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Monday, October 13, 2014

Tenofovir Use and the Kidney

The updated
HIV guidelines urge caution with Tenofovir use, particularly as it involves the kidney. If you are using Tenofovir or plan to begin using it, and are concerned about potential kidney issues, our doctors have extensive experience in this area. Contact us at (954)771-3929 and ask for Jessica who can connect you with the correct specialists in our group to help your navigate this issue successfully. http://www.renalandurologynews.com/hiv-tenofovir-chronic-kidney-disease-ckd-therapy/article/372267/

Monday, October 6, 2014

Living Successfully With HIV and Kidney Disease

The #Kidney & Hypertension Group has a clinic for patients living with #HIV and Kidney Disease, directed by Dr. Jorge Ajuria. We work closely with top area Infectious Disease specialists and offer our patients the latest in medical advances in living successfully with HIV and Kidney Disease. Contact Jessica at (954)7713929 for more information about our HIV/Kidney Disease Clinic.

Wednesday, October 1, 2014

40% of Americans Over Age 60 Have Metabolic Syndrome-What Is It

Obesity-related hypertension frequently occurs in association with other CV risk factors, forming a constellation referred to as the metabolic syndrome (Table II).76 Although the concept of a metabolic syndrome has achieved widespread acceptance over the past 2 decades, no consensus has developed over the precise definition of the syndrome, nor over the criteria required to establish the diagnosis. No less than five sets of diagnostic criteria have been proposed by different international and national panels including the International Diabetes Federation (IDF), the World Health Organization (WHO), and the US National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III), among others.77 The differences in criteria, although small and overlapping, point to the imprecision in defining the metabolic syndrome, and to the differences in the perceived importance of the various manifestations. Using the NCEP-ATP III criteria and the NHANES III survey it has been estimated that about 30% of the US population has the metabolic syndrome.78 The prevalence increases with age so that by 60 years, more than 40% of people meet criteria for the diagnosis. Table II. Metabolic Syndrome- Many sets of diagnostic criteria: Critical components: Hypertension, Central obesity, Insulin resistance (hyperinsulinemia), Characteristic dyslipidemia, High triglycerides, Low high-density lipoprotein cholesterol. Other associations- Impaired glucose tolerance; type 2 diabetes mellitus, Microalbuminuria; chronic renal disease, Prothrombotic diathesi,s Small dense low-density lipoprotein, [UPWARDS ARROW] Inflammatory markers
SOURCE: American Society of Hypertension

Risk Factors For Chronic Kidney Disease

Tuesday, September 30, 2014

CDC's Questions and Answers on Ebola Virus and Prevention

Questions and Answers on Ebola
General Infection Control Travelers In the US The 2014 Ebola outbreak is the largest in history and the first Ebola epidemic the world has ever known — affecting multiple countries in West Africa. Although the risk of an Ebola outbreak in the United States is very low, CDC and partners are taking precautions to prevent this from happening. A small number of cases in Nigeria have been associated with a man from Liberia who traveled to Lagos and died from Ebola, but the virus does not appear to have been widely spread. CDC is working with other U.S. government agencies, the World Health Organization, and other domestic and international partners and has activated its Emergency Operations Center to help coordinate technical assistance and control activities with partners. CDC has also deployed teams of public health experts to West Africa and continues to send public health experts to the affected countries. For general information about Ebola, please use the links below: About EbolaSigns and SymptomsTransmissionRisk of ExposurePrevention General How do I protect myself against Ebola? If you must travel to an area affected by the 2014 Ebola outbreak, protect yourself by doing the following: Wash hands frequently or use an alcohol-based hand sanitizer. Avoid contact with blood and body fluids of any person, particularly someone who is sick. Do not handle items that may have come in contact with an infected person’s blood or body fluids. Do not touch the body of someone who has died from Ebola. Do not touch bats and nonhuman primates or their blood and fluids and do not touch or eat raw meat prepared from these animals. Avoid hospitals where Ebola patients are being treated. The U.S. Embassy or consulate is often able to provide advice on medical facilities. Seek medical care immediately if you develop fever (temperature of 101.5°F/ 38.6°C) and any of the other following symptoms: headache, muscle pain, diarrhea, vomiting, stomach pain, or unexplained bruising or bleeding. Limit your contact with other people until and when you go to the doctor. Do not travel anywhere else besides a healthcare facility. CDC has issued a Warning, Level 3 travel notice for three countries. U.S. citizens should avoid all nonessential travel to Guinea, Liberia, and Sierra Leone. CDC has issued an Alert, Level 2 travel notice for Nigeria. Travelers to Nigeria should take enhanced precautions to prevent Ebola. CDC has also issued an Alert, Level 2 travel notice for the Democratic Republic of the Congo (DRC). A small number of Ebola cases have been reported in the DRC, though current information indicates that this outbreak is not related to the ongoing Ebola outbreaks in Guinea, Liberia, Nigeria and Sierra Leone. For travel notices and other information for travelers, visit the Travelers’ Health Ebola web page.

