RESUMO
Oxalate nephropathy is a rare pathology that can be difficult to diagnose. It results from calcium oxalate crystals that are deposited in the renal interstitium or renal tubules. Once the deposition ensues, a multitude of complications can occur, including renal failure. One etiology for oxalate nephropathy is a lack of biliary acid. The diagnosis of oxalate nephropathy is typically based on visualization of oxalate crystals in the renal tubules on biopsy, and treatment based on the etiology can range from simple removal of the offending agent or a change in diet to liver/kidney transplant in the setting of primary hyperoxaluria. This report discusses a case of severe oxalate nephropathy related to long-term cholecystostomy tube placement resulting in a deficiency of biliary acid.
RESUMO
The harmful effects of nicotine products are well documented, especially cigarettes. Due to the addictive nature of nicotine, it is often difficult for people who smoke to quit. This study was performed to assess the attitudes of healthcare students regarding enrollment of patients who smoke into a pulmonary rehabilitation program. Public colleges and universities in Texas offering health professions programs were asked to participate if they offered a baccalaureate degree and student enrollment was >5,000. Results were obtained from 114 participants, the majority of whom were from the fields of respiratory therapy and physical therapy. The results revealed that older student participants, >37 yrs old, were less likely to agree to allow a patient who smokes to enroll in a pulmonary rehabilitation program when compared to younger student participants. Students who were more likely to allow patients who smoke to enroll in a pulmonary rehabilitation program were 18- to 22-yr-old women. Females were more likely to agree/strongly agree with allowing a patient who smokes to enroll in a pulmonary rehabilitation program. There was little difference in the attitudes of students who had any history vs no history of smoking.
