array:21 [
  "pii" => "X2013251410033886"
  "issn" => "20132514"
  "doi" => "10.3265/Nefrologia.pre2010.Jan.10224"
  "estado" => "S300"
  "fechaPublicacion" => "2010-01-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia (English Version). 2010;30:137-8"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 4448
    "formatos" => array:3 [
      "EPUB" => 295
      "HTML" => 3555
      "PDF" => 598
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699510033889"
      "issn" => "02116995"
      "doi" => "10.3265/Nefrologia.pre2010.Jan.10224"
      "estado" => "S300"
      "fechaPublicacion" => "2010-01-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2010;30:137-8"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 7653
        "formatos" => array:3 [
          "EPUB" => 293
          "HTML" => 6778
          "PDF" => 582
        ]
      ]
      "es" => array:9 [
        "idiomaDefecto" => true
        "titulo" => "Recuperación parcial de una insuficiencia renal obstructiva tras 16 meses en hemodiálisis"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "137"
            "paginaFinal" => "138"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Partial recovery of obstructive kidney disease after 16 months on haemodialysis"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Marc Cuxart Pérez, M. Picazo, C. Sardà, R. Sans"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Marc"
                "apellidos" => "Cuxart Pérez"
              ]
              1 => array:2 [
                "Iniciales" => "M."
                "apellidos" => "Picazo"
              ]
              2 => array:2 [
                "Iniciales" => "C."
                "apellidos" => "Sardà"
              ]
              3 => array:2 [
                "Iniciales" => "R."
                "apellidos" => "Sans"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X2013251410033886"
          "doi" => "10.3265/Nefrologia.pre2010.Jan.10224"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410033886?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699510033889?idApp=UINPBA000064"
      "url" => "/02116995/0000003000000001/v0_201502091336/X0211699510033889/v0_201502091337/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X2013251410033894"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.pre2010.Jan.10225"
    "estado" => "S300"
    "fechaPublicacion" => "2010-01-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2010;30:138-40"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 5416
      "formatos" => array:3 [
        "EPUB" => 306
        "HTML" => 4501
        "PDF" => 609
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Focal segmental glomerulosclerosis associated with polycythaemia vera"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "138"
          "paginaFinal" => "140"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Glomerulosclerosis segmentaria y focal asociada a policitemia vera"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig1"
          "etiqueta" => "Tab.  1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier España"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "1022518078_t1_pag139.jpg"
              "Alto" => 308
              "Ancho" => 827
              "Tamanyo" => 30381
            ]
          ]
          "descripcion" => array:1 [
            "en" => "GSF cases associated with PV"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J. Sánchez Martín, L. García-Puente Suárez, Florencio García Martín"
          "autores" => array:3 [
            0 => array:2 [
              "Iniciales" => "J."
              "apellidos" => "Sánchez Martín"
            ]
            1 => array:2 [
              "Iniciales" => "L."
              "apellidos" => "García-Puente Suárez"
            ]
            2 => array:2 [
              "nombre" => "Florencio"
              "apellidos" => "García Martín"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699510033897"
        "doi" => "10.3265/Nefrologia.pre2010.Jan.10225"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699510033897?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410033894?idApp=UINPBA000064"
    "url" => "/20132514/0000003000000001/v0_201502091608/X2013251410033894/v0_201502091609/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "X2013251410033843"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.pre2010.Jan.10223"
    "estado" => "S300"
    "fechaPublicacion" => "2010-01-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2010;30:136-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3776
      "formatos" => array:3 [
        "EPUB" => 272
        "HTML" => 2982
        "PDF" => 522
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Aortic coarctation as a rare cause of hypertension in the elderly"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "136"
          "paginaFinal" => "137"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Coartación aórtica como causa poco frecuente de hipertensión arterial en el anciano"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig1"
          "etiqueta" => "Fig. 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier España"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "1022318078_f1_pag136.jpg"
              "Alto" => 242
              "Ancho" => 263
              "Tamanyo" => 7877
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "S. Álvarez Tundidor, Carlos Ruiz-Zorrilla López, B. Gómez Giralda, A. Molina"
          "autores" => array:4 [
            0 => array:2 [
              "Iniciales" => "S."
