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Possible natural gas leak causes explosion at Liberty Dialysis - Waxahachie Daily Light
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Liberty Dialysis natural gas explosion destroys 'heart of clinic'

Liberty Dialysis natural gas explosion destroys 'heart of clinic'

The back of Liberty Dialysis on U.S. Highway 77 was rocked by an explosion early Tuesday morning. The cause was a natural gas leak, said Waxahachie Fire Chief Ricky Boyd.

Location

', maxWidth: 250 }); info.open(googleMapstorylocation.map,this); }); } }, renderMapPins: function(){ var autoZoom = false; setTimeout(function(){ googleMapstorylocation.geocoder.geocode( googleMapstorylocation.points[0], function(point){ if((typeof(point)!="undefined") && (point != null)){ googleMapstorylocation.foundPoint.push(point); if(typeof(point[0])!="undefined"){ googleMapstorylocation.map.fitBounds(point[0].geometry.viewport); googleMapstorylocation.createMarker(googleMapstorylocation.map,point[0].geometry.location,0,false,""); if(autoZoom){ if(typeof(ninjaLog)!="undefined"){ninjaLog.Update({text:"AutoZooming Map"});} googleMapstorylocation.map.fitBounds(googleMapstorylocation.bounds.extend(point[0].geometry.location)); } } } } ); }, 0000); if(googleMapstorylocation.map.zoom > 13){ if(typeof(ninjaLog)!="undefined"){ninjaLog.Update({text:"StaticZooming Map"});} googleMapstorylocation.map.setZoom(13); } } } var fetchedMap = false; jQuery(function(){ thisMap = jQuery("#blox-map-story-location"); try{ if(typeof(googleMapstorylocation)=="object"){ if(ninja){ninjaLog.Update({text:"Setting up googleMapstorylocation"});} googleMapstorylocation.mapPanel = document.getElementById("blox-map-story-location"); googleMapstorylocation.bounds = new google.maps.LatLngBounds(); googleMapstorylocation.points = new Array( { address: "", location: new google.maps.LatLng(32.414639,-96.842415) } ); if(!fetchedMap){ googleMapstorylocation.getMap(); fetchedMap = true; } }else{ if(ninja){ninjaLog.Update({text:"googleMap is undefined"});} } } catch(e){ alert(e.message) } }); }else{console.log('\nGoogle is not defined for map display.\n')}// end google defined check

Posted: Tuesday, July 21, 2015 8:41 am | Updated: 7:28 pm, Tue Jul 21, 2015.

A natural gas leak caused an early morning explosion at Liberty Dialysis in Waxahachie off U.S. Highway 77 behind Dickey's Barbecue Pit, said Waxahachie Fire Chief Ricky Boyd at the scene.

“You can see the back wall is basically all blown off, so it was quite an explosion,” Boyd said. “We're very fortunate that nobody was in the back of the building when it happened. I've seen explosions before, and this is pretty big.”

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Possible natural gas leak causes explosion at Liberty Dialysis - Waxahachie ... - Waxahachie Daily Light
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Liberty Dialysis natural gas explosion destroys 'heart of clinic'

Liberty Dialysis natural gas explosion destroys 'heart of clinic'

The back of Liberty Dialysis on U.S. Highway 77 was rocked by an explosion early Tuesday morning. The cause was a natural gas leak, said Waxahachie Fire Chief Ricky Boyd.

