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Posttransplant survival is not diminished in heart transplant recipients bridged with implantable left ventricular assist devicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The use of implantable left ventricular assist devices as bridges to transplantation, including both intracorporeal and paracorporeal devices, is not associated with diminished posttransplant survival. However, 90-day survival was diminished in recipients bridged with extracorporeal devices. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Mark J. Russo, Kimberly N. Hong, Ryan R. Davies, Jonathan M. Chen, Robert A. Sorabella, Deborah D. Ascheim, Mathew R. Williams, Annetine C. Gelijns, Allan S. Stewart, Michael Argenziano, Yoshifumi Naka Tags: Cardiothoracic Transplantation Source Type: journals

Peritoneal dialysis – An unusual cause of pleural effusion (“sweet hydrothorax”)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe three patients with pleural effusions secondary to CAPD. Because of the late onset of pleural effusion and pulmonary symptoms, i.e. months after CAPD treatment was initiated, the pleural effusion was not directly regarded as a complication of CAPD.After thoracocentesis with biochemical analysis of crystal clear pleural fluid and in two patients Tc-99 peritoneal scintigraphy/contrast enhanced CT-scanning, which demonstrated pleuroperitoneal communication, we concluded that pleural effusion was secondary to CAPD in these three subjects.All patients were treated with hemodialysis after cessation of CAPD and becaus...
Source: Respiratory Medicine CME - November 20, 2009 Category: Respiratory Medicine Authors: I. Krivokuca, J.-W.J. Lammers, J. Kluin Source Type: journals

[Sexuality after kidney transplantation.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The quality of life of patients after kidney transplantation is of increasing interest. In this connection, issues of sexuality are meaningful too. Many patients with end-stage kidney disease suffer from sexual disorders. More than 50% of the male patients on dialysis and even more females are affected by disturbances such as erectile dysfunction and loss of libido or abnormal menstrual cycles. After successful kidney transplantation most symptoms in women are improved, whereas in men disturbances in erectile function often persist or even deteriorate. In these patients treatment with inhibitors of phosphodiesterase ty...
Source: Der Urologe. Ausg. A - November 19, 2009 Category: Urology & Nephrology Authors: Steiner T, Wunderlich H, Ott U Tags: Urologe A Source Type: journals

Acute tubular necrosis and pre-renal acute kidney injury: utility of urine microscopy in their evaluation- a systematic reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Urine microscopy and urine sediment examination is widely available, easy to perform, and inexpensive. The clinical utility of urine microscopy in the differential diagnosis and prediction of outcome in AKI may be increased by using a simple urinary scoring system based on the number of renal tubular epithelial cells and renal tubular epithelial cell/granular casts. Content Type Journal ArticleCategory Nephrology - ReviewDOI 10.1007/s11255-009-9673-3Authors Mehmet Kanbay, Fatih University School of Medicine Section of Nephrology, Department of Medicine Ankara TurkeyBenan Kasapoglu, Fatih U...
Source: International Urology and Nephrology - November 18, 2009 Category: Urology & Nephrology Tags: International Urology and Nephrology Source Type: journals

Prevention of acute kidney injury and protection of renal function in the intensive care unitEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions and recommendations Several measures are recommended, though none carries grade 1A. We recommend prompt resuscitation of the circulation with special attention to providing adequate hydration whilst avoiding high-molecular-weight hydroxy-ethyl starch (HES) preparations, maintaining adequate blood pressure using vasopressors in vasodilatory shock. We suggest using vasopressors in vasodilatory hypotension, specific vasodilators under strict hemodynamic control, sodium bicarbonate for emergency procedures administering contrast media, and periprocedural hemofiltration in severe chronic renal in...
Source: Intensive Care Medicine - November 18, 2009 Category: Intensive Care Tags: Intensive Care Medicine Source Type: journals

Dialysis Catheters and Their Common Complications: An UpdateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The morbidity and mortality associated with catheters for chronic hemodialysis access is well recognized. Here the most common complications associated with their use are discussed, as well as how to best manage and prevent them. (Source: TheScientificWorldJOURNAL: Newly published articles.)
Source: TheScientificWorldJOURNAL: Newly published articles. - November 18, 2009 Category: Science Source Type: journals

