Blood Urea Levels Research Articles

Electroacupuncture preconditioning alleviates podocyte injury via PTEN/PI3K pathway in type 2 diabetes rats

To observe the effect of electroacupuncture (EA) preconditioning on podocytes and phosphatase and tension homologous protein (PTEN)/phosphoinositide-3-kinase (PI3K) signaling pathway in rats with type 2 diabetic kidney injury, so as to explore its potential mechanisms. Fifty male Wistar rats were randomly divided into control, model, EA, inhibitor, and sham EA groups, with 10 rats in each group. Diabetes model was established by high-fat and high-sugar diet and intraperitoneal injection of streptozotocin (40 mg/kg). For rats in the EA group, EA (2 Hz, 1 mA) preconditioning was applied to "Guanyuan" (CV4), "Zhongwan" (CV12), and bilateral "Zusanli" (ST36), "Fenglong" (ST40) for 15 min, once every other day for 8 weeks. And rats in the sham EA group were given acupuncture at the subcutaneous areas of the same acupoints without EA stimulation. Rats of the inhibitor group were given intraperitoneal injection of BPV (HOpic, 0.6 mg/kg, 0.5 mg/mL) combined with the same EA stimulation as EA group once a week for 8 weeks. The blood glucose level of rats was recorded. Urinary albumin (ALB) content in rats was detected by ELISA. The contents of serum urea (Urea), creatinine (Crea), total cholesterol (TC) and triglyceride (TG) were detected by automatic biochemical analyzer. HE staining, PAS staining and Masson staining were used to observe the pathological changes of renal tissues. The ultrastructural changes of podocytes were observed by transmission electron microscopy. The relative expression levels of Synaptopodin, microtubule-associated protein light chain 3 Ⅱ(LC3-Ⅱ), PTEN and PI3K proteins in kidney were detected by Western blot. Compared with the control group, the blood glucose, content of serum ALB, Urea, Crea, TC, TG and renal PI3K protein expression in the model group were significantly increased (P<0.01), while the expression levels of renal Synaptopodin, LC3-Ⅱ and PTEN proteins were decreased (P<0.01). Compared with the model group, the blood glucose, content of serum ALB, Urea, Crea, TC, TG and renal PI3K protein expression in the EA group decreased (P<0.01, P<0.05), while the expression levels of renal Synaptopodin, LC3-Ⅱ and PTEN proteins increased (P<0.01). In comparison with the EA group, the blood glucose, ALB, Urea, Crea, TC, TG content and PI3K protein expression level were increased (P<0.05, P<0.01), while the expression levels of Synaptopodin, LC3-Ⅱ and PTEN proteins were decreased (P<0.01) in the inhibitor group；whereas, the blood glucose, ALB, Urea, TC, TG content and PI3K protein expression level were increased (P<0.05, P<0.01), while the expression levels of Synaptopodin, LC3-Ⅱ and PTEN proteins were decreased (P<0.01) in the sham EA group. HE staining and PAS staining showed glomerular hypertrophy and glomerular glycogen deposition；and Masson staining displayed an enhancement of glomerular fibrosis；and electron microscope revealed foot process fusion, basement membrane thickening and autophagosomes reduction in the rat' s kidney of the model, inhibitor and sham EA groups, which were relatively milder in the EA group. EA promotes the expression of PTEN gene-encoded protein in the kidneys of type 2 diabetic rats, thereby inhibiting the activation of PI3K, increasing the autophagy level and protecting the podocytes.

Toward Precision in Nutrition Therapy.

