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Bennis B, El Bardai G, Chouhani BA, Kabbali N, Sqalli T. Strengths, Weaknesses, Opportunities, and Threats (SWOT) Analysis of Hemodialysis Electronic Health Record Implementation. Cureus 2024; 16:e54675. [PMID: 38523930 PMCID: PMC10960620 DOI: 10.7759/cureus.54675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/21/2024] [Indexed: 03/26/2024] Open
Abstract
BACKGROUND AND AIM The Nephrology Department of Hassan II Hospital in Fez, Morocco, has implemented an Electronic Medical Record (EMR) system for managing patients undergoing acute hemodialysis. This initiative aims to digitize patient monitoring and enhance the management of acute dialysis within the department. Conducting strengths, weaknesses, opportunities, and threats (SWOT) analysis - assessing strengths, weaknesses, opportunities, and threats - was crucial to identifying and understanding the internal strengths and weaknesses, as well as the external opportunities and threats. This article outlines the SWOT analysis findings that may impact the project's success and shape decision-making. It also discusses strategies that could be implemented to allocate resources, mitigate risks, and capitalize on potential advantages. MATERIALS AND METHODS This study involved a multidisciplinary team, including professors, nephrologists, nephrology residents, and a healthcare information system engineer. Brainstorming sessions were held during the specification drafting phase to pinpoint both internal and external factors affecting the project. User feedback during testing further refined these factors, ensuring the project's alignment with real-world needs and challenges. RESULTS The study identifies the project's strengths as providing safe and immediate access to information, along with strong communication between the department (application users) and the project manager. The significant EMR weakness is the lack of logistical resources and the absence of a long-term maintenance plan for the application. The opportunity presented by this EMR implementation is its functionality's potential to evolve, enabling the solution to be deployed in other dialysis centers across the region. The project's threat is the potential abandonment of EMR use by future practitioners. CONCLUSION These SWOT analysis findings enable the development and implementation of strategies to reduce the current deployment's vulnerabilities and ensure the success of future HIS implementations in the nephrology network of the Fez-Meknes region, Morocco.
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Affiliation(s)
- Bassma Bennis
- Laboratory of Epidemiology and Research in Health Sciences, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdellah University, Fez, MAR
- Nephrology Dialysis and Transplantation, Hassan II University Hospital, Fez, MAR
| | - Ghita El Bardai
- Laboratory of Epidemiology and Research in Health Sciences, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdellah University, Fez, MAR
- Nephrology Dialysis and Transplantation, Hassan II University Hospital, Fez, MAR
| | - Basmat Amal Chouhani
- Laboratory of Epidemiology and Research in Health Sciences, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdellah University, Fez, MAR
- Nephrology Dialysis and Transplantation, Hassan II University Hospital, Fez, MAR
| | - Nadia Kabbali
- Laboratory of Epidemiology and Research in Health Sciences, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdellah University, Fez, MAR
- Nephrology Dialysis and Transplantation, Hassan II University Hospital, Fez, MAR
| | - Tarik Sqalli
- Laboratory of Epidemiology and Research in Health Sciences, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdellah University, Fez, MAR
- Nephrology Dialysis and Transplantation, Hassan II University Hospital, Fez, MAR
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Elkeraie AF, Al-Ghamdi S, Abu-Alfa AK, Alotaibi T, AlSaedi AJ, AlSuwaida A, Arici M, Ecder T, Ghnaimat M, Hafez MH, Hassan MH, Sqalli T. Impact of Sodium-Glucose Cotransporter-2 Inhibitors in the Management of Chronic Kidney Disease: A Middle East and Africa Perspective. Int J Nephrol Renovasc Dis 2024; 17:1-16. [PMID: 38196830 PMCID: PMC10771977 DOI: 10.2147/ijnrd.s430532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Accepted: 11/28/2023] [Indexed: 01/11/2024] Open
Abstract
Chronic kidney disease (CKD) is a major public health concern in the Middle East and Africa (MEA) region and a leading cause of death in patients with type 2 diabetes mellitus (T2DM) and hypertension. Early initiation of sodium-glucose cotransporter - 2 inhibitors (SGLT-2i) and proper sequencing with renin-angiotensin-aldosterone system inhibitors (RAASi) in these patients may result in better clinical outcomes due to their cardioprotective properties and complementary mechanisms of action. In this review, we present guideline-based consensus recommendations by experts from the MEA region, as practical algorithms for screening, early detection, nephrology referral, and treatment pathways for CKD management in patients with hypertension and diabetes mellitus. This study will help physicians take timely and appropriate actions to provide better care to patients with CKD or those at high risk of CKD.
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Affiliation(s)
- Ahmed Fathi Elkeraie
- Department of Internal Medicine and Nephrology, Alexandria University, Alexandria, Egypt
| | - Saeed Al-Ghamdi
- Department of Medicine, College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Ali K Abu-Alfa
- Department of Internal Medicine, Division of Nephrology and Hypertension, American University of Beirut, Beirut, Lebanon
| | - Torki Alotaibi
- Transplant Nephrology, Hamed Al-Essa Organ Transplant Center, Sabah Health Region, Kuwait City, Kuwait
| | - Ali Jasim AlSaedi
- Department of Nephrology, College of Medicine, University of Baghdad, Nephrology and Transplantation Center, Medical City Complex, Baghdad, Iraq
| | | | - Mustafa Arici
- Department of Nephrology, Faculty of Medicine, Hacettepe University, Altındağ, Ankara, Turkey
| | - Tevfik Ecder
- Department of Medicine, Istinye University; Division of Nephrology, Topkapı, Istanbul, Turkey
| | - Mohammad Ghnaimat
- Department of Nephrology, Specialty Hospital, Jaber Ibn Hayyan St. Shmeisani, Amman, Jordan
| | | | - Mohamed H Hassan
- Department of Medicine, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates
| | - Tarik Sqalli
- Department of Nephrology, Moroccan Society of Nephrology, Casablanca, Morocco
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Al-Ghamdi S, Abu-Alfa A, Alotaibi T, AlSaaidi A, AlSuwaida A, Arici M, Ecder T, El Koraie AF, Ghnaimat M, Hafez MH, Hassan M, Sqalli T. Chronic Kidney Disease Management in the Middle East and Africa: Concerns, Challenges, and Novel Approaches. Int J Nephrol Renovasc Dis 2023; 16:103-112. [PMID: 37051319 PMCID: PMC10084934 DOI: 10.2147/ijnrd.s363133] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Accepted: 07/22/2022] [Indexed: 04/14/2023] Open
Abstract
The burden of chronic kidney disease (CKD) and other comorbidities, such as hypertension and diabetes, which increase the risk of developing CKD, is on the rise in the Middle East and Africa. The Middle East and Africa CKD (MEA-CKD) steering committee, comprising eminent healthcare specialists from the Middle East and Africa, was formed to identify and propose steps to address the gaps in the management of CKD in these regions. The current article lists the MEA-CKD steering committee meeting outcomes and evaluates the available evidence supporting the role of novel therapeutic options for patients with CKD. The need of the hour is to address the gaps in awareness and screening, early diagnosis, along with referral and management of patients at risk. Measures to bring about appropriate changes in healthcare policies to ensure access to all benefit-proven protective therapies, including novel ones, at community levels are also vital for reducing the overall burden of CKD on the healthcare system as well as governing bodies, especially in developing countries of the Middle East and Africa.
