<b><i>Background/Aims: </i></b>The aim of the study was to evaluate effects a six-month physical training undertaken by haemodialysis (HD) patients, on depression and anxiety. <b><i>Methods: </i></b>Patients with end stage renal disease (ESRD) were recruited from dialysis station at Department Nephrology Transplantation Medicine in Wroclaw. Physical took place beginning first 4-hours dialysis, three times week for six months. A personal...

Chronic kidney disease (CKD) can significantly influence a patient's nutritional status, leading to malnutrition. Malnutrition is associated with an increase in morbidity and hospital admissions, as well decrease functional status. All these factors impact emotional, physical, psychosocial health, lower quality of life (QOL). The aim the study was assess status QOL patients CKD compared after transplantation determine what this patient population. included 167 patients: 39 pre-dialysis...

<i>Aim:</i> The aim of the present study was to evaluate influence cycle exercise during hemodialysis (HD) on patients’ physical proficiency, muscle strength, quality life and selected laboratory parameters. <i>Patients Methods:</i> In a group 29 (15 female, 14 male) HD patients (age 64.2 ± 13.1 years), 3 months training dialysis sessions performed. following data were analyzed: strength lower extremities (six-minute walk test, isokinetic knee extension, flexion peak...

Cell-mediated immunity and chronic inflammation are hallmarks of kidney disease (CKD). Growth differentiation factor 15 (GDF15) is a marker an integrative signal in stress conditions. Epidermal growth (EGF) tubule-specific protein that modulates the regeneration injured renal tubules. Neopterin product activated monocytes macrophages serves as cell-mediated immunity. Our aim was to assess role above-mentioned parameters progression CKD children using artificial intelligence tools. The study...

Background: The number of senior chronic kidney disease (CKD) patients is steadily increasing worldwide. Falls are more frequent in this group than the general population, and they associated with a variety complications ranging from minor (bruises) to severe (fracture, brain injury, or death). significant burden comorbidities, particularly cardiovascular disorders, impacts coordination. aim study was assess coordination disorders CKD context vascular status. Methods: In prospective study,...

Background: Anti-PAR 1 (protease-activated receptor 1) and anti-ACE 2 (angiotensin 2-converting enzyme 2) antibodies are a kind of non-HLA (human leukocyte antigens) postulated to be significance in autoimmunological diseases organ transplantation. Methods: We assessed anti-PAR antibody levels patients with membranous nephropathy n= 18, focal segmental glomerulosclerosis (FSGS) n = 25, lupus nephritis (LN) 17, IgA 14, mesangial proliferative (non-IgA) glomerulonephritis 6, c-ANCA...

Purpose . The aim of this study was to assess the impact a 3-month physical training program, conducted in an aquatic environment with end-stage renal disease patients (ESRD), on fitness and functional parameters knee joint muscles. Patients Methods included 20 ESDR mean age<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M1"><mml:mn>64.2</mml:mn><mml:mo>±</mml:mo><mml:mn>13.1</mml:mn></mml:math> y. treated hemodialysis Dialysis Center University Hospital Wroclaw. Before 3 months...

Depression and anxiety are common among chronic kidney disease (CKD) patients but rarely diagnosed treated. Furthermore, the fraction of with depression is greater hemodialyzed patients. The aim study was to assess prevalence symptoms, level life satisfaction in three groups based on stage CKD. group consisted 283 patients—130 females 153 males, mean aged 54.7 (±15.3) III–V after transplantation. Beck Inventory (BDI), Satisfaction Life Scale (SWLS), State-Trait Anxiety (STAI) were used....

Background. Patient malnutrition is a significant problem in the process of rehabilitation and treatment. One tools that can reveal risk series standardized nutritional questionnaires.Objectives. The aim study was to assess status patients with end-stage renal disease (ESRD) by means minimal assessment (MNA) scale.Material Methods. group included respondents suffering from ESRD who were Dialysis Center at Clinic Nephrology Transplantation Medicine University Clinical Hospital Wrocław....

Elderly patients, defined as octogenarians and nonagenarians, are an increasing population entering renal replacement therapy. Advanced age appears exclusive factor negatively influencing dialysis practice. patients referred late for the initiation of hemodialysis more likely offered catheters rather than arteriovenous fistulae (AVF), which increase mortality affect quality life. We present our approach to creation vascular access in this demanding population. In 2006-2012, 39 aged 85.9 ±...

The native arteriovenous fistula (AVF) needs maturation before it can be used. Needling done time may result in haematoma formation, miscannulation or even access loss.This retrospective study included 20 patients with AVFs punctured fluoroplastic dialysis catheters within 30 days after creation and 19 historical controls.The to first puncture was 2-29 for the group 1-26 control group. incidences of were 16.7 48 per 1,000 sessions plastic metal needles, respectively. Estimated primary...

Abstract Background Lupus nephropathy (LN) occurs in approximately 50% of patients with systemic lupus erythematosus (SLE), and 20% them will eventually progress into end-stage renal disease (ESRD). A clinical tool predicting remission proteinuria might be utmost importance. In our work, we focused on the chance complete achievement LN patients, using artificial intelligence models, especially an neural network, called multi-layer perceptron. Methods It was a single centre retrospective...

Volume status, congestion, endothelial activation, and injury all play roles in glomerular filtration rate (GFR) decline. In this study, we aimed to determine whether the plasma overhydration markers could serve as independent predictors for dialysis initiation patients with chronic kidney disease (CKD) 3b-5 (GFR < 45 mL/min/1.72 m2) preserved ejection fraction. A prospective, observational study a single academic center was conducted from March 2019 2022. Plasma levels of angiopoietin...

Low-grade inflammation is a significant component of chronic kidney disease (CKD). Systemic immune index (SII), newly defined ratio combining neutrophil, lymphocyte, and platelet counts, has not yet been evaluated in the pediatric CKD population nor context progression or dialysis. Thus, this study aimed to analyze complete blood cell count (CBC)-driven parameters, including SII, children with assess their potential usefulness prediction need for dialysis.A single-center, retrospective was...

The standard approach in patients with a clotted arteriovenous fistula (AVF) on the forearm is creation of another vascular access arm using patient's own vessels or prosthetic graft. Here we propose option as secondary angioaccess for chronic hemodialysis (HD): superficialization radial artery.Indications procedure were 1) long-standing AVