Cross-Sectional Assessment of Achievement of Therapeutic Goals in a Canadian Multidisciplinary Clinic for Patients With Advanced Chronic Kidney Disease.

Background: The implementation of advanced chronic kidney disease (CKD) multidisciplinary clinics has now demonstrated their effectiveness in delaying and even avoiding dialysis for patients with CKD. However, very little has been documented on the management and achievement of targets for a number of parameters in this context.

Objective: Our goal was to assess our multidisciplinary clinic therapy performance in relation to the targets for hypertension, anemia, and calcium phosphate assessment.

CAPD in dammam central hospital, saudi arabia: a five-year experience.

Thirty-one patients with end-stage renal disease (ESRD) were offered continuous ambulatory peritoneal dialysis (CAPD) at the Dammam Central Hospital, Dammam, Saudi Arabia over a period of five years. The group included 21 women and 10 men with a mean age of 41.3 +/- 17.

Hyperuricemia and gout in renal transplant recipients.

Hyperuricemia, unlike clinical gout, is extremely common in renal transplant patients. The high prevalence of hyperuricemia is related to prolonged exposure to cyclosporine rather than to its dose or serum concentration. Serum creatinine levels do not show significant correlation with hyperuricemia, behaving more like a surrogate marker for cyclosporine dose and trough level.

Classic heat stroke in a case of simple hypohydrosis with "bad prognostic indicators" but a remarkable recovery.

Heat stroke occurs in the desert area of Saudi Arabia quite frequently and manifest in different patterns including coagulopathy. Frequently encountered complications include renal or hepatic failure, rhabdomyolysis, acute respiratory distress syndrome (ARDS), disseminated intravascular coagulation (DIC), and seizure. Not all of these complications usually occur in the same patient, in case it occurs the mortality reported is significantly high.

Non tuberculous mycobacterium peritonitis in continuous ambulatory peritoneal dialysis.

A forty-five-year old Saudi lady who had been on Continuous Ambulatory Peritoneal Dialysis (CAPD) for three years, was admitted with a clinical picture of night fever, sweating, weight loss and turbid peritoneal fluid (PF). The PF had a high cell count, predominantly neutrophils. This condition failed to respond to a standard vancomycin-gentamycin treatment, and acid fast bacilli (AFBs) were stained from the PF.

[Rare association of a non-functional retroperitoneal paraganglioma and nephrotic syndrome].

Non functional retroperitoneal paragangliomas are rare: less than 50 cases in literature. They are usually asymptomatic and can attain reasonable dimensions. The association with nephrotic syndrome is exceptional.

[An echographic study of the urologic lesions of urinary bilharziasis in children in Barombi Kotto (Cameroon)].

Ultrasonographic examination was performed on 212 school age children (152 proven Schistosomiasis, 60 normal) living in the endemic area of Barombi Kotto (Cameroon). 86.8% of urologic lesions were observed in the diseased group.

Nephropathy in Cameroon: evidence for filarial derived immune-complex pathogenesis in some cases.

This study was carried out in two parts. Part 1 consisted of an epidemiological survey of 1011 subjects aged 3-65 yrs from 2 adjoining villages hyper-endemic for Onchocerciasis and 890 subjects in a control area, relatively free from this infection but otherwise with a similar parasitological profile. There was a significantly higher prevalence of proteinuria in subjects from the onchocercal zone than in controls (observed difference greater than 5 1/2 times its standard error).