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16.515  Articles
1 of 1.653 pages  |  10  records  |  more records»
Several orofacial disorders in patients with end stage renal disease (ESRD) undergoing hemodialysis have been reported. However, up to the present, particularly in Indonesia, such data still limited. Objective: the purpose of this study was to assess the ... see more

BACKGROUND: The recognition of the complications of obesity in various organs and systems should make clinicians and dietitians aware of the importance of early strategies to fight obesity in all age groups.AIM: The objective of this study was to evaluate... see more

Chronic renal failure (CRF) is one of the best known renal diseases. It is characterized by a deterioration in the overall renal function and is associated with other conditions such as hypertension, diabetes mellitus, uropathy, chronic glomerulonephritis... see more

End-Stage Renal Disease (ESRD) is a severe kidney disorder that contributes to an increased risk of mortality in the world. This condition is often related with hypertension. Low medication adherence was affecting uncontrolled blood pressure in ESRD. The ... see more

Objetivo: A hemodiálise pode ser considerada um fator de risco para o desenvolvimento de transtornos psiquiátricos, afinal a dependência deste tratamento exige mudanças drásticas na rotina dos doentes, de modo a causar dificuldades psicossociais, financei... see more

Background: Systemic Lupus Erythematosus (SLE) is an autoimmune disease characterized by a spectrum of clinical manifestations, immunological abnormalities, and varied laboratories results. In children, SLE manifestation is particularly more severe, invol... see more

INCIDENCIA DE HIPERCALCIURIA E HIPERURICOSURIA EN PACIENTES PEDIÁTRICOS CON SINTOMATOLOGÍA NEFROUROLÓGICA / INCIDENCE OF HYPERCALCIURIA AND HYPERURICOSURIA IN PEDIATRIC PATIENTS WITH NEPHROUROLOGICAL SYMPTOMS INCIDENCIA DE HIPERCALCIURIA E HIPERURICOSURIA EN PACIENTES PEDIÁTRICOS CON SINTOMATOLOGÍA NEFROUROLÓGICA / INCIDENCE OF HYPERCALCIURIA AND HYPERURICOSURIA IN PEDIATRIC PATIENTS WITH NEPHROUROLOGICAL SYMPTOMSIntroducción: la hipercalciuria y la hiperuricosuria constituyen dos causas importantes de síntomas nefrourológicos en pacientes pediátricos que acuden a las consultas de Nefrología y Urología. Se ha reportado un aumento sostenido de la prevalencia de estos trastornos y los síntomas asociados. Objetivo: mostrar la prevalencia de hipercalciuria e hiperuricosuria en los pacientes que acuden a nuestras Consultas de Nefrología y Urología con síntomas nefrourológicos y la frecuencia de los distintos síntomas que presentaron.Material y métodos: se realizó un estudio retrospectivo analítico de 2770 pacientes a los que se indicó calciuria incluyendo la uricosuria en 2579 de estos, determinándoseles a cada paciente los índices Calcio/Creatinina y Ácido Úrico/Creatinina y estimándose la excreción en 24 horas mediante el modelo matemático elaborado por nuestro grupo.Resultados: de los 2770 pacientes, 1165 (42,05%) presentaron hipercalciuria y 433 (16,8%) hiperuricosuria, y del total en 494 pacientes (17,84%) no se consignaron los datos clínicos. Los síntomas más frecuentes fueron la hematuria, la litiasis, el cólico nefrítico y la infección del tracto urinario en igual proporción, y con menor incidencia se reportaron el dolor abdominal/flanco, la disuria y las fracturas óseas.Conclusiones: la prevalencia de hipercalciuria e hiperuricosuria fue elevada en pacientes con sintomatología nefrourológica sugestiva de estos trastornos; hematuria macroscópica o microscópica, litiasis renal, infección del tracto urinario, cólico nefrítico y en menor proporción dolor abdominal/flanco recurrente, fueron los síntomas más frecuentemente consignados en las indicaciones. Hubo un predominio del sexo masculino en ambos trastornos metabólicos.Palabras clave: hipercalciuria; hiperuricosuria; hematuria; litiasis renal.ABSTRACTObjective: to show the prevalence of hypercalciuria and hyperuricosuria in patients who attend ourNephrology and Urology Consultations with nephrourological symptoms and the frequency of the different symptoms they presented.Method: a retrospective analytical study was carried out of 2770 patients in whom calciuria was indicated,including uricosuria in 2579 of these, determining the Calcium / Creatinine and Uric Acid / Creatinine indicesfor each patient and estimating the excretion in 24 hours by means of the mathematical model developedby our group.Results: of the 2770 patients, 1165 (42.05%) had hypercalciuria and 433 (16.8%) had hyperuricosuria,and of the total in 494 patients (17.84%) the clinical data were not recorded. The most frequent symptomswere hematuria, lithiasis, renal colic, and urinary tract infection in the same proportion, and abdominal /flank pain, dysuria, and bone fractures were reported with a lower incidence.Conclusions: the prevalence of hypercalciuria and hyperuricosuria was high in patients with nephrourological symptoms suggestive of these disorders; Gross or microscopic hematuria, kidney stones, urinary tract infection, renal colic and, to a lesser extent, recurrent abdominal / flank pain, were the symptoms most frequently reported in the indications. There was a male predominance in both metabolic disorders.

