To All

Our Christian Brothers and Sisters

Wishing you a Blessed and Merry

CHRISTMAS

&  

To All 

A Happy New Year

From

MalaysianKidneySPA

Wishing All Our

Hindu Brothers and Sisters

A 

Happy and Blessed Deepavali

May our future and our hearts be lighted

with the blessed lights!!

Best wishes and warmest regards

MalaysianKidneySPA

Free dialysis kits for kidney failure patients

October 25, 2013

FROM: http://www.freemalaysiatoday.com/category/nation/2013/10/25/free-dialysis-kits-for-kidney-failure-patients/

End-state kidney failure patients will be provided free treatment kits, costing RM19,000 a unit, to treat themselves at home.

KUALA LUMPUR: The government will provide free treatment kits, costing RM19,000 per unit, to patients with end-state kidney failure to carry out dialysis at home.

The Continuous Ambulatory Peritoneal Dialysis (CAPD) kits will enable patients to treat themselves at home.

Prime Minister Najib Tun Razak said the government realised the difficulty of patients with kidney failure in having to go to the haemodialysis centre for treatment thrice a week and spent up to RM400 for each treatment.

The government would continue to provide quality health care and medical services for the people and was allocating RM22.1 billion for the health sector, he said when tabling the 2014 Budget in the Dewan Rakyat today.

He said the allocation would be channelled for various programmes and projects, including the construction of Tanjung Karang Hospital and additional blocks for Jeli Hospital, as well as upgrading of the Kuala Lipis Hospital and 30 rural clinics.

The government, he said, had set up 234 1Malaysia clinics and another 50 to be set up next year.

In addition, the government would allocate RM66 million for the purchase of equipment and the construction of additional blocks at the Queen Elizabeth Hospital in Kota Kinabalu, he added.

“To improve the quality of nursing care and reduce the nurses’ workload of working continuously in two shifts, the government will appoint 6,800 more nurses with an allocation of RM150 million,” he added.

He said an allocation of RM3.3 billion would also be made for the purchase of medicine and medical equipment to ensure patients receive appropriate treatment, including expanding the cardiothoracic services in the Ipoh, Kuala Terengganu, Kuantan and Kuching hospitals.

To address the shortage of parking lots at Kuala Lumpur Hospital, he said, a total of 1,950 new parking lots would be completed next year.

He said hospitals in Rompin and Tampin, as well as the National Cancer Institute, would be operational next year.

To 

all Muslim Brothers and Sisters

A Blessed

Selamat Hari Raya

Aidil Adha

Best Wishes and Warmest Regards

MalaysiaKidney SPA

Carica papaya Leaves Juice Significantly Accelerates
the Rate of Increase in Platelet Count among Patients with
Dengue Fever and Dengue Haemorrhagic Fever

Soobitha Subenthiran,1 Tan Chwee Choon,2 Kee Chee Cheong,3Ravindran Thayan,4 Mok Boon Teck,1 Prem KumarMuniandy,1

Adlin Afzan,1 Noor Rain Abdullah,1 and Zakiah Ismail1

1 Bioassay Unit, Herbal Medicine Research Center, Institute for Medical Research, Jalan Pahang, 50588 Kuala Lumpur, Malaysia

2Department of Internal Medicine, Tengku Ampuan Rahimah Hospital, Jalan Langat, 41200 Klang, Malaysia

3 Epidemiology and Biostatistics Unit, Institute for Medical Research, Jalan Pahang, 50588 Kuala Lumpur, Malaysia

4Virology Unit, Infectious Disease Research Center, Institute for Medical Research, Jalan Pahang, 50588 Kuala Lumpur, Malaysia

Correspondence should be addressed to Soobitha Subenthiran; drsoobi@hotmail.com

Received 7 January 2013; Revised 21 March 2013; Accepted 21 March 2013

Academic Editor: Martin Kohlmeier

Copyright © 2013 Soobitha Subenthiran et al.This is an open access article distributed under the Creative Commons Attribution

License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly

cited.