Precision in critical care nutrition is paramount, as it focuses nutrition interventions on those patients most likely to benefit, or those who might potentially be harmed. Critical care nutrition must therefore be tailored to individual metabolic needs as determined by factors that control the capacity for tissue homeostasis and anabolic responses. This ideally involves the accurate and timely assessment of macronutrient and micronutrient requirements, a careful evaluation of metabolic response mechanisms and the identification of circumstances that might interfere with the productive utilization of dietary substrates. Specific surrogate markers of metabolic response, such as blood glucose levels, urea levels, or nitrogen balance, might be used to evaluate the metabolic readiness for nutrition and to establish the timing, nature, and clinical effectiveness of nutrition interventions. Despite the pressing need to further develop more targeted approaches in critically ill patients, indices of immediate metabolic responses that correlate with favorable clinical outcomes are lacking. In addition, the development of precision approaches might address timely adjustments in protein, energy, or micronutrient supplementation based on evolving clinical conditions. Here, we review why precision tools are needed in critical care nutrition, our progress thus far, as well as promising approaches and technologies by which multidisciplinary healthcare teams can improve quality of care and clinical outcomes by individualizing nutrition interventions.

Urine Periostin Level and Renal Function in Malignancy Patients Treated with High-Dose Cisplatine

Cisplatin has been used extensively as a cancer treatment. Nephrotoxicity, which is assessed by blood urea levels, blood creatinine, and estimated glomerular filtration rate (eGFR), is caused by cisplatin metabolites that build up in the kidneys. Because of these indicators' numerous flaws, optimal biological markers are required. One of the key mediators of inflammatory processes, such as kidney fibrosis and inflammation, is periostin. In cancer patients undergoing high-dose cisplatin therapy, the purpose of this study is to ascertain how urine periostin changes and how it relates to kidney function. This cross-sectional study was carried out at the National Center General Hospital of Cipto Mangunkusumo's medical hematology-oncology outer clinic and medical hematology-oncology ward on the eighth floor starting in November 2019 and ending when the minimum sample was obtained through consecutive sampling. Data was analyzed by IBM SPSS Statistics for Windows version 23.0 based on the research objective. Of the 37 responders, 70.3% were men, 29.7% were between the ages of 41 and 50, 78.4% were married, 59.5% had completed high school, 37.8% were employed, 59.5% had NPC, and 64.9% had a Karnofsky score of 80. Between before and one week following chemotherapy II, the respondents' blood creatinine and urea levels rose. The eGFR value has also decreased. Periostin levels, on the other hand, tended to rise one week following treatment III after declining during chemotherapy I and II (p value&gt;0.05). Urine periostin levels and other kidney function indicators did not significantly correlate (p&gt;0.05), according to the correlation test, and several domains had negative directions. The correlation coefficient values were modest (r = 0.017-0.254). There is a changing of urine periostin level of malignant patients receiving high dose cisplatin therapy which increase after the third chemotherapy. No significant correlation was found between periostin levels and kidney function in malignant patients with high-dose cisplatin therapy.

Effect of Sub- Chronic Administration of Omeprazole on Hematological and Biochemical Parameters in Fischer Male Rats

Long-term use of proton pump inhibitors (PPIs) is believed to have various potential adverse events. Omeprazole is a part of PPIs most commonly prescribed worldwide; it irreversibly binds to the H+-K+ ATPase enzyme system in the gastric parietal cells to reduce the secretion of H+ ions into the lumen of the stomach. The main objective of the current work is to assess the adverse effects of omeprazole medication on certain hematological and biochemical parameters in rats who were on treatment for three months. We conducted a comparative cross-sectional study between March 2024 and July 2024. 20 male Fischer rats (Albino) aged two months, weighting (200-250g) was obtained from the animal house located in the Libyan center for medical research, in the city of Alzawia, and were enrolled in this study. Rats were divided into two groups, the first group was the control (Normal saline group) (n=10), second was administered 40mg/kg omeprazole via IP route (n=10) once daily. Complete blood count and biochemical parameters were measured for both groups. The treatment group had remarkably significant reductions in the number of red blood cells (RBCs) (p&lt;0.001) and the platelets indices. Omeprazole elevated the cholesterol level (p&lt;0.001) and triglyceride (p&lt;0.001) as well as low-density lipoprotein (p&lt;0.01). However, no impact was found with high density lipoprotein (HDL) (p&gt;0.05). Blood urea levels (p&lt;0.001) were significantly increased in the treatment group treated with omeprazole medication. The results also showed that the treatment group had a significant decline in calcium levels (p&lt;0.001) than that of the control group. Prolonged use of omeprazole might result in adverse effects on hematological profile, particularly RBCs and their indices leading to the development of anemia in patients on this medication. Furthermore, it might result in disturbances in biochemical profile, levels of minerals, and vitamins as consequences of affected absorption.

