scholarly journals Online Diagnose System for Risk of Kidney Failure

Author(s):  
Noraziah Mohd Noh ◽  
Zalmiyah Zakaria ◽  
Shahreen Kasim

Renal or kidney failure, only a few citizen alert in this renal failure problem. They have a lot of thing to done, and disregard on their healthy matter, especially on organ healthy that it cannot be see directly on our eyes. On that matter, online Diagnosis Renal Failure system is developed to help society to diagnose their healthy on renal failure view. System is developed online to give an advantage to society to achieve or access the system everywhere. System has two major module, diagnosis module and information module. Diagnosis module is the part where the user can make a diagnose. Information module has two sub modules, information on renal failure and information on dialysis center all around city in peninsular Malaysia. The system development is performed on expert system methodology with prototyping as the model. Production rules technique is used to represent knowledge and for searching process pattern matching technique has been use. The system expectantly can give a benefit to society and performing diagnosis in represent the knowledge of expert in medical field.

2016 ◽  
Vol 18 (3(70)) ◽  
pp. 17-21
Author(s):  
B.V. Borysevich ◽  
V. Sviridenko ◽  
V.V. Hunich

The objective of the study is to set the criteria of histological diagnosis of chronic renal insufficiency in cats. Lifetime diagnosis of chronic renal failure in a complex was set in complex, basing on anamnesis, clinical signs and laboratory results of blood and urine. For histological studies 29 cats corpses of different breeds and ages were used, who died from chronic kidney failure. Paraffin sections of 7 – 10 mm thickness from the different segments of kidney were stained with Carazzi's hematoxylin and eosin.It was established that during the histological studies in the kidney of cats who died from chronic kidney failure the microscopic changes diversity is characteristic. A characteristic feature of chronic kidney failure cats is complex of changes, which includes: 1) expand and overflow of blood capillaries of the glomeruli; 2) sludge–phenomenon in the capillaries of the glomerulus; 3) lack of blood in the capillaries of the glomerulus; 4) an increased amount of leachate in the cavity of Boumen–Shumlyanskiy capsule; 5) thickening (in some casescrescent–like) of parietal layer of Boumen–Shumlyanskiy capsule due to the hypertrophy and hyperplasia of its cells in the part of kidney cells; 6) glomerular sclerosis of the renal corpuscles and total necrosis of the renal corpuscles; 7) microcysts formation, mainly in the cortex. Other microscopic changes in different animals vary. 


2014 ◽  
Vol 2 (2) ◽  
pp. 313-315
Author(s):  
Alfred Ibrahimi ◽  
Saimir Kuci ◽  
Ervin Bejko ◽  
Stavri Llazo ◽  
Esmerilda Bulku ◽  
...  

Rhabdomyolysis and myoglobinuria are the main cause of the acute renal failure. Hyperkalemia is life threating complication of rhabdomyolisis due to massive cell destruction. We report a case of very severe hyperkalemia treated successfully with high volume hemodiafiltration (CVVHDF).


2020 ◽  
Vol 7 (2) ◽  
pp. 27-31
Author(s):  
Bambang Adi Purnomo ◽  
Yani Kamasturyani ◽  
Cecep Wahyudin

Chronic renal failure is a disease that results in a progressive and gradual decline in renal function that requires hemodialysis therapy. In Indonesia, there were 198,575 patients chronic kidney failure in 2018. The number of undergoing hemodialysis therapy is 132,142 patients. The hemodialysis routine causes tension, anxiety, stress and depression in patient. The purpose of this study was to determine the relationship between coping mechanisms and stress adaptation in chronic renal failure patients undergoing hemodialysis therapy ant Waled Hospital. The method of this research was descriptive correlational with a cross sectional approach. This research used purposive sampling technique amounted to 79 respondents. The instrument of this research was a questionnaire Jaloweic Coping Scale (JCS) and stress adaptation questionnaire. Data analysis used the spearman rank test. Place of research at Waled Hospital, Cirebon Regency during July 2020.  The result showed that most respondents had an adaptive category as many as 55 adaptation showed the results of most respondents had an adaptive category as many as 55 respondents with a percentage (69.6%). The spearman rank test showed p value <α and r<1, which means that there was a moderate an positive relationship between coping mechanisms and stress adaptation (p value=0,000 < α=0.05 and r=0.593). The is a relationship between coping mechanisms and stress adaptation in chronic renal failure patients undergoing hemodialysis therapy. The better coping mechanism is carries out, the adaptive stress that arises will be adaptive so that the patient can adjust and be able to cope with the stress he is experiencing.


