2,643 research outputs found

    Adverse Effects Associated With The Use Of South African Traditional Folk Remedies

    Get PDF
    A CAJM article on alternatives to western medical science.At least 80% of people in the South African black community use folk remedies obtained from traditional healers.1'2 The reasons for use of these remedies include community pressure, spiritual needs and lack of access to physicians. Because of the large numbers of people using them, most remedies are not likely to be harmful, but as with western medicine, folk remedies are associated with “iatrogenic” complications. Information about the potential toxicity of folk remedies is limited however, because of secrecy surrounding their use, so making the systematic study of the spectrum of clinical presentations and the nature of any toxic substances difficult. Studies from all over Africa are hampered by similar problems, but it is clear that the use of folk remedies is associated with significant morbidity and mortality across the continent

    When the Earth trembles in the americas: the experience of haiti and chile 2010.

    Get PDF
    The response of the nephrological community to the Haiti and Chile earthquakes which occurred in the first months of 2010 is described. In Haiti, renal support was organized by the Renal Disaster Relief Task Force (RDRTF) of the International Society of Nephrology (ISN) in close collaboration with Médecins Sans Frontières (MSF), and covered both patients with acute kidney injury (AKI) and patients with chronic kidney disease (CKD). The majority of AKI patients (19/27) suffered from crush syndrome and recovered their kidney function. The remaining 8 patients with AKI showed acute-to-chronic renal failure with very low recovery rates. The intervention of the RDRTF-ISN involved 25 volunteers of 9 nationalities, lasted exactly 2 months, and was characterized by major organizational difficulties and problems to create awareness among other rescue teams regarding the availability of dialysis possibilities. Part of the Haitian patients with AKI reached the Dominican Republic (DR) and received their therapy there. The nephrological community in the DR was able to cope with this extra patient load. In both Haiti and the DR, dialysis treatment was able to be prevented in at least 40 patients by screening and adequate fluid administration. Since laboratory facilities were destroyed in Port-au-Prince and were thus lacking during the first weeks of the intervention, the use from the very beginning on of a point-of-care device (i-STAT®) was very efficient for the detection of aberrant kidney function and electrolyte parameters. In Chile, nephrological problems were essentially related to difficulties delivering dialysis treatment to CKD patients, due to the damage to several units. This necessitated the reallocation of patients and the adaptation of their schedules. The problems could be handled by the local nephrologists. These observations illustrate that local and international preparedness might be life-saving if renal problems occur in earthquake circumstances
    corecore