Therapy for the insufficient cleansing of the BLOOD by the kidneys based on dialysis and including hemodialysis, PERITONEAL DIALYSIS, and HEMODIAFILTRATION.
Hospital units in which care is provided the hemodialysis patient. This includes hemodialysis centers in hospitals.
Those funds disbursed for facilities and equipment, particularly those related to the delivery of health care.
A compound that, along with its isomer, Cleland's reagent (DITHIOTHREITOL), is used for the protection of sulfhydryl groups against oxidation to disulfides and for the reduction of disulfides to sulfhydryl groups.
The end-stage of CHRONIC RENAL INSUFFICIENCY. It is characterized by the severe irreversible kidney damage (as measured by the level of PROTEINURIA) and the reduction in GLOMERULAR FILTRATION RATE to less than 15 ml per min (Kidney Foundation: Kidney Disease Outcome Quality Initiative, 2002). These patients generally require HEMODIALYSIS or KIDNEY TRANSPLANTATION.
Dialysis fluid being introduced into and removed from the peritoneal cavity as either a continuous or an intermittent procedure.
A process of selective diffusion through a membrane. It is usually used to separate low-molecular-weight solutes which diffuse through the membrane from the colloidal and high-molecular-weight solutes which do not. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)
Solutions prepared for exchange across a semipermeable membrane of solutes below a molecular size determined by the cutoff threshold of the membrane material.
Portable peritoneal dialysis using the continuous (24 hours a day, 7 days a week) presence of peritoneal dialysis solution in the peritoneal cavity except for periods of drainage and instillation of fresh solution.
INFLAMMATION of the PERITONEUM lining the ABDOMINAL CAVITY as the result of infectious, autoimmune, or chemical processes. Primary peritonitis is due to infection of the PERITONEAL CAVITY via hematogenous or lymphatic spread and without intra-abdominal source. Secondary peritonitis arises from the ABDOMINAL CAVITY itself through RUPTURE or ABSCESS of intra-abdominal organs.
A membrane of squamous EPITHELIAL CELLS, the mesothelial cells, covered by apical MICROVILLI that allow rapid absorption of fluid and particles in the PERITONEAL CAVITY. The peritoneum is divided into parietal and visceral components. The parietal peritoneum covers the inside of the ABDOMINAL WALL. The visceral peritoneum covers the intraperitoneal organs. The double-layered peritoneum forms the MESENTERY that suspends these organs from the abdominal wall.
Catheters designed to be left within an organ or passage for an extended period of time.
Solutions prepared for hemodialysis. The composition of the pre-dialysis solution may be varied in order to determine the effect of solvated metabolites on anoxia, malnutrition, acid-base balance, etc. Of principal interest are the effect of the choice of buffers (e.g., acetate or carbonate), the addition of cations (Na+, K+, Ca2+), and addition of carbohydrates (glucose).
The separation of particles from a suspension by passage through a filter with very fine pores. In ultrafiltration the separation is accomplished by convective transport; in DIALYSIS separation relies instead upon differential diffusion. Ultrafiltration occurs naturally and is a laboratory procedure. Artificial ultrafiltration of the blood is referred to as HEMOFILTRATION or HEMODIAFILTRATION (if combined with HEMODIALYSIS).

Late referral of end-stage renal failure. (1/8259)

We studied all new patients accepted for renal replacement therapy (RRT) in one unit from 1/1/96 to 31/12/97 (n = 198), to establish time from nephrology referral to RRT, evidence of renal disease prior to referral and the adequacy of renal management prior to referral. Sixty four (32.3%, late referral group) required RRT within 12 weeks of referral. Fifty-nine (29.8%) had recognizable signs of chronic renal failure > 26 weeks prior to referral. Patients starting RRT soon after referral were hospitalized for significantly longer on starting RRT (RRT within 12 weeks of referral, median hospitalization 25.0 days (n = 64); RRT > 12 weeks after referral, median 9.7 days (n = 126), (p < 0.001)). Observed survival at 1 year was 68.3% overall, with 1-year survival of the late referral and early referral groups being 60.5% and 72.5%, respectively (p = NS). Hypertension was found in 159 patients (80.3%): 46 (28.9%) were started on antihypertensive medication following referral, while a further 28 (17.6%) were started on additional antihypertensives. Of the diabetic population (n = 78), only 26 (33.3%) were on an angiotensin-converting-enzyme inhibitor (ACEI) at referral. Many patients are referred late for dialysis despite early signs of renal failure, and the pre-referral management of many of the patients, as evidenced by the treatment of hypertension and use of ACEI in diabetics, is less than optimal.  (+info)

Impaired lysosomal processing of beta2-microglobulin by infiltrating macrophages in dialysis amyloidosis. (2/8259)

BACKGROUND: Macrophages may participate in amyloid fibril formation by processing the protein precursor. Although this theory seems to apply for amyloidosis, in which proteolytic cleavage is a prerequisite for amyloid fibril formation, it has not been demonstrated for beta2-microglobulin (beta2m) amyloidosis. We aimed to establish the role played by macrophages in beta2m amyloidosis. METHODS: We used a double immunogold electron microscopy technique, including mouse antihuman CD68, rabbit antihuman beta2m, amyloid P component, and lysosome-associated membrane protein (LAMP-1) antibodies. Differential density labeling studies of beta2m and amyloid P component were performed extra- and intracellularly to assess protein processing by macrophages. RESULTS: The cells surrounding amyloid fibrils were found to be mostly CD68 positive, suggesting that they were of monocyte-macrophage lineage. Intracellular accumulation of amyloid fibrils was also observed; these fibrils were constantly surrounded by LAMP-1-linked gold particles, demonstrating that intracellular beta2m was almost exclusively lysosomal. The rough-surface endoplasmic reticulum was not labeled by beta2m antibody, suggesting that there was no active synthesis of beta2m by the cells. As a marker of endocytosis, protruded cytoplasmic processes in close relation with the intracellular accumulations of beta2m amyloid fibrils were observed. No difference in density labeling (extracellular vs. intracellular) was observed for beta2m, whereas intracellular P component labeling was significantly decreased. CONCLUSIONS: All of these data are strongly suggestive of phagocytosis and not synthesis of amyloid fibrils by macrophages. Further, they demonstrate an impaired lysosomal processing specific for beta2m, as other compounds of the amyloid fibrils (P component) are significantly cleared.  (+info)

