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New surgical procedure cuts high BP better than drugs - PakTribune.com
03 May, 2012

ISLAMABAD: A simple surgical procedure can help those with resistant hypertension to control their high blood pressure.

Recently introduced in Malaysia, Renal nerve ablation or denervation involves destroying certain nerves around the kidney that can help regulate the body`s blood pressure.

This is done by activating radio frequency waves passed through a wire inserted into the renal (kidney) arteries via a small cut in the groin, according to interventional cardiologist Dr Yap Yee Guan.

A 2010 multi-centre clinical trial showed that the destruction of the nerves decreased the blood pressure of patients by an average 32/12mmHg.

Usually taking a new hypertension drug would not cause a decrease of more than 10mmHg, said Dr Yap.

About 84 percent of patients who underwent the ablation had over 10mmHg decrease in their blood pressure, compared with 34 percent of the control group, which continued normal drug treatment.

Follow-ups showed that the decrease in blood pressure was still maintained two years after the procedure with one in five able to decrease their hypertension medications after the procedure.

"It is very safe," Star Online quoted Dr Yap as saying.

The procedure is currently available at the National Heart Institute and Prince Court Medical Centre, Kuala Lumpur.

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Dialysis centre to bring relief to western patients - The Jet Newspaper

 

The Ministry of Health is steadfast in its commitment to reducing the incidence of diabetes and other non-communicable diseases in the country.

Minister for Health, Dr Neil Sharma made these comments at the official opening of the Western Dialysis Centre located at the Zen Min Low Medical Centre in Nadi.

Dr Sharma said the Western Dialysis Centre would bring relief to those suffering from kidney failures in the West because they would not have to travel to Suva anymore for dialysis.
He said the percentage of Fiji's population suffering from kidney diseases as a result of Diabetes was worrying.

"We note a substantial incidence of Diabetes in our midst. 16 pe rcent of the population now has diabetes, over all divides of ethnicity and culture. The end stage of diabetes mellitus includes eye, heart, kidney and limb damage," Dr Sharma said.

The Health Ministry is also working on having a facility for kidney transplantation in Fiji which would bring more relief to patients of renal disease.

"Short term dialysis prior to renal transplants is one option for our Fiji citizens. Shortly, we will have facility for renal transplantation in Fiji through joint ventureship being formalised. Long term renal dialysis is the other option when renal transplant is not an option.

"Government of Fiji through Ministry of Health is propecting the option of generic Erythropoietin (A hormone produced by the kidney that promotes the formation of red blood cells in the bone marrow) and post renal transplant medicine for patients following kidney transplants," Dr Sharma added.

The $400,000 Western Dialysis Centre has been set up by the Smith family of Musket Cove and Doctor Zen Low of Zen's Medical Centre as well as ANZ Bank, which provided financial support to buy equipment.

Dr Sharma added that former citizens abroad and tourists would also benefit hugely from the facility when they came to Fiji for a holiday.

"A lot of our former citizens abroad especially from the West will be comforted to know of this set up. They will probably consider a vacation to Fiji along with others who may wish to travel to our beautiful islands. They would have a holiday and at the same time, a facility in the West for dialysis," he said.

Dr Sharma highlighted that the Western Dialysis Centre is in operation with the hope of providing life support to the people of Fiji.

The centre is also trying to set up a charity trust fund to help those patients that cannot afford dialysis or have to do lesser dialysis than required of them.

A dialysis charge per session is $250 with injection cost amounting to $80.

Thirteen patients are on dialysis at the Western Dialysis Centre.

Minister for Health  Dr Neil Sharma takes a tour of the new dialysis centre in Nadi. Photo: SHALENDRA PRASAD.

For more pictures log onto www.facebook.com/thejetnewspaper

 

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IGNOU organises free health camp for employees - India Education Diary
India Education Diary
An expert panel of four specialists in Gastroenterology, Nephrology, Urology, and Rheumatology participated in the camp. The panel of doctors visiting the campus included Dr.Vidyanand Tripathi, Nephrology, Dr.Amit Devra, Urology, Dr.Amit Gupta,

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FRESENIUS MEDICAL CARE AG CO. KGAA : Fresenius Medical Care Reports ... - 4-traders
4-traders
Dialysis services revenue grew by 11% to $2478 million (+12% at constant currency) and dialysis product revenue increased by 3% to $771 million (+5% at constant currency). North America revenue for the first quarter of 2012 increased by 9% to $2105

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Renal allograft survival is shown to be achievable through use of LRRT grafts - Irish Medical Times

By Lloyd Mudiwa.

Results of one of the first studies to highlight the factors associated with improved ultra long-term kidney transplantation confirmed renal allograft survival can be achieved in a significant number of patients, particularly through the use of living related renal transplant (LRRT) grafts.

Researchers from the RCSI School of Medicine, Beaumont Hospital and Merlin Park University Hospital examined 20-year survivors of kidney transplantation, with the aim being to identify clinical factors associated with this ultra long-term survival and the co-morbidities in this patient group.

LRRT grafts were found to have a significantly better outcome than deceased donor (DDRT) grafts, with a 20-year graft survival of 51.5 per cent and 18.02 per cent, respectively. Common co-morbidities identified after 20 years of immunosuppression included skin cancer (31.4 per cent), ischaemic heart disease (16.94 per cent) and other malignancies (12 per cent).

The researchers said transplantation was the best option for long-term health in end-stage kidney disease, although they found little literature chronicling ultra long-term outcome (greater than 20 years) of kidney transplant recipients.

They retrospectively analysed the Irish National Renal Transplant Database, identifying 255 patients with a functioning graft of more than 20 years, or transplanted between January 1, 1970, and August 1, 1991.

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