144,779 results match your criteria Hemodialysis International[Journal]


Focal Ablative Therapy for Renal Cell Carcinoma in Transplant Allograft Kidneys.

Urology 2018 Dec 12. Epub 2018 Dec 12.

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address:

Objectives: To evaluate outcomes after focal ablative therapy for renal cell carcinoma (RCC) in transplant allograft kidneys METHODS: After institutional review board approval, patients with a history of RCC in a transplanted allograft kidney who underwent focal ablative therapy were identified. Complete chart reviews were performed and the relevant data were extracted for cumulative analysis.

Results: Six patients were treated with focal ablative therapy for RCC in a transplanted allograft kidney at our institutional between 2010-2017. Read More

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December 2018

Surgical outcomes of acute type A aortic dissection in dialysis patients.

Gen Thorac Cardiovasc Surg 2018 Dec 14. Epub 2018 Dec 14.

Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, 1-847 Amanumacho, Omiya-ku, Saitama, 330-8503, Japan.

Background: Acute type A aortic dissection (ATAAD) is relatively uncommon in dialysis patients, and characteristics and repair outcomes are not fully understood.

Patients And Methods: Patients with ATAAD (n = 960) were divided into a dialysis group (n = 19) and non-dialysis group (n = 941), depending on whether they required dialysis for preoperative end-stage renal disease (ESRD). Hospital charts and imaging data were reviewed, and characteristics and outcomes were compared between the groups. Read More

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December 2018

Gender-specific discrepancy in subjective global assessment for mortality in hemodialysis patients.

Sci Rep 2018 Dec 14;8(1):17846. Epub 2018 Dec 14.

Department of Internal Medicine, College of Medicine, Ewha Womans University, Seoul, Korea.

Although subjective global assessment (SGA) is a widely used representative tool for nutritional investigations even among dialysis patients, no studies have examined gender-specific differences in the ability of SGA to predict mortality in hemodialysis (HD) patients. A total of 2,798 dialysis patients were enrolled from clinical research center for end-stage renal disease (CRC for ESRD) between 2009 and 2015. The cohort was divided into two groups based on nutritional status as evaluated by SGA: 'good nutrition' and 'mild to severe malnutrition'. Read More

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December 2018
1 Read

[Effects of acoustic treatment of a dialysis room on the quality of life of patients].

Nephrol Ther 2018 Dec 11. Epub 2018 Dec 11.

Université Claude-Bernard Lyon 1, CarMeN, INSERM U1060, 69310 Pierre-Bénite, France. Electronic address:

The impairment of quality of life experienced by patients treated with chronic hemodialysis results from many factors, including the care environment. Current regulations have significantly improved reception and treatment conditions for patients, but perhaps insufficient attention has been paid to the noise nuisance associated with dialysis equipment. We therefore found it useful to conduct a study on acoustic parameters in the dialysis room, and to evaluate the effects on perceived quality of life of an acoustic treatment intended to reduce the level of ambient noise. Read More

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December 2018

Incidence and Outcomes of Acute Myocardial Infarction During Motor Vehicle Accident Related Hospitalizations.

Am J Cardiol 2018 Dec 3. Epub 2018 Dec 3.

Division of Cardiovascular Disease, West Virginia University, Morgantown, West Virginia.

Data on Motor Vehicle Accidents (MVA) associated acute myocardial infarctions (AMI) are scares. We aimed to examine the frequency, characteristics, and outcomes of AMI among patients admitted with MVA. Patients hospitalized with Motor Vehicle Traffic Accidents (ICD-9-CM codes e810-e819) in 2003 to 2014 were identified in the national inpatient sample. Read More

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December 2018
2 Reads

Managing Large Interdialytic Weight Gain and High Blood Pressure in a Patient on Maintenance Hemodialysis.

Nephrol Nurs J 2016 Nov-Dec;43(6):537-539

Professor, Chung-Ang University, Red Cross College of Nursing, Seoul, Korea.

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December 2018

The Evaluation of an Orientation Program of Self-Care Abilities for Patients on Hemodialysis.

Nephrol Nurs J 2016 Nov-Dec;43(6):501-534

Clinical Nurse Educator, Hemodialysis Unit, Providence Health Care, Vancouver, British Columbia, Canada.