Septicemia in dialysis patients: incidence, risk factors, and prognosis. (3/8259)

BACKGROUND: Infection is second to cardiovascular disease as a cause of death in patients with end-stage renal disease (ESRD), and septicemia causes a majority of these infectious deaths. To identify patients at high risk and to characterize modifiable risk factors for septicemia, we examined the incidence, risk factors, and prognosis for septicemia in a large, representative group of U.S. dialysis patients. METHODS: We conducted a longitudinal cohort study of incident ESRD patients in the case-mix study of the U.S. Renal Data System with seven years of follow-up from hospitalization and death records. Poisson regression was used to examine independent risk factors for hospital-managed septicemia. Cox proportional hazards analysis was used to assess the independent effect of septicemia on all-cause mortality and on death from septicemia. Separate analyses were performed for patients on peritoneal dialysis (PD) and hemodialysis (HD). RESULTS: Over seven years of follow-up, 11.7% of 4005 HD patients and 9.4% of 913 PD patients had at least one episode of septicemia. Older age and diabetes were independent risk factors for septicemia in all patients. Among HD patients, low serum albumin, temporary vascular access, and dialyzer reuse were also associated with increased risk. Among PD patients, white race and having no health insurance at dialysis initiation were also risk factors. Patients with septicemia had twice the risk of death from any cause and a fivefold to ninefold increased risk of death from septicemia. CONCLUSIONS: Septicemia, which carries a marked increased risk of death, occurs frequently in patients on PD as well as HD. Early referral to a nephrologist, improving nutrition, and avoiding temporary vascular access may decrease the incidence of septicemia. Further study of how race, insurance status, and dialyzer reuse can contribute to the risk of septicemia among ESRD patients is indicated.  (+info)

Hemodialysis with high-calcium dialysate impairs cardiac relaxation. (4/8259)

BACKGROUND: During hemodialysis (HD), serum ionized calcium is directly related to the dialysate calcium concentration. We have recently shown an acute induction of hypercalcemia to impair left ventricular (LV) relaxation. In the current study we sought to establish whether changes in serum Ca++ also affect LV function during HD. METHODS: We echocardiographically examined the LV relaxation and systolic function of 12 patients with end-stage renal disease before and after three HD treatments with dialysate Ca++ concentrations of 1.25 mmol/liter (dCa++1.25), 1.5 mmol/liter (dCa++1.50), and 1.75 mmol/liter (dCa++1.75), respectively. Age- and sex-matched healthy controls were also examined echocardiographically. RESULTS: The LV posterior wall thickness and the interventricular septum thickness, and the LV end-diastolic dimension and the end-systolic dimensions were significantly greater in the patients when compared with the controls, and the LV fractional shortening, the ratio of peak early to peak late diastolic velocities (E/Amax), and the isovolumic relaxation time (IVRT) showed impairment of LV relaxation and systolic function in the patients. Serum ionized calcium increased significantly during the dCa++1.5 HD (1.24 +/- 0.10 vs. 1.34 +/- 0.06 mmol/liter, P = 0. 004) and dCa++1.75 HD (1.19 +/- 0.10 vs. 1.47 +/- 0.06 mmol/liter, P = 0.002), and plasma intact parathyroid hormone decreased significantly during the dCa++1.75 HD (medians 8.2 vs. 2.7 pmol/liter, P = 0.002). LV systolic function was not altered during any of the treatments. The changes in E/Amax and IVRT suggested impairment of relaxation during all sessions, but only during the dCa++1.75 HD was the impairment statistically significant (E/Amax 1. 153 +/- 0.437 vs. 0.943 +/- 0.352, P < 0.05; IVRT 147 +/- 29 vs. 175 +/- 50 msecond, P < 0.05). CONCLUSION: HD with high-calcium (dCa++1. 75 mmol/liter) dialysate impairs LV relaxation when compared with lower calcium dialysate (dCa++1.25 and dCa++1.5 mmol/liter) treatments.  (+info)

Activation of the kallikrein-kinin system in hemodialysis: role of membrane electronegativity, blood dilution, and pH. (5/8259)

BACKGROUND: The kallikrein-kinin system activation by contact with a negatively charged surface has been promulgated to be responsible for hypersensitivity reactions. However, to explain the low frequency and heterogeneity of hypersensitivity reactions, we hypothesized that not only the electronegativity of the membrane, but also other physicochemical parameters could influence the activation of the contact phase system of plasma assessed by the measurement of kallikrein activity and bradykinin concentration. METHODS: Plasma kallikrein activity using chromogenic substrate (S2302) and plasma bradykinin concentration (enzyme immuno assay) were measured during the perfusion of human plasma (2.5 ml/min) through minidialyzers mounted with six different membranes [polyacrylonitrile (PAN) from Asahi (PANDX) and from Hospal (AN69), polymethylmethacrylate (PMMA) from Toray, cellulose triacetate (CT) from Baxter, cuprophane (CUP) from Akzo and polysulfone (PS) from Fresenius]. RESULTS: A direct relationship was shown between the electronegativity of the membrane assessed by its zeta potential and the activation of plasma during the first five minutes of plasma circulation. With the AN69 membrane, the detection of a kallikrein activity in diluted plasma but not in undiluted samples confirmed the importance of a protease-antiprotease imbalance leading to bradykinin release during the first five minutes of dialysis. With PAN membranes, the use of citrated versus heparinized plasma and the use of various rinsing solutions clearly show a dramatic effect of pH on the kallikrein activity and the bradykinin concentration measured in plasma. Finally, increasing the zeta potential of the membrane leads to a significant increase of plasma kallikrein activity and bradykinin concentration. CONCLUSIONS: Our in vitro experimental approach evidences the importance of the control of these physicochemical factors to decrease the activation of the contact system.  (+info)

Practice patterns, case mix, Medicare payment policy, and dialysis facility costs. (6/8259)

