Transplantation in diabetic kidney failure patients: modalities, outcomes, and clinical management.

abstract：:Porphyria cutanea tarda (PCT) is a vesiculobullous skin disorder characterized by a defect in heme biosynthesis. Reduced activity of the hepatic enzyme uroporphyrinogen decarboxylase (URO-D) results in accumulation of photosensitive porphyrins; this ultimately leads to the skin fragility and blistering that is charact...

journal_title：Seminars in dialysis

authors： Ryali ME,Whittier WL

更新日期：2010-01-01 00:00:00

abstract：:Obesity is a major epidemic in the general population and has added unique challenges to renal replacement therapy as choice of access, dialysis adequacy, and preparation for kidney transplantation may all be affected. There are few clinical studies on managing obese patients with end-stage renal disease (ESRD) and no...

journal_title：Seminars in dialysis

authors： Celebi-Onder S,Schmidt RJ,Holley JL

更新日期：2012-05-01 00:00:00

abstract：:Arteriovenous fistula (AVF) nonmaturation is currently a significant clinical problem; however, the mechanisms responsible for this have remained unanswered. Previous work by our group and others has suggested that anatomical configuration and the corresponding hemodynamic endpoints could have an important role in AVF...

journal_title：Seminars in dialysis

authors： Rajabi-Jagahrgh E,Krishnamoorthy MK,Roy-Chaudhury P,Succop P,Wang Y,Choe A,Banerjee RK

更新日期：2013-03-01 00:00:00

abstract：:United States standards for the microbiologic quality of dialysate are not very stringent and have remained unchanged for more than 20 years, despite significant changes in the patient population and in the technology of hemodialysis. Numerous studies have demonstrated that bacterial products can cross dialysis membra...

journal_title：Seminars in dialysis

authors： Ward RA

更新日期：2000-11-01 00:00:00

abstract：:Catheter malfunction due to poor flow is a common problem. When it occurs early, the cause is generally technical. Late occurrences are most often related to thrombus formation. Several types of thrombus may be seen, differing by location and supposed mechanism of formation. The most common offender, however, is the f...

journal_title：Seminars in dialysis

authors： Beathard GA

更新日期：2001-11-01 00:00:00

abstract：:Measurements of the concentration of parathyroid hormone (PTH) in serum or plasma are used widely for the initial diagnostic assessment of patients with renal bone disease, to monitor disease progression, and to gauge responses to treatment. Several analytical methods are used to measure plasma PTH levels, and a varie...

journal_title：Seminars in dialysis

authors： Goodman WG

更新日期：2007-01-01 00:00:00

abstract：:The control of serum phosphorus by dialysis is made difficult by the fact that intradialytic blood levels tend to be low, and because phosphorus is removed almost exclusively from the plasma during its passage through the dialyzer. The most practical way to increase phosphorus removal is to extend dialysis time, altho...

journal_title：Seminars in dialysis

authors： Daugirdas JT

更新日期：2015-11-01 00:00:00

abstract：:The treatment of chronically ill patients with end stage renal disease (ESRD) receiving dialysis therapies has advanced greatly over the years and accomplished many successes in prolonging the life of patients with ESRD, yet has had considerable failures due to the inability to compensate for all functions of the kidn...

journal_title：Seminars in dialysis

authors： Maddux FW

更新日期：2016-03-01 00:00:00

abstract：:Numerous designs for tunneled hemodialysis catheter have been developed in an effort to improve catheter function and survival. In this prospective randomized controlled study, 97 patients were randomized into the palindrome catheter group (PC, n = 47) and step-tip catheter group (SC, n = 50). Demographic characterist...

journal_title：Seminars in dialysis

authors： Hwang HS,Kang SH,Choi SR,Sun IO,Park HS,Kim Y

更新日期：2012-09-01 00:00:00

abstract：:The in-center dialysis unit and practice of dialysis, in the current multi-team approach, requires knowledge and skills in all the domains including medical expert, communicator, collaborator, scholar, health advocate, and leader. We are tasked as a community, to embrace and incentivize new innovations and technology ...