Endothelial dysfunction in hemodialysis patients with failed renal transplantsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: ED is more prominent in fTx-HD than the nHD patients. Inflammation, caused by failed renal allograft can be responsible for this abnormality. (Source: Clinical Transplantation)
Source: Clinical Transplantation - November 18, 2009 Category: Transplant Surgery Authors: Numan Gorgulu, Berna Yelken, Yasar Caliskan, Ali Elitok, Arif Oguzhan Cimen, Halil Yazici, Huseyin Oflaz, Ebru Golcuk, Ahmet Ekmekci, Aydin Turkmen, Alaattin Yildiz, Mehmet Sukru Sever Source Type: journals

Frasier syndrome, a potential cause of end-stage renal failure in childhoodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe the case of a 7-year-old girl who was referred to the paediatric emergency department with ESRF. Haemodialysis was started immediately because of severe hypertension and hyperkalaemia. In view of the fact that our patient had a past medical history of pseudohermaphroditism, we suspected that the acute presentation in ESRF may be related to a new diagnosis of Frasier syndrome. Our hypothesis was confirmed on examination of the medical records. There had been no medical follow-up for several years and, in particular, no renal imaging or functional assessment had ever been performed. This lack of surveillance...
Source: Pediatric Nephrology - November 17, 2009 Category: Urology & Nephrology Tags: Pediatric Nephrology Source Type: journals

Measurement uncertainty for the analysis of serum 25-hydroxyvitamin D: response to Stepman and ThienpontEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00198-009-1098-4Authors E. Cavalier, University Hospital of Liège Department of Clinical Chemistry, University of Liège Domaine du Sart-Tilman 4000 Liège BelgiumP. Delanaye, University Hospital of Liège Department of Nephrology, Dialysis and Hypertension, University of Liège Liège BelgiumC. Cormier, Hôpital Cochin Department of Rheumatology Paris FranceJ. C. Souberbielle, Hôpital Necker-Enfants Malades Laboratoire d’Explorations Fonctionnelles Paris France Journal Osteoporosis InternationalOnline ISSN 1433-2965Print ISSN 0937-941X (S...
Source: Osteoporosis International - November 17, 2009 Category: Orthopaedics Tags: Osteoporosis International Source Type: journals

Sodium Bicarbonate Plus N-Acetylcysteine Prophylaxis: A Meta-AnalysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Combination prophylaxis with NAC and NaHCO3 substantially reduced the occurrence of contrast-induced AKI overall but not dialysis-dependent renal failure. Combination prophylaxis should be incorporated for all high-risk patients (emergent cases or patients with chronic kidney disease) and should be strongly considered for all interventional radio-contrast procedures. (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - November 16, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Brown, J. R., Block, C. A., Malenka, D. J., O'Connor, G. T., Schoolwerth, A. C., Thompson, C. A. Tags: Clinical Research Source Type: journals

Matrix metalloproteinase-2 and -9 exacerbate arterial stiffening and angiogenesis in diabetes and chronic kidney diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Using a matched case–control design, we report up-regulation of MMP-2 and -9 in diabetic CKD arteries and correlate those with stiffening, impaired angiogenesis, and endothelial dysfunction. These findings may help to explain the high susceptibility of CVD in diabetic and non-diabetic CKD patients. (Source: Cardiovascular Research)
Source: Cardiovascular Research - November 16, 2009 Category: Cardiology Authors: Chung, A. W.Y., Yang, H.H. C., Sigrist, M. K., Brin, G., Chum, E., Gourlay, W. A., Levin, A. Tags: ORIGINAL ARTICLES Source Type: journals

Prevalence of thyroid autoimmunity and subclinical hypothyroidism in persons with chronic kidney disease not requiring chronic dialysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Clinical Chemistry and Laboratory Medicine 47 (11): 1367-1371 Abstract Background: The prevalence of thyroid autoimmunity and subclinical primary hypothyroidism in persons with chronic kidney disease (CKD) not requiring chronic dialysis is not well defined. Methods: We studied 1000 consecutive adult outpatients who were referred by their general practitioner for blood testing over the last 2 years. We excluded those with abnormal serum free thyroxine (FT4) levels (n=85). No participants required chronic renal replacement therapy. Thyroid autoimmunity was defined as increased concentrations of serum anti-thyroid antibodies....
Source: Clinical Chemistry and Laboratory Medicine - November 16, 2009 Category: Laboratory Medicine Source Type: journals

