Arriel Makembi Bunkete1* , Florence Fermigier 1 , David Gondele Ipungu 1 , Kazi Anga Muamba 1 , Blady Mpibi Mpiana 1 , Alphonse Edjokola Munyubu1 , Gabriel Bafunyembaka1 , Pascal Kuamba Kasonga1 , Franchisca-Anaïs Morry 1 , Yannick Kashala Madimba 1 , Mohamed Sidibe2 , Malika Belgrine2 , Timote Davodoun2 , Irenée Djiconkpode 1 and Tanguy Gbaguidi2
Background: Lead is toxic to the body. Its chronic intoxication combines various clinical and biological disorders that can be life-threatening. In French Guiana, lead poisoning is particularly worrying, as the incidence rate is nearly sixty times higher than in metropolitan France. In chronic hemodialysis patients, lead levels are often higher and can lead to several adverse consequences. Hence, the interest of this study, which is to describe the clinical and biological characteristics of chronic hemodialysis patients with high blood lead levels and to identify the associated factors to draw attention to its screening and the prevention of its complications. Methods: Descriptive and analytical cross-sectional study that included 65 patients on chronic conventional hemodialysis: With an annual biological assessment in December 2022, including a serum lead assay. The outcome was the notion of hyper lead level, defined by a lead level >85 μg/l. We described the clinical, biological, and dialytic parameters of patients with hyper lead levels and in logistic regression, we identified the factors that are correlated according to a significance threshold P<0.05. Results: In all, 54% of patients had hyperplumbemia, 2/3 of them women. They were older, with an average age of 62. None of the patients had been occupationally exposed to lead. 94% were hypertensive and half were diabetic. 26% had anemia, and half had erythropoietin resistance. Their ferritin levels were slightly lower, with a mean of 721 μg/l. Mean albumin was 30 g/l, prealbumin 28 g/l, mean parathyroid hormone 1355 ng/ml, NT-pro BNP 9144 ng/ml. Mean CRP was 10.8 mg/l. They had collapsed residual diuresis and natriuresis with averages of 141 ml and 12 mmol/24 hours, respectively. There was a significant positive correlation between high Blood Lead Level (BLL) levels and young age, and a negative correlation with female gender, low serum albumin, prealbumin, protein and ferritin levels, as well as collapsed residual diuresis. Conclusion: High blood lead levels are common in the Guyanese chronic hemodialysis population in which it is correlated with female sex, malnutrition, iron deficiency and residual poor renal function and probably with resistance to erythropoietin treatment. It is necessary to screen in at-risk populations to prevent complications associated with it.
Melisyah Meliana
Pharmacokinetics is the investigation of digestion of medications in organic liquids, tissues and excreta. The discoveries of ongoing improvements uncover that Multidrug Obstruction (MDR) adjusted the bioavailability of orally managed drugs through enlistment or restraint. Part of Multi-drug treatment: MDR is a term used to portray the marvel described by the capacity of medication safe tumors to display synchronous protection from various primarily and practically disconnected chemotherapeutic specialists. Various systems have been portrayed to clarify the wonder of MDR in mammalian cells. They have been extensively ordered into cell and non-cell components. Boundaries of pharmacokinetic inconstancy in malignancy patients:
Jeena Aniston
Road traffic accidents are increasing day by day which will result in Spinal cord Injury to the victims. In Spinal cord Injury nervous system is affected which is not re-gene ratable so whatever damage occur its permanent for rest of life. Thoracic spinal cord injury patient have spared Upper extremities and some trunk muscle with use of those and some assistive devices patient can achieve the independence in his life
Bunkechukwu Mehemed
Frailty with bone marrow promegaloblastosis (megaloblastic weakness). This is because of the restraint of DNA blend (explicitly purines and thymidine). Gastrointestinal side effects: modification in inside motility, like gentle the runs or blockage, and loss of bladder or gut control. These are believed to be because of flawed DNA amalgamation repressing replication in tissue destinations with a high turnover of cells. This may likewise be because of the immune system assault on the parietal cells of the stomach in noxious paleness. There is a relationship with gastric antral vascular ectasia (which can be alluded to as watermelon stomach), and malicious anemia. Neurological manifestations: tangible or engine insufficiencies (missing reflexes, lessened vibration or delicate touch sensation) and sub acute consolidated degeneration of the spinal cord. Deficiency side effects in kids incorporate formative postponement, relapse, peevishness, compulsory developments and hypotonia.
DOI: 10.37421/ 2165-7831.2022.12.285
Katya Ravid* and Alessandra Balduini
Ali Spikestein*
The importance of the study, “Impact of Facility Dog and Certified Child Life Specialist Dyad on Children’s Pain and Anxiety during Needlestick Procedures in a Pediatric Hematology Oncology Clinic Setting,” is clear given the breadth of research done on the impact of frequent painful procedures and treatments on pediatric hematology oncology patients and their families.
Journal of Blood & Lymph received 443 citations as per Google Scholar report
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