Doing More Than Caring About Quality.

abstract：:Calcific uremic arteriolopathy (CUA) is a rare but serious life-threatening complication of CRF that manifests as painful nonhealing eschars in association with panniculitis and dermal necrosis. This condition is being increasingly recognized and reported as a contributing factor to death in dialysis patients. The pat...

journal_title：Seminars in dialysis

authors： Rogers NM,Teubner DJ,Coates PT

更新日期：2007-03-01 00:00:00

abstract：:Adequate dialysis is difficult to define because we have not identified the toxic solutes that contribute most to uremic illness. Dialysis prescriptions therefore cannot be adjusted to control the levels of these solutes. The current solution to this problem is to define an adequate dose of dialysis on the basis of fr...

journal_title：Seminars in dialysis

authors： Meyer TW,Sirich TL,Hostetter TH

更新日期：2011-09-01 00:00:00

abstract：:Peritoneal dialysis (PD) is a markedly underutilized modality for permanent renal replacement therapy in the United States owing to a low rate of patient referral and high rate of patient dropout or transfer to hemodialysis. One cause for patient loss from PD is problematic PD catheters that often are removed rather t...

journal_title：Seminars in dialysis

authors： Asif A,Gadalean F,Vieira CF,Hogan R,Leon C,Merrill D,Ellis R,Amador A,Broche O,Bush B,Contreras G,Pennell P

更新日期：2006-03-01 00:00:00

abstract：:Over the past decade, patients returning to dialysis after a failed transplant comprised of 5-10% of the annual number of dialysis initiations in the United States, whereas retransplant candidates account for 5.0-13% of the annual deceased donor wait-list additions. The United States Renal Data System (USRDS) database...

journal_title：Seminars in dialysis

authors： Pham PT,Pham PC

更新日期：2011-05-01 00:00:00

abstract：:Universal lower dialysate [Na+] is often advocated as a means of improving the dire cardiovascular plight of our dialysis patients. However, there is evidence associating lower dialysate [Na+] and increased morbidity and mortality especially in frailer patients, probably as a result of more frequent intra-dialytic hyp...

journal_title：Seminars in dialysis

authors： Marshall MR,Dunlop JL

更新日期：2012-05-01 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：:Arteriovenous fistula (AVF) failure is mainly due to venous stenosis characterized by significant amount of intima-media thickening (IMT), probably in the presence of negative (inward) remodeling. Our hypothesis is that the longitudinal changes in wall shear stress (WSS) within different configurations of AVF can infl...

journal_title：Seminars in dialysis

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

更新日期：2013-07-01 00:00:00

abstract：:With the recent focus on the benefits of more frequent dialysis, the Baxter Aurora dialysis system provides maximum flexibility for therapy prescription, including short daily treatments, long nocturnal treatments, hemodialysis, hemofiltration, and online hemodiafiltration, all in a compact, reliable, easy to use syst...

journal_title：Seminars in dialysis

authors： Kelly TD

更新日期：2004-03-01 00:00:00

abstract：:A good catheter implantation technique is important to allow for effective peritoneal access function and long-term technique survival. Studies regarding results obtained by nephrologists in comparison with surgeons have been limited to small single-center experiences. Thus, the objective of this study was to explore ...

journal_title：Seminars in dialysis

authors： de Moraes TP,Campos RP,de Alcântara MT,Chula D,Vieira MA,Riella MC,Olandowski M,Divino-Filho JC,Pecoits-Filho R,Investigators of BRAZPD.

更新日期：2012-09-01 00:00:00

abstract：:It has been nearly 100 years since the first published report of advanced glycation end products (AGEs) by the French chemist Maillard. Since then, our understanding of AGEs in diseased states has dramatically changed. Especially in the last 25 years, AGEs have been implicated in complications related to aging, neurod...

journal_title：Seminars in dialysis

authors： Mallipattu SK,He JC,Uribarri J

更新日期：2012-09-01 00:00:00

abstract：:Dialysate leakage represents a major noninfectious complication of peritoneal dialysis (PD). An exit-site leak refers to the appearance of any moisture around the PD catheter identified as dialysate; however, the spectrum of dialysate leaks also includes any dialysate loss from the peritoneal cavity other than via the...

journal_title：Seminars in dialysis

authors： Leblanc M,Ouimet D,Pichette V

更新日期：2001-01-01 00:00:00

abstract：:Hepatitis C virus (HCV) infection is not only an important cause of chronic liver disease, but extrahepatic manifestations are common and include chronic kidney disease (CKD). HCV is classically associated with cryoglobulinemic glomerulonephritis in the context of mixed cryoglobulinemia syndrome, but other glomerular ...

journal_title：Seminars in dialysis

authors： Henson JB,Sise ME

更新日期：2019-03-01 00:00:00

abstract：:Despite decades of research, there are few published guidelines related to the safety and efficacy of exercise training in hemodialysis patients. This has led to disparate recommendations regarding the type, intensity, and timing for exercise, especially for patients with multiple comorbidities. Many common recommenda...

journal_title：Seminars in dialysis

authors： Wilund KR,Jeong JH,Greenwood SA

更新日期：2019-07-01 00:00:00

abstract：:Early versus later start of dialysis is still a matter of debate. Low-protein diets have been used for many decades to delay dialysis initiation. Protein-restricted diets (0.3-0.6 g protein/kg/day) supplemented with essential amino acids and ketoanalogues (sVLPD) can be offered, in association with pharmacological tre...

journal_title：Seminars in dialysis

authors： Aparicio M,Bellizzi V,Chauveau P,Cupisti A,Ecder T,Fouque D,Garneata L,Lin S,Mitch W,Teplan V,Yu X,Zakar G

