A Murga, F Vega, A Saunders, S Patel, C Bianchi, A Abou-Zamzam, T H Teruya
We report a case of stenosis involving the midportion of a polytetrofluorethylene graft caused by the infiltration of fibroblasts into the lumen of the graft with the development of fibrovascular tissue.
July 10, 2020: Annals of Vascular Surgery
Silvio Borrelli, Vittoria Frattolillo, Carlo Garofalo, Michele Provenzano, Raffaele Genualdo, Giuseppe Conte, Roberto Minutolo, Luca De Nicola
Lockdown and self-isolation are to date the only solution to limit the spread of recent outbreak of coronavirus disease (CoViD-19), highlighting the great advantage of home dialysis in a patient otherwise forced to travel from / to the dialysis center to receive this "life-saving" treatment. Indeed, to prevent spreading of CoViD-19 infection among extremely fragile dialysis patients, as well as among dialysis workers, hemodialysis (HD) centers are adopting specific procedures ("dedicated" dialysis facilities, portable osmosis, etc...
July 2020: Recenti Progressi in Medicina
Arne Matteo Jörgensen, Julian David Friedl, Richard Wibel, Joseph Chamieh, Hervé Cottet, Andreas Bernkop-Schnürch
The aim of this study was to investigate the fate and the impact of co-solvents in self-emulsifying drug delivery systems (SEDDS). Three different SEDDS comprising the co-solvents DMSO (FD ), ethanol (FE ) and benzyl alcohol (FBA ) as well as the corresponding formulations without these co-solvents (FD0 , FE0 and FBA0 ) were developed. Mean droplet size, polydispersity index (PDI), zeta potential, stability and emulsification time were determined. Co-solvent release studies were performed via dialysis membrane method and Taylor dispersion analysis (TDA)...
July 13, 2020: Molecular Pharmaceutics
S Ndamase, I Okpechi, H Carrara, J Black, G Calligaro, R Freercks
BACKGROUND: Tuberculosis (TB) is currently the leading cause of death from a single infectious agent worldwide. Patients who receive dialysis are particularly vulnerable to TB infection owing to immune dysfunction. Nonetheless, there is a paucity of incidence data on dialysis patients infected with TB in high-burden countries, such as South Africa (SA). OBJECTIVES: To determine the incidence of TB in prevalent chronic kidney disease stage 5 (CKD-5D) patients on dialysis at a single centre in Eastern Cape Province, SA, and to identify the risk factors associated with TB infection...
April 29, 2020: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
Prit Pal Singh, Amresh Krishna, Alok Sharma, Om Kumar
Fibrillary glomerulonephritis (FGN) is a rare disorder accounting for up to 1% of all glomerulonephritis (GN). FGN usually manifests as nephrotic or subnephrotic proteinuria, hematuria, and hypertension in patients after the sixth decade. The overall prognosis of FGN is very poor. Crescentic presentation of FGN is uncommon which may be diagnosed as rapidly progressive glomerulonephritis (RPGN) unless electron microscopy and/or special stains are done. We report a case of a young female who presented as RPGN but diagnosis was revised to crescentic FGN after electron microscopy and immunohistochemical staining with DNAJB9 stain...
July 13, 2020: Ultrastructural Pathology
Ji Ye Jeon, Yong Won Cho, Hye Jin Moon
BACKGROUND AND PURPOSE: Cefepime is a widely used fourth-generation cephalosporin. It is commonly used as a first-line antibiotic to treat various infectious diseases such as hospital-acquired pneumonia, urinary tract infections, and bacterial meningitis. The primary outcome of this study was the development of cefepime-induced encephalopathy (CIE) at a tertiary medical center in Korea. We also aimed to describe the clinical features of CIE. METHODS: We enrolled 1,793 consecutive patients treated with cefepime...
July 2020: Journal of Clinical Neurology
(no author information available yet)
No abstract text is available yet for this article.
August 2020: Therapeutic Apheresis and Dialysis
Mathieu Mestivier, Jun Rong Li, Aurèle Camy, Camille Frangville, Christophe Mingotaud, Florence Benoit-Marquié, Jean-Daniel Marty
An innovative strategy allowing the development of a new generation of easy-to-prepare and easy-to-use nano-sized catalysts with high tenability is presented. This strategy is based on the formation of hybrid polyion complexes based on the complexation of copper with a block copolymer consisting of an ionizable complexing block and a neutral stabilizer block. These complexes have a well-defined structure and size with a hydrodynamic diameter around 29 nm. They are stable in aqueous solution over a pH range from 4 to 8 and are not sensitive to NaCl salt addition or dilution effects...
July 13, 2020: Chemistry: a European Journal
Davide Bolignano, Marta Greco, Valentina Arcidiacono, Omar Tripolino, Caterina Vita, Michele Provenzano, Cinzia Donato, Salvatore Chiarella, Giorgio Fuiano, Giovambattista De Sarro, Emilio Russo, Michele Andreucci, Daniela Patrizia Foti, Giuseppe Coppolino
BACKGROUND: Mineral bone disease (MBD) is remarkably frequent among chronic hemodialysis (HD) patients. In this setting, deranged PTH levels portend an adjunctive risk of worsen outcomes. Various evidence exists demonstrating that PTH strongly induces Cathepsin-K, a cysteine protease mainly found in lysosomes of osteoclasts and macrophages which promotes bone and extracellular matrix remodelling. Cathepsin-K levels are altered in various bone disorders, systemic inflammation and even in non-advanced CKD...
July 12, 2020: Journal of Nephrology
Chia-Chia Chen, Chien-Lung Chen, Yu Ko
Aim: This study aimed at (1) examining the misconceptions of patients with diabetes in Taiwan and (2) examining the association between patients' diabetes knowledge and their demographic characteristics. Methods: A cross-sectional survey was conducted at a metropolitan hospital in northern Taiwan. A total of 501 outpatients with diabetes were recruited, mostly from the hospital's endocrinology and metabolism clinic, nephrology clinic, and dialysis center. A self-developed questionnaire that consisted of demographic information and a diabetes knowledge test was administered...
2020: Journal of Diabetes Research
James T Roberts, Javier Villanueva-Meyer, Samuel Bezold, Samuel O Krider, Quan D Nguyen
Radiologic imaging techniques, such as F-18-fluorodeoxyglucose positron emission tomography/computerized tomography (FDG PET/CT), provide diagnostic value in a variety of diseases. In cases of suspected infection, FDG PET/CT can find areas of fluorodeoxyglucose metabolism, correlating with local acute inflammation. The following case involves a man with end-stage renal disease (ESRD), who presented with symptoms of infection and positive blood cultures with high suspicion of arteriovenous fistula as the source of infection...
June 8, 2020: Curēus
Antony Gayed, Valerie A Schott, Laura Meltzer
Mucopolysaccharidoses (MPS) are rare genetic lysosomal storage disorders caused by a deficiency of enzymes that catalyze the breakdown of glycosaminoglycans. MPS-III, also known as Sanfilippo syndrome, is caused by a deficiency of one of four enzymes that catalyze heparan sulfate proteoglycan degradation. MPS-IIIA results from a deficiency of heparan sulfatase. The natural history of MPS-IIIA is marked by progressive neurodegeneration. A nine-year-old boy with developmental delay presented with progressive three-month functional decline culminating in emergency department presentation for lethargy and immobility...
June 7, 2020: Curēus
Kamila Romanowski, Caren Rose, Victoria J Cook, Inna Sekirov, Muhammad Morshed, Ognjenka Djurdjev, Adeera Levin, James C Johnston
Background: People undergoing chronic dialysis are at an increased risk of active tuberculosis (TB). In 2012, the Canadian province of British Columbia began systematically screening people initiating dialysis for latent TB using interferon-gamma release assay (IGRA), and treating when appropriate. Objective: The objective of this study was to compare active TB rate in people who initiated dialysis and were screened using an IGRA compared with those not screened during the same period...
2020: Canadian Journal of Kidney Health and Disease
Samuel Ajayi, Yemi Raji, Temitope Bello, Ayodeji Arije
Introduction: Peritoneal dialysis is a form of renal replacement therapy that is both effective and relatively affordable. Peritoneal dialysis (PD) was first used in Nigeria as a treatment option for renal failure. Its use was first reported in Nigeria in 1969 and became more widespread in the 80s and 90s. Haemodialysis, which is capital intensive to set up and requires infrastructures and facilities such as electricity, intense water consumption and buildings, seems to have upstaged peritoneal dialysis both in demand and supply...
2020: Pan African Medical Journal
Hanen Chaker, Faiçal Jarraya, Salma Toumi, Khawla Kammoun, Yosra Mejdoub, Hichem Mahfoudh, Soumaya Yaich, Mohamed Ben Hmida
We re-examine the infrequent paradigm of a biweekly dialysis at the start of renal replacement therapy. The current method is to launch hemodialysis among patients using a 'full-dose' posology three times a week. As a matter of fact, recent data has suggested that frequent hemodialysis leads to high mortality at the onset of dialysis. The aim of our study is to show the factors affecting early mortality especially the hemodialysis frequency. We undertook an observational study in the hemodialysis unit of Sfax University Hospital (south Tunisia)...
