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  • vascular access
  • Of the 104 patients, 57% were male, 73% were older than 45 years, 87% were of middle and low socioeconomic status, 70% had been on dialysis for more than 1 year, 74% had arteriovenous fistula vascular access, 34% had diabetes and 48% were positive for hepatitis virus. (who.int)
  • Older age, lower socioeconomic status, longer duration of dialysis, central line vascular access, having diabetes and positive hepatitis serology were significantly associated with lower QOL (P (who.int)
  • Clinical
  • Clinical data were compared with an age-matched cohort of 77 insured dialysis patients. (biomedcentral.com)
  • There is an immediate need for an experienced Renal Dialysis Clinical Nurse Educator to join a not-for-profit health care system in central Maryland. (juju.com)
  • Therefore, the RN charge nurse must determine that given the number of patients, the clinical status of the patients, the number of CNA-DTs and the skill level of the CNA-DTs, etc. that dialysis can be safely performed or whether more staff are needed or whether adjustments to the patients daily schedule must be made. (mbon.org)
  • Patients who experience hypoglycemia are at an increased risk of major adverse clinical outcomes, such as poor quality of life, acute and long-term neurological impairment, acute cardiovascular events, and death ( 1 - 3 ). (diabetesjournals.org)
  • What are the clinical characteristics associated with increased infections in dialysis patients? (clinicaladvisor.com)
  • The Healthcare Information Systems segment is comprised of clinical solutions such as patient tracking, electronic patient health records, pharmacy, radiology and laboratory software for healthcare organizations. (marketwired.com)
  • Items on standard demographics, the clinical and symptomatic picture of the disease, and the respondents' social support systems were also included in the interview. (umich.edu)
  • A leader in research for treatment of lipid disorders, The Rogosin Institute pioneered clinical research of LDL-apheresis in the early 1980s, which led to the adoption of LDL-apheresis as a procedure to treat patients with the genetic form of extremely high cholesterol. (wikipedia.org)
  • Clinical studies regarding the following diseases have been conducted: Polyoma BK virus nephropathy Kimura's disease Systemic lupus erythematosus Felty's syndrome Takayasu arteritis Granulomatosis with polyangiitis Ankylosing spondylitis Crohn's disease Sarcoidosis Uveitis Still's disease Prostate cancer Pemphigoid Prevention of organ transplant rejection The dose-limiting side effects are liver damage, lung disease and immunosuppression. (wikipedia.org)
  • Renal angina is a clinical methodology to risk stratify patients for the development of persistent and severe acute kidney injury (AKI). (wikipedia.org)
  • The composite of risk factors and early signs of injury for AKI, renal angina is used as a clinical adjunct to help optimize the use of novel AKI biomarker testing. (wikipedia.org)
  • Wards
  • East Wing: The East wing opened in the early 1960s and has 10 Wards for Psychiatry, Stroke, Renal, Oncology, Cardiology and Vascular Surgery, including A4-7, B5-8 and C3-6. (wikipedia.org)
  • The hospital has undergone significant development over recent years with a rebuilt accident and emergency and coronary care unit and refurbishment of most of the wards. (wikipedia.org)
  • Hospitals
  • The population of patients with ARF in the Intensive Care Units at Mayo Hospitals in Rochester is the largest of any single medical center in the USA. (mayo.edu)
  • Distribution is where the finished product, from Manufacturing, comes in on Semi-Trucks to be distributed to dialysis clinics, hospitals, and home dialysis patients. (wikipedia.org)
  • 1988 - Participated in expansion of acute dialysis program, currently providing services to nine regional hospitals. (wikipedia.org)
  • incidence
  • The incidence of hypoglycemia was 29.6 (95% CI 28.9-30.4) and 23.5 (95% CI 22.9-24.2) per 100 person-years for patients with and without AKI, respectively. (diabetesjournals.org)
  • Across all antidiabetes drug regimens, patients with AKI experienced hypoglycemia more frequently than patients without AKI, though the incidence of hypoglycemia was highest among insulin users, followed by glyburide and glipizide users, respectively. (diabetesjournals.org)
  • As the incidence of AKI is increasing rapidly in the U.S. ( 8 , 9 ) and occurs most commonly in patients with diabetes and CKD ( 10 - 13 ), understanding the risk for hypoglycemia in this population is important to improving outcomes in the growing population of survivors with this condition. (diabetesjournals.org)
  • Other populations with high incidence of AKI include burn victims, trauma patients, and patients after BMT. (wikipedia.org)