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Affiliation(s)
- Saeed Al-Ghamdi
- Department of Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom Saudi of Arabia
| | - Ali Abu-Alfa
- Department of Nephrology and Hypertension, American University of Beirut, Beirut, Lebanon
| | - Turki Alotaibi
- Department of Transplant Nephrology, Hamed Al-Essa Organ Transplant Center, Kuwait City, Kuwait
| | - Ali AlSaaidi
- Department of Nephrology, College of Medicine, University of Baghdad, Nephrology and Transplantation Center, Medical City Complex, Baghdad, Iraq
| | | | - Mustafa Arici
- Department of Nephrology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Tevfik Ecder
- Department of Nephrology, Demiroglu Bilim University Faculty of Medicine, Istanbul, Turkey
| | - Ahmed F El Koraie
- Department of Internal Medicine and Nephrology, Alexandria Faculty of Medicine, Alexandria, Egypt
| | | | - Mohamed H Hafez
- Department of Nephrology and Medicine, Cairo University, Cairo, Egypt
| | - Mohamed Hassan
- Department of Medical Affairs, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates
- Correspondence: Mohamed Hassan, Department of Medical Affairs, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates, Tel +971 508187944, Email
| | - Tarik Sqalli
- Department of Nephrology, Moroccan Society of Nephrology, Casablanca, Morocco
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El Bardai G, Jnyah N, Chouhani BA, Kabbali N, Sqalli T. Epiploic Appendagitis in a Renal Transplant: A Case Report. Cureus 2022; 14:e29550. [PMID: 36312648 PMCID: PMC9594973 DOI: 10.7759/cureus.29550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/25/2022] [Indexed: 12/05/2022] Open
Abstract
Appendagitis is an inflammation of the epiploic fringes, generally unrecognized by the clinician. It is responsible for abdominal pain and may mimic other causes of acute abdomen. It can be primary or secondary. In this article, we describe the first case of primary epiploic appendagitis in a renal transplant patient who consulted for left inguinoscrotal pain, which was diagnosed as primary epiploic appendagitis.
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Bentata Y, ElKabbaj D, Bahadi A, Rhou H, Laouad I, Sqalli T, Bouattar T, Ouzeddoun N, Bayahia R, Ramdani B. HLA‐identical living related kidney transplantation: Outcomes of a national multicenter study. Int J Urol 2022; 29:519-524. [DOI: 10.1111/iju.14827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 01/18/2022] [Accepted: 02/02/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Yassamine Bentata
- Department of Nephrology—Dialysis and Kidney Transplantation University Hospital Mohammed VI University Mohammed First OujdaMorocco
- Laboratory of Epidemiology Clinical Research and Public Health Medical School University Mohammed First OujdaMorocco
| | - Driss ElKabbaj
- Department of Nephrology—Dialysis and Kidney Transplantation Military University Hospital Mohammed V University Mohammed V RabatMorocco
| | - Abdelaali Bahadi
- Department of Nephrology—Dialysis and Kidney Transplantation Military University Hospital Mohammed V University Mohammed V RabatMorocco
| | - Hakima Rhou
- Department of Nephrology—Dialysis and Kidney Transplantation University Hospital Cheikh Zaid University Abulcasis RabatMorocco
| | - Inass Laouad
- Department of Nephrology—Dialysis and Kidney Transplantation University Hospital Mohammed VI University Cadi Ayyad MarrakechMorocco
| | - Tarik Sqalli
- Department of Nephrology—Dialysis and Kidney Transplantation University Hospital Hassan II University Sidi Mohammed Benabdellah FesMorocco
| | - Tarik Bouattar
- Department of Nephrology—Dialysis and Kidney Transplantation University Hospital Ibn Sina University Mohammed V RabatMorocco
| | - Naima Ouzeddoun
- Department of Nephrology—Dialysis and Kidney Transplantation University Hospital Ibn Sina University Mohammed V RabatMorocco
| | - Rabia Bayahia
- Department of Nephrology—Dialysis and Kidney Transplantation University Hospital Ibn Sina University Mohammed V RabatMorocco
| | - Benyouns Ramdani
- Department of Nephrology—Dialysis and Kidney Transplantation Unit University Hospital Ibn Rochd University Hassan II Casablanca Morocco
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Bennani Rtel M, Ternant D, Büchler M, El Hassouni M, Khabbal Y, Achour S, Sqalli T. Food and lipid intake alters the pharmacokinetics of cyclosporine in kidney transplants. Fundam Clin Pharmacol 2020; 35:446-454. [PMID: 32734681 DOI: 10.1111/fcp.12591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 07/10/2020] [Accepted: 07/23/2020] [Indexed: 11/28/2022]
Abstract
Prevention of kidney graft rejection with cyclosporine leads to a large interindividual pharmacokinetic variability. However, food intake is likely to alter cyclosporine pharmacokinetics, and therefore its efficacy. The aim of our study was to evaluate the influence of food and lipid intake on cyclosporine pharmacokinetics. Twenty-four kidney grafted patients treated with Neoral® were included in this prospective monocentric study. In all patients, the pharmacokinetics of cyclosporine was evaluated in two occasions, after meal ('feed') and without meal ('fasting'). At each occasion, blood samples were collected at trough, and 0.5, 1, 2, 3, and 4 h after administration. Cyclosporine pharmacokinetics was described using a Bayesian pharmacokinetic model including two-compartments with first-order transfer and elimination rate constants, and a gamma absorption model. Influence of meal or olive oil, very common in Morocco, was tested as covariates on interoccasion variability parameters. Cyclosporine concentration-time data were satisfactorily described using the Bayesian pharmacokinetic model. Food intake significantly increased volume of distribution and decreased elimination of cyclosporine. The influence of oil intake explained a large part of this effect, suggesting that lipid intake was the main factor of pharmacokinetic variability due to food. This intake resulted in a decrease in area under the concentration curve between two administrations of 14.6%. Food, and especially lipid intake is likely to decrease the exposure to cyclosporine and may therefore lead to a decrease in treatment efficacy. Therefore, to ensure optimal immunosuppression in time, meal composition should remain as steady as possible.
