Association between Testosterone and Mortality Risk among U.S. Males Receiving Dialysis.
We examined a nationally representative cohort of male dialysis patients from a large US dialysis organization who underwent one or more total testosterone measurements from 1/2007 to 12/2011. The association between total testosterone categorized as quartiles and all-cause mortality was studied using Cox models adjusted for expanded case-mix and laboratory covariates. We also examined total testosterone as a continuous predictor of all-cause mortality using restricted cubic splines. RESULTS: Among 624 male dialysis patients, 51% of patients demonstrated testosterone deficiency (total testosterone
Abstract PMID: 30425204 [PubMed - in process]
Authors: Bucharles SGE, Wallbach KKS, Moraes TP, Pecoits-Filho R Abstract Hypertension (blood pressure> 140/90 mm Hg) is very common in patients undergoing regular dialysis, with a prevalence of 70-80%, and only the minority has adequate blood pressure (BP) control. In contrast to the unclear association of predialytic BP recordings with cardiovascular mortality, prospective studies showed that interdialytic BP, recorded as home BP or by ambulatory blood pressure monitoring in hemodialysis patients, associates more closely with mortality and cardiovascular events. Although BP is measured frequently in the dialys...
CONCLUSIONS: Patients on hemodialysis showed high levels of R/S, which correlated with higher happiness levels. Clinical and sociodemographic variables were not correlated with patients' happiness. Psychosocial variables such as R/S and SC are potential key targets for interventions to promote better survival quality among CKD patients. PMID: 30421782 [PubMed - as supplied by publisher]
Condition: Arteriovenous Fistula Interventions: Behavioral: The handgrip exercise; Behavioral: The dumbbell exercise Sponsor: Guangdong General Hospital Recruiting
Publication date: Available online 14 November 2018Source: Journal of Industrial and Engineering ChemistryAuthor(s): Gyeong-Won Jeong, Woong-Gil Hong, Jun-Hyuk Anh, You-Jin Jeon, Suk Soon Choi, Tae-Il Son, Sang Chai Kim, Young-Il Jeong, Jae-Woon NahAbstractThe pH-sensitive LMWSC-PCL di-block copolymer (LMP) was synthesized by radical polymerization between LMWSC and PCL macromere using potassium persulfate (KPS), and paclitaxel (PTX)-encapsulated LMP (LMPPTX) nanoparticles were prepared by sonication and dialysis method. To investigate pH-sensitive effect of LMP, its particle size was measured in neutral-pH and acidic-pH c...
To investigate whether patients requiring dialysis are a higher risk surgical population and would experience more peri-operative adverse events even when undergoing a perceived less invasive operation as a laparoscopic radical nephrectomy (LRN). LRN is generally a well-tolerated surgical procedure with minimal morbidity and mortality. Prior to transplantation, dialysis patients will often have to undergo a LRN to remove a native kidney with a suspicious mass.
With the rising incidence of chronic kidney disease, there has been a steady growth of the hemodialysis (HD) and peritoneal dialysis (PD) population. Prevalence of obesity has also been on the rise. It has been proposed by some that obesity helps with survival in HD and possibly in PD patients —a concept called “Reverse Epidemiology.” Here, we attempt to explore this phenomenon in the HD and PD populations and see specifically if it is time to reverse this concept. A MEDLINE search was performed using search terms: obesity, body mass index, end-stage renal disease, HD, PD, renal dia lysis, mortality, surv...
The impact of glycemic control in diabetic patients with chronic kidney disease (CKD) who may or may not transition to dialysis remains uncertain, given recent interest in the conservative management of advanced CKD without dialysis therapy, which may benefit from alternative glycemic control strategies.
Conclusions: Lesions at the PD catheter exit site are usually treated for infections. However, for ulcers that are painful, rapidly expanding, nonhealing, and unresponsive to antibiotics, PG should be considered as a differential diagnosis. This is the first reported case of PG occurring at the exit site of a PD catheter.Case Rep Nephrol Dial 2018;8:239 –245