958 resultados para End-stage renal failure


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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Introduction: The Diabetic Nephropathy (DN) affects approximately 40% of patients diagnosed with DM is associated with increased mortality from cardiovascular phenomena and is considered the main cause of Chronic Renal Failure (CRF) in patients dialectics. Methods: Searches were performed on Medline, SciELO, Lilacs and Cochrane databases using the crossing between the key-words: “genetic polymorphism” and “diabetic nephropathy”. Results: The selected studies indicated that diabetic nephropathy is the leading cause of chronic renal failure, which significantly reduces the life expectancy of diabetics. Currently, some factors may have connection with DN. They are: genetic predisposition based on family history, hypertension, and cardiovascular events, quality of glycemic control and lipid levels and blood pressure and smoking. Conclusion: Studies constants are essential to add new elements in the literature for the definition (s) of factor (s) gene (s) specific (s) of diabetic nephropathy.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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The uric gout has been often diagnosed in cockatiel, birds that has been popularized and frequently shown in the avian practice. This disease is a consequence of renal failure. In the Wildlife Clinic, a specialized facility in Sao Paulo, 15 cockatiel presenting unspecific signs of polyuria and polidipsia were followed and diagnosed as uric gout. These animals had as common feature being lutin breed and fed with commercial pellet diet. In the present work nutritional aspects and causes of this disease are discussed. The main application of laboratory tests in avian practice and uric gout treatment were exemplified

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The purpose of this work is to study the incorporation of hydrogen production (Case A) and the process of gasification of sugarcane bagasse associated with combined cycle gas turbine and steam turbine (Case B) for Distillery Pioneers process. These technologies can be used to improve the energy supply in the sugarcane mill. Initially the processes for obtaining sugar and ethanol from sugarcane is discussed, with a theoretical introduction to hydrogen, the process of steam reforming and gasification of biomass (bagasse) by inserting a turbine associated with the recovery boiler gas. Subsequently makes up the energy and exergy analysis of the incorporation of the above technologies. In end stage makes it an ecological analysis considering or not the carbon cycle (photosynthesis), to determine the levels of emissions of pollutants, carbon dioxide equivalent, indicators of pollution and ecological efficiencies associated with technological developments proposed. It is concluded that hydrogen production by steam reforming of ethanol and gasification of bagasse are viable alternatives from the point of view of technical and environmental applications in the biofuels industry, contributing to the development of the sector in the country

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Pós-graduação em Odontologia Preventiva e Social - FOA

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We explored the role of angiotensin II and vasopressin in the maintenance of blood pressure during the nephrotic syndrome of adriamycin-induced nephropathy in rats. All 91 rats treated with adriamycin developed chronic renal failure with nephrotic syndrome, which was more pronounced in the normotensive rats than the 35% who became hypertensive. Angiotensin II blockade with DuP 753 produced a significantly greater hypotensive response in both the adriamycin-hypertensive (-16 +/- 3 mm Hg) and adriamycin-normotensive (-14 +/- 5 mm Hg) groups than the saline-treated controls (-5 +/- 1 mm Hg, P < .05). Vasopressin blockade with either a V1V2 inhibitor or a selective V1 inhibitor produced a hypotensive response in adriamycin-hypertensive rats only (by -16 +/- 4 and -17 +/- 2 mm Hg, respectively, P < .01), although the nonselective vasopressin inhibitor produced similar fluid loss and body weight reduction in all three groups. The data suggest that in adriamycin-induced nephropathy with nephrotic syndrome, angiotensin II contributes to blood pressure maintenance in both hypertensive and normotensive animals, whereas the pressor action of vasopressin contributes to elevated blood pressure in hypertensive animals only.

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Evidences suggest a role of renin-angiotensin system (RAS) in the development of chronic allograft injury. We correlated intrarenal angiotensin-converting enzyme, angiotensin II (Angio II) and transforming growth factor β1 (TGFβ1) expression in 58 biopsies-proven chronic allograft nephropathy (CAN) with tissue injury and allograft survival. The biopsies with CAN were graded according to Banff classification as I (22 cases), II (17) and III (19); 27 biopsies also showed a mononuclear inflammatory infiltrate in scarred areas. There were increased expression of angiotensin converting-enzyme (ACE), Angio II and TGFβ1 mainly in tubulointerstitial compartment in the group with CAN; there was no association of Angio II and TGFβ1 expression with interstitial fibrosis. There were no significant differences of ACE, Angio II and TGFβ1 expression between the patients treated and untreated with RAS blockade, and with the graft outcome. Interstitial inflammatory infiltrate had positive correlation with interstitial fibrosis and significant impact on graft survival at 8 years. Our study showed in a group of cases with CAN a high percentage of inflammatory infiltrate that correlated with interstitial fibrosis and graft outcome. The chronic inflammatory changes in these cases did not show significant association with local RAS expression.

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