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Affiliation(s)
- Meriame Bennani Rtel
- Laboratoire de Biotechnologie, Environnement, Agroalimentaire et Santé, Faculté Des Sciences Dhar El Mahraz, Université Sidi Mohammed Ben Abdellah, Fès, Morocco.,Laboratoire de Pharmaco-Toxicologie, CHU Hassan II, Fès, Morocco.,Equipe Science des Médicaments, Centre de Recherche Biomédicale et Translationnelle, Faculté de Médecine Agadir, Fès, Morocco
| | - David Ternant
- EA7501, Université de Tours, Tours, France.,Laboratoire de Pharmacologie-Toxicologie, CHRU de Tours, Tours, France
| | - Matthias Büchler
- EA 3738 T2I, Université de Tours, Tours, France.,Service de Néphrologie, CHRU de Tours, Tours, France
| | - Mohammed El Hassouni
- Laboratoire de Biotechnologie, Environnement, Agroalimentaire et Santé, Faculté Des Sciences Dhar El Mahraz, Université Sidi Mohammed Ben Abdellah, Fès, Morocco
| | - Youssef Khabbal
- Equipe Science des Médicaments, Centre de Recherche Biomédicale et Translationnelle, Faculté de Médecine Agadir, Fès, Morocco
| | - Sanae Achour
- Laboratoire de Pharmaco-Toxicologie, CHU Hassan II, Fès, Morocco.,Equipe Science des Médicaments, Centre de Recherche Biomédicale et Translationnelle, Faculté de Médecine Agadir, Fès, Morocco
| | - Tarik Sqalli
- Service de Néphrologie, CHU Hassan II, Fès, Morocco
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7
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AL BORGI Y, El Alaoui A, Benlachhab Z, Toutti W, SaghirBahah M, Jerghich K, Ghita B, Amal Chouhani B, Kabbali N, El Rhazi K, Sqalli T. Relation between dialysis dose and quality of life of patients on peritoneal dialysis. Bull Dial Domic 2019. [DOI: 10.25796/bdd.v2i4.23553] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
ObjectiveThe interest of our work is to identify the objective parameters that can improve the subjective parameters of the well-being of the patients and to share the experience of the care in our center. Kt / V urea and KDQOL SF 36 scale (Kidney Disease Quality of Life short form 36)were used.
Material and methodsThis is a single-center cross-sectional study conducted in October 2018 among patients treated with peritoneal dialysis, followed for at least six months in the Nephrology Department of Fez University Hospital (Morocco). The quality of life was assessed using the SF-36 (short form) version of the Kidney Disease Quality of Life (KDQOL) scale in its validated Arabic dialect version (1). We used the KDQOL-SF36 results as quantitative variables related to obtaining a Kt / V> 1.7.
ResultsThis study included 17 adult patients on peritoneal dialysis of which 35.3% are on automated peritoneal dialysis (APD) and 64.7% are on continuous ambulatory peritoneal dialysis (CAPD). The mean age is 40.8 ± 5 years and the sex ratio is 9H / 8F.
In bivariate analysis, we found a significant relationship between dialysis dose and social support. This result could be explained by better adherence in patients with better social support.
ConclusionEfforts must be made to achieve the adequacy goals, without losing sight of patients’ quality of life. There is also a need for further studies that include more patients and study other parameters such as clinical evaluation, residual renal function and ultrafiltration.
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El Hafidi H, Allata Y, Sqalli T, Kabbali N. Espoir : prise en charge intégrée de l’hémodialysé chronique. Nephrol Ther 2018. [DOI: 10.1016/j.nephro.2018.07.123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Kabbali N, Sqalli T. [Pseudotumoral calcinosis in a patient on chronic hemodialysis]. Pan Afr Med J 2018; 28:250. [PMID: 29881494 PMCID: PMC5989177 DOI: 10.11604/pamj.2017.28.250.14317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2017] [Accepted: 11/08/2017] [Indexed: 12/03/2022] Open
Affiliation(s)
- Nadia Kabbali
- Service de Néphrologie, CHU Hassan II, Fès, Maroc.,Equipe de Recherche REIN, Faculté de Médecine et de Pharmacie, Université Sidi Mohamed Ben Abdellah, Fès, Maroc
| | - Tarik Sqalli
- Service de Néphrologie, CHU Hassan II, Fès, Maroc
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Kabbali N, Sqalli T. [Fistulized renal hydatic cyst in a patient on chronic hemodialysis]. Pan Afr Med J 2018; 28:219. [PMID: 29629005 PMCID: PMC5881564 DOI: 10.11604/pamj.2017.28.219.13790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2017] [Accepted: 09/23/2017] [Indexed: 11/11/2022] Open
Affiliation(s)
- Nadia Kabbali
- Service de Néphrologie, CHU Hassan II, Fès, Maroc.,Equipe de Recherche REIN, Faculté de Médecine et de Pharmacie, Université Sidi Mohamed Ben Abdellah, Fès, Maroc
| | - Tarik Sqalli
- Service de Néphrologie, CHU Hassan II, Fès, Maroc
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Boujraf S, Belaïch R, Housni A, Maaroufi M, Tizniti S, Sqalli T, Benzagmout M. Blood Oxygenation Level-Dependent Functional MRI of Early Evidences of Brain Plasticity after Hemodialysis Session by Helixone Membrane of Patients with Indices of Adrenal Deficiency. Ann Neurosci 2017; 24:82-89. [PMID: 28588363 DOI: 10.1159/000475897] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2016] [Accepted: 01/05/2017] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Various alterations of hypothalamic-pituitary-adrenal axis function have been described in patients with chronic renal failure. Nevertheless, controversial evidences were stated about the association between adrenal function deficiency (AD) and hemodialysis (HD). PURPOSE The goal of this paper was to estimate indirect indices of the adrenal gland dysfunction which is potentially influenced by oxidative stress (OS) that still generates brain plasticity and reorganization of the functional control. METHODS Two male patients undergoing HD by the synthetic Helixone membrane for more than 6 months at the HD Center of the University Hospital of Fez, Fez, Morocco, were recruited. They underwent identical assessment immediately before and after the full HD session; this consisted of a blood ionogram revealing rates of sodium and calcium, and brain blood oxygenation level-dependent functional MRI (BOLD-fMRI) using a motor paradigm in block design. RESULTS The blood ionogram revealed hypercalcemia and hyponatremia in both patients. Both biological assessment and BOLD-fMRI study results revealed a high level of OS that induced activation of a significantly large brain volume area suggesting the occurrence of possible brain plasticity and functional control reorganization induced by free radicals and enhanced by AD. CONCLUSION The occurrence of brain plasticity and functional control reorganization was demonstrated in both patients studied who were undergoing HD by BOLD-fMRI with a notable sensitivity; this plasticity is induced by elevated OS occasioned by HD technique itself and probably amplified by AD. Similar results were found in a previous study performed on the same patients undergoing HD by a polysulfone membrane.
