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Néstor Daniel Robles-Vázquez, María Alejandra Aguilar-Kitsu, Leticia Mendoza-Guevara, María Guadalupe Miranda-Novales
BACKGROUND: Annually, 5000 children younger than 20 years of age and 200 younger than two-years require treatment for chronic kidney disease (CKD). The objective was to estimate the incidence rate of infectious complications in children requiring renal replacement therapy. METHODS: Retrospective cohort. Patients with a minimum of three months of follow-up in programs of peritoneal dialysis and hemodyalisis were included. The incidence rate for infections associated to replacement therapy was calculated...
2015: Revista Médica del Instituto Mexicano del Seguro Social
Juan S Gomez, Enrique Palacios, Jeremy B Nguyen, Harold R Neitzschman
No abstract text is available yet for this article.
November 2014: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
Daiane Patricia Cais, Ruth Natalia Teresa Turrini, Tânia Mara Varejão Strabelli
OBJECTIVE: Infection is one of the main complications of dialysis procedures to correct renal injury, with a significant impact on morbidity mortality in chronic and critically acute dialysis patients. The objective of this work was to review literature on infection in patients submitted to hemodyalisis. METHODS: A survey of publications from 1990 to March 2008 was carried out in the database COCHRANE, PubMed/MEDLINE, Latin-American and Caribbean literature on Health Sciences and Nursing database...
August 2009: Revista Brasileira de Terapia Intensiva
Maurizio Bossola, Enrico Di Stasio, Stefania Giungi, Fausto Rosa, Luigi Tazza
CONTEXT: Little is known about activated immune-inflammatory pathways and interleukin-6 (IL-6) in the development of fatigue and/or depression in patients with end-stage renal disease on chronic hemodialysis (HD). OBJECTIVES: To evaluate the possible correlation between fatigue and serum levels of IL-6 in patients on chronic HD. METHODS: One hundred HD patients were assessed for the presence of fatigue using the SF-36 Vitality subscale and were administered the Beck Depression Inventory (BDI), the Hamilton Anxiety Rating Scale (HARS), the Mini-Mental State Examination (MMSE), the activities of daily living (ADL), and the instrumental activities of daily living (IADL)...
March 2015: Journal of Pain and Symptom Management
Iu A Borisov, E N Levykina, I V Mindukshev, E D Suglobova
The detailed analysis of structural characteristics of erythrocytes can be implemented with method of erythrograms. However its practical application in conditions of medical laboratory is a long and labor-intensive process of little avail for express-diagnostic. To register alterations of morphologic functional characteristics of erythrocytes in patients under chronic dialysis as compared with patients without renal pathology the new technique of low-angle light scattering never applied before for this purpose...
April 2014: Klinicheskaia Laboratornaia Diagnostika
Mauro Alves, Nelson Albuquerque de Souza e Silva, Lucia Helena Alvares Salis, Basilio de Bragança Pereira, Paulo Henrique Godoy, Emília Matos do Nascimento, Jose Mario Franco Oliveira
BACKGROUND: End-stage kidney disease patients continue to have markedly increased cardiovascular disease morbidity and mortality. Analysis of genetic factors connected with the renin-angiotensin system that influences the survival of the patients with end-stage kidney disease supports the ongoing search for improved outcomes. OBJECTIVE: To assess survival and its association with the polymorphism of renin-angiotensin system genes: angiotensin I-converting enzyme insertion/deletion and angiotensinogen M235T in patients undergoing hemodialysis...
September 2014: Arquivos Brasileiros de Cardiologia
Heana E Ocasio, Hector Diaz, José L Cangiano, Rafael Báez, Erick Suárez
End-stage renal disease is frequently complicated with anemia. Iron deficiency anemia occurs in most hemodialysis patients secondary to increased iron demand driven by the accelerated erythropoiesis that occurs when stimulating agents are administered as treatment of the anemia. The purpose of this study was to determine the prevalence of anemia and iron stores in patients undergoing hemodialysis at our unit; identify their treatment and effectiveness. Medical records of fifty-three patients undergoing ambulatory hemodialysis were evaluated for three months...
