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https://www.readbyqxmd.com/read/27834451/elements-of-dialysis-nursing-practice-associated-with-successful-cannulation-result-of-an-international-survey
#1
Maria Teresa Parisotto, Francesco Pelliccia, Aileen Grassmann, Daniele Marcelli
BACKGROUND/AIM: Vascular access (VA) cannulation is an essential skill for dialysis nurses: failure to correctly repeat this operation daily may result in serious complications for the patients. This study investigates if different aspects of arteriovenous fistula and graft cannulation have an effect on the development of acute access complications, which may affect the VA survival. METHODS: In April 2009 a cross-sectional survey was conducted in 171 dialysis units located in Europe, the Middle East and Africa to collect details on VA cannulation practices...
November 9, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27609256/transcatheter-aortic-valve-replacement-using-transaortic-access-experience-from%C3%A2-the-multicenter-multinational-prospective-route-registry
#2
Vinayak Bapat, Derk Frank, Ricardo Cocchieri, Dariusz Jagielak, Nikolaos Bonaros, Marco Aiello, Joel Lapeze, Mika Laine, Sidney Chocron, Douglas Muir, Walter Eichinger, Matthias Thielmann, Louis Labrousse, Kjell Arne Rein, Jean-Philippe Verhoye, Gino Gerosa, Hardy Baumbach, Peter Bramlage, Cornelia Deutsch, Martin Thoenes, Mauro Romano
OBJECTIVES: The Registry of the Utilization of the TAo-TAVR approach using the Edwards SAPIEN Valve (ROUTE) was established to assess the effectiveness and safety of the use of transaortic (TAo) access for transcatheter aortic valve replacement (TAVR) procedures (NCT01991431). BACKGROUND: TAVR represents an alternative to surgical valve replacement in high-risk patients. Whereas the transfemoral access route is used commonly as the first-line approach, transapical access is an option for patients not suitable for transfemoral treatment mainly due to anatomic conditions...
September 12, 2016: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/27582309/implantation-of-subcutaneous-implantable-cardioverter-defibrillators-in-europe-results-of-the-european-heart-rhythm-association-survey
#3
Serge Boveda, Radoslaw Lenarczyk, Kristina Haugaa, Stefano Fumagalli, Antonio Hernandez Madrid, Pascal Defaye, Paul Broadhurst, Nikolaos Dagres
AIMS: The purpose of this European Heart Rhythm Association (EHRA) survey is to provide an overview of the current use of subcutaneous cardioverter defibrillators (S-ICDs) across a broad range of European centres. METHODS AND RESULTS: A questionnaire was sent via the internet to centres participating in the EHRA electrophysiology research network. Questions included standards of care and policies used for patient management, indications, and techniques of implantation of the S-ICDs...
September 2016: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/27536678/chronic-hemodialysis-therapy-in-the-west
#4
REVIEW
Michael V Rocco
BACKGROUND: Chronic hemodialysis (HD) in the 1960s encompassed a wide variety of prescriptions from twice weekly to five times per week HD. Over time, HD prescriptions in the West became standardized at three times per week, 2.5-4 h per session, with occasional additional treatments for volume overload. SUMMARY: When clinical trials of dialysis dose failed to show significant benefit of extending time compared with the traditional dialysis prescription, interest in more frequent HD was renewed...
December 2015: Kidney Diseases
https://www.readbyqxmd.com/read/27534690/forest-roadsides-harbour-less-competitive-habitats-for-a-relict-mountain-plant-pulsatilla-vernalis-in-lowlands
#5
Katarzyna M Zielińska, Marcin Kiedrzyński, Andrzej Grzyl, Agnieszka Rewicz
The long-term survival of relict populations depends on the accessibility of appropriate sites (microrefugia). In recent times, due to the mass extinction of rare species that has resulted from the loss of natural habitats, the question is - Are there any human-made sites that can act as refugial habitats? We examined forest roadside populations of the mountain plant Pulsatilla vernalis in the last large lowland refugium in Central Europe. We compared the habitat conditions and community structure of roadsides with P...
2016: Scientific Reports
https://www.readbyqxmd.com/read/27533256/stroke-prevention-in-atrial-fibrillation-focus-on-latin-america
#6
Ayrton R Massaro, Gregory Y H Lippp
Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia, with an estimated prevalence of 1-2% in North America and Europe. The increased prevalence of AF in Latin America is associated with an ageing general population, along with poor control of key risk factors, including hypertension. As a result, stroke prevalence and associated mortality have increased dramatically in the region. Therefore, the need for effective anticoagulation strategies in Latin America is clear. The aim of this review is to provide a contemporary overview of anticoagulants for stroke prevention...
