Monthly Archives: May 2012

Mineral balance is critical for healthy body functions – Role of the kidneys and increasing kidney disease


Importance of healthy kidney function is to maintain a balance of Potassium, Phosphorous and calcium and Vitamin D. Chronic kidney disease (CKD) affects every body function, including or through mineral imbalance in body.
Read below an extract from “Chronic Kidney Care” by Sharon Broscious and Judith Castognola, critical care nurses or you may want to click here to read it in detail in the original journal article. Why are more people presenting with sickened kidneys?

Electrolyte Balance
Multiple electrolyte levels are altered in patients with CKD. Potassium levels may be normal until late in ESRD, and elevated potassium levels are often associated with CKD because of the inability of the kidney to excrete potassium as a result of decreased GFR. In addition, when metabolic acidosis is present, potassium ions shift from the intracellular compartment to the extracellular space in exchange for H+, in an effort to maintain extra-cellular acid-base balance. The kidneys normally excrete 40 to 60 mmol of potassium daily.11 J.M.’s potassium level was 5.8 mmol/L, increasing his risk for fatal dysrhythmias.

Serum phosphorus and calcium levels are also altered in CKD. When GFR is less than 30 to 50 mL/min per 1.73 m2, phosphorus excretion is impaired.10 Because of the reciprocal relationship between phosphorus and calcium, this increased retention of phosphorus results in a decrease in the serum level of calcium. Three additional mechanisms can affect calcium level. Calcium is found in 3 forms in the blood: attached to protein, attached to other complexes, and free or ionized. Because some calcium is bound to protein, total serum calcium level can decrease when albumin level decreases. J.M. had proteinuria. This loss of albumin can contribute to a decreased serum level of calcium. CKD also has an effect on vitamin D synthesis. The kidneys normally convert inactive vitamin D to its active form: 1,25-dihydroxycholecalciferol.11 Impaired vitamin D synthesis results in decreased absorption of calcium in the gastrointestinal tract. The third mechanism that affects serum levels of calcium is the endocrine system. When the serum level of calcium decreases, the parathyroid gland increases its secretion of parathyroid hormone, causing calcium to be released from the bone and compensating for the decreased serum level of calcium.12 Results of J.M.’s laboratory tests showed a calcium level of 2.05 mmol/L (8.2 mg/dL) and a phosphorus level of 3.91 mmol/L (12.1 mg/dL), indicating impaired phosphorus excretion and a reciprocal decrease in calcium level.

To read more click here. You may want to continue reading to learn about:
how the healthy and diseased kidneys balance electrolytes;
the increasing public health care costs to take care of increasing number of individuals with failind kidneys;
the role of parathyroid hormone in maintaining electrolyte balance;
the alterations in excretory functions
how anemia results from chronic kidney disease
how chronic kidney disease affects every body function

Chronic Kidney Disease
Acute Manifestations and Role of Critical Care Nurses
Sharon K. Broscious, RN, DSN, CCRN and Judith Castagnola, RN, MSN
+ Author Affiliations

Sharon K. Broscious is an associate professor in the School of Nursing at Troy University, Atlantic Region, in Norfolk, Va.
Judith Castagnola is a facility administrator at DaVita Peninsula Dialysis in Newport News, Va.
Corresponding author: Sharon K. Broscious, Troy University, Atlantic Region, 5425 Robin Hood Rd, Ste B1, Norfolk, VA 23513.
Do let Sharon Broscious know that you appreciated this article by emailing the author: (e-mail: sbroscious@troy.edu)

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Can you get tendon damage, tendonitis, or tendon rupture by taking an antibiotic?


Yes,in rare occasions you can. If you had a kidney transplant, or are taking corticosteroids, or are over 60 years of age are some of the known risk factors. This medication may cause tendon damage during or after treatment. So, measure the risk versus benefit before taking this antibiotic.  In addition, this medication can also cause your retina to be damaged when exposed to sunlight. So, if you do take this medication, even if the busy doctor forgets to warn you, be aware that you must protect and shield your eyes from sunlight. This is especially more important if you are also taking corticosteroids, which also may damage your retina. Would alternatives mentioned below work? Would changing a life-style factor work?

In the last few decades, doctors have prescribed antibiotics to cure all kinds of bacterial diseases ranging from life – threatening to minor. They did not realize that wide-scale use of antibiotics could result in a rise of resistant bacteria that could evade the commonly prescribed antibiotics and continue their infectious state. This medication, Ciprofloxacin, a class of drugs called quinolone antibiotics, works. So, as ofthe year 2012, doctors may prescribe Ciprofloxacin. However, it has the severe side reactions discussed above in certain patients. You may want to click here (medicine.net) and here (drugs.com) to learn more about the drug Ciprofloxacin. Cipro has been stockpiled to fight a potential anthrax attack by terrorists. If prescribed Cipro, do not take it with milk or milk products or with calcium fortified juice. Also, read up the two links above. There are additional risk factors such as low potassium levels is another risk factor.

When should you take antibiotics?Doctors have to see several patients in a day to make enough money to pay their high malpractice insurance and other bills. So, they are too rushed to go over all the risk factors that you as an individual should consider. So, it is your job to be aware. READ up the two links above and more before you take any antibiotic, especially for a minor inflammation. However, if there is a risk for tetanus from a minor cut which can be deadly or such a life-threatening condition which might be major, do act quickly on the recommendation of your doctor, and take an effective antibiotic. That is why antibiotics were discovered by Alexander Flemming. To save lives.

