995 resultados para 725


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Strategy document for Respiratory Conditions in Northern Ireland

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Luettelo Kansalliskirjastossa olevan Kari Rydmanin arkiston sisällöstä

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Diabetic nephropathy is the most common cause of end-stage renal disease (ESRD) in the United States. African-Americans and patients with type 1 diabetes (T1D) are at increased risk. We studied the rate and factors that influenced progression of glomerular filtration rate (GFR) in 401 African-American T1D patients who were followed for 6 years through the observational cohort New Jersey 725 study. Patients with ESRD and/or GFR<20 ml/min were excluded. The mean (SD) baseline GFR was 106.8 (27.04) ml/min and it decreased by 13.8 (mean, SD 32.2) ml/min during the 6-year period (2.3 ml/min/year). In patients with baseline macroproteinuria, GFR decreased by 31.8 (39.0) ml/min (5.3 ml/min/year) compared to 8.2 (mean, SD 27.6) ml/min (1.3 ml/min/year) in patients without it (p<0.00001). Six-year GFR fell to <20 ml/min in 5.25% of all patients, but in 16.8% of macroproteinuric patients.^ A model including baseline GFR, proteinuria category and hypertension category, explained 35% of the 6-year GFR variability (p<0.0001). After adjustment for other variables in the model, 6-year GFR was 24.9 ml/min lower in macroproteinuric patients than in those without proteinuria (p=0.0001), and 12.6 ml/min lower in patients with treated but uncontrolled hypertension compared to normotensive patients (p=0.003). In this sample of patients, with an elevated mean glycosylated hemoglobin of 12.4%, glycemic control did not independently influence GFR deterioration, nor did BMI, cholesterol, gender, age at diabetes onset or socioeconomic level.^ Taken together, our findings suggest that proteinuria and hypertension are the most important factors associated with GFR deterioration in African-American T1D patients.^

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Fil: Pastormerlo, Sergio Carlos. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

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Fil: Pastormerlo, Sergio Carlos. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

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Sediments associated with freshwater ferromanganese concretions in Lake Charlotte, Nova Scotia, contained microscopic precipitates of manganese and iron. These precipitates were dispersed throughout the sediment and were as rich in nickel, cobalt, and copper as deep sea concretions. In addition, the development of the precipitates appeared to be associated with the microbial oxidation of manganese. Results from the deployment of poisoned and unpoisoned dialysis probes or peepers demonstrated that microbial manganese oxidation and nickel binding were closely associated, causing a fivefold enhancement of abiotic processes such as adsorption.

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