更新日期：2013-11-01 00:00:00

abstract：:Physical examination (PE) is an excellent means of predicting arteriovenous fistula (AVF) dysfunction. Although quick and inexpensive, PE is seldom used as a tool to assess stenosis by general nephrologists, dialysis nurses, and dialysis technicians. Previous studies have demonstrated that PE can be taught to interven...

journal_title：Seminars in dialysis

authors： Rosenberg JE,Yevzlin AS,Chan MR,Valliant AM,Astor BC

更新日期：2015-09-01 00:00:00

abstract：:The elderly represent the fastest growing segment of incident patients entering end-stage renal disease (ESRD). Increasingly, social scientists and caregivers are faced with changing models of care, which will challenge traditional patterns of patient acceptance into costly medical therapies. This paper analyzes the o...

journal_title：Seminars in dialysis

authors： Parker TF 3rd

更新日期：2012-11-01 00:00:00

abstract：:Thrombosis is the leading cause of arteriovenous (AV) access failure for hemodialysis patients requiring frequent interventions. We describe a novel approach to the lyse-and-wait technique in thrombosed AV access using nurse-administered thrombolytics in a hospital-based hemodialysis unit. All patients at a single-cen...

journal_title：Seminars in dialysis

authors： Umanath K,Morrison RS,Christopher Wilbeck J,Schulman G,Bream P,Dwyer JP

更新日期：2013-01-01 00:00:00

abstract：:Increasing the use of arteriovenous fistulae in dialysis patients requires a specific strategy. In order to properly select patients for an arteriovenous fistula (AVF), it is essential that the nephrologist become knowledgeable about the subject and that an organized approach be followed. Both the arterial and venous ...

journal_title：Seminars in dialysis

authors： Beathard GA

更新日期：2000-09-01 00:00:00

abstract：:Pregnancy occurs uncommonly in women with chronic kidney disease (CKD) and fetal outcome tends to be poor, with high rates of prematurity and mortality. Dialysis, by complementing residual renal function, may improve fetal outcome in pregnant women with CKD. Although there are no prospective or randomized trials that ...

journal_title：Seminars in dialysis

authors： Shemin D

更新日期：2003-09-01 00:00:00

abstract：:Congestive heart failure (CHF) is highly prevalent in patients on renal replacement therapy and is a leading cause of death in such patients. Several studies suggest that therapeutic agents for the treatment of CHF, particularly angiotensin converting enzyme inhibitors and beta-blockers, are underused in end-stage ren...

journal_title：Seminars in dialysis

authors： Bouchard J,Madore F

更新日期：2007-09-01 00:00:00

abstract：:Iodinated contrast agents are well tolerated in ESRD patients. Certain types of ICM, i.e., LOCM and the nonionic agents are associated with better safety profiles. Current available evidence, although not optimal, does not support the need for additional hemodialysis for ICM removal to preserve residual renal function...

journal_title：Seminars in dialysis

authors： Khan SF,Kalantari K

更新日期：2014-11-01 00:00:00

abstract：:Dialysis remains the predominant form of renal replacement therapy in the United States, but the optimal timing for the initiation of dialysis remains poorly defined. Not only clinical factors such as signs/symptoms of uremia, co-existing cardiovascular disease, and presence of diabetes but also key demographic charac...

journal_title：Seminars in dialysis

authors： Streja E,Nicholas SB,Norris KC

更新日期：2013-11-01 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：:Catheter recirculation (CR) occurs when blood returning from the venous limb of the catheter re-enters the arterial limb of the catheter without passage through the circulation. Adequacy of dialysis is influenced by the degree of access recirculation. In this study we evaluate factors influencing the degree of dialysi...

journal_title：Seminars in dialysis

authors： Moossavi S,Vachharajani TJ,Jordan J,Russell GB,Kaufman T,Moossavi S

更新日期：2008-05-01 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：:Severe hypothermia is defined as a core body temperature <28°C and is associated with in-hospital mortality rates of 50% or higher. Delays in rewarming and slower rates of rewarming are the most important prognostic factors associated with increased mortality. Arrhythmias are the most common cause of mortality in pati...

journal_title：Seminars in dialysis

authors： Singh T,Hallows KR

更新日期：2014-05-01 00:00:00

abstract：:In the United States, presently there are more than 50,000 patients with end-stage renal disease (ESRD) awaiting a cadaveric kidney and each year less than a quarter receive kidney transplantation. Although the real incidence in unknown, a significant number of these patients die due to lack of dialysis access. While ...

journal_title：Seminars in dialysis

authors： Laskow DA,Ahsan N

更新日期：2002-01-01 00:00:00

abstract：:The development of pleural effusions in ESRD patients is a relatively common occurrence. Uremia, currently a rare cause of effusion, can lead to the development of hemorrhagic pleural fluid collections in patients who are underdialyzed. Uremic pleural effusions should be considered when common etiologies of effusions ...

journal_title：Seminars in dialysis

authors： Krishnan M,Choi M

更新日期：2001-05-01 00:00:00

abstract：:Malnutrition is a frequent complication in hemodialysis patients and is associated with increased mortality and morbidity. Interventions such as oral or intravenous nutritional supplements have often failed to improve nutritional status. We report here the effect that daily dialysis, practiced in our center since 1997...

journal_title：Seminars in dialysis

authors： Galland R,Traeger J

更新日期：2004-03-01 00:00:00

abstract：:Analysis of tissues, plasma, urine, other body fluids, and dialysate for glycation adducts has revealed the presence of two major forms: glycation adduct residues of proteins and related glycated amino acids--called glycation free adducts. The major effect on protein glycation in uremia is loss of clearance of glycati...

journal_title：Seminars in dialysis

authors： Thornalley PJ,Rabbani N

更新日期：2009-07-01 00:00:00