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Affiliation(s)
- Saïd Boujraf
- Department of Biophysics and Clinical MRI Methods, University Hospital of Fez, Fez, Morocco.,The Clinical Neuroscience Laboratory, Faculty of Medicine of Fez, University Hospital of Fez, Fez, Morocco
| | - Rachida Belaïch
- Department of Biophysics and Clinical MRI Methods, University Hospital of Fez, Fez, Morocco.,The Clinical Neuroscience Laboratory, Faculty of Medicine of Fez, University Hospital of Fez, Fez, Morocco
| | - Abdelkhalek Housni
- The Clinical Neuroscience Laboratory, Faculty of Medicine of Fez, University Hospital of Fez, Fez, Morocco
| | - Mustapha Maaroufi
- The Clinical Neuroscience Laboratory, Faculty of Medicine of Fez, University Hospital of Fez, Fez, Morocco.,Department of Radiology and Clinical Imaging, University Hospital of Fez, Fez, Morocco
| | - Siham Tizniti
- The Clinical Neuroscience Laboratory, Faculty of Medicine of Fez, University Hospital of Fez, Fez, Morocco.,Department of Radiology and Clinical Imaging, University Hospital of Fez, Fez, Morocco
| | - Tarik Sqalli
- Department of Nephrology, University Hospital of Fez, Fez, Morocco
| | - Mohammed Benzagmout
- The Clinical Neuroscience Laboratory, Faculty of Medicine of Fez, University Hospital of Fez, Fez, Morocco
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Belaïch R, Boujraf S, Benzagmout M, Maaroufi M, Housni A, Batta F, Tizniti S, Magoul R, Sqalli T. Indices of adrenal deficiency involved in brain plasticity and functional control reorganization in hemodialysis patients with polysulfone membrane: BOLD-fMRI study. J Integr Neurosci 2016; 15:191-203. [PMID: 27301905 DOI: 10.1142/s0219635216500126] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
This work purpose was to estimate the implication of suspected adrenal function deficiencies, which was influenced by oxidative stress (OS) that are generating brain plasticity, and reorganization of the functional control. This phenomenon was revealed in two-hemodialysis patients described in this paper. Blood oxygenation level dependent functional magnetic resonance imaging (BOLD-fMRI) revealed a significant activation of the motor cortex. Hemodialysis seems to originate an inflammatory state of the cerebral tissue reflected by increased OS, while expected to decrease since hemodialysis eliminates free radicals responsible for OS. Considering adrenal function deficiencies, sensitivity to OS and assessed hyponatremia and hypercalcemia, adrenal function deficiencies is strongly suspected in both patients. This probably contributes to amplify brain plasticity and a reorganization of functional control after hemodialysis that is compared to earlier reported studies. Brain plasticity and functional control reorganization was revealed by BOLD-fMRI with a remarkable sensitivity. Brain plastic changes are originated by elevated OS associating indices of adrenal function deficiencies. These results raise important issues about adrenal functional deficiencies impact on brain plasticity in chronic hemodialysis-patients. This motivates more global studies of plasticity induced factors in this category of patients including adrenal functional deficiencies and OS.
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Affiliation(s)
- Rachida Belaïch
- * Department of Biophysics and Clinical MRI Methods, Faculty of Medicine of Fez; Fez, Morocco.,† The Clinical Neuroscience Laboratory, Faculty of Medicine of Fez; Fez, Morocco
| | - Saïd Boujraf
- * Department of Biophysics and Clinical MRI Methods, Faculty of Medicine of Fez; Fez, Morocco.,† The Clinical Neuroscience Laboratory, Faculty of Medicine of Fez; Fez, Morocco
| | - Mohammed Benzagmout
- † The Clinical Neuroscience Laboratory, Faculty of Medicine of Fez; Fez, Morocco
| | - Mustapha Maaroufi
- † The Clinical Neuroscience Laboratory, Faculty of Medicine of Fez; Fez, Morocco.,‡ Department of Radiology and Clinical Imaging, University Hospital of Fez; Fez, Morocco
| | - Abdelkhalek Housni
- † The Clinical Neuroscience Laboratory, Faculty of Medicine of Fez; Fez, Morocco
| | - Fatima Batta
- * Department of Biophysics and Clinical MRI Methods, Faculty of Medicine of Fez; Fez, Morocco.,† The Clinical Neuroscience Laboratory, Faculty of Medicine of Fez; Fez, Morocco.,§ Department of Nephrology, University Hospital of Fez, Fez, Morocco
| | - Siham Tizniti
- † The Clinical Neuroscience Laboratory, Faculty of Medicine of Fez; Fez, Morocco.,‡ Department of Radiology and Clinical Imaging, University Hospital of Fez; Fez, Morocco
| | - Rabia Magoul
- ¶ Laboratory of Neuroendocrinology and Nutritional and Climatic Environment, Faculty of Sciences Dhar El Mahraz, University Sidi Mohammed Ben Abdellah, Fez, Morocco
| | - Tarik Sqalli
- § Department of Nephrology, University Hospital of Fez, Fez, Morocco
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Mbarki H, Belghiti KA, Harmouch T, Najdi A, Arrayhani M, Sqalli T. [Renal needle biopsy in the Department of Nephrology in Fès: indications and results in 522 cases]. Pan Afr Med J 2016; 24:21. [PMID: 27583085 PMCID: PMC4992384 DOI: 10.11604/pamj.2016.24.21.3982] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2014] [Accepted: 11/25/2014] [Indexed: 11/18/2022] Open
Abstract
L'apport de la ponction biopsie rénale (PBR) dans le diagnostic, le choix thérapeutique et l’évaluation pronostique des néphropathies est considérable. Aucune étude marocaine n'a évalué la pratique et l'apport de la PBR. Notre objectif est d’étudier les indications de la PBR, déterminer la fréquence des maladies rénales identifiées par PBR dans notre région et de faire une confrontation entre les données clinico-biologiques et le diagnostic historique. Notre étude menée entre Janvier 2009 et Décembre 2012, est rétrospective. Nous avons inclus tous les patients du service de Néphrologie du CHU Hassan II de Fès ayant bénéficié d'une biopsie de reins natifs. 522 PBR ont été réalisées. Nous avons exclu 8 biopsies devant le manque de renseignements et avons donc retenu 514. L’âge moyen des patients au moment de la PBR est de 39 ±17 ans (3-82 ans). Le sex ratio est de 0,9. Le syndrome néphrotique est le diagnostic clinique le plus fréquent à tous les âges (58,2%). Les néphropathies glomérulaires représentent 94,2% des maladies rénales diagnostiquées, leur distribution varie selon l’âge des patients. La PBR a confirmé le premier diagnostic suspecté cliniquement dans 40,65% des cas, alors qu'elle a révélé un diagnostic inattendu chez 22,5% d'entre eux. Le diagnostic syndromique permet d'orienter vers la maladie rénale la plus probable et de guider les thérapeutiques urgentes en attendant les résultats de la PBR. Mais il ne peut en aucun remplacer la PBR qui reste le gold standard.