Clinical Trial Summary: Trial to Reduce Cardiovascular Events With Aranesp Therapy (TREAT — Presented at AHA 2009)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although erythropoiesis-stimulating agents (ESAs) are widely used in patients with anemia and chronic kidney disease (CKD) who are not on dialysis, randomized data to support this approach are not available. The TREAT trial sought to test the hypothesis that the use of ESAs in patients with diabetes. . . (Source: Cardiosource)
Source: Cardiosource - November 16, 2009 Category: Cardiology Source Type: organizations

Potentiation by WIN 55,212-2 of GABA-activated currents in rat trigeminal ganglion neuronesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions and implications: The potentiation by WIN 55,212-2 of IGABA in primary sensory neurones may help to elucidate the mechanism underlying the modulation of analgesia by cannabinoids in the spinal dorsal horn. (Source: British Journal of Pharmacology)
Source: British Journal of Pharmacology - November 16, 2009 Category: Drugs & Pharmacology Authors: Zhi-Wang Li, Jian Zhang, Chang-han Ouyang, Chao-Ying Li, Feng-Bo Zhao, Yu-Wei Liu, Yong-Xun Ai, Wang-Ping Hu Source Type: journals

[Malignant neoplasms and kidney transplantation.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Together with cardiovascular disorders and metabolic changes, malignant diseases are considered as great challenges in clinical transplantation. As far as long-term function of transplanted organs is concerned, an impact of malignancies is obvious. However, it is important to distinguish between neoplastic disease originating from preexisting lesions in the transplanted organs and de novo graft tumors. Further, there is also a high risk of developing malignant disease during the dialysis, likely due to potential harmful metabolic changes associated with this procedure. After curative management of tumors in such patien...
Source: Der Urologe. Ausg. A - November 14, 2009 Category: Urology & Nephrology Authors: Heynemann H, Hamza A, Wagner S, Hoda R, Schumann A, Fornara P Tags: Urologe A Source Type: journals

Complex Phosphatase Regulation of Ca2+-activated Cl- Currents in Pulmonary Arterial Smooth Muscle Cells [Mechanisms Of Signal Transduction]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The present study was undertaken to determine whether the two ubiquitously expressed Ca2+-independent phosphatases PP1 and PP2A regulate Ca2+-activated Cl– currents (ICl(Ca)) elicited by 500 nm [Ca2+]i in rabbit pulmonary artery (PA) myocytes dialyzed with or without 3 mm ATP. Reverse transcription-PCR experiments revealed the expression of PP1, PP1β/, PP1, PP2A, PP2Aβ, PP2B (calcineurin (CaN) A), and PP2Bβ (CaN Aβ) but not PP2B (CaN A) in rabbit PA. Western blot and immunofluorescence experiments confirmed the presence of all three PP1 isoforms and PP2A. Intracellular dialysis with a peptide inhi...
Source: Journal of Biological Chemistry - November 13, 2009 Category: Chemistry Authors: Ayon, R., Sones, W., Forrest, A. S., Wiwchar, M., Valencik, M. L., Sanguinetti, A. R., Perrino, B. A., Greenwood, I. A., Leblanc, N. Tags: Mechanisms Of Signal Transduction Source Type: journals

Emory, Georgia Tech, Children's Healthcare Of Atlanta Team Up On Kidney Replacement Devices For KidsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
When children need kidney dialysis because of disease or congenital defects, doctors are forced to adapt adult-size dialysis equipment. No FDA-approved kidney replacement devices exist that are specifically designed for children. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 13, 2009 Category: Consumer Health News Tags: Urology / Nephrology Source Type: news

Emory, Georgia Tech, Children's Healthcare Of Atlanta Team Up On Kidney Replacement Devices For KidsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
When children need kidney dialysis because of disease or congenital defects, doctors are forced to adapt adult-size dialysis equipment. No FDA-approved kidney replacement devices exist that are specifically designed for children. To address this problem, physicians and researchers from Emory University, Children's Healthcare of Atlanta and the Georgia Institute of Technology have teamed up to develop a kidney replacement device capable of treating children. (Source: Medical Devices News From Medical News Today)
Source: Medical Devices News From Medical News Today - November 13, 2009 Category: Medical Equipment Tags: Urology / Nephrology Source Type: news

