keyword
https://read.qxmd.com/read/38493124/the-moderating-role-of-social-support-in-the-relationship-between-death-anxiety-and-resilience-among-dialysis-patients
#21
JOURNAL ARTICLE
Zahra Shafiei Kisomi, Omid Taherkhani, Mina Mollaei, Hoda Esmaeily, Ghazaleh Shirkhanloo, Zahra Hosseinkhani, Mohammad Amerzadeh
BACKGROUND: Chronic Kidney Disease (CKD) who receive social support can cope with the challenges. Therefore, this study determined the moderating role of social support in the relationship between death anxiety and resilience among dialysis patients in Qazvin City. METHODS: This cross-sectional study used a descriptive-analytical approach on 347 dialysis patients in Qazvin City. The data collection tools included several questionnaires. The convenience sampling method was employed...
March 16, 2024: BMC Nephrology
https://read.qxmd.com/read/38490032/vaginal-peritoneum-fistula-through-pouch-of-douglas-during-peritoneal-dialysis-case-report-and-literature-review
#22
Francisco Aguilar-Espinosa, José Armando Álvarez-Maldonado, Luis Andrés Isaías-Velazquez, Jorge Alberto Martínez-Mejía, Oscar Daniel Mejía-Sierra, Erika Diana Barba-Jaramillo
INTRODUCTION: Peritoneal dialysis is the preferred approach for kidney replacement therapy. A peritoneal-vaginal fistula is a rare complication associated with peritoneal dialysis. CASE PRESENTATION: A 69-year-old woman with a history of type two diabetes and systemic arterial hypertension for twenty years is scheduled to undergo the surgical placement of a Tenckoff catheter to begin renal replacement therapy. After having thirty dialysis sessions, she was discharged to continue therapy at home...
March 11, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38489957/quantification-of-endogenous-angiotensin-1-10-1-9-1-8-1-7-and-1-5-in-human-plasma-using-micro-uhplc-ms-ms-outlining-the-importance-of-the-pre-analytics-for-reliable-results
#23
JOURNAL ARTICLE
Jonathan Maurer, Anke de Groot, Léon Martin, Eric Grouzmann, Grégoire Wuerzner, Philippe J Eugster
Angiotensin peptides (ANGs) play a central role in the renin-angiotensin-aldosterone system, rendering them interesting biomarkers associated with hypertension. Precise quantification of circulating ANGs holds the potential to assess the activity of angiotensin-converting enzyme (ACE), a key protease targeted by widely prescribed drugs, namely ACE inhibitors. This ability could pave the way for personalised medicine, offering insights into the prescription of inhibitors targeting either the proteases or the receptors within the system...
March 9, 2024: Journal of Pharmaceutical and Biomedical Analysis
https://read.qxmd.com/read/38471834/temporal-trends-in-the-initiation-of-dialysis-among-patients-with-heart-failure-with-or-without-diabetes-a-nationwide-study-from-2002-to-2016
#24
JOURNAL ARTICLE
Pauline Knigge, Sørine Lundberg, Jarl E Strange, Mariam E Malik, Nina Nouhravesh, Andrea K Wagner, Gunnar Gislason, Emil L Fosbøl, Nicholas Carlson, Deewa Zahir, Charlotte Andersson, Jawad H Butt, Pardeep Jhund, Mark C Petrie, John J V McMurray, Lars Køber, Morten Schou
BACKGROUND: The incidence and distribution of acute and chronic dialysis among patients with heart failure (HF), stratified by diabetes, remain uncertain. We hypothesized that with improved survival and rising comorbidities, the demand for dialysis would increase over time. METHODS AND RESULTS: Patients with incident HF, aged 18 to 100 years, between 2002 and 2016, were identified using Danish nationwide registers. Primary outcomes included acute and chronic dialysis initiation, HF-related hospitalization, and all-cause mortality...
March 12, 2024: Journal of the American Heart Association
https://read.qxmd.com/read/38468417/treatment-of-severe-hyponatremia-with-continuous-renal-replacement-therapy-a-case-and-review-of-corrective-strategies
#25
Paul J Der Mesropian, Shawn Phillips, Martha Naber, Sunjeev Konduru, Gulvahid Shaikh, Krishnakumar Hongalgi
Treatment of severely hyponatremic patients with continuous renal replacement therapy (CRRT) presents a unique challenge given the lack of commercial options for hypotonic replacement solutions or dialysate. We report the case of a 55-year-old male who presented with profound, symptomatic hyponatremia in the setting of acute kidney injury (AKI). The patient was found to have a serum sodium concentration of 97 mEq/L because of free water retention that occurred during severe AKI from viral gastroenteritis and rhabdomyolysis...