Hindawi Publishing Corporation

Evidence-Based Complementary and Alternative Medicine

Volume 2013, Article ID 616737, 7 pages

http://dx.doi.org/10.1155/2013/616737

Submitted by Mr CS Soong

The study was conducted to investigate the platelet increasing property of Carica papaya leaves juice (CPLJ) in patients with dengue fever (DF). An open labeled randomized controlled trial was carried out on 228 patients with DF and dengue haemorrhagic fever

(DHF). Approximately half the patients received the juice, for 3 consecutive days while the others remained as controls and received the standard management. Their full blood count was monitored 8 hours for 48 hours. Gene expression studies were conducted on the ALOX 12 and PTAFR genes. The mean increase in platelet counts were compared in both groups using repeated measure ANCOVA. There was a significant increase in mean platelet count observed in the intervention group (𝑃 < 0.001) but not in the control group 40 hours since the first dose of CPLJ. Comparison of mean platelet count between intervention and control

group showed that mean platelet count in intervention group was significantly higher than control group after 40 and 48 hours of admission (𝑃 < 0.01). The ALOX 12 (FC = 15.00) and PTAFR (FC = 13.42) genes were highly expressed among those on the juice.

It was concluded that CPLJ does significantly increase the platelet count in patients with DF and DHF.

Must read - full article here

Wishing All Our

Brothers and Sisters

A

Happy Independence Day

(31-08-2013)

We are proud to be Malaysians!!!

Best wishes and warmest regards,

Malaysian KidneySPA

A 2-year follow-up study of patients on automated peritoneal dialysis

C Shyam Sunder Rao¹, P Charan¹, G Diwaker Naidu¹, G Swarnalatha¹, R Ram², KV Dakshinamurty^1
1 Department of Nephrology, Nizam's Institute of Medical Sciences, Panjagutta, Hyderabad, India
² Department of Nephrology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India

Abstract

Automated peritoneal dialysis (APD) is increasingly being used for the treatment of end stage renal disease. We present our experience of APD at a government run tertiary care institute. APD was initiated for 22 patients between 2002 and 2010. On comparing APD and continuous ambulatory peritoneal dialysis (CAPD) patients, no difference in patient survival and technique survival was observed. CAPD patients had higher number of peritonitis episodes, greater decline in the serum albumin and a greater number of patients failed to achieve adequacy targets compared to APD.

Read full text here

Wishing All Our

Muslim Brothers and Sisters

A Blessed

Selamat Hari Raya Aidil Firtri

"Have joyous and safe Raya"

Best wishes and regards

MalaysianKidneySPA

To All Our 

Muslim Brothers and Sisters

Selamat Menyambut 

Ramadhan Al-Mubarak

Best Wishes and Warmest Regards 

MalaysiaKidneySPA

CANADIAN AIR TRANSPORT SECURITY AUTHORITY AIRPORT BODY SCREENING RESULTS

Results are probably similar in USA airports.

 

FULL BODY SCANS AT CANADIAN AIRPORTS:

CATSA disclosed the following Airport Screening Results

December 2012 Statistics On Airport Full Body Screening From CATSA :
Terrorists Discovered	0
Transvestites	133
Hernias	1,485
Hemorrhoid Cases	3,172
Enlarged Prostates	8,249
Breast Implants	59,350
Natural Blondes	3

It was also discovered that 308 politicians had no balls.

Thought you'd like to know.

Generic Drugs Are Actually Not the Same as Name-Brands, Thanks to FDA Malfeasance

ProPublica / by Charles Seife, Bob Garver

The FDA failed to address compromised lab tests suggesting generic drugs are more similar to name-brands than they really are.

April 24, 2013  |  

 

 

 

 

Andrew Richards remembers that he had just sat down in front of the TV when the lightning bolt struck. “It was almost like it went through my ear because I could hear it. It was kind of like, ‘fwomp,’ right through my head,” he says.

Stunned and disoriented, Richards tried to get up, he says, but spasms rumbled through his torso and his back; his muscles kept clenching and relaxing. He doesn’t recall falling. “It was almost like a little piece of time was missing, almost like a record skipped ahead a little bit,” he says, “like I was sitting on my couch and time had moved forward and I was on the floor.”

