Objective: Identifying which of the three scores (MNA, SGA and ISRNM) would better assess the nutritional status of chronic hemodialysis patients in BeninPatients and Methods: We conducted a cross-sectional, descriptive and analytical study. It was carried out over a three-month period, from 1 st July to 31 st September 2015. The study participants included patients who have been on hemodialysis for at least the past 6 months, non-admitted in the past 4 weeks and having given their consent to participate in the study. All patients were subject to anthropometric parameters and checkups in order to apply the three nutritional scores: Mini Nutritional Assessment (MNA); Suggestive Global Assessment (SGA); International Society of Renal Nutrition and Metabolism (ISRNM criteria). Statistical analysis was performed through EpiData Ver 3.1.Outcomes: 149 patients were selected including 38.93% of women and 61.07% of men. Age ranged from 19 to 79 years with 48 ± 12.88 as mean age. The prevalence of overall malnutrition was respectively 42.75%; 36.24% and 14.09% based on MNA, SGA and ISRNM scores. There was poor protein intake in 85.19% of cases, body mass index (BMI) was below 23 kg/m ² in 68.46% of cases, hypoalbuminemia and pre-dialysis hypocreatininemia were recorded in respectively 29.53% and 52.38% of cases.
Conclusion:SGA score seems to be a more objective score as it uses both history and clinical data. BMI and protein intake when considered distinctly, have a better predictive value of our patients nutritional status.
The study was conducted in Tanguiéta District Hospital on account of its great attendance. This health center has the features of an international regional center, given its border position inbetween three countries. In the Region of Atacora, this hospital is the most equipped and the only one providing varied and specialized services. Childhood kidney disease treatment is subsidized. It was a retrospective, descriptive and analytical study conducted from 1 st January 2013 to 31 st December 2016. The study population included all children aged 0-15 years of age admitted for consultation in the Department of Pediatrics, diagnosed for NS on the basis of 24 h-proteinuria above 50 mg/kg associated with hypo proteinemia <60 g/L, hypo albuminemia <30 g/l [5] and having clinical records
Objective: The purpose of this study is to identify determinants of erectile dysfunction in hemodialysis patients in CNHU-HKM, Cotonou.Method: It was a cross-sectional, descriptive and analytical study conducted over a period of six months, from 1 st March to 30 th August 2017. Prospective data collection was carried out, along with a comprehensive census of hemodialysis patients meeting inclusion criteria. Sexual function was assessed through full version of International Index of Erectile Function (IIEF).Results: 114 hemodialysis patients were included in the study, with mean age estimated at 51.05 years ± 11.66. Among the study population, 100 patients (87.7%) had hypertension as comorbidity, hypertensive Nephropathy (67.5%) and Diabetic Nephropathy (14%). The average duration on dialysis was 74.34 ± 55.74. Forty-three hemodialysis patients (37.7%) were with depression, 56 (49.1%) had lower testosterone, 38 (33.3%) high rate of LH and 63 (55.3%) high FSH. 98 (86%) of them experienced erectile dysfunction, 97(85.1%) sexual desire disorder and 80 (70.2%) orgasm disorder. Determinants of erectile dysfunction in hemodialysis patients included age (p<0.001; OR=1.168), hypertension (p<0.001; OR=10,111), seniority in hemodialysis (p=0.008; OR=1.024), depression (p=0.022; OR=11,250) and testosteronemia (p=0.038; OR=0.740).
Conclusion:Sexual dysfunction prevalence is high in patients receiving dialysis. There is need to include care and support in these patient's treatment strategies.
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