Prevent kidney disease by saying no to diet sodas and excess saltEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(NaturalNews) According to the American Society of Nephrology (ASN), the number of people in the US diagnosed with kidney disease has doubled over the past 20 years. About 20 million Americans are at risk for developing kidney disease and the ASN web site states another 20 million Americans already have some evidence of chronic kidney disease. And when chronic kidney disease progresses, it often leads to kidney failure or end stage renal disease (ESRD) -- resulting in ongoing, expensive dialysis treatments or even kidney transplants.But like countless other diseases and conditions, kidney disease doesn't just strike out of...
Source: NaturalNews.com - November 13, 2009 Category: Consumer Health Advice Source Type: news

Subclinical atherosclerosis and related risk factors in renal transplant recipientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, subclinical atherosclerosis is present in young transplant recipients. Non-invasive monitoring of cIMT in renal transplant patients for the detection of early vascular lesions might be of value in preventing cardiovascular disease. Further studies are needed to see if proper monitoring of vitamin D therapy before and after transplantation could be helpful in the prevention of arteriopathy in renal transplant recipients. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00467-009-1345-0Authors Mitra Basiratnia, Shiraz University of Medical Sciences Shiraz Nephrology Urology Resear...
Source: Pediatric Nephrology - November 12, 2009 Category: Urology & Nephrology Tags: Pediatric Nephrology Source Type: journals

Intradialytic hyperalimentation as adjuvant support in pregnant hemodialysis patients: case report and review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of a 36-year-old diabetic hemodialysis patient G4P3 who had prolonged hyperemesis gravidarum, for whom intradialytic parenteral nutrition (IDPN) was started at week 14 and continued throughout her pregnancy. She delivered a 3.5-kg baby girl at the 36th week of gestation by cesarean section. We discuss the use of IDPN as adjunct therapy for pregnant dialysis patients. Content Type Journal ArticleCategory Nephrology - Case ReportDOI 10.1007/s11255-009-9671-5Authors Delphine Tuot, University of California Department of Medicine UCSF campus box 0126, rm M1202 San Francisco CA 94143 USASuzanne Gibson, U...
Source: International Urology and Nephrology - November 12, 2009 Category: Urology & Nephrology Tags: International Urology and Nephrology Source Type: journals

Intraoperative Continuous Venovenous Hemofiltration during Coronary Surgery [ORIGINAL ARTICLE]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Postoperative continuous venovenous hemofiltration decreases acute renal failure in patients with moderate renal dysfunction undergoing coronary artery bypass grafting, but it prolongs intensive care unit stay. We developed a simple method to connect a hemofiltration machine to the cardiopulmonary bypass system. To evaluate the benefit of intraoperative hemofiltration, 124 consecutive patients (mean age, 67 ± 6 years) with moderate renal dysfunction were studied. Surgery was preformed between January 2005 and May 2007. On-pump coronary artery bypass with hemofiltration was carried out in 40 patients (group A), 44 ha...
Source: Asian Cardiovascular and Thoracic Annals - November 12, 2009 Category: Cardiology Authors: Roscitano, Benedetto, Goracci, Capuano, Lucani, Sinatra Tags: ORIGINAL ARTICLE Source Type: journals

Use of Antibacterial Agents in Renal FailureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article provides background information on the pharmacokinetics of antibacterial agents in patients who have normal and impaired renal function. Tables are provided to allow quick determination of appropriate dosages for varying degrees of renal failure. The use of serum levels; newer strategies for cefazolin, vancomycin and aminoglycoside dosing; methods of dialysis and associated antibiotics dosage adjustments, and antibiotic toxicity in renal failure are reviewed. (Source: Infectious Diseases Clinics of North America)
Source: Infectious Diseases Clinics of North America - November 12, 2009 Category: Infectious Diseases Authors: Brett Gilbert, Paul Robbins, Lawrence L. Livornese Source Type: journals

Fresenius Medical Care Announces Presentation Of First Results From The CALMAG Study For Phosphate Binder OsvaRen®Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fresenius Medical Care, the world's largest provider of dialysis products and services, announces the presentation of the first results from the CALcium acetate MAGnesium carbonate evaluation study (CALMAG study) for the new phosphate binder OsvaRen® at the Renal Week 2009 in San Diego, USA.1 The CALMAG study examines efficacy and safety of OsvaRen®. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 12, 2009 Category: Consumer Health News Tags: Urology / Nephrology Source Type: news

