- Eleven percent of the U.S. adult population has varying
stages of chronic kidney disease, according to researchers from the Johns
Hopkins Bloomberg School of Public Health. The researchers concluded that
chronic kidney disease warrants improved detection and classification using
standardized criteria to improve patient outcomes. Their research is published
in the January 2003 issue of the American Journal of Kidney Diseases.
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- Of the five categorical stages, with Stage 5 being kidney
failure, the largest number of adults, 7.6 million or 4 percent of adults,
are classified in Stage 3 in which their glomerular filtration rate (GFR)
is 30-59 ml/min/1.73m2. This means that the kidneys filter less than one-half
of the amount filtered by a healthy young adult of a similar body size
(130 ml/min or 2 gallons/hour). As a result, the kidneys are less efficient
at removing toxins and secreting hormones important for healthy blood and
bone function. The presence of chronic kidney disease can be detected using
simple blood and urine tests relying on serum creatinine to estimate kidney
function and urinary albumin to indicate kidney damage.
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- Josef Coresh, MD, PhD, lead author of the study and associate
professor of epidemiology, medicine, and biostatistics at the Johns Hopkins
Bloomberg School of Public Health, said, "As the population ages,
kidney disease will become more apparent. However, there is already a growing
recognition of the importance of moderate and severe chronic kidney disease,
prior to the onset of kidney failure requiring dialysis, as an important
treatable condition. We estimate that 4 percent of U.S. adults, approximately
8 million people, have less than half of the normal kidney function of
a young adult. This low level of kidney function is estimated to be present
in one out of every five Americans over the age of 65. Another 11 million
adult Americans have a persistent presence of at least a small amount of
albumin (the main protein in blood) in their urine." Dr. Coresh explained
that patients with chronic kidney disease are at a high risk of heart attacks
and strokes. They also have treatable conditions such as hypertension,
anemia, and poor nutritional status.
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- Researchers used the recently developed National Kidney
Foundation Clinical Practice Guidelines which provide a standardized definition
of chronic kidney disease and its stages to a nationally representative
sample of 15,625 non-institutionalized adults who participated in the Third
National Health and Nutrition Examination Survey (NHANES III). Participants
were also interviewed about their history of diabetes and hypertension.
Chronic kidney disease stages are based on estimated kidney function measured
as GFR. A healthy young adult has a GFR of 130 ml/min/1.73 m2. The researchers
found an estimated 5.9 million individuals (3.3%) had Stage 1/normal kidney
function with protein found in urine on two occasions; 5.3 million (3%)
had Stage 2/ mildly decreased kidney function with protein found in urine
on two occasions; 7.6 million (4.3%) had Stage 3/moderately decreased kidney
function (GFR 30-59 ml/min/1.73 m2); 400,000 (0.2%) had Stage 4/severly
decreased kidney function (GFR 15-29 ml/min/1.73 m2); and 300,000 (0.2%)
had Stage 5 or kidney failure.
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- Older age was strongly associated with a higher prevalence
of moderately or severely decreased kidney function. In addition, moderately
decreased kidney function was most prevalent among non-Hispanic whites,
followed by non-Hispanic blacks, then individuals of other ethnicities.
Kidney disease was least prevalent in Mexican Americans. These results
also raise the possibility that minority populations have a higher risk
of kidney failure because of more rapid progression of kidney disease after
its onset, rather than a larger pool of individuals with milder kidney
disease.
-
- The study estimates of decreased kidney function far
exceed the number of cases of treated end-stage renal disease. Over 340,000
patients required dialysis or transplantation in 1999. That number is expected
to increase to 651,000 by 2010. Previous studies of patients' medical charts
indicate that many patients are going undiagnosed and under-treated in
the early stages of kidney disease.
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- Coresh, also a faculty member in the Johns Hopkins Welch
Center for Prevention, Epidemiology & Clinical Research, said, "By
using standardized criteria and carefully calibrated estimates of kidney
function, national prevalence estimates of chronic kidney disease can be
a benchmark for future studies and international comparisons. Such efforts
are critical to improving diagnosis, treatment, and prevention of CKD and
its complications."
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- _____
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- "Prevalence of Chronic Kidney Disease and Decreased
Kidney Function in the Adult U.S. Population: Third National Health and
Nutrition Examination Survey" will appear in the January 2003, issue
of the American Journal of Kidney Diseases.
