Survival rates for children who get kidney transplants have improved significantly over the last half-century, a new study finds.
“The outlook for infants and children with end-stage kidney disease was once dismal, with poor survival rates after transplant. There has been great progress in pediatric kidney transplantation, and now the patient survival rate is almost 100 percent,” said the study’s principal investigator, Dr. Srinath Chinnakotla.
Chinnakotla is an associate professor of surgery at the University of Minnesota Masonic Children’s Hospital in Minneapolis, where the study was done.
Since 2002, 97 percent of children who had kidney transplants at the hospital were alive a year later. That compares to 85 percent 40 to 50 years ago, the study showed. Read More..
This is absolutely good news and light at the end of the tunnel. With this break-through, more children will survive kidney transplant and this is a strong foundation for further improvements in the entire health system. However, as we celebrate this good news, it is equally important to think about thousands if not millions of disadvantaged children who desperately need a kidney transplant but cannot be saved either because of the poor economic nature of their families or lack of such services in major health facilities nearby.
Comment by: Cliff Abenaitwe
Blood pressure and fluid retention improve in those counseled by dietitians, small study shows
Encouraging people with kidney disease to reduce their salt intake may help improve blood pressure and cut excess fluid retention, at least for a while, a new study suggests.
Study participants lowered their systolic blood pressure (the top number)
by almost 11 points, on average, on a salt-restricted diet versus their usual diet. They also flushed out a liter of water (about one-quart) from their bodies, on average, by slashing salt in their diets, researchers said.
Having high blood pressure and retaining excess salt and water in the body stresses the heart and blood vessels, explained lead author Dr. Rajiv Saran of the University of Michigan.
For kidney disease patients, high blood pressure (or “hypertension”) and excess fluid in the body can be a toxic combination. “They die predominantly of cardiovascular disease,” said Saran, a professor of internal medicine and epidemiology in the nephrology division.
Yet doctors rarely have time or make time to counsel each patient about salt-restricted diets, he said.
Saran and co-investigators wondered whether having trained dietitians talk to patients with chronic kidney disease by phone or in person about ways to lower daily sodium intake would make a difference. Read More
Low back pain affects millions of people in the United States, and the condition is one of the most common reasons for people missing work. New guidelines from the American College of Physicians recommend noninvasive ways of treating nonradicular low back pain.
The American Chiropractic Association (ACA)
report that approximately 31 million U.S. individuals experience low back pain at one point during their lives. The ACA also note that low back pain is the leading cause of disability across the world, as well as one of the most popular reasons why people miss work.
The condition accounts for a large proportion of all doctor visits in the U.S., and almost 25 percent of the entire adult population in the U.S. has experienced at least one day of low back pain in the past 3 months.
Uganda Urged to tighten laws on Tobacco consumption
A couple of years ago, Uganda’s Parliament enacted the anti-tobacco consumption legislation. This law bares public smoking and tobacco advertising and puts in place fines for offenders.
At the time of its enactment, this was seen as a step forward towards reducing deaths as a result of tobacco consumption.
However, since then nothing has much changed and health activists are up again demanding for tough measures against tobacco use and production.
Baguma Richard Tinkasimire, the programs coordinator at the Uganda health communication alliance says that this legislation puts light punishments and fines on perpetrators and its implementation is poor. According to Baguma, tobacco advertising, promotion and sponsorship has persisted and this is dangerous.
“Tobacco advertising, promotion and sponsorship encourage people especially the youth to use tobacco, encourage tobacco users to use more, decrease user’s motivation to quit and quitters to relapse,” he sadly adds
Loopholes in the law
Baguma explains that the current law has many loopholes. “Under the current law, every public place must have a no smoking sign but many of our hotels, bars, offices and night spots do not have them.
What is more baffling is that you find ‘smoking zones’ and ash trays in these places and this is unlawful,” Baguma notes. He further reveals that as a result of these loop holes in the current law, public smoking and public tobacco consumption has persisted and this is a great health risk to both the consumer and the people around.
As a result of this trend, health activists have now drafted a private members bill that is before the floor of parliament. Baguma told this mouth piece that this bill (Tobacco control bill 2012) seeks to tighten the grip on tobacco production, advertising and consumption.
The bill at a glance
According to Doctor Hafsa Lukwata, a mental health specialist and one of the brains behind this law in the offing, the act seeks to protect present and future generations from the devastating health, social, economic and environmental consequences of tobacco use and exposure to tobacco smoke.
According to the world health organization (WHO), tobacco is the single greatest preventable cause of death in the world today, killing up to a half of the people who use it.
The world health body estimates that tobacco use causes nearly 6 million preventable deaths each year of which 10 percent are due to exposure to second hand tobacco smoke. “If current trends continue, the number of annual tobacco-related deaths is predicted to increase to 10 million by the year 2020 with 70 percent of those deaths occurring in low and middle-income countries”, the WHO 2011 report warns.
This bill seeks to promote a smoke free environment, place a ban on tobacco advertising, promotion and sponsorship, restrict the sale, supply and use of tobacco products and to place tough fines and punishment on perpetrators.
Part IV of this bill advocates for an increment in taxes on tobacco products in an effort to control their trade. “The object of this part is to provide for price increase through taxation on tobacco products as an effective intervention in reducing demand for tobacco”, clause IV of the bill reads in part.
According to Baguma, there is a strong need to protect the vulnerable people who consume second hand smoke from cigarettes and tobacco. “We must put strong laws in place and implement them because health related problems related to tobacco use when they come, they are irreversible,” he added.
Shocking but true, Baguma does not buy the idea of designating smoking zones in public places like bars and clubs. “Designating smoking zones in public places is hopeless. Smoke from that area will eventually come to the non-smoking areas and affect others. Instead if one wants to smoke, let them go out of the public place and smoke from there.
In Uganda, tobacco growing has for generations been the main source of income for thousands in west Nile region and other areas like Kanungu. However Baguma observes that people in these areas can be helped to get an alternative crop to grow and earn big. He cites Bwambala Sub County in Rukungiri district western Uganda which used to be a tobacco production hub but people have now abandoned the crop in favor of upland rice.
Baguma notes that if people in Tobacco growing areas are well sensitized and given alternative crops to grow, they will definitely abandon tobacco growing.