              "apellidos" => "Álvarez Tundidor"
            ]
            1 => array:2 [
              "nombre" => "Carlos"
              "apellidos" => "Ruiz-Zorrilla López"
            ]
            2 => array:2 [
              "Iniciales" => "B."
              "apellidos" => "Gómez Giralda"
            ]
            3 => array:2 [
              "Iniciales" => "A."
              "apellidos" => "Molina"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699510033846"
        "doi" => "10.3265/Nefrologia.pre2010.Jan.10223"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699510033846?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410033843?idApp=UINPBA000064"
    "url" => "/20132514/0000003000000001/v0_201502091608/X2013251410033843/v0_201502091609/en/main.assets"
  ]
  "en" => array:10 [
    "idiomaDefecto" => true
    "titulo" => "Partial recovery of obstructive kidney disease after 16 months on haemodialysis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "137"
        "paginaFinal" => "138"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Marc Cuxart Pérez, M. Picazo, C. Sardà, R. Sans"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "Marc"
            "apellidos" => "Cuxart Pérez"
            "email" => array:1 [
              0 => "marc.cuxart@salutemporda.cat"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:3 [
            "Iniciales" => "M."
            "apellidos" => "Picazo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          2 => array:3 [
            "Iniciales" => "C."
            "apellidos" => "Sard&#224;"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          3 => array:3 [
            "Iniciales" => "R."
            "apellidos" => "Sans"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Servicio de Nefrología, Hospital de Figueres, Figueres, Gerona, España, "
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Recuperaci&#243;n parcial de una insuficiencia renal obstructiva tras 16 meses en hemodi&#225;lisis"
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Dear Editor&#44;</span></p><p class="elsevierStylePara">Urinary tract obstruction can cause a greater or lesser degree of kidney disease depending on its duration and severity&#46; There is a lot of literature on the effects of kidney obstruction from an experimental point of view&#46;<span class="elsevierStyleSup">1-3</span> However&#44; there is less experience in humans&#44; although the published works agree that the progressive deterioration of kidney function after removing the blockage is unusual in most patients&#44; especially during the first year&#46;</p><p class="elsevierStylePara">We present the case of a patient with kidney disease secondary to obstructive prostate adenoma who required regular haemodialysis treatment&#46; After 16 months&#44; he showed partial kidney function recovery&#44; which was sufficient to allow dialysis treatment to be stopped&#46;</p><p class="elsevierStylePara">A 50 year-old man with a history of prostate syndrome was admitted into emergency due to progressive deterioration of&#160; his general condition&#46;</p><p class="elsevierStylePara">Physical examination revealed pale skin and mucous membranes and suprapubic dullness&#46; The most relevant laboratory data showed Hb 5&#46;9g&#47;dL&#44; urea&#47;creatinine 425&#47;19mg&#37; and severe metabolic acidosis&#46; The later immunological study &#40;ANA&#44; addition&#44; etc&#41; was normal or negative&#44; proteinuria&#47;24 hours 1&#46;2g&#44; and sediment with haematuria and pyuria with negative culture&#46; An ultrasound showed a severe bilateral hydronephrosis with enlarged prostate&#44; a bladder balloon with significant signs of postvoid residual bladder control&#46; The patient brought an analytical examination performed 5 months earlier in which the only remarkable value was a creatinine of 1&#46;6mg&#37;&#46;</p><p class="elsevierStylePara">The catheter was inserted and initial humoral regulation measurements were taken&#46; Postobstructive polyuria was observed without improvement of kidney function&#46; 2 packed red blood cell units were transfused and haemodialysis started&#46; At 2 months the patient showed a marked clinical improvement with daily urine output of 1&#46;5-2 litres&#44; but with no evident improvement in the analytical results&#46; A kidney biopsy was performed which showed the presence of 17 glomeruli of normal appearance with minor interstitial lymphocyte inflammatory accumulations&#44; oedema of the tubular epithelium and isolated intratubular hyaline casts with a negative immunofluorescence study&#44; all compatible with chronic moderate interstitial nephritis&#46; Subsequently&#44; retropubic prostate adenectomy was performed with a histological study of fibroadenoma nodular hyperplasia&#46; A new kidney ultrasound was perfectly normal&#46; After 16 months&#44; residual clearances of 18ml per minute were observed in the analytical tests&#44; so it was decided to stop dialysis&#46; These values were stable 9 months after abandoning dialysis&#46;</p><p class="elsevierStylePara">Obstructive nephropathy is a common cause of chronic kidney disease with a bimodal presentation affecting paediatric and elderly patients&#46;<span class="elsevierStyleSup">4</span> There are few studies on the development of obstructive nephropathy in humans&#44; making it difficult to extrapolate experimental effects in clinical practice&#46; In addition&#44; the obstruction in humans is often incomplete and of a subacute or chronic course&#44; and in most occasions it is very difficult to assess from the beginning&#46; Generally the recovery of kidney function is observed between 7 and 10 days after the liberalisation of the urinary tract&#44; although long recovery periods for kidney function have also been found&#46;<span class="elsevierStyleSup">5</span> There are few studies relating to the prognosis of obstructive kidney disease that requires dialysis treatment&#46;<span class="elsevierStyleSup">6&#44;7</span> Ravanan et al<span class="elsevierStyleSup">8</span> has the largest number of patients&#44; with analysis of the behaviour of kidney function after unblocking in an initial group of 104 adult patients with severe and chronic obstruction&#46; 28 of them required treatment with haemodialysis despite the unblocking&#46; After the third year&#44; only 9 patients needed replacement therapy and another patient underwent a transplant&#46; Kidney function improved during the first 3 months&#44; and remained stable in most patients after 3 years&#46; A small number of them observed no improvement after the unblocking treatment and were more likely to require long term haemodialysis&#46;</p><p class="elsevierStylePara">Thus&#44; despite the fact that obstructive nephropathy can be accompanied by the emergence of an apparent terminal chronic kidney disease&#44; partial improvement in kidney function may be achieved after long periods&#44; even when the patient requires replacement therapy&#46;</p>"
    "pdfFichero" => "P1-E43-S1792-A10224-EN.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:8 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Lewis HY, Pierce JM. Return of renal function after relief of complete ureteral obstruction of 69 day¿s duration. J Urol 1962;88:377-9. <a href="http://www.ncbi.nlm.nih.gov/pubmed/14464872" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Harris KP, Klahr S, Schreiner GF. Obstructive nephropathy: from mechanical disturbance to immune activation? Exp Nephrol 1993;1:198-204. <a href="http://www.ncbi.nlm.nih.gov/pubmed/8081970" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Schreiner GF, Harris KP, Purkerson ML, Klahr S. Immunological aspects of acute ureteral obstruction: immune cell infiltrate in the kidney. Kidney Int 1988;34:487-93. <a href="http://www.ncbi.nlm.nih.gov/pubmed/3264355" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Registros S.E.N. Unidad de la información de Registros de Enfermos Renales. http//www.senefro.org/modules/subsection/files/informe_1700206.pdf"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Better OS, Arieff AI, Massry SG, et al. Studies of renal function after relief of complete unilateral ureteral obstruction of three months¿duration in man. Am J Med 1973;54:234. <a href="http://www.ncbi.nlm.nih.gov/pubmed/4539855" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Ghose RR. Prolonged recovery of renal function after prostatectomy for prostatic outflow obstruction. BMJ 1990;300:1376-7. <a href="http://www.ncbi.nlm.nih.gov/pubmed/2372584" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Cohen EP, Sobrero M, Roxe DM, Levin ML. Reversibility of long-standing urinary tract obstruction requiring long-term dialysis. Arch Intern Med 1992;152:177-9. <a href="http://www.ncbi.nlm.nih.gov/pubmed/1728913" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Ravanan R, Tomson CRV. Natural history of postobstructive nephropathy: a single-center retrospective study. Nephron Clin Pract 2007; 105:165-70."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000003000000001/v0_201502091608/X2013251410033886/v0_201502091609/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35436"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003000000001/v0_201502091608/X2013251410033886/v0_201502091609/en/P1-E43-S1792-A10224-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410033886?idApp=UINPBA000064"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Partial recovery of obstructive kidney disease after 16 months on haemodialysis