March 11, 2024: Hemodialysis International
https://read.qxmd.com/read/38460632/chitosan-particles-embedded-bacterial-nanocellulose-flat-membrane-for-hemodialysis
#26
JOURNAL ARTICLE
Lulu Lin, Lin Chen, Changrui Lu, Genqiang Chen, Feng F Hong
The development of bio-based hemodialysis membranes continues to be a challenge. Bacterial nanocellulose (BNC) membranes show potential in hemodialysis but can hardly retain beneficial proteins. Here, chitosan particles/bacterial nanocellulose (CSP/BNC) membranes were designed to efficiently remove uremic toxins and retain beneficial proteins. First, CSPs were synthesized in situ within a BNC membrane by ionic gelation following negative pressure impregnation. Subsequently, these membranes were thoroughly characterized...
March 7, 2024: International Journal of Biological Macromolecules
https://read.qxmd.com/read/38457178/patient-care-technician-staffing-and-outcomes-among-us-patients-receiving-in-center-hemodialysis
#27
JOURNAL ARTICLE
Laura C Plantinga, Alexis A Bender, Megan Urbanski, Clarica Douglas-Ajayi, Jennifer Craft Morgan, Karen Woo, Bernard G Jaar
IMPORTANCE: Dialysis patient care technicians (PCTs) play a critical role in US in-center hemodialysis (HD) care, but little is known about the association of PCT staffing with patient outcomes at US HD facilities. OBJECTIVE: To estimate the associations of in-center HD patient outcomes with facility-level PCT staffing. DESIGN, SETTING, AND PARTICIPANTS: This was a retrospective cohort study, with data analysis performed from March 2023 to January 2024...
March 4, 2024: JAMA Network Open
https://read.qxmd.com/read/38453893/rapid-point-of-care-test-for-diagnosis-of-peritonitis-in-peritoneal-dialysis-patients
#28
JOURNAL ARTICLE
Htay Htay, Jason Chon Jun Choo, Dorothy Hannah Huang, Mathini Jayaballa, David W Johnson, Riece Koniman, Elizabeth Ley Oei, Tan Chieh Suai, Sin Yan Wu, Marjorie Wai Yin Foo
BACKGROUND: Periplex® is a rapid point-of-care test based on the detection of interleukin-6 (IL-6) or matrix metalloproteinase-8 (MMP-8) to diagnose peritonitis in peritoneal dialysis (PD) patients. METHODS: This single-centre study was conducted in Singapore General Hospital from 2019 to 2022. The study recruited PD patients suspected of having peritonitis. Periplex was performed at the presentation and recovery of peritonitis. Primary outcomes were sensitivity and specificity of Periplex at presentation...
March 7, 2024: Peritoneal Dialysis International
https://read.qxmd.com/read/38453271/nutrition-in-peritoneal-dialysis
#29
REVIEW
Andrew Shammas, Shivam Joshi, Ankur D Shah
The use of peritoneal dialysis (PD) has been associated with improved quality of life, cost-effectiveness, and better outcomes for patients with kidney failure. However, many patients utilizing PD for replacement therapy face numerous nutritional hurdles. As the use of PD continues to increase worldwide, malnutrition has become an increasingly recognized concern for patients undergoing PD. The nephrology community needs to recognize and treat malnutrition to promote optimal nutritional states for our patients...
November 2023: Adv Kidney Dis Health
https://read.qxmd.com/read/38452918/enhancing-kidney-transplantation-and-the-role-of-xenografts-report-of-a-scientific-workshop-sponsored-by-the-national-kidney-foundation
#30
JOURNAL ARTICLE
Andrew B Adams, Emily A Blumberg, John S Gill, Eliezer Katz, Tatsuo Kawai, Jesse D Schold, Megan Sykes, Alfred Tector, David H Sachs
Chronic kidney disease affects an estimated 37 million people in the United States; of these, >800,000 have end-stage renal disease requiring chronic dialysis or a kidney transplant to survive. Despite efforts to increase the donor kidney supply, approximately 100,000 people are registered on the kidney transplant waitlist with no measurable decrease over the past 2 decades. Outcomes of kidney transplantation are significantly better than for chronic dialysis: kidney transplant recipients have lower rates of mortality and cardiovascular events and better quality of life, but waitlist time matters...