OBJECTIVE: To evaluate the effects of case mix, practice patterns, features of the payment system, and facility characteristics on the cost of dialysis. DATA SOURCES/STUDY SETTING: The nationally representative sample of dialysis units in the 1991 U.S. Renal Data System's Case Mix Adequacy (CMA) Study. The CMA data were merged with data from Medicare Cost Reports, HCFA facility surveys, and HCFA's end-stage renal disease patient registry. STUDY DESIGN: We estimated a statistical cost function to examine the determinants of costs at the dialysis unit level. PRINCIPAL FINDINGS: The relationship between case mix and costs was generally weak. However, dialysis practices (type of dialysis membrane, membrane reuse policy, and treatment duration) did have a significant effect on costs. Further, facilities whose payment was constrained by HCFA's ceiling on the adjustment for area wage rates incurred higher costs than unconstrained facilities. The costs of hospital-based units were considerably higher than those of freestanding units. Among chain units, only members of one of the largest national chains exhibited significant cost savings relative to independent facilities. CONCLUSIONS: Little evidence showed that adjusting dialysis payment to account for differences in case mix across facilities would be necessary to ensure access to care for high-cost patients or to reimburse facilities equitably for their costs. However, current efforts to increase dose of dialysis may require higher payments. Longer treatments appear to be the most economical method of increasing the dose of dialysis. Switching to more expensive types of dialysis membranes was a more costly means of increasing dose and hence must be justified by benefits beyond those of higher dose. Reusing membranes saved money, but the savings were insufficient to offset the costs associated with using more expensive membranes. Most, but not all, of the higher costs observed in hospital-based units appear to reflect overhead cost allocation rather than a difference in real resources devoted to treatment. The economies experienced by the largest chains may provide an explanation for their recent growth in market share. The heterogeneity of results by chain size implies that characterizing units using a simple chain status indicator variable is inadequate. Cost differences by facility type and the effects of the ongoing growth of large chains are worthy of continued monitoring to inform both payment policy and antitrust enforcement.  (+info)

Ex vivo evaluation of a Taylor-Couette flow, immobilized heparinase I device for clinical application. (7/8259)

Efficient and safe heparin anticoagulation has remained a problem for continuous renal replacement therapies and intermittent hemodialysis for patients with acute renal failure. To make heparin therapy safer for the patient with acute renal failure at high risk of bleeding, we have proposed regional heparinization of the circuit via an immobilized heparinase I filter. This study tested a device based on Taylor-Couette flow and simultaneous separation/reaction for efficacy and safety of heparin removal in a sheep model. Heparinase I was immobilized onto agarose beads via cyanogen bromide activation. The device, referred to as a vortex flow plasmapheretic reactor, consisted of two concentric cylinders, a priming volume of 45 ml, a microporous membrane for plasma separation, and an outer compartment where the immobilized heparinase I was fluidized separately from the blood cells. Manual white cell and platelet counts, hematocrit, total protein, and fibrinogen assays were performed. Heparin levels were indirectly measured via whole-blood recalcification times (WBRTs). The vortex flow plasmapheretic reactor maintained significantly higher heparin levels in the extracorporeal circuit than in the sheep (device inlet WBRTs were 1. 5 times the device outlet WBRTs) with no hemolysis. The reactor treatment did not effect any physiologically significant changes in complete blood cell counts, platelets, and protein levels for up to 2 hr of operation. Furthermore, gross necropsy and histopathology did not show any significant abnormalities in the kidney, liver, heart, brain, and spleen.  (+info)

Hepatitis virus infection in haemodialysis patients from Moldavia. (8/8259)

BACKGROUND: Although the epidemiology of hepatitis B (HBV) and C (HCV) now seems well established for Western European countries, in Central and Eastern Europe < 50% of all dialysis centres routinely test for hepatitis C antibodies since testing is not available or is not applied to all patients. This study describes the prevalence, risk factors and clinical significance of HBV and HCV infection for the haemodialysis population of the North Eastern region of Romania, Moldavia. METHODS: The presence of HBV antigens was determined with an ELISA kit (Wellcome, Abbot) and HCV antibodies with the ELISA-3 Ortho-HCV, third generation test. The following individual data were collected: gender, age, duration of dialysis, rural/urban domicile, actual and previous HBV status, actual HCV status, known acute, clinically evident hepatitis episodes in the last 3 years, monthly alanine aminotransferase (ALAT) and aspartate aminotransferase (ASAT) levels, complete biochemical hepatic assessment at the time of the study, transfusions for the past 3 years and family history. RESULTS: HBV and HCV prevalences were 17% (stable over the last 3 years) and 75%, respectively; co-infection was seen in 10% of the subjects. Hospitalization (nosocomial infection) for HBV, blood transfusions and duration on dialysis for HCV, emerged as the main risk factors for hepatitis infection. Socio-economic conditions appear to be equally important for HCV infection, since the prevalence was significantly higher among patients from rural, underdeveloped areas than urban areas (80.8 vs 60.3%), and infection was already present in a large proportion of patients (47%) before starting dialysis, without being related to previous disease duration or blood transfusions. HBV and/or HCV was not associated with a worse clinical or biochemical profile at the time of the study. However, infected patients had significantly more previous cytolytic episodes, with higher, transient increases in ALAT and ASAT levels. CONCLUSIONS: HCV infection is endemic among dialysis centres in Moldavia. Apart from previously well-known risk factors for hepatitis infection, our study demonstrates the negative impact of socio-economic underdevelopment. Simple measures such as enforced general asepsia rules, careful disinfection and equipment sterilization, routine testing of patients from economically disadvantaged areas and monthly, serial determination of hepatic enzymes should be the common practice in dialysis centres in Romania.  (+info)

Dithioerythritol (DTE) is a chemical compound that is used in the medical field as a contrast agent for magnetic resonance imaging (MRI). It is a paramagnetic molecule that has two sulfur atoms in its structure, which interact with the magnetic field of the MRI machine and enhance the contrast between different tissues in the body. DTE is typically administered intravenously and is used to enhance the contrast of certain organs and tissues, such as the liver, spleen, and kidneys. It is also used to diagnose and monitor certain medical conditions, such as liver disease, kidney disease, and cancer. DTE is generally considered safe and well-tolerated, although it can cause some side effects, such as nausea, vomiting, and headache. It is important to note that DTE is not suitable for everyone, and patients should always discuss the potential risks and benefits with their healthcare provider before undergoing an MRI with DTE contrast.

