Single needle hemodialysis: is the past the future?

Single needle hemodialysis: is the past the future? J Nephrol. 2019 Sep 19;: Authors: Vanholder R Abstract Whereas the usual way to gain access to the vascular bed for hemodialysis is by inserting two needles, an alternative option based on the introduction of only one needle has been available for several decades. Although single needle hemodialysis gradually lost popularity in the early nineties of last century, this option now seems to make a come-back, with the current change in patient mix towards more elderly and cardio-vascular disease and the appearance of more flexible hardware. Single needle hemodialysis offers several advantages, such as the possibility to puncture small or maturing access systems, a decrease in number of punctures with less potential access damage and subsequent complications, the avoidance of central vein catheter use, and an improved quality of life by reducing puncture-related pain, stress and complications. The main drawback is recirculation which however can be overcome (if considered necessary) by making dialysis somewhat longer and in addition has more impact on removal of small water soluble compounds than on clearance of the more toxic difficult to remove solutes (middle molecules and protein bound compounds). Effective dialyzer blood flow with single needle dialysis cannot be much higher than 300 mL/min, which however also offers advantages by making short dialysis sessions less feasible and thus reducing the l...
Source: Journal of Nephrology - Category: Urology & Nephrology Authors: Tags: J Nephrol Source Type: research

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ConclusionsThese data suggest OXT ÔÇÉrelated modulation of regional activity and neural network strength in patients with cLBP and healthy controls. In patients, distinct regions of the pain matrix may be responsive to modulation by OXT.
Source: European Journal of Pain - Category: Anesthesiology Authors: Tags: ORIGINAL ARTICLE Source Type: research
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Source: The American Journal of Chinese Medicine - Category: Complementary Medicine Authors: Tags: Am J Chin Med Source Type: research
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Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Neurology Source Type: forums
Would anyone inject? Patient with bilateral leg weakness.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
No abstract available
Source: The Back Letter - Category: Orthopaedics Tags: Articles Source Type: research
No abstract available
Source: The Back Letter - Category: Orthopaedics Tags: Articles Source Type: research
Publication date: Available online 15 February 2020Source: NeuroImageAuthor(s): Minhae Kim, Ishtiaq Mawla, Daniel S. Albrecht, Roee Admon, Angel Torrado-Carvajal, Courtney Bergan, Ekaterina Protsenko, Poornima Kumar, Robert R. Edwards, Atreyi Saha, Vitaly Napadow, Diego A. Pizzagalli, Marco L. LoggiaAbstractBackgroundChronic pain and mood disorders share common neuroanatomical substrates involving disruption of the reward system. Although increase in negative affect (NA) and decrease in positive affect (PA) are well-known factors complicating the clinical presentation of chronic pain patients, our understanding of the mech...
Source: NeuroImage - Category: Neuroscience Source Type: research
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Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anxiety and Panic Children and Teens General Health-related Mental Health and Wellness Psychology Around the Net Sleep Students Technology Trauma Alternative Schools digital technology Medicare Memes school for traumatized stud Source Type: blogs
Conclusions: Our results confirmed the perpendicularity of the interlaminar line with the pedicle axis in the lumbar spine at all the levels. The interlaminar line is a useful guide for pedicle screw sagittal inclination. PMID: 32050312 [PubMed - as supplied by publisher]
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
SIS Opposes Florida Bill Authorizing PAs and APRNs To Perform Spine Interventions - Spine Intervention Society
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
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