scholarly journals Voice problem in a patient with chronic renal failure

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Effat Ahmed Zaky ◽  
Haytham Mamdouh ◽  
Olivia Esmat ◽  
Zeinab Khalaf

Abstract Background Chronic kidney failure is an irreversible medical condition that impairs the kidney’s ability to function. When CRF reaches a sophisticated stage, dangerous levels of fluid, electrolytes, and wastes can accumulate within the body. Dysphonia detected within the CRF patients was due to affection of the chronic kidney failure on the system and phonatory system. Patients with CRF treated by hemodialysis are exposed to continuous pulmonary insults of multifactorial origin: Fluid retention predisposes them to pulmonary edema which occurs more frequently within the presence of concomitant cardiovascular disease. Also, the spirit of the kidney failure patients can induce psychogenic dysphonia. The aim of this work is to see and analyzed voice problems in patients with chronic kidney failure to ascertain baseline data about the scale and distribution of the probable voice disorder in these patients for early detection and proper management. Results The results obtained from this study showed that there have been statistically significant differences between chronic kidney failure patients G1 and control G2 regarding first harmonic, jitter %, shimmer dB and noise harmonic ratio dB, presence of dysphonia, and also the total score of VHI. The results of the study revealed statistical correlation between the quantity of years of hemodialysis and total acoustic measures. Conclusion The results of our study revealed that subjects with chronic failure exhibit a clinical evidence of voice disorders and proving that there is interplay of different body systems and the larynx. The voice problems can vary between CRF patients depending on duration of hemodialysis and leading causes of chronic kidney failure.

2017 ◽  
Vol 8 ◽  
pp. 117959721773200
Author(s):  
Yohannes Nigatie

Nowadays, kidney failure is a problem of many peoples in the world. We know that the main function of kidney is maintaining the chemical quality of blood particularly removing urea through urine. But when they malfunction, the pathologic state known as uremia results in a condition in which the urea is retained in the body. Failure of the kidney results in building up of harmful wastes and excess fluids in the body. Kidney diseases (failures) can be due to infections, high blood pressure (hypertension), diabetes, and/or extensive use of medication. The best form of treatment is the implantation of a healthy kidney from a donor. However, this is often not possible due to the limited availability of human organs. Chronic kidney failure requires the treatment using a tube dialyzer called dialysis. Blood is taken out of the body and passes through a special membrane that removes waste and extra fluids. The clean blood is then returned to the body. The process is controlled by a dialysis machine (tube dialyzer) which is equipped with a blood pump and monitoring systems to ensure safety. So this article investigates the real application of mathematics (diffusion) in medical science, and it also contains the mathematical formulation and interpretation of tube dialyzer in relation to diffusion.


2019 ◽  
Vol 1 (2) ◽  
pp. 63-67
Author(s):  
Rostiodertina Girsang ◽  
Dewi Tiansa Barus

Chronic kidney failure is a progressive and irreversible decline in kidney function, in which the body is unable to maintain fluid balance and electrolyte metabolism. In practice, patients must limit the liquid diet to prevent complications. To reduce patient complaints, the action that can be done is to stimulate the salivary glands with chemical stimulation using acidic vitamin C lozenges. The purpose of this study was to determine the stimulating effects of vitamin C lozenges to increase salivary secretion in patients with chronic renal failure undergoing hemodialysis therapy at Sembiring General Hospital. This study used a Pre-experimental design with a pretest-posttest design. The sample amounted to 48 respondents, using Purposive Sampling techniques. Based on analysis conducted found significant differences amount of secretion of saliva before and after found a significant increase in the secretion of saliva between pretest saliva and posttest conclusion, the stimulation of the provision of lozenges vitamin C has the effect of increasing salivary secretion in patients with chronic kidney failure undergoing hemodialysis therapy at Sembiring General Hospital.


2019 ◽  
Vol 1 (2) ◽  
pp. 63-67
Author(s):  
Rostiodertina Girsang ◽  
Dewi Tiansa Barus

