research centers


Search results: Found 9

Listing 1 - 9 of 9
Sort by

Article
Lower Ureteral Obstruction and Leakage in the FirstMonth Following Renal Transplantation

Authors: Usama N Rifat --- Usama S Alnasiri --- Ausama Saadi Abdul muhsin
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2007 Volume: 4 Issue: 1 Pages: 47-52
Publisher: Baghdad University جامعة بغداد

Loading...
Loading...
Abstract

Background: Transplantation has revolutionized treatment of end- stage renal disease (ESRD) by proving more cost effective than hemodialysis, with a lower morbidity and improved quality of life.
Objective: To evaluate the development of these complications in the first month postoperatively and correlate their development to the type of donation whether related or unrelated.
Methods: Fifty (50) patients aged (15-62) years, with a mean age (34.46 ± 12.4 SD) years with (ESRD), who underwent renal transplantation from September 2000 to October 2002, were followed-up for one month postoperatively clinically and by assessment of renal function tests, sonographic and Doppler examinations. Ureteral obstruction was considered in those patients who had allograft dysfunction, ultrasonic evidence of peritransplant collection, moderate-severe dilatation of upper urinary tract of transplanted kidney and postoperative ipsilateral or bilateral leg edema. Ureteral leakage was considered in those patients who had persistent drainage of urine with or without allograft dysfunction. Two patients were excluded from the follow-up due to death in the first 24-hour postoperatively.
Results: Six (6) patients (12.5% of cases) developed ureteral obstruction due to peri-ureteral fluid collection. In five patients the collection decreased and upper urinary tract dilatation improved gradually, as shown by ultrasound, on watchful waiting. One patient had surgical evacuation of a large hematoma. Four (4) patients (8.3% of cases) developed ureteral leakage. The leakage stopped in one patient after keeping the urethral catheter for a longer period. Three patients had surgical exploration due to persistent urinary leakage. Redo implantation of allograft ureter was done in two cases.
Development of ureteral complications was compared with the type of donation (related or unrelated). The comparison was not statistically significant.
Conclusions: The development of ureteral complications in not related to the type of donation. Extravesical ureteral anastamosis with the use of a stent is less likely to be associated with postoperative ureteral complications.
Key words: Renal transplantation, Extravesical ureteroneocystostomy


Article
Prevalence of Anemia among Iraqi Patients after Renal Transplantation

Authors: Intisar Y. Al-Ani --- Qais H. Al-Tai --- Makarim Q. Al-Lami مكارم اللامي
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2011 Volume: 53 Issue: 2 Pages: 121-125
Publisher: Baghdad University جامعة بغداد

Loading...
Loading...
Abstract

Background: Although the issue of anemia after renal transplantation (RT) has received increasing attention lately, the data on the exact prevalence of post-transplantation anemia (PTA) in the Iraqi patients are limited.Objective: In this study we sought to determine the prevalence of PTA among Iraqi patients and to correlate the renal allograft function measurements and the use of immunosuppressant with the prevalence of anemia.Patients and Methods: One hundred and twelve (74 male, 38 female) kidney transplant recipients (KTR) attending the kidney transplant center at surgical specialties hospital were studied. All patients were on maintenance, combined immunosuppressive therapy. The renal function tests [blood urea, serum creatinine, and creatinine clearance] and the hematological tests [Hb, HTC, and white blood cell count (WBC)] were determined in all patients. Anemia was defined according to the gender-specific K/DOQI classification. Results: In this study, we identified anemia (Hb < 12 g/dl in males and Hb < 11 g/dl in females) in 25% of the patients (28 out of 112).The anemic patients had a significantly higher mean blood urea and serum creatinine levels and lower mean creatinine clearance level than the non-anemic patients. Among the immunosuppressant drugs, patients on tacrolimus combined with mycophenolate mofetil (MMF) had significantly lower Hb and HTC compared with patients without such treatment. Conclusion: Anemia is common in Iraqi patients after RT. The PTA is associated with impaired renal allograft function when compared with non-anemic RTR. Immunosuppressant including tacrolimus combined with MMF was correlated with decreased Hb and HTC concentrations.