Fresenius Medical Care Announces Presentation Of First Results From The CALMAG Study For Phosphate Binder OsvaRen®Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fresenius Medical Care, the world's largest provider of dialysis products and services, announces the presentation of the first results from the CALcium acetate MAGnesium carbonate evaluation study (CALMAG study) for the new phosphate binder OsvaRen® at the Renal Week 2009 in San Diego, USA.1 The CALMAG study examines efficacy and safety of OsvaRen®. (Source: Urology / Nephrology News From Medical News Today)
Source: Urology / Nephrology News From Medical News Today - November 12, 2009 Category: Urology & Nephrology Tags: Urology / Nephrology Source Type: news

The Risk-Benefit Profile of Aprotinin Versus Tranexamic Acid in Cardiac Surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Aprotinin tends to have a better risk-benefit profile than tranexamic acid in high-risk, but not low- to moderate-risk, patients. Its use in high-risk cases may therefore be warranted. PMID: 19910626 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Karkouti K, Wijeysundera DN, Yau TM, McCluskey SA, Tait G, Beattie WS Tags: Anesth Analg Source Type: journals

Type of arteriovenous fistula, NYHA class and apelin in hemodialyzed patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Apelin, a newly discovered adipocytokine, is produced by white adipose tissue and also expressed in kidney and heart. Increasing evidence suggests a role for apelin in the pathology of the cardiovascular system. It was demonstrated that apelin may contribute to the pathophysiology of human chronic heart failure. Apelin locates at the endothelium—a site of key functional importance in the kidney, and apelin has been shown to increase cardiac output. Cardiovascular disease is a major contributor to the mortality and morbidity of patients with chronic renal failure. We previously found that apelin wa...
Source: International Urology and Nephrology - November 11, 2009 Category: Urology & Nephrology Tags: International Urology and Nephrology Source Type: journals

New Medicare Benefit To Provide Chronic Kidney Disease Patients With Education On Treatment OptionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Baxter International Inc. (NYSE: BAX) commends the Centers for Medicare and Medicaid Services (CMS) on announcing implementation plans for a new Medicare benefit that will provide Stage 4 chronic kidney disease patients with coverage for up to six sessions explaining their treatment options, such as transplantation, home peritoneal dialysis (PD), home hemodialysis (HHD) or clinic-based hemodialysis (HD). (Source: Urology / Nephrology News From Medical News Today)
Source: Urology / Nephrology News From Medical News Today - November 11, 2009 Category: Urology & Nephrology Tags: Urology / Nephrology Source Type: news

Emory, Georgia Tech, Children's Healthcare of Atlanta team up on kidney replacement devices for kidsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Emory University) When children need kidney dialysis because of disease or congenital defects, doctors are forced to adapt adult-size dialysis equipment. No FDA-approved kidney replacement devices exist that are specifically designed for children. To address this problem, physicians and researchers from Emory University, Children's Healthcare of Atlanta and the Georgia Institute of Technology have teamed up to develop a kidney replacement device capable of treating children. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - November 11, 2009 Category: Global & Universal Source Type: news

2010 ASN AbstractsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: VBD can enlarge to significant dimensions, producing compressive symptoms in the brainstem, as well as thrombosis and ischemic strokes. SACE of the dolichoectasia can be effective for the vessel reconstruction, to prevent progression of the dilatation, and other potential clinical events. 3. Three Case Reports of Multiple Carotid and/or Vertebral Artery Dissections in Female Mei Lu, Heather Gornik, Esteban Cheng Ching, Vikram Kashyap, Rishi Gupta Cleveland Clinic Foundation, Cleveland, OH 44195, United States Introduction: Multiple carotid and/or vertebral artery dissections are rare. However, patients with mul...
Source: Journal of Neuroimaging - November 11, 2009 Category: Radiology Source Type: journals