“Chronic kidney failure is a progressive and irreversible decline in kidney function, in which the body is unable to maintain fluid balance and electrolyte metabolism. In practice, patients must limit the liquid diet to prevent complications. However, this action can affect several aspects of the human body, namely dry mouth or xerostomyadue to reduce saliva production. To reduce patient complaints, the action that can be done is to stimulate the salivary glands with chemical stimulation using acidic vitamin C lozenges. The purpose of this study was to determine the stimulating effects of vitamin C lozenges to increase salivary secretion in patients with chronic renal failure undergoing hemodialysis therapy at Sembiring General Hospital. This study used a Pre-experimental design with a pretest-posttest design. The sample amounted to 48 respondents, using Purposive Sampling techniques. Data analysis techniques using Paired t Test to determine whether there are significant differences in salivary secretion at the pretest and posttest. Based on statistical test Paired t Test data analysis conducted found significant differences amount of secretion of saliva before and after the value of p = 0.000 p <0.005 found a significant increase in the secretion of saliva between pretest saliva and posttest conclusion, the stimulation of the provision of lozenges vitamin C has the effect of increasing salivary secretion in patients with chronic kidney failure undergoing hemodialysis therapy at Sembiring General Hospital”.   Keywords: Stimulation, Saliva Secretion, Chronic Kidney Failure.


2019 ◽  
Vol 8 (1) ◽  
pp. 28-33
Author(s):  
Sutrisno Sutrisno ◽  
Alfian Fawzi ◽  
Mayta Sari Dwianggimawati

Dialysis is a therapy that aims to remove waste and excess fluid from the body. This method replaces the main function of the kidney. Two types of dialysis are known, namely Peritoneal Dialysis and Hemodialysis. Patients with chronic kidney failure are faced with these two treatment options. Both types of dialysis therapy have a risk of complications during the treatment period that can affect the quality of life of patients. The purpose of this study was to determine the differences in dialysis methods of patients with chronic kidney failure with CAPD (continuous ambulatory peritoneal dialysis) and hemodialysis in terms of quality of life as a basis for palliative care. The research design uses a cross-sectional comparative analytical research design. The independent variable is the action of hemodialysis and CAPD. The dependent variable is quality of life. 


2020 ◽  
Vol 42 (1) ◽  
pp. 40-49
Author(s):  
Clement Amponsah ◽  
Godwin Tettevi ◽  
Leticia Gomado ◽  
Alicia Heitzman ◽  
Aaron Ziegler

This preliminary qualitative description study explored knowledge from urban Ghanaians about the nature and impact of their self-reported voice problem. Ten Ghanaians were screened for a self-reported voice disorder using the Voice Handicap Index–10 (VHI-10), and they also completed a structured interview with a speech-language therapist. Content analysis was completed from interview responses using quantification of data. Four out of 10 adult Ghanaians demonstrated high VHI-10 scores that indicated a self-reported voice disorder. Themes that emerged included a recurring problem with voice, multiple vocal impairments, limitations with participating in vocal activities, and other health problems. Lack of financial resources and little knowledge about voice disorders were barriers to accessing care. In summary, four adult Ghanaians with a self-reported voice disorder described multiple problems with their voice, limiting their participation in vocal activities. Implications of these preliminary findings include early identification and improving voice care access to avoid handicapping voice problems.


2020 ◽  
Vol 7 (2) ◽  
pp. 146
Author(s):  
Aini Aini Aini

Various diseases that cause kidney dysfunction that cause problems in the body such as the accumulation of metabolic waste, decreased hormone production that can cause chronic kidney failure. Hemodialysis is used to replace damaged kidney function, in patients with kidney failure who undergo hemodialysis will experience anemia (80-95%). This study aims to determine the effectiveness of hemodialysis in patients with chronic renal failure. This study uses an observational analytic method using primary data with a total sample of 30 respondents. This research was conducted in May at the Asy-Syifa Regional Hospital in West Sumbawa. Statistic test uses Wilcoxon because it is found that the data is not normally distributed, that is <0.05. The results of this study indicate that there is an increase in hemoglobin levels, hematocrit values, and the number of erythrocytes after hemodialysis.


1984 ◽  
Vol 15 (1) ◽  
pp. 51-57
Author(s):  
Sandra Q. Miller ◽  
Charles L. Madison

The purpose of this article is to show how one urban school district dealt with a perceived need to improve its effectiveness in diagnosing and treating voice disorders. The local school district established semiannual voice clinics. Students aged 5-18 were referred, screened, and selected for the clinics if they appeared to have a chronic voice problem. The specific procedures used in setting up the voice clinics and the subsequent changes made over a 10-year period are presented.


