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Publications
☼ Published papers
* Abstract presented in
international conferences
●Abstract presented in Arab
Conferences
♣ Poster presentation
җ Thesis
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1-G.Cusma, N.AlHilali,
G.M.Abouna: Renal replacement therapy in Kuwait. In Current Status of
Organ Transpplantation.1984, 197-191. ☼
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2 G.Cusma, M.C.Cusma,J.V.Meulin,N. Al
Hilali. S. Aburomeh, K.V.Johny:
Predominant gram negative bacterial
peritonitis in CAPD in Kuwait. Presented at IV Congress of the
international society of peritoneal dialysis Venice July 1987.Perit. dial.
Bull.: 7 ,2 , 19 ,1987*
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3-N. Al Hilali
G.Cusma, S. Aburomeh,J.V.Meulen,K.V.Johny:Incidence of peritonitis
,distribution of causative bacteria and outcome in continuous ambulatory
peritoneal dialysis(CAPD) in Kuwait. Acta Pathologica Microbiologica Et
Immunologica Scandinavia [APMIS]Vol.96 s3,101-103,1988.
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4.N.Al Hilali
:Peritonitis in continuous Ambulatory Peritoneal Dialysis and Intermittent
Peritoneal Dialysis. Thesis submitted in partial fulfillment of Master
Degree in Medicine,1988.Faculty of Medicine, Ain Shams University.
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5-J.V.Meulen ,N.Al Hilali,
K.V.Johny:Renal concentration defect in Kuwaiti patient with sickle cell
disease.Annals of Tropical Medicine and Pathology.1988;Vol 82; No2;207-208.
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6-N.Al-Hilali,N.Nampoory.R.K.Gupta,K.V.Johny:Continuous
Ambulatory Peritoneal Dialysis and Intermittent Peritoneal Dialysis.A
comparative study on its complications and viability.(Abstract) Presented
at Dialysis Symposium ,King saud University. College of Medicine. January
1989 .Riyadh,Saudia Arabia . ●
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7 N.Al-Hilali , N.Nampoory.
R.K.Gupta,K.V.Johny, Continuous Ambulatory Peritoneal Dialysis and
Intermittent Peritoneal Dialysis. A comparative study on its complications
and viability. Abstract) Presented at XITH Intrnational Congress of
Nephrology July 15 - 20 ,1990.Tokyo ,Japan. *
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8-R.K.Gupta,N.AlHilali,NAlTamimi.N.Nampoory,K.V.Johny:A
Comparative prospective study of single pass system to recirculation
dialysate regenerative system. Abstract) Presented at Dialysis
Symposium ,King Saud University. College of Medicine. January 1989 .Riyadh,Saudia
Arabia. ●
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9-N.Nampoory,N.Al Hilali,R.K.Gupta,G
.Cusma, K.V.Johny :Clinical course of Diabetic Patient on Dialysis therapy.
Abstract) Presented at 8th Congress of Kuwait Medical Association .November
1989. ●
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10-N.Nampoory, N.Al Hilali ,J.Nassim
,N.Al Tamimi ,R.K.Gupta,K.V.Johny : Outcome of dialysis in end stage renal
disease in Diabetes Miellitus.(Abstract)Presented at 4th International
Medical Science Conference. March 1990. *
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11-N.Al-Hilali ,N.Nampoory .R.K.Gupta,
K.V.Johny : Clinical course and outcome of dialysis in end stage Lupus
Nephritis. Presented at the Second Congress of the Arab Society and Renal
Transplantation .Cairo November 1991. ●
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12-K El Reshaid ,K V
Johny ,M Georgous ,N Nampoory ,N Al Hilali .Impact of Iraqi
Occupation of Kuwait ESRD patient 1990-1991.Neph. Dial & Transplant 1993
;8:7-10. ☼
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13-N Al-Tamimi , RK
Gupta , N Al Hilali , J N Costandi , N Nampoory , A Al Shayeb
, KV Johny. Acute Interstitial Nephritis due to Chloramphenicol Medical
Principles and Practice 1994-95 ;4:54-56. ☼
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14- K El Reshaid ,M Kapoor , T Sugathan ,S
Al Mofti , N Al Hilali . Hepatitis C virus Infection in
Patients on Maintenance Dialysis in Kuwait :Epidemiological Profile and
Efficacy of Prophylaxis. Saudi J Kidney Dis Transplant1995;6: 144-150.