  • Side effects, incidence differs depending on which disease state the patient is being treated for. (wikipedia.org)
  • CAPD
  • 1988 - Diplomate in the Subspecialty of Nephrology 1986 - State of Michigan, Permanent License #47354 1986 - Diplomate of the Board of Internal Medicine 1983 - Certified, National Board of Medical Examiners (USMLE) 2000 - Developed and implemented Early Renal Insufficiency Clinic (ERIC), St. John Hospital and Medical Center 1996 - Initiated Urea Kinetic modeling program to CAPD patients to assess adequacy of dialysis. (wikipedia.org)
  • Clinics
  • In 2012, Fresenius acquired Liberty Dialysis Holdings, in a deal which entailed the sale of its outpatient dialysis clinics in 43 local markets within the U.S. In 2013, Fresenius Medical Care NA acquired Shiel Medical Laboratory Inc, expanding services to New York City metro area. (wikipedia.org)
  • sepsis
  • On November 25, 2013, following a public workshop to discuss new information on the risks and benefits of HES solution, the USFDA announced the addition of a black box warning to the prescribing information which includes the following recommendations to health professionals: Do not use HES solutions in critically ill adult patients, including those with sepsis. (wikipedia.org)
  • An estimated 30-50% of all patients with sepsis suffer AKI while 20-40% of all patients after CPB suffer AKI. (wikipedia.org)
  • 1991
  • In 1991, Baxter's home infusion subsidiary, Caremark, "was accused by the government of paying doctors to steer patients to its intravenous drug service" In 1992 Caremark spun off from Baxter International. (wikipedia.org)
  • The URR was first popularized by Lowrie and Lew in 1991 as a method of measuring amount of dialysis that correlated with patient outcome. (wikipedia.org)
  • Immunosuppressive
  • Leflunomide (original brand name Arava) is an immunosuppressive disease-modifying antirheumatic drug (DMARD), used in active moderate-to-severe rheumatoid arthritis and psoriatic arthritis. (wikipedia.org)
  • necrosis
  • The pathophysiology of AKI can be broadly categorized into four main categories: ischemic injury - manifest by low glomerular blood flow or perfusion pressure to the renal capillary system, hypoxic injury to the renal interstitium, inflammation of the renal tubules, or necrosis and apoptosis of the renal parenchyma. (wikipedia.org)
  • Services
  • Mayo supports a large chronic dialysis population with 450 patients at 15 units in Minnesota, Wisconsin, Iowa, and Florida (Mayo Clinic Dialysis Services). (mayo.edu)
  • Home Dialysis Tech - Home Dialysis Services. (juju.com)
  • citation needed] Fresenius Medical Care Renal Services Limited runs 54 dialysis units across England and more across Wales. (wikipedia.org)
  • Caremark was fined $160 million for the "four-year-long federal mail-fraud and kickback" scheme in which the "home-infusion business unit made weekly payments to scores of doctors that averaged about $75 per patient for referring those patients to its services. (wikipedia.org)
  • Case management focuses on delivering personalized services to patients to improve their care, and involves four steps: 1) Referral of new patients (perhaps from another service if the client has relocated to a new area out of previous jurisdiction, or if client no longer meets the target of previous service, such as requiring a greater level of care. (wikipedia.org)
  • Care
  • renal care and previous work experience in a dialysis center required. (juju.com)
  • 4. If an RN assess that there is an inadequate number of staff available to provide patient care that day (e.g. (mbon.org)
  • Accepting a patient assignment may include the RN arriving on duty, and assuming responsibility for patient care based on the nurse's reasonable, prudent professional judgment and the standards of nursing practice. (mbon.org)
  • 5. Is it appropriate for a RN to be assigned to monitor up to 3 patients and be the nurse responsible for patient care (assessments, meds, etc.) for up to 6 patients including 3 patients he/she is monitoring? (mbon.org)
  • Renal palliative care. (springer.com)
  • A consensus-based approach to providing palliative care to patients who lack decision-making capacity. (springer.com)
  • Fresenius Medical Care is a German company specializing in the production of medical supplies, primarily to facilitate or aid renal dialysis. (wikipedia.org)
  • 2) Planning & delivery of care 3) Evaluation of results for each patient & adjustment of the care plan 4) Evaluation of overall program effectiveness & adjustment of the program In the context of a health insurer or health plan it is defined as: A method of managing the provision of health care to members with high-cost medical conditions. (wikipedia.org)
