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Mineral and Bone Disease (MBD) on a Kidney Transplant Patient

Birne, R; Adragão, T; Ferreira, A; Dickson, J; Silva, R; Casqueiro, A; Oliveira, R; Martins, AR; Torres, J; Matias, P; Branco, P; Jorge, C; Weigert, A

A 50-year-old post-menopausal recipient of a kidney allograft with bone pain, osteoporosis, persistent hypercalcaemia and elevated parathormone (PTH) levels, despite a satisfactory graft function, was treated with bisphosphonates and cinacalcet starting, respectively, 5 and 6 months after renal transplantation (RT). Sixteen months after treatment, there was improvement of bone mineral density (BMD) measured by ...


Hemodialysis with bicarbonate 30 mEq/l versus 34 mEq/l and acetate: better hemo...

Bruges, M; Serviço de Nefrologia, Hospital de Santa Cruz, Carnaxide.; Barata, J D; Oliveira, C; Furstenau, C; Gomes, E M; Simões, J

The use of bicarbonate buffer in dialysis is more physiological than acetate. The aim of this prospective study was to compare the hemodynamic stability, acid-base and electrolyte balance changes in a group of 5 hospital hemodialysis (HD) patients, with 3 different dialysis fluids: one with 30 mEq/l of bicarbonate (B30), another with 34 mEq/l of bicarbonate (B34) and the last with acetate (ACE). All the patient...

Data: 1970   |   Origem: Acta Médica Portuguesa

Consequences of the correction of post-transplantation hypophosphatemia on mine...

Ponce, P; Serviço de Nefrologia, Hospital de S. Cruz. Carnaxide.; Gusmão, L; Adragão, T; Bruges, M; Gomes, E M; Antunes, J

To study the effect of the correction of post-transplantation Hypophosphatemia on mineral metabolism.15 patients with renal transplants for 3 to 12 months, Serum Creatinine "177 micmol/1, were treated with oral phosphorus (P) for persistent hypophosphatemia.3 periods of blood and urine collection at intervals of 3 weeks. T1 under basal treatment with oral P, T2 after 3 weeks off medication with P, Ca, or P bind...

Data: 1970   |   Origem: Acta Médica Portuguesa

Prevention of thrombogenesis in the extracorporeal circuit of hemodialysis with...

Barata, J D; Serviço de Nefrologia, Hospital Santa Cruz, Carnaxide, Sanofi Portugal.; Oliveira, C; Bruges, M; Gusmão, L; Santana, A; Ponce, P; Simões, J

To test the efficacy and safety of a low molecular. Weight heparin (LMWH)--Fraxiparine, for hemodialysis (HD) anticoagulation, compared with conventional heparin (H) or serum lavage without other anticoagulation (L).Prospective controlled study.Twenty-nine consecutive patients referred for dialysis in a tertiary care hospital were divided in 3 groups A, B and C, each group A and B patient submitted to 2 dialysi...

Data: 1970   |   Origem: Acta Médica Portuguesa

Identification of a period of renal ischemic vulnerability studying the changes...

Barata, J D; Serviço de Nefrologia, Hospital de Santa Cruz, Carnaxide.; Bruges, M; Oliveira, C; Simões, J; Bruges, L; Melo, J Q; Melo-Gomes, R

We studied the pre operative status and the 1st, 4th, 12th and 24th hours of the post operative period after open heart surgery with cardiopulmonary bypass with a crystalloid solution containing 10 gr of mannitol. We considered acute renal failure (ARF) as being any increase in plasma creatinine values of 0.25 mg/dl for the first 24 hours and 0.5 mg/dl for periods longer than 24 hours. Six patients had transito...

Data: 1970   |   Origem: Acta Médica Portuguesa

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