2014: Boletín de la Asociación Médica de Puerto Rico
Patrizia Tosi, Barbara Gamberi, Barbara Castagnari, Anna Lia Molinari, Paolo Savini, Michela Ceccolini, Monica Tani, Anna Merli, Manuela Imola, Anna Maria Mianulli, Claudia Cellini, Simona Tomassetti, Francesco Merli, Pierpaolo Fattori, Alfonso Zaccaria
Salvage therapy of elderly patients with advanced, relapsed and refractory multiple myeloma (MM) is often limited by poor marrow reserve and multi-organ impairment. In particular, renal failure occurs in up to 50% of such patients, and this can potentially limit the therapeutic options. Both thalidomide and bortezomib have proven effective in these patients, with an acceptable toxicity, while, in clinical practice, lenalidomide is generally not considered a first-choice drug for MM patients with renal failure as early reports showed an increased hematological toxicity unless appropriate dose reduction is applied...
2013: Mediterranean Journal of Hematology and Infectious Diseases
Vivek B Kute, Pankaj R Shah, Aruna V Vanikar, Manoj R Gumber, Himanshu V Patel, Sachin B Patil, Hargovind L Trivedi
A 42-year-old end stage renal disease (ESRD) patient was admitted with fever, anorexia, malaise, non-productive cough, and dyspnea, of one-week duration. Multiple cultures of the blood, sputum, and urine were negative for microorganisms. The possibility of bronchiolitis obliterans with organizing pneumonia (BOOP) was considered when patient with pulmonary infiltrate did not respond to conventional antibiotic therapy and frequent hemodyalisis. High-resolution computed tomography of the chest revealed patchy air-space consolidation, ground-glass opacities, and small nodular opacities, predominantly located at the peripheral part of the lungs...
July 2012: Indian Journal of Critical Care Medicine
H Resić, F Masnić, S Ajanović, N Kukavica, N Prohić, A Corić, A Bećiragić
INTRODUCTION: Cardiovascular diseases are one of the main causes of morbidity and mortality in dialysis patients. High incidence of cardiovascular diseases in patients with chronic kidney disease (CKD) can not soley be explained by traditional risk factors. Several studies have confirmed association between vascular calcification and increased mortality. MATERIALS AND METHODS: This study included total of 44 patients on chronic hemodialysis program, 18 women and 26 men, with average age of 50...
October 2011: Acta Medica Croatica: C̆asopis Hravatske Akademije Medicinskih Znanosti
Halima Resić, Nihad Kukavica, Fahrudin Masnić, Nejra Prohić, Vahidin Sahović, Selma Ajanović, Aida Corić, Emir Avdić, Dzana Helać-Cvijetić
UNLABELLED: Patients with end stage renal disease (ESRD) have a reduced response to vaccination against hepatitis B infection. The aim of the study has been to determine the adequacy of immune response with new protocol of vaccination against hepatitis B infection. PATIENTS AND METHODS: The study included incident hemodialysis patients since 2008 until 2011 at the Clinic of Hemodialysis of the Clinical Center of the University of Sarajevo. We started the new vaccination protocol in September 2009...
December 2011: Acta Medica Croatica: C̆asopis Hravatske Akademije Medicinskih Znanosti
Oliver Radmili, Dragan Vasic, Milica Vranes, Igor Banzic, Vlada Cvetic, Lazar Davidovic
No abstract text is available yet for this article.
May 2012: American Surgeon
Slobodan Marjanović, Zoran Mijusković, Dragana Stamatović, Lavinika Madjaru, Tijana Ralić, Jovana Trimcev, Jelica Stojanović, Vesna Radović
INTRODUCTION: Multiple myeloma (MM) is characterized by the presence of neoplastic proliferating plasma cells. The tumor is generally restricted to the bone marrow. The most common complications include renal insufficiency, hypercalcemia, anemia and reccurent infections. The spectrum of MM neurological complications is diverse, however, involvement of MM in the cerebrospinal fluid (CSF) and leptomeningeal infiltration are rare considered. In about 1% of the cases, the disease affects the central nervous system (CNS) and presents itself in the form of localized intraparenchymal lesions, solitary cerebral plasmocytoma or CNS myelomatosis (LMM)...