Location

', maxWidth: 250 }); info.open(googleMapstorylocation.map,this); }); } }, renderMapPins: function(){ var autoZoom = false; setTimeout(function(){ googleMapstorylocation.geocoder.geocode( googleMapstorylocation.points[0], function(point){ if((typeof(point)!="undefined") && (point != null)){ googleMapstorylocation.foundPoint.push(point); if(typeof(point[0])!="undefined"){ googleMapstorylocation.map.fitBounds(point[0].geometry.viewport); googleMapstorylocation.createMarker(googleMapstorylocation.map,point[0].geometry.location,0,false,""); if(autoZoom){ if(typeof(ninjaLog)!="undefined"){ninjaLog.Update({text:"AutoZooming Map"});} googleMapstorylocation.map.fitBounds(googleMapstorylocation.bounds.extend(point[0].geometry.location)); } } } } ); }, 0000); if(googleMapstorylocation.map.zoom > 13){ if(typeof(ninjaLog)!="undefined"){ninjaLog.Update({text:"StaticZooming Map"});} googleMapstorylocation.map.setZoom(13); } } } var fetchedMap = false; jQuery(function(){ thisMap = jQuery("#blox-map-story-location"); try{ if(typeof(googleMapstorylocation)=="object"){ if(ninja){ninjaLog.Update({text:"Setting up googleMapstorylocation"});} googleMapstorylocation.mapPanel = document.getElementById("blox-map-story-location"); googleMapstorylocation.bounds = new google.maps.LatLngBounds(); googleMapstorylocation.points = new Array( { address: "", location: new google.maps.LatLng(32.414639,-96.842415) } ); if(!fetchedMap){ googleMapstorylocation.getMap(); fetchedMap = true; } }else{ if(ninja){ninjaLog.Update({text:"googleMap is undefined"});} } } catch(e){ alert(e.message) } }); }else{console.log('\nGoogle is not defined for map display.\n')}// end google defined check

Posted: Tuesday, July 21, 2015 8:41 am | Updated: 7:28 pm, Tue Jul 21, 2015.

A natural gas leak caused an early morning explosion at Liberty Dialysis in Waxahachie off U.S. Highway 77 behind Dickey's Barbecue Pit, said Waxahachie Fire Chief Ricky Boyd at the scene.

“You can see the back wall is basically all blown off, so it was quite an explosion,” Boyd said. “We're very fortunate that nobody was in the back of the building when it happened. I've seen explosions before, and this is pretty big.”