-
- Brad C. Astor, Ph.D., MD, MPH, an assistant professor
in the School's Department of Epidemiology co-authored the study.
-
- Additional authors were Tom Greene, Ph.D., with the Cleveland
Clinic Foundation, Garabed Eknoya, MD, with Baylor College of Medicine,
and Andrew S. Levey, MD, with Tufts University School of Medicine.
-
- Research was supported by grants from the National Institutes
of Health, the National Kidney Foundation, and the Johns Hopkins General
Clinical Research Center.
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- Link to the Johns Hopkins Bloomberg School of Public
Health at <http://www.jhsph.edu>http://www.jhsph.edu .
- http://www.sciencedaily.com/releases/2003/01/030109071920.htm
-
-
- Comment
-
- From Sheryl Jackson
- moonfyre1@earthlink.net
- 1-10-3
-
- It is quite appalling that most doctors who are supposed
to be so knowledgeable really have no idea about the medications they prescribe
indiscriminately and too often to their patients.
- The Physicians' Desk Reference (PDR) is the Drug Bible
that is published annually with doctors receiving addendums throughout
the year
-
- Aspartame that was first developed to take the place
of Saccharin and its after taste is only now being exposed to
the public. Retrospectively we now KNOW publicly that this wonderful sweetener
is a killer with kidney disease and causes Multiple Sclerosis. It has stated
emphatically that the aspartame is a salt that tastes sweet and should
not be recommended to patients with high blood pressure. The body knows
what it is no matter what it tastes like and metabolizes it correctly.
And everyone knows that if you have high blood pressure that you should
not be eating salt.
-
- Ibuprofen used excessively or even too regularly is also
a drug that causes kidney and liver damage. Everybody knows that it is
a very effective drug that must be why it sells off the shelves for headaches,
and multiple complaints of aches, soreness and just downright shinsplints.
But no one tells you when you take medication of any kind that you should
drink at least 12 oz of water with all of your meds.
-
- The human body requires that we feed it water. Like the
earth we are from we can be polluted without water flowing through us.
And like the earth we live on our bodies are also 5/6 water. We have to
keep our bodies FLUSHED with water on a daily basis or we will become weakened
with excessive soreness, and achy muscles. We need water as much as fish
do. None of us can live without it. But nobody tells you that you NEED
at least a gallon per day to keep everything FLUSHING out of the body.
Juices, teas and coffees have their own nasty side effects that involve
cancerous side effects and are merely wet. You need a gallon of water a
day above and beyond the sodas, juices and sources of caffeine that most
of us drink daily in this country.
-
- Most drugs should just be taken with 12 oz or more of
H20. Doctors don't tell you that, and they sure don't talk about not drinking
water and they sure pay no attention to what the PDR states. Because if
they did there would not be so many people suffering from Kidney and liver
disease.
-
- And watch out for the new sweetener Splenda. Go to: www.askjeeves.com
and key word Splenda. The exact chemical base of the new sweetener is listed
and one of the main ingredients in this wonderful new sweetener that tastes
two hundred times sweeter than sugar, is arsenic. In fact, the average
dose is filled with ten times the FDA allowable limit. So, have you ever
seen anyone die from arsenic? It is painful and slow and agonizing.
-
- Also the genetically modified foods from Monsanto are
now proving to produce kidney and liver failure because it is now known
that one of the molecules that was added to the DNA of these foods is unidentifiable
and a neuro toxin that can now be linked to Kidney and liver cancer, brain,
breast, and pancreatic cancers, multiple sclerosis, Parkinson's and various
other diseases that have risen 5000% in the last ten years. These are diseases
that were considered anomalous and rare. Not anymore, one might even think
of it as an epidemic. And people in all aspects of life, rich and poor
are suffering these diseases.
-
- But no one will tell you what the cause is, because you
might stop eating hamburger helper, and pizza bites.
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- For the definitive sites on GM foods, go here.
- www.allergies.about.com
- www.westonaprice.org/soy/soy_alert.html
- (please note there is an underscore between the second
soy and alert. soy_alert.html
- This second site is maintained by two female doctors
and they have compiled the worldwide studies that have been published in
medical journals. They spoke to a Deaf AmeriKan Kongress this past April
2002. To no avail. We have too much wrapped up in the technology. But when
you have countries dying of starvation that say no do not send us your
GM foods, then you must really look at what you eat.
