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Register a new userدراسة تأثير الروزفاستاتين في مستوى الشحوم والبروتين المتفاعل الالتهابي عند مرضى الداء الكلوي المزمن الخاضعين للديال الدموي
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Damascus University رسالة ماجستير
Publication date
2014
fields
Pharmacy
and research's language is
العربية
Created by
Shamra Editor
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دراسة تأثير الروزفاستاتين في مستوى الشحوم والبروتين المتفاعل الالتهابي عند مرضى الداء الكلوي المزمن الخاضعين للديال الدموي
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References used
Pepys MB, Hirschfield GM . C-reactive Protein: a critical update joural of Clinical investigation 2003
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This study was conducted to determine the prevalence and stages of chronic kidney disease and to identify common causes of chronic kidney disease in patients as well as the study of risk factors for the disease. The study included 1314 patients have
been admitted to the Department of Internal Medicine at al-Assad University Hospital in Lattakia where they were diagnosed with chronic renal disease patients at 120 of them by 9.1%. The causes of chronic kidney disease were: diabetes 41.7%; hypertension 30%; Glomerulonephritis 11.7%; obstructive uropathy 5%; and Glomerugenetic disease 3.3%; mm3.3%; polycystic kidney d isease3.3% ; idiopathic 1.7%. Chronic kidney disease stages 1; 2; 3; 4; 5; were: 10%; 21.7%; 33.3% 20%; 15% respectively. Risk factors were: advanced age (over 50) 75%; high blood sugar 53.3%; lack of blood albumin 65%; hypertension 38.3%; family history of chronic kidney disease 25%; high triglycerides and cholesterol 11.7% .
Compliance of treatment regimens considers one of the challenge the end-stage renal
disease patients, because of its highly cost related to medication, sessions, diets and the life
style modification.
Objective: to assess the compliance of end-sta
ge renal disease patients with
treatment regimens. Setting: The study was carried out in all the hemodialysis departments
in the governmental hospitals in Lattakia. These were Al-Assad Hospital- Public Lattakia
Hospital- Military Hospital- Jablah Public Hospital- Al-Kurdaha Public Hospital- Al-Hafa
Public Hospital. Subjects: the study consisted 230 patients of the hemodialysis department
in the time of study from the first of November to April 2014. Tool: patients were
interviewed individually to collect the necessary data using tool I, their compliance with
treatment regimen were assessed using tool II. Results: only 2.17% of the patients were
compliance with prescribed treatment regimen. Their compliance was affected by some
factors like the hospital where they got sessions, monthly income, and with the date of
beginning treatment.
Although complications of arteriovenous fistula infrequent, but they occur, the most important and common complications are: thrombosis, infection, stenosis vascular, bleeding, aneurysm, ischemia.
It was observed that preparation and good care of
AVF have an important role in reducing complications in addition to accelerate the maturation of arteriovenous fistula. Implementing A protocol of Postoperative Arteriovenous Fistula Care Contributes in preventing complications and improve the maturation of arterial venous connection. Objective: This study was conducted to determine the effect of the application of the policy of nursing care on the clinical outcomes of the arterial venous connection postoperatively in patients with end stage renal disease. Goal: the aim of the present study was to determine the effect of Implementing A Protocol Of Postoperative Arteriovenous Fistula Careon clinical outcomes in patients with end stage renal disease. Materials and Methods: the study was conducted at AL-Assad University Hospital (Lattakia), a convent sample of 20 patientsin the renal dialysis department and the Department of Surgery. Clinical results for AVF were evaluated and the results of application policy of nursing care to of AVF in the control and experimental groups after 40 days of follow-up by using tow development tools: Sociodemographic Data and Arteriovenous Fistula Assessment Sheet. Results: our results demonstrated important of application of A Protocol Of Postoperative Arteriovenous Fistula Care. It decreased the complications in the experimental group and improve maturation of AVF mostly in the twentieth day of the study, while there was complications higher and delay in the maturation of AVF to the fortieth day of the study and after in the control group, which left for routine hospital. Conclusions and recommendations: our present study results advice to apply a protocol of Postoperative Arteriovenous Fistula Care because its affect in decrease and preventing complication in addition to improve maturation of AVF on ESRD patients
Uremic Pruritus is one of the most common and frustrating symptom experience by patients with end-stage renal disease. Approximately 60% of dialysis patients experience pruritis, sometimes worse during the dialysis session.
The aim of this study w
as to determine the effect of gabapentin, 200 mg twice a week (after each hemodialysis session), on uremic pruritus.
Patients older than 18 years who have undergone hemodialysis for more than three months will be enrolled in this double-blind clinical trial.
The patients will be assigned to receive Gabapentin 200 mg following hemodialysis
( twice a week) for a period of four weeks, and after a washout week, they will receive the antihistamines for another four weeks.
The patients will be asked to evaluate the severity of their pruritus using a visual analogue scale (VAS).
Our results assured the efficacy of Gabapentin in the treatment of uremic pruritus, in comparison with Loratadine.
Chronic Periodontitis is accompanied with subacute systemic inflammatory
responses and a procoagulant state which manifests in changes of some serological vascular thrombotic
markers levels. This study aimed to evaluate several vascular thrombotic markers levels in patients with
chronic periodontitis.
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