Article
Hypomagnesemia During Early Post Renal Transplantation Period

Author: Hasanain Mohamed Ali*, Mohammed Hannon Al Sodani**, Mustafa Rasool Hussein*, Sahban Almallah**
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2016 Volume: 15 Issue: 3 Pages: 308-315
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND:In renal transplantation, hypomagnesemia is a frequent disturbance associated with the use of calcineurin inhibitors (Cyclosporine and Tacrolimus) and sirolimus. They may cause obligatory renal loss and decrease transcriptional expression of the Mg transporter in the distal collecting tubule.OBJECTIVE: Evaluation of serum Magnesium in patients during the first four days post renal transplantation and to find any correlation with different variables. PATIENTS AND METHOD: A cross sectional descriptive study was performed at Nephrology and Kidney Transplantation Center- Medical City-Baghdad, Iraq from first of January, 2012 to first of December, 2012. Serum Magnesium was followed in forty patients underwent renal transplantation during the first four days post transplantation. Other variables also was studied to find any correlation with serum Magnesium, include (age, sex, duration dialysis of , calcineurin inhibitors (types and dose) , diabetes mellitus, loop diuretics, urine volume . electrolytes (serum Potassium and s. Calcium) and s.creatinine . RESULT: The mean serum Magnesium was (2.87 ± 0.5 mg/dl ) pre transplantation, on 1st day it was (2.3±0.49) and 4thday (2.31±0.67). The mean Post transplantation serum Magnesium was significantly lower than pre transplantation, (P<0.01). Serum Magnesium had statistically significant direct correlation with serum Potassium and s.creatinine and statistically significant inverse correlation with s. Calcium and urine volume. It was significantly lower in those using loop diuretics at 1st day post-transplant (P=0.039). Tacrolimus was associated with lower serum Magnesium level than cyclosporine. CONCLUSION: Serum Mg post transplantation was significantly lower than pre transplantation level, and sometime may reach to significant hypomagnesemia. This was significantly correlated with S.K , S.Ca, and S Creatinine,


Article
BK POLYOMAVIRUS-INFECTED DECOY CELLS IN URINE CYTOLOGY SPECIMENS OF RENAL TRANSPLANT RECIPIENTS

Loading...
Loading...
Abstract

Background:BK polyomavirus is one of the common post-transplant viral infections, affecting ∼15% of renal transplantation recipients (RTR), leading to graft loss in more than half of cases.Objectives:Study the rate of detection of BK virus (BKV) in RTRs in Pap-stained urine cytology specimens.Methods:A single center study, urine samples were collected from 99 RTR patients, with 15 Living Donors (LD) and 15 patients with chronic kidney disease (CKD) were taken as controls. And urine cytology smears were Pap stained for detection of decoy cells (DCs).Results:Out of the 99 RTRs, 27 (27.3%) patients were decoy positive, 8 out of these 27 patients had uncommon DCs, and 5 out of these 27 cytology positive patients (18.5%) had biopsy proven BKV nephropathy (BKVN).Conclusion:This study suggests that the finding of BKVN in 18.5% of the DC positive patients stresses the importance of screening for BK polyomavirus with Pap-stained urinary cytology in RTR.Key wards:BK polyomavirus, renal transplantation, decoy cells


Article
Impact of Health Education Program upon Knowledge of Patients with End-Stage Renal Failure

Authors: Ali D. Abbas --- Batool A. Jaddoue
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2011 Volume: 24 Issue: 2 Pages: 71-83
Publisher: Baghdad University جامعة بغداد

Loading...
Loading...
Abstract

Objective(s): To determine the impact of health education program toward their end-stage renal failure (ESRF) patients’ knowledge through a follow-up approach each two months post program implementation for six months.Methodology: "Follow-up" longitudinal design by using time series approach of data analysis and the application of pre-post tests approach for the study group and the control group. The study is conducted in Al-Shahid Ghazi Hariri Teaching Hospital for Surgical Specialties/Centre for Disease and Renal Transplant, and Al-Khayal private Hospital for renal disease and transplantation during the period from August, 29th, 2010 through February, 28th, 2011. To achieve the objectives of the study, purposive "non-probability" sample of (40) ESRF patients was taken before operation. The sample is divided equally into study and control groups. Data were collected through the use of questionnaire which is related to ESRF patients’ knowledge test, which were developed for the purpose of the study. Instrument validity was determined through content validity, by a panel of experts. Reliability of the instrument was determined through the use of Pearson correlation coefficient for the test-retest approach, which is (0.82). Analysis of data is performed through the application of descriptive statistics (frequency, percentage) and inferential statistics (t-test and one way analysis of variance).Results: The results of the study indicate that the study group of ESRF patients benefited from the implementation of health education program. However, their knowledge were adequately improved and developed. Recommendation: The study recommends the health education program could be considered as an effective way in the development of knowledge ESRF patients on medical and nursing care after the operation of renal transplantation.

