The efficacy of cinacalcet in the treatment of hyperparathyroidism in Turkish hemodialysis patient population

WOS: 000393291900012OBJECTIVE: Cinacalcet reduces parathyroid hormone levels by increasing the sensitivity of the parathyroid gland to calcium. in this study, we firstly aimed to evaluate the efficacy of cinacalcet in Turkish hemodialysis patients. MATERIAL and METHODS: 4483 hemodialysis patients were screened and 469 patients who had used cinacalcet were included in the study. the patients were divided into 4 groups according to drug usage durations (Group 1: 3 months, Group 2: 6 months, Group 3: 9 months and Group 4: 12 months). the patients' Parathormone, Ca, P and CaxP levels at the 3rd, 6th, 9th and 12th months were compared to the start of treatment and previous months. RESULTS: the levels of Parathormone, Ca, P and CaxP significantly decreased compared to their initial levels in all groups (from 1412 pg/ml to 1222 pg/mL for Parathormone, p< 0,001) in the 3rd month. However, this reduction was not continued in the subsequent months (Parathormone: 1381 pg/ml for the 12th month). CONCLUSION: Cinacalcet may not provide adequate benefit in control of hyperparathyroidism in Turkish hemodialysis patient population

Utilization of Waste Clay from Boron Production in Bituminous Geosynthetic Barrier (GBR-B) Production as Landfill Liner

Bituminous geomembranes, one type of geosynthetics, include a hot bituminous mixture with mineral filler and reinforcement. In this study, boron production waste clay (CW) was used as filler to produce a geosynthetic barrier with bentonite, waste tire, and bitumen. Bentonite and waste tires were used as auxiliary fillers and bitumen as the binder. CW/bitumen, CW/bentonite/bitumen, and CW/waste tire/bitumen mixtures were prepared by using a laboratory mixer at 100°C. Hot mixtures were extruded into strips by using a lab-scale corotating twin screw extruder (L/D: 40) followed by die casting (2 mm × 100 mm). Glass fleece or nonwoven polyester was used as reinforcement material and while die casting, both sides of the reinforcement materials were covered with bituminous mixture. Thickness, mass per unit area, tensile strength, elongation at yield, and hydraulic conductivity were used to characterize the geomembranes. Among all geomembranes, nonwoven polyester covered with 30% bitumen-70% boron waste clay mixture (PK-BTM30CW70) was found to be the most promising in terms of structure and mechanical behaviour. After that, consequences of its exposure to distilled water (DW), municipal solid waste landfill leachate (L-MSW), and hazardous waste landfill leachate (L-HW) were examined to use for an innovative impermeable liner on solid waste landfills