Monday, August 25, 2014

A Grateful Patient Thanks Dr. Gabriel Valle and The Kidney And Hypertension Group

Thank you, Giovanna for this review of Dr. Gabriel Valle "I thank God, Dr. Valle, and the excellent staff at Holy Cross Hospital for saving my life! The aftercare at the Kidney Group was/is wonderful. I have been given a second chance, please let me take it and run with it. Thanks,again. Giovanna "

Sunday, August 24, 2014

Diabéticos:cuiden vuestros riñones!

Los riñones son otro de los órganos que se ven afectados cuando tienes diabetes y no te cuidas. A la complicación que sufre este órgano se le llama nefropatía diabética y si es severa puede causar que tus riñones dejen de funcionar. Desde el momento en que recibes la noticia de que tienes diabetes, el médico será muy enfático en indicarte que debes cuidarte. El controlar tus niveles de glucosa (azúcar) en la sangre y mantenerlos dentro de los niveles saludables es la clave para que evites las complicaciones de la diabetes, que afectan a varios órganos del cuerpo, como el corazón y los vasos sanguíneos, los ojos, los nervios, los dientes y las encías y, por supuesto, los riñones, según el sitio vidaysalud.com. Para entender cómo surge la llamada nefropatía diabética es una buena idea explicar de qué se trata el funcionamiento de los riñones y cómo es que la diabetes descontrolada llega a dañarlos hasta el punto de que dejen de funcionar. Los riñones cumplen una tarea que no es nada fácil y que podría compararse con una máquina compleja de reprocesamiento. Todos los días purifican cerca de 190 litros de sangre para filtrar 1.9 litros de deshechos y el exceso de agua que se convierten en orina y son almacenados por la vejiga. Los desechos se forman como resultado de la descomposición normal de los tejidos y de los alimentos que consumimos. Una vez que el cuerpo toma lo que necesita de los alimentos para fabricar energía y reparar los tejidos, los desechos son enviados a través de la sangre. Si lo riñones no filtraran estos desperdicios, se acumularían en la sangre y el cuerpo se intoxicaría. La filtración de los desperdicios ocurre en pequeñas “unidades” que se encuentran dentro de los riñones y se denominan nefronas. Cada uno de tus riñones tiene aproximadamente un millón de nefronas, y allí, un pequeño vaso sanguíneo (capilar) conocido como glomérulo se une a un pequeño tubo que recoge la orina llamado túbulo y se produce un complejo intercambio de sustancias químicas a medida que los desechos y el agua salen de la sangre y entran al sistema urinario (de la orina). ¡No te descuides! Tus riñones tienen una tarea muy importante y son un tesoro que debes valorar.

Black Americans Are At High Risk of Kidney Disease. Click Picture To Learn What Can Be Done

Black Americans Are At High Risk of Kidney Disease. Click Picture To Learn What Can Be Done
A Black Kidney Transplant Patient Warns Other Members of the Black Community of the Need To Be Aware of Their Increase Risk of Kidney Disease and What They Can Do About It

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Van C. (Dr. Gabriel Valle's patient-kidney-University of Miami, Cathy O. (Dr. Carlos Bejar-Kidney at University of Miami),Will E. (Dr. Ajuria-kidney-Miami Transplant Institute;Bob I. (Dr. Valle's patient, University of Miami-Kidney), Orlando T. (Dr. Valle's patient, University of Miami, kidney), Sara A. (Dr. Valle's patient, kidney, University of Miami),Steve I. (Dr. Jorge Ajuria's patient, kidney, University of Miami),Sandy L. (Dr. Carlos Bejar's patient, kidney, University of Miami),KATHY C. (kidney-University of Miami, patient of Dr. Valle,MARTIN O. (Dr. Valle patient-Heart/Kidney -University of Miami), ROBERT I. (Dr. Valle's patient Kidney at University of Massachusetts), DREW P.(kidney-University of Florida),BILL L. (University of Florida-kidney), BARBARA L. (University of Miami-kidney), FRANCIS L. (kidney at U. of F.), JONATHAN I. (kidney-at U of F), THERESA L. (kidney-pancreas at University of Miami),JEFF T. (kidney at University of Florida), TERESA R. (kidney-University of Miami), JEANNIE O. (kidney-University of Florida), ELOISE O. (Univ of Florida), JOHN E. (kidney-University of Florida), GENE J. (Kidney-University of South Florida), CAL. M. (kidney- Florida Transplant Hospital in Orlando), TERRY A. (Perfect Match! University of Florida-kidney), TIM A.(kidney-University of Miami), GLORIA R. (kidney -University of Miami), BRAD R. (Kidney (and never on dialysis!!)-at University of Miami),(*both Brad and Gloria got kidneys on the same day!!!), BELINDA (kidney-University of Miami), TOM (kidney-University of Miami), JIM E. (Kidney-University of Miami), HERBERT A., (Kidney-University of Miami), Belinda R. (University of Miami-kidney),

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