Effective management of end stage renal disease for individuals undergoing hemodialysis (HD) requires the acquisition of self-care abilities, which have been shown to improve outcomes. Studies have indicated that educational interventions improve self-care abilities in patients with chronic kidney failure. A self-care coaching intervention was designed to bridge this gap. Read More

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December 2018

What Are Ethical Issues When Honoring an Older Adult's Decision to Withdraw from Dialysis?

Nephrol Nurs J 2016 Sep-Oct;43(5):429-450

Nephrologist, Cleveland Clinic Florida, Department of Nephrology and Hypertension, Weston, FL.

Over the next decade, nephrology nurses will witness a continual growth of older adults undergoing hemodialysis. At some point after initiating dialysis, some people will request withdrawal from dialysis, which can present ethical challenges for nurses as they engage in shared decision-making with the patient, family, and other healthcare professionals. This article presents an older adult's story from initiation of dialysis to withdrawal from dialysis and discusses an approach to address ethical issues related to withdrawal from dialysis. Read More

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December 2018

Determining Nurse Staffing for Peritoneal Dialysis Care.

Nephrol Nurs J 2016 Sep-Oct;43(5):XXX

Renal Nurse, Hospital São Lucas da PUC Porto Alegre, Brazil.

There is no consensus on the ideal staffing levels for peritoneal dialysis (PD) units. The objective of this two-phase study was to evaluate nurse staffing levels in a PD unit based on activities and time spent performing them. An instrument was created based on nursing activities identified by a focus group, and the time spent performing these activities was measured over a four-month period. Read More

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December 2018

Work Environment Characteristics Valued by Outpatient Hemodialysis Unit Nurse Managers.

Nephrol Nurs J 2016 Sep-Oct;43(5):403-446

PhD Candidate, Rutgers School of Nursing, Newfoundland, NJ.

Competent nurse managers of outpatient hemodialysis (HD) units are invaluable in enhancing patient safety, creating a culture of safety, and preventing adverse events. Yet little is known regarding the characteristics of a professional work environment that supports their important managerial role. The purpose of this qualitative study was to identify those organizational characteristics that outpatient HD unit nurse managers describe as important to a supportive managerial work environment. Read More

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December 2018

Attitudes of Nephrology Nurses Toward Patient Exercise During Hemodialysis.

Nephrol Nurs J 2016 Jul-Aug;43(4):331-337

Senior Research Fellow at Eastern Health-Deakin University Nursing and Midwifery Research Centre, Victoria, Australia.

Exercise programs are rare in hemodialysis clinics. The study goals were to 1) explore nephrology nurses' attitudes toward exercise; 2) compare the attitudes between nephrology nurses who had been exposed and those who had not been exposed to an patient exercise program; and 3) measure the psychometric properties of a survey tool to measure nephrology nurses' attitudes toward intradialytic exercise. Nephrology nurse attitudes were positive toward patients' exercising; however, they did not believe it was their responsibility to conduct the exercise program. Read More

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December 2018

Spirituality During Hemodialysis: A Pilot Study.

Nephrol Nurs J 2016 Jul-Aug;43(4):323-329

Theologian and Social Nurse, the Dialysis Center of the Scheper Hospital, Emmen, The Netherlands.

This study explored the thoughts and feelings of individuals being treated with hemodialysis in the light of spirituality as an important determinant of quality of life. This research combined various methods, including analysis of patient diaries and of interviews, and found that social interaction and competence are the most important themes of spirituality. A quantitative analysis revealed that psychological well-being is more significant than physical well-being during hemodialysis, at least in retrospect. Read More

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December 2018

Exercise and Hemodialysis: The Missing Piece of Tertiary Prevention.

Authors:
Mary Hannan

Nephrol Nurs J 2016 Jul-Aug;43(4):317-321

Beginning a nursing PhD program at the University of Illinois-Chicago, Chicago, IL.

Exercise is an important element of preventative health, but it is not commonly practiced by patients on hemodialysis. This article summarizes the research on potential physiologic and psychological benefits of exercise for patients on hemodialysis and discusses recommendations of how exercise counseling can be conducted by nephrology nurses. Read More

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December 2018

Exploring the Facilitators and Barriers to Home Dialysis: A Scoping Review.

Nephrol Nurs J 2016 Jul-Aug;43(4):295-308

Professor Emeritus, School of Nursing, University of Ottawa, Faculty of Health Sciences, Ottawa, Ontario, Canada.