August 11, 2016: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/27486010/nafld-and-liver-transplantation-current-burden-and-expected-challenges
#7
Raluca Pais, A Sidney Barritt, Yvon Calmus, Olivier Scatton, Thomas Runge, Pascal Lebray, Thierry Poynard, Vlad Ratziu, Filomena Conti
Because of global epidemics of obesity and type 2 diabetes, the prevalence of non-alcoholic fatty liver disease (NAFLD) is increasing both in Europe and the United States, becoming one of the most frequent causes of chronic liver disease and predictably, one of the leading causes of liver transplantation both for end-stage liver disease and hepatocellular carcinoma. For most transplant teams around the world this will raise many challenges in terms of pre- and post-transplant management. Here we review the multifaceted impact of NAFLD on liver transplantation and will discuss: (1) NAFLD as a frequent cause of cryptogenic cirrhosis, end-stage chronic liver disease, and hepatocellular carcinoma; (2) prevalence of NAFLD as an indication for liver transplantation both in Europe and the United States; (3) the impact of NAFLD on the donor pool; (4) the access of NAFLD patients to liver transplantation and their management on the waiting list in regard to metabolic, renal and vascular comorbidities; (5) the prevalence and consequences of post-transplant metabolic syndrome, recurrent and de novo NAFLD; (6) the alternative management and therapeutic options to improve the long-term outcomes with particular emphasis on the correction and control of metabolic comorbidities...
July 30, 2016: Journal of Hepatology
https://www.readbyqxmd.com/read/27418966/willingness-to-participate-in-a-randomized-trial-comparing-catheters-to-fistulas-for-vascular-access-in-incident-hemodialysis-patients-an-international-survey-of-nephrologists
#8
Krishna Poinen, Matthew J Oliver, Pietro Ravani, Sabine N Van der Veer, Kitty J Jager, Wim Van Biesen, Kevan R Polkinghorne, Aviva Rosenfeld, Adriane M Lewin, Mandeep Dulai, Robert R Quinn
BACKGROUND: Current guidelines favor fistulas over catheters as vascular access. Yet, the observational literature comparing fistulas to catheters has important limitations and biases that may be difficult to overcome in the absence of randomization. However, it is not clear if physicians would be willing to participate in a clinical trial comparing fistulas to catheters. OBJECTIVES: We also sought to elicit participants' opinions on willingness to participate in a future trial regarding catheters and fistulas...
2016: Canadian Journal of Kidney Health and Disease
https://www.readbyqxmd.com/read/27228101/type-of-referral-dialysis-start-and-choice-of-renal-replacement-therapy-modality-in-an-international-integrated-care-setting
#9
Belén Marrón, Janusz Ostrowski, Marietta Török, Delia Timofte, Attila Orosz, Andrzej Kosicki, Alicja Całka, Daniela Moro, Dezider Kosa, Jenö Redl, Abdul Rashid Qureshi, Jose Carolino Divino-Filho
INTRODUCTION: Integrated Care Settings (ICS) provide a holistic approach to the transition from chronic kidney disease into renal replacement therapy (RRT), offering at least both types of dialysis. OBJECTIVES: To analyze which factors determine type of referral, modality provision and dialysis start on final RRT in ICS clinics. METHODS: Retrospective analysis of 626 patients starting dialysis in 25 ICS clinics in Poland, Hungary and Romania during 2012...
2016: PloS One
https://www.readbyqxmd.com/read/27226132/factors-affecting-outcomes-in-patients-reaching-end-stage-kidney-disease-worldwide-differences-in-access-to-renal-replacement-therapy-modality-use-and-haemodialysis-practices
#10
REVIEW
Bruce M Robinson, Tadao Akizawa, Kitty J Jager, Peter G Kerr, Rajiv Saran, Ronald L Pisoni
More than 2 million people worldwide are being treated for end-stage kidney disease (ESKD). This Series paper provides an overview of incidence, modality use (in-centre haemodialysis, home dialysis, or transplantation), and mortality for patients with ESKD based on national registry data. We also present data from an international cohort study to highlight differences in haemodialysis practices that affect survival and the experience of patients who rely on this therapy, which is both life-sustaining and profoundly disruptive to their quality of life...