2017 ◽  
Vol 03 (04) ◽  
pp. e181-e187
Author(s):  
Theodore Pappas

AbstractIn July of 1881, President James A. Garfield was shot in the back at the Sixth Street Train Station in Washington, D.C. Garfield died after an extended illness and Chester A. Arthur assumed the presidency on September 20, 1881. He served the remaining three and a half years but was ill for most of his term. Arthur died of the complications of Bright's disease less than two years after leaving office. In the 1880s, Bright's disease was the syndrome that described renal failure associated with proteinuria, but the etiology of Arthur's kidney failure has never been determined. Arthur is one of our least understood Presidents, owing to his brief tenure in office, his death shortly after leaving office, and the fact that he burned all his personal papers just prior to his death. This manuscript will explore the medical history of Chester A. Arthur, including his presumed diagnosis of malaria, his symptoms during his declining health, and will define the differential diagnosis of the causes of his renal failure that culminated in his death in November of 1886.


1990 ◽  
Vol 9 (5) ◽  
pp. 317-321 ◽  
Author(s):  
Egil Bodd ◽  
Dag Jacobsen ◽  
Ellen Lund ◽  
Åse Ripel ◽  
Jørg Mørland ◽  
...  

1 A 43-year-old male developed acute kidney failure due to ethylene glycol poisoning. He was treated with bicarbonate to combat metabolic acidosis, ethanol as an antimetabolite and haemodialysis to remove the glycol and its toxic metabolites. He was kept on a respirator and sedated with morphine. Peritoneal dialysis was given for 36 d. Following sedation with morphine for 11 d, the patient was given naloxone and then extubated. The antidote had to be continued for 14 d to prevent respiratory depression, until kidney function improved. 2 Only morphine-6-glucuronide (M-6-G) was found in the plasma and CSF at concentrations which might explain the opioid effects observed in the patient during the days after the cessation of morphine treatment. The ratio of the area under the concentration-time curve (AUC) of morphine-3-glucuronide (M-3-G) to M-6-G was 2:1. The elimination half-lives of M-3-G and M-6-G were 55 and 82 h, respectively. The clearance data indicate that most of the glucuronides were eliminated by peritoneal dialysis during renal failure. 3 The data suggest that M-6-G exerts opioid effects and is retained in acute kidney failure. Morphine should therefore not be used preferentially as a sedative/analgesic in pronounced kidney failure.


2020 ◽  
Vol 10 (2) ◽  
pp. 80-88
Author(s):  
Sara Sara Tania Aprianty ◽  
Hani Siti Hanifatun Fajria

Chronic Renal Failure (CRF) is a disease that has occurred after various diseases that damage the kidney nephrons period up to the point the two are not capable of functioning regulatory and ekstetoriknya to maintain homeostasis. Number of patients with kidney failure in Indonesia is estimated to reach 300.000 people. As many as 12.804 patients with renal failure undergoing hemodialysis. To determine correlation family support patient compliance with chronic renal failure undergo hemodialysis therapy in RS PMI Bogor. This type of research is descriptive quantitative analytical research with cross sectional design. How sampling in this study with purposive sampling with a sample of 152 respondents. The instrument used is questionnaire while data analysis techniques using univariate and bivariate analysis using statistical test Chi-Square. Of the 152 respondents with a family to support as many as 139 respondents (91.4%), adherent patients as many as 128 respondents (84.2%) and family support with adherent patients as many as 121 respondents (79.6%). Statistical test results using Chi-square test p value value 0,007 (p <0.05) and the value of OR 5.762. The conclusion of this research that, There is a correlation between family support patient compliance with chronic renal failure through hemodialysis therapy in PMI Hospital Bogor, 2016. The researchers recommend that increased family support by distributing leaflets to the patients and families about the importance of family support for compliance patients undergo hemodialysis therapy.