A meta-synthesis of qualitative literature from 2004-2014 was conducted to identify the facilitators and barriers related to patients' uptake and continued use of home dialysis. These factors were addressed from the patient perspective using a systematic scoping review. A total of 848 citations were retrieved, and 12 studies were ultimately included. Read More

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December 2018

Premature diagnosis of calciphylaxis without pathological indications finally diagnosed as cutaneous small-vessel vasculitis: a post-mortem case report.

Nihon Jinzo Gakkai Shi 2017 ;59(2):85-91

A man in his fifties with diabetes had a past history of myocardial infarction and ventricular septal perforation. He underwent hemodialysis about a year ago and was taking amiodarone. He presented with sores and purpura on the lower limbs. Read More

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January 2017
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Oral Radiographic Evidence of Secondary Hyperparathyroidism in an End-Stage Renal Failure Patient: A Case Report.

Northwest Dent 2017 Mar;96(2):33-37

Background: The authors report a case of a 42-year-old woman with End Stage Renal Disease (ESRD) undergoing dialysis therapy with the relative loss of tooth root lamina dura and several mandibular radiolucencies. Secondary hyperparathyroidism related to End Stage Renal Disease may result in the loss of bone density and radiolucent lesions, which has been previously described as Brown tumor. Findings significant for hyperparathyroidism may befound on routine dental imaging. Read More

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Biosensing methods for determination of creatinine: A review.

Biosens Bioelectron 2018 Nov 25;126:707-724. Epub 2018 Nov 25.

Department of Zoology, M.D. University, Rohtak 124001, India.

Creatinine is a metabolic product of creatine phosphate in muscles, which provides energy to muscle tissues. Creatinine has been considered as indicator of renal function specifically after dialysis, thyroid malfunction and muscle damage. The normal level of creatinine in the serum and its excretion through urine in apparently healthy individuals is 45-140 μM and 0. Read More

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November 2018

Association between post-transplant serum uric acid levels and kidney transplantation outcomes.

PLoS One 2018 14;13(12):e0209156. Epub 2018 Dec 14.

Department of Transplantation Surgery, Severance Hospital, Yonsei University Health System, Seoul, South Korea.

Background: Serum uric acid (UA) level has been reported to be associated with chronic allograft nephropathy and graft failure in patients who undergo kidney transplantation (KT). However, the role of serum UA level in renal graft survival remains controversial.

Objective: This study aimed to investigate the effect of mean serum UA level during two different post-KT periods on long-term renal graft outcomes in a large population cohort in which living donor KT prevails. Read More

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December 2018

Improving Patient Experience and Treatment Adherence in the Adult, Outpatient Hemodialysis Population.

J Nurs Care Qual 2018 Dec 12. Epub 2018 Dec 12.

Valley Nephrology Associates, Roanoke, Virginia (Drs Saunders and Ahmadzadeh and Ms Wright); Duke University School of Nursing, Durham, North Carolina (Drs Bush and Granger); and Duke Heart Center Nursing Research Program, Durham, North Carolina (Dr Granger).

Background: The commonly employed medication reconciliation process leaves room for mismanagement of medications in the complex end-stage renal disease patient population.

Purpose: The purpose of this quality improvement project was to implement and evaluate a multidisciplinary education and feedback intervention designed to improve self-management for adults with end-stage renal disease.

Methods: A pre-post, same subject repeated measures design was used to evaluate the intervention. Read More

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December 2018

Salivary creatinine and urea in patients with end-stage chronic kidney disease could not be used as diagnostic biomarkers for the effectiveness of dialysis treatment.

G Ital Nefrol 2018 Dec;35(6)

Department of Oral Surgery, Faculty of Dental medicine, Medical University, Plovdiv, Bulgaria.

Introduction: End-stage chronic kidney disease (CKD) is characterized by kidney failure with the organ's functions reduced or lost completely, where the kidneys are incapable of filtering excess fluids. Renal replacement therapy may be provided by peritoneal dialysis, hemodialysis or renal transplantation. Among the key indicators for tracking patients' current status are urea and creatinine levels. Read More

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December 2018

[Efficacy of SUPRA HFR in the treatment of acute renal damage during multiple myeloma].

G Ital Nefrol 2018 Dec;35(6)

S.C. Nefrologia, Dialisi e Trapianto U. AOU Città della Salute e della Scienza di Torino, Torino, Italia.