Acute Kidney Injury in Children Admitted with Diabetic Ketoacidosis

Background and Aims: Diabetic ketoacidosis (DKA) poses a risk for acute kidney injury (AKI) in children, with incidence varying across different regions and populations. The aim of the study is to assess the proportion and predictors of AKI in children with DKA and to assess the impact of AKI on the duration of hospital stay and recovery from metabolic acidosis. Methods: Medical records of children under 14 years admitted with DKA between 2021 and 2023 were analysed retrospectively. Data on clinical characteristics and outcomes were collected and analysed using descriptive and inferential statistics. Results: Out of 31 patients, 7 (22.6%) developed AKI. Statistically significant differences were found between the AKI and non-AKI groups in terms of age, body mass index, corrected sodium and blood urea levels. Children with AKI had a longer median duration of hospital stay (10 vs. 6 days, P = .002) and a longer time to recover from metabolic acidosis (96 vs. 39 hours, P = .001) compared with those without AKI. Conclusion: A significant proportion of children with DKA are affected with AKI, leading to prolonged hospitalisation and delayed recovery from metabolic acidosis. Identifying predictors of AKI can help in the early recognition and management of this complication, improving patient outcomes.

Oleuropein Protects against the Development of Kidneys Induced by Paracetamol in Albino Male Rats.

Paracetamol treatment is considered one of the treatments used to relieve pain and antipyretic. Therefore, excessive doses and long-term use lead to organ toxicity. Paracetamol treatment is considered one of the treatments used to relieve pain and antipyretic. Therefore, excessive doses and long-term use lead to organ toxicity. The aim of the study was to investigate the protective effect of Oleuropein extracted from olive leaves on the physiological and histological aspects induced by Paracetamol in a rat model. The methods used 25 albino Swiss rats randomly distributed into five groups with the same number. The unit of control is given normal saline. Paracetamol (750 mg/kg) was injected into the group once. In the treatment groups (50 mg/kg, 100 mg/kg, 150 mg/kg). The Administration of Paracetamol's result significantly increased blood urea, creatinine, sodium, and potassium levels, and their blood concentrations decreased with Oleuropein (P 0.05). In addition, Oleuropein extracted from olive leaves relieved some symptoms, including acute vascular congestion caused by a dose of Paracetamol. Compared with paracetamol treatment, there is an infiltration of inflammatory cells and severe nephrotoxicity in the tubules. According to this study, the Oleuropein extracted from olive leaves can be used to prevent kidney damage, and It is not recommended to give Paracetamol, which increases kidney disorders.

Continuous flow microfluidic system with magnetic nanoparticles for the spectrophotometric quantification of urea in urine and plasma samples.

Urea, synthesized exclusively in the liver, is primarily transported through the bloodstream to the kidneys, where it is excreted in urine, accounting for 80-90% of nitrogen excretion in humans. Elevated blood urea levels, indicative of kidney dysfunction, make it a crucial biomarker for assessing renal function. Previous studies on urea detection using microdevices have largely focused on conductometric methods. In this study, we demonstrated the application of a continuous flow miniaturized system for rapid spectrophotometric urea quantification using polydimethylsiloxane (PDMS) microdevices. The microdevice featured two distinct zones: an enzymatic reaction zone, where urease-conjugated magnetic nanoparticles were immobilized, and a detection zone, where reagents were incorporated to produce a colored reaction product via a modified Berthelot reaction. Integrating magnetic nanoparticles as a solid support for the enzyme enabled the reuse of PDMS microdevices without compromising the analytical signal. Spectrophotometric detection was performed in an additional microdevice acting as a microflow cell coupled with optical fibers. A calibration curve was constructed using urea standards diluted in phosphate buffer solution (PBS), yielding a linear range of 0.12-3.00 mg dL-1. The method demonstrated detection and quantification limits of 0.04 mg dL-1 and 0.12 mg dL-1, respectively. Precision and accuracy assessments yielded a repeatability of 0.90% and intermediate precision of 4.52%, with recovery rates near 100%. The method was applied to plasma and urine samples, showing urea concentrations within normal physiological ranges and an analysis throughput of 36 measurements per hour.