2019 ◽  
Vol 1 (2) ◽  
pp. 77-80
Author(s):  
Juliana Ruminta Sijabat ◽  
Sartini Sartini ◽  
Abdul Karim

This study aims to determine the presence or absence of protein in urine in patients with chronic renal failure. From the results of the study it was found that patients with chronic kidney failure in Martha Friska Multatuli General Hospital Medan from the 80 most patients in positive +++. Many patients with chronic kidney failure are male patients (62.5%) compared to female patients (37.5%) and the results of the examination based on age increase with age, ie at the age of 45 years and above. This type of research is descriptive analytic. Data is taken by recording medical record data of patients with chronic kidney failure based on age, sex and year. The study was conducted from January 2015 to December 2016. The place for conducting the research was conducted at Martha Friska Multatuli General Hospital (RSU) Medan. The study sample was urine samples from all patients with chronic renal failure. It can be concluded that the picture of protein in urine in patients with chronic kidney failure increases every year.


Kidney failure is a condition where the function of kidney gets disabled. In order to sustain in life, dialysis is predominantly adopted. The dialysis is a technical replacement of function of kidney and it is of two types. In considering the long term blood filtering process, the hemodialysis will be an efficient device in replacing the renal functioning but it was currently performed in the stationary mode. In order to fulfill the life supporting requirement, the “Miniaturized portable hemodialysis” device has been introduced which will be portable than the conventional ones. In order to enhance their features, the chambered dialysate technology and the specialized filtering mechanism has been fabricated to this project device. In the process of rectifying the technical errors, sensor indications are implemented for safety measures. In focusing towards the portable mechanism, the battery backup has been applied in this device which can perform patient dialysis in transferable mode.


Author(s):  
Maxime Roméo Kouadio ◽  
Lydie Boyvin ◽  
Gnogbo Alexis Bahi ◽  
Valère Ultrich Tchokothe Tchako ◽  
Gervais Melaine M’Boh ◽  
...  

Introduction: Anemia is one of the most common complications of kidney failure. The kidney is responsible for the production of erythropoietin, a key hormone in erythropoiesis. Insufficient production of erythropoietin due to impaired kidney functions and also inflammation could explain this anemia. This study aimed at contributing to a better understanding of the mechanisms of erythropoietin in anemia observed in kidney failure. Methods: The study population consisted of 138 people: 92 with chronic renal failure (46 not on dialysis, 46 on hemodialysis) and 46 voluntaries as control without kidney failure. Serum concentrations of urea, creatinine, C-reactive protein (CRP), serum iron, ferritin and transferrin were determined using the Cobas C311 Hitachi machine. The erythropoietin assay was performed on the ELISA chain. Results: Lower mean values ​​of EPO, increased CRP and decreased iron were observed in CKF patients (EPO: 5.66 ± 0.97 mIU / L; CRP: 45 ± 7.46 mg / l ; Iron: 12.46 ± 0.85 µmol / l), and patients under dialysis (EPO: 9 ± 0.51 mIU / L; CRP: 9 ± 2.66 mg / l; Iron: 10.07 ± 0.54 µmol / l) compared to controls (EPO: 18 ± 1.29 mIU / L; CRP: 2 ± 0.30 mg / l; Iron: 15.85 ± 0.56 µmol / l). Conclusion: Anemia in chronic renal failure is thought to be due to an erythropoietin deficiency but also to an exacerbation of inflammation with a disruption of the iron status.


2021 ◽  
Vol 2 (2) ◽  
pp. 104-108
Author(s):  
Siti Kustiyah

Of chronic kidney failure is a state of decreased kidney function, where the kidneys are no longer able to excrete the rest of the body's metabolism. In end-stage chronic kidney failure hemodialysis is needed to eliminate the rest of the body's metabolism that accumulates in the blood and reduce the risk of death. The effectiveness of hemodialysis can be seen from the decrease in urea levels after hemodialysis. The purpose of this study was to determine the description of urea levels before and after hemodialysis in kidney failure patients. This research method uses descriptive observational data collection with URR (Urea Reduction Ratio) involving 130 patients with kidney failure who undergo hemodialysis. This research was conducted in July and October 2019 in the laboratory unit of the Klaten Islamic Hospital. The results There was a decrease in urea levels before and after hemodialysis. Where ureum levels before hemodialysis averaged 133.19 mg / dl and after hemodialysi s averaged 39.74 mg / dl . Conclusions  Urea levels in patients with renal failure before hemodialysis increase / height can be 2 times or more than normal levels, an average of 133.19 mg / dl. Increased urea level increases influenced by several factors, including sex, age, indications such as supplements, medications and diabetes mellitus. Urea levels after hemodialysis  average  39.74 mg / dl resulting in a decrease in urea levels before and after hemodialysis 70,16%.


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