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https://www.readbyqxmd.com/read/28381432/the-effect-of-fluid-overload-on-sleep-apnoea-severity-in-haemodialysis-patients
#1
Owen D Lyons, Toru Inami, Elisa Perger, Azadeh Yadollahi, Christopher T Chan, T Douglas Bradley
As in heart failure, obstructive and central sleep apnoea (OSA and CSA, respectively) are common in end-stage renal disease. Fluid overload characterises end-stage renal disease and heart failure, and in heart failure plays a role in the pathogenesis of OSA and CSA. We postulated that in end-stage renal disease patients, those with sleep apnoea would have greater fluid volume overload than those without.End-stage renal disease patients on thrice-weekly haemodialysis underwent overnight polysomnography on a nondialysis day to determine their apnoea-hypopnoea index (AHI)...
April 2017: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/28328262/haemodialysis-nutritional-disorders-and-hypoglycaemia-in-critical-care
#2
Jeiel Carlos Lamonica Crespo, Vanessa Rossato Gomes, Ricardo Luís Barbosa, Katia Grillo Padilha, Silvia Regina Secoli
This study aimed to determine hypoglycemia incidence and associated factors in critically ill patients. It looked at a retrospective cohort with 106 critically ill adult patients with 48 hours of glycaemic control and 72 hours of follow up. The dependent variable, hypoglycaemia (≤70 mg/dl), was assessed with respect to independent variables: age, diet, insulin, catecholamines, haemodialysis, nursing workload and the Simplified Acute Physiology Score. Statistical analysis was performed using Student's t-test, Fisher's exact test and logistic regression at 5% significance level...
March 9, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28322468/effect-of-stage-based-education-provided-by-dedicated-dietitians-on-hyperphosphataemic-haemodialysis-patients-results-from-the-nutrition-education-for-management-of-osteodystrophy-randomised-controlled-trial
#3
R Rizk, M Karavetian, M Hiligsmann, S M A A Evers
BACKGROUND: The Nutrition Education for Management of Osteodystrophy trial showed that stage-based nutrition education by dedicated dietitians surpasses existing practices in Lebanon with respect to lowering serum phosphorus among general haemodialysis patients. The present study explores the effect of nutrition education specifically on hyperphosphataemic patients from this trial. METHODS: Hyperphosphataemic haemodialysis patients were allocated to a dedicated dietitian (DD), a trained hospital dietitian (THD) and existing practice (EP) protocols...
March 21, 2017: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
https://www.readbyqxmd.com/read/28270638/a-haemocompatible-and-scalable-nanoporous-adsorbent-monolith-synthesised-using-a-novel-lignin-binder-route-to-augment-the-adsorption-of-poorly-removed-uraemic-toxins-in-haemodialysis
#4
Susan R Sandeman, Yishan Zheng, Ganesh Ingavle, Carol Howell, Sergey Mikhalovsky, Kolitha Basnayake, Owen Boyd, Andrew Davenport, Nigel Beaton, Nathan Davies
Nanoporous adsorbents are promising materials to augment the efficacy of haemodialysis for the treatment of end stage renal disease where mortality rates remain unacceptably high despite improvements in membrane technology. Complications are linked in part to inefficient removal of protein bound and high molecular weight uremic toxins including key marker molecules albumin bound indoxyl sulphate (IS) and p-cresyl sulphate (PCS) and large inflammatory cytokines such as IL-6. The following study describes the assessment of a nanoporous activated carbon monolith produced using a novel binder synthesis route for scale up as an in line device to augment haemodialysis through adsorption of these toxins...
March 8, 2017: Biomedical Materials
https://www.readbyqxmd.com/read/28243472/assessing-the-association-between-serum-ferritin-transferrin-saturation-and-c-reactive-protein-in-northern-territory-indigenous-australian-patients-with-high-serum-ferritin-on-maintenance-haemodialysis
#5
Sandawana William Majoni, Paul D Lawton, Federica Barzi, Alan Cass, Jaquelyne T Hughes
Objective. To determine the significance of high serum ferritin observed in Indigenous Australian patients on maintenance haemodialysis in the Northern Territory, we assessed the relationship between ferritin and transferrin saturation (TSAT) as measures of iron status and ferritin and C-reactive protein (CRP) as markers of inflammation. Methods. We performed a retrospective cohort analysis of data from adult patients (≥18 years) on maintenance haemodialysis (>3 months) from 2004 to 2011. Results. There were 1568 patients...