2020: Pan African Medical Journal
Waqas Ullah, Bikash Basyal, Shafaq Tariq, Talal Almas, Rehan Saeed, Sohaib Roomi, Shujaul Haq, John Madara, Margot Boigon, Donald C Haas, David L Fischman
Background: Systemic inflammation elicited by a cytokine storm is considered a hallmark of coronavirus disease 2019 (COVID-19). This study aims to assess the validity and clinical utility of the lymphocyte-to-C-reactive protein (CRP) ratio (LCR), typically used for gastric carcinoma prognostication, versus the neutrophil-to-lymphocyte ratio (NLR) for predicting in-hospital outcomes in COVID-19. Methods: A retrospective cohort study was performed to determine the association of LCR and NLR with the need for invasive mechanical ventilation (IMV), dialysis, upgrade to an intensive care unit (ICU) and mortality...
July 2020: Journal of Clinical Medicine Research
Manik Kataruka, Shefali Gupta, Raja Ramchandran, Mini Singh, Radha Krishan Dhiman, Kishan Lal Gupta
Background: Renal replacement therapy in the form of either dialysis or transplantation is the only option for end-stage renal disease (ESRD). Blood-borne infections such as hepatitis B virus (HBV) and hepatitis C virus (HCV) are of special concern in these patients because of their high incidence. Although there are sufficient data from the developed world, there is scarcity of data from developing countries such as India. Methods: All newly diagnosed ESRD patients initiated on hemodialysis after attending the Department of Nephrology, PGIMER, Chandigarh between January 2015 and October 2015 were included in the study...
July 2020: Journal of Clinical and Experimental Hepatology
Muhammad Abdul Mabood Khalil, Mohamad Khairulsadek Haji Jukmin, Vui Heng Chong, Jackson Tan
Chylous nephrogenic ascites is rare in hemodialysis (HD) patients. We would like to share a rare case of chylous nephrogenic ascites in a HD patient. The patient has a history of straw-colored nephrogenic ascites which was drained through pigtail five times in the past. Later on, the ascites became turbid and milky. The chloroform test of the ascitic fluid showed fat globules with Oil Red-O stain, and the triglyceride concentration of ascitic fluid was 168.14 mg/dL (1.93 mmol/L) satisfying the criteria of chylous ascites...
May 2020: Saudi Journal of Kidney Diseases and Transplantation
Ziad Arabi, Abdulrahman Theaby, Abdulrazak Sibai, Muhammad A Bukhari, M Samir Al Chaghouri, Mouaz Al-Mallah, Wael Ohali, Khalid Abdullah, Hatim Kheirallah, Hasan Eid, Haitham Rojolah, Maryam Qaseer, Khalid Hamawi, Murtada Halim
Screening for cardiovascular (CV) disease before transplant is common. However, the clinical utility of screening asymptomatic transplant candidates remains unclear. There is a large degree of variation among the practices of the different transplant centers in the Kingdom of Saudi Arabia (KSA) and among the international guidelines. Opinions are mostly based on mixed observational data with a great potential for bias. When compared to the Western countries, renal-transplant candidates in the KSA are likely to have longer dialysis vintage, higher prevalence of catheter use, higher rate of uncontrolled hyperparathyroidism, and high prevalence of diabetes...
May 2020: Saudi Journal of Kidney Diseases and Transplantation
Hela Jebali, Hiba Ghabi, Ikram Mami, Lilia Ben Fatma, Wided Smaoui, Badr Ben Kaab, Madiha Krid, Manel Ben Hlima, Tasnim Ben Ayed, Omar Guermazi, Mohamed Sami Mourali, Soumaya Beji, Mohamed Chermiti, Loumi Zied, Hanene Kateb, Mohanad Hassan, Fethi Ben Hmida, Lamia Raies, Mohamed Karim Zouaghi
Dialysis patients have higher rates of sudden cardiac death. The study of the electrocardiogram could identify patients at risk of developing rhythm disorders. The aim of this study was to evaluate the electrocardiographic findings before and after the hemodialysis (HD) session and to examine associations of clinical and serum electrolytes with electrocardiogram findings. We conducted a multicentric transversal study, including chronic HD patients during January 2018. Standard 12-lead electrocardiogram was recorded, before and after the HD session...
May 2020: Saudi Journal of Kidney Diseases and Transplantation
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