ABSTRACT
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Abstract Introduction: Acute kidney injury is a frequent complication in patients with COVID-19 and its occurrence is a potential indicator of multi-organ dysfunction and disease severity. Objective: Develop, through an expert consensus, evidence-based recommendations for the prevention, diagnosis, and management of acute kidney injury in patients with SARS CoV2 / COVID-19 infection. Materials and methods: Based on a rapid systematic review in Embase and Pubmed databases and documents from scientific societies, we made preliminary recommendations and consulted with an expert group through an online tool. Then we defined agreement after at least 70 % consensus approval. Quality evidence was evaluated according to the type of document included. The strength of the recommendations was graded as strong or weak. Results: Fifty clinical experts declared their conflict of interest; the consultation took place between May 2 and 29, 2020. The range of agreement ranged from 75.5 % to 100 %. Recommendations for prevention, diagnosis and management of acute kidney injury in patients with SARS CoV2 infection are presented. Conclusions: Although the good quality information available regarding acute kidney injury in patients with COVID-19 is scarce, the recommendations of clinical experts will guide clinical decision-making and strategies around patients with this complication, guaranteeing care focused on the people, with high quality standards, and the generation of safety, health and wellness policies for multidisciplinary care teams.
Subject(s)
Humans , Male , Female , COVID-19 , Patients , Colombia , Diagnosis , Acute Kidney InjuryABSTRACT
Epidemiological studies have shown that consumption of fruits and vegetables are associated with beneficial effects on human health including the reduction of coronary artery disease (CAD) risk. Fruits and their juices contain phytochemicals that inhibit in vitro the low-density lipoprotein (LDL) oxidation, a key process involved in the generation of arterial lessions. We developed an study to examine the phenolics compound content of citrus juice cultivated in the southwest of Antioquia, Colombia, its free radical scavenger activity and in vitro effect on LDL oxidation. Five citrus varieties were analyzed: Citrus sinensis valencia, Citrus reticulata clementina, Citrus reticulata oneco, Tangelo Orlando and Tangelo mineola. The results showed that no correlation exists between phenolic compounds content and free radical scavenger activity in the citrus juices analyzed. However a high inhibitory capacity of LDL oxidation was found.
Estudios epidemiológicos han demostrado que el consumo de frutas y vegetales se asocia con efectos beneficiosos sobre la salud humana, incluyendo reducción del riesgo de enfermedades cardiovasculares (ECV). Las frutas y sus jugos contienen compuestos que inhiben la oxidación de Lipoproteínas de Baja Densidad (LDL), un proceso clave en el desarrollo de la lesión arterial. Se ha desarrollado un estudio para determinar el contenido de compuestos fenólicos, la actividad captadora de radicales libres y el efecto sobre la oxidación de LDL, de jugos de cítricos cultivados en el suroeste de Antioquia (Colombia). Cinco variedades de cítricos fueron analizadas: Citrus sinensis valencia, Citrus reticulata clementina, Citrus reticulata oneco, Tangelo orlando, Tangelo mineola. Se demostró que en estos jugos no existe correlación entre el contenido de compuestos fenólicos y la actividad captadora de radicales libres (ACRL), sin embargo, se encontró una alta capacidad para inhibir la oxidación de LDL.