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15-N Nampoory , N AL Hilali ,M
Seshadri ,A Abdulla A Kanagasabhapathy , N.C. Nayak , K.V. Johny. Aluminum
Monitoring for Chronic Renal Failure in Kuwait. Saudi J Kidey Dis Transplant
1996;7(1):27-30☼
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16-N Nampoory , K.V. Johny, N AL
Hilali ,M Seshadri , A Kanagasabhapathy ,. Erythropoietin Deficiency
and Relative Resistance cause Anaemia in Post-renal Transplant Recipients
with Normal Renal function. Nephrol Dial Transplant. (1996) 11 : 177-181☼
and (Poster) presented at the 1st h annual health
sciences poster day April 22 -24 2002-♣
awarded as the best poster in clinical sciences.
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17- N. Al Hilali. Continuous
Arteriovenous Hemofiltration[CAVH]. Al Ataa-KNA , Proceeding of 13th
Nurses's day in Kuwait and inernational Nurses' day 1997 May;(13):18-21.
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18-N AL Hilali , N Nampoory ,
K.V. Johny TD Chugh. Bacillus cereus peritonitis in a chronic
peritoneal dialysis patient. Perit Dial Int 1997 Sept;17(5):514-515☼
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19-N.
Nampoory, K.V. Johny, C. Sarkar, I. Al-Masry, N. Al-Hilali and
J.T. Anim. The dialysed patient with both Castlman disease and Kaposi
sarcoma. Nephrol Dial Transplant. (1998) 13 : 2373-2376. ☼ |
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20- AL Hilali N.. Continuous
Ambulatory Peritoneal Dialysis (CAPD) Al Ataa-KNA , Proceedings of
Inernational Nurses' day.1999 May, (15) 31-38☼ |
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Al-Hilali N, Nampoory MR, Johny KV, Chugh TD.
Xanthomonas maltophilia infection in chronic peritoneal
dialysis patients.
Scand J Urol Nephrol. 2000 Feb;34(1):67-9.☼
Department of Medicine and Microbiology, Mubarak Al-Kabeer Hospital, Kuwait.
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22-N AL Hilali , N Nampoory ,
K.V. Johny .Neisseria cinerea peritonitis in a patient maintained on CAPD .Nephron
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23-N AL Hilali , N Nampoory ,
K.V. Johny. Tuberculosis in dialysis patients in Kuwait. A single centre
experience. Poster; presented on the 6th congress of the Arab
society of nephrology and renal transplantation●
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24-N AL Hilali
, N Nampoory , K.V. Johny , I Al-Misry. Tuberculosis in dialysis patients in
Kuwait. A single centre experience. Kidney forum (2000)2,3, 26-28☼ |
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25-N AL Hilali,
V.T .Ninan, N Nampoory, FMY Hussain, J.H.Ali, M Samhan, K.V. Johny.
Superior Vena Cava Syndrome in Hemodialysis Patients. Abstract Poster
presentation in the 7th congress of the Arab Society of
Nephrology and Renal Transplantation. April 2-5 2002
Published in Saudi Journal of Kidney Diseases and Transplantation
June, 2003;14 (2): 186-189☼● |
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26-V.T .Ninan, N AL Hilali, ,
J.H.Ali, N Nampoory K.V. Johny. Aetiology of end stage renal disease and
outcome in Kuwait nationals on maintenance dialysis in a single center.
Abstract; Poster presentation in the 7th congress of the Arab
Society of Nephrology and Renal Transplantation. April 2-5 2002●
and Poster presented at the 8th annual health sciences Poster
Say , April 21-23 2003♣ |
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27-N AL Hilali,
V.T .Ninan, N Nampoory J.H.Ali K.V. Johny. Viability of home peritoneal
dialysis in Arab Culture Abstract; Oral presentation in the 7th
congress of the Arab Society of Nephrology and Renal Transplantation. April
2-5 2002● and Poster presented
at the 7th annual health sciences poster day April 22 -24 2002-♣ |
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28-N AL Hilali,
V.T. Ninan, N Nampoory J.H.Ali K.V. Johny. Blood pressure control in
hemodialysis patients: An audit. Poster presented at the 7th
annual health sciences poster day April 22 -24 2002-♣ |
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29- J.H.Ali, V.T .Ninan, N AL Hilali, N Nampoory K.V. Johny. Outcome in eldery patients on maintenance dialysis.