2017 ◽  
Vol 3 (1) ◽  
pp. 76
Author(s):  
Siti Asiyah ◽  
Dwi Estuning Rahayu ◽  
Wiranti Dwi Novita Isnaeni

The needed of Iron Tablet in pregnancy was increase than mother who not pregnant.  That  cause of  high metabolism at the pregnancy for formed of  fetal organ and energy. One of effort for prevent anemia in mother pregnant with giving the Iron tablet and vitamin c. The reason of  this research in 4 June – 11 July 2014 is for compare the effect of  iron tablet suplementation with and without vitamin C toward Hemoglobin level in mother pregnant With Gestational Age Of 16-32 Weeks In Desa Keniten Kecamatan Mojo Kabupaten Kediri. This research method using comparative analytical.  Research design type of Quasy Eksperiment that have treatment group and control group. Treatment group will giving by Iron tablet and 100 mg vitamin C, and control group just giving by iron tablet during 21 days. Population in this research are all of mother pregnant with Gestational Age Of 16-32 Weeks with Sampling technique is  cluster random sampling is 29 mother pregnant. Comparison analysis of  iron tablet suplementation effect with and without vitamin C toward Hemoglobin level in mother pregnant With Gestational Age Of 16-32 Weeks, data analysis using Mann Whitney U-test and the calculated U value (44,5) less than U-table (51). So there was difference of iron tablet suplementation effect with and without vitamin C toward Hemoglobin level in mother pregnant With Gestational Age Of 16-32 Weeks Therefore, the addition of vitamin C on iron intake is needed to increase the uptake of iron tablets. When the amount of iron uptake increases, the reserves of iron in the body will also increase, so as to prevent anemia in pregnant women; Keywords : Iron Tablet (Fe), Vitamin C, Hemoglobin level, Mother Pregnant


2020 ◽  
pp. 41-45
Author(s):  
G. R. Kuchava ◽  
E. V. Eliseev ◽  
B. V. Silaev ◽  
D. A. Doroshenko ◽  
Yu. N. Fedulaev

The aim of the study was to assess the course and outcome of cerebral infarction, depending on the age factor and duration of stay in the neuroblock. Materials and methods: a dynamic observation of 494 patients, men and women, aged 38–84 years with acute ischemic stroke of hemispheric localization, which were divided into the three groups depending on age, was performed. Group 1 – younger than 60 years old, group 2–60–70 years old, group 3 – older than 60 years. All patients underwent standard therapy, according to the recommendations for the treatment of ischemic stroke. The patients underwent comprehensive clinical and instrumental monitoring, which included assessment of somatic and neurological status according to the NIH‑NINDS scales at 1st, 3rd, 10th days and at discharge or death; assessment of the level of social adaptation according to the Bartel scale on 1st, 3rd, 10th days and at discharge, clinical and biochemical blood tests, computed tomography of the brain. Assessment of the quality of therapy was carried out according to specially developed maps using methods of statistical correlation analysis. Results: the most pronounced positive dynamics of neurological status was in the 1st group of patients. The regression of neurological deficit in the 2nd group was worse. The minimal dynamics of neurological deficit was in the 3rd group of patients with cerebral stroke. Most often, the death of patients with cerebral stroke occurred from the development of multiple organ disorders. Conclusions: patients over 70 years of age have the greatest risk of death, due to: a decrease in the reactivity of the body, the presence of initially severe concomitant somatic pathology in patients with admission to hospital; accession of secondary somatic and purulent‑septic complications.


Author(s):  
Pavani C H

Hyperlipidemia is the immediate results of the excessive fat intake in food. This results in the elevated levels of cholesterol and triglycerides in the blood. This leads to heart conditions like CAD, hypertension, congestive heart failure as risk factors which can be lethal. There are many drugs to treat and control the lipids levels in the body. These drugs are either designed to prevent LDL accumulation and VLDL synthesis. Some drugs also lower the elevated levels of saturated lipids in the body. But many drugs are known to cause side effects and adverse effects; therefore, alternatives to the drugs are the subjects for current investigations. Herbs and medicinal plants are used as treatment sources for many years. They have been used in the Indian medical systems like Ayurveda, Siddha etc. As the application of herbs in the treatment is growing, there is an urgent need for the establishment of Pharmacological reasoning and standardization of the activity of the medicinal plants. Chloris paraguaiensis Steud. is Poyaceae member that is called locally as Uppugaddi. Traditionally it is used to treat Rheumatism, Diabetes, fever and diarrhoea. The chemical constituents are known to have anti-oxidant properties and most of the anti-oxidants have anti-hyperlipidemic activity too. Since the plant has abundant flavonoid and phenol content, the current research focusses on the investigation of the anti-hyperlipidemic activity of the plant Chloris extracts. Extracts of Chloris at 200mg/kg showed a comparably similar anti hyperlipidemia activity to that of the standard drug. The extracts showed a dose based increase in the activity at 100 and 200mg/kg body weight.


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