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Niveles de creatinina elevados y cistatina normales en un paciente que recibe ribociclib "接受 Ribociclib 治疗的患者肌酐升高而胱抑素水平正常"。
IF 2 4区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-09-01 DOI: 10.1016/j.nefro.2024.02.001
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引用次数: 0
La implantación de la cardionefrología en España es una urgencia sanitaria 在西班牙实施心脏肾脏病学是一项紧急卫生任务。
IF 2 4区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-09-01 DOI: 10.1016/j.nefro.2024.05.007
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引用次数: 0
Nefritis intersticial cariomegálica 钙化间质性肾炎
IF 2 4区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-09-01 DOI: 10.1016/j.nefro.2024.03.003
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引用次数: 0
Mind the gap in kidney care: Translating what we know into what we do 关注肾脏护理中的差距:将我们的知识转化为我们的行动
IF 2 4区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-09-01 DOI: 10.1016/j.nefro.2024.05.002
Valerie A. Luyckx , Katherine R. Tuttle , Dina Abdellatif , Ricardo Correa-Rotter , Winston W.S. Fung , Agnès Haris , Li-Li Hsiao , Makram Khalife , Latha A. Kumaraswami , Fiona Loud , Vasundhara Raghavan , Stefanos Roumeliotis , Marianella Sierra , Ifeoma Ulasi , Bill Wang , Siu-Fai Lui , Vassilios Liakopoulos , Alessandro Balducci , for the World Kidney Day Joint Steering Committee

Historically, it takes an average of 17 years to move new treatments from clinical evidence to daily practice. Given the highly effective treatments now available to prevent or delay kidney disease onset and progression, this is far too long. The time is now to narrow the gap between what we know and what we do. Clear guidelines exist for the prevention and management of common risk factors for kidney disease, such as hypertension and diabetes, but only a fraction of people with these conditions worldwide are diagnosed, and even fewer are treated to target. Similarly, the vast majority of people living with kidney disease are unaware of their condition, because in the early stages it is often silent. Even among patients who have been diagnosed, many do not receive appropriate treatment for kidney disease. Considering the serious consequences of kidney disease progression, kidney failure, or death, it is imperative that treatments are initiated early and appropriately. Opportunities to diagnose and treat kidney disease early must be maximized beginning at the primary care level. Many systematic barriers exist, ranging from patient to clinician to health systems to societal factors. To preserve and improve kidney health for everyone everywhere, each of these barriers must be acknowledged so that sustainable solutions are developed and implemented without further delay.

从历史上看,新疗法从临床证据转化为日常实践平均需要 17 年的时间。鉴于目前已有的高效疗法可以预防或延缓肾病的发生和发展,这个时间太长了。现在是缩小我们所知道的与我们所做的之间差距的时候了。对于高血压和糖尿病等肾脏病常见风险因素的预防和管理,已有明确的指导方针,但全世界只有一小部分肾脏病患者被确诊,接受目标治疗的患者则更少。同样,绝大多数肾病患者都不知道自己的病情,因为肾病在早期往往是无声无息的。即使在已经确诊的患者中,许多人也没有接受适当的肾病治疗。考虑到肾病恶化、肾衰竭或死亡的严重后果,必须及早开始适当的治疗。必须从初级保健开始,最大限度地利用早期诊断和治疗肾病的机会。从患者到临床医生,从医疗系统到社会因素,存在着许多系统性障碍。为了维护和改善世界各地每个人的肾脏健康,必须认识到这些障碍中的每一个,以便制定和实施可持续的解决方案,不再拖延。
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引用次数: 0
Pielonefritis aguda en paciente trasplantado renal secundaria a infección por Delftia acidovorans: a propósito de un caso 肾移植患者继发于嗜酸海豚感染的急性肾盂肾炎:一例
IF 2 4区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-07-01 DOI: 10.1016/j.nefro.2022.12.010
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引用次数: 0
Targeting colonic BK channels: A novel therapeutic strategy against hyperkalemia in chronic kidney disease 靶向结肠 BK 通道:慢性肾病高钾血症的新型治疗策略
IF 2 4区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-07-01 DOI: 10.1016/j.nefro.2023.01.001
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引用次数: 0
Karyomegalic nephropathy – Letter to the Editor 巨红细胞性肾病 - 致编辑的信
IF 2 4区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-07-01 DOI: 10.1016/j.nefro.2023.04.002
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引用次数: 0
Individualización y desafíos para la hemodiálisis de la próxima década 未来十年血液透析的个性化和挑战
IF 2 4区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-07-01 DOI: 10.1016/j.nefro.2023.09.003
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引用次数: 0
Irbesartan restored aquaporin-1 levels via inhibition of NF-kB expression in acute kidney injury model 厄贝沙坦通过抑制急性肾损伤模型中 NF-kB 的表达恢复水通道蛋白-1 的水平
IF 2 4区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-07-01 DOI: 10.1016/j.nefro.2023.11.005
Busra Candan , Ilter Ilhan , Emine Sarman , Murat Sevimli