Poster presented at the 7th annual health sciences poster day
April 22 -24 2002-♣ |
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30-JN Costandy. N Al Hilali, M
Miikael, MRN Nampoory, E Francis, K.V. Johny. Unusual presentation of lupus
nephritis. Poster presented at the 7th annual health sciences
poster day April 22 -24 2002-♣ |
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31-N AL Hilali,
V.T .Ninan, N Nampoory J.H.Ali, A Gawich K.V. Johny. Viability of home
peritoneal dialysis: Experience with 100 patients from an Arab population.
Abstract, Poster presentation in the First Asian Chapter Meeting – ISPD
December 13-15 2002 Hong Kong. Peritoneal Dialysis International , 2002,Vol
22, Supplement 2, S42* |
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32-N AL Hilali,
V.T .Ninan, J.H.Ali, Puliyclil MA. Profiled Hemodialysis. (Poster) presented
at the 8th annual health sciences Poster Say , April 21-23
2003♣and ● |
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33-N AL Hilali,
V.T .Ninan, J.H.Ali, Donia F, Rotimi VO. Mupirocin once weekly reduces the
incidence of catheter exit site infection and alters the pattern of
causative bacteria in peritoneal dialysis patients. (Poster) presented at
the 8th annual health sciences Poster Say , April 21-23 2003♣
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34-N AL Hilali,
V.T .Ninan, N Nampoory, K.V. Johny J.H.A Homoud, F. Donia, JH. Ali. Two
decades of peritoneal dialysis. Presented at the 9th annual
health sciences Poster Say , April 21-23 2004 ♣ and● |
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Nampoory MR, Das KC, Johny KV, Al-Hilali N, Abraham M, Easow S,
Saed T, Al-Muzeirei IA, Sugathan TN, Al Mousawi M.
Hypercoagulability, a serious problem in patients with
ESRD on maintenance hemodialysis, and its correction after kidney
transplantation.
Am J Kidney Dis. 2003 Oct;42(4):797-805.
Department of Medicine, Faculty of Medicine Kuwait University, Hamad Al Essa
Organ Transplant Center, and Mubarak Al-Kabeer Hospital, Ministry of Health,
Kuwait.
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Al-Hilali N, Al-Humoud HM, Ninan VT, Nampoory MR, Ali JH, Johny KV.
Profiled hemodialysis reduces intradialytic symptoms.
Transplant Proc. 2004 Jul-Aug;36(6):1827-8.
Department of Medicine, Mubarak Al-kabeer Hospital, Kuwait.
Presented at the 9th annual
health sciences Poster Say , April 21-23 2004 ♣ and● |
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35-N AL Hilali,Vascular
calcifications in dialysis patients presented at the 9th annual
health sciences Poster Say , April 21-23 2004 ♣ and● |
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35-N AL Hilali,
V.T .Ninan, N Nampoory, K.V. Johny J.H.A Homoud, F. Donia, JH. Ali. Outcome
and survival in different peritoneal dialysis modalities.
Presented at XLI Congress of ERA. And EDTA. Nay 15-18, 2004. –Lisbon,
Portugal. ♣ and* |
Hypercoagulability, a serious problem in patients with ESRD on maintenance
hemodialysis, and its correction after kidney transplantation.
Nampoory MR, Das KC, Johny KV, Al-Hilali N, Abraham M, Easow S, Saed T,
Al-Muzeirei IA, Sugathan TN, Al Mousawi M.
Am J Kidney Dis. 2003 Oct;42(4):797-805.
Department of Medicine, Faculty of Medicine Kuwait University, Hamad Al Essa
Organ Transplant Center, and Mubarak Al-Kabeer Hospital, Ministry of Health,
Kuwait.
