scholarly journals MO795CALCIUM BALANCE AND CKD-MBD PARAMETERS DIFFERENCES OF CITRATE VS. ACETATE DIALYSATE

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Jose Jesus Broseta Monzo ◽  
Luis Carlos López Romero ◽  
Diana Rodríguez ◽  
Elena Guillen Olmos ◽  
Pilar Sánchez-Pérez ◽  
...  
Keyword(s):  
Calcium Concentration ◽  
Essential Feature ◽  
Blood Analysis ◽  
Ionized Calcium ◽  
Calcium Balance ◽  
Long Term Effects ◽  
Long Term Outcomes ◽  
Negative Effect ◽  
Potential Benefits

Abstract Background and Aims Dialysate composition is an essential feature of hemodialysis treatment. The use of acetate as the dialysate buffer and its calcium concentration are still topics of debate. Calcium transfer during dialysis sessions is related to short-term (hemodynamic tolerance and arrhythmias) and long-term effects (cardiovascular calcification and mortality). This study aims to identify the potential benefits derived from acetate-free dialysis by using citrate as a buffer in terms of calcium balance and CKD-MBD biomarkers. Method We performed a prospective crossover study that analyzed 24 dialysis sessions, 12 with each dialysate buffer, on every patient. Ionized calcium and CKD-MBD parameters were analyzed with each acidifier. Both dialysates had a calcium concentration of 1.5 mml/L. The remaining hemodialysis patients’ parameters were unchanged during the study period. Results No differences were found between pre-dialytical ionized calcium (iCa) (1,11 ± 0,12 vs. 1,08 ± 0,12 mmol/L) in both groups. However, we identified a significant iCa increase in the sessions were acetate dialysate was used, both in immediate (1,29 ± 0,07 mmol/L) and in 30-minutes post-dialytical blood analysis (1,22 ± 0,07 mmol/L). Whereas iCa levels remained stable during the immediate (1,07 ± 0,06 mmol/L) and 30-minutes post-dialytical analysis (1,08 ± 0,11 mmol/L) when using citrate. On the other hand, pre-dialysis albumin-corrected total calcium was higher with acetate (8,9 ± 0,6 vs. 8,31 ± 0,75 mg/dL, p = 0,003) and PTH was lower with acetate (169 vs. 267 pg/mL, p < 0,001). Conclusion Acetate-free dialysis using citrate as an acidifier stabilizes iCa levels during dialysis sessions while maintaining a neutral or negative effect in calcium balance. This analytical benefit may translate into better cardiovascular long-term outcomes.

scholarly journals Yoga therapy to reduce fatigue in cancer: effects of reminder e-mails and long-term efficacy

2021 ◽  
Author(s):  
Teresa Zetzl ◽  
Andre Pittig ◽  
Agnes Renner ◽  
Birgitt van Oorschot ◽  
Elisabeth Jentschke
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Mediation Model ◽  
Long Term Effects ◽  
Long Term Outcomes ◽  
Cognitive Fatigue ◽  
Yoga Therapy ◽  
Life Data

Abstract Objective To examine the efficacy of reminder e-mails to continue yoga therapy on practice frequency and fatigue in cancer patients and long-term effects of yoga on fatigue, depression, and quality of life. Methodology One hundred two cancer patients who completed an 8-week yoga therapy were randomly allocated to two groups: reminder (N = 51) vs. no-reminder group (N = 51). After completing yoga therapy, the reminder group received weekly e-mails for 24 weeks, which reminded them of practicing yoga, whereas the no-reminder group did not. Primary outcomes were fatigue and practice frequency, and long-term outcomes were fatigue, depression, and quality of life. Data were assessed using questionnaires after yoga therapy (T1) and 6 months after completing yoga therapy (T2). Result A significantly stronger reduction of general (p = 0.038, d = 0.42) and emotional fatigue (p = 0.004, d = 0.59) and a higher increase of practice frequency (p = 0.015, d = 0.52) between T1 and T2 were found for the reminder group compared to the no-reminder group. In the mediation model, practice frequency as a mediator partially explained the changes in emotional fatigue (indirect effect B =  − 0.10). Long-term effects of yoga therapy regarding fatigue, depression, and quality of life were found (F > 7.46, p < 0.001, d > 0.54). Conclusion Weekly reminder e-mails after yoga therapy can positively affect general and emotional fatigue and help cancer patients with fatigue establish a regular yoga practice at home. However, higher practice frequency did not lead to higher physical or cognitive fatigue improvement, suggesting other factors that mediate efficacy on physical or cognitive fatigue, such as mindfulness or side effects of therapy.

