- Dialysis and Renal Disease Management
- Central Venous Catheters and Hemodialysis
- Acute Kidney Injury Research
- Muscle and Compartmental Disorders
- Patient Satisfaction in Healthcare
- Medication Adherence and Compliance
- Cardiac Arrhythmias and Treatments
- Health Systems, Economic Evaluations, Quality of Life
- Chemical Reaction Mechanisms
- Pharmacological Effects and Toxicity Studies
- Patient-Provider Communication in Healthcare
- Renal function and acid-base balance
- Chemical Reactions and Mechanisms
- Cardiac Arrest and Resuscitation
- Climate Change and Health Impacts
- Kidney Stones and Urolithiasis Treatments
- Cardiac Valve Diseases and Treatments
- Tuberous Sclerosis Complex Research
- Urinary and Genital Oncology Studies
- COVID-19 Impact on Reproduction
- Potassium and Related Disorders
- Long-Term Effects of COVID-19
- Chronic Kidney Disease and Diabetes
- Vascular Procedures and Complications
- Cardiovascular and Diving-Related Complications
St. Marianna University School of Medicine
2014-2025
Kawasaki Municipal Hospital
2016-2018
Background: This multi-institutional, observational study examined whether the outcomes after peritoneal dialysis (PD) catheter placement in Japan meet audit criteria of International Society for Peritoneal Dialysis (ISPD) guideline and identified factors affecting technique survival perioperative complications. Methods: Adult patients who underwent first PD end-stage kidney disease between April 2019 March 2021 were followed until withdrawal, transplantation, transfer to other facilities,...
The aim of present study was to evaluate the effects one-hour discussion on choice dialysis modality at outpatient clinic.Charts consecutive patients who had started maintenance from May 2013 April 2021 were retrospectively reviewed. Characteristics start compared between participated and not in discussion.Of 620 incident patients, 128 discussion. After propensity score matching (1:1), 127 tended have fewer urgent hospitalizations (13.4% vs. 21.3%, p = 0.068). In addition, more initiated...
To promote understanding of immunoglobulin A nephropathy (IgAN) pathophysiology, we tried to elucidate glomerular protein profiles in IgAN, using microsieving that established recently isolate glomeruli from renal biopsy samples and proteomic approaches.Glomeruli were isolated patients with IgAN (n = 5) minimal change nephrotic syndrome (MCNS; n microsieving. Proteins extracted the separated by 2-dimensional differential gel electrophoresis (2D-DIGE). different amounts between two groups...
High daily pill burden affects quality of life and mortality. interdialytic weight gain (IDWG) is associated with increased We examined the association between IDWG in hemodialysis patients. This cross-sectional study was conducted six dialysis centers Japan June 2017. The exposure number tablets, outcome defined as 1 day relative divided by post-dialysis from previous session. Among 188 outpatients (mean age, 68.7 [SD, 10.3] years; men, 67.0%; median vintage, 76.0 [interquartile range,...
A 41-year-old woman diagnosed with seronegative myasthenia gravis struggled to maintain remission for a decade, facing crises every 3 months several years. After repeated apheresis using non-tunneled non-cuffed central venous dialysis catheter (NTNCC), complications such as catheter-related thrombus in the internal jugular veins and morbid obesity from steroids made insertion of NTNCC increasingly difficult, leading consideration an alternative permanent vascular access (VA) approach. Thus,...
Abstract Introduction The effect of shared decision‐making (SDM) regarding the choice renal replacement therapy (RRT) for chronic kidney disease (CKD) patients on their mortality after induction dialysis has not been adequately investigated. Methods Patients who initiated at our hospital were divided into two groups according to whether they participated in SDM outpatient clinic, and survival analysis was performed. We also examined clinic mortality. Results Of 554 patients, 123 (22.2%)...
Automated peritoneal dialysis; APD
We previously reported a re-embedding catheter technique for peritoneal dialysis (PD) patients with high risk of removal at the discontinuation PD. recently operated on 50-year-old female patient who had resumed PD by externalization after technique. The been acute kidney injury (AKI) due to hypertensive emergency in 2009, but discontinued seven months because her creatinine levels decreased 2 mg/dL. However, renal function did not normalize and she preferred undergo future replacement...
Vascular access intervention therapy (VAIVT) has been positioned as the first choice of treatment for stenosis lesions frequently observed in arteriovenous fistula (AVF) hemodialysis patients Japan. Furthermore, increased blood flow can provide a stable dialysis. In contrast, it reported that excess AVF causes high-output heart failure. Although VAIVT is used to increase AVF, impact on cardiac load rarely reported. We examined factors associated with undergoing by measuring levels α human...