An investigation into the contributing factors to survival of ARDS patients supported by veno-venous ECMO.

This study aimed to identify characteristics associated with survival during and post Extra Corporeal Membrane Oxygenation (ECMO) therapy, in patients with acute respiratory distress syndrome (ARDS) during the COVID-19 pandemic. A retrospective observational study on 94 consecutive patients with confirmed COVID-19 induced ARDS supported by ECMO was carried out 49/94 (52.7%) patients survived to hospital discharge. Non-survivors were found to have significantly (p < .05) higher: Pre-ECMO International normalized ratios (INR), carbon dioxide partial pressure (pCO2), Acute Kidney Injury (AKI) scores and blood urea levels. Also, lower pre-ECMO peak inspiratory pressures (PIP), mean arterial pressure, saturation of arterial oxygen (SaO2), blood bicarbonate levels (HCO3), blood Ph and fewer trials off ECMO with shorter combined trial off times. Patients that did not survive were more likely to have renal impairment and have received peri-ECMO haemofiltration. Poor prognosis was significantly associated with: receiving pre-ECMO nitric oxide (HR = 3.047, CI = 1.247-7.447, p = .015), renal impairment (HR = 3.023, CI = 1.586-5.763, p < .001), AKI of 2 (HR = 3.611, CI = 1.382-9.441, p = .009) or 3 (HR = 3.275, CI = 1.235-8.685, p = .017), peri-ECMO haemofiltration (HR = 2.412, CI = 1.310-4.442, p = .005) and the ABO blood group B (HR = 3.103, CI = 1.335-7.212, p = .008). pre-ECMO high CO2 (HR = 1.134, CI = 1.031-1.248, p = .010), blood lactate (HR = 1.350, CI = 1.156-1.576, p < .001), INR (HR = 2.571, CI = 1.438-4.598, p=<0.001) and lower blood Ph (HR = 0.023, CI = 0.002-0.210, p < .001). Commonly used mortality scores may not be of use in a COVID-19 cohort of ECMO patients. The initiation of ECMO needs to be implemented prior to metabolic derangements, renal and fulminant respiratory failure.

Protective effects of astaxanthin solid lipid nanoparticle as a promising candidate against acute kidney injury in rats.

Acute kidney injury (AKI) is a sudden onset of renal injury that occurs within a few hours or days. Ischemia-reperfusion (IR) is a major cause of AKI. There are multiple dysregulated mechanisms behind the pathogenesis of AKI and IR which urges the need for finding multi-targeting therapies. Natural products are multi-targeting agents with promising sources of anti-inflammation, antioxidant, and antiapoptosis. Among them, astaxanthin (AST) is a keto-carotenoid with a high antioxidant potential. Using solid lipid nanoparticles (SLNs) as a novel formulation of AST helps to increase its efficacy and reduce side effects against AKI. After SLN preparation and loading of AST, the physicochemical properties were evaluated, using scanning electron microscopy (SEM) and dynamic light scattering (DLS) tests. For the in vivo study, 28 rats were divided into four groups, including sham, ischemia/reperfusion (I/R), and groups receiving protective and daily doses of AST-SLN (5 and 10 mg/kg, i.p.) during all 5 days before ischemia. Exactly 24 h after ischemia, kidneys were isolated for histological studies, and also, serum levels of catalase (CAT), glutathione (GSH), nitrite, blood urea, and creatinine were measured. The results indicated that intraperitoneal administration of SLN-AST reduced oxidative stress by decreasing serum nitrite levels, while increasing CAT and GSH. SLN-AST also improved renal function by decreasing serum urea and creatinine and preventing tissue damage. Therefore, SLN-AST could be a hopeful adjuvant candidate to prevent AKI by modulating renal function, preventing tissue damage, and through antioxidant mechanisms.

Patients' Characteristics Associated With Size of Ruptured and Unruptured Intracranial Aneurysms.

The size of unruptured intracranial aneurysms (UIA) remains the most crucial risk factor for treatment decisions. On the other side, there is a non-negligible portion of small ruptured IA and large stable UIA. This study aimed to identify the patients' characteristics related to IA size in the context of IA rupture status. A total of 2152 patients, with 1002 being hospitalized for an acute aneurysmal subarachnoid hemorrhage (SAH), were included from our institutional IA database. Different demographic and clinical characteristics of patients and IA were collected. IA size was the study endpoint, assessed as continuous variable in univariate and multivariable linear regression analysis, separately for ruptured (R) IA and UIA. The mean IA size was 8.3 and 7.3mm in the UIA and RIA subpopulations, respectively. Higher age (p=0.003) and baseline blood urea level (p<0.001) were independently associated with increasing UIA size. In contrast, location at the posterior circulation (p<0.001), familiar intracranial aneurysms (p<0.001), serum potassium (p=0.006), and total serum protein (p=0.019) were related to smaller UIA size in the multivariate analysis. For RIA, a statistically significant and independent association was detected for location (p=0.019), history of gastrointestinal diseases (p=0.042), and levothyroxine intake (p=0.002). Identification of clinical characteristics related to the size of ruptured and unruptured IA allows a more differentiated view on the genesis of RIA and UIA and the value of sack size as a basis for therapeutic decision-making. More research is needed to verify the identified risk factors.

Growth, Feed Efficiency, and Health Status of Tilapia sp. Fed with New Technology Promoter Binder Fortified Diet

Developing a sustainable feed with minimal or no fishmeal in tilapia production is a challenge to this industry. New Technology Promoter Binder (NTPB), a guanidinoacetic acid, is a nutritional supplement to enhance the energy metabolism of the muscle and brain tissue of vertebrates. This study aimed to evaluate several plant-based diet formulations with zero and minimal use of fishmeal enriched with NTPB on the growth, feed efficiency, and health status of Tilapia sp. The experimental diets in this study were conducted based on four formulations (minimum fishmeal/FM and zero fishmeal/NFM-based diets) with 0, 0.6, and 1.2 mg·kg−1 feed of NTPB supplementation. The research indicated that the various diets given to tilapia affected the growth performance of fish in terms of growth parameters and feed efficiency. Tilapias fed with NTPB grew better than those without NPTB in both FM- and NFM-based diets. The addition of NTPB was safe for tilapia as demonstrated in the blood glucose, urea, and creatinine levels, which were normal for healthy fish. The viscerosomatic and hepatosomatic indexes of tilapia fed with the experimental diets showed no distinct differences. Adding NTPB to tilapia diets increased the hardness and amino acid contents of the tilapia’s muscle, which would benefit consumers.

Optical Detection of Urea Level in Blood Using Novel SPR Sensor Employing Silicon and Tungsten Diselenide Nanomaterial for the Early Diagnosis of Heart and Kidney Diseases

Optical Detection of Urea Level in Blood Using Novel SPR Sensor Employing Silicon and Tungsten Diselenide Nanomaterial for the Early Diagnosis of Heart and Kidney Diseases

Variation in blood glucose, cholesterol, urea and calcium levels according to the physiological stage in Ouled-Djellal ewes in Algerian arid zone. Technical note

Sheep farming in arid and semi-arid regions of Algeria is confronted with large fluctuations in the availability of fodder, which is all the more restrictive for pregnant ewes whose needs are at a maximum and constitute a major obstacle to the development of this sector. This study aims to evaluate the influence of the physiological stage on the energy, nitrogen and mineral status of Ouled-Djellal ewes living in arid zones (Biskra), by determining the plasma levels of glucose, cholesterol, urea and calcium. Blood samples were taken from 40 ewes divided into two groups according to their physiological stage (pregnant and empty). The obtained results showed that the physiological stage had a significant influence only on blood glucose, being higher in empty sheep than in pregnant sheep (P&lt;0.05), whereas for the other blood parameters: cholesterol, urea, and the plasma concentrations of calcium do not seem to be influenced by the physiological stage.

Togetherness Reminded by the Earthquake: Relationship Between Stress and Peptic Ulcer Perforation

Background: Severe stress is one of the leading causes of peptic ulcer perforations. Peptic ulcer perfora-tion is a clinical condition that can be fatal if not treated urgently. This study aimed to investigate the effects of social stress caused by the earthquakes in Kahramanmaraş on peptic ulcer perforation. Materials and Methods: A retrospective evaluation was conducted on 66 peptic ulcer perforation cases operated on in three major centers in Şanlıurfa, considering two large earthquakes that occurred on February 6, 2023, and by comparing the 6-month periods before and after the earthquakes. Patients were assessed in terms of age, gender, diagnostic method, perforation site, surgical technique, operation time, length of hospital stay, and mortality. Our study also evaluated laboratory parameters such as white blood cell (WBC) count, hemoglobin, urea, creatinine, and albumin levels. Results: In the 6 months prior to the earthquakes, 21 patients underwent surgery for peptic ulcer perfo-ration, whereas 45 patients were operated on for the same reason in the 6 months following the earthquakes; there were two deaths in each group. The number of patients operated on after the earthquakes was significantly higher than the number of patients operated on before the earthquakes. Furthermore, the two groups were also compared in terms of demographic data and laboratory findings; no significant differences between the two groups were observed regarding these parameters. Conclusions: Stress plays a remarkable role in the development of peptic ulcer perforation. In stressful situations that affect the general population, such as earthquakes, it is essential to assess stress tenden-cies and dyspeptic complaints in patients presenting to the hospital. Patients with positive findings should undergo endoscopy if necessary, followed by appropriate gastric treatment.

The effect of post-activation enhancement on the performance of Chinese national skeleton athletes in the "ice push sled"-a first cross-sectional study.

To investigate the impact of post-activation potentiation (PAP) induced by resisted sled sprint at different loads on the subsequent 30 m ice push sled performance of Chinese skeleton athletes, and to identify the resisted sled sprint load that most effectively enhances PAP for Chinese skeleton athletes. Seven elite athletes from the Chinese skeleton team participated in four tests with more than 48 h intervals. During the tests, on the first test, athletes completed a 40 min standard warm-up, rested for 6 min, and then performed a 30 m test. On the second, third, and fourth test, athletes completed the standard warm-up, then performed 20 m sprints with resisted sled (RS) at 75%, 50%, and 25% of body mass (BM), respectively, rested for 6 min, and then performed the 30 m test. No significant differences were found in morning pulse, blood urea, and creatine kinase levels among four tests. The percentage of maximum heart rate (%HRmax) within different intensity ranges showed no significant differences among four tests. However, significant differences were observed in ice push sled performance among four tests (No BMRS: 5.08 ± 0.27; 25% BMRS: 5.05 ± 0.29; 50% BMRS: 5.02 ± 0.27; 75% BMRS: 5.04 ± 0.28). Post hoc analyses revealed that the 50% BMRS test had faster speed compared to the no resistance (p < 0.05), the 25% BMRS (p < 0.05), and the 75% BMRS (p < 0.05) tests. Additionally, the 75% BMRS test had faster speed than the no resistance test (p < 0.05). A 20 m sprint with 50% BMRS effectively enhances the PAP effect in skeleton athletes, improving their ice push sled performance. Coaches can incorporate this resisted sled sprint in athletes' training routines for performance enhancement in both daily training and pre-competition preparations.