Chronic kidney failure, also known as chronic renal failure, is a condition in which the kidneys are unable to function properly over a long period of time. This can be caused by a variety of factors, including diabetes, high blood pressure, and glomerulonephritis. Chronic kidney failure is typically diagnosed when the kidneys are functioning at less than 60% of their normal capacity, and the condition has been present for at least three months. As the kidneys become less functional, they are unable to filter waste products from the blood, leading to a buildup of toxins in the body. This can cause a range of symptoms, including fatigue, weakness, nausea, and difficulty concentrating. Treatment for chronic kidney failure typically involves managing the underlying cause of the condition, as well as managing symptoms and complications. This may include medications to control blood pressure and blood sugar levels, as well as dietary changes and other lifestyle modifications. In some cases, dialysis or kidney transplantation may be necessary to help the body remove waste products and maintain proper fluid balance.

Peritonitis is a medical condition characterized by the inflammation of the peritoneum, which is the thin, flexible membrane that lines the inside of the abdominal cavity. The peritoneum plays an important role in protecting the abdominal organs and helping to move them around the body. Peritonitis can be caused by a variety of factors, including bacterial infections, viral infections, parasitic infections, and physical injury to the peritoneum. It can also be caused by the spread of infection from another part of the body, such as the urinary tract or the reproductive system. Symptoms of peritonitis can include abdominal pain, fever, nausea and vomiting, abdominal tenderness, and a low-grade fever. In severe cases, peritonitis can lead to sepsis, a life-threatening condition characterized by widespread inflammation throughout the body. Treatment for peritonitis typically involves antibiotics to treat the underlying infection, as well as supportive care to manage symptoms and prevent complications. In some cases, surgery may be necessary to remove infected tissue or drain fluid from the abdomen.