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Affiliation(s)
- Houda Mbarki
- Service de Néphrologie, CHU Hassan II, Fès, Maroc
| | | | - Taoufiq Harmouch
- Laboratoire d'Anatomopathologie, CHU Hassan II, Fès, Maroc; Faculté de Médecine et de Pharmacie de Fès, Maroc
| | - Adil Najdi
- Laboratoire d'Epidémiologie, de Recherche Clinique et de Santé Communautaire, Faculté de Médecine et de Pharmacie de Fès, Maroc
| | - Mohamed Arrayhani
- Service de Néphrologie, CHU Hassan II, Fès, Maroc; Faculté de Médecine et de Pharmacie de Fès, Maroc
| | - Tarik Sqalli
- Service de Néphrologie, CHU Hassan II, Fès, Maroc; Faculté de Médecine et de Pharmacie de Fès, Maroc
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Arrayhani M, Sqalli T, Tazi N, El Youbi R, Chaouch S, Aqodad N, Ibrahimi SA. Non invasive assessment of liver fibrosis in chronic hemodialysis patients with viral hepatitis C. Pan Afr Med J 2015; 22:273. [PMID: 26958136 PMCID: PMC4765332 DOI: 10.11604/pamj.2015.22.273.2311] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2012] [Accepted: 04/22/2014] [Indexed: 12/29/2022] Open
Abstract
The liver biopsy has long been the "gold standard" for assessing liver fibrosis in patients with hepatitis C. It's an invasive procedure which is associated with an elevated bleeding, especially in chronic hemodialysis patients. Main goal is to assess liver fibrosis in chronic hemodialysis with HCV by Fibroscan and by biological scores (APRI, Forns and Fib-4), and to measure the correlation between these tests. Cross-sectional study including all chronic hemodialysis patients with hepatitis C virus, in two public hemodialysis centers of Fez. All patients were evaluated for liver fibrosis using noninvasive methods (FibroScan and laboratory tests). Subsequently, the correlation between different tests has been measured. 95 chronic hemodialysis were studied, twenty nine patients (30.5%) with chronic hepatitis C. The average age was 52.38 ± 16.8 years. Nine liver fibrosis cases have been concluded by forns score. Fibroscan has objectified significant fibrosis in 6 cases. On the other side APRI has objectified sgnifivant fibrosis only in 3 cases. The Fib-4 showed severe fibrosis in five cases. The results have been most consistent between APRI and Fib-4, followed by Fibroscan and Forns, then APRI and FibroScan.
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Affiliation(s)
| | - Tarik Sqalli
- Nephrology Department, University Hospital Hassan II, Fez, Morocco
| | - Nada Tazi
- Nephrology Department, University Hospital Hassan II, Fez, Morocco
| | - Randa El Youbi
- Nephrology Department, University Hospital Hassan II, Fez, Morocco
| | | | - Nourdin Aqodad
- Gastroenterology Department, University Hospital Hassan II, Fez, Morocco
| | - Sidi Adil Ibrahimi
- Gastroenterology Department, University Hospital Hassan II, Fez, Morocco
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Ramdani B, Khemri D, Ben Hamida F, Sqalli T, Boulahia Y, Ben Fatma L, Laouad I, Benziane A, Mongi Bacha M, Zouaghi K, El Hassan Trabelsi M, Couchoud C. [Consideration on the implementation of a registry of renal transplant recipients and a registry of living donors in the Maghreb countries]. Nephrol Ther 2015; 11:521-4. [PMID: 26387885 DOI: 10.1016/j.nephro.2015.06.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2015] [Accepted: 06/23/2015] [Indexed: 10/23/2022]
Affiliation(s)
- Benyounès Ramdani
- Service de néphrologie, CHU Ibn Rochd, quartier des Hôpitaux, 20100 Casablanca, Maroc
| | - Dalila Khemri
- Service de néphrologie, CHU Mustapha Pacha, place du 1(er)-Mai-1945, Sidi M'Hamed, 16000 Alger, Algérie
| | - Fethi Ben Hamida
- Laboratoire de recherche de pathologie rénale (LR00SP01), service de néphrologie, CHU Charles-Nicolle, boulevard du 9-Avril, 1006 Tunis, Tunisie
| | - Tarik Sqalli
- Service de néphrologie, CHU Hassan II, BP 1835 Atlass, Fès, Maroc
| | - Younes Boulahia
- Service de néphrologie, hôpital central de l'armée, BP 244 Kouba, Alger, Algérie
| | - Lilia Ben Fatma
- Service de néphrologie, CHU La Rabta, BP 1007 Jabbari, Tunis, Tunisie
| | - Inass Laouad
- Service de néphrologie, CHU Mohammed VI, Marrakech, Maroc
| | - Ali Benziane
- Service de néphrologie, CHU Beni-Messous, 16206 Alger, Algérie
| | - Mohamed Mongi Bacha
- Service de néphrologie, CHU Charles-Nicolle, boulevard du 9-Avril, 1006 Tunis, Tunisie
| | - Karim Zouaghi
- Laboratoire de recherche de pathologie rénale (LR00SP01), service de néphrologie, CHU La Rabta, BP1007 Jabbari, Tunis, Tunisie
| | - Mohamed El Hassan Trabelsi
- Direction des hôpitaux et des soins ambulatoires, ministère de la Santé, avenue Oqda, Agdal, Rabat, Maroc
| | - Cécile Couchoud
- Registre REIN, agence de la biomédecine, 1, avenue du Stade-de-France, Saint-Denis La Plaine, France.
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Gassongo-Koumou G, Soumeila I, Eyeni Sinomono D, Harmouch T, Kabbali N, Sqalli T, Arrayhani M. Néphropathie lupique : impact de l’atteinte tubulo-interstitielle dans le pronostic fonctionnel rénal. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Gassongo-Koumou G, Eyeni Sinomono D, Alaoui-Belghiti K, Alaoui H, Kabbalib N, Arrayhani M, Sqalli T. Analyse rétrospective de 24 cas de néphrite interstitielle : confrontation anatomoclinique. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Elbardai G, Dami F, Jaafour S, Kabbali N, Arrayhani M, Sqalli T. Relation entre la malnutrition, l’inflammation, l’athérosclérose et la volémie : intérêt de l’impédancemétrie chez les patients hémodialysés chroniques. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Dami F, Chouhani B, Elhabbani R, Tazi N, Kabbali N, Arrayhani M, Sqalli T. Profil épidémiologique des patients lithiasiques. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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20
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Alaoui H, Alaoui-Belghiti K, Zizi O, Hanine H, Kabbali N, Arrayhani M, Bouarhoum A, Sqalli T. Fistule artérioveineuse huméro-basilique. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Elbardai G, Ahalli I, Fz S, Kabbali N, Arrayhani M, Sqalli T. Le démarrage précoce de la dialyse péritonéale est-il faisable chez les patients en IRCT sans plan de dialyse ? Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Sinomono DE, Dami F, Ndiaye A, Gassongo-Koumou G, Arrayhani M, Sqalli T. Marqueurs de l’inflammation en hémodialyse chronique : le ratio plaquettes/lymphocytes mieux que le ratio neutrophiles/lymphocytes ? Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Dami F, Elbardai G, Jaafour S, Eyeni Sinomono D, Kabbali N, Arrayhani M, Sqalli T. Échographie pulmonaire : rôle dans l’évaluation de l’état d’hydratation des patients hémodialysés. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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24
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Gassongo-Koumou G, Eyeni Sinomono D, Alaoui-Belghiti K, Ibalanky A, Kabbali N, Arrayhani M, Harmouch T, Sqalli T. Impact des lésions vasculaires au cours de la néphropathie lupique. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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25
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Fadil CE, Ayadji E, Kabbali N, Arrayhani M, Sqalli T. Connaissance des aspects législatifs de la greffe rénale à partir d’un donneur cadavérique : enquête auprès du personnel du CHU. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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26
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Gassongo-Koumou G, Ndiaye A, Sinomono DE, Merzouk S, Kabbali N, Harmouch T, Arrayhani M, Sqalli T. Amyloses rénales : à propos de 25 cas. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Elbardai G, Ahalli I, Mikou S, Fz. S, Kabbali N, Arrayhani M, Sqalli T. Élargir l’accès à la dialyse péritonéale : intérêt d’un programme de démarrage rapide de dialyse péritonéale. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Dahri S, Doukkali B, Kabbali N, Arrayhani M, Sqalli T. Évolution du don de rein : quelles causes de non-prélèvement rénal et quelles solutions ? Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Ndiaye A, Chouani B, Sidibé M, Kabbali N, Sqalli T. Spectre étiologique des hyperferritinémies en hémodialyse chronique. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Dami F, Fadil CE, Dahri S, Sinomono DE, Kabbali N, Arrayhani M, Sqalli T. Apport de l’évaluation du donneur d’organes dans le dépistage de maladies infracliniques. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Lamranilaghrib S, Chouhani B, Sqalli T, Alami Y, Kabbali N, Arrayhani M. Facteurs influençant la volémie des patients de néphrologie sous corticoïdes. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Mbarki H, Tazi N, Najdi A, Tachfouti N, Arrayhani M, Sqalli T. Effects of fasting during Ramadan on renal function of patients with chronic kidney disease. Saudi J Kidney Dis Transpl 2015; 26:320-4. [PMID: 25758882 DOI: 10.4103/1319-2442.152494] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Fasting during Ramadan is prohibited when an individual's health is endangered. Little work has been published in this direction in patients with chronic kidney disease (CKD). We aimed to evaluate the impact of fasting during Ramadan on the renal function of patients with CKD, adjusting for the initial degree of renal impairment. We prospectively studied 60 patients with CKD (35 females; mean age 45.6 ± 15.8 years). All study patients were older than 15 years, being followed-up at the nephrology clinic for more than six months, having a stable CKD during the preceding six months and who had fasted during Ramadan the previous year. Patients who had a medical contra-indication for fasting were excluded from the study [severe or resistant arterial hypertension, insulin-requiring diabetes, acute renal failure (ARF), active renal disease, repetitive urolithiasis or terminal chronic renal failure]. Statistical analysis was performed in collaboration with the epidemiology lab at the Fez Medical School using the SPSS software version 17. Three of the study patients developed ARF in the first week and four of them at the end of the month of the study period. The risk of developing ARF was significantly higher for patients with baseline creatinine clearance of <60 mL/min/1.73 m 2 . However, the small sample size does not allow us to draw any firm conclusions on fasting during Ramadan in stable CKD patients. Studies on larger numbers of patients are recommended.
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Affiliation(s)
- Houda Mbarki
- Department of Nephrology, Hassan II University Hospital, Fez, Morocco
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Soumeila I, Keita S, Elhassani A, Sidibé M, Alaoui K, Kabbali N, Arrayhani M, Sqalli T. Le syndrome des jambes sans repos : fréquence et facteurs de risque chez l’hémodialysé. Pan Afr Med J 2015; 20:29. [PMID: 26015849 PMCID: PMC4432808 DOI: 10.11604/pamj.2015.20.29.5723] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2014] [Accepted: 12/31/2014] [Indexed: 11/19/2022] Open
Abstract
Le syndrome des jambes sans repos (SJSR) ou syndrome d'impatience musculaire est un trouble moteur caractérisé par des sensations désagréables dans les jambes. Les causes sont mal connues et sa fréquence est estimée entre 25% et 75% chez les hémodialysés. Il s'agit d'une étude transversale monocentrique menée au centre d'hémodialyse du CHU Hassan II de Fès (hôpital Al Ghassani) entre décembre 2012 et janvier 2013. Nous avons défini le syndrome de jambes sans repos selon la définition de l'international restless legs study group de 2003 reposant sur 4 critères essentiels au diagnostic. L'international restless legs syndrome scale (IRLES) a été coté par un même néphrologue pour mesurer la sévérité du syndrome des jambes sans repos. 84 hémodialysés ont répondu au questionnaire avec 41,7% de cas de SJSR dont 6,6% de formes graves. Nous avons retrouvé une association entre le SJSR et la carence martiale p(0,018), la néphropathie initiale p(0,041), l'HTA p(0,026) et le sexe féminin p(0,024). Dans notre série, il ressort que la carence martiale et l'HTA sont les principaux facteurs de risque modifiables de ce syndrome chez nos patients. Les facteurs traditionnels comme le tabagisme, l’âge supérieur à 50 ans et la dialyse inadéquate ne sont pas associés à ce trouble dans notre série.