March 5, 2024: American Journal of Kidney Diseases
https://read.qxmd.com/read/38449832/palliative-care-for-adult-patients-undergoing-hemodialysis-in-asia-challenges-and-opportunities
#31
REVIEW
Wei-Min Chu, Hung-Bin Tsai, Yu-Chi Chen, Kuan-Yu Hung, Shao-Yi Cheng, Cheng-Pei Lin
This article underscores the importance of integrating comprehensive palliative care for noncancer patients who are undergoing hemodialysis, with an emphasis on the aging populations in Asian nations such as Taiwan, Japan, the Republic of Korea, and China. As the global demographic landscape shifts towards an aging society and healthcare continues to advance, a marked increase has been observed in patients undergoing hemodialysis who require palliative care. This necessitates an immediate paradigm shift to incorporate this care, addressing the intricate physical, psychosocial, and spiritual challenges faced by these individuals and their families...
March 1, 2024: J Hosp Palliat Care
https://read.qxmd.com/read/38449341/serum-fibroblast-growth-factor-23-concentration-and-the-risk-of-mortality-in-patients-undergoing-peritoneal-dialysis
#32
JOURNAL ARTICLE
Zhong Zhong, Shaozhen Feng, Dongying Fu, Bin Li, Zhijian Li, Haiping Mao
BACKGROUND: Fibroblast growth factor 23 (FGF23) is a phosphate-regulating hormone that is secreted in large amounts early in chronic kidney disease. In this cohort, we aimed to investigate the association between serum FGF23 concentration and mortality in patients undergoing peritoneal dialysis (PD). METHODS: Serum FGF23 level was determined by enzyme-linked immunosorbent assay (ELISA) in a large 15-year prospective cohort study of PD patients with stored serum samples at baseline...
March 6, 2024: Peritoneal Dialysis International
https://read.qxmd.com/read/38449056/accelerated-neuropathy-among-chronic-kidney-disease-patients-undergoing-hemodialysis-analysis-of-an-institutional-cluster
#33
JOURNAL ARTICLE
Subrahmanian Sathiavageesan, Subramani Murugan
BACKGROUND: Accelerated neuropathy is a rare syndrome of rapidly worsening peripheral neuropathy, typically described in end-stage kidney disease (ESKD) patients undergoing dialysis. In our center, we encountered a surge in the occurrence of accelerated neuropathy among ESKD patients undergoing hemodialysis, which prompted systematic research. METHODS: In this case-control study, we present the clinical features, electrophysiologic findings, and outcome of a series of patients who developed accelerated neuropathy after commencing hemodialysis for ESKD...
March 6, 2024: Hemodialysis International
https://read.qxmd.com/read/38448815/relationship-between-serum-phosphorus-and-mortality-in-non-dialysis-chronic-kidney-disease-patients-evidence-from-nhanes-2001-2018
#34
JOURNAL ARTICLE
Zhongcheng Fan, Rugang Li, Miaoxia Pan, Yangyang Jiang, Ying Li, Li Liu, Yang Li
BACKGROUND: Hyperphosphatemia is common in chronic kidney disease (CKD), associated with higher mortality in dialysis patients. Its impact in non-dialysis patients, especially those with preserved kidney function, remains uncertain. METHODS: A prospective cohort study was conducted using data from the National Health and Nutrition Examination Survey (2001-2008). Serum phosphorus was analyzed as a continuous variable, or categorized into three groups: < 3...
March 6, 2024: BMC Nephrology
https://read.qxmd.com/read/38445495/centre-variation-in-home-dialysis-uptake-a-survey-of-kidney-centre-practice-in-relation-to-home-dialysis-organisation-and-delivery-in-england
#35
JOURNAL ARTICLE
Sarah Damery, Mark Lambie, Iestyn Williams, David Coyle, James Fotheringham, Ivonne Solis-Trapala, Kerry Allen, Jessica Potts, Lisa Dikomitis, Simon J Davies
BACKGROUND: Disparities in home dialysis uptake across England suggest inequity and unexplained variation in access. We surveyed staff at all English kidney centres to identify patterns in service organisation/delivery and explore correlations with home therapy uptake, as part of a larger study ('Inter-CEPt'), which aims to identify potentially modifiable factors to address observed variations. METHODS: Between June and September 2022, staff working at English kidney centres were surveyed and individual responses combined into one centre-level response per question using predetermined data aggregation rules...