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Replacement of Renal Function by Dialysis. Springer. ISBN 978-1-4020-0083-6. Retrieved 13 January 2009. Deccan Herald. "From a ... His professional achievement was to transport two cadaver donor kidneys from New York to Bombay, and participate in the renal ... Rao, TK Sreepada (2004). "Human Immunodeficiency Virus in Patients with End Stage Renal Disease". In Hörl, Walter H; Koch, K M ... He was also consultant for the Governor of Pondicherry who suffered renal insufficiency. For his achievements he has been ...
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"Scleromyxoedema-like cutaneous diseases in renal-dialysis patients". Lancet. 356 (9234): 1000-1. doi:10.1016/S0140-6736(00) ... Performing dialysis immediately after the MRI exam is recommended for patients already in dialysis treatment, but there is no ... Renal Physiology. 311 (1): F1-F11. doi:10.1152/ajprenal.00166.2016. PMC 4967166. PMID 27147669. Kalb RE, Helm TN, Sperry H, ... The only known measure for prevention of NSF is the non-use or cautious use of GBCAs in patients with renal impairment, ...
European Renal Association/European Dialysis and Transplant Association. Retrieved 3 March 2019. "History UK Renal Association ... He eventually became professor of renal medicine. While at Cornell University in 1962, he became interested in dialysis. He has ... European Dialysis and Transplant Association (ERA/EDTA) from 1984-87, the UK Renal Association from 1992-95, and the ... 2009). History of Dialysis in the UK: c. 1950-1980. Wellcome Witnesses to Contemporary Medicine. History of Modern Biomedicine ...
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... 83(8). Lipworth, L. "Estimating the need for facilities for renal ... Lipworth, L. "Estimating the need for facilities for renal dialysis." vol. 83, no. 8, 1968. Export RIS Citation Information.. ... Title : Estimating the need for facilities for renal dialysis. Personal Author(s) : Lipworth, L. Published Date : Aug 1968;8- ... Adolescent Adult California Female Health Facility Planning Humans Kidney Failure, Chronic Male Middle Aged Mortality Renal ...
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Dallas Renal Group (DRG) nephrology physicians and dialysis staff cater to providing patients with dialysis treatments ... AKI and requiring renal replacement therapy with dialysis. The dialysis treatment center accommodates patients requiring short ... The center functions with state-of-the-art dialysis equipment and safety measures to ensure health and welfare of each and all ... Patients are monitored frequently and diligently for optimization of kidney care towards continued dialysis, kidney function ...
Monday: 5:00 am - 10:00 pm Tuesday: 8:00 am - 6:00 pm Wednesday: 5:00 am - 10:00 pm Thursday: 8:00 am - 6:00 pm Friday: 5:00 am - 10:00 pm Saturday: 8:00 am - 6:00 pm ...
CMS PROPOSES NEW PROSPECTIVE PAYMENT SYSTEM FOR RENAL DIALYSIS FACILITIES. The Centers for Medicare & Medicaid Services (CMS) ... for facilities that provide dialysis services to Medicare beneficiaries who have end-stage renal disease (ESRD). ...
Kidney failure, end-stage renal disease, or on dialysis. Chronic liver disease (for example, cirrhosis or alcoholic liver ...
Kidney failure, end-stage renal disease, or on dialysis. Chronic liver disease (for example, cirrhosis or alcoholic liver ...
Day JP, Ackrill P. The chemistry of desferrioxamine chelation for aluminum overload in renal dialysis patients. Ther Drug Monit ... End stage renal disease [due to iron overload from multiple transfusions]. T37.8X1+ - T37.8X4+. Poisoning by, adverse effect of ... The control of AL intake has included standards to limit the amount of AL in the dialysis fluid in addition to the use of non- ... Renal glomerular function was measured by creatinine-adjusted albumin in urine. Children had a mean of 15 tooth surfaces ( ...
A Single Specialty hospital with focus on Renal healthcare services, Critical care nephrology, Hemodialysis and Peritoneal ... Ashwini Kidney and Dialysis Centre Pvt Ltd : ... Ashwini Kidney & Dialysis Center Pvt Ltd. Scan and pay with any ...
... in COVID-19 patients with severe renal impairment, including those on dialysis. With this approval, Veklury is now the first ... no dose adjustment of Veklury is recommended in patients with any degree of renal impairment, including those on dialysis. ... This approval for use in patients with severe renal impairment was based on results from a Phase 1 study (GS-US-540-9015), as ...
the European Dialysis and Transplant Association - European Renal Association.. 2006 Feb;21(2):530-1. ... Influenza vaccine-induced rhabdomyolysis leading to acute renal transplant. dysfunction. Nephrology, dialysis, transplantation ... Effective immunization against influenza in pediatric renal. transplant recipients. Clin Transplant. 1996 Dec;10(6 Pt 1):556-60 ... Influenza vaccination is efficacious and safe in renal transplant. recipients. American journal of transplantation : official ...
Untreated CKD can result in end-stage renal disease and necessitate dialysis or kidney transplantation. Risk factors for CKD ...
Ajay K Singh, MB, MRCP, MBA Associate Professor of Medicine, Harvard Medical School; Director of Dialysis, Renal Division, ... Improving Quality of Life in Patients With Chronic Kidney Disease on Dialysis 0.75 CME / CE / ABIM MOC Credits Clinical Case ... Renal pathology in idiopathic membranous nephropathy: a new perspective. Kidney Int. 2006 May. 69(9):1641-8. [QxMD MEDLINE Link ... Improving Quality of Life in Patients With Chronic Kidney Disease on Dialysis ...
Renal disease: RLS is common among individuals receiving dialysis for end stage renal disease. ...
Renal Dialysis Technician. Wednesday, October 4, 2023. University transfer. Friday, October 6, 2023. VCC International ...
  • Hemodialysis - the filtering of a person's blood to replace the functions of a kidney - is a therapy that most patients with end-stage renal disease need to stay alive. (ftc.gov)
  • This study is part of a search that sought to investigate the experience of the first hemodialysis session for the chronic renal patient in the light of phenomenology. (bvsalud.org)
  • The present study aims to understand the meaning of submitting to the Hemodialysis urgency from the chronic renal patient experience. (bvsalud.org)
  • In addition to this, it intends to describe the meaning of undergoing hemodialysis, investigate the Chronic Renal patient understanding and search your expectations for the care related to his or her health and lifestyle habits. (bvsalud.org)
  • The Federal Trade Commission will require the national kidney-dialysis chain U.S. Renal Care, Inc., for which Rangers Renal Holdings LP is the parent company, to divest its ownership interest in three outpatient dialysis clinics in Laredo, Texas, as part of a settlement resolving charges that its $640 million acquisition of competitor DSI Renal , from DSI Renal's ultimate parent company, Dialysis Parent, LLC, would be anticompetitive. (ftc.gov)
  • Kidney disease requiring renal dialysis? (cdc.gov)
  • Renal cortical necrosis and acute kidney injury associated with Plasmodium vivax: a neglected human malaria parasite. (medscape.com)
  • A new study, published in the December issue of American Journal of Kidney Diseases , the official journal of the National Kidney Foundation, suggests that elderly dialysis patients suffer high rates of visual impairment. (medscape.com)
  • According to the National Kidney Foundation, the elderly represent well over half of the U.S. dialysis population-a number that recently reached 355,000. (medscape.com)
  • To learn more about kidney failure and treatment options, including various types of dialysis, contact the National Kidney Foundation at www.kidney.org or (800)622-9010. (medscape.com)