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Affiliation(s)
| | - Salia Keita
- Service d'Epidémiologie et de Recherche Clinique, Faculté de Médecine et de Pharmacie, Fès, Maroc
| | | | | | | | | | - Mohamed Arrayhani
- Service de Néphrologie, CHU Hassan II, Fès, Maroc ; Equipe de Recherche REIN, Faculté de Médecine et de Pharmacie, Fès, Maroc
| | - Tarik Sqalli
- Service de Néphrologie, CHU Hassan II, Fès, Maroc ; Equipe de Recherche REIN, Faculté de Médecine et de Pharmacie, Fès, Maroc
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Belaïch R, Boujraf S, Housni A, Maaroufi M, Batta F, Magoul R, Sqalli T, Errasfa M, Tizniti S. Assessment of hemodialysis impact by Polysulfone membrane on brain plasticity using BOLD-fMRI. Neuroscience 2014; 288:94-104. [PMID: 25522721 DOI: 10.1016/j.neuroscience.2014.11.064] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2014] [Revised: 10/21/2014] [Accepted: 11/23/2014] [Indexed: 11/26/2022]
Abstract
PURPOSE Hemodialysis (HD) is considered the most common alternative for overcoming renal failure. Studies have shown the involvement of HD membrane in the genesis of oxidative stress (OS) which has a direct impact on the brain tissue and is expected to be involved in brain plasticity and also reorganization of brain function control. The goal of this paper was to demonstrate the sensitivity of the blood oxygenation level-dependent functional magnetic resonance imaging (BOLD-fMRI) to characterize the OS before and after the HD session. PATIENTS, MATERIALS AND METHODS Twelve male patient-volunteers following chronic HD for more than 6months were recruited among 86 HD-patients. All patients underwent identical assessment immediately before and after the full HD-session. This consisted of full biological assessment, including malondialdehyde (MDA) and total antioxidant activity (TAOA); and brain BOLD-fMRI using the motor paradigm in block-design. RESULTS Functional BOLD-fMRI maps of motor area M1 were obtained from the HD patient before and after the hemodialysis session, important decrease in the intensity of brain activation of the motor area after HD, and important increase of the size of the volume of brain activation were observed, these changes are reflecting brain plasticity that is well correlated to OS levels. Individual patients MDA and TAOA before and after the hemodialysis sessions demonstrated a clear and systematic increase of the OS after HD (P-value=0.03). Correlation of BOLD-fMRI maximal signal intensity and volume of activated cortical brain area behaviors to MDA and total TAOA were close to 1. CONCLUSION OS is systematically increased in HD-patients after the HD-process. Indeed, the BOLD-fMRI shows a remarkable sensitivity to brain plasticity studied cortical areas. Our results confirm the superiority of the BOLD-fMRI quantities compared to the biological method used for assessing the OS while not being specific, and reflect the increase in OS generated by the HD. BOLD-fMRI is expected to be a suitable tool for evaluating the plasticity process evolution in hemodialysis brain patients.
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Affiliation(s)
- R Belaïch
- Department of Biophysics and Clinical MRI Methods, Faculty of Medicine, Fez, Morocco; The Clinical Neuroscience Laboratory, Faculty of Medicine, Fez, Morocco
| | - S Boujraf
- Department of Biophysics and Clinical MRI Methods, Faculty of Medicine, Fez, Morocco; The Clinical Neuroscience Laboratory, Faculty of Medicine, Fez, Morocco.
| | - A Housni
- The Clinical Neuroscience Laboratory, Faculty of Medicine, Fez, Morocco; Department of Radiology and Clinical Imaging, University Hospital of Fez, Fez, Morocco
| | - M Maaroufi
- The Clinical Neuroscience Laboratory, Faculty of Medicine, Fez, Morocco; Department of Radiology and Clinical Imaging, University Hospital of Fez, Fez, Morocco
| | - F Batta
- The Clinical Neuroscience Laboratory, Faculty of Medicine, Fez, Morocco; Department of Nephrology, University Hospital of Fez, Fez, Morocco
| | - R Magoul
- Laboratory of Neuroendocrinology and Nutritional and Climatic Environment, Faculty of Sciences Dhar El Mahraz, University Sidi Mohammed Ben Abdellah, Fez-Atlas, BP 1796, Fez, Morocco
| | - T Sqalli
- Department of Nephrology, University Hospital of Fez, Fez, Morocco
| | - M Errasfa
- Department of Pharmacology, Faculty of Medicine, University of Fez, Fez, Morocco; The Laboratory of Molecular Basis in Human Pathology and Therapeutical Tools, Faculty of Medicine, University of Fez, Fez, Morocco
| | - S Tizniti
- The Clinical Neuroscience Laboratory, Faculty of Medicine, Fez, Morocco; Department of Radiology and Clinical Imaging, University Hospital of Fez, Fez, Morocco
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El Amraoui H, Mikou S, Harmouch T, Kabbali N, Arrayhani M, Sqalli T. Néphropathie lupique proliférative : ne jugez pas trop tôt la protéinurie. Nephrol Ther 2014. [DOI: 10.1016/j.nephro.2014.07.156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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El Bardai G, Dami F, Jaafour S, Kabbali N, Arrayhani M, Sqalli T. L’incessante quête du poids sec : faut-il changer de stratégie ? Nephrol Ther 2014. [DOI: 10.1016/j.nephro.2014.07.095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Lazrak A, Jaafour S, Alaoui Chrifi A, Hanine H, Ajdi F, Belhacen F, Tizniti S, Akoudad H, Kabbali N, Arrayhani M, Sqalli T. Hémodialyse, diabète, accident vasculaire cérébral et infarctus du myocarde : un concours de « malfaiteurs ». Nephrol Ther 2014. [DOI: 10.1016/j.nephro.2014.07.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Dami F, Jaafour S, Eyeni T, Lazrak A, Alaoui Chrifi A, Hanin H, Kabbali N, Arrayhani M, Sqalli T. L’écho-Doppler des troncs supra-aortiques chez l’hémodialysé. Nephrol Ther 2014. [DOI: 10.1016/j.nephro.2014.07.