[Ten years of the Eurotransplant Senior Program : Are there still age limits for kidney transplantation?]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
On 1 January 1999 Eurotransplant started the "Eurotransplant Senior Program" (ESP), the first program worldwide for age-matched kidney allocation and transplantation of expanded criteria donors (ECD). By now more than 4.300 kidneys from donors aged >/=65 were transplanted into recipients >/=65, with local or regional allocation according only to blood group compatibility and waiting time. Compared to ongoing dialysis, renal transplantation in the ESP offers longer patient survival and improved quality of life. The article evaluates the results of the ESP and of other studies dealing with renal transplantation of ...
Source: Der Urologe. Ausg. A - November 11, 2009 Category: Urology & Nephrology Authors: Giessing M Tags: Urologe A Source Type: journals

The australian and new zealand dialysis workforce study in the international contextEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The changing character of the workforce in the dialysis unit in the future will require clarification of the relationships between different categories of dialysis staff. Specialty education for nurses needs to be oriented to equipping staff to be effective in their changing work environment. (Source: Journal of Renal Care)
Source: Journal of Renal Care - November 10, 2009 Category: Urology & Nephrology Authors: Nick Polaschek, Paul N. Bennett, Liz McNeill Tags: ARTICLES Source Type: journals

Vascular dialysis access flow measurement: early intervention through early detectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Aim: The aim of the project is to determine the effectiveness of using online access flow measurement, thermodilution method (Fresenius BTM[trade]), in detecting and predicting thrombosis or stenosis of the haemodialysis fistula, so that early intervention could be instituted. Methodology: All haemodialysis patients with permanent vascular dialysis access, either arteriovenous fistula (AVF) or arteriovenous fistula graft (AVG), in a large tertiary referral Dialysis Service in Australia were included in this prospective observational quality project, conducted over 12 months. Results: Out of 165 patients studied, 36 patient...
Source: Journal of Renal Care - November 10, 2009 Category: Urology & Nephrology Authors: Susana San Miguel, Josephine Chow Tags: ARTICLES Source Type: journals

Implementing the buttonhole method using the biohole peg in a busy dialysis unit: a report of the development of current practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A report outlining experience gained from the practice of introducing the buttonhole (BH) method of arteriovenous cannulation using the Biohole device, a polycarbonate sterile peg, to form the tunnel tracks. The author's findings are discussed informally and compared with current published literature to provide encouragement to nursing colleagues who are interested in introducing this method of needling, using the peg, into a typically busy haemodialysis unit. (Source: Journal of Renal Care)
Source: Journal of Renal Care - November 10, 2009 Category: Urology & Nephrology Authors: Jennie King Tags: ARTICLES Source Type: journals

Observational study on makers of cardiovascular risk in renal patient: conventional hemodialysis vs. haemofiltration onlineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study focuses on the determination of the vascular risk in patients treated with conventional HD and haemodiafiltration on-line (HDF). It was also considered important to determine whether there was a relationship between homocysteine and the variables given to the patient such as dialysis dose, obesity and treatment with folic acid, vitamin B6 and vitamin B12. A one-year cross-sectional observational study was conducted on patients initially treated with renal replacement therapy such as HDF on-line and conventional HD. Data collected included patient's age, sex, aetiology, duration of dialysis treatment and associat...
Source: Journal of Renal Care - November 10, 2009 Category: Urology & Nephrology Authors: Esperanza Melero-Rubio, Mateo Párraga-Díaz, M. Paz Gómez-Sánchez, Silvia Pellicer-Villaescusa, Esteban Merchán-Mayado Tags: ARTICLES Source Type: journals

Dechlorination by ultraviolet radiation: a suitable alternative to activated carbon in dialysis water systems?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Chlorine-based products are widely used in the water supply industry, and the potential for adverse effects in the haemodialysis setting is well documented. To date, the most commonly used method of chlorine removal has been granular activated carbon filters. An increasingly popular method of dechlorination is the use of high intensity, broad-spectrum UV systems to reduce both free chlorine and combined chlorine compounds (chloramines) into easily removed by-products. UV radiation has been successfully used in the pharmaceutical and food industries to destroy free chlorine and/or chloramines present in water, and kill all ...
Source: Journal of Renal Care - November 10, 2009 Category: Urology & Nephrology Authors: Ray James Tags: ARTICLES Source Type: journals