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kAm%96 (2I29249:6 u:C6 s6A2CE>6?E C6DA@?565 E@ E96 42== 2E ei`d 2]>][ q@J5 D2:5] %96 6IA=@D:@? 42FD65 2 D>2== 7:C6 2?5 92AA6?65 :? E96 3F:=5:?8VD H2E6C C@@>[ H9:49 96=AD >2<6 DFC6 E96 5:2=JD:D AC@46DD :D D276 2?5 4=62?[ D2:5 ?FCD6 >2?286C r:?5J #@36CED] $96 C646:G65 E96 ?6HD 2E ei`` 2]>]k^Am kAm“#:89E ?@H 2== x <?@H :D E92E H6 5:5 92G6 D@>6 EJA6 @7 ?2EFC2= 82D 6IA=@D:@? 7C@> D@>6 EJA6 @7 =62< :? E96 2EE:4] %92E :D H96C6 :E 2== @44FCC65[” D2:5 s6??:D rC646=:FD[ E96 (2I29249:6 u:C6 |2CD92=] “*@F 42? E6== 3J E96 H2J E96 E@A :D 3=@H? @FE 2?5 H96C6 2== E96 7:C6 H2D] %96C6 H2D ?@ 7:C6 5@H? 36=@H :? E96 3F:=5:?8 :ED6=7] #:89E ?@H[ x 5@?’E <?@H H92E 24EF2==J :8?:E65 :E] x 5@?’E <?@H :7 :E H2D 2 9@E H2E6C 962E6C @C :7 :E H2D D@>63@5J DH:E49:?8 2 =:89E DH:E49 @?] x C62==J 5@?’E <?@H] p== x 42? E6== J@F :D E92E E96C6 H2D D@>6 EJA6 @7 ?2EFC2= 82D 6IA=@D:@? :? E96 2EE:4 2C62 @7 E92E 3F:=5:?8]”k^Am kAm}@ @?6 H2D :?;FC65[ 3FE EH@ A6@A=6 H6C6 2E E96 7C@?E @7 E96 3F:=5:?8 H96? E96 6IA=@D:@? @44FCC65 :? E96 324<] %96 724:=:EJ 42? EC62E `a A2E:6?ED 2E 2?J 8:G6? E:>6[ #@36CED D2:5] s:2=JD:D :D E96 >65:42= AC@46DD @7 C6>@G:?8 3=@@5 7C@> 2? 2CE6CJ W2D E92E @7 2 <:5?6J A2E:6?EX[ AFC:7J:?8 :E[ 255:?8 G:E2= DF3DE2?46D 2?5 C6EFC?:?8 :E E@ 2 G6:?]k^Am kAm“x 5@?VE <?@H 9@H =@?8 H6V== 36 4=@D65 7@C[ x H@?VE <?@H F?E:= H6 92G6 2 492?46 E@ 86E :?D:56 E96 3F:=5:?8 2?5 2DD6DD E96 52>286[” D2:5 #@36CE wFC5[ E96 {:36CEJ s:2=JD:D E649?:42= @A6C2E:@?D >2?286C] “ %92EVD E96 H2E6C C@@> E96 6IA=@D:@? E@@< A=246 :? 2?5 E92EVD E96 962CE @7 E96 4=:?:4]”k^Am kAm%96 :?4:56?E 92AA6?65 23@FE 2? 9@FC 367@C6 E96 5:2=JD:D 3F:=5:?8 H2D 6IA64E65 E@ @A6? 2E f A]>] }@H :E >:89E 36 2 >@?E9 @C =@?86C 367@C6 :E @A6?D 282:? :7 E96 3F:=5:?8 :D?VE E@C? 5@H?[ D2:5 q@J5] xE ;FDE 56A6?5D @? 9@H >F49 @7 E96 3F:=5:?8 ?665D E@ 36 C6A2:C65[ 96 D2:5]k^Am kAm“%92?< v@5 E96 A2E:6?ED H6C6?VE 96C6[” #@36CED D2:5] “x E9:?< E92EVD H92E H6 2== E9@F89E]”k^Am kAm%96 3FD:?6DD6D :D 4@@C5:?2E:?8 H:E9 A2E:6?ED E@ EC2?D76C E96> E@ 2 ?6H {:36CEJ s:2=JD:D 3F:=5:?8 :? |2?D7:6=5 :? E96 >62? E:>6[ #@36CED D2:5]k^Am kAmrC646=:FD D2:5 E96 6IA=@D:@? @C 7:C6 H2D?VE DFDA:4:@FD :? ?2EFC6 2?5 E92E :EVD ?@E FDF2= 7@C 2 82D =:?6 E@ 6I:DE :? 2? 2EE:4] qFD:?6DD6D EJA:42==J 92G6 962E:?8 2?5 2:C 4@?5:E:@?:?8 F?:ED @? E96 C@@7[ 96 D2:5[ 255:?8 82D =:?6D 2?5 A:A:?8 2C6 E96? CF? 24C@DD E96 C@@7] ~?=J @?6 =:?6 8@6D :?E@ E96 3F:=5:?8 :?E@ E96 2EE:4 2C62 E92E 8@6D E@ 2 9@E H2E6C 962E6C[ 96 D2:5]k^Am kAm“p== E96 C6DE @7 E96> 8@ E@ 2 C@@7 2?5 8@ E@ 2 C@@7 E@A F?:E] %92E :D 2== E96J 5@] %9:D @?6 EFC?65 2?5 H6?E 5@H? :?E@ 2 C@@7 2?5 H6?E :?E@ E96 2EE:4 2C62 E@ E96 9@E H2E6C 962E6C[” 96 D2:5] “(96? H6 8@E H96C6 H6 4@F=5 =@@< 2E :E[ :E :D 3C@<6? 2A2CE] xE :D ?@E 6G6? 4@??64E65 2?J>@C6] $@ H6 <?@H E92E D@>6E9:?8 92AA6?65 E@ :E] %92E :D E96 @?=J C62D@? H9J E92E E96C6 H@F=5 36 82D :? E96 3F:=5:?8]”k^Am kAm(@C<6CD D>6==65 82D :? E96 3F:=5:?8 |@?52J 27E6C?@@?[ 3FE E96 6>A=@J66D 5:5?VE 42== E96 7:C6 56A2CE>6?E[ rC646=:FD D2:5] q@J5 4@?7:C>65 E96 56A2CE>6?E 5:5?VE C6DA@?5 E@ 2?J ?2EFC2= 82D :?G6DE:82E:@? 42==D |@?52J[ 2?5 FC865 E9@D6 H9@ 762C E96J >2J 36 D>6==:?8 ?2EFC2= 82D D9@F=5 42== E96 82D 4@>A2?J[ E96 7:C6 56A2CE>6?E @C h``] (96? E92E 42== :D >256[ E96 7:C6 56A2CE>6?E 2=H2JD 4@>6D @FE E@ :?G6DE:82E6 E96 D:EF2E:@?[ 96 D2:5] rC646=:FD D2:5 E96 EH@ 6>A=@J66D H9@ 2CC:G65 7@C H@C< %F6D52J >@C?:?8 D>6==65 E96 82D 282:? H96? E96J 42>6 :?[ 3FE H6C6 @?=J E96C6 `_\`d >:?FE6D 367@C6 E96 6IA=@D:@? @44FCC65]k^Am kAm“%96J 5:5?’E 42== 2?J3@5J 2?5 =6E E96> <?@H] xE AC@323=J D2E E96C6 2?5 =62<65 2== ?:89E =@?8[” rC646=:FD D2:5]k^Am kAm%96 6IA=@D:@? :D DE:== F?56C :?G6DE:82E:@? 2E E9:D E:>6[ q@J5 D2:5] s2>286 :D 6DE:>2E65 2E 23@FE Sc__[___[ rC646=:FD D2:5] u@C {:36CEJ s:2=JD:D A2E:6?ED H9@ >:89E 92G6 BF6DE:@?D 23@FE EC2?D76CC:?8 46?E6CD[ 4@?E24E #@36CED 2E a`c\dch\_g_c]k^Am kAm“xV> ;FDE 8=25 ?@3@5J 8@E 9FCE 7C@> :E[” q@J5 D2:5] “%92EVD E96 3:886DE E9:?8]”k^Am