The next thing Richards remembers was calling out to his wife, who scooped him up and drove him to the emergency room. He would soon discover that the lightning bolt that struck him down was an electrical storm taking place entirely in his brain: a seizure. Less than a year later he was in court, contending that his seizure — and the spasms that he says still plague him — were caused by a faulty generic medication.

Generic medications are generally safe and effective, because the Food and Drug Administration mandates tests to show that they are equivalent to the name-brand originals. But in 2011, the Food and Drug Administration determined that a major laboratory had committed such “egregious” research violations that years’ worth of its tests — many comparing generics to name-brand drugs — were potentially worthless. The FDA has required drug manufacturers to redo many of the tests from that lab, owned by the now-defunct Cetero Research. But a  ProPublica investigation shows that the agency took little action to prevent consumers from taking medicines the FDA no longer knew for sure were safe or effective.

Read full text here

Finger nail creatinine and its role in confirming chronicity of renal failure

SJ Jessy¹, RK Visweswaran², B Sulekha^3
1 Department of Biochemistry, Government Medical College, Trivandrum, Kerala, India
² Department of Nephrology, Ananthapuri Hospitals and Research Institute, Trivandrum, Kerala, India
³ Department of Biochemistry, SUT Academy of Medical Sciences, Trivandrum, Kerala, India

Indian Journal of Nephrology http://www.indianjnephrol.org/article.asp?issn=0971-4065;year=2013;volume=23;issue=2;spage=114;epage=118;aulast=Jessy

Abstract

It is often difficult to differentiate acute renal failure (ARF) from chronic renal failure (CRF) when the patient presents with advanced uremia for the first time. Assessments of kidney size, history of nocturia, and pallor are used as indirect indicators of CRF. Some investigators have proposed an estimation of finger nail creatinine concentrations to differentiate between ARF and CRF, as patients with CRF have higher nail creatinine concentrations. Measurement of creatinine in the nail can be performed easily in a biochemistry laboratory. The nail clippings are cleaned, dried, pulverized and creatinine extracted from the powdered nail to be assessed biochemically. By standardizing the methods, the biochemistry laboratory can provide the results within 48 hours. In this study, we analyzed the nail clippings of 49 normal subjects, 50 cases of known acute kidney injury (AKI), and 50 cases of known CRF on follow-up at the Nephrology Clinic, Medical College, Trivandrum between December 1999 to November 2000. Forty-nine normal individuals were selected from healthy bystanders of respective patients. On study, it was revealed that patients with ARF had a mean fingernail creatinine level of 30.9 mg/100 g of nail as against 30.1 mg/100 g of nail in normal controls. There was no difference between the controls and ARF patients.Patients with known CRF had a mean fingernail creatinine level of 69.2 mg/100 g. There was a significant increase in the level of nail creatinine in patients with known CRF versus ARF patients and normal controls. The measurement of nail creatinine is useful, easy and can be standardized and performed in a biochemistry laboratory. This simple investigation can help in solving the question of ARF versus CRF in a given case. From this study, it is concluded that the result of creatinine concentrations of nail clippings can indicate chronicity of renal failure.

Read full text here

Hospital Charts..Have a good laugh!!!!     ACTUAL SENTENCES FOUND ON PATIENTS' HOSPITAL CHARTS: 1)  She has no rigors or shaking chills, but her husband states she was hot in bed last night. 2)  Patient has chest pain if she lies on her left side for over a year.   3)  On the second day the knee was better, and on the third day it disappeared. 4)  The patient is tearful and crying constantly. She also appears to  be depressed. 5)  The patient has been depressed since she began seeing me in 1993. 6)  Discharge status: Alive but without my permission. 7)  Healthy appearing decrepit 69 year old male, mentally alert but forgetful.   8)  The patient refused autopsy. 9)  The patient has no previous history of suicides. 10) Patient has left white blood cells at another hospital.   11) Patient's medical history has been remarkably insignificant with only a 40 pound weight gain in the past 3 days. 12) Patient had waffles for breakfast and anorexia for lunch.   13) Between you and me, we ought to be able to get this lady pregnant. 14) Since she can't get pregnant with her husband, I thought you might want to work her up. 15) She is numb from her toes down. 16) While in ER, she was examined, X-rated and sent home. 17) The skin was moist and dry. 18) Occasional, constant, infrequent headaches.   19) Patient was alert and unresponsive. 20) Rectal examination revealed a normal sized thyroid. 21) She stated that she had been constipated for most of her life,  until she got a divorce. 22) I saw your patient today, who is still under our car for physical therapy. 23) Both breasts are equal and reactive to light and accommodation.   24) Examination of genitalia reveals that he is circus sized. 25) The lab test indicated abnormal lover function. 26) The patient was to have a bowel resection. However, he took a job as a stockbroker instead. 27) Skin: somewhat pale but present. 28) The pelvic exam will be done later on the floor. 29) Patient was seen in consultation by Dr Blank, who felt we should sit on the abdomen and I agree. 30) Large brown stool ambulating in the hall. 31) Patient has two teenage children, but no other abnormalities.