BACKGROUND: Recurrent vascular access thrombosis (VAT) resulting in failure to
continue maintenance hemodialysis (HD) therapy is not an uncommon event. The
cause of VAT in these circumstances remains uncertain. We describe results of
our studies to identify changes in hemostatic balance in patients on maintenance
HD therapy that probably contributed to a hypercoagulable state. METHODS: We
studied 82 patients with end-stage renal disease on maintenance HD therapy who
underwent HD for 11 to 52 months (39.3 +/- 27.4 months). Forty-nine episodes of
VAT occurred in 22 patients; a single episode occurred in 12 patients; and 2 or
more episodes, in 10 patients. Blood coagulation studies, including assays of
inhibitors and activated protein C (PC) resistance (APCR), were performed using
standard techniques. RESULTS: Investigations showed the presence of lupus
anticoagulant (LA) in 5.6%, anticardiolipin antibody immunoglobulin G (IgG) in
3.9% and IgM in 5.3%, APCR in 20.5%, and deficiencies in protein S (PS), PC, and
antithrombin III (ATIII) in 32.1%, 24.4%, and 19.2%, respectively. When
parameters were compared between patients with and without VAT episodes, LA, PC,
PS, and APCR levels were significantly abnormal in those who experienced VAT.
Sixteen subjects with hypercoagulable states on HD therapy underwent renal
transplantation and were evaluated 9.3 +/- 4.2 months posttransplantation.
Deficiencies in PC (P = 0.014), PS (P = 0.001), ATIII (P = 0.017), and APCR (P =
0.0001) were completely corrected in all subjects. CONCLUSION:
Hypercoagulability is a risk factor for recurrent VAT in HD patients, and renal
transplantation successfully corrects these abnormalities.
PMID: 14520631 [PubMed - indexed for MEDLINE]
Xanthomonas maltophilia infection in chronic peritoneal
dialysis patients.
Al-Hilali N, Nampoory MR, Johny KV, Chugh TD.
Scand J Urol Nephrol. 2000 Feb;34(1):67-9.
Department of Medicine and Microbiology, Mubarak Al-Kabeer Hospital, Kuwait.
Xanthomonas maltophilia infection has only been occasionally reported in
patients receiving chronic peritoneal dialysis. We describe four cases of
Xanthomonas maltophilia infection associated with chronic peritoneal dialysis.
Two patients presented with peritonitis and two with exit site infection. All
patients were diabetics, who immediately prior to the study had not received
antibiotic therapy. Failure to respond to multiple antibiotic therapy resulted
in catheter removal in both patients with peritonitis. In those patients with
only exit site infections, dialysis could be continued following antibiotic
therapy and catheter replacement in one. Catheter loss in our patients was
directly attributed to peritonitis with Xanthomonas maltophilia infection.
PMID: 10757274 [PubMed - indexed for MEDLINE]
The dialysed patient with both Castleman disease and Kaposi
sarcoma.
Nampoory MR, Johny KV, Sarkar C, Al-Masry I, Al-Hilali N, Anim JT.
Nephrol Dial Transplant. (1998) 13 :
2373-2376.
Department of Medicine and Pathology, Mubarak Al-Kabeer Teaching Hospital and
Faculty of Medicine, Kuwait University, Safat.
Publication Types:
PMID: 9761528 [PubMed - indexed for MEDLINE]
Profiled hemodialysis reduces intradialytic symptoms.
Al-Hilali N, Al-Humoud HM, Ninan VT, Nampoory MR, Ali JH, Johny KV.
Transplant Proc. 2004 Jul-Aug;36(6):1827-8.
Department of Medicine, Mubarak Al-kabeer Hospital, Kuwait.
