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Articles Related to Dialysis

Maintenance Hemodialysis Exacerbate Aluminum and Arsenic Toxicity in Chronic Kidney Disease Patient

Maintenance hemodialysis (MHD) is the most effective interventional therapy for patients with chronic kidney disease (CKD). Our aim was to investigate the serum levels of aluminum (Al) and arsenic (As) in CKD patients. Methods: A total of 29 CKD patients receiving MHD were surveyed for selected biochemical, and dialysis quality indices. Serum Al and As levels were measured before and after MHD. Statistical analyses included independent samples t-test or Mann-Whitney, Kaplan-Meier, Pearson, or Spearman's rho correlations
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Approach to and Management of a Adynamic Bone Disease in Hemodialysis Patients-A Review

Chronic kidney disease (CKD) is now a global public health epidemic with increasing rates reported all over the world. Currently, more than 850 million people are estimated to live with CKD worldwide. Bone and mineral disorders (CKD-MBD) form an integral part of the management of CKD patients. CKD-MBD encompasses distinct abnormal pathology within the spectrum of Renal Osteodystrophy (ROD), including osteitis fibrosa cystica, osteomalacia, adynamic bone disease (ABD), mixed lesions, and osteoporosis. ABD is primarily characterized by decreased or absent bone formations along with low cellularity of both osteoblasts and osteoclasts as well as thin osteoid seams and minimal or absent peri trabecular/marrow fibrosis. ADB is also associated with a greater risk of vascular calcification and fractures negatively affecting patient outcomes. It is unclear if all forms of ABD are truly pathological or milder forms of ADB could be a compensatory mechanism to guard against bone loss. In this article, we describe a hemodialysis patient profile of ADB with a review of this entity
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Pulmonary Congestion Dynamics According to Inter-Dialytic Intervals in Hemodialysis

Lung ultrasound (LUS) is reliable in detecting and quantifying of pulmonary congestion in hemodialysis (HD) patients. Pulmonary congestion holds a negative prognostic value in HD patients even when it is asymptomatic. The pathophysiology of pulmonary congestion in HD is complex and includes volume and non-volume dependant factors. We examined the impact of different inter-dialytic intervals on pulmonary congestion by studying its dynamics using lung ultrasou
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Comparison of Hemodialysis Patients and Healthy Individuals Attitudes towards Organ Donation: A Descriptive Study

The research is comparative descriptive type. The sample of the study consisted of a total of 167 people, including 82 hemodialysis patients and 85 healthy individuals who applied to the Family Health Center. The data of the study were obtained using the questionnaire and organ donation attitude scale. SPSS 25 was used in the analysis of the data.
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Factors Affecting Exercise Self-efficacy in Predialysis Chronic Kidney Disease Patients

There was significant evidence to suggest that exercise improves physical function, symptom burden, and quality of life in predialysis chronic kidney disease (CKD) patients. However, most CKD patients cannot adherence to minimum recommended levels of exercise.
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Nutrition Intervention of Patient with Chronic Kidney Disease (Stage 4) on Maintenance Hemodialysis

We report the case of 27 years old, female patient suffering from CKD (Stage 4) on Maintenance Hemodialysis. Dietary intervention was tailored for her using her past medical history and dietary intake. The dietary interventions were planned in 4 steps for 12 weeks that included nutritionally adequate food intake, Increase frequency of meals, modification & improvement in food preparation techniques, provision of educational material related to diet in dialysis.
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Thermoresponsive Crosslinked Ampholytic Terpolymers (CATs): Effect of Salt Concentration on Porosity, Thermal, Mechanical, Electrical Conduction, and Imprintable Properties

Intra- or inter-chain dipole–dipole interactions between opposite charges cause collapse of the structure in polyampholyte hydrogels formed by using ionic monomers with different charges. Furthermore, these interactions are unavoidable as in the case of clamped polymer chains.
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Infective Endocarditis at Tricuspid Valve in CHD: What are its Characteristics? What is the Pathophysiology?