March 6, 2024: Peritoneal Dialysis International
https://read.qxmd.com/read/38445494/green-nails-red-alert-an-unusual-exit-site-infection-presentation
#36
JOURNAL ARTICLE
Takuto Nakamura, Marino Yamauchi, Shinichiro Sonoda, Daigo Aharen, Masaki Ikemura, Kentaro Kohagura, Kenya Kusunose
Green nail syndrome is an infectious nail disorder caused most commonly by Pseudomonas aeruginosa . We report a rare case of peritoneal dialysis (PD) exit site infection (ESI) accompanied by P. aeruginosa -associated green nail syndrome. The patient was treated with oral and topical antibiotics without the need for PD catheter removal. We aim to emphasise the importance of nail assessment for ESI in patients undergoing PD.
March 6, 2024: Peritoneal Dialysis International
https://read.qxmd.com/read/38445493/social-determinants-of-health-and-dialysis-modality-selection-in-patients-with-advanced-chronic-kidney-disease-a-retrospective-cohort-study
#37
JOURNAL ARTICLE
Susan J Thanabalasingam, Ayub Akbari, Manish M Sood, Pierre A Brown, Christine A White, Danielle Moorman, Maria Salman, Sriram Sriperumbuduri, Gregory L Hundemer
BACKGROUND: Social determinants of health are non-medical factors that impact health. For patients with chronic kidney disease (CKD) progressing to kidney failure, the influence of social determinants of health on dialysis modality selection (haemodialysis vs. peritoneal dialysis (PD)) is incompletely understood. METHODS: Retrospective cohort study of 981 consecutive patients with advanced CKD referred to the Ottawa Hospital Multi-Care Kidney Clinic (Canada) who progressed to dialysis from 2010 to 2021...
March 6, 2024: Peritoneal Dialysis International
https://read.qxmd.com/read/38444903/massive-acetaminophen-ingestion-managed-successfully-with-n-acetylcysteine-fomepizole-and-renal-replacement-therapy
#38
Elizabeth E Williams, Duc Quach, Arthur Daigh
Acetaminophen ingestion is routinely managed with the antidote, N-acetylcysteine (NAC). Massive acetaminophen poisoning has been treated successfully with adjunctive therapies such as fomepizole and hemodialysis. Fomepizole functions by inhibiting cytochrome p560, which prevents tylenol from forming its toxic metabolite, NAPQI. Prior cases have demonstrated favorable outcomes and a significant drop in acetaminophen levels after a single session of intermittent hemodialysis and continuous veno-venous hemofiltration (CVVH)...
2024: Clinical Nephrology. Case Studies
https://read.qxmd.com/read/38443857/the-association-between-new-inflammation-markers-and-frequent-peritoneal-dialysis-associated-peritonitis
#39
JOURNAL ARTICLE
Jing Tang, Dongxue Wang, Yun Chen, Jinhong Feng
OBJECTIVE: To validate an association between new inflammation and frequent peritoneal dialysis-associated peritonitis (PDAP). MATERIALS AND METHODS: In China, retrospective clinical data were collected on 208 patients who received continuous ambulatory peritoneal dialysis (CAPD) between 2010 and 2021. The patients were divided into two groups: non-frequent PDAP (the interval between two peritonitis episodes of more than one year) and frequent PDAP (the interval between two peritonitis episodes of less than one year)...
March 5, 2024: BMC Nephrology
https://read.qxmd.com/read/38439685/safety-and-feasibility-of-regional-citrate-anticoagulation-for-continuous-renal-replacement-therapy-with-calcium-containing-solutions-a-randomized-controlled-trial
#40
JOURNAL ARTICLE
Shan Huang, Guangfeng Sun, Penglong Wu, LinJing Wu, Hongfei Jiang, Xixing Wang, Liyuan Li, Lingling Gao, Fanqi Meng
BACKGROUND: Calcium-free (Ca-free) solutions are theoretically the most ideal for regional citrate anticoagulation (RCA) in continuous renal replacement therapy (CRRT). However, the majority of medical centers in China had to make a compromise of using commercially available calcium-containing (Ca-containing) solutions instead of Ca-free ones due to their scarcity. This study was designed to probe into the potential of Ca-containing solution as a secure and efficient substitution for Ca-free solutions...
March 5, 2024: Seminars in Dialysis
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