Recuperación parcial de una insuficiencia renal obstructiva tras 16 meses en hemodiálisis
Marc Cuxart Péreza, M.. Picazoa, C.. Sardàa, R.. Sansa
a Servicio de Nefrología, Hospital de Figueres, Figueres, Gerona, España,
Read
11795
Times
was read the article
2309
Total PDF
9486
Total HTML
Share statistics
 array:21 [
  "pii" => "X2013251410033886"
  "issn" => "20132514"
  "doi" => "10.3265/Nefrologia.pre2010.Jan.10224"
  "estado" => "S300"
  "fechaPublicacion" => "2010-01-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia &#40;English Version&#41;. 2010;30:137-8"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 4448
    "formatos" => array:3 [
      "EPUB" => 295
      "HTML" => 3555
      "PDF" => 598
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699510033889"
      "issn" => "02116995"
      "doi" => "10.3265/Nefrologia.pre2010.Jan.10224"
      "estado" => "S300"
      "fechaPublicacion" => "2010-01-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2010;30:137-8"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 7653
        "formatos" => array:3 [
          "EPUB" => 293
          "HTML" => 6778
          "PDF" => 582
        ]
      ]
      "es" => array:9 [
        "idiomaDefecto" => true
        "titulo" => "Recuperaci&#243;n parcial de una insuficiencia renal obstructiva tras 16 meses en hemodi&#225;lisis"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "137"
            "paginaFinal" => "138"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Partial recovery of obstructive kidney disease after 16 months on haemodialysis"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Marc Cuxart P&#233;rez, M. Picazo, C. Sard&#224;, R. Sans"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Marc"
                "apellidos" => "Cuxart P&#233;rez"
              ]
              1 => array:2 [
                "Iniciales" => "M."
                "apellidos" => "Picazo"
              ]
              2 => array:2 [
                "Iniciales" => "C."
                "apellidos" => "Sard&#224;"
              ]
              3 => array:2 [
                "Iniciales" => "R."
                "apellidos" => "Sans"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X2013251410033886"
          "doi" => "10.3265/Nefrologia.pre2010.Jan.10224"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410033886?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699510033889?idApp=UINPBA000064"
      "url" => "/02116995/0000003000000001/v0_201502091336/X0211699510033889/v0_201502091337/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X2013251410033894"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.pre2010.Jan.10225"
    "estado" => "S300"
    "fechaPublicacion" => "2010-01-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia &#40;English Version&#41;. 2010;30:138-40"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 5416
      "formatos" => array:3 [
        "EPUB" => 306
        "HTML" => 4501
        "PDF" => 609
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Focal segmental glomerulosclerosis associated with polycythaemia vera"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "138"
          "paginaFinal" => "140"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Glomerulosclerosis segmentaria y focal asociada a policitemia vera"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig1"
          "etiqueta" => "Tab.  1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier Espa&#241;a"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "1022518078_t1_pag139.jpg"
              "Alto" => 308
              "Ancho" => 827
              "Tamanyo" => 30381
            ]
          ]
          "descripcion" => array:1 [
            "en" => "GSF cases associated with PV"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J. S&#225;nchez Mart&#237;n, L. Garc&#237;a-Puente Su&#225;rez, Florencio Garc&#237;a Mart&#237;n"
          "autores" => array:3 [
            0 => array:2 [
              "Iniciales" => "J."
              "apellidos" => "S&#225;nchez Mart&#237;n"
            ]
            1 => array:2 [
              "Iniciales" => "L."
