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Title:Vloga ultrazvočne elastografije in nekaterih novejših biomarkerjev pri obravnavi kroničnih nefroloških pediatričnih bolnikov
Authors:ID Močnik, Mirjam (Author)
ID Marčun Varda, Nataša (Mentor) More about this mentor... New window
Files:.pdf DOK_Mocnik_Mirjam_2024.pdf (3,71 MB)
MD5: 682FBF8CCC48879EA04F0503E0885710
 
Language:Slovenian
Work type:Dissertation
Typology:2.08 - Doctoral Dissertation
Organization:MF - Faculty of Medicine
Abstract:Cilj preventivne nefrologije pri otrocih je zgodnje odkrivanje otrok s povečanim tveganjem srčno-žilne ogroženosti in kronične ledvične bolezni, ki sta med seboj vzajemno povezani. V doktorski nalogi smo se osredotočili na raziskovanje ultrazvočne elastografije, novejše ultrazvočne metode, ki omogoča oceno elastičnosti tkiv, ter nekaterih novejših označevalcev ledvične oziroma srčno-žilne poškodbe. V raziskavo smo vključili 129 preiskovancev: 46 pediatričnih bolnikov s kronično ledvično boleznijo, 50 bolnikov s povišanim krvnim tlakom ter 33 zdravih preiskovancev, ki so služili kot kontrolna skupina. Pri vseh udeležencih smo opravili antropometrične meritve. Celotno skupino preiskovancev smo dodatno opredelili kot čezmerno težke ali normalno prehranjene, izmerili krvni tlak, hitrost pulznega vala in telesno sestavo, opravili ultrazvočno elastografijo jeter in ledvic ter odvzeli kri in urin za osnovne in dodatne preiskave novejših bioloških označevalcev. Rezultati raziskave so pakazali zmanjšano elastičnost jeter v obeh raziskovalnih skupinah, ki jo poslabša prisotnost čezmerne telesne teže. Ob čezmerni telesni teži je hkrati zmanjšana tudi elastičnost ledvic, kar kaže na negativen učinek kopičenja dejavnikov tveganja srčno-žilnih bolezni. Izmed novejših bioloških označevalcev sta pri ocenjevanju srčno-žilne ogroženosti razvidni potencialna uporaba molekule salusin-β ter potreba po nadaljnjem raziskovanju receptorja za interlevkin 2 in uromodulina pri določenih skupinah bolnikov.
Keywords:otroci, srčno-žilni dejavniki, kronična ledvična bolezen, arterijska hipertenzija, ultrazvočna elastografija, novejši biološki označevalci
Place of publishing:Maribor
Publisher:[M. Močnik]
Year of publishing:2024
PID:20.500.12556/DKUM-86299 New window
UDC:616.61-053.2-073(043.3)
COBISS.SI-ID:190307331 New window
Publication date in DKUM:26.03.2024
Views:242
Downloads:37
Metadata:XML DC-XML DC-RDF
Categories:MF
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Licences

License:CC BY 4.0, Creative Commons Attribution 4.0 International
Link:http://creativecommons.org/licenses/by/4.0/
Description:This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.
Licensing start date:08.11.2023

Secondary language

Language:English
Title:The role of ultrasound elastography and some newer biomarkers in the management of chronic nephrologic paediatric patients
Abstract:The goal of preventive nephrology in children is the early detection of children who have an increased risk of cardiovascular damage and chronic kidney disease. In the doctoral thesis, we focused on researching ultrasound elastography, a newer ultrasound method that enables the assessment of tissue elasticity, as well as some newer markers of renal or cardiovascular damage. 129 subjects were included in the study: 46 paediatric patients with chronic kidney disease, 50 patients with hypertension and 33 healthy subjects who served as a control group. We performed anthropometric measurements and additionally defined the entire group of subjects as over- or normal-weight, we measured blood pressure, pulse wave velocity and body composition, performed ultrasound elastography of the liver and kidneys, and collected blood and urine for basic and additional investigations of newer biological markers. Reduced elasticity of the liver in both research groups was found, aggravated by the presence of excess body weight. With excess body weight, the elasticity of the kidneys was also reduced, which indicates a negative effect of the clustering cardiovascular risk factors. When determining newer biological markers, the potential use of the salusin-β molecule in the assessment of cardiovascular risk was evident, as well as the need for further research of the receptor for interleukin 2 and uromodulin in certain groups of patients.
Keywords:children, cardiovascular factors, chronic kidney disease, hypertension, ultrasound elastography, newer biological markers


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