Acute Kidney Injury (AKI) is a frequent complication of multiple myeloma (MM) with unfavorable prognostic significance. Light chains removal, combined with hematological therapy (CT) seems to offer significant benefits to renal function recovery (RFR). The SUPRA HFR, through the combination of high cut-off membrane without albumin loss and adsorbent cartridge, represents one of the "emerging" light chain removal methods. Read More

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December 2018

[Hemodialysis treatment as a trigger cause of cryoglobulinemic purpura: a case report].

G Ital Nefrol 2018 Dec;35(6)

U.O.C. Nefrologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, ROMA.

We describe the clinical case of a patient who developed mixed cryoglobulinemia syndrome after hemodialysis treatment with dialysate temperature lower than 36°C despite the negativization of the viral genome for HCV after eradication therapy. Read More

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December 2018

[Retroperitoneal renal hemorrhage: experience of our dialysis center].

G Ital Nefrol 2018 Dec;35(6)

ASST-Ovest Milanese - Ospedale Magenta e Legnano, Milano.

The aging of the uremic population, the increasingly common use of anticoagulants, antiplatelet agents e heparin, during hemodialysis, can expose our patients to a greatest risk of bleeding. Spontaneous retroperitoneal hematomas are a fairly rare and potentially fatal condition. We describe 5 clinical cases of retroperitoneal hemorrhage that we observed during 10 years in our department, focusing on modalities of symptom onset, clinical-laboratory picture and treatment modalities. Read More

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December 2018

Assessing extracellular volume excess in dialysis patients.

Ther Apher Dial 2018 Dec 13. Epub 2018 Dec 13.

Medical Services, Ralph H. Johnson VA Medical Center, Charleston, SC, USA.

We read the recent article by Yoowannakul et al. [1] with great interest but we are at disagreement with some of their approach and conclusions. The Authors "found no association between overhydration and right ventricular volumes" using bioimpedance with the cardiac MRI, while they also "found that NT pro-BNP …was associated with left sided cardiac chamber sizes… but not right ventricular dimensions, which would suggest that NT-pro-BNP does not reflect plasma volume". Read More

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December 2018

Low copeptin levels in patients with intradialytic hypotension.

Ther Apher Dial 2018 Dec 14. Epub 2018 Dec 14.

Gazi University Faculty of Medicine, Department of Nephrology, Ankara, Turkey.

Background: Intradialytic hypotension (IDH) is related with high morbidity and mortality. There is evidence that arginine-vasopressin (AVP) responses could play a role. Copeptin is the reliable biomarker of AVP. Read More

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December 2018

Kidney embolization induces prompt organ response in a 86-year-old patient with MGRS-related AL-amyloidosis.

Hemodial Int 2018 Dec 13. Epub 2018 Dec 13.

Department of Hematology, Oncology and Stem Cell Transplantation, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Despite substantial improvements following the introduction of novel agents and antibodies, amyloid light-chain (AL)-amyloidosis still carries a grim prognosis. Here, we report on the case of a severely frail 86-year-old patient suffering from monoclonal gammopathy of renal significance (MGRS)-associated AL-amyloidosis with a diuretic-refractory nephrotic syndrome. In this patient, treatment with bortezomib-dexamethasone effectively induced a serological response, but was unfortunately poorly tolerated and failed to promote renal recovery fast enough to prevent secondary complications. Read More

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December 2018

Fabrication of Kidney Proximal Tubule Grafts Using Biofunctionalized Electrospun Polymer Scaffolds.

Macromol Biosci 2018 Dec 13:e1800412. Epub 2018 Dec 13.

Division of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Universiteitsweg 99,, 3584, CG Utrecht, The Netherlands.

The increasing prevalence of end-stage renal disease and persistent shortage of donor organs call for alternative therapies for kidney patients. Dialysis remains an inferior treatment as clearance of large and protein-bound waste products depends on active tubular secretion. Biofabricated tissues could make a valuable contribution, but kidneys are highly intricate and multifunctional organs. Read More

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December 2018

Health-related quality of life changes following renal transplantation in children.

Pediatr Transplant 2018 Dec 12:e13333. Epub 2018 Dec 12.

Division of Nephrology, Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington.

Background: Studies of HRQoL after kidney transplant have yielded conflicting results. We sought to assess the impact of kidney transplant on HRQoL.

Methods: We performed a retrospective study using the PedsQL3. Read More

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December 2018

Simultaneous Liver Kidney Transplantation.

Transpl Int 2018 Dec 10. Epub 2018 Dec 10.

Division of gastroenterology and hepatology, Mayo Clinic, Rochester, MN.

