The effects of vascular access types on the survival and quality of life and depression in the incident hemodialysis patients.
The effects of vascular access types on the survival and quality of life and depression in the incident hemodialysis patients. Ren Fail. 2020 Nov;42(1):30-39 Authors: Kim DH, Park JI, Lee JP, Kim YL, Kang SW, Yang CW, Kim NH, Kim YS, Lim CS Abstract Background: Although arteriovenous fistula (AVF) is the preferred vascular access for hemodialysis (HD), the association between vascular access types and quality of life is not well-known. We investigated the relationships between HD vascular access types and all-cause mortality, health-related quality of life (HRQOL) and the degree of depression in a large prospective cohort.Methods: A total of 1461 patients who newly initiated HD were included. The initial vascular access types were classified into AVF, arteriovenous graft (AVG), and central venous catheter (CVC). The primary outcomes were all-cause mortality and HRQOL and depression. The secondary outcome was all-cause hospitalization. Kidney Disease Quality of Life Short Form 36 (KDQOL-36) and Beck's depression inventory (BDI) scores were measured to assess HRQOL and depression.Results: Among 1461 patients, we identified 314 patients who started HD via AVF, 76 via AVG, and 1071 via CVC. In the survival analysis, patients with AVF showed significantly better survival compared with patients with other accesses (p
CONCLUSIONS: Despite the high level of complexity of the studied population, RA turned out to be an effective procedure with a low rate of in-hospital complications and demonstrated good immediate and mid-term results. PMID: 32250249 [PubMed - as supplied by publisher]
Conclusions: CKD patients exhibited psychological distress when receiving unplanned HD, not closely associated with sociodemographic profiles. PMID: 32146858 [PubMed - in process]
This study highlighted sex differences in areas that could account for the underuse of the procedure in both sexes, with women affected to a greater extent. Understanding these factors will help address the unmet needs of both sexes after TJA by encouraging future studies and provider education to ensure that all patients are able to access the necessary procedures for pain relief and functional improvement. PMID: 32015251 [PubMed - as supplied by publisher]
Ethanol intoxication is widely encountered and can cause coma, hypotension, hypoglycaemia and acid –base disturbances. Isopropyl alcohol and its metabolite acetone cause profound depression of the central nervous system with rapid onset. Toxic alcohols include methanol, ethylene glycol and diethylene glycol; these cause severe metabolic acidosis, acute renal failure and, for methanol, severe vi sual disturbance. Toxicity is attributable to metabolites rather than the alcohol or glycol, and there is a characteristic delay between ingestion and severe toxicity.
The objective of this report is to describe how Ericksonian hypnosis, mindfulness meditation and compassion meditation could support chronic kidney disease patients, their caregivers and the health-care professional. PMID: 31928954 [PubMed - as supplied by publisher]
Authors: Patel P, Konala VM, Adapa S, Gayam V, Sahasranam P, Bose S, Golez CD, Naramala S Abstract Cyanide is notoriously known to the public for more than a century now as a weapon of mass destruction (Zyklon B gas - hydrogen cyanide used by Nazis), an agent for chemical warfare during World War I (hydrogen cyanide) and very infamous "Suicide Pill" used in the past by military and espionage organizations during World War II (potassium cyanide). During the modern industrial era, cyanide poisoning is commonly associated with the industrial exposure and domestic fires. But there is little awareness about po...
Opioid Overdose: Signs, Symptoms, and What to Do Any individual who uses opioids runs the risk of overdosing. Overdoses can be fatal. In fact, more than 130 people in the United States die after overdosing on opioids every day. This makes it important to know what causes an opioid overdose, the signs that an opioid overdose is occurring, and what to do in the event of an opioid overdose. Opioid Overdose Causes In 2017, the CDC reported that more than 15,000 individuals died from drug overdoses involving heroin in the United States. That’s almost 5 deaths for every 100,000 Americans. However, there are some people who...
CONCLUSION: This meta-analysis provided clear evidence of the prevalence of hair dye poisoning among individuals with suicidal intentions and had given robust evidence for policy making to curtail emerging PPD-containing hair dye poisoning in developing countries.
CONCLUSION: Methylene blue is a highly effective agent but contraindicated in severe G6PD deficiency. PMID: 31755382 [PubMed - as supplied by publisher]