2017: International Journal of Nephrology
https://www.readbyqxmd.com/read/28218466/bullous-pemphigoid-arising-in-a-patient-with-acquired-perforating-dermatosis
#6
S Tani, N Ishii, T Hashimoto, K Tsujioka
A middle-aged Japanese man who had been on haemodialysis treatment for diabetic nephropathy developed multiple itchy papules and nodules, which were histopathologically diagnosed as acquired perforating dermatosis. Two years later he developed oral lesions and subsequently numerous erosive plaques with necrotic crusts on the trunk and extremities. Histopathology of a papule showed a parakeratotic plug intermingled with basophilic, necrotic debris and collagen bundles, along with penetration of collagen bundles across the epidermis and subepidermal blister...
February 20, 2017: Clinical and Experimental Dermatology
https://www.readbyqxmd.com/read/28198403/noninvasive-quantification-of-blood-potassium-concentration-from-ecg-in-hemodialysis-patients
#7
Cristiana Corsi, Marilisa Cortesi, Giulia Callisesi, Johan De Bie, Carlo Napolitano, Antonio Santoro, David Mortara, Stefano Severi
Blood potassium concentration ([K(+)]) influences the electrocardiogram (ECG), particularly T-wave morphology. We developed a new method to quantify [K(+)] from T-wave analysis and tested its clinical applicability on data from dialysis patients, in whom [K(+)] varies significantly during the therapy. To elucidate the mechanism linking [K(+)] and T-wave, we also analysed data from long QT syndrome type 2 (LQT2) patients, testing the hypothesis that our method would have underestimated [K(+)] in these patients...
February 15, 2017: Scientific Reports
https://www.readbyqxmd.com/read/27994863/guide-a-structured-pre-dialysis-programme-that-increases-the-use-of-home-dialysis
#8
Josanne S de Maar, Marjolein A J de Groot, Peter T Luik, Kwok Wai Mui, E Christiaan Hagen
BACKGROUND: Despite the many advantages it offers, the percentage of dialysis patients that receive home dialysis [peritoneal dialysis (PD) or home haemodialysis (HHD)] in the Netherlands has declined over the last decade. Pre-dialysis education could stimulate the use of home dialysis. This article presents the results of the pre-dialysis programme GUIDE, with regard to the following question: Does the implementation of a structured pre-dialysis programme with a home-focused approach increase the number of pre-dialysis patients that choose and receive home dialysis? METHODS: The GUIDE process starts when a patient has an eGFR of 15 mL/min/1...
December 2016: Clinical Kidney Journal
https://www.readbyqxmd.com/read/27980383/using-the-cytokinesis-block-micronucleus-cytome-assay-to-evaluate-chromosomal-dna-damage-in-chronic-renal-patients-undergoing-bicarbonate-haemodialysis-and-haemodiafiltration
#9
REVIEW
M Guido, A Zizza, M R Tumolo, G Stefanelli, M D'Alba, A Idolo, F Bagordo, F Serio, T Grassi, A DE Donno
INTRODUCTION: Chronic Renal Failure (CRF) patients are considered to show genomic instability and are associated with a high risk of both cardiovascular diseases and cancer. We explored DNA damage due to two dialysis treatments in 20 patients undergoing bicarbonate haemodialysis (BD), 20 undergoing haemodiafiltration (HDF) and 40 healthy subjects. METHODS: The cytokinesis-block micronucleus (MN) assay was performed on peripheral blood lymphocytes to evaluate genetic damage...
September 2016: Journal of Preventive Medicine and Hygiene
https://www.readbyqxmd.com/read/27857236/changes-in-high-sensitivity-troponin-t-in-incident-haemodialysis-patients
#10
Tze Liang Goh, Stefanie Honegger Bloch, Caroline Chembo, David Semple, Karishma Sidhu, Ralph Stewart, Helen Pilmore
AIM: To characterise the changes in high sensitivity troponin T (hsTnT) in incident haemodialysis patients. BACKGROUND: Previous studies had shown that stable chronic haemodialysis patients have elevated cardiac troponin compared to the general population. Cardiac troponin on incident haemodialysis patients had not been characterised. METHODS: This prospective descriptive study included all patients who started haemodialysis in Auckland City Hospital over 18 months...