Infective endocarditis (IE) is a serious infectious disease that carries a high mortality rate. We report the case of 74-year-old female who is a chronic hemodialysis patient, and was presented with tricuspid valve endocarditis (TVIE) with central venous catheter, due to an Enterobacter Cloacae, which is a non-HACEK Gram-negative bacilli (GNB) and has been reported to be an extremely rare pathogen of IE. The patient was treated with imipenem and teicoplanin for a four-week period, with negative Blood culture and normal C reactive protein (CRP) levels at the end. The aim of our study is to understand the pathophysiology of the IE in chronic renal failure (CRF) especially at the tricuspid valve (TV), and to determine the clinical, biological characteristics and therapeutic modalities.
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ESBL-Producing E. Coli in a Patient on Automated Peritoneal Dialysis

Peritoneal Dialysis (PD) is one of the 3 well-established modalities of renal replacement therapy used in patients with renal failure. Despite its significant role as a successful method of renal replacement therapy, PD is highly associated with peritonitis and catheter-related infections.
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A Review on Nanoprobes for Sensing, Imaging and Disease Detection

This review focuses on imaging, visualization and detection of diseases using nanoprobes. Several currently available nanoprobes such as fluorescent nanoprobes, upconversion nanoparticle probes, supermagnetic iron oxide nanoprobes, and polymer- and liposome based nanoprobes are discussed.
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Lethal Dance with Dialysis – A Case of Silent Long QT Syndrome

Fatal arrhythmia is the leading cause of mortality in chronic haemodialysis patients. Long QT syndrome is responsible for polymorphic ventricular tachycardia known as Torsade de Pointes. Classically, long QT syndromes were divided into congenital and acquired; however ‘silent’ variants, in which patients remain asymptomatic until exposed to a drug or electrolyte disturbance precipitating the arrhythmia, have now been recognized.
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Tolerating Extreme Hyperkalemia in a Non-Compliant Dialysis Patient

Dialysis patients are known to tolerate high potassium due to the chronic hyperkalemia that is inherent in their disease. Despite this, most reports of extremely high potassium (>9 mmol/L) are in the setting of cardiac arrest. We describe the case of a 57-year-old Caucasian male with past medical history significant for end stage renal disease known to be non-adherent to a low potassium diet as well as missed dialysis appointments.
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Appendicitis in Pregnancy: How Vestigial is this?

Appendicitis is a rare pregnancy associated surgical emergency, with appendectomy as the most frequent non obstetrical surgical procedure performed in pregnancy. Diagnostic delay increases maternal and fetal morbidity and mortality thereby highlighting the need for a prompt diagnosis and surgery. Two cases of appendicitis with pregnancy are being reported with abdominal pain as common presenting feature.
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Therapeutic Hypothermia Still Effective in Prevention of Anoxic Encephalopathy following Extended Period of Pulselessness during Cardiac Arrest

There are approximately 300,000 out-of-hospital cardiac arrests per year with less than 10% of those surviving. More than half of survivors suffer permanent neurologic deficits. Therapeutic hypothermia has proven effective at thwarting neurologic damage occurring in the 16-hour window following return of spontaneous circulation (ROSC). Despite recommendations by the American Heart Association (AHA), many cardiologists have been slow to implement therapeutic hypothermia. While many trials have discussed the relevance of initial rhythm and delay of cooling, there has been limited discussion of the efficacy of therapeutic hypothermia in the presence of extended pulselessness.
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Topical Delivery System for Phytochemicals: Capsaicin and Capsicum Tincture

Capsaicin, an active ingredient of Capsicum fruit, is currently undergoing “revival” in the clinical management of pain. However, the choice of its formulation is rather limited to the use of “old-fashioned” tinctures and recently the patches. In an attempt to improve the therapeutic outcome and develop its skin-friendly formulation, we prepared the vesicle-based drug delivery system with capsaicin.
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Editorial Board Members Related to Dialysis

Ekrem Dogan

Professor
Department of Internal Medicine
Division of Nephrology
Selahaddin Eyyubi University
Turkey

Saeid Mordechai Nosrati

Associate Professor of Clinical Medicine
Division of Nephrology
Keck-USC School of Medicine
Los Angeles
USA

John A. St. Cyr

Medical-Surgical Consultant
Physiological Research Laboratories/Medtronic Inc USA

Chandan Saha

Associate Professor
Department of Biostatistics
School of Medicine
Indiana University
United states

Leslie Glasser

Professor
Department of Chemistry
Curtin University
Australia

Arshdeep Tindni

Associate Professor
The Jewish Hospital
Ohio

Ashik Hayat

Nephrologist
Department of Medicine and Nephrology
Taranaki Base Hospital
New Zealand

Abdelfattah Y. M. Nour

Professor
Department of Basic Medical Sciences
Purdue University
United States
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