-
- The most disturbing aspect of this GM food is that they
also do things to the brain like apathy, depression, anger outbursts, road
rage. If you eat anything that makes you cough, sneeze or choke within
15 minutes of eating it you should never eat it again.
-
- Most vine vegetables, beans, berries, tomatoes, melons
have been GM'd. Potatoes, corn, sugar beets that most commercial bakeries
and candy factories use for their products are from sugar beets. Corn syrup,
high fructose corn syrup. GM. Broccoli, brocoflower, cauliflower, tomatoes,
eggplant, squash, cucumbers, lettuces, cabbages. Most of the quick cash
crops that we consume have been GM'd and thanks to the new lowered standards
of the EPA and FDA we will not be apprised of this on the nightly news.
No one has to be responsible to John Q. Public anymore. They just want
to sell your their beautiful foods that are sterilizing the soil they are
grown in. Called RoundupReadi by Monsanto, one should shudder at that if
you have ever taken the time to read the instructions for using Roundup
weed killer.
-
- Watch your children and how they will amp from one to
eight hours after eating all of the processed foods put out by all companies
in this country. That hyper active behavior is clearly a result of the
Genetic Modification of the food they ate. Obesity, ADHD, diabetes, and
secondary sexual development in children (three to eight year olds) in
this country has risen again about 5000% since they have been in all children's
foods and formulas for years. Is your child dull normal and tired alot?
Yep, that too is a symptom of what we eat.
-
- So when you go to the store and read your milk cartons,
and you see guar gum and guargeenan, which is seaweed, know that 50% of
that seaweed is soya. Manufacturers do not have to list the ingredients
in the ingredients. And to avoid eating the poison of Monsanto, one needs
to know the ingredients in the ingredients. Ask your dairies manufacturers
why they put seaweed in their dairy products. Non-fat milk solids are also
made of soya.
-
- Other names: cellulose, caking agent, mononitrate, xanthan
gum, miso,and anything that say modified, enhanced or enriched is filled
with soya from Monsanto. vegetable oil or solids are soya. Sucrose, glucose,
and other names too numerous to list here.
-
- To find the truth about the ingredients in the ingredients
use what I use: www.askjeeves.com and the Google search
engine.
-
- Read your labels, and drink alot of water. Everyday.
-
- Stop buying the products.
-
- The itching that goes with soya makes many wymyn think
they have yeast or vaginal infections, when in fact, they are suffering
an anaphylactic reaction that could quite actually kill them in a heartbeat.
So if you are itching anywhere within six or eight hours and you cannot
scratch it without drawing blood, then you need to get yourself to a really
good allergy doctor who can help you. However, they still have not devised
a test for detecting the allergies of GM foods. It has to be done by your
own journal keeping and recording your reactions to the foods you list
that you consumed before you started feeling so bad.
-
- Sheryl Jackson
-
- Why do you think that Europe can amass 4 or 5 million
people in 48 hours to march against the acceptance of GM foods? They have
been told the truth for the last 15 years. WE have not been told the truth
because the men in the companies believe that "the American people
cannot process too much information at once, they get too confused."
-
- The brutal fact is that we now sell our flour to Italy,
France and other European countries that will not eat GM foods. They process
our 10-12% soya (enhanced, enriched, modified) flour into foods that they
then sell back to Americans. Who not knowing the real truth about what
they eat think they are buying non-GM foods because it comes from Europe.
-
- Wake up, kids and smell the coffee. We are in deep doo
here. Apathy, anger, depression (over 100 million Americans seek help annually
with these symptoms), and what is prescribed for their problems Prozac,
Paxil, Zoloft. Drugs that mask the symptoms with fatal facts and figures
of their own. Like in the first clinical trials of Prozac of the one hundred
people in the trials, 27 of them became suicidal or homicidal. Clearly
one quarter of the clinical trials tried to kill themselves or someone
else. But it was still put out on the market. Take it at your own risk.
I took Prozac and gained 80 pounds in four months. It does not make most
people lose weight. It just makes you not care that you are getting fat.
-
- And leave us not forget the company statement of Monsanto
in l997 when the CEO stated when asked about the safety of their products
that were being GM'd, "Monsanto is not in the business of proving
or providing safe foods it is up to the FDA to assure the safety and efficacy
of our products. Monsanto is in the business of selling."
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- Sheryl Jackson
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