Monday, December 15, 2014
Poor semen quality can pose a problem for couples trying to conceive, but it appears that infertility also serves as a health warning sign for men. Findings of a new study reveal an association between a man's low-quality semen and his increased probability of having other unwanted health conditions. For the study published in Fertility and Sterility on Dec. 10, Michael Eisenberg from Stanford University School of Medicine's Department of Urology and colleagues looked at the medical data of over 9,000 men who were 38 years old on average and have infertility problems. The subjects routinely provided samples of their semen, which were assessed for volume, concentration and motility, or the ability of the sperm to move correctly to reach and fertilize an egg. About half of whom were found to have abnormal semen and the remaining half had reproduction problems caused by something else. By assessing the overall health of the men, the researchers found that 44 percent of the subjects had other health problems besides infertility. Eisenberg and colleagues, in particular, observed an association between poor semen quality and certain diseases that were not previously linked with fertility problems such as those that affect the circulatory system, including vascular disease, high blood pressure and heart disease. Eisenberg's team likewise observed that with the increasing number of semen defects, the probability of men having a skin disease or endocrine disorder rises. The relationship also appears to work the other way around. The researchers observed that the men with worse health had increased likelihood to have poor semen quality and low semen measures. The researchers said that while genetics play an important role in a man's sperm production, the findings of the study suggest that a man's health condition can also be a crucial factor in his reproductive abilities. "The current report identified a relationship between medical comorbidites and male semen production. Although genetics help guide a man's sperm production, his current condition and health play an important role," the researchers wrote. Although the study does not show a causal relationship, the researchers said that there are a number of ways circulatory problems can be linked with poor semen quality such that these conditions are all tied to smoking and obesity. "Infertility is a warning: problems with reproduction may mean problems with overall health," Eisenberg said. "As we treat men's infertility, we should also assess their overall health."
Friday, December 5, 2014
Saturday, November 15, 2014
< Kidney & Hypertension Group know we are big on preserving your residual renal function. (urine output) We choose PD when we can, and work in other ways to protect the kidney function that remains. That topic was covered at the ASN meeting this week. In this recap, it does not mention (but hopefully covered) the importance of continued vigilance in protecting the kidney from nephrotoxic substances-either medication or from diagnostic tests when you are on dialysis. In particular, we have found extreme vigilance is needed in guiding our patients through the rigors of transplant workup (ie radio-contrast studies), and guarding against loss of RRF there. Like the article says, every drop of urine promotes your well being on dialysis, particularly as you wait for a kidney transplant. As for medication, if you had to avoid it pre-dialysis, chances are you need to avoid it on dialysis. One example is anti-inflammatory medication, either over the counter, or prescribed. When taking antibiotics, your nephrologist will consider the proper dose for you, often in conjunction with the prescribing physician. Because today's medicine means your own doctor may not be treating you in the hospital, we find education of the patient on preserving his or her renal function from day one goes a long way to making sure the patient is their own advocate in situations where guarding renal function may not be given full consideration by the medical team. http://ajkdblog.org/2014/11/14/kidney-week-2014-preserving-residual-kidney-function-in-esrd/
Friday, November 14, 2014
HealthDay News) — Only about one in two young American adults with hypertension receive advice from a doctor on lifestyle changes, according to a study published online November 6 in the Journal of General Internal Medicine. For the study, the investigators looked at lifestyle counseling rates among 500 young adults with hypertension being treated at a large Midwestern academic practice. The researchers found that only 55% of the patients received lifestyle education within one year of being diagnosed with hypertension. The most common topic was exercise, followed by advice on quitting smoking. Only 25% were counseled on how to lower their blood pressure by changing their diet. Those most likely to receive lifestyle counseling included women, patients who made regular visits to the doctor to manage long-term health problems, those previously diagnosed with hyperlipidemia, and people with a family history of hypertension or heart disease. The findings show that doctors are missing far too many "teachable moments" to advise young adults with hypertension about lifestyle changes, study author Heather Johnson, MD, of the University of Wisconsin School of Medicine and Public Health in Madison, said in a journal news release.
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Thursday, November 13, 2014
Causes of High Potassium High levels of potassium in blood cause a condition known as hyperkalemia. A kidney disorder is the major cause of...
LETTERS Kidney Warning (1 Letter) Published: August 13, 2012 To the Editor: Re “Transplant Centers Struggle With Donors’ Obesity” (Aug...
DR. GABRIEL VALLE CHOSEN TO EXCLUSIVE "BEST DOCTORS" PANEL OFFERING PATIENTS AROUND THE WORLD VIDEO ACCESS, ALONG WITH THEIR OWN DOCTORS, TO THE COUNTRY'S BEST IN THEIR FIELDS.THE KIDNEY GROUP'S DR. GABRIEL VALLE HAS BEEN CHOSEN AGAIN TO "BEST DOCTORS" WHICH IS A WORLD CLASS PANEL OF EXPERTS, CHOSEN B...
UCSF unveils model for implantable artificial kidney to replace dialysis UCSF researchers today unveiled a prototype model of the first i...
April is National Donate Life Month, and if you're thinking about donating a kidney, now would be the time to find out what it's all...
You can't have a healthy heart without healthy blood pressure, so see your doctor or health-care professional for a reading. An accurate...
Several patients have called, alarmed with news reports that patients with #kidney stones face a higher incidence of end stage renal disease...
There's a dangerous health problem on the rise in the United States, affecting more than 20 million adults—25 percent more than a decade...
The Kidney Group wishes Dr. Gabriel Valle's daughter, Genevieve, all the best in her bid to be UM Law School's next Student Bar Asso...
Even in a practice like the Kidney Group that does so many transplants, 4 in one week-and all at University of Miami, and all four Dr. Vall...
- "Kindest Cut" New Yorker 2009
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- DR. GABRIEL VALLE CHOSEN "BEST DOCTOR" AGAIN FOR 2011.
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- SHALL WE ?
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