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Doukkali B, Dahri S, Bourouhou H, Jaafour S, Najdi A, Arrayhani M, Sqalli T. Expérience de l’automesure tensionnelle à domicile chez les patients hémodialysés. Nephrol Ther 2013. [DOI: 10.1016/j.nephro.2013.07.230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Mikou S, Ezziani M, Lazrak M, Arryhani M, Sqalli T. Hospitalisation des hémodialysés chroniques en dehors du service de néphrologie. Nephrol Ther 2013. [DOI: 10.1016/j.nephro.2013.07.231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Elfadil C, Kabbali N, Bardai G, Alaoui Belghiti K, Arrayhani M, Sqalli T. Abord vasculaire initial chez l’hémodialysé chronique. Résultats d’une enquête multicentrique. Nephrol Ther 2013. [DOI: 10.1016/j.nephro.2013.07.195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Dahri S, Bari A, Hanin H, Arrayhani M, Sqalli T. Démarche environnementale dans un centre d’hémodialyse. Nephrol Ther 2013. [DOI: 10.1016/j.nephro.2013.07.228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Doukkali B, Dahri S, Jaafour S, Najdi A, Touré I, Arrayhani M, Sqalli T. Syndrome néphrotique chez le sujet âgé : étude anatomoclinique et facteurs pronostiques. Nephrol Ther 2013. [DOI: 10.1016/j.nephro.2013.07.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Mbarki H, Akrichi A, Lazrak A, Maaroufi C, El Midaoui A, Tachfouti N, Jellouli W, Arrayhani M, Belahsen MF, Sqalli T. [Carpal tunnel syndrome in chronic hemodialysis patients]. Pan Afr Med J 2013; 14:19. [PMID: 23504584 PMCID: PMC3597896 DOI: 10.11604/pamj.2013.14.19.387] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2010] [Accepted: 09/03/2012] [Indexed: 11/25/2022] Open
Abstract
Le syndrome du canal carpien (SCC) regroupe l'ensemble des signes et symptômes liés à la compression du nerf médian dans le canal carpien. Cette manifestation de l'amylose à béta2-microglobuline est une complication fréquente de l'hémodialyse au long cours. L'objectif de ce travail est d'analyser les caractéristiques du SCC et de déterminer les facteurs liés à sa survenue chez les hémodialysés chroniques. Nous rapportons une étude transversale monocentrique, menée au 3ème trimestre de l'année 2009, portant sur les patients adultes hémodialysés chroniques au service de Néphrologie-Hémodialyse au CHU de Fès. 59 patients ont accepté de participer à l'étude. Leurs âge moyen est de 48 ± 15 ans avec un sex-ratio de 0,9. Ils bénéficient tous de l'hémodialyse intermittente à raison de 10 à 12 heures par semaine, par une membrane de dialyse en polysulfone à basse perméabilité. La durée moyenne en hémodialyse est de 83 ± 6,5 mois. La prévalence du SCC dans notre centre est de 30,5%. L'électromyogramme (EMG) a confirmé la suspicion clinique du SCC chez 11 patients et a diagnostiqué un SCC chez 8 patients asymptomatiques. La comparaison statistique entre les deux groupes de patients avec et sans SCC a démontré que la survenue de ce syndrome est liée à: l'âge actuel, l'âge avancé à la mise en hémodialyse, le sexe féminin, l'excès pondéral, et l'abord vasculaire. Le SCC est une complication fréquente de l'hémodialyse chronique. L'amélioration de la qualité de dialyse permettrait de réduire le risque de survenue du SCC.
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Affiliation(s)
- Houda Mbarki
- Service de néphrologie, CHU Hassan II, Fès, Morocco
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Arrayhani M, Batta FZ, Dahri S, Youbi RE, Aqodad N, Sqalli T. Hepatitis B virus-related post-infectious glomerulonephritis: a case report. Pan Afr Med J 2013. [DOI: 10.11604/pamj.2013.16.78.2312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Arrayhani M, El Youbi R, Sqalli T. Pregnancy-related acute kidney injury: experience of the nephrology unit at the university hospital of fez, morocco. ISRN Nephrol 2012; 2013:109034. [PMID: 24959532 PMCID: PMC4045431 DOI: 10.5402/2013/109034] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/30/2012] [Accepted: 11/29/2012] [Indexed: 11/30/2022]
Abstract
Introduction. Acute kidney injury (PRAKI) continues to be common in developing countries. The aim of this paper is to study AKI characteristics in pregnancy and identify the factors related to the unfavorable evolution. Methods. This prospective study was conducted in the University Hospital Hassan II of Fez, Morocco, from February 01, 2011 to January 31, 2012. All patients presenting PRAKI were included. Results. 37 cases of PRAKI were listed. Their ages varied from 20 to 41 years old, with an average of 29.03 ± 6.3 years and an average parity of 1.83. High blood pressure was the most common symptom (55.6%). Thirty-nine percent were oliguric. PRAKI occurred during the 3rd trimester in 66.6% of the cases and 25% of the cases in the postpartum. Hemodialysis was necessary in 16.2% of cases. The main causes were preeclampsia, hemorrhagic shocks, and functional, respectively, in 66.6%, 25%, and 8.3% of the cases. The outcome was favorable, with a complete renal function recovery for 28 patients. Poor prognosis was related to two factors: age over 38 years and advanced stage of AKI according to RIFLE classification. Conclusion. Prevention of PRAKI requires an improvement of the sanitary infrastructures with the implementation of an obligatory prenatal consultation.
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Affiliation(s)
- Mohamed Arrayhani
- Nephrology Department, Hassan II University Hospital, Sidi Harazem Road, Fez 30000, Morocco ; Epidemiology Department, Faculty of Medicine and Pharmacy, Sidi Harazem Road, Fez 30000, Morocco
| | - Randa El Youbi
- Nephrology Department, Hassan II University Hospital, Sidi Harazem Road, Fez 30000, Morocco
| | - Tarik Sqalli
- Nephrology Department, Hassan II University Hospital, Sidi Harazem Road, Fez 30000, Morocco ; Epidemiology Department, Faculty of Medicine and Pharmacy, Sidi Harazem Road, Fez 30000, Morocco
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Lazrak M, Elbardai G, Jaafour S, Najdi A, Mikou S, Arrayhani M, Sqalli T. Profil de l’infection urinaire nosocomiale dans un service de néphrologie. Nephrol Ther 2012. [DOI: 10.1016/j.nephro.2012.07.178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Dahri S, Doukkali B, Mikou S, Arrayhani M, Sqalli T. Évaluation d’un test de dépistage rapide de l’infection virale C chez les hémodialysés chroniques : expérience des centres d’hémodialyse publiques. Nephrol Ther 2012. [DOI: 10.1016/j.nephro.2012.07.279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Alaoui H, Alaoui Belghiti K, Alaoui Sekkouri K, Batta F, Arrayhani M, Sqalli T. Biopsie rénale chez le sujet âgé. Nephrol Ther 2012. [DOI: 10.1016/j.nephro.2012.07.179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Mikou S, Kabbali N, Ezziani M, Jaafour S, Arrayhani M, Sqalli T. Prévalence et facteurs de risque de la tuberculose chez les hémodialysés chroniques. Nephrol Ther 2012. [DOI: 10.1016/j.nephro.2012.07.284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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