Objective: to show the prevalence of hypercalciuria and hyperuricosuria in patients who attend ourNephrology and Urology Consultations with nephrourological symptoms and the frequency of the different symptoms they presented.Method: a retrospective analyt... see more

Nefrolitiasis de infección: caso clínico / Nephrolithiasis of infection: clinical caseNefrolitiasis de infección: caso clínico / Nephrolithiasis of infection: clinical caseSe presenta un caso de litiasis de infección, conocida con el nombre de cálculos de estruvita y asociado a una enfermedad metabólica subyacente y diabetes mellitus tipo 2 de reciente debut, el cual se manifestó con oliguria e infección, como resultado de una obstrucción urinaria bilateral parcial. El paciente de 48 años de edad, con antecedentes de cardiopatía isquémica, hipertensión arterial y de expulsar cálculos de riñón, consultó su caso el 21 de enero de 2009. Manejaba cifras de creatinina, glicemia y acido úrico normales anterior al ingreso y estas tuvieron un comportamiento ascendente durante la obstrucción, excepto el ácido úrico. En el diagnóstico aportaron datos de interés la ecografía renal y de próstata, la Uro-TAC y gammagrafía renal con MAG-3. El diagnóstico diferencial incluyó toda causa extrínseca e intrínseca, esta última relacionada con cálculos, coágulos o papila renal necrosada, que provocaran alteración al libre flujo urinario. Se estableció como patrones de buena evolución, la recuperación del volumen urinario, la normalización de la glucemia y creatinina, así como la permanencia del urocultivo  negativo. El manejo terapéutico motivó a la utilización de la nefrolitotomía percútanea como una de las opciones que ofrecen los procederes endorulógicos, además del control de las enfermedadesde base,lo que resultó una favorable evolución del caso.Palabras clave: LITIASIS RENAL, DIAGNÓSTICO, OBSTRUCCIÓN URETRAL / tratamiento.ABSTRACTA clinical case of lithiasis of infection is presented, known as calculi of struvite associated to an underlying metabolic disease and diabetes mellitus type-2 of recent onset, with oliguria and infection as a result of a partial bilateral urinary infection. A 48 years-old patient having medical records of ischemic heart disease, hypertension and expulsion of kidney stones attended to the office in January 21, 2009 presenting normal values of creatinine, glycemia and uric acid before the admission; these values increased during the obstruction, except the uric acid. Renal and prostate imaging, the Uro-Computerized axial tomography and renal scintigraphy with MAG-3 showed data of interest. Differential diagnosis included extrinsic and intrinsic causes, the last one related to calculi, clots or renal necrotic papilla causing disorder of the free urinary flow. Patterns of good progress were established: recovery of the urinary volume, normal levels of glycemia and creatinine and a permanent negative uroculture. Therapeutic management motivated the use of percutaneous nephrolithotomy as one of the choices for endourologic procedures, as well as the control of the underlying diseases, being favorable for a good progress of the case.Key words: NEPHROLITIASIS, DIAGNOSIS, URETHRAL OBSTRUCTION/treatment.

ABSTRACTA clinical case of lithiasis of infection is presented, known as calculi of struvite associated to an underlying metabolic disease and diabetes mellitus type-2 of recent onset, with oliguria and infection as a result of a partial bilateral urinary... see more

Primary distal renal tubular acidosis is a genetic disorder characterized by the inability in acidification of urine. Symptoms are usually non-specific and highly variable. We described six cases in a family with four generations affected. The first ... see more

1 of 1.653 pages  |  10  records  |  more records»