The persistent effect of banking crises on investment and the role of financial markets

2014 ◽  
Vol 6 (1) ◽  
pp. 64-77 ◽  
Author(s):  
Felix Rioja ◽  
Fernando Rios-Avila ◽  
Neven Valev
Keyword(s):  
Financial Markets ◽  
Financial Development ◽  
Banking Crisis ◽  
Banking Crises ◽  
Output Growth ◽  
Long Term Effects ◽  
Content Type ◽  
Negative Effect

Purpose – While the literature studying the effect of banking crises on real output growth rates has found short-lived effects, recent work has focused on the level effects showing that banking crises can reduce output below its trend for several years. This paper aims to investigate the effect of banking crises on investment finding a prolonged negative effect. Design/methodology/approach – The authors test to see whether investment declines after a banking crisis and, if it does, for how long and by how much. The paper uses data for 148 countries from 1963 to 2007. Econometrically, the authors test how banking crises episodes affect investment in future years after controlling for other potential determinants. Findings – The authors find that the investment to GDP ratio is on average about 1.7 percent lower for about eight years following a banking crisis. These results are robust after controlling for credit availability, institutional characteristics, and a host of other factors. Furthermore, the authors find that the size and duration of this adverse effect on investment varies according to the level of financial development of a country. The largest and longer-lasting decrease in investment is found in countries in a middle region of financial development, where finance plays its most important role according to theory. Originality/value – The authors contribute by finding that banking crisis can have long-term effects on investment of up to nine years. Further, the authors contribute by finding that the level of development of the country's financial markets affects the duration of this decrease in investment.

Change in the rocky reef fish fauna of the iconic Poor Knights Islands Marine Reserve in north-eastern New Zealand over 4 decades

2018 ◽  
Vol 69 (10) ◽  
pp. 1496
Author(s):  
David R. Schiel ◽  
Tony Ayling ◽  
Michael J. Kingsford ◽  
Christopher N. Battershill ◽  
J. Howard Choat ◽  
...  
Keyword(s):  
Reef Fish ◽  
Fish Species ◽  
Marine Reserve ◽  
Fish Fauna ◽  
Rocky Reef ◽  
Long Term Effects ◽  
Before And After ◽  
Negative Effect ◽  
Reef Fish Species

Marine reserves exhibit increases in targeted fish species, but long-term effects on biodiversity are poorly understood. Factors other than reserve status may affect decadal changes, including environmental change. We examined the fish fauna at the iconic Poor Knights Islands over 4 decades (1974–2016) before and after implementation of a no-take marine reserve in 1998. We document a substantial increase in commercially and recreationally targeted Chrysophrys auratus, which was virtually absent before 1994 but by 2016 had reached up to 11 fish per 500m2 (220 per hectare). There were also large changes to the fish community, including the decline of subtropical and coastal wrasses, some species with no change and others that increased significantly. Many declines occurred >20 years before the arrival of abundant C. auratus, suggesting the changes do not represent a trophic cascade. Furthermore, this normally benthic-feeding fish has adopted a mid-water foraging behaviour targeting planktivorous fish. The increase in C. auratus appears to be linked both to reserve status and catch regulations in the wider region. Overall, the data point to long-term environmental fluctuations from the late 1970s having a negative effect on the abundance of more than half the reef fish species at these islands.

scholarly journals Breast Cancer during Pregnancy—Current Paradigms, Paths to Explore

Cancers ◽  
2019 ◽  
Vol 11 (11) ◽  
pp. 1669 ◽  
Author(s):  
Ayelet Alfasi ◽  
Irit Ben-Aharon
Keyword(s):  
Breast Cancer ◽  
Well Being ◽  
Developed Countries ◽  
Lymph Node Biopsy ◽  
Current Data ◽  
Long Term Effects ◽  
Long Term Outcomes ◽  
Risk Benefit Assessment ◽  
Long Term Follow Up

