Publications by authors named "Maryam Pakfetrat"

Chronic kidney disease (CKD) is a non-communicable disease that includes a range of different physiological disorders causing abnormal renal function and progressive decline in the glomerular filtration rate (GFR). This study aimed to investigate the associations of several Environmental factors with CKD in the Iranian population. This is the second phase of a hospital-based case-control study, which was conducted on 700 participants (350 CKD cases and 350 controls, age and gender frequency matched).

View Article and Find Full Text PDF

Background: Focal segmental glomerulosclerosis (FSGS) is a prevalent glomerular disease that often leads to nephrotic syndrome. It is characterized by consolidating a portion of the glomerular capillary tuft connected to Bowman's capsule. This retrospective cohort study aimed to determine the demographic characteristics, risk factors, and prognostic indicators associated with FSGS in Shiraz, Iran.

View Article and Find Full Text PDF

The human BK Polyomavirus (BKPyV) is a DNA virus that is prevalent in 80 % of the population. Infection with this virus may begin in childhood, followed by asymptomatic persistence in the urinary tract. However, in immunocompromised individuals, especially kidney transplant recipients (KTRs), heightened replication of BKPyV can lead to severe complications.

View Article and Find Full Text PDF

Background: Percutaneous renal biopsy is the primary diagnostic tool for renal diseases. In this study, we evaluated renal biopsy complications and the timing of complications.

Methods: A cross-sectional study was performed on adult patients who underwent renal biopsy.

View Article and Find Full Text PDF
Article Synopsis
  • Organ transplantation can lead to visceral leishmaniasis (VL) transmission, highlighting the need for careful monitoring in patients, especially in endemic areas.
  • A 61-year-old man experienced an atypical VL case after a kidney transplant, showing symptoms like fever and lymphadenopathy, but responded well to anti-leishmanial therapy.
  • The study emphasizes the importance of screening for VL in transplant patients, noting that early diagnosis and treatment can effectively prevent serious health issues and mortality.
View Article and Find Full Text PDF

Background: BK polyomavirus (BKPyV) infection in immunocompromised patients can led to polyomavirus-associated nephropathy (BKPyVAN) especially after kidney transplantation. The polyomavirus genome contains enhancer elements that are important transcription activators. In this study, the association between viral and host gene expression and NCCR variations was evaluated in kidney transplant recipients (KTRs) with BKPyV active, and BKPyV in-active infection.

View Article and Find Full Text PDF

Objective: Olfactory dysfunction can be seen in chronic kidney disease (CKD) patients. We aimed to investigate the effects of olfactory training and curcumin on olfactory dysfunction in CKD patients and compare their impact with a placebo.

Methods: We conducted a double-blind, randomized, placebo-controlled trial in CKD patients, 2021-2022.

View Article and Find Full Text PDF

Several vaccines were approved after COVID-19 pandemic, which have been fast-tracked for emergency use. The short- and long-term safety profile has been an area of concern. We presented a patient with encephalitis followed by hyponatremia who developed hallucination and seizure 1 day after receiving the second dose of Sinopharm vaccine.

View Article and Find Full Text PDF

Objectives: The most important complication in kidney transplant is acute/chronic rejection. In this study, we investigated the factors affecting kidney rejection and transplant survival.

Materials And Methods: In this survival analysis study, 352 patients (mean follow-up of 12.

View Article and Find Full Text PDF

Background: Chronic kidney disease (CKD) is a non-communicable disease that includes a range of different physiological disorders that are associated with abnormal renal function and progressive decline in glomerular filtration rate (GFR). This study aimed to investigate the associations of several behavioral and health-related factors with CKD in Iranian patients.

Methods: A hospital-based case-control study was conducted on 700 participants (350 cases and 350 controls).

View Article and Find Full Text PDF

Aim: This study aimed to investigate the impact of social and clinical factors on the diagnostic delay of chronic kidney disease (CKD) among Iranian patients.

Materials And Methods: Our study was conducted on 350 CKD patients who were referred to Faghihi and Motahari clinics (the two largest kidney diseases referral centers in Shiraz the capital of Fars province). Data were collected via an interviewer-administered questionnaire.

View Article and Find Full Text PDF

Objectives: The rates of tuberculosis and its mortality are higher in solid-organ transplant recipients than in the general population. In this study, we compared the rate of active tuberculosis disease conversion in solid organ transplant recipients based on pretransplant tuberculin skin test results and also its association with treatment.