November 18, 2016: New Zealand Medical Journal
https://www.readbyqxmd.com/read/27848940/parenteral-iron-polymaltose-changes-i-c-terminal-fgf23-ratios-in-iron-deficiency-but-not-in-dialysis-patients
#11
S-J Tan, S Satake, E R Smith, N D Toussaint, T D Hewitson, S G Holt
BACKGROUND/OBJECTIVES: Iron and phosphate are both vital to many biological cellular processes with central roles in energy metabolism, cellular proliferation and nucleic acid synthesis. Regulatory pathways in some of these metabolic pathways may intersect at fibroblast growth factor 23 (FGF23), a major phosphate regulatory hormone. Iron is reported to induce hypophosphataemia in rare cases, and recent reports suggest that iron deficiency may upregulate FGF23 synthesis by mechanisms involving hypoxia-inducible factor 1α (HIF1α)...
February 2017: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/27843545/ochromobactrum-intermedium-an-emerging-opportunistic-pathogen-case-of-recurrent-bacteraemia-associated-with-infective-endocarditis-in-a-haemodialysis-patient
#12
T Bharucha, D Sharma, H Sharma, H Kandil, S Collier
We describe the first clinical case report of infective endocarditis related to Ochrobactrum intermedium infection. The case involved a 23-year-old man receiving dialysis via an internal jugular long-term haemodialysis catheter. He improved with a prolonged course of meropenem and minocycline. Ochrobactrum spp. are recognized as rare emerging opportunistic pathogens.
January 2017: New Microbes and New Infections
https://www.readbyqxmd.com/read/27760708/pertussis-outbreak-among-patients-and-healthcare-workers-in-a-provincial-dialysis-facility-in-japan
#13
K Nakamura, M Kobayashi, N Yamamoto, K Tokuda, S Miura, Y Abe, J Kashiwazaki, T Aoyagi, M Kaku, K Kanemitsu
BACKGROUND: Sixteen pertussis cases in haemodialysis patients and healthcare workers were detected in a 25-bed outpatient haemodialysis facility in Japan between October 2013 and April 2014. AIM: To describe an outbreak of pertussis among patients and healthcare workers, and to identify risk factors for pertussis infection. METHODS: Sputum cultures, loop-mediated isothermal amplification assays performed on nasopharyngeal swabs to detect respiratory pathogens including Bordetella pertussis, and serum anti-pertussis toxin immunoglobulin G measurements were performed for all haemodialysis patients and healthcare workers...
December 2016: Journal of Hospital Infection
https://www.readbyqxmd.com/read/27699922/intravenous-iron-and-erythropoiesis-stimulating-agents-in-haemodialysis-a-systematic-review-and-meta-analysis
#14
S D Roger, M Tio, H C Park, H L Choong, B Goh, T R Cushway, V Stevens, I C Macdougall
AIM: Higher dosages of erythropoiesis-stimulating agents (ESAs) have been associated with adverse effects. Intravenous iron is used to optimise ESA response and reduce ESA doses in haemodialysis patients; this meta-analysis evaluates the magnitude of this effect. METHODS: A literature search was performed using MEDLINE, Embase and the Cochrane Collaboration Central Register of Clinical Trials from inception until December 2014, to identify randomised controlled trials (RCTs) of intravenous iron and ESA, in patients undergoing haemodialysis for end-stage kidney disease...
October 3, 2016: Nephrology
https://www.readbyqxmd.com/read/27683090/a-population-pharmacokinetic-model-to-predict-oxypurinol-exposure-in-patients-on-haemodialysis
#15
Daniel Fb Wright, Matthew P Doogue, Murray L Barclay, Peter T Chapman, Nicholas B Cross, John H Irvine, Lisa K Stamp
PURPOSE: The aims of this study were to characterise the population pharmacokinetics of oxypurinol in patients receiving haemodialysis and to compare oxypurinol exposure in dialysis and non-dialysis patients. METHODS: Oxypurinol plasma concentrations from 6 gout people receiving haemodialysis and 19 people with gout not receiving dialysis were used to develop a population pharmacokinetic model in NONMEM. Deterministic simulations were used to predict the steady-state area under the oxypurinol plasma concentration time curve over 1 week (AUC7days)...