الهـدف: تحديد تأثير البرنامج التثقيفي الصحي على معارف مرضى الفشل الكلوي النهائي من خلال نهج المتابعة لكل شهرين بعد تنفيذ البرنامج ولمدة ستة أشهر متتالية.المنهجية: تمّ اعتماد تصميم المتابعة الطويلة وأستعمال أسلوب التوقيت المتعدد في تحليل البيانات وتطبيق نهج الاختبار القبلي والاختبار البعدي للمجموعة الاختبارية والمجموعة الضابطة. وقد أجريت الدراسة في مستشفى الشهيد غازي الحريري التعليمي للجراحات التخصصية/مركز أمراض وزرع الكلى ومستشفى الخيال الخاص لأمراض وزرع الكلى للمدّة من 29 آب 2010 ولغاية 28 شباط 2011. ولتحقيق أهداف الدراسة، اختيرت عيّنة غرضيّة "غير إحتمالية" مكونة من (40) مريض مصاب بالفشل الكلوي النهائي في مُدّة ما قبل العملية. قسّمت العيّنة إلى مجموعتين متساويتين؛ المجموعة الاختبارية والمجموعة الضابطة، وجمعت البيانات الخاصة بالدراسة من خلال استعمال استمارة الاختبار المتعلقة بمعارف مرضى الفشل الكلوي النهائي. وقد تمّ بناؤها وتصميمها من قبل الباحث لأغراض الدراسة الحالية. تمّ تحقيق ثبات أدوات القياس من خلال إستعمال معامل ارتباط بيرسون والذي كانت نتيجته (0,82). أمّا مصداقية أدوات القياس فقد تحققت من خلال عرضها على مجموعة من الخبراء لغرض مراجعتها وتقويم درجة مصداقيتها. قام الباحث بإستعمال الإحصاء الوصفي (التوزيع التكراري والنسبة المئوية) والإحصاء الاستنتاجي (الاختبار التائي واختبار تحليل التباين) لغرض تحليل بيانات الدراسة.النتائـج: أشارت نتائج الدراسَة إلى أنّ المجموعة الاختبارية من مرضى الفشل الكلوي النهائي استفادت من تنفيذ البرنامج التثقيفي الصحي ومع ذلك تحسنت معارفهم بشكلٍ كافٍ.التوصيـات: أوصت الدراسة بإمكانية اعتبار البرنامج وسيلة فعالة في تطوير معارف مرضى الفشل الكلوي النهائي حول العناية الطبية والتمريضية بعد عملية غرس الكلية.


Article
DETECTION OF EPSTEIN BARR VIRUS IN RENAL TRANSPLANT RECIPIENTS: TWO CENTERS STUDY

Loading...
Loading...
Abstract

Background:Viruses are among the most common causes of opportunistic infections after transplantation. The risk for viral infection is a function of the specific virus encountered and the intensity of immune suppression used to prevent graft rejection.Epstein-Barr virus infection has also been implicated as co-factor in acute and chronic rejection syndromes.Objective:Detection of Epstein-Barr viremia in renal transplant recipients.Methods:Fifty seven (57) renal transplant recipients were enrolled in this study. Plasma samples were taken from all renal transplant subjects. Screening of Epstein-Barr virus was first done by serology viamono spot test, then, viral DNA of Epstein-Barr viruswas extracted from 200 µl plasma samples and Epstein-Barr virus DNA was detected and measured by Taqman quantitative real-time PCR.Results:19/57 (33 %) of renal transplant subjects had Epstein-Barr virus viremia and the viral load ranged from 7100 to 16.165 copies/ml. Serology of all RT subjects showed negative heterophil antibody except for one patient had positive hetrophil antibody.Conclusion:The current study showed that Epstein-Barr virus might be considered as an important cause of renal impairment and allograft loss in renaltransplant subjects. And Epstein-Barr virus seems associated with post transplantation renal impairment and/or kidney rejection. Real-time PCR is a very sensitive and specific method for the detection of Epstein-Barr viremia in renal transplant subjects.Key words:Epstein-Barr virus, Renal transplantation, real-time PCR