              "apellidos" => "Garc&#237;a-Puente Su&#225;rez"
            ]
            2 => array:2 [
              "nombre" => "Florencio"
              "apellidos" => "Garc&#237;a Mart&#237;n"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699510033897"
        "doi" => "10.3265/Nefrologia.pre2010.Jan.10225"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699510033897?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410033894?idApp=UINPBA000064"
    "url" => "/20132514/0000003000000001/v0_201502091608/X2013251410033894/v0_201502091609/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "X2013251410033843"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.pre2010.Jan.10223"
    "estado" => "S300"
    "fechaPublicacion" => "2010-01-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia &#40;English Version&#41;. 2010;30:136-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3776
      "formatos" => array:3 [
        "EPUB" => 272
        "HTML" => 2982
        "PDF" => 522
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Aortic coarctation as a rare cause of hypertension in the elderly"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "136"
          "paginaFinal" => "137"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Coartaci&#243;n a&#243;rtica como causa poco frecuente de hipertensi&#243;n arterial en el anciano"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig1"
          "etiqueta" => "Fig. 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier Espa&#241;a"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "1022318078_f1_pag136.jpg"
              "Alto" => 242
              "Ancho" => 263
              "Tamanyo" => 7877
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "S. &#193;lvarez Tundidor, Carlos Ruiz-Zorrilla L&#243;pez, B. G&#243;mez Giralda, A. Molina"
          "autores" => array:4 [
            0 => array:2 [
              "Iniciales" => "S."
              "apellidos" => "&#193;lvarez Tundidor"
            ]
            1 => array:2 [
              "nombre" => "Carlos"
              "apellidos" => "Ruiz-Zorrilla L&#243;pez"
            ]
            2 => array:2 [
              "Iniciales" => "B."
              "apellidos" => "G&#243;mez Giralda"
            ]
            3 => array:2 [
              "Iniciales" => "A."
              "apellidos" => "Molina"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699510033846"
        "doi" => "10.3265/Nefrologia.pre2010.Jan.10223"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699510033846?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410033843?idApp=UINPBA000064"
    "url" => "/20132514/0000003000000001/v0_201502091608/X2013251410033843/v0_201502091609/en/main.assets"
  ]
  "en" => array:10 [
    "idiomaDefecto" => true
    "titulo" => "Partial recovery of obstructive kidney disease after 16 months on haemodialysis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "137"
        "paginaFinal" => "138"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Marc Cuxart P&#233;rez, M. Picazo, C. Sard&#224;, R. Sans"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "Marc"
            "apellidos" => "Cuxart P&#233;rez"
            "email" => array:1 [
              0 => "marc&#46;cuxart&#64;salutemporda&#46;cat"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:3 [
            "Iniciales" => "M."
            "apellidos" => "Picazo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          2 => array:3 [
            "Iniciales" => "C."
            "apellidos" => "Sard&#224;"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          3 => array:3 [
            "Iniciales" => "R."
            "apellidos" => "Sans"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Servicio de Nefrología, Hospital de Figueres, Figueres, Gerona, España, "
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Recuperaci&#243;n parcial de una insuficiencia renal obstructiva tras 16 meses en hemodi&#225;lisis"
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Dear Editor&#44;</span></p><p class="elsevierStylePara">Urinary tract obstruction can cause a greater or lesser degree of kidney disease depending on its duration and severity&#46; There is a lot of literature on the effects of kidney obstruction from an experimental point of view&#46;<span class="elsevierStyleSup">1-3</span> However&#44; there is less experience in humans&#44; although the published works agree that the progressive deterioration of kidney function after removing the blockage is unusual in most patients&#44; especially during the first year&#46;</p><p class="elsevierStylePara">We present the case of a patient with kidney disease secondary to obstructive