Breast cancer is the most common form of malignancy in pregnant women. The prevalence of pregnancy-associated breast cancer (PABC) is up to 0.04% of pregnancies and is expected to rise in developed countries. PABC represents a unique clinical scenario which requires a delicate balance of risks and benefits for both maternal and fetal well-being. Currently, there is paucity of data regarding the short- and long-term outcomes of in-utero exposure to anti-neoplastic agents. In general, when possible, treatment for PABC should follow the same guidelines as in non-pregnant patients. Surgery, including sentinel lymph node biopsy, is possible during all trimesters of pregnancy. Radiotherapy is contraindicated during pregnancy, although it might be considered in highly selected patients based on risk–benefit assessment. Evidence supports that administration of chemotherapy may be safe during the second and third trimesters, with cessation of treatment three weeks prior to expected delivery. Currently, hormonal therapy and anti-HER2 agents are contraindicated during pregnancy and should be postponed until after delivery. Prematurity is associated with worse neonatal and long-term outcomes, and thus should be avoided. While current data on the long-term effects of anti-neoplastic treatments are reassuring, grade of evidence is lacking, hence additional large prospective studies with long-term follow-up are essential to rule out any treatment-induced adverse effects.

Long-Term Effects of Sports Concussions: Bridging the Neurocognitive Repercussions of the Injury with the Newest Neuroimaging Data

2016 ◽  
Vol 23 (5) ◽  
pp. 567-578 ◽  
Author(s):  
Luke C. Henry ◽  
Sebastien Tremblay ◽  
Louis De Beaumont
Keyword(s):  
Scientific Literature ◽  
Chronic Traumatic Encephalopathy ◽  
Future Research ◽  
Long Term Effects ◽  
Long Term Outcomes ◽  
Research Directions ◽  
Neuroimaging Data ◽  
Future Research Directions ◽  
Sports Concussions

Little is known of the long-term effects of sports-related concussion. Within the scientific literature, conclusions vary substantially where some work suggests there are no long-term consequences at all and other studies show rampant neurodegeneration thought to be caused by sometimes even a single concussive blow to the head. There is growing evidence that supports multiple long-term outcomes, showing both subclinical and clinically relevant changes in the brains of athletes, young and old alike. This article reviews the pathohistology of cerebral concussions and examines the extant literature with a focus on electrophysiological and neuroimaging findings. Neurobehavioral and neurocognitive changes are also reviewed, particularly as they are related to chronic traumatic encephalopathy. Lacunae within the literature are explored, and future research directions are proposed.

Sexuality in Adult Cancer Survivors: Challenges and Intervention

2012 ◽  
Vol 30 (30) ◽  
pp. 3712-3719 ◽  
Author(s):  
Sharon L. Bober ◽  
Veronica Sanchez Varela
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Problems ◽  
Integrative Approach ◽  
Long Term Effects ◽  
Evidence Based Practices ◽  
Adult Cancer Survivors ◽  
Negative Effect ◽  
Integrative Treatment Model

Sexual dysfunction is one of the most common and distressing consequences of cancer treatment. Although some treatment-related sexual adverse effects are short-term, many survivors face long-term effects such as treatment-induced menopause, altered gonadal function, and significant surgical disfigurement. Profound sexual dysfunction has been shown to have a significant negative effect on quality of life. Although these problems have been well documented and there are a range of intervention strategies that can help patients cope with treatment-related sexual problems, many survivors do not feel prepared for potential sexual changes and often do not receive adequate support to manage sexual dysfunction. Numerous barriers contribute to this underprovided aspect of survivorship care, including lack of provider training and access to readily available resources. In addition, psychological, relational, and cultural factors significantly influence sexuality but are often not taken into consideration in research and clinical practice. By taking an integrative approach and providing survivors with appropriate screening, information, and support, sexual dysfunction and accompanying distress can be significantly alleviated. In this article, we aim to provide a concise review of the most common sexual problems experienced by survivors and highlight some of the most promising evidence-based practices for assessment and intervention. We also address limitations encountered in research and practice and explore future directions, including suggestions for adopting an integrative treatment model to address sexual dysfunction in a cancer survivorship treatment setting.