  • By identifying patients with potentially catastrophic illnesses, contacting them and actively coordinating their care, plans can reduce expenses and improve the medical care they receive. (wikipedia.org)
  • Examples include identifying high-risk pregnancies in order to ensure appropriate pre-natal care and watching for dialysis claims to identify patients who are at risk of end-stage renal disease. (wikipedia.org)
  • SCSP provides comprehensive inpatient and outpatient care for kidney patients and is nationally recognized as a leading nephrology practice. (wikipedia.org)
  • it is now a state of the art Emergency facility with 4 specialised Resuscitation/Trauma Rooms, 5 patient care areas (Diagnostics, Admissions, short stay, psychiatric short stay and Fast Track) and also houses the Hospital's Radiology department. (wikipedia.org)
  • P Wing: This new wing holds the 3 unit 33 bed Intensive Care Unit, the Burns Unit (the only international Burns Unit to be verified by the American Burn Association) and PARU (Post-Anaesthetic Recovery Unit), all on level 4. (wikipedia.org)
  • A new critical care unit costing £6.25 million opened in February 2009 and in late 2010 new endoscopy and eye surgery units opened in the Appleton Wing. (wikipedia.org)
  • Although Halton has never had a full accident and emergency department it retains its minor injuries unit for basic urgent care needs. (wikipedia.org)
  • General Hospital
  • In September 2014 new renal dialysis units run by Fresenius were opened at Withybush General Hospital and West Wales General Hospital, with a contract to run for at least 7 years. (wikipedia.org)
  • 1995 - Instrumental in initiating process creating an Independent Practice Association (IPA) linking dialysis systems of SJH, Wayne State University and Mt. Clemens General Hospital & other private nephrology groups (~1200 patients). (wikipedia.org)
  • phosphate
  • Less dietary restrictions-e.g., phosphate binders, renal failure food restrictions. (wikipedia.org)
  • The current belief is that in end-stage kidney disease, abnormal calcium and phosphate homeostasis result in the deposition of calcium in the vessels, also known as metastatic calcification. (wikipedia.org)
  • deficiencies
  • Primary adrenal insufficiency are: Addison's disease and congenital adrenal hyperplasia (CAH) (including enzyme deficiencies such as 21α hydroxylase, 17α hydroxylase, 11β hydroxylase, or 3β dehydrogenase). (wikipedia.org)
  • severe
  • Ascites is a common complication of severe cirrhosis of the liver (a disease in which the liver grows increasingly scarred and dysfunctional). (thefreedictionary.com)
  • Bacteria can infect the peritoneum due to a severe case of pelvic inflammatory disease (a massive infection of the female organs, including the uterus and fallopian tubes). (thefreedictionary.com)
  • Do not use HES products in patients with severe liver disease Monitor liver function in patients receiving HES products. (wikipedia.org)
  • Laboratories
  • Virtuo RCM's customizable, rules-based workflow engine provided DaVita's laboratories with the ability to configure the system to accommodate the complex laboratory renal dialysis billing requirements including Correct Coding Initiative (CCI) and National Coverage Decisions (NCD's). (marketwired.com)
  • There, it expanded to the Rogosin Renal Laboratories, named in honor of Israel Rogosin (1886-1971), an American textile industrialist and philanthropist who was a generous benefactor of the New York Hospital-Cornell Medical Center. (wikipedia.org)
  • Completion
  • This job requires: * 1 year Dialysis experience * Completion of training course in theory. (juju.com)
  • the Cirrus Difference for yourself This job requires year Dialysis experience Completion of training course in theory and. (juju.com)
  • serum
  • Based on GFR, serum creatinine values, and urine output plotted against time of admission, RIFLE, a mnemonic for three levels of severity - Risk, Injury, and Failure, and two outcomes, Loss and End-stage kidney disease, marks progressive degrees of injury in both ICU and non-ICU adult patients. (wikipedia.org)
  • Both of these factors make the actual post-dialysis serum urea level higher than expected, and the URR lower than expected, when the extremely simplified equation above, is used. (wikipedia.org)
  • coronary
  • Unlike angina pectoris, commonly caused due to ischemia of the heart muscle secondary to coronary artery occlusion or vasospasm, renal angina carries no obvious physical symptomatology (i.e., flank tenderness, suprapubic tenderness, pain with voiding or micturition). (wikipedia.org)
  • Like acute coronary syndrome which precedes or is a sign of a heart attack, renal angina is used as a herald sign for a kidney attack. (wikipedia.org)