 

Al Fatihah

to the families of our fallen heroes

in Sabah

May God blessed their souls

and may they rest in peace.

Wishing all

Chinese Brothers and Sisters

A Happy and Prosperous

Chinese New Year!

"Kong Xi Fatt Choy"

Warmest Regards and Best Wishes

Malaysian KidneySPA

Sleep disturbances as nontraditional risk factors for development and progression of CKD: review of the evidence.

Turek NF, Ricardo AC, Lash JP.

Source

Sleep, Metabolism and Health Center, Department of Medicine, University of Chicago, Chicago, IL 60612-7315, USA.

Am J Kidney Dis. 2012 Nov;60(5):823-33. doi: 10.1053/j.ajkd.2012.04.027. Epub 2012 Jun 21.

Submitted by: Rusminah Sudin

Abstract

Despite the high prevalence and enormous public health implications of chronic kidney disease (CKD), the factors responsible for its development and progression are incompletely understood. To date, only a few studies have attempted to objectively characterize sleep in patients with CKD prior to kidney failure, but emerging evidence suggests a high prevalence of sleep disorders, particularly obstructive sleep apnea. Laboratory and epidemiologic studies have shown that insufficient sleep and poor sleep quality promote the development and exacerbate the severity of 3 important risk factors for CKD, namely hypertension, type 2 diabetes, and obesity. In addition, sleep disturbances might have a direct effect on CKD through chronobiological alterations in the renin-angiotensin-aldosterone system and sympathetic nervous system activation. The negative impact of sleep disorders on vascular compliance and endothelial function also may have a deleterious effect on CKD. Sleep disturbances therefore may represent a novel risk factor for the development and progression of CKD. Optimizing sleep duration and quality and treating sleep disorders may reduce the severity and delay the progression of CKD.

Modalities of Hemodialisis : Quality Improvement

Ayman Karkar Department of Nephrology, Kanoo Kidney Center, Dammam Medical Complex, Dammam, Saudi Arabia Saudi J Kidney Dis Transpl [serial online] 2012 [cited 2013 Jan 9];23:1145-61.  Hemodialysis (HD) treatment had, over many years, improved the survival rate of patients with end-stage renal disease. However, standard or conventional HD prescription is far from being optimal in replacing the function  of normal kidneys. Its unphysiologic clearance pattern and inability to remove all types and sizes of uremic  and mortality. Efficiency of HD can be improved by increasing blood and dialysate flow rates, dialyzer size  and surface area and duration and frequency of dialysis sessions. Home HD, where short daily or long slow  nocturnal HD sessions can conveniently be performed, provides an excellent option for quality of life improvement  and reduction in morbidity and mortality. Recent innovations in the specifications of HD machines and  improvement in dialysis membranes characteristics and water treatment technology paved the way  for achieving quality HD. These advancements have resulted in efficient implementation of adsorption, diffusion  and/or convection principles using adsorption HD, hemofiltration, hemodiafiltration (HDF) and online HDF  modalities in order to achieve optimum HD. Implementation of these innovations resulted in better quality  care achievements in clinical practice and reduction in morbidity and mortality rates among HD patients. Read full text here

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