Article
7.ADENOVIRUS INFECTION IN A SAMPLE OF IRAQI KIDNEY TRANSPLANT RECIPIENTS: MOLECULAR AND HEMATOLOGICAL STUDY

Authors: Hind M. Ahmed --- Asmaa B. Al-Obaidi --- Mustafa R. Hussein --- Haider S. Kadhim --- et al.
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2018 Volume: 16 Issue: 3 Pages: 279-288
Publisher: Al-Nahrain University جامعة النهرين

Loading...
Loading...
Abstract

Background: Human Adenovirus (ADV) is one of highly prevalent viruses worldwide, after primary infection, it remains latent and then might reactivate in immunocompromised patients. High ADV viremia seen in renal transplant recipients (RTR) with clinical presentations range from asymptomatic viremia to respiratory and gastrointestinal disease hemorrhagic cystitis, graft dysfunction and severe disseminated disease.Objective: The objectives of this study are to determine the rate of occurrence of ADV viremia by quantitative Real time PCR (QRT-PCR) in RTR and correlate them with urine cytology results, renal function tests and patients' hematological parameters.Methods:Seventy-one renal transplant recipients (RTR) were enrolled in this study. Whole blood samples (3 ml) divided into two parts, one part for complete blood picture and differential count and other part from which plasma separated and subjected to viral DNA extraction and then ADV Taqman QRT-PCR analysis for viral load measurement. Five ml urine specimens were collected for Pap-stained urine cytology.Results: Out of 71 RTR, 15 (21.12%) had positive ADV viremia by QRT-PCR, with a mean viral load 4.0 x107± 1.9 x108 copies/ml, and 80% (12 out of the 15) of positive viremia patients aged more than 40 years (p=0.011). All of RTRs 15/15 (100%) had symptomatic urinary tract infection (UTI) (p=0.039), and 5 out of 9 patients who had lymphopenia had positive viremia (p=0.007). Pap-stained urine cytology smears showed that 39/71 (55.71%) of the RTRs had positive decoy cells (DC), but there was no significant correlation between ADV viremia and the presence of DC (p=0.107).Conclusion: The present study showed the prevalence of ADV viremia in RTRs, with very high viral load, which is associated with lymphopenia and overt clinical features, this suggests that ADV might be an important cause of morbidity in RTRs.Keywords: Adenovirus, renal transplantation, real-time PCR, urine cytologyCitation: Ahmed HM, Al-Obaidi AB, Hussein MR, Kadhim HS, Ghazi HF. Adenovirus infection in a sample of iraqi kidney transplant recipients: molecular and hematological study. Iraqi JMS. 2018; 16(3): 279-288. doi: 10.22578/IJMS.16.3.7


Article
Serum Cystatin C as a Predictor of Acute Kidney Transplant Rejection
استخدام سيستاتين سي كمؤشر للكشف المبكر عن الرفض الحاد بعد زرع الكلى

Authors: Ala Sh. Ali علاء الشيخ علي --- Fadhil B. Shamkhi فاضل بدر شمخي --- Hedef D. El-Yassin هدف ظافر ال ياسين
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2015 Volume: 57 Issue: 3 Pages: 188-192
Publisher: Baghdad University جامعة بغداد

Loading...
Loading...
Abstract

Background: Accurate and rapid assessment of allograft function is essential. Cystatin C has recently been proposed as an alternative marker of glomerular filtration rate (GFR). Its diagnostic value for the longitudinal assessment of graft function has not been addressed well. Objective: To study the validity of cystatin C as an early marker and predictor of acute transplant rejection in the first week post transplantation. Subjects and Methods: Sixty six renal transplants recipients recruited. The study conducted in four renal transplantation centers in Baghdad for the period from September to December 2011. Serum creatinine and cystatin C concentrations measured 48 hours before transplantation and day 3 and 7 post transplantation. Results: Serum Cystatin C observed to significantly increased at day 3 (p<0.0001) and still increased at day 7 in the rejection. On day 3 areas under the receiver operating characteristic (ROC) curves were 0.749 for creatinine and 0.909 for cystatin C. In patients with acute rejection, serum cystatin C level elevated earlier than serum creatinine.Conclusion: Serum cystatin C seems to be a valuable marker of renal function in the first week post transplantation. Key words: Cystatin C, Renal Transplantation, Acute Rejection