  • Given the observed PK and the absence of any new safety signals associated with increased metabolite levels in patients with severely reduced kidney function, no dose adjustment of Veklury is recommended in patients with any degree of renal impairment, including those on dialysis. (greenhealthlive.com)
  • Untreated CKD can result in end-stage renal disease and necessitate dialysis or kidney transplantation. (cdc.gov)
  • The purpose of this programme was to give awareness on prevention of chronic kidney disease progression and available renal replacement therapies. (manipal.edu)
  • Most patients require an access (eg, hemocatheter, peritoneal dialysis catheter) to institute dialysis. (medscape.com)
  • 20 Examples of ambulatory care facilities include birth centers, dialysis centers, and surgical centers. (cdc.gov)
  • December 1, 2008) - New York, NY--Magnifying glasses may soon join the dialysis machine as essential equipment in dialysis centers around the country. (medscape.com)
  • Total Renal Care Inc was recognized and certified in Dec 29th, 2015 by Centers for Medicare & Medicaid Services (CMS) as one of the modern dialysis facilities which are scientifically measured and assessed to have high-quality dialysis services for promoting health and improving the quality of life. (healthcare4ppl.com)
  • This dialysis data was updated by using the dataset publicized on Jul 19th, 2023 by the Centers for Medicare and Medicaid Services (CMS). (healthcare4ppl.com)
  • The Centers for Medicare & Medicaid Services (CMS) today proposed a new prospective payment system (PPS) for facilities that provide dialysis services to Medicare beneficiaries who have end-stage renal disease (ESRD). (cms.gov)
  • Co-investigator Vanita Jassal, MD, expected that dialysis patients would have a high rate of visual impairment due to the large percentage of this population that suffers from diabetes and hypertension, two conditions that are strongly associated with visual loss. (medscape.com)
  • FOSTER CITY, Calif.-(BUSINESS WIRE) July 14, 2023 - Gilead Sciences, Inc. (Nasdaq: GILD) today announced that the U.S. Food and Drug Administration (FDA) approved a supplemental new drug application (sNDA) for the use of Veklury ® (remdesivir) in COVID-19 patients with severe renal impairment, including those on dialysis. (greenhealthlive.com)
  • The U.S. approval comes on the heels of the European Commission decision to extend the approved use of Veklury to treat COVID-19 in people with severe renal impairment, including those on dialysis, which was adopted on June 26, 2023. (greenhealthlive.com)
  • The clinical benefit of Veklury in hospitalized patients with COVID-19 is supported by randomized controlled trials, real-world evidence and meta-analyses, but its use has previously been limited among patients with severe renal impairment due to insufficient data. (greenhealthlive.com)
  • This approval for use in patients with severe renal impairment was based on results from a Phase 1 study (GS-US-540-9015), as well as results from the Phase 3 REDPINE trial that demonstrated the pharmacokinetics (PK) and safety profile of Veklury in this population. (greenhealthlive.com)
  • The approval by the FDA of Veklury for the treatment of patients with renal impairment reflects the urgency to make this medicine available to these patients, and underscores the established safety profile for Veklury," said Anu Osinusi, Vice President, Clinical Research for Hepatitis, Respiratory and Emerging Viruses at Gilead Sciences. (greenhealthlive.com)
  • The trial enrolled 243 hospitalized adult participants with confirmed COVID-19 and renal impairment who were randomized in a 2:1 manner to receive Veklury (n=163) or placebo (n=80), in addition to standard of care, and were stratified by ESKD, high-flow oxygen requirement, and region (US vs. ex-US). (greenhealthlive.com)
  • Renal impairment: Fenofibrate should be avoided in patients with severe renal impairment and dose reduction is required in patients with mild to moderate renal impairment. (nih.gov)
  • U.S. Renal Care is the third-largest provider of outpatient dialysis services in the United States and DSI Renal is the sixth-largest. (ftc.gov)
  • It is a newly renovated facility consisting of a 24-hour state-of-the-art emergency department with a psychiatric unit and observation beds, imaging including a new CT scanner and 3D mammography, expanded renal dialysis, outpatient behavioral health and primary and specialty care clinics. (lifebridgehealth.org)
  • Early institution of dialysis treatment for renal failure is crucial for patients who are oliguric. (medscape.com)
  • Decreasing incidence of renal cortical necrosis in patients with acute renal failure in developing countries: a single-centre experience of 22 years from Eastern India. (medscape.com)
  • Jassal does not believe that dialysis itself causes retinal damage but says the study's findings underscore the high burden of vascular and other diseases born by dialysis patients. (medscape.com)
  • Especially important for dialysis patients, loss of depth perception affects their ability to follow critical medication regimens," continued Jassal. (medscape.com)
  • At DaVita UK, we provide dialysis care for over 2,000 patients across 26 clinics in the UK. (renalservices.com)
  • The role of the Associate Practitioner is to assist and support the registered dialysis nurse practitioner in ensuring optimal care for patients on dialysis and to provide care within agreed competencies under the supervision of the registered nurse. (renalservices.com)
  • Experience working in a haemodialysis unit, with knowledge and experience of caring for renal/dialysis patients (desired, not essential). (renalservices.com)
  • Center for Medicare & Medicaid Services (CMS) regularly surveys the quality of dialysis services basing on different metrics which more or less reflects the overall conditions of patients after receving the services. (healthcare4ppl.com)
  • This quality measures report is provided in order to help patients understand the dialysis services being offerred by Total Renal Care Inc and to help the facilities improve their service quality for promoting health. (healthcare4ppl.com)
  • For patients on renal dialysis, an additional dose of [HA570 trade name] is recommended after each dialysis. (who.int)
  • The risk for serious muscle toxicity appears to be increased in elderly patients and in patients with diabetes, renal failure, or hypothyroidism. (nih.gov)
  • Life Healthcare is pleased to announce that it has been entrusted by Fresenius Medical Care to take over 51 of its renal dialysis clinics to support their patients in South Africa. (alternaria.tv)
  • Consultation with other specialties may be needed, depending on the etiology of the renal cortical necrosis. (medscape.com)
  • In some people with hemorrhagic fever with renal syndrome, the infection is mild and does not cause symptoms. (msdmanuals.com)
  • The cornerstones of renal cortical necrosis therapy are to restore hemodynamic stability, institute early dialytic therapy, and treat the underlying cause of the disease. (medscape.com)
  • With this approval, Veklury is now the first and only approved antiviral COVID-19 treatment that can be used across all stages of renal disease. (greenhealthlive.com)
  • RLS is common among individuals receiving dialysis for end stage renal disease. (medicalnewstoday.com)
  • Consult a nephrologist to manage acute renal failure and for ongoing chronic renal replacement therapy. (medscape.com)
  • Geriatric Use: Dose selection for the elderly should be made on the basis of renal function. (nih.gov)
  • Most cases of renal cortical necrosis initially require intensive care. (medscape.com)
  • Ali A, Ali MA, Ali MU, Mohammad S. Hospital outcomes of obstetrical-related acute renal failure in a tertiary care teaching hospital. (medscape.com)
  • ACR Appropriateness Criteria renal failure. (medscape.com)
  • A "fussy eater" with renal failure. (medscape.com)
  • We distributed dialysis treatment prevalence by age ( 6 ) and autoimmune diseases by rheumatoid arthritis age-specific incidence. (cdc.gov)
