Hyperphosphataemia and haemodynamic disturbances in haemodialysis patients with end-stage renal disease

Thirty patients with chronic renal failure under regular hemodialysis [bicarbonate] were randomly selected for this study. Examination included full clinical assessment, routine laboratory investigations, determination of serum parathyroid hormone and echocardiographic studies. Patients were divided according to their semen phosphorus levels into two groups. Patients in group one had serum phosphorus levels less than 6 mg/D1, while patients in group two had higher levels. Hyperphosphatemia was common and accounted for 36.6% of the studied samples according to this classification. Hyperphosphatemic group was characterized by significantly higher calcium x phosphorus product and mathematically lower calcium levels

Role of surgery in typhoid perforation

Thirty patients were admitted during the period 1980 till 1987 with perforation due to typhoid fever. Five patients were treated conservatively and 25 patients were subjected to operation with different procedures according to the general condition of the patient. Mortality and morbidity were much better after surgery