Kidney injury is frequently seen in patients with end stage liver disease from cirrhosis and liver failure. Among select patients, simultaneous liver kidney (SLK) transplantation provides improved post-transplant graft and patient outcomes compared to liver transplantation alone. We conducted review of the existing literature on SLK transplant criteria and outcomes. Read More

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December 2018

Pulmonary hypertension with extensive calcification in small pulmonary vessels and alveolar capillary wall in a chronic hemodialysis patient.

J Cardiol Cases 2013 Jul 6;8(1):e13-e16. Epub 2013 Apr 6.

Department of Medicine and Biological Science, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma 371-8511, Japan.

We report a case of a 41-year-old male with end-stage renal disease receiving chronic hemodialysis who was referred to this hospital because of dyspnea. He had been on a regular dialysis for 20 years due to chronic glomerulonephritis. His transthoracic echocardiography revealed severe pulmonary hypertension (PH), and cardiac catheterization confirmed this diagnosis. Read More

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July 2013
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Pacemaker implantation in superior vena cava obstruction: Re-canalization, venoplasty, and stenting.

J Cardiol Cases 2016 Jul 9;14(1):29-31. Epub 2016 Apr 9.

James Cook University Hospital, Middlesbrough, UK.

Techniques to overcome challenging venous anatomy have become an increasingly important part of modern day cardiac device implantation. Complete superior vena cava (SVC) obstruction, however, is a rare and serious clinical entity, and consequently there is limited clinical experience in addressing this pathology in the context of transvenous pacemaker implantation. We present the case of a 48-year-old renal transplant patient with sick sinus syndrome and recurrent syncope, who had an upper SVC occlusion and a failed epicardial pacing system. Read More

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An unusual cardiac mass: Echocardiography, computed tomography, and magnetic resonance imaging.

J Cardiol Cases 2016 May 26;13(5):143-145. Epub 2016 Feb 26.

King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.

Cardiac tuberculosis is rare. We report an unusual case of cardiac tuberculoma diagnosed in vitam in a 38-year-old woman, with end-stage renal disease and discovered to have mediastinal tuberculosis in 2013. She presented to the emergency department complaining of fever and chills during hemodialysis. Read More

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May 2016
1 Read

Diphenhydramine and QT prolongation - A rare cardiac side effect of a drug used in common practice.

J Cardiol Cases 2015 Oct 3;12(4):126-129. Epub 2015 Jul 3.

Advocate Christ Medical Center, Covington Ct, Oak Brook, IL, USA.

There have been few cases in recent times where QT interval prolongation has been studied with regards to the use of diphenhydramine. We present a case of a patient who presented because of shortness of breath and needed emergent hemodialysis; during the course of which he developed prolonged QT interval on electrocardiography, which was correlated interestingly with the use of diphenhydramine. Pruritus is a common symptom experienced by dialysis patients. Read More

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October 2015

Long QT syndrome caused by N-acetyl procainamide in a patient on hemodialysis.

J Cardiol Cases 2015 May 16;11(5):147-149. Epub 2015 Mar 16.

Cardiovascular Division, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan.

A 65-year-old male on hemodialysis three times a week due to end-stage renal failure underwent cardiac surgery one year previously, and complained of breathlessness on exertion after surgery. Echocardiograms evidenced a significant obstruction in the left ventricular outflow with intraventricular pressure gradient of 62 mmHg, and the patient was started on beta-blocker. After a maximal dose of carvedilol was given, a class 1A antiarrhythmic drug of Na channel blocker, procainamide, was added because of insufficient relief of symptoms. Read More

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A covert complication of arteriovenous fistulas.

J Cardiol Cases 2015 May 21;11(5):132-135. Epub 2015 Feb 21.

Department of Medicine, New Jersey Medical School Rutgers, The State University of New Jersey, Newark, NJ, USA.

Our patient is a 65-year-old man with a history of hypertension, aortic stenosis, and end-stage renal disease on hemodialysis who presented with worsening dyspnea. On examination, he exhibited signs of volume overload and had a radiocephalic arteriovenous fistula (AVF) with a significantly palpable thrill. Coronary angiogram showed normal coronary arteries. Read More

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A case of cardiac calcified amorphous tumor (cardiac CAT) causing acute embolism in right common iliac artery.

J Cardiol Cases 2015 Mar 12;11(3):81-84. Epub 2014 Dec 12.

Kochi Medical School, Department of Cardiology, Neurology and Aging Science, Kochi, Japan.