So, what should you do?
1) Ask your doctor if it is a life – threatening condition? If the answer is yes, then naturally, the benefit to taking the drug may out weigh the risks.
2) Read up more about this drug to learn about the risk factors here and here.
3) Read up more about this drug to learn about how important it is to follow the exact routine of when to take the medicine. You must take it at the exact same time everyday to maintain the same amount of drug inside your body.
4) Certain herbs like Oregano and Turmeric and just eating more healthy foods with plant tannins help fight the bacteria naturally. Consider those options. They take longer because they are less effective immediately, however, bacteria are fought by helping your body’s immune system attack the offending bacteria instead of an artificial antibiotic chemical. You may read our article on G-proteins, and how they interact inside your body’s cells in complex ways, so that doctors really still do not fully understand why something has a severe side reaction in one person and be absolutely safe in another.
5) Are you post-menopausal? Well, some doctors believe that hormonal changes after menopause change your ability to digest foods that you had no problem digesting before menopause. Perhaps, a nutritional change or overhaul might solve the issue that might mimic an infection but is largely a result of hormonal change, for example a stomach irritation. Some find that eliminating milk or gluten helps. Imagine, if eliminating a food can stop you from using an antibiotic that may rupture or damage a tendon, wouldn’t you rather try that option?

 

It is your body or the body of your loved one. Be empowered. Eat healthy. Stay healthy. If you get sick, be proactive. Read before you take a dangerous antibiotic, if your condition is not life threatening. Why risk damaging your perfectly healty tendon? You may end up needing surgery for a damaged tendon. Is that really something you would want to risk if all you are suffering from is a minor infection, which a temporary life-style change might safely help?

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Research on why link gays or lesbians and autism?


An irate reader, Felix, commented on our article “Are there any gays and lesbians who are autistic” saying it was biased towards unhappy, bisexual women. So, this article addresses our reader Felix’s criticism and delves further into articles that answer the question we asked, well, “Are there any gays and lesbians who are autistic?” and why is it so difficult to get an answer to the question? This article is for our reader, Felix.

We found two articles:
(1)Co-occurence of Autism Spectrum Disorder in individuals with Gender Dysphoria. This is not a rare phenomenon, notes this article in what was a poster presentation in a conference in Chicago in 2009 by a group of psychologists from Netherlands. To know their names you may click here. They noted that only case studies have been published by authors with very different views. Yet, their clinical experience suggested that the co-existence of gender dysphoria (they explain that it is individuals unsure of their sexual orientation or not specified gender orientation or a not otherwise specified diagnosis) and autism spectrum disorder (ASD) is not a rare phenomenon. They found that the developmental trajectory of individuals with the two disorders vary considerably and each requires a special clinical approach. They found that 6% of 233 children and adolescents could be diagnosed with this. You may click here to read this article’s 2009 abstract in more detail.

(2)An exploration into dual citizenship – homosexuality and autism, and changing the work environment.

By Terry Walker.tiggerworld1 at earthlink.net, on 2003 October 2. You may click here to see the articles and the slides. They also have a links for the impatient to quickly read the relevant details.
You may directly reach their link to a summary for the human resources department by clicking here.
Terry Walker presented as an autistic in the GLTB “dual citizenship” workshop of the “Out & Equal” with suggestions for workplace changes to an audience of 600 people focussed on improving the workplace environment. He emphasized that he could speak only from his own experience and it in no way represented all autistics or all queers (his words), but felt this was the proper venue to record his observations. Terry says: Quote

Why link autism advocacy with gay advocacy?

The short answer is that I’m certain both communities would benefit from the association.

The experience of being gay is not the same as the experience of being autistic. I am both, and I recognize this difference. The experiences, however, do have similarities in both their fundamental nature and their historical background. (I’ll explain those two points in a moment.) Furthermore, I think that these ties could and should be strengthened as part of the emerging Neurodiversity movement. GLBT, Autistic, and Allied people would make a strong force for change in social attitudes and business practices concerning “differently-brained” employees. I encourage these communities to interact in pursuit of that goal.

Fundamental similarity

Both communities share the “minority experience”, the frustration of feeling compelled to adjust to social expectations in a larger world that was designed for different norms. We share a need for restructuring society in a way that will allow us to participate fully. Unquote.

You may read further by clicking here. It is really poignant reading. Please, tell us your views here. We want to hear how you are adjusting in this society with “dual citizenships” and what suggestions you have for a better, more inclusive society.

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Are there any Gays and Lesbians who are autistic?


Tony Langdon is credited with the first site dealing with Gay and Autistic says Autism women’s network. When I asked this question and went looking for answers, I found that Kristi and Joe are writing a book on the topic on January 2010, entitled, “Asperger’s and Sexuality for parents of adolescents” and looking for anonymous people to interview on Autism women’s network. So, apparently this was a matter already under discussion. Katherine on the same site listed 12 sites covering this issue. She is the one who said that Tony Langdon was a web presence in the Autralian Autistic community since 1990s, exploring being gay and autistic. Included was also a must see site in the Netherlands.

So, I would suggest that to learn more on this topic, go to Autism women’s network, by clicking here; scroll all the way to the bottom and find Katherine’s list of 12 sites covering this issue. Also, check out the others on the same site: German_Aspie, book authors kritisakai, and AllSaintsAngel, who discuss their issues.

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Why link gays or lesbians and autism?

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