37 The risk of contrast-induced nephropathy is highest in patients with chronic kidney disease (i.e., a GFR of less than 60 mL per minute per 1.73 m 2), especially in the presence of diabetes. 39 Other risk factors include dehydration, heart failure, age older than 70 years, and concurrent use of nephrotoxic drugs.
lech (plural leches) A strong, lecherous desire or craving. A lecher. Verb . lech (third-person singular simple present leches, present participle leching, simple past and past participle leched) To behave lecherously; Etymology 2 . Welsh llech (â slate, slab â) Pronunciation . IPA : /lÉk/ Rhymes: -Ék; Noun . lech (plural lechs)
Leh was an important stopover on trade routes along the Indus Valley between Tibet to the east, Kashmir to the west and also between India and China for centuries. The main goods carried were salt, grain, pashm or cashmere wool, charas or cannabis resin from the Tarim Basin, indigo, silk yarn and Banaras brocade.