- Dialysis and Renal Disease Management
- Central Venous Catheters and Hemodialysis
- Muscle and Compartmental Disorders
- Health Systems, Economic Evaluations, Quality of Life
- Organ Donation and Transplantation
- Solar Thermal and Photovoltaic Systems
- Diabetes Management and Research
- Blood Pressure and Hypertension Studies
- Heart Failure Treatment and Management
- Renal and Vascular Pathologies
- Renal Transplantation Outcomes and Treatments
- Demographic Trends and Gender Preferences
- Diet and metabolism studies
- Metabolism and Genetic Disorders
- Adolescent and Pediatric Healthcare
- Ethics and Legal Issues in Pediatric Healthcare
- Adolescent Health and Behaviors
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Global Maternal and Child Health
- Palliative Care and End-of-Life Issues
- Organ Transplantation Techniques and Outcomes
- Fatty Acid Research and Health
- Heat Transfer and Optimization
- Migration, Health and Trauma
- Childhood Cancer Survivors' Quality of Life
Stanford University
2014-2024
Santa Clara Valley Medical Center
2010-2024
University of Miami
2019-2024
Central Building Research Institute
2022-2023
Bundelkhand University
2017-2023
Banasthali University
2022
McGill University Health Centre
2020
University of Toronto
2008-2019
Jackson Memorial Hospital
2019
Dr. BMN College of Home Science
2017
Peritoneal dialysis (PD) catheter-related infections are important risk factors for catheter loss and peritonitis. The 2023 updated recommendations have revised clarified definitions classifications of exit site infection tunnel infection. A new target the overall rate should be no more than 0.40 episodes per year at risk. recommendation about topical antibiotic cream or ointment to has been downgraded. New include suggestion dressing cover treatment duration with emphasis on early clinical...
Objectives Switching from peritoneal dialysis (PD) to hemodialysis (HD) is undesirable, because of complications temporary vascular access, disruption daily routine, and higher costs. Little known about the role that social factors play in technique failure. Design, Setting, Participants, Measurements We followed for 3 years a nationally representative cohort US patients who initiated PD 1996 – 1997. Technique failure was defined as any switch HD 30 days or more. used Cox regression examine...
Home dialysis has been underused in the United States, especially among minority groups. We investigated whether adjustment for socioeconomic factors would attenuate racial/ethnic differences initiation of home dialysis.Retrospective observational cohort study.Adult patients US Renal Data System who initiated on day 1 with either in-center hemodialysis (HD), HD (HHD), or peritoneal (PD) from 2005 to 2013.Race/ethnicity: non-Hispanic white, Hispanic, black, Asian.Initiating PD versus and HHD...
Abstract Functional dependence is an important determinant of longevity and quality life. The purpose the current study was to determine prevalence correlates functional among patients with end‐stage renal disease ( ESRD ) receiving maintenance dialysis. We enrolled 148 participants from five clinics. status, as measured by basic instrumental activities daily living ADL , IADL ), ascertained validated questionnaires. defined needing assistance in at least one seven IADLs or four ADLs ....
We examined the magnitude of adaptive hyperfiltration in remaining kidney 16 aging (>57 yr) and youthful (<55 individuals who had undergone a contralateral nephrectomy. Healthy volunteers were (n = 143) or 37) provided control values for binephric condition. One-kidney glomerular filtration rate (GFR; +42%), renal plasma flow (+38%), oncotic pressure (+2.8 mmHg), mean arterial (+7.0 mmHg) all higher uninephric vs. subjects. Corresponding excesses subjects by 38 36% 1.4 14.0 mmHg,...
The purpose of this cross-sectional study was to determine the prevalence and potential significance stroke symptoms among end-stage renal disease (ESRD) patients without a prior diagnosis or TIA.We enrolled 148 participants with ESRD from 5 clinics. Stroke functional status, basic instrumental activities daily living (ADL, IADL), were ascertained by validated questionnaires. Cognitive function assessed neurocognitive battery. impairment defined as score 2 SDs below norms for age education...
Peritoneal dialysis (PD) can offer patients more autonomy and flexibility compared with in-center hemodialysis (HD). However, burnout - defined as mental, emotional, or physical exhaustion that leads to thoughts of discontinuing PD is associated an increased risk transfer HD. We aimed describe the perspectives among on their caregivers.In this focus group study, 81 45 caregivers participated in 14 groups from 9 units Australia, Hong Kong, United States. Transcripts were analyzed...
Data on the effectiveness of angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs) in reducing cardiovascular (CV) risk patients undergoing peritoneal dialysis (PD) are limited. We investigated association between ACEI/ARB use CV outcomes initiating PD.In this observational cohort study, we identified from United States Renal System all adult who initiated PD 2007 to 2011 participated Medicare Part D, a federal prescription drug benefits program, for...
Introduction: Cytological examination of serous effusions helps in staging, prognostication and management patients with malignancy. The method has disadvantage lower sensitivity differentiating reactive atypical mesothelial cells from malignant cells. Aim: aim this study is to compare the cytological features pleural peritoneal exudative fluids by conventional smear (CS) cell block (CB) also assess utility a combined approach for cytodiagnosis these effusions. Materials Methods: One hundred...
A random assessment of adolescent girls living in the hostels Kota revealed a disturbing pattern their eating habits. Their general consumption was erratic and high on empty calories lacking precautions without any heed being paid to nutritional value food consumed. sample 50 (16 22 years age) belonging middle higher class families chosen arbitrarily provided with questionnaire methodically planned responses were assessed taking into consideration unique life they subjected to. Girls have be...
We investigated whether the recent growth in home dialysis use was proportional among all racial/ethnic groups and also there were changes differences outcomes.
Kaposi's sarcoma (KS) is a lymphoangioproliferative neoplasm induced by human herpes virus 8 (HHV-8). Four clinical variants have been recognized: classical, African endemic, AIDS-related, and KS caused iatrogenic immunosuppression. The latter typically associated with the use of immunosuppressive therapy in organ transplant recipients; however, can also occur patients receiving immunosuppression for other indications, such as autoimmune disorders.1
Background Despite growing need, treatment for end-stage renal disease is limited in low- and middle-income countries due to resource restraints. We describe the development of an educational curriculum quality improvement program support continuous ambulatory peritoneal dialysis (CAPD) performed primarily by non-nephrology providers Sri Lanka. Methods developed a education, outcome tracking, expert consultation Kandy, Education included videos in-person didactics covering core topics CAPD....