A 68-year-old man was admitted to our hospital for the further examination of intermittent claudication. He had been on continuous ambulatory peritoneal dialysis for 2 years. Screening transthoracic echocardiography (TTE) revealed a club-shaped tumor and a round-shaped tumor attached to mitral annulus calcification (MAC). Read More

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Effects of long-term treatment with low-GDP, pH-neutral solutions on peritoneal membranes in peritoneal dialysis patients.

Clin Exp Nephrol 2018 Dec 13. Epub 2018 Dec 13.

Department of Nephrology and Rheumatology, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan.

Background: The morphological changes induced by bio-incompatible peritoneal dialysis (PD) solutions are well known. However, the morphological damage induced by long-term low-glucose degradation product (GDP), pH-neutral solutions has not been reported in detail. The aim of this study was to investigate the long-term effects of pH-neutral PD solutions on morphological and functional changes in the peritoneal membrane. Read More

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December 2018
1 Read

Prediction of Hemodialysis Timing Based on LVW Feature Selection and Ensemble Learning.

J Med Syst 2018 Dec 13;43(1):18. Epub 2018 Dec 13.

Department of electronic information, Sichuan University, Chengdu, China.

We propose an improved model based on LVW embedded model feature extractor and ensemble learning for improving prediction accuracy of hemodialysis timing in this paper. Due to this drawback caused by feature extraction models, we adopt an enhanced LVW embedded model to search the feature subset by stochastic strategy, which can find the best feature combination that are most beneficial to learner performance. In the model application, we present an improved integrated learners for model fusion to reduce errors caused by overfitting problem of the single classifier. Read More

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December 2018
1 Read

Utility of the claw sign in spine magnetic nuclear resonance with diffusion to differentiate Modic type I changes for degenerative disease versus infection.

J Spine Surg 2018 Sep;4(3):616-623

Neuroradiology Service, Central Military Hospital, Bogotá DC, Colombia.

Background: In 1988, Modic and his colleagues described changes in the subchondral bone marrow of the vertebral plates in patients with degenerative disease or other pathologies, which were observed in the nuclear magnetic resonance (NMR) of the spine and were subdivided into three patterns of signal changes, called Modic type I, Modic type II and Modic type III. The main differential diagnosis of the Modic I changes of the vertebral plates due to degenerative disease in spine NMR, is infection in its early stages. In their study in 2014, Patel and collaborators, using a protocol and the concept of diffusion in spine MRI, were able to demonstrate that by means of the "claw sing", a degenerative disease with Modic type I changes, can be differentiated from an infection in early stages. Read More

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September 2018
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Risk Factors for Short- and Long-Term Outcomes in Children With STEC-HUS/D HUS: A Single-Center Experience.

Glob Pediatr Health 2018 4;5:2333794X18816920. Epub 2018 Dec 4.

The Children's Mercy Hospitals and Clinics, Kansas City, MO, USA.

. Hemolytic uremic syndrome (HUS) is one of the common causes for acute kidney injury in childhood. . Read More

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December 2018

Healthcare Resource Use, Cost, and Sick Leave Following Kidney Transplantation in Sweden: A Population-Based, 5-Year, Retrospective Study of Outcomes: COIN.

Ann Transplant 2018 Dec 14;23:852-866. Epub 2018 Dec 14.

Department of Transplantation Surgery, Karolinska University Hospital, Huddinge, Sweden.

BACKGROUND Improved understanding of the impact of kidney transplantation on healthcare resource use/costs and loss of productivity could aid decision making about funding allocation and resources needed for the treatment of chronic kidney disease in stage 5. MATERIAL AND METHODS This was a retrospective study utilizing data from Swedish national health registers of patients undergoing kidney transplantation. Primary outcomes were renal disease-related healthcare resource utilization and costs during the 5 years after transplantation. Read More

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December 2018

Influence of Reimbursement Policies on Dialysis Modality Distribution around the World.

Clin J Am Soc Nephrol 2018 Dec 13. Epub 2018 Dec 13.

Imperial College Renal and Transplant Centre, Hammersmith Hospital, London, UK

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December 2018

An International Analysis of Dialysis Services Reimbursement.

Clin J Am Soc Nephrol 2018 Dec 13. Epub 2018 Dec 13.

Nephrology Section, Department of Internal Medicine, Ghent University Hospital, Ghent, Belgium; and.