prostate adenoma who required regular haemodialysis treatment&#46; After 16 months&#44; he showed partial kidney function recovery&#44; which was sufficient to allow dialysis treatment to be stopped&#46;</p><p class="elsevierStylePara">A 50 year-old man with a history of prostate syndrome was admitted into emergency due to progressive deterioration of&#160; his general condition&#46;</p><p class="elsevierStylePara">Physical examination revealed pale skin and mucous membranes and suprapubic dullness&#46; The most relevant laboratory data showed Hb 5&#46;9g&#47;dL&#44; urea&#47;creatinine 425&#47;19mg&#37; and severe metabolic acidosis&#46; The later immunological study &#40;ANA&#44; addition&#44; etc&#41; was normal or negative&#44; proteinuria&#47;24 hours 1&#46;2g&#44; and sediment with haematuria and pyuria with negative culture&#46; An ultrasound showed a severe bilateral hydronephrosis with enlarged prostate&#44; a bladder balloon with significant signs of postvoid residual bladder control&#46; The patient brought an analytical examination performed 5 months earlier in which the only remarkable value was a creatinine of 1&#46;6mg&#37;&#46;</p><p class="elsevierStylePara">The catheter was inserted and initial humoral regulation measurements were taken&#46; Postobstructive polyuria was observed without improvement of kidney function&#46; 2 packed red blood cell units were transfused and haemodialysis started&#46; At 2 months the patient showed a marked clinical improvement with daily urine output of 1&#46;5-2 litres&#44; but with no evident improvement in the analytical results&#46; A kidney biopsy was performed which showed the presence of 17 glomeruli of normal appearance with minor interstitial lymphocyte inflammatory accumulations&#44; oedema of the tubular epithelium and isolated intratubular hyaline casts with a negative immunofluorescence study&#44; all compatible with chronic moderate interstitial nephritis&#46; Subsequently&#44; retropubic prostate adenectomy was performed with a histological study of fibroadenoma nodular hyperplasia&#46; A new kidney ultrasound was perfectly normal&#46; After 16 months&#44; residual clearances of 18ml per minute were observed in the analytical tests&#44; so it was decided to stop dialysis&#46; These values were stable 9 months after abandoning dialysis&#46;</p><p class="elsevierStylePara">Obstructive nephropathy is a common cause of chronic kidney disease with a bimodal presentation affecting paediatric and elderly patients&#46;<span class="elsevierStyleSup">4</span> There are few studies on the development of obstructive nephropathy in humans&#44; making it difficult to extrapolate experimental effects in clinical practice&#46; In addition&#44; the obstruction in humans is often incomplete and of a subacute or chronic course&#44; and in most occasions it is very difficult to assess from the beginning&#46; Generally the recovery of kidney function is observed between 7 and 10 days after the liberalisation of the urinary tract&#44; although long recovery periods for kidney function have also been found&#46;<span class="elsevierStyleSup">5</span> There are few studies relating to the prognosis of obstructive kidney disease that requires dialysis treatment&#46;<span class="elsevierStyleSup">6&#44;7</span> Ravanan et al<span class="elsevierStyleSup">8</span> has the largest number of patients&#44; with analysis of the behaviour of kidney function after unblocking in an initial group of 104 adult patients with severe and chronic obstruction&#46; 28 of them required treatment with haemodialysis despite the unblocking&#46; After the third year&#44; only 9 patients needed replacement therapy and another patient underwent a transplant&#46; Kidney function improved during the first 3 months&#44; and remained stable in most patients after 3 years&#46; A small number of them observed no improvement after the unblocking treatment and were more likely to require long term haemodialysis&#46;</p><p class="elsevierStylePara">Thus&#44; despite the fact that obstructive nephropathy can be accompanied by the emergence of an apparent terminal chronic kidney disease&#44; partial improvement in kidney function may be achieved after long periods&#44; even when the patient requires replacement therapy&#46;</p>"