  • Dialysis Treatment Clears the Blood, But Does it Cloud the Vision? (medscape.com)
  • We're part of DaVita International who are focused on transforming care and improve quality of life for people receiving dialysis treatment globally. (renalservices.com)
  • Prepare the patient for dialysis treatment. (renalservices.com)
  • Connect the patient to the dialysis machine and commence treatment as prescribed. (renalservices.com)
  • Estimating the need for facilities for renal dialysis. (cdc.gov)
  • Total Renal Care Inc is located at 1566 Shortcut Hwy, Slidell, LA 70458 and can be contacted via phone number (985) 643-9237 . (healthcare4ppl.com)
  • Obtain blood samples via dialysis access or blood glucose. (renalservices.com)
  • Oxygen and medications to stabilize blood pressure are used if the lungs are affected, and dialysis may be needed if the kidneys are affected. (msdmanuals.com)
  • At the end of 2014, a total of 12,091 persons in Australia, 3,872 being in NSW, were receiving dialysis ( 4 ). (cdc.gov)
  • Persons living with autoimmune diseases and dialysis were estimated to be 7.37% ( 11 ) and 0.14% ( 12 ), respectively. (cdc.gov)
  • Prepare and programme the dialysis machine as per the dialysis prescription for haemodialysis (HD) or haemodiafiltration (HDF). (renalservices.com)
  • Improved lighting in dialysis units, large magnifiers, and modified educational materials with large type and high contrasts can be inexpensive and effective ways to improve patient functioning. (medscape.com)
  • Discontinue dialysis including wash back and removal of needles as per vascular access competency assessment pack. (renalservices.com)
  • First, he noted that patients on peritoneal dialysis (PD) generally feel better about their health and overall quality of life than patients on hemodialysis, whether they are in home or in center. (medscape.com)
  • Another observation was that there is a greater tendency for patients doing PD to view dialysis as part of their lifestyle rather than a medical treatment, compared with hemodialysis patients. (medscape.com)
  • To sum it up, perhaps there should be more of a PD-first, home hemodialysis-second, and in-center hemodialysis-last philosophy when it comes to the lifespan of dialysis therapies for patients. (medscape.com)
  • The study assessed the suitability of patients with chronic kidney disease at several sites in the United States and Canada for their ability to do dialysis, either hemodialysis or PD. (medscape.com)
  • Various complications are associated with vascular access in patients who are on hemodialysis and are associated with abdominal catheters in patients using continuous ambulatory peritoneal dialysis (CAPD). (medscape.com)
  • Neurologic complications include headache, dialysis dementia, dialysis disequilibrium syndrome, Wernicke's encephalopathy, and stroke, which can occur either directly or indirectly in relation to hemodialysis. (medscape.com)
  • Reduced incidence of acute renal graft failure in patients treated with peritoneal dialysis compared with hemodialysis. (ugent.be)
  • We'll focus on the valuable role of members of the dialysis care team in promoted hemodialysis catheter reduction and increased use and preservation of AVF/AVG. (bonent.org)
  • Oxidative Stress Markers, Inflammation and Arterial Stiffness The effects of peritoneal dialysis and hemodialysis on arterial stiffness, vascular function, myocardial structure and function, oxidative stress and inflammation are compared. (medscape.com)
  • The Centers for Medicare & Medicaid Services (CMS) today proposed a new prospective payment system (PPS) for facilities that provide dialysis services to Medicare beneficiaries who have end-stage renal disease (ESRD). (cms.gov)
  • End-stage renal disease (ESRD) is complete, permanent kidney failure that can be treated only by a kidney transplant or dialysis. (medscape.com)
  • Chest pain in ESRD patients occurs frequently during dialysis. (medscape.com)
  • This condition is uncommon when patients with end-stage renal disease (ESRD) are compliant with treatment and diet, unless an intercurrent illness such as acidosis or sepsis develops. (medscape.com)
  • Serum potassium levels usually should be measured in patients with chronic renal failure or ESRD who present with a systemic illness or major injury. (medscape.com)
  • IFNgamma and IL-10 were significantly elevated in patients with diabetic nephropathy [‎DN]‎ and end-stage renal disease [‎ESRD]‎ compared with controls and diabetic patients without DN. (who.int)
  • Of any age if you have end stage renal disease (ESRD) and need dialysis or a kidney transplant. (cancer.org)
  • Most patients require an access (eg, hemocatheter, peritoneal dialysis catheter) to institute dialysis. (medscape.com)
  • The native peripheral vascular system is also affected with higher rates of amputation and revascularization procedures, and a peritoneal dialysis catheter exposes patients to the risks of peritonitis and local infection, because the catheter acts as a foreign body and provides a portal of entry for pathogens from the external environment. (medscape.com)
  • Peritoneal dialysis in therapy of renal insufficiency]. (nih.gov)
  • Two peritoneal dialyses for acute renal insufficiency]. (nih.gov)
  • Consult a nephrologist to manage acute renal failure and for ongoing chronic renal replacement therapy. (medscape.com)
  • By contrast, chronic volume deficits have usually been at least partially compensated for by the renal retention of sodium and water with some degree of tissue edema, and in these circumstances a trial with ALBURX ® 25 only is indicated. (nih.gov)
  • The common causes of hypoproteinemia are protein-calorie malnutrition, defective absorption in gastro-intestinal disorders, faulty albumin synthesis in chronic hepatic failure, increased protein catabolism postoperatively or with sepsis, and abnormal renal losses of albumin with chronic kidney disease. (nih.gov)
  • For more information, see Chronic Renal Failure . (medscape.com)
  • Hyperkalemia is the most common clinically significant electrolyte abnormality in chronic renal failure. (medscape.com)
  • The direct cost of dialysis supported by families for patients with chronic renal failure in Ouagadougou (Burkina Faso). (bvsalud.org)
  • Chronic renal failure can lead to dialysis and/or a kidney transplant in the final stage. (bvsalud.org)
  • The objective of the study is to determine the direct medical and non-medical costs of managing chronic renal failure among dialysis patients in Ouagadougou in 2020. (bvsalud.org)
  • All dialysis patients with chronic renal failure were included in the study. (bvsalud.org)
  • It appears that the precariousness of the means of subsistence increases strongly with the onset of chronic renal failure requiring dialysis . (bvsalud.org)
  • WASHINGTON, D.C . - WASHINGTON, July 3, 2017 /PRNewswire-USNewswire/ - A new national report recommends that working-age Americans who have been diagnosed with non-dialysis Chronic Kidney Disease (CKD) learn more about the symptoms and ways to manage and slow progression of CKD, keep their jobs and avoid transferring to disability programs whenever possible. (aakp.org)
  • Pre-dialysis Care in the Era of eGFR Reporting Who should manage patients with pre-dialysis chronic kidney disease? (medscape.com)
  • Bilateral acute renal cortical necrosis in SLE-associated antiphospholipid syndrome. (medscape.com)
  • Raveendran N, Godara KS, Tanwar RS, Beniwal P, Malhotra V. Renal cortical necrosis: A life-threatening manifestation of primary antiphospholipid antibody syndrome. (medscape.com)
  • Belgrade and Hantaan hantaviruses--the causative agents of severe haemorrhagic fever with renal syndrome in children in Serbia. (nih.gov)
  • Hemorrhagic fever with renal syndrome in Yugoslavia: epidemiologic and epizootiologic features of a nationwide outbreak in 1989. (nih.gov)