February 2012: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Alessandra Silva da Silva, Rosemary Silva da Silveira, Geani Farias Machado Fernandes, Valéria Lerch Lunardi, Vânia Marli Schubert Backes
Chronicle Renal Failure is considered a major problem in Public Health. The dyalitic treatment while waiting for the renal transplant means a boost on quality of life. This qualitative study, carried out in Rio Grande-RS, aimed at knowing the perceptions of patients with Chronicle Renal Failure, identifying the elements that influence their quality of life. The results highlighted that the initial feelings of indignation and denial change as they strengthen themselves to face the disease. Restrictions of fluid and eating habits, inability to perform or limitation in activities, professional and leisure, were the main difficulties identified...
September 2011: Revista Brasileira de Enfermagem
Francisca Monsalve-Castillo, Liliana Gómez-Gamboa, Leonor Chacín-Bonilla, Leticia Porto-Espinoza, Luciana Costa-León
Over a two year period, the incidence of hepatitis C virus (HCV) infection was evaluated in 29 hemodialysis patients, aged between 15 and 75 years (mean ± SD: 45 ± 39.5 years), from the University Hospital Hemodyalisis Unit, Maracaibo, Zulia State, Venezuela. Anti-HCV antibodies were determined using a fourth generation ELISA (Innotest HCV Ab IV) kit and positive blood samples were tested using a recombinant assay kit (Inno-LIA HCV Ab III), both kits from Innogenetics N.V., Belgium. The findings indicate a lack of HCV seroconversion in the hemodialysis patients over the study period, confirmed by the recombinant assay...
January 2012: Revista do Instituto de Medicina Tropical de São Paulo
Sonia G Ponce, Carlos A Roldan
We present images observed in a patient with methicillin-resistant Staphylococcus aureus bacteremia from a hemodyalisis catheter and demonstrate the superiority of real time three-dimensional transesophageal echocardiography (RT3D-TEE) over 2D-TEE at identifying catheter-associated infected vegetations. Other studies have reported RT3D-TEE as an improved modality to identify and characterize intracardiac structures. However, to the best of our knowledge, there are no reports describing the specific characteristics of bacterial vegetations in a dialysis catheter...
April 2012: Echocardiography
Salustiano Araujo, Helton P Lemes, Danny A Cunha, Vinicius S Queiroz, Daniela D Nascimento, Sebastião Rodrigues Ferreira Filho
In patients with chronic renal failure on hemodialysis, left ventricular hypertrophy is related to the increase in total peripheral vascular resistance and volume overload. The presence of residual diuresis enables greater control of the volemia of these. We evaluated the morpho-functional changes of the left ventricle in patients with chronic kidney disease on hemodyalisis treatment with and without residual diuresis. A total of 31 non diabetic patients were studied and they were divided into two groups: with residual diuresis (RD+) (n = 17) and without residual diuresis (RD-) (n = 14)...
March 2011: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
Fatima Hukic, Sabina Nuhbegovic, Selmira Brkic, Edin Ostrvica, Sunita Custendil-Delic, Sehveta Mustafic
INTRODUCTION: Secondary lack of iron in patients on hemodyalisis is the main cause of inadequate answer on therapy of recombinant human erythropoietin (rHuEPO). Therefore, it is very important to follow the status of iron in these patients. OBJECTIVES: The objectives of our study were to define the value of hemoglobin content in reticulocytes as predictor of functional iron deficiency on hemodialyzed treated patients with erythropoietin (rHuEPO) then evaluate the eficiency of using the value of hemoglobin content in reticulocytes in administration of iron HD (Patients on hemodialyzed )...
2010: Medicinski Arhiv
R Monno, G Pertosa, G Grandaliano, L Fumarola, G Giannelli, S Simone
AIM: the aim of this study was to investigate the association between the presence of antibodies to C. pneumoniae, some markers of inflammation and the presence of preclinical atherosclerotic lesions in hemodyalisis (HD) patients treated with different dialytic membranes. METHODS: C. pneumoniae antibodies were measured by microimmunofluorescence in blood samples of 68 chronic HD patients and in 120 healthy blood donors. Intima-media thickness (IMT) of carotid and of femoral arteries, eco-color doppler of sovraortic trunk and lower limb vessels were evaluated...
December 2010: Panminerva Medica
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