الخلفية: إن ضرر الكلية الحاد هو مشكله سريريه متكررة الحدوث عنده المرضى الذين يعانون من حالات مرضيه حرجه وإن نسبه الوفيات المتعلقة بها عالية.ان التقييم السريع والدقيق لوظيفه الكلية المزروعة هو امر اساسي في المرضى من مستقبلي زرع الكلية لغرض اكتشاف الرفض الحاد. وجد في السنوات الاخيرة السستاتين سي كمؤشر بديل لمعدل الترشيح الكبيبي . الهدف:دراسة فائدة سيستاتين سي كمؤشر للرفض الكلوي الحاد بمقارنته مع قيمة المؤشر التقليدي لتركيز الكرياتنين في مصل الدم.منهج الدراسه: تضمنت الدراسة ۸۵ شخصا ، تسعة عشر منهم اصحاء متبرعين بالكلية(مجموعة السيطرة) و ٦٦ مريضا تم التحضير لإجراء عمليه زرع كلي لهم في اربعه مراكز لزرع الكلي في مدينة بغداد من ايلول ٢٠١٠ الى نيسان ٢٠١١ و الذين تم ادخالهم بصوره تعاقبيه في هذه الدراسة . تم قياس مستوى الكرياتنين والسستاتين سي في مصل الدم قبل العملية و في اليومين الثالث و السابع بعد العملية. تم التأكد من تشخيص حالات الرفض الحاد من خلال الفحص النسيجي لخزعة الكلى المزروعة. نتائج الدراسه : لوحظ ان مستوى السستاتين سي في مصل الدم مرتفع بصورة ملحوظة في المرضى المصابين بعجز الكلية المزمن,كذلك في اليوم الثالث واليوم السابع بعد عمليه زرع الكلية المرفوضه عند مقارنتهم مع مجموعه السيطرة . في اليوم الثالث بعده عملية الزرع كانت المساحة تحت المنحني الاحصائي 0.749 للكرياتنين و0,909 للسستاتين سي. تبين ان أرتفاع مستوى السستاتين سي في مصل الدم كان مبكرا قبل ارتفاع قيمة الكرياتنين في المرضى الذين عانوا من الرفض الحاد .الاستنتاج:توجد علاقه متبادلة بين السستاتين سي والكرياتنين في الايام الاولى بعد عمليه زرع الكلية وان مستوى السستاتين في مصل الدم اكثر حساسية واكثر خصوصية لاكتشاف التغيرات الاستباقية في وظيفه الكلية قبل ارتفاع مستوى الكرياتنين في الاسبوع الاول بعد عملية زرع الكلية ، ولكنه ليس المؤشر الوحيد لوظيفة الكلى.مفتاح الكلمات : سيستاتين سي ، كرياتنين، زرع الكلى ، الرفض الكلوي الحاد


Article
ONE-YEAR (PATIENT AND RENAL ALLOGRAFT) SURVIVAL FOLLOWING RENAL TRANSPLANTATION
النجاة السنوية لمستلمي الكلية المزروعة وحيوية الكلية المزروعة بعد سنة من اجراء عملية زراعة الكلية

Loading...
Loading...
Abstract

Background: Renal transplantation offers a realistic therapeutic option to patients with end-stage renal disease (ESRD).Objective: To evaluate one- year (patient and renal allograft) survival and comparing age and HLA-matching results as possible risk factors. Methods: Fifty (50) patients underwent renal transplantation in the renal transplantation unit of Surgical Specialties Hospital-Baghdad from September 2000 to October 2002. None had diabetes mellitus or clinical evidence of symptomatic cardiac disease. All the transplanted kidneys were from living donors. Direct matching between the serum of recipient and lymphocytes of the donor was negative. HLA class I matching was performed. Recipients were followed for one year following renal transplantation clinically and by regular laboratory tests. Ultrasound and color Doppler examinations were performed when there was evidence of decreased urinary output, allograft dysfunction, or clinical suspicion of rejection. Graft nephrectomy, when needed, was done in the same center.Results: Thirty-nine patients (78%) continued their lives one year following renal transplantation while eleven patients (22%) died during the first year following renal transplantation, due to cardiovascular complications and sepsis. Death following renal transplantation was compared with age and HLA- matching as possible risk factors. The comparison was not statistically significant. In thirty-eight patients (76%) the transplanted kidney was functioning normally after one year from renal transplantation. Twelve (12) patients (24%) needed graft nephrectomy on the basis of clinical picture of acute rejection aided by conventional sonographic and color Doppler examinations. Acute rejection was not confirmed by histopathological examination prior to graft nephrectomy.Conclusions: Cardiovascular disease is common in renal transplant recipients and is a major cause of mortality in this population followed by sepsis. Age of recipient and HLA- matching results were not correlated to the one-year recipient mortality.Key words: Acute rejection, cardiovascular diseases, one-year survival, renal transplantation.