Materials And Methods: This cross-sectional study included kidney/liver transplant recipients who had pretransplant tuberculin skin test indurations of ≥5 mm and who were seen from March 2009 to March 2019 at the Shiraz Nemazi Hospital Transplant Center (Shiraz, Iran).

View Article and Find Full Text PDF

Objective: point and coved ST elevation in right precordial leads (not produced by coronary artery disease) are still a matter of challenge, especially when resembling Brugada patients. This clinical entity, among asymptomatic individuals with no family history of sudden cardiac death, would be reported in some severely ill patients before ventricular fibrillation. This study investigated the relationship between the electrocardiograms with demographic and laboratory data and also analyzed their association with mortality rate among patients with methanol poisoning.

View Article and Find Full Text PDF

Background: Methanol is widely used in industry; however, methanol poisoning is not common. In this regard, a number of outbreaks have been recently reported due to inappropriate processing of alcoholic beverages. Shiraz, a city located in the southern part of Iran, faced one of such outbreaks in 2020 during COVID-19 pandemic.

View Article and Find Full Text PDF

Introduction: Oxidative stress is considered as important actor in uremia-associated morbidity and mortality in hemodialysis (HD) patients. We aimed to evaluate the role of vitamin D supplementation on oxidative stress parameters in this group.

Methods: This double-blind randomized clinical trial was conducted on HD patients who were randomly allocated into intervention (n = 40) or control groups (n = 38) for 10 weeks.

View Article and Find Full Text PDF

Upper gastrointestinal (GI) abnormality is believed to be higher in patients with end-stage renal disease (ESRD) which can make a big trouble for whom undergo kidney transplant. We conducted this study to assess upper GI findings of patients with ESRD. In the present retrospective study we recorded upper GI endoscopy results in hemodialysis patients who were candidate for renal transplantation during a 10-year period.

View Article and Find Full Text PDF

No large study has been conducted on biopsy-proven nephropathies. Our aim was to report clinical and pathological pattern of kidney disease diagnosed by kidney biopsy in our center. This is a retrospective study on kidney biopsy during 7 years; we analyzed the results of kidney biopsies and their clinical data.

View Article and Find Full Text PDF
Article Synopsis
  • Contrast-induced nephropathy (CIN) is a significant renal complication after contrast injection in coronary procedures, and this study evaluated the protective effects of normal saline (NLS), Ringer's lactate (RL), and sodium bicarbonate (Bi) on CIN incidence.
  • Out of 300 patients, CIN occurred in 10% overall, with significantly lower rates in the Bi group (5%) compared to RL (16.5%), indicating that sodium bicarbonate might provide better protection against CIN.
  • Higher baseline creatinine levels and the use of Ringer's lactate were identified as risk factors for developing CIN, with findings suggesting urine pH changes and creatinine levels as important prognostic indicators in patients treated with different hydration
View Article and Find Full Text PDF

Till now many treatments attempted to relieve uremic pruritus (UP) though none of them are definite treatment. In this study, we gathered all studies conducted on UP treatment since 2000-2016. We conducted a systematic review by searching the electronic databases (PubMed, Scopus, and Google scholar).

View Article and Find Full Text PDF

Background: Acute interstitial nephritis (AIN) is an emerging cause of acute kidney injury (AKI) during the recent years.

Objectives: There is no data about prevalence, causes, clinical manifestation and outcomes of AIN in our region. Hence, in this study we aimed to find the prevalence of AIN and describe the causes, clinical presentation, and the outcome of AIN in the native kidney biopsies.

View Article and Find Full Text PDF

Chronic kidney disease (CKD) is a public health problem and it is suggested that low socioeconomic status (SES) may increase the risk of renal failure. The aim of this study was to report and compare the SES of hemodialysis patients (HD) and normal population in Shiraz, Iran. In this cross-sectional study, we evaluated 519 HD patients and 900 normal controls.

View Article and Find Full Text PDF

Introduction: Uremic pruritus is an undesirable complication of end stage renal disease (ESRD). In spite of introduction of many treatments for this complication, it has no certain cure. The aim of this study was to assess sertraline effect on uremic pruritus.

View Article and Find Full Text PDF