    "pdfFichero" => "P1-E43-S1792-A10224-EN.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:8 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Lewis HY, Pierce JM. Return of renal function after relief of complete ureteral obstruction of 69 day¿s duration. J Urol 1962;88:377-9. <a href="http://www.ncbi.nlm.nih.gov/pubmed/14464872" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Harris KP, Klahr S, Schreiner GF. Obstructive nephropathy: from mechanical disturbance to immune activation? Exp Nephrol 1993;1:198-204. <a href="http://www.ncbi.nlm.nih.gov/pubmed/8081970" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Schreiner GF, Harris KP, Purkerson ML, Klahr S. Immunological aspects of acute ureteral obstruction: immune cell infiltrate in the kidney. Kidney Int 1988;34:487-93. <a href="http://www.ncbi.nlm.nih.gov/pubmed/3264355" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Registros S.E.N. Unidad de la información de Registros de Enfermos Renales. http//www.senefro.org/modules/subsection/files/informe_1700206.pdf"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Better OS, Arieff AI, Massry SG, et al. Studies of renal function after relief of complete unilateral ureteral obstruction of three months¿duration in man. Am J Med 1973;54:234. <a href="http://www.ncbi.nlm.nih.gov/pubmed/4539855" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Ghose RR. Prolonged recovery of renal function after prostatectomy for prostatic outflow obstruction. BMJ 1990;300:1376-7. <a href="http://www.ncbi.nlm.nih.gov/pubmed/2372584" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Cohen EP, Sobrero M, Roxe DM, Levin ML. Reversibility of long-standing urinary tract obstruction requiring long-term dialysis. Arch Intern Med 1992;152:177-9. <a href="http://www.ncbi.nlm.nih.gov/pubmed/1728913" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Ravanan R, Tomson CRV. Natural history of postobstructive nephropathy: a single-center retrospective study. Nephron Clin Pract 2007; 105:165-70."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000003000000001/v0_201502091608/X2013251410033886/v0_201502091609/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35436"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003000000001/v0_201502091608/X2013251410033886/v0_201502091609/en/P1-E43-S1792-A10224-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410033886?idApp=UINPBA000064"
]
Article information
ISSN: 20132514
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 8 4 12
2024 October 74 26 100
2024 September 83 24 107
2024 August 112 60 172
2024 July 69 19 88
2024 June 108 46 154
2024 May 103 40 143
2024 April 92 40 132
2024 March 66 29 95
2024 February 78 33 111
2024 January 48 24 72
2023 December 56 22 78
2023 November 71 35 106
2023 October 115 23 138
2023 September 131 37 168
2023 August 183 26 209
2023 July 152 23 175
2023 June 255 17 272
2023 May 352 32 384
2023 April 314 19 333
2023 March 215 21 236
2023 February 121 27 148
2023 January 102 30 132
2022 December 94 25 119
2022 November 97 47 144
2022 October 99 50 149
2022 September 93 30 123
2022 August 97 48 145
2022 July 76 46 122
2022 June 72 28 100
2022 May 87 37 124
2022 April 79 56 135
2022 March 81 36 117
2022 February 96 39 135
2022 January 93 50 143
2021 December 89 45 134
2021 November 121 41 162
2021 October 219 42 261
2021 September 97 33 130
2021 August 104 53 157
2021 July 89 49 138
2021 June 52 20 72
2021 May 88 40 128
2021 April 167 29 196
2021 March 117 42 159
2021 February 98 21 119
2021 January 71 19 90
2020 December 66 14 80
2020 November 66 7 73
2020 October 38 12 50
2020 September 55 10 65
2020 August 95 5 100
2020 July 68 8 76
2020 June 57 14 71
2020 May 59 21 80
2020 April 48 16 64
2020 March 69 16 85
2020 February 62 17 79
2020 January 79 26 105
2019 December 80 18 98
2019 November 49 22 71
2019 October 44 9 53
2019 September 60 29 89
2019 August 49 26 75
2019 July 50 23 73
2019 June 41 9 50
2019 May 71 15 86
2019 April 84 18 102
2019 March 61 23 84
2019 February 31 27 58
2019 January 43 16 59
2018 December 80 32 112
2018 November 101 18 119
2018 October 85 14 99
2018 September 76 15 91
2018 August 91 11 102
2018 July 47 11 58
2018 June 37 14 51
2018 May 54 15 69
2018 April 44 6 50
2018 March 48 11 59
2018 February 29 7 36
2018 January 42 6 48
2017 December 46 10 56
2017 November 31 5 36
2017 October 39 5 44
2017 September 31 11 42
2017 August 42 15 57
2017 July 35 11 46
2017 June 26 15 41
2017 May 42 13 55
2017 April 26 10 36
2017 March 16 23 39
2017 February 23 10 33
2017 January 16 9 25
2016 December 47 5 52
2016 November 54 6 60
2016 October 91 8 99
2016 September 133 2 135
2016 August 163 2 165
2016 July 161 5 166
2016 June 129 0 129
2016 May 121 0 121
2016 April 63 0 63
2016 March 49 0 49
2016 February 67 0 67
2016 January 91 0 91
2015 December 95 0 95
2015 November 69 0 69
2015 October 65 0 65
2015 September 71 0 71
2015 August 66 0 66
2015 July 52 0 52
2015 June 38 0 38
2015 May 40 0 40
2015 April 5 0 5
Show all

Follow this link to access the full text of the article

Idiomas
Nefrología (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?