  • In summary, we present a case of vancomycin-related DRESS syndrome leading to dialysis-which is unique in the literature-complicating the treatment of culture-negative infective endocarditis. (nih.gov)
  • This case series describes subclinical development of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibodies in some patients and health care workers in a pediatric dialysis unit after contact with a seropositive patient. (nih.gov)
  • The renal syndrome occurs primarily in parts of Europe, Korea, China, and Russia. (msdmanuals.com)
  • Seoul hantavirus causes the renal syndrome. (msdmanuals.com)
  • Hemorrhagic fever with renal syndrome is a group of similar illnesses caused by hantaviruses. (msdmanuals.com)
  • In some people with hemorrhagic fever with renal syndrome, the infection is mild and does not cause symptoms. (msdmanuals.com)
  • We distributed dialysis treatment prevalence by age ( 6 ) and autoimmune diseases by rheumatoid arthritis age-specific incidence. (cdc.gov)
  • Ultimately, this was used, with improvement of renal function, resolution of symptoms and absence of recurrence of infection. (nih.gov)
  • [ 1 ] It was published in 2009 in Nephrology Dialysis Transplant . (medscape.com)
  • Unless you have a kidney transplant , you will need a treatment called dialysis. (medlineplus.gov)
  • Over 661,000 people in the United States have kidney failure, of whom 468,000 are on dialysis and 193,000 have a functioning kidney transplant. (medscape.com)
  • When kidney damage is severe and kidney function is very low, dialysis or a kidney transplant is needed for survival. (cdc.gov)
  • Renal replacement therapy (dialysis or a kidney transplant) begins during Stage 5. (aakp.org)
  • Renal cortical necrosis and acute kidney injury associated with Plasmodium vivax: a neglected human malaria parasite. (medscape.com)
  • Prakash J, Pant P, Singh AK, Sriniwas S, Singh VP, Singh U. Renal cortical necrosis is a disappearing entity in obstetric acute kidney injury in developing countries: our three decade of experience from India. (medscape.com)
  • This manifested as fever, widespread maculopapular rash and severe progressive acute kidney injury ultimately requiring dialysis. (nih.gov)
  • Most of the complaints originated from employees in the formalin mixing, reuse sterilization, and dialysis unit packing sections. (cdc.gov)
  • Peritoneal dialysis to Artificial kidney. (nih.gov)
  • Decreasing incidence of renal cortical necrosis in patients with acute renal failure in developing countries: a single-centre experience of 22 years from Eastern India. (medscape.com)
  • Oxygen and medications to stabilize blood pressure are used if the lungs are affected, and dialysis may be needed if the kidneys are affected. (msdmanuals.com)
  • When the kidneys fail, the body fills up with toxins and fluid and their function is replaced by dialysis. (uky.edu)
  • Proud of Certifying the Best Dialysis Nurses & Technicians Worldwide! (bonent.org)
  • In those two weeks Crystal, Mary, Becca, Kim, Lindsey, and a number of other nurses performed manual dialysis every 15-30 minutes for 12-hour shifts at the time. (uky.edu)
  • There was another very interesting study, by Saunders and colleagues, [ 3 ] in the Journal of Racial and Ethnic Health Disparities from 2014 that noted that African Americans, compared with whites, lived closer to the nearest dialysis facility, lived closer to a high-quality dialysis facility, and yet traveled the same distance to get to their facility. (medscape.com)
  • It is, of course, well known that there is a huge variety in patient perspectives regarding their dialysis treatments. (medscape.com)
  • Hypotension in dialysis patients may be due to any of the causes encountered in any other patient. (medscape.com)
  • The average cost of dialysis services borne by the patient and his family is very high in Burkina Faso , since it is 2.1 times higher than the country's minimum interprofessional wage (34664 CFA or US$61.4). (bvsalud.org)
  • Patients may present after dialysis or minor trauma with bleeding from their vascular access site. (medscape.com)
  • Some dialysis patients take medication to help control the level of potassium in their blood. (cdc.gov)
  • If you are pregnant or have an infant or child who is on dialysis, talk to your doctor or dietitian about modifications to this diet. (cdc.gov)
  • Center for Research in Reproductive Health/Cellule de recherche en santé de la reproduction en Guinée (CERREGUI), Conakry, Guinea. (bvsalud.org)
  • National Center for Training and Research in Rural Health in Maferinyah Guinea /Centre national de formation et de recherche en santé rurale à Maferinyah Guinée, Maferinyah, Guinea. (bvsalud.org)
  • Renal Dialysis Center (RDC), Nigeria's leading dialysis network with a strong commitment to quality care was founded on October 1st 2012 as a standalone outpatient heamodialysis centre in Ikeja, Lagos, Nigeria. (renaldialysis-ng.com)
  • Health hazard evaluation report: HETA-84-427-1613, Pikes Peak Dialysis Center, Colorado Springs, Colorado. (cdc.gov)
  • Environmental and breathing zone samples were analyzed for formaldehyde (50000) at the Pikes Peak Dialysis Center (SIC-8081), Colorado Springs, Colorado in August, 1984 and February, 1985. (cdc.gov)
  • Here are some ways to Prepare Your Health if you receive kidney dialysis at a center. (cdc.gov)
  • Preservation of renal function: HDF versus PD. (nih.gov)
  • With the help of Dr. Aftab Chishti and Dr. John Draus , we devised an inventive technique to sustain Connor's life by providing manual dialysis for Connor for two weeks until his renal function spontaneously recovered. (uky.edu)
  • GDP, Neutral pH Vs. Peritoneal Dialysis Solution to Preserve Renal Function Which type of peritoneal dialysis solution is best for preserving renal function? (medscape.com)
  • Equations for Predicting GFR During Follow-Up of Patients With Non-Diabetic Nephropathies Are these equations accurate in patients with non diabetic nephropathies and deteriorated renal function? (medscape.com)
  • The Importance of Iron in Long-Term Survival of Dialysis Patients Epoetin-alfa and intravenous iron's effects on survival and other variables related to iron status are examined. (medscape.com)
  • In observance of March being National Kidney Month, Public Health Matters looks at how people who need dialysis can prepare for disasters and emergencies. (cdc.gov)
  • These patients are already attuned to doing dialysis at home and could continue with at least some, if not all, of their care team from when they were doing PD. (medscape.com)
  • Most cases of renal cortical necrosis initially require intensive care. (medscape.com)
  • Dialysis is a very expensive care. (bvsalud.org)
  • Thus, to alleviate the expenses borne by dialysis patients , it would be important to extend the government subsidy scheme to the cost of drugs and to promote health insurance to ensure equitable care for these patients . (bvsalud.org)
  • We need to address the disparities in the provision of dialysis services to our patients. (medscape.com)
  • Renal Sodium Absorption by Inhibition of Prostaglandin Synthesis What effect does a prostaglandin inhibitor, like ibuprofen, have on sodium excretion, and what are the health implications? (medscape.com)
  • Learn about CryoLife's dialysis access options for challenging dialysis access. (bonent.org)
  • Renal Cortical Necrosis in Postpartum Hemorrhage: A Case Series. (medscape.com)
  • Effects of disinfectants in renal dialysis patients. (nih.gov)
  • Use of Aluminium-based Phosphate Binders in Nephrology Could aluminum-based phosphate binders potentially cause a toxic risk to dialysis patients? (medscape.com)
  • This is the reason why this study on the costs of dialysis management was initiated in Burkina Faso . (bvsalud.org)
  • Low Levels of Vitamin C in Dialysis Patients Could vitamin C supplementation help with inflammation issues in dialysis patients? (medscape.com)