July 16, 2016: Lancet
https://www.readbyqxmd.com/read/26827714/frequency-of-dressing-changes-for-central-venous-access-devices-on-catheter-related-infections
#11
REVIEW
Nicole C Gavin, Joan Webster, Raymond J Chan, Claire M Rickard
BACKGROUND: People admitted to intensive care units and those with chronic health care problems often require long-term vascular access. Central venous access devices (CVADs) are used for administering intravenous medications and blood sampling. CVADs are covered with a dressing and secured with an adhesive or adhesive tape to protect them from infection and reduce movement. Dressings are changed when they become soiled with blood or start to come away from the skin. Repeated removal and application of dressings can cause damage to the skin...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26798457/what-should-the-characteristics-and-attributes-of-an-accredited-nephrology-training-programme-be-looking-for-high-standards
#12
Patrick J Gleeson, Itzchak Slotki, Jorge B Cannata-Andia, David W P Lappin
The Renal Section of the European Union of Medical Specialists is working towards harmonization and optimization of nephrology training across Europe and its Mediterranean borders. In addition to the need for harmonization of the heterogeneous time dedicated to training, it is necessary to ensure that the learning environment is of a sufficiently high standard to develop skilled specialists. Thus, there is a need to review the core educational infrastructure and resources that should be provided to trainees in order to be considered centres of excellence for nephrology training...
February 2016: Clinical Kidney Journal
https://www.readbyqxmd.com/read/26298822/long-working-hours-and-risk-of-coronary-heart-disease-and-stroke-a-systematic-review-and-meta-analysis-of-published-and-unpublished-data-for-603-838-individuals
#13
REVIEW
Mika Kivimäki, Markus Jokela, Solja T Nyberg, Archana Singh-Manoux, Eleonor I Fransson, Lars Alfredsson, Jakob B Bjorner, Marianne Borritz, Hermann Burr, Annalisa Casini, Els Clays, Dirk De Bacquer, Nico Dragano, Raimund Erbel, Goedele A Geuskens, Mark Hamer, Wendela E Hooftman, Irene L Houtman, Karl-Heinz Jöckel, France Kittel, Anders Knutsson, Markku Koskenvuo, Thorsten Lunau, Ida E H Madsen, Martin L Nielsen, Maria Nordin, Tuula Oksanen, Jan H Pejtersen, Jaana Pentti, Reiner Rugulies, Paula Salo, Martin J Shipley, Johannes Siegrist, Andrew Steptoe, Sakari B Suominen, Töres Theorell, Jussi Vahtera, Peter J M Westerholm, Hugo Westerlund, Dermot O'Reilly, Meena Kumari, G David Batty, Jane E Ferrie, Marianna Virtanen
BACKGROUND: Long working hours might increase the risk of cardiovascular disease, but prospective evidence is scarce, imprecise, and mostly limited to coronary heart disease. We aimed to assess long working hours as a risk factor for incident coronary heart disease and stroke. METHODS: We identified published studies through a systematic review of PubMed and Embase from inception to Aug 20, 2014. We obtained unpublished data for 20 cohort studies from the Individual-Participant-Data Meta-analysis in Working Populations (IPD-Work) Consortium and open-access data archives...
October 31, 2015: Lancet
https://www.readbyqxmd.com/read/26243206/one-year-outcomes-from-the-international-multicenter-study-of-the-zenith-alpha-thoracic-endovascular-graft-for-thoracic-endovascular-repair
#14
Karl A Illig, Takao Ohki, G Chad Hughes, Masaaki Kato, Hideyuki Shimizu, Himanshu J Patel, Ali Shahriari, Shraddha Mehta
OBJECTIVE: This study evaluated the safety and effectiveness of the Zenith Alpha Thoracic Endovascular Graft (Cook Medical, Bloomington, Ind) for the treatment of descending thoracic aortic aneurysms and large ulcers. METHODS: The Zenith Alpha Thoracic Endovascular Graft, with a 16F to 20F delivery system, was developed to address vascular access issues associated with larger-profile devices and to increase conformability in tortuous anatomy. This prospective, nonrandomized, multicenter study was conducted in Europe, Japan, and the United States...
December 2015: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/26227381/-the-humanitarian-consultation-hour-in-frankfurt-am-main-utilization-by-gender-age-country-of-origin
#15
M Schade, U Heudorf, P Tiarks-Jungk
BACKGROUND: The humanitarian consultation-hour is a voluntary, anonymous offer provided by the City of Frankfurt am Main, which was established in December 2001. Here, people without health insurance or undocumented migrants can be treated for free. The aim of this analysis is to investigate the utilization of the consultation-hour by gender, age, country of origin and diagnosis since 2008. METHODS: The digital data documentation is available since 2008. Data from the years 2008-2013 were considered...
July 2015: Das Gesundheitswesen
https://www.readbyqxmd.com/read/25983026/first-use-of-an-expandable-sheath-and-transcaval-access-for-transcatheter-edwards-sapien-3-aortic-valve-implantation
#16
Ilka Ott, Adam B Greenbaum, Heribert Schunkert, Adnan Kastrati, Markus Kasel
AIMS: We aimed to describe the first percutaneous transcaval TAVI in Europe using the expandable introducer sheath (eSheath; Edwards Lifesciences, Irvine, CA, USA) for implantation of an Edwards SAPIEN 3 aortic valve (23 mm). METHODS AND RESULTS: A 72-year-old male patient presented with dyspnoea (NYHA III) in part due to severe aortic stenosis. Concomitant diseases were severe peripheral artery disease, severe chronic obstructive pulmonary disease (GOLD IV) and renal insufficiency, such that neither a transfemoral nor a transapical approach was considered favourable...
