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      Heat stress, dehydration, and kidney function in sugarcane cutters in El Salvador--A cross-shift study of workers at risk of Mesoamerican nephropathy.

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          Abstract

          An epidemic of progressive kidney failure afflicts sugarcane workers in Central America. Repeated high-intensity work in hot environments is a possible cause.

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          Author and article information

          Journal
          Environ. Res.
          Environmental research
          1096-0953
          0013-9351
          Oct 2015
          : 142
          Affiliations
          [1 ] Scientific Board, Department of Investigation, Hospital Nacional Rosales, San Salvador, El Salvador. Electronic address: rgt@anhaes.org.
          [2 ] Agency for Agricultural Health and Development (AGDYSA), San Salvador, El Salvador. Electronic address: emmrijarquin@gmail.com.
          [3 ] Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden. Electronic address: inekewesseling@gmail.com.
          [4 ] Division of Kidney Diseases and Hypertension, University of Colorado, Denver, CO, United State. Electronic address: Richard.Johnson@ucdenver.edu.
          [5 ] Research Centre on Health, Work and Environment (CISTA), National Autonomous University of Nicaragua at León, (UNAN-León), León, Nicaragua; Department of Non-communicable Disease Epidemiology of London School of Hygiene and Tropical Medicine, London, UK. Electronic address: marvin99_00@yahoo.es.
          [6 ] The La Isla Foundation, León, Nicaragua. Electronic address: ilana@laislafoundation.org.
          [7 ] The La Isla Foundation, León, Nicaragua. Electronic address: jason@laislafoundation.org.
          [8 ] Universidad Nacional de El Salvador, El Salvador. Electronic address: juanjosevindell@gmail.com.
          [9 ] Occupational and Environmental Medicine, Sahlgrenska University Hospital and University of Gothenburg, P.B 414, SE 405 30, Gothenburg, Sweden. Electronic address: leo.stockfelt@amm.gu.se.
          [10 ] Division of Kidney Diseases and Hypertension, University of Colorado, Denver, CO, United State. Electronic address: Carlos.Roncal@ucdenver.edu.
          [11 ] Division of Kidney Diseases and Hypertension, University of Colorado, Denver, CO, United State. Electronic address: tamara.harra@ucdenver.edu.
          [12 ] Occupational and Environmental Medicine, Sahlgrenska University Hospital and University of Gothenburg, P.B 414, SE 405 30, Gothenburg, Sweden. Electronic address: lars.barregard@amm.gu.se.
          Article
          S0013-9351(15)30028-1
          10.1016/j.envres.2015.07.007
          26209462
          796b0642-86b9-40bd-b0dd-07e7b92afdb3
          Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.
          History

          Chronic kidney disease,Dehydration,Heat stress,Mesoamerican nephropathy,Specific gravity,Sugarcane work,Uric acid,eGFR

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