A prospective study on the effect of profiled hemodialysis on intradialytic
symptoms was undertaken among patients recruited between September 2002 and
December 2002. Evaluated intradialytic symptoms included hypotension, muscle
cramps, dizziness, headache, nausea, discomfort, thirst, and shortness of
breath. Symptomatic patients were allocated to one mode of combined sodium and
ultrafiltration profile during hemodialysis. The programs were readily available
on Fresenius MC 4008 H&E hemodialysis machines. Evaluation was performed before
profiling and at 2, 4, and 6 weeks into the profiled hemodialysis. On standard
hemodialysis 40 (36.4%) patients were symptomatic. Hypotension was reported in
29 (72.5%) of patients receiving standard treatment. Dizziness, headache, and
muscle cramps were reported in 22 (55%), 15 (37.5%), and 9 (22.5%) patients,
respectively. These symptoms were significantly (P <.05) improved at 2, 4, and 6
weeks of profiling. Other symptoms, such as discomfort, nausea, vomiting, and
thirst, were infrequently reported among patients without or with profiling.
There was no significant difference between the applied profiles when compared
with each other. In conclusion, sodium and ultrafiltration profiling are
effective techniques to reduce acute adverse side effects of hemodialysis. They
improve patient well-being and dialysis tolerance, minimize interventions during
dialysis.
PMID: 15350488 [PubMed - in process]
Objective:
This audit was conducted to study the level of
achievement of some criteria relevant to blood pressure control in hemodialysis
patients and to evaluate if auditing process
improves the quality of medical care given to
these patients. Methods:
Six criteria relevant to blood pressure control were selected for auditing in
hemodialysis patients who were under the care of the dialysis unit in Mubarak
Al-Kabeer Hospital Kuwait. The criteria included were
dry weight [target standard of achievement 100%],
Kt/V≥1.2 [target standard 100%], restricting salt and water intake [target
standard 80%], patient education [target standard 75%], and predialysis blood
pressure control <140/80 [target standard 80%]. Results:
Records of 105 patients on maintenance
hemodialysis were reviewed in February 2001 for the first data collection of the
audit. Six months later 110 records were reviewed after implementing changes for
the second data collection. In the first
data collection
of the audit the previously set standards were not being achieved. In the second
data collection
the audited criteria of predialysis blood
pressure control, dry weight, and Kt/V≥1.2, and has significantly improved
[P<0.0001]. The target standard however had not been achieved in all the audited
criteria. Conclusion: There was a significant improvement in
achievement of set standards observed in the second data collection with three
of the criteria close to reaching the target standards set.
Setting up audit cycles to evaluate achievement
of required standard in relevant criteria contributes to better blood pressure
control and leads to improvement in care of patient on dialysis.
1Department
of medicine, Mubarak Al-kabeer Hospital and 2Faculty of Medicine
Kuwait University, Kuwait
Abstract
Peritoneal dialysis
modalities have well been accepted as a treatment option for patients with end
stage kidney disease. Experience with peritoneal dialysis in Arab countries is
limited. This study was undertaken to evaluate the outcome and survival of
different peritoneal dialysis modalities in this population.
All patients managed in
Mubarak Al-Kabeer Hospital Kuwait by peritoneal dialysis between August 1982 and
December 2003 for 3 months or more were included in the study. Demographic
features, outcome and survival of the patients were analyzed.
Four hundred and fifteen patients with end stage renal
failure were admitted into the peritoneal dialysis program. Their mean age was
52.06±16.43 years. Hospital based Intermittent peritoneal dialysis (IPD),
Continuous ambulatory peritoneal dialysis (CAPD), Nightly intermittent
peritoneal dialysis (NIPD) and Continuous Cycling Peritoneal Dialysis (CCPD)
were preferred by 203(48.9%), 176 (42.4%), 30 (7.2%) and 6(1.4%) patients
respectively. The mean duration of follow up was 12.7± 11.7 months. Fifty five
(13.3%) patients were continuing on peritoneal dialysis, 55(13.3%) had shifted
to haemodialysis, 73(17.6%) underwent renal transplantation, 114(27.5%) expired,
34(8.2%) return to their native countries, 79(19%) transferred to other centers
and follow up was lost for 5(1.45%) patients. Patient survival at 2 years was
52.3%, 69.2% and 74.8% in IPD, CAPD, and NIPD respectively. Technique survival
at 2 years was 60.6%, 75.4% and 100% in IPD, CAPD, and NIPD respectively.
Conclusions:
Peritoneal
dialysis modalities provide a feasible modality of renal replacement therapy.
The overall outcome and patient and technique survival in home peritoneal
dialysis modalities were better than hospital based peritoneal dialysis.
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