Potential nephroprotective effect of dapagliflozin against renal ischemia reperfusion injury in rats via activation of autophagy pathway and inhibition of inflammation, oxidative stress and apoptosis

Renal ischemia/reperfusion injury is a common cause of acute kidney injury (AKI), causing tissue damage, inflammation and oxidative stress. Autophagy, responsible for breakdown and recycling of cytoplasmic components. In hypoxic and ischemic renal damage, autophagy may serve as a survival strategy for the cells. Dapagliflozin has been shown to have protective effects against ischemia. Objective: The study investigates the potential nephro-protective effects of dapagliflozin on renal ischemia reperfusion injury, evaluating its antioxidant, anti-inflammatory, anti-apoptotic effects and activation of autophagy via biochemical parameters and histopathological changes in adult male rats. Material and method: In this study, twenty eight male rats weighing between 200-300g, were divided into 4 groups sham, RIRI, DMSO, Dapagliflozin pretreated groups. All groups subjected to 30 min. of ischemia then 24 h of reperfusion except sham undergo the same anesthesia and surgical procedures except for bilateral renal ischemia. Dapagliflozin 1mg/kg and DMSO was given 2 hours before the induction of ischemia. Results: The study found that blood urea and serum creatinine levels increased in RIRI and DMSO groups when compared with sham group. Renal tissue levels of IL-6, Kim-1, caspase-3, LC-3 and Akt were also elevated in RIRI while GSH levels decreased in the RIRI. Dapagliflozin group showed significant increases in GSH, LC-3 and Akt levels when compared to sham group. Dapagliflozin reduced serum urea and creatinine levels, and renal tissue levels of IL-6, Kim-1, and caspase-3 also reduced. Conclusion: Dapagliflozin significantly reduced renal damage in rat model due to its antioxidant, anti-inflammatory, anti-apoptotic, and activation autophagy.

EFFECTS OF CARICA PAPAPYA SEED EXTRACT ON HISTOPATHOLOGICAL CHANGES IN AMINOGLYCOSIDE-TRIGGERED ACUTE NEPHROTOXICITY IN EXPERIMENTAL RATS

Background: Nephrotoxicity is an emerging complication arising with the use of multiple drugs and dietary modifications. The objective of this study was to determine the nephroprotective effect of aqueous extract of Carica papaya seeds in aminoglycoside induced acute nephrotoxicity in rats. Methods: This Quasi Experimental study was conducted on 30 Sprague Dawley rats. After nephrotoxicity was confirmed by measuring serum urea and creatinine levels histomorphological examination of kidney tissue was done. Results: Group A, Group C and Group B had a mean serum urea level of 24.70±1.633, 82.70±2.587 and 81.00±1.247 mg/dL respectively (p&lt;0.05), showing nephrotoxicity on day 6. On day 11, mean blood urea level for Group C was 50.60±1.857 mg/dL (p&lt;0.05) compared to Group B with mean blood urea level 78.60±1.240. The reduced mean blood urea levels of Group C in comparison to Group B indicated nephroprotection from aqueous extract of Carica papaya seeds. In Group A, Group B and Group C the mean serum creatinine level was 0.750±0.619, 1.980±0.467 and 2.030±0.667 mg/dL (p&lt;0.05) respectively, on day 6 indicating nephrotoxicity with Gentamycin. Group B had mean serum creatinine levels of 1.920±0.0389 at day 11 while Group C had a mean serum creatinine of 1.380±0.611 after 5 days of therapy with Carica papaya seed aqueous extract on day 11 indicating nephroprotection. Conclusion: Aqueous extract of Carica papaya seeds has significant nephroprotective effects on aminoglycoside induced acute nephrotoxicity. Pak J Physiol 2024;20(3):3?7 DOI: https://doi.org/10.69656/pjp.v20i3.1637

