Renal Insufficiency, Chronic

Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: People living with chronic kidney disease (CKD) experience a range of symptoms and often have complex comorbidities. Many pharmacological interventions for people with CKD have known risks of adverse events. Acupuncture is widely used for symptom management in patients with chronic diseases and in other palliative care settings. However, the safety and efficacy of acupuncture for people with CKD remains largely unknown.

Author(s): 
Kim, Kun Hyung
Lee, Myeong Soo
Kim, Tae-Hun
Kang, Jung Won
Choi, Tae-Young
Lee, Jae Dong
Publication Title: 
Clinics in Geriatric Medicine

Research into the aging process is very new. For many years aging was thought to be the natural and inevitable consequence of a life of wear and tear. The idea that aging could be influenced by the genetic code and had a modifiable biologic component is less than 20 years old. During this time, aging has come to be understood as a complex biologic process controlled by signaling pathways and transcription factors. Similar attitudes pervade the field of nephrology. Whether a decline in renal function with age represents normal aging or kidney disease is the subject of much debate.

Author(s): 
Wiggins, Jocelyn
Bitzer, Markus
Publication Title: 
Pediatric Nephrology (Berlin, Germany)

BACKGROUND: Hemodialysis (HD) in infants is usually used when peritoneal dialysis (PD) has failed. We describe our experience with HD, outlining the morbidity, complications, and outcomes for infants weighing less than 10†kg managed with HD for more than 6†months over a 10-year period. METHODS: A retrospective review of the clinical notes was conducted to collect demographic information, anthropometric data, dietary history, site and form of vascular access, details of HD prescription, complications, and outcomes.

Author(s): 
Quinlan, Catherine
Bates, Marie
Sheils, Aishling
Dolan, Niamh
Riordan, Michael
Awan, Atif
Publication Title: 
Clinics in Geriatric Medicine

Research into the aging process is very new. For many years aging was thought to be the natural and inevitable consequence of a life of wear and tear. The idea that aging could be influenced by the genetic code and had a modifiable biologic component is less than 20 years old. During this time, aging has come to be understood as a complex biologic process controlled by signaling pathways and transcription factors. Similar attitudes pervade the field of nephrology. Whether a decline in renal function with age represents normal aging or kidney disease is the subject of much debate.

Author(s): 
Wiggins, Jocelyn
Bitzer, Markus
Publication Title: 
Clinical journal of the American Society of Nephrology: CJASN
Author(s): 
Kramer, Holly
Publication Title: 
American Journal of Kidney Diseases: The Official Journal of the National Kidney Foundation

BACKGROUND: Women with chronic kidney disease (CKD) often have difficulty achieving pregnancy and are at increased risk for adverse pregnancy outcomes. Given the medical, ethical, and emotional complexities of pregnancy in CKD, the clinical approach should involve explicit consideration of women's values, for which there are sparse data. This study aims to describe the beliefs, values, and experiences of pregnancy in women with CKD to inform prepregnancy counseling and pregnancy care. STUDY DESIGN: Qualitative study.

Author(s): 
Tong, Allison
Brown, Mark A.
Winkelmayer, Wolfgang C.
Craig, Jonathan C.
Jesudason, Shilpanjali
Publication Title: 
Nephrology, Dialysis, Transplantation: Official Publication of the European Dialysis and Transplant Association - European Renal Association

BACKGROUND: The inclusion of consumer preferences in prioritizing research topics is widely advocated, but prioritization is driven largely by professional agendas. METHODS: Patients with chronic kidney disease (CKD) were purposively sampled from four kidney dialysis and transplant centres in Australia to participate in nine focus groups (three each for pre-dialysis, dialysis and transplant patients), which were conducted from July 2006 to September 2006. Each involved 6-8 participants.

Author(s): 
Tong, Allison
Sainsbury, Peter
Carter, Stacy M.
Hall, Bronwyn
Harris, David C.
Walker, Rowan G.
Hawley, Carmel M.
Chadban, Steven
Craig, Jonathan C.
Publication Title: 
Nature Reviews. Nephrology

BACKGROUND: A 60-year-old man with a history of diabetes and hypertension was referred to a nephrology clinic for investigation of his elevated serum creatinine level. INVESTIGATIONS: Physical examination; laboratory investigations, including measurement of whole-blood lead level, body lead burden and urine albumin:creatinine ratio; history of lead exposure and use of herbal medical products; and renal ultrasonography. DIAGNOSIS: Stage 3 chronic kidney disease that was probably worsened by consumption of lead in the form of an Ayurvedic herbal remedy.

Author(s): 
Prakash, Suma
Hernandez, German T.
Dujaili, Ihsan
Bhalla, Vivek
Publication Title: 
Clinical Nephrology

Studies have documented an association between chronic kidney disease (CKD) and increased risk of end stage renal disease, death and comorbidities, including cardiovascular disease and metabolic syndrome, in the general population. However, there is little data on the relationship between CKD and ADE (AIDS defining event), and to our knowledge, no studies have analyzed death as a competing risk for ADE among HIV-infected persons.

Author(s): 
Alves, Tahira P.
Wu, Pingsheng
Ikizler, T. Alp
Sterling, Timothy R.
Stinnette, Samuel E.
Rebeiro, Peter F.
Ghosh, Suvro
Hulgan, Todd
Publication Title: 
Journal of the Medical Association of Thailand = Chotmaihet Thangphaet

BACKGROUND: Lupus nephritis is an important leading cause of chronic kidney disease (CKD) among the young population in Thailand. Systemic lupus erythematosus (SLE) is often characterized by the presence of sympathetic hyperactivity, which results in a perishing outcome. Some physiological studies reveal that meditation may reduce this autonomic dysfunction. The authors hypothesized that meditation could be beneficial in alleviating the sympathetic hyperactivity and improving quality of life in lupus nephritis patients with CKD.

Author(s): 
Bantornwan, Sirawit
Watanapa, Wattana B.
Hussarin, Poungpetch
Chatsiricharoenkul, Somruedee
Larpparisuth, Nuttasith
Teerapornlertratt, Tanyarat
Vareesangthip, Jutamas
Vareesangthip, Kriengsak

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