Like the Waxahachie Daily Light & Midlothian Mirror on Facebook and follow both on Twitter. Contact the newspaper offices at 972-937-3310.

Thank you for reading 7 free articles on our site. You can come back at the end of your 30-day period for another 7 free articles, or you can purchase a subscription at this time and continue to enjoy valuable local news and information. If you need help, please contact our office at 972-937-3310. You need an online service to view this article in its entirety.

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Medications Contribute to Phosphate Intake - Renal and Urology News - Renal and Urology News
July 21, 2015 Medications Contribute to Phosphate Intake - Renal and Urology News - Renal and Urology News
Among the phosphate-containing medicinal products prescribed to chronic kidney disease patients, 76% may contain absorbable phosphate.

Beyond foods and drinks, medications may be a significant source of phosphate that adds to patients' daily load. A new study finds several medications prescribed to chronic kidney disease (CKD)patients, particularly long-term ones, contain absorbable phosphate.

Investigators led by Gianluca Trifiro, MD, Assistant Professor of Pharmacology at the University of Messina in Milan, Italy, identified 1,989 CKD patients from the Arianna database, a local health database of almost 400,000 people living in Southern Italy. All drug prescriptions provided to these patients were evaluated and classified as to whether they contained absorbable phosphate, their dosage, and route of administration. The researchers also determined where the absorbable phosphate resided in the drug: in the active ingredients, in the counter-ion, or in the excipient (typically, a pharmacologically inert binder).

Of all medicinal products prescribed to CKD patients, only 9% contained phosphate, according to findings published in Nutrition, Metabolism & Cardiovascular Diseases. Yet 70% of CKD patients were prescribed at least 1 medication containing absorbable phosphate during the 6 years of follow up. Their usage was higher than that of non-CKD patients.

Additional findings highlight a concerning degree of exposure. Most CKD patients were prescribed phosphate-containing drugs targeting the gastrointestinal or cardiovascular system. Duration of use was typically long-term: a median 232 and 224 days, respectively. Additionally, many medications were taken orally, the most common route of the drugs with absorbable phosphate.

Results also suggested that patients with advanced CKD may have a higher phosphate burden than those with early stage CKD. About 10% of patients with CKD stages 4–5 had an estimated intake of 80 mg or more phosphate a day from medication, which is considered high, and 2% had an estimated intake of 150 mg or more. The investigators estimated that these amounts represent 13% and 25% excess phosphate intake per day, respectively.