journal_title：Seminars in dialysis

authors： Moist LM,Lindsay RM

更新日期：2018-03-01 00:00:00

abstract：:We describe the use of directional atherectomy (DA) to restore patency of a thrombosed polytetrafluoroethylene arteriovenous graft with an in-stent restenosis at the venous anastomosis. Technically, the procedure described is not an atherectomy per se, but rather the removal of fibrosis and intimal hyperplasia with sh...

journal_title：Seminars in dialysis

authors： Yevzlin AS,Guttormsen B,Chan MR,Gimelli G

更新日期：2008-05-01 00:00:00

abstract：:Patients with end-stage renal disease (ESRD) develop hemostatic disorders mainly in the form of bleeding diatheses. Hemorrhage can occur at cutaneous, mucosal, or serosal sites. Retroperitoneal or intracranial hemorrhages also occur. Platelet dysfunction is the main factor responsible for hemorrhagic tendencies in adv...

journal_title：Seminars in dialysis

authors： Kaw D,Malhotra D

更新日期：2006-07-01 00:00:00

abstract：:There are numerous patient, provider, and health system barriers to accessing kidney transplantation. Patient barriers such as sociocultural and clinical characteristics and provider factors such as provider knowledge and awareness of transplantation play important roles in facilitating transplant. Health system facto...

journal_title：Seminars in dialysis

authors： Patzer RE,Pastan SO

更新日期：2020-01-01 00:00:00

abstract：:Depression has been documented as the most frequently encountered psychological problem in end-stage renal disease (ESRD) patients and has been correlated with both mortality and morbidity in these patients. Previous work by our group has shown that clinical depression is treatable with psychotropic medications in the...

journal_title：Seminars in dialysis

authors： Wuerth D,Finkelstein SH,Kliger AS,Finkelstein FO

更新日期：2003-11-01 00:00:00

abstract：:Dialysis vascular access associated coronary-subclavian steal or hypoperfusion syndrome is an uncommon but potentially life threatening condition. Awareness of this syndrome is important in the management of vascular access in hemodialysis patients. We report a case of dialysis vascular access associated coronary-subc...

journal_title：Seminars in dialysis

authors： Tan CS,Fintelmann F,Joe J,Ganguli S,Wu S

更新日期：2013-09-01 00:00:00

abstract：:The increasing number of patients requiring renal replacement therapy poses a challenge to maintain quality of care in the setting of limited resources. The commonly used modalities include hemodialysis and peritoneal dialysis, and using a "urea-centric" model to increase the clearance of small molecular weight uremic...

journal_title：Seminars in dialysis

authors： Thomas G,Jaber BL

更新日期：2009-11-01 00:00:00

abstract：:The use of stents has been steadily increasing in the management of dialysis access dysfunction. The purpose of this report was to review the use of covered stents in failed forearm fistulas and describe a case of the use of a small caliber forearm covered stent in a early failed forearm fistula that allowed dialysis ...

journal_title：Seminars in dialysis

authors： Ross JL

更新日期：2009-01-01 00:00:00

abstract：:Coping with the transition from end-stage kidney disease to dialysis can be challenging for patients and their care partners. Introducing incident dialysis patients to incremental forms of dialysis is associated with better quality of life and reduced cost. Incremental hemodialysis (HD) has generated significant inter...

journal_title：Seminars in dialysis

authors： Auguste BL,Bargman JM

更新日期：2018-09-01 00:00:00

abstract：:The profile of patients on chronic dialysis has shifted. There is a growing group of older patients with comorbid dementia and ESKD, who are at risk of overuse, underuse, and misuse of dialysis. Policy is lacking to help guide treatment decisions in this group. This paper explores clinical considerations specific to p...

journal_title：Seminars in dialysis

authors： MacPhail A,Ibrahim JE,Fetherstonhaugh D,Levidiotis V

更新日期：2015-09-01 00:00:00

abstract：:Vancomycin, a glycopeptide antibiotic, has remained a popular antimicrobial agent throughout the past five decades, and is often included in empiric antibiotic regimens. With gram-positive coverage, it has found a niche in the treatment of methicillin-resistant Staphylococcus aureus. Although vancomycin has been in ex...

journal_title：Seminars in dialysis

authors： Pallotta KE,Manley HJ

更新日期：2008-01-01 00:00:00

abstract：:For patients who require hemodialysis, beta blockers offer a simultaneous opportunity and challenge in the treatment of cardiovascular disease. Beta blockers are well supported by data from nondialysis populations and directly mitigate the sympathetic overactivity that links chronic kidney disease with cardiovascular ...

journal_title：Seminars in dialysis

authors： Weir MA,Herzog CA

更新日期：2018-05-01 00:00:00

abstract：:Dialysis-related amyloidosis (DRA) is a serious complication in long-term dialysis patients, and presents with carpal tunnel syndrome, cystic bone lesions, destructive spondylarthropathy, diffuse arthritis and periarthritis, systemic organ involvement, and dialysis-related spinal canal stenosis (DSCS). Recently a new ...

journal_title：Seminars in dialysis

authors： Niwa T

更新日期：2001-03-01 00:00:00

abstract：:While vascular ultrasound (US) has been highlighted to detect vascular access stenosis, its accuracy in the identification of inflow stenosis (IS) (anastomosis and/or juxta-anastomotic area) compared with the gold standard (angiography) has not been evaluated. One hundred three consecutive fistulae referred for interv...

journal_title：Seminars in dialysis

authors： Salman L,Ladino M,Alex M,Dhamija R,Merrill D,Lenz O,Contreras G,Asif A

更新日期：2010-01-01 00:00:00

abstract：:Withholding and withdrawal of dialysis has been a reality since dialysis was invented. Only in the past 20 years has it been formally studied, and we still have a great deal to learn. The nephrology community has slowly come to accept that, for some of our patients, not having dialysis is a better option than continui...

journal_title：Seminars in dialysis

authors： Germain MJ,Cohen LM,Davison SN

更新日期：2007-05-01 00:00:00

abstract：:Dialysis providers are increasingly being presented with progressively older and frailer patients, in all healthcare settings from the acute hospital to the community dialysis center. These patients commonly bring more than kidney failure with them, with a complex constellation of chronic illness, comorbidity, and fun...

journal_title：Seminars in dialysis

authors： Wiggins J,Bitzer M

更新日期：2012-11-01 00:00:00

abstract：:There has been a dramatic, worldwide expansion in life expectancy across the last century. This has resulted in a progressively more elderly and comorbid population. It is increasingly recognized that healthcare in this group needs to move to the concept of "adding life to years". Recognition and assessment of frailty...

journal_title：Seminars in dialysis

authors： Corbett RW,Brown EA

更新日期：2018-11-01 00:00:00

abstract：:The treatment of end-stage renal disease (ESRD) makes extensive use of presterilized disposable items which, after use, are contaminated by blood. The preferred route of disposal of such items is by incineration. Disposal costs have risen and this increase in costs has not been matched by waste management programs in ...

journal_title：Seminars in dialysis

authors： Hoenich NA,Levin R,Pearce C

更新日期：2005-09-01 00:00:00

abstract：:Dialysis-dependent chronic kidney disease (CKD) is an expanding problem for healthcare systems worldwide. The prevalence of end-stage renal disease (ESRD) has increased by 20% since 2000 and stands at 1699 per million people in the USA. ESRD is associated with an increased risk of cardiovascular comorbidity, increased...

journal_title：Seminars in dialysis

authors： Trainor D,Borthwick E,Ferguson A

更新日期：2011-05-01 00:00:00

abstract：:A hemodialysis access may lead to cardiac overload (CO) or hand ischemia [hemodialysis access induced distal ischemia (HAIDI). Surgical banding restricts access flow and promotes distal perfusion. Aim of the study was to investigate short- and long-term clinical success of banding in these patient groups. After evalua...

journal_title：Seminars in dialysis

authors： van Hoek F,Scheltinga M,Luirink M,Pasmans H,Beerenhout C

更新日期：2009-03-01 00:00:00

abstract：:This report reviews the most common surgical interventions and complications of chronic peritoneal dialysis (PD) patients. Based on the current knowledge as well as our experience we detail the role of these surgical procedures. We supplement the reported knowledge in the field with our own experience in this area. Th...

journal_title：Seminars in dialysis

authors： Ratajczak A,Lange-Ratajczak M,Bobkiewicz A,Studniarek A

更新日期：2017-01-01 00:00:00