January 2017: European Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/27529033/prevalence-and-risk-factors-of-lower-limb-amputation-in-patients-with-end-stage-renal-failure-on-dialysis-a-systematic-review
#16
REVIEW
Rajit A Gilhotra, Beverly T Rodrigues, Venkat N Vangaveti, Usman H Malabu
Background. Renal dialysis has recently been recognised as a risk factor for lower limb amputation (LLA). However, exact rates and associated risk factors for the LLA are incompletely understood. Aim. Prevalence and risk factors of LLA in end-stage renal failure (ESRF) subjects on renal dialysis were investigated from the existing literature. Methods. Published data on the subject were derived from MEDLINE, PubMed, and Google Scholar search of English language literature from January 1, 1980, to July 31, 2015, using designated key words...
2016: International Journal of Nephrology
https://www.readbyqxmd.com/read/27491405/novel-use-of-a-pneumatic-compression-device-for-haemostasis-of-haemodialysis-fistula-access-catheterisation-sites
#17
Michael K O'Reilly, David Ryan, Gavin Sugrue, Tony Geoghegan, Leo P Lawler, Cormac T Farrelly
PURPOSE: Transradial pneumatic compression devices can be used to achieve haemostasis following radial artery puncture. This article describes a novel technique for acquiring haemostasis of arterio-venous haemodialysis fistula access sites without the need for suture placement using one such compression device. MATERIALS AND METHODS: A retrospective review of fistulograms with or without angioplasty/thrombectomy in a single institution was performed. 20 procedures performed on 12 patients who underwent percutaneous intervention of failing or thrombosed arterio-venous fistulas (AVF) had 27 puncture sites...
December 2016: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/27437264/body-image-disturbance-a-comparative-study-among-haemodialysis-and-kidney-transplant-patients
#18
Jaleh Sadeghian, Daryadokht Masroor Roudsari, Naeimeh Seyedfatemi, Hossein Rafiei
INTRODUCTION: As a chronic disease, End Stage Renal Disease (ESRD) changes the patients' body and affects their body image negatively. Although the changes in body image are expected in all types of renal replacement therapies, different renal replacement therapy methods could represent different levels of impact on body image. AIM: Present study was conducted to examine and compare the level of body-image disturbance between haemodialysis and kidney transplant patients...
May 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27400019/effect-of-different-dialysis-methods-on-cellular-immunity-function-of-maintenance-haemodialysis-patients
#19
L Xing
Background: The study of the effect of different dialysis methods on cellular immune function of maintenance haemodialysis (MHD) patients should provide theoretical support for deciding on the best method of blood purification that effectively improves cellular immune function of haemodialysis patients. Subjects and Method: Sixty MHD patients were randomly divided into three groups that respectively received treatment of haemodialysis (HD), high flux haemodialysis (HFHD) and haemodiafiltration (HDF)...
April 18, 2016: West Indian Medical Journal
https://www.readbyqxmd.com/read/27346670/pharmacokinetics-efficacy-and-safety-of-daclatasvir-plus-asunaprevir-in-dialysis-patients-with-chronic-hepatitis-c-pilot-study
#20
Y Kawakami, M Imamura, H Ikeda, M Suzuki, K Arataki, M Moriishi, N Mori, K Kokoroishi, Y Katamura, T Ezaki, T Ueno, K Ide, T Masaki, H Ohdan, K Chayama
The aim of this study was to evaluate the pharmacokinetic profile of daclatasvir (DCV) and asunaprevir (ASV) dual therapy in haemodialysis patients infected with hepatitis C virus (HCV). Eighteen haemodialysis patients and 54 patients with normal renal function were treated with DCV and ASV dual therapy for 24 weeks. We evaluated the pharmacokinetic profiles of DCV and ASV and examined the rate of sustained virological response 12 weeks after the end of treatment (SVR12 ) and incidence of adverse events during treatment of haemodialysis patients infected with chronic HCV genotype 1 infection...
June 27, 2016: Journal of Viral Hepatitis
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