خلفية الدراسة: تمثل الكلية المزروعة علاجا ناجعا لمرضى عجز الكلية المزمن النهائي ، وقد أدى التطوير المستمر لأدوية كبح الجهاز المناعي مع بقية الأدوية والرعاية الطبية المقدمة للمستلم بعد إجراء العملية إلى تحسن ملحوظ في أداء المريض و العضو المزروع معاهدف الدراسة: تقويم حيوية المستلم والكلية المزروعة بعد سنة واحدة من اجراء عملية الكلية المزروعة ، ومحاولة ربط الوفاة بعد العملية مع عاملي العمر و نوع التطابق النسيجي بين المتبرع و المستلم.طريقة العمل: اجريت دراسة تشمل خمسين مريضا تتراوح اعمارهم بين (15-62) سنة في وحدة زراعة الكلية في مستشفى الجراحات التخصصية- بغداد للفترة من شهر ايلول 2000 الى شهر تشرين الاول 2002 ، تم خلالها متابعة المرضى (مستلمي الكلية المزروعة) مع حيوية ووظيفة العضو المزروع لمدة سنة بعد اجراء العملية. تم أخذ الكلية المزروعة في جميع الحالات من متبرع حي وتراوحت نتائج الفحص النسيجي((HLA-matching بين المتبرع و المستلم بين (غير مطابق تماما) و (تطابق نسيجي جزئي احادي). شملت المتابعة الحالة السريرية ، الفحوصات المختبرية متضمنة فحوصات وظائف الكلية المزروعة ، فضلا عن الفحوصات الدورية بجهاز السونار و الدوبلر. حدثت الوفيات في ردهة العناية المركزة للمركز كما تم اجراء جميع عمليات رفع الكلية المزروعة ، عند الحاجة في المركز أيضا.النتائج: بعد مرور سنة على عملية زراعة الكلية استمر تسعة و ثلاثون مريضا (78%) على قيد الحياة بينما توفي أحد عشر مريضا (22%) خلال السنة الاولى من اجراء العملية بسبب مضاعفات جهاز القلب و الاوعية الدموية والتسمم الجرثومي. فيما يتعلق بوظيفة الكلية المزروعة, فقد كانت طبيعية بعد سنة من اجراء العملية عند ثمانية و ثلاثين مريضا (76%) بينما احتاج اثنا عشر مريضا (24%) الى اجراء جراحة لرفع الكلية المزروعة بسبب الصورة السريرية لوجود رفض حاد للكلية المزروعة ام يستجب للعلاج التحفظي المقدم في المركز. لم يثبت احصائيا وجود علاقة بين العمر و نوع التطابق النسيجي مع الوفاة بعد اجراء زراعة الكلية.الاستنتاج: العمل المبكر للكلية المزروعة مع استمرارها في نشاطها الطبيعي هو عامل اساسي في بقاء العضو المزروع فعالا لفترة طويلة. ألعوامل الاساسية في وفاة مستلمي الكلية المزروعة هي مضاعفات جهاز القلب و الاوعية الدموية ثم التسمم الجرثومي. لم يثبت وجود ربط بين عمر المريض المستلم ونوع التطابق النسيجي مع وفاة المرضى خلال السنة الأولى بعد إجراء العملية.مفتاح الكلمات: زرع الكلية ، النجاة السنوية للمريض ، أمراض القلب و الاوعية الدموية ، الرفض الحاد

Listing 1 - 9 of 9
Sort by
Narrow your search

Resource type

article (9)


Language

English (9)


Year
From To Submit

2018 (1)

2016 (1)

2015 (3)

2011 (2)

2007 (2)