Association Between Glomerular Filtration Rate And Body Mass Index Among Orthopaedic Patients In Kano-Nigeria

Any association between body mass index and kidney disease has so far proved inconclusive. Therefore, this study is aimed to provide association between glomerular filtration rate and body mass index among orthopaedic patients. A total of sixty (60) patients irrespective of gender were recruited. Weight and height were measured prior to the sample collection. A structured questionnaire was administered to obtain the demographic data of the subjects. Blood samples were collected from each patient by venepuncture from the antecubital vein of the forearm using disposable syringes. Serum creatinine was determined by method of Rosano et al. Body Mass Index and Glomerular Filtration Rate (eGFR) were calculated using creatinine-based equation of Modification of Diet in Renal Disease. Mean BMI was found to be higher in females (25.48±5.65) than their male counterparts (21.44±4.52), while eGFR was found to be higher in males (184.14±53.23) than in females (152.06±32.71). Subjects with eGFR ≥60 were observed to be more frequent (98.30%); normal weight individuals had higher frequency (48.33%). Positive correlation exists between BMI and eGFR in males whereas negative correlation was found in females which indicates association between body mass index and kidney function is gender related

Diagnosing metabolic acidosis in chronic kidney disease: importance of blood pH and serum anion gap

Metabolic acidosis is one of the most common complications of chronic kidney disease (CKD). It is associated with the progression of CKD, and many other functional impairments. Until recently, only serum bicarbonate levels have been used to evaluate acid-base changes in patients with reduced kidney function. However, recent emerging evidence suggests that nephrologists should reevaluate the clinical approach for diagnosing metabolic acidosis in patients with CKD based on two perspectives; pH and anion gap. Biochemistry and physiology textbooks clearly indicate that blood pH is the most important acid-base parameter for cellular function. Therefore, it is important to determine if the prognostic impact of hypobicarbonatemia varies according to pH level. A recent cohort study of CKD patients showed that venous pH modified the association between a low bicarbonate level and the progression of CKD. Furthermore, acidosis with a high anion gap has recently been recognized as an important prognostic factor, because veverimer, a nonabsorbable hydrochloride-binding polymer, has been shown to improve kidney function and decrease the anion gap. Acidosis with high anion gap frequently develops in later stages of CKD. Therefore, the anion gap is a time-varying factor and renal function (estimated glomerular filtration rate) is a time-dependent confounder for the anion gap and renal outcomes. Recent analyses using marginal structural models showed that acidosis with a high anion gap was associated with a high risk of CKD. Based on these observations, reconsideration of the clinical approach to diagnosing and treating metabolic acidosis in CKD may be warranted

Association between urinary uric acid excretion and kidney outcome in patients with CKD

Abstract Inhibiting tubular urate reabsorption may protect the kidney from urate-induced tubular injury. However, this approach may promote intratubular uric acid crystallization, especially in acidified urine, which could be toxic to the kidney. To assess how tubular urate handling affects kidney outcomes, we conducted a retrospective cohort study including 1042 patients with estimated glomerular filtration rates (eGFR) of 15–60 mL/min/1.73 m2. The exposures were fractional excretion of uric acid (FEUA) and urinary uric acid-to-creatinine ratio (UUCR). The kidney outcome was defined as a halving of eGFR from baseline or initiating kidney replacement therapy. The median FEUA and UUCR were 7.2% and 0.33 g/gCre, respectively. During a median follow-up of 1.9 years, 314 kidney outcomes occurred. In a multivariate Cox model, the lowest FEUA quartile exhibited a 1.68-fold higher rate of kidney outcome than the highest FEUA quartile (95% confidence interval, 1.13–2.50; P = 0.01). Similarly, lower UUCR was associated with a higher rate of kidney outcome. Notably, patients in the highest quartile of FEUA and UUCR were at the lowest risk of kidney outcome even among those with aciduria. In conclusion, lower FEUA and UUCR were associated with a higher risk of kidney failure, suggesting that increased urate reabsorption is harmful to the kidney

Enhanced Negative Thermal Expansion Induced by Simultaneous Charge Transfer and Polar-Nonpolar Transitions

BiNi_1-x_Fe_x_O_3_の結晶構造、電荷分布、負熱膨張特性の研究を実施した。低温では極性を持ち、Bi3+_0.5(1+x)_Bi5+_0.5(1-x)_Ni2+_1-x_Fe3+_x_O_3_の電荷分布とBi3+/Bi5+の短距離秩序を示す。昇温過程における電荷移動による体積減少量は、Bi5+-Ni2+間の電荷移動に影響するFe3+への置換量xが増加すると減少する。しかし0.25<x<0.5の領域では極性-非極性転移によって負熱膨張が引き起こされ、この電荷移動と同時に起こる極性-非極性転移は負熱膨張とxに依存しない約2%の体積減少に寄与している。本研究によって世界で初めて同時に起こる2つメカニズムによる不熱膨張が観測された

Uniformity of rotavirus strain nomenclature proposed by the Rotavirus Classification Working Group (RCWG)

In April 2008, a nucleotide sequence-based, complete genome classification system was developed for group A rotaviruses (RVs). This system assigns a specific genotype to each of the 11 genome segments of a particular RV strain according to established nucleotide percent cut-off values. Using this approach, the genome of individual RV strains are given the complete descriptor of Gx-P[x]-Ix-Rx-Cx-Mx-Ax-Nx-Tx-Ex-Hx. A Rotavirus Classification Working Group (RCWG) was formed by scientists in the field to maintain, evaluate, and develop the RV genotype classification system, in particular to aid in the designation of new genotypes. Since its conception, the group has ratified 50 new genotypes: as of January 2011, new genotypes for VP7 (G20–G26), VP4 (P[28]–P[35]), VP6 (I12–I16), VP1 (R5–R9), VP2 (C6–C9), VP3 (M7–M8), NSP1 (A15–A16), NSP2 (N6–N9), NSP3 (T8–T12), NSP4 (E12–E14), and NSP5/6 (H7–H11) have been defined for RV strains identified in humans, cows, pigs, horses, mice, South American camelids (guanaco and vicuña), chickens, turkeys, pheasants, and bats. With increasing numbers of complete RV genome sequences becoming available, a standardized RV strain nomenclature system is needed and the RCWG proposes that individual RV strains are named as follows: RV group/species of origin/country of identification/common name/year of identification/G- and P-type. In collaboration with the National Center for Biotechnology Information (NCBI), the RCWG is also working on developing a RV-specific resource for the deposition of nucleotide sequences. This resource will provide useful information regarding RV strains, including but not limited to, the individual gene genotypes, epidemiological, and clinical information. Together, the proposed nomenclature system and the NCBI RV resource will offer highly useful tools for investigators to search for, retrieve, and analyze the ever-growing volume of RV genomic data