New Trends in Neuromodulation for the Management of Neuropathic Pain

Neurosurgery ◽  
2002 ◽  
Vol 50 (4) ◽  
pp. 690-704 ◽  
Author(s):  
Kenneth M. Aló ◽  
Jan Holsheimer
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Stimulation ◽  
Clinical Results ◽  
Intractable Pain ◽  
Long Term Effects ◽  
Long Term Outcomes ◽  
Dorsal Columns ◽  
Painful Area ◽  
Electronic Field

Abstract SINCE ITS FIRST application in 1967, the methodology and technology of spinal cord stimulation for the management of chronic, intractable pain have evolved continuously. Despite these developments and improved knowledge of the effects of spinal anatomy and epidural contact configuration on paresthesia coverage, the clinical results of spinal cord stimulation—particularly the long-term effects—are still unsatisfactory in many patients. This dissatisfaction has come primarily from the failure of single-electrode configurations to provide consistent paresthesia coverage of the entire painful area. Therefore, new approaches were developed during the late 1990s that attempted to selectively cover one or more dermatomes with paresthesia as well as to provide sequential stimulation of different anatomic sites. These approaches have been applied both intraspinally and extraspinally by stimulating either the spinal nerves or the dorsal columns. To target parts of the latter, different methods have been developed and tested using either two-dimensional contact configurations or electronic field steering. These developments hold promise for improving long-term outcomes as well as increasing the number of pain conditions that can be treated with neuromodulation therapy. In this review, the history, theoretical basis, and evolution of these methodologies, as well as the ways in which they represent new trends in neuromodulation, are discussed.

scholarly journals Ramadan Fasting during Pregnancy and Health Outcomes in Offspring: A Systematic Review

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3450
Author(s):  
Violet N. L. Oosterwijk ◽  
Joyce M. Molenaar ◽  
Lily A. van Bilsen ◽  
Jessica C. Kiefte-de Jong
Keyword(s):  
Health Outcomes ◽  
Fetal Growth ◽  
Islamic Law ◽  
Quality Score ◽  
Cochrane Library ◽  
Long Term Effects ◽  
High Quality ◽  
Ramadan Fasting ◽  
Negative Effect

Ramadan is one of the five pillars of Islam, during which fasting is obligatory for all healthy individuals. Although pregnant women are exempt from this Islamic law, the majority nevertheless choose to fast. This review aims to identify the effects of Ramadan fasting on the offspring of Muslim mothers, particularly on fetal growth, birth indices, cognitive effects and long-term effects. A systematic literature search was conducted until March 2020 in Web of Science, Pubmed, Cochrane Library, Embase and Google Scholar. Studies were evaluated based on a pre-defined quality score ranging from 0 (low quality) to 10 (high quality), and 43 articles were included. The study quality ranged from 2 to 9 with a mean quality score of 5.4. Only 3 studies had a high quality score (>7), of which one found a lower birth weight among fasting women. Few medium quality studies found a significant negative effect on fetal growth or birth indices. The quality of articles that investigated cognitive and long-term effects was poor. The association between Ramadan fasting and health outcomes of offspring is not supported by strong evidence. To further elucidate the effects of Ramadan fasting, larger prospective and retrospective studies with novel designs are needed.

A long-term high-protein diet markedly reduces adipose tissue without major side effects in Wistar male rats

2004 ◽  
Vol 287 (4) ◽  
pp. R934-R942 ◽  
Author(s):  
Magali Lacroix ◽  
Claire Gaudichon ◽  
Antoine Martin ◽  
Céline Morens ◽  
Véronique Mathé ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Weight Control ◽  
High Protein Diet ◽  
High Protein ◽  
Protein Diet ◽  
Male Rats ◽  
Calcium Balance ◽  
Long Term Effects ◽  
Wistar Male Rats

Although there is a considerable interest of high-protein, low-carbohydrate diets to manage weight control, their safety is still the subject of considerable debate. They are suspected to be detrimental to the renal and hepatic functions, calcium balance, and insulin sensitivity. However, the long-term effects of a high-protein diet on a broad range of parameters have not been investigated. We studied the effects of a high-protein diet in rats over a period of 6 mo. Forty-eight Wistar male rats received either a normal-protein (NP: 14% protein) or high-protein (HP: 50% protein) diet. Detailed body composition, plasma hormones and nutrients, liver and kidney histopathology, hepatic markers of oxidative stress and detoxification, and the calcium balance were investigated. No major alterations of the liver and kidneys were found in HP rats, whereas NP rats exhibited massive hepatic steatosis. The calcium balance was unchanged, and detoxification markers (GSH and GST) were enhanced moderately in the HP group. In contrast, HP rats showed a sharp reduction in white adipose tissue and lower basal concentrations of triglycerides, glucose, leptin, and insulin. Our study suggests that the long-term consumption of an HP diet in male rats has no deleterious effects and could prevent metabolic syndrome.

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