November 2015: EuroIntervention
https://www.readbyqxmd.com/read/25815176/optimization-of-the-convection-volume-in-online-post-dilution-haemodiafiltration-practical-and-technical-issues
#17
Isabelle Chapdelaine, Camiel L M de Roij van Zuijdewijn, Ira M Mostovaya, Renée Lévesque, Andrew Davenport, Peter J Blankestijn, Christoph Wanner, Menso J Nubé, Muriel P C Grooteman, P J Blankestijn, A Davenport, C Basile, F Locatelli, F Maduell, S Mitra, C Ronco, R Shroff, J Tattersall, C Wanner
In post-dilution online haemodiafiltration (ol-HDF), a relationship has been demonstrated between the magnitude of the convection volume and survival. However, to achieve high convection volumes (>22 L per session) detailed notion of its determining factors is highly desirable. This manuscript summarizes practical problems and pitfalls that were encountered during the quest for high convection volumes. Specifically, it addresses issues such as type of vascular access, needles, blood flow rate, recirculation, filtration fraction, anticoagulation and dialysers...
April 2015: Clinical Kidney Journal
https://www.readbyqxmd.com/read/25687109/euroaspire-iv-a-european-society-of-cardiology-survey-on-the-lifestyle-risk-factor-and-therapeutic-management-of-coronary-patients-from-24-european-countries
#18
Kornelia Kotseva, David Wood, Dirk De Bacquer, Guy De Backer, Lars Rydén, Catriona Jennings, Viveca Gyberg, Philippe Amouyel, Jan Bruthans, Almudena Castro Conde, Renata Cífková, Jaap W Deckers, Johan De Sutter, Mirza Dilic, Maryna Dolzhenko, Andrejs Erglis, Zlatko Fras, Dan Gaita, Nina Gotcheva, John Goudevenos, Peter Heuschmann, Aleksandras Laucevicius, Seppo Lehto, Dragan Lovic, Davor Miličić, David Moore, Evagoras Nicolaides, Raphael Oganov, Andrzej Pajak, Nana Pogosova, Zeljko Reiner, Martin Stagmo, Stefan Störk, Lale Tokgözoğlu, Dusko Vulic
AIMS: To determine whether the Joint European Societies guidelines on cardiovascular prevention are being followed in everyday clinical practice of secondary prevention and to describe the lifestyle, risk factor and therapeutic management of coronary patients across Europe. METHODS AND RESULTS: EUROASPIRE IV was a cross-sectional study undertaken at 78 centres from 24 European countries. Patients <80 years with coronary disease who had coronary artery bypass graft, percutaneous coronary intervention or an acute coronary syndrome were identified from hospital records and interviewed and examined ≥ 6 months later...
April 2016: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/25452198/twelve-month-results-of-the-rapid-renal-sympathetic-denervation-for-resistant-hypertension-using-the-oneshottm-ablation-system-rapid-study
#19
MULTICENTER STUDY
Stefan Verheye, John Ormiston, Martin W Bergmann, Horst Sievert, Arne Schwindt, Nikos Werner, Britta Vogel, Antonio Colombo
AIMS: Renal denervation has emerged as a treatment option for patients with drug-resistant hypertension. This study was designed to assess the safety and effectiveness of the OneShotª Renal Denervation System. METHODS AND RESULTS: RAPID is a prospective, multicentre, single-arm study which enrolled 50 patients at 11 clinical sites in Europe and New Zealand. Eligible patients had an office systolic blood pressure (SBP) ≥160 mmHg and were on a stable regimen of ≥3 antihypertensive medications including a diuretic...
February 2015: EuroIntervention
https://www.readbyqxmd.com/read/25362987/barriers-to-adopting-a-fistula-first-policy-in-europe-an-international-survey-among-national-experts
#20
MULTICENTER STUDY
Sabine N van der Veer, Pietro Ravani, Luis Coentrão, Richard Fluck, Werner Kleophas, Laura Labriola, Susanne H Hoischen, Marlies Noordzij, Kitty J Jager, Wim van Biesen
PURPOSE: The purpose of this study is to explore how vascular access care was reimbursed, promoted, and organised at the national level in European and neighbouring countries. METHODS: An electronic survey among national experts to collect country-level data. RESULTS: Forty-seven experts (response rate, 76%) from 37 countries participated. Experts from 23 countries reported that 50% or less of patients received routine preoperative imaging of vessels...
March 2015: Journal of Vascular Access
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