“In patients with renal disease it is essential to reduce blood phosphate levels as hyperphosphatemia has been shown to increase the risk of cardiovascular-related morbidity,” the researchers stated. “The biochemical mechanism for this is likely to be triggered in early CKD stages as the reduced capacity of the kidney to excrete phosphate stimulates the release of fibroblast growth factor 23 (FGF-23) which in turn promotes renal phosphate excretion in order to maintain homeostasis.”

In 94% of the medications examined, the source of absorbable phosphate was the excipient of the drug, not the active components. This fact has several important implications. For example, exact amounts of phosphate may not be listed in products. Given this lack of detail, clinicians have no way of making informed medication choices for their patients. Substituting phosphate-free excipients is a potential solution that should be explored, according to the investigators

Source
  1. Sultana, J; Musazzi, UM; Ingrasciotta, Y; et al. Nutrition, Metabolism & Cardiovascular Diseases, June 2015; doi: 10.1016/j.numecd.2015.06.001.

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Medications Contribute to Phosphate Intake - Renal and Urology News
July 21, 2015 Medications Contribute to Phosphate Intake - Renal and Urology News
Among the phosphate-containing medicinal products prescribed to chronic kidney disease patients, 76% may contain absorbable phosphate.

Beyond foods and drinks, medications may be a significant source of phosphate that adds to patients' daily load. A new study finds several medications prescribed to chronic kidney disease (CKD)patients, particularly long-term ones, contain absorbable phosphate.

Investigators led by Gianluca Trifiro, MD, Assistant Professor of Pharmacology at the University of Messina in Milan, Italy, identified 1,989 CKD patients from the Arianna database, a local health database of almost 400,000 people living in Southern Italy. All drug prescriptions provided to these patients were evaluated and classified as to whether they contained absorbable phosphate, their dosage, and route of administration. The researchers also determined where the absorbable phosphate resided in the drug: in the active ingredients, in the counter-ion, or in the excipient (typically, a pharmacologically inert binder).

Of all medicinal products prescribed to CKD patients, only 9% contained phosphate, according to findings published in Nutrition, Metabolism & Cardiovascular Diseases. Yet 70% of CKD patients were prescribed at least 1 medication containing absorbable phosphate during the 6 years of follow up. Their usage was higher than that of non-CKD patients.

Additional findings highlight a concerning degree of exposure. Most CKD patients were prescribed phosphate-containing drugs targeting the gastrointestinal or cardiovascular system. Duration of use was typically long-term: a median 232 and 224 days, respectively. Additionally, many medications were taken orally, the most common route of the drugs with absorbable phosphate.

Results also suggested that patients with advanced CKD may have a higher phosphate burden than those with early stage CKD. About 10% of patients with CKD stages 4–5 had an estimated intake of 80 mg or more phosphate a day from medication, which is considered high, and 2% had an estimated intake of 150 mg or more. The investigators estimated that these amounts represent 13% and 25% excess phosphate intake per day, respectively.

“In patients with renal disease it is essential to reduce blood phosphate levels as hyperphosphatemia has been shown to increase the risk of cardiovascular-related morbidity,” the researchers stated. “The biochemical mechanism for this is likely to be triggered in early CKD stages as the reduced capacity of the kidney to excrete phosphate stimulates the release of fibroblast growth factor 23 (FGF-23) which in turn promotes renal phosphate excretion in order to maintain homeostasis.”

In 94% of the medications examined, the source of absorbable phosphate was the excipient of the drug, not the active components. This fact has several important implications. For example, exact amounts of phosphate may not be listed in products. Given this lack of detail, clinicians have no way of making informed medication choices for their patients. Substituting phosphate-free excipients is a potential solution that should be explored, according to the investigators

Source
  1. Sultana, J; Musazzi, UM; Ingrasciotta, Y; et al. Nutrition, Metabolism & Cardiovascular Diseases, June 2015; doi: 10.1016/j.numecd.2015.06.001.

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Dialysis catheter is a device required to provide vascular access to dialysis equipment for carrying out dialysis. It is inserted into a vein in the groin (under the collarbone, or in the neck).

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