Background And Objectives: The prevalence of patients with ESKD who receive extracorporeal kidney replacement therapy is rising worldwide. We compared government reimbursement for hemodialysis and peritoneal dialysis worldwide, assessed the effect on the government health care budget, and discussed strategies to reduce the cost of kidney replacement therapy.

Design, Setting, Participants, & Measurements: Cross-sectional global survey of nephrologists in 90 countries to assess reimbursement for dialysis, number of patients receiving hemodialysis and peritoneal dialysis, and measures to prevent development or progression of CKD, conducted online July to December of 2016. Read More

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December 2018
1 Read

Exploring Barriers and Potential Solutions in Home Dialysis: An NKF-KDOQI Conference Outcomes Report.

Am J Kidney Dis 2018 Dec 10. Epub 2018 Dec 10.

Wake Forest School of Medicine, Winston-Salem, NC. Electronic address:

Home dialysis therapy, including home hemodialysis and peritoneal dialysis, is underused as a modality for the treatment of chronic kidney failure. The National Kidney Foundation-Kidney Disease Outcomes Quality Initiative sponsored a home dialysis conference in late 2017 that was designed to identify the barriers to starting and maintaining patients on home dialysis therapy. Clinical, operational, policy, and societal barriers were identified that need to be overcome to ensure that dialysis patients have the freedom to choose their treatment modality. Read More

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December 2018

Eosinophilia and Kidney Disease: More than Just an Incidental Finding?

J Clin Med 2018 Dec 8;7(12). Epub 2018 Dec 8.

Department of Internal Medicine IV (Nephrology and Hypertension), Medical University Innsbruck, 6020 Innsbruck, Austria.

Peripheral blood eosinophilia (PBE), defined as 500 eosinophils or above per microliter (µL) blood, is a condition that is not uncommon but often neglected in the management of patients with chronic kidney disease (CKD), acute kidney injury (AKI), or patients on renal replacement therapy (RRT). The nature of PBE in the context of kidney diseases is predominantly secondary or reactive and has to be distinguished from primary eosinophilic disorders. Nonetheless, the finding of persistent PBE can be a useful clue for the differential diagnosis of underdiagnosed entities and overlapping syndromes, such as eosinophilic granulomatosis with polyangiitis (EGPA), IgG4-related disease (IgG4-RD), acute interstitial nephritis (AIN), or the hypereosinophilic syndrome (HES). Read More

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December 2018

Prevalence and Correlates of Sarcopenia among Elderly CKD Outpatients on Tertiary Care.

Nutrients 2018 Dec 10;10(12). Epub 2018 Dec 10.

Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy.

Background: Sarcopenia is a widespread concern in chronic kidney disease (CKD) as well in elderly patients and is one of the main reasons why low-protein diets for this population are controversial. The aim of this study was to assess the prevalence and correlates of sarcopenia among elderly male patients affected by CKD followed up in an outpatient nephrology clinic, where moderate protein restriction (0.6⁻0. Read More

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December 2018

Predictive Value of Cortical Thickness Measured by Ultrasonography for Renal Impairment: A Longitudinal Study in Chronic Kidney Disease.

J Clin Med 2018 Dec 7;7(12). Epub 2018 Dec 7.

Division of Medicine and Clinical Science, Faculty of Medicine, Tottori University, Yonago, Tottori 683-8504, Japan.

Background: Kidney size is associated with renal function, however it is not elucidated whether kidney size is a risk for the progression of chronic kidney disease. The aim of this study was to investigate the predictive value of morphological evaluation of kidney size by ultrasonography for the progression of renal dysfunction.

Methods: Morphological parameters including kidney length, volume, cortical thickness, and medullary thickness were measured by ultrasonography in 87 patients with chronic kidney disease, and adjusted by body size. Read More

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December 2018

Egg Intake in Chronic Kidney Disease.

Nutrients 2018 Dec 7;10(12). Epub 2018 Dec 7.

Department of Nutrition and Food Science, Wayne State University, Detroit, MI 48202, USA.

Patients with chronic kidney disease (CKD) are often instructed to adhere to a renal-specific diet depending on the severity and stage of their kidney disease. The prescribed diet may limit certain nutrients, such as phosphorus and potassium, or encourage the consumption of others, such as high biological value (HBV) proteins. Eggs are an inexpensive, easily available and high-quality source of protein, as well as a rich source of leucine, an essential amino acid that plays a role in muscle protein synthesis. Read More

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December 2018