EFFECT OF AYURVEDA TREATMENT MODALITY IN IMPROVING CHRONIC KIDNEY DISEASE: A CASE REPORT

Chronic kidney disease (CKD) is a progressive condition augmenting over years, entailing loss of kidney functions, affecting more than 10% of the general population worldwide. The solution of choice is either kidney transplantation or blood purification treatments such as hemodialysis (HD). Such medical procedures are expensive &amp; arduous for the patients, adversely impacting their quality of life. Hence alternative treatment modalities are copiously perceived seeking restoration. In the present study, 50 year-old female patient approached the hospital OPD for consultation with complaints of weakness, constipation, reduced appetite, weight loss, breathlessness etc. Patient was advised Ayurveda treatment along with dietary restriction. After 2 months of treatment significant improvement was seen, there was a gradual decrease in Serum Creatinine levels from 6.05 mg/dl to 2.20 mg/dl, Blood Urea levels from 80mg/dl to 64mg/dl and Uric acid levels from 4.4mg/dl to 3.0 mg/dl .The case clearly reveals the noteworthiness of Ayurveda treatment modality in the management of CKD.

Biochemical blood parameters in platinum fox females and males in ontogenesis

Currently, veterinarians pay much attention to the diagnostic examination of animals, including animals kept on fur farms. Blood is the main material used for such examinations. Changes in its composition allows veterinary practitioners to identify disorders in various systems and organs of animals, as well as to assess metabolism in animals. Results of biochemical tests of serum samples from platinum fox males and females of different age groups and comparative assessment thereof are presented. The levels of aspartate aminotransferase (U/L), alanine aminotransferase (U/L), alkaline phosphatase (U/L), total protein (g/L), albumin (g/L), urea (mmol/L), creatinine (μmol/L), α-amylase (U/L), cholesterol (μmol/L) were determined. Aspartate aminotransferase levels in females at the age of 6 months were lower by 69% than that ones in males. Increase in aspartate aminotransferase by the age of 6 months helps animals to accumulate body weight before winter. Sexual differences in the alkaline phosphatase levels were detected in 1.5-month-old kits: alkaline phosphatase levels were higher by 21.05% in males than in females. By the age of 6 months, the alkaline phosphatase levels decreased in both males and females. The decline in alkaline phosphatase level with the age is associated with participation of this enzyme in the development of animal skeleton during ontogenesis. From the age of 4 months, the growth and development of the skeleton slows down, and by the age of 6 months the animals gain the size and body weight of adult animals. Urea and creatinine levels in foxes of both sexes increased during their growth, but remained within the reference limits. Changes in urea levels in blood can be caused by feeding excessively high-protein or excessively low-protein diets. The total protein content in sera from 4 month-old males and females decreased by 32.51 and 43.24%, respectively, compared with that one in sera from animals at the age of 1.5 months, and increased at the age of 6 months up to the level observed at the age of 4 months. According to the literature, rather rapid stabilization of protein metabolism is a biological feature of many mammals born in spring, their growth rate is accelerated and, in general, the maturity phase is shortened.

Utilization of the dialysate to characterize dialysis adequacy by using microwave urea biosensor based on complementary split-ring resonator (CSRR)

The aim of this study is going to develop a monitoring approach for measuring blood urea concentration. This method uses microwave technology and complementary split-ring resonator (CSRR) to assess dialysis adequacy. The robust electric field near CSRR sides produces a high-sensitivity surface to a change in the nearby urea level. The proposed biosensor detection range spans from 1 to 100 mg/dL by modifying resonance frequency and peak attenuation. The biosensor was developed to operate at the main resonance frequency of 2.4 GHz, but all harmonics within the frequency range of 1–10 GHz were analyzed. A container incorporates the dialysate as the material being tested on the top of the sensor. Accurate measurement of blood urea variations using spent dialysate compared to the blood-based method has benefits due primarily to the lack of repetitive blood sampling. The innovative biosensor offers a non-invasive and convenient method to accurately evaluate the quantitative urea concentration in spent dialysate without the necessity of disposable chemicals. The biosensor has been designed to possess noteworthy attributes such as detecting minuscule concentration variations, low-cost fabrication, compact size, high sensitivity, and its ability to provide real-time results. By merging these features, the sensor demonstrates remarkable potential for non-invasively monitoring blood urea levels while seamlessly integrating with other dialysis devices. The initiative purpose of this study is going to offer renal patients methods for assessing dialysis adequacy with minimal impact on human health.