may have dangerous health effects.
Last year, a man in central Arkansas was rushed to the emergency room after complaining of feeling weak and achy. Doctors were shocked when they took a urine sample and found astronomic levels of calcium oxalate crystals -- a compound found in kidney stones.
But the man had no history of kidney stones or disease. Nor had he downed any antifreeze -- a liquid known for high levels of oxalates. Nonetheless, a renal biopsy confirmed that the man's kidneys had failed -- seemingly overwhelmed by the massive amounts of oxalate constantly filtering through.
The doctors diagnosed the man with nephropathy, put him on dialysis and began asking questions about his diet. Turns out, the 56-year-old had been drinking a gallon of iced black tea everyday. Tea contains relatively high amounts of oxalate. Doctors couldn't come up with with better explanation for the man's condition, and so they concluded the man's monstrous daily tea habit ultimately ruined his kidneys.
"Black tea is a rich source of oxalate, containing 50 to 100 mg per 100 ml, a level that is similar to or higher than that in many foods considered to be rich in oxalate," doctors wrote in a letter published in the New England Journal of Medicine this week. "With 16 cups of tea daily, the patient's daily consumption of oxalate was more than 1500 mg -- a level that is higher than the average American intake by a factor of approximately 3 to 10."
The man remains on dialysis, his kidneys having failed to return to normal function.
"There are reports about kidney stones related to high oxalate intake attributed to tea, but to our knowledge there are no reports of biopsy-proven nephropathy [kidney damage] associated with excessive consumption of iced tea," Dr. Alejandra Mena-Gutierrez, co-author of the letter and a researcher with the University of Arkansas for Medical Sciences, told HealthDay.
Other common dietary sources of oxalate include star fruit, black pepper, parsley, poppy seed, amaranth, spinach, chard, beets, cocoa, (most) nuts, (most) berries, beans and more.
"Two to three glasses [a day] would be considered safe if you are not eating other oxalates," Dr. Ramya Malchira, an attending nephrologist at UCLA Health, Santa Clarita, told HealthDay. But in conjunction with eating large amounts of some of the foods listed above, Malchira said, "even two or three glasses could be too much."
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