Publications by authors named "Mohamed Zamd"

Introduction Mucocutaneous complications in kidney transplant patients are due to drug toxicity or immunosuppression. The main objective of our study was to determine the risk factors associated with their occurrence. Methods We conducted a prospective analytical study (January 2020- June 2021) including kidney transplant patients seen at the Nephrology Department.

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Important amount of severe cases is the main concern in COVID-19 pandemic. It could be the running cause of the burn out of the health system in many countries. The aim of this paper is to suggest a pathophysiologic hypothesis to explain the main characteristics of severe cases of COVID-19 and its underlying conditions.

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Climate changes have a major influence on the overall health of the population. They are directly linked to the emissions of the greenhouse gases (GHG). The extent of GHG emission in relation to hemodialysis has been measured by several studies all over the world.

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  • Pain at AVF puncture is prevalent among hemodialysis patients, with 38% of 84 participants reporting significant discomfort.
  • The study evaluated the effectiveness of two pain relief methods: anesthetic cream (Emla™) and cryotherapy, using a visual analog scale to measure pain before and after treatment over multiple sessions.
  • Results showed both methods reduced pain, but cryotherapy was significantly more effective, suggesting it could be a better option for managing pain at AVF puncture.
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Introduction: Autodialysis is the dialysis performed by the patient himself at a local center instead of a hemodialysis center. In Morocco, the practice of hemodialysis dates back to 1970; however, an autodialysis center does not yet exist. The objective was to assess the potential medical fitness and adherence of the patients to an autodialysis program.

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  • Pulmonary arterial hypertension (PAH) is prevalent in hemodialysis patients, with 16.22% of the studied group showing elevated pressures.
  • The study included 111 patients, finding that the average pulmonary artery pressure was 45 mm Hg, with a small percentage classified as having mild to severe PAH.
  • Key risk factors linked to PAH were longer hemodialysis duration and specific heart conditions like valvular calcification and regurgitation.
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There is no doubt that the introduction of the Kidney Disease: Improving Global Outcomes (KDIGO) guidelines 14 years ago, and their subsequent updates, have substantially contributed to the early detection of different stages of chronic kidney disease (CKD). Several recent studies from different parts of the world mention a CKD prevalence of 8-13%. However, some editorials and reviews have begun to describe the weaknesses of a substantial number of studies.

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Introduction: Valvular calcifications are one of the major cardiovascular complications of hemodialysis because of its prevalence and its predictive indices of morbidity and mortality. There are many risk factors associated with these calcifications. Our study aims to evaluate both the prevalence of valvular calcifications in our patients on hemodialysis and their risk factors.

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The prevalence of hypertension, diabetes, obesity, and chronic kidney disease (CKD) in an adult Arabic-Berber population was investigated according to 2012 KDIGO guidelines. A stratified, randomized, representative sample of 10,524 participants was obtained. Weight, height, blood pressure, proteinuria (dipstick), plasma creatinine, estimated glomerular filtration rate, and fasting glycemia were measured.

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Falls and mineral and bones disorders are both implicated in the occurrence of pathological fractures in patients undergoing chronic dialysis. However, data on falls among this population are rare. We carried out a prospective study during four weeks and included 70 patients on chronic hemodialysis with the main objectives being to evaluate the incidence of falls and factors related to it.

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  • The link between thrombotic thrombocytopenic purpura (TTP) and systemic lupus erythematosus (SLE) is rare but can complicate SLE cases, leading to poorer outcomes if not treated promptly.
  • A case study of a 20-year-old man with SLE presented severe symptoms, including renal failure and neurological deficits, highlighting the challenges in diagnosing TTP alongside SLE.
  • Despite aggressive treatments, the patient’s condition worsened, ultimately resulting in septic shock, emphasizing the need for early recognition of TTP in SLE patients to improve prognosis.
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Acute postinfectious glomerulonephritis are defined by an acute nonsuppurative inflammatory insult predominantly glomerular. Its current incidence is uncertain because of the frequency of subclinical forms. The most common infectious agent involved is beta hemolytic streptococcus group A.

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Sexual dysfunction impairs the quality of life of patients undergoing hemodialysis (HD). The aim of this study was to evaluate the prevalence and the nature of sexual dysfunction in a Moroccan cohort of patients with chronic renal failure (CRF) on HD. This cross-sectional study was carried out with a questionnaire in 86 patients undergoing hemodialysis.

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Objective: The purpose of the study was to assess the efficiency of a goal-oriented therapeutic strategy in lowering blood pressure and reducing the need for antihypertensive medications in 168 patients undergoing long-term hemodialysis.

Methods: Patients were managed initially by achieving optimal dry weight. After reduction of the dry weight, patients with uncontrolled arterial hypertension were dialyzed using a 1.

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  • The study focused on patients undergoing maintenance hemodialysis (HD) to evaluate the prevalence of valve calcification (VC) and its risk factors.
  • 40% of the 90 patients studied were found to have VC, with notable differences in age and serum levels of calcium and phosphorus compared to those without VC.
  • The results suggest that disrupted calcium and phosphate metabolism contributes to the development of VC in patients with end-stage renal disease.
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