Introduction

Acute kidney injury (AKI) is a serious pathology that progress with dysfunction of regulating blood pressure and fluid balance, concentrating urine due to decrement of aquaporin-1 (AQP) levels during the inflammation process. Irbesartan (IRN), angiotensin receptor blocker, is widely used in the treatment of hypertension, which also has anti-inflammatory, antioxidant and anti-apoptotic properties. The aim of this study is to investigate the protective effects of IRN in lipopolysaccharide (LPS)-induced kidney injury.

Material and methods

Twenty-four rats divided into three groups as control, LPS and LPS + IRN group. After 6 h of LPS administration, rats were sacrificed. Blood samples and half of the kidney tissues were collected for biochemical analysis and remaining tissues were taken for histopathological and immunohistochemical analysis.

Results

In the LPS group, glomerular congestion and shrinkage, degeneration of distal tubules, mononuclear cell infiltration, cellular debris and intense proteinous accumulation in the tubules, increased expressions of Cas-3, nuclear factor kappa beta-p65 (NF-kB p65), levels of creatinin, TOS, OSI and decreased levels of TAS, AQP-1 were found significantly. IRN treatment reversed all these parameters. IRN's restorated AQP-1 levels by its anti-inflammatory, antioxidant and anti-apoptotic effects due to inhibiting NF-kB expression.

Conclusion

This study suggests that IRN can be used in conditions affecting the kidneys such as AKI. Further studies needed for detailed molecular investigation of IRN at different doses and durations.

导言急性肾损伤(AKI)是一种严重的病理现象,在炎症过程中,由于水通道蛋白-1(AQP)水平下降,导致调节血压和体液平衡、浓缩尿液的功能障碍。血管紧张素受体阻滞剂厄贝沙坦(IRN)被广泛用于治疗高血压,它还具有抗炎、抗氧化和抗细胞凋亡的特性。材料与方法24只大鼠分为对照组、LPS组和LPS+IRN组。给药 6 小时后,大鼠被处死。收集血液样本和一半肾脏组织用于生化分析,其余组织用于组织病理学和免疫组化分析。结果 在 LPS 组中,大鼠肾小球充血和萎缩,远端肾小管变性,单核细胞浸润,肾小管中细胞碎片和大量蛋白质堆积,Cas-3、核因子 kappa beta-p65 (NF-kB p65) 的表达明显增加,肌酐、TOS、OSI 水平明显升高,TAS、AQP-1 水平明显降低。IRN 治疗逆转了所有这些参数。IRN 的抗炎、抗氧化和抗凋亡作用抑制了 NF-kB 的表达,从而恢复了 AQP-1 的水平。需要进一步研究不同剂量和持续时间的 IRN 的详细分子结构。
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引用次数: 0
Nefropatía IgA tras tratamiento prolongado con infliximab por enfermedad de Crohn, a propósito de dos casos 2例克罗恩病英夫利昔单抗长期治疗后IgA肾病
IF 2 4区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-07-01 DOI: 10.1016/j.nefro.2023.02.007
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引用次数: 0
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Nefrologia
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