Colostrum and bioactive, colostral peptides differentially modulate the innate immune response of intestinal epithelial cellsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Characterization and identification of peptides with bioactivity from food have received considerable interest recently since such bioactive components must be adequately documented if they are part of functional food claims. We have characterized peptides from colostrum or those generated by a simulated gastrointestinal digest (GI) and tested them for bioactivity using murine intestinal (mICc12) cells and compared with bioactivity of intact colostrum. The peptides were recovered in the permeate after dialysis. The presence of peptides in the permeate was confirmed by C18 RP-HPLC, determination of free amino termini and MA...
Source: Journal of Peptide Science - November 10, 2009 Category: Biochemistry Authors: Ann Louise Worsøe Jørgensen, Helle Risdahl Juul-Madsen, Jan Stagsted Source Type: journals

Validity of interferon-γ-release assays for the diagnosis of latent tuberculosis in haemodialysis patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, the IGRAs can be useful for the diagnosis of latent TB infection in haemodialysis patients. (Source: Clinical Microbiology and Infection)
Source: Clinical Microbiology and Infection - November 10, 2009 Category: Microbiology Authors: W. K. Chung, Z. L. Zheng, J. Y. Sung, S. Kim, H. H. Lee, S. J. Choi, J. Yang Source Type: journals

Activation of Lateral Parabrachial Afferent Pathways and Endocrine Responses During Sodium Appetite Regulation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Modulation of salt appetite involves interactions between the circumventricular organs (CVOs) receptive areas and inhibitory hindbrain serotonergic circuits. Recent studies provide support to the idea that the serotonin action in the lateral parabrachial nucleus (LPBN) plays an important inhibitory role in the modulation of sodium appetite. The aim of the present work was to identify the specific groups of neurons projecting to the LPBN that are activated in the course of sodium appetite regulation, and to analyze the associated endocrine response, specifically oxytocin (OT) and atrial natriuretic peptide (ANP) plasma ...
Source: Experimental Neurology - November 10, 2009 Category: Neurology Authors: Godino A, Margatho LO, Caeiro XE, Antunes-Rodrigues J, Vivas L Tags: Exp Neurol Source Type: journals

Resolution of chyloperitoneum in a preterm with octreotide, diet and cessation of dialysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report here the case of CP in a 1700-g male baby delivered at the 30th gestational week due to posterior urethral valve and associated oligohydramnios. On postnatal day 2, the serum creatinine (Scr) was 1.6 mg/dL, and he was anuric. PD was instituted via a Tenckhoff catheter. At the end of the second week, after the initiation of enteral feeding, the ultrafiltrate became cloudy, with a leukocyte count of 900/mm3. A treatment regimen consisting of intraperitoneal vancomycin and ceftazidime was then started. Five days later, the fluid became milky, with a TG level of 251 mg/dL. The patient was then placed on...
Source: Pediatric Nephrology - November 9, 2009 Category: Urology & Nephrology Tags: Pediatric Nephrology Source Type: journals

Skyrocketing Costs of Dialysis May Require Difficult DecisionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Improvements in survival in patients with end-stage renal disease undergoing dialysis could result in $14 billion in added annual costs, with a cost per life-year of roughly $80,000. Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 9, 2009 Category: Consumer Health News Tags: Nephrology Source Type: news

Long-Term Renal Toxicity in Children Following Fractionated Total-Body Irradiation (TBI) Before Allogeneic Stem Cell Transplantation (SCT)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The incidence of persistent renal dysfunction after fractionated TBI with total doses ≤ 12 Gy was very low in this analysis. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00066-009-2022-8Authors Johanna Gerstein, Medical School Hannover Department of Radiation Oncology Hannover GermanyAndreas Meyer, Medical School Hannover Department of Radiation Oncology Hannover GermanyKarl-Walter Sykora, Medical School Hannover Department of Pediatric Hematology and Oncology Hannover GermanyJörg Frühauf, Medical School Hannover Department of Radiation Oncology Hannover GermanyJoh...
Source: Strahlentherapie und Onkologie - November 9, 2009 Category: Cancer & Oncology Tags: Strahlentherapie und Onkologie Source Type: journals

[Experiences with Tenckhoff peritoneal dialysis catheter.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The traditional method for placement of peritoneal dialysis catheters is by "blind" insertion of the catheter through a small lower abdominal incision. The laparoscopic placement is a new but well-established technique and offers some advantages, such as a safer and accurate placement of the catheter under direct vision, less postoperative pain and complications, and a longer functional survival, compared to the conventional open technique. The functional outcome of the catheters was satisfactory in the majority of patients in this study. The conventional technique is simple, safe and has low costs, and in our...
Source: Orvosi Hetilap - November 8, 2009 Category: Journals (General) Authors: Regoczi T, Jósvay J, Bálint A, Csaba J, Rákossy W, Fodor E, Kiss I Tags: Orv Hetil Source Type: journals

The Dad's Army of British cryonicsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In sleepy Sussex is a group of dedicated cryonicists who believe they hold the secret to eternal life. Simon Hattenstone joins them for a demonstration – but first they need to make sure the hosepipe isn't too leakyIn a bungalow in Peacehaven, by the east Sussex seaside, a 72-year-old man and his 62-year-old wife are planning their future. There's no discussion of anything morbid, like death, because, as far as they are concerned there is no such thing as death. When they stop breathing, they will pass into a state of suspended animation. They will be frozen in a giant flask of liquid nitrogen at almost -200C, ...
Source: Guardian Unlimited Science - November 7, 2009 Category: Science Authors: Simon Hattenstone Tags: Cryonics Science Science interviews Technology The Guardian Features Source Type: news

Risk factors for tuberculosis in dialysis patients: a prospective multicenter clinical trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Profound alterations in immune responses associated with uraemia and exacerbated by dialysis increase the risk of developing active tuberculosis (TB) in chronic haemodialysis patients (HDPs). In the current study, was determined the impact of various risk factors on TB development. Our aim was to identify which HDPs need anti-TB preventive therapy. Methods: Prospective study of 272 HDPs admitted, through a 36-month period, to our institutions. Specific Relative Risk (RR) for TB was estimated, considering age matched subjects from the general population as reference group. Entering the study all patients were te...
Source: BioMed Central - November 7, 2009 Category: Journals (General) Authors: Antonios ChristopoulosAthanasios DiamantopoulosPanagiotis DimopoulosDemetrios GoumenosGeorge Barbalias Source Type: journals

Fresenius Medical Care North America Acquires Health IT Services Group, Acumen nEHREmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fresenius Medical Care North America, operator of a network of dialysis facilities, today announced it has purchased Nashville-based Health IT Services Group (HITSG) and its portfolio of products including Acumen nEHR, a nephrology-specific electronic health record. (Source: Healthcare IT News Press Releases)
Source: Healthcare IT News Press Releases - November 6, 2009 Category: Information Technology Authors: Industry News Release Tags: dialysis Fresenius Medical Care North America Health IT Services Group Nashville the nation ’s leading network Waltham Hospitals & IDNs Vendors Source Type: news

Travel May Be Hazardous To Dialysis PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
If you're sick, traveling to a foreign land may boost your spirits, but jeopardize your health, according to new research. The findings indicate that dialysis patients who travel on vacation risk infections, anemia, and other complications that can compromise their dialysis treatments. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - November 6, 2009 Category: Science Source Type: news

Infections in patients submitted to hemodialysis: a systematic reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: There is a need for studies about infection incidence in critically ill, submitted to dialysis with temporary catheters, due to acute renal injury to define a causal relationship and risk factors to orient adequate prevention and control measures. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - November 6, 2009 Category: Intensive Care Source Type: journals

Adiposity Aids Survival in Dialysis PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Extra body weight could mean a longer life for dialysis patients, a new study suggests. Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 6, 2009 Category: Consumer Health News Tags: Nephrology Source Type: news

Can Natriuretic Peptides Help Identify Heart Failure Patients for Whom Statins Are Beneficial?⁎Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
One of the great success stories in cardiology is the ability of statins to improve the prognosis in patients at risk of a first or subsequent cardiovascular event. This benefit has been shown across a wide spectrum of patient profiles. The efficacy of statin therapy has been challenged only in high-risk patients such as those on dialysis (), older patients with systolic heart failure (), and patients with chronic heart failure of any cause (). (Source: Journal of the American College of Cardiology)
Source: Journal of the American College of Cardiology - November 5, 2009 Category: Cardiology Authors: Lori B. Daniels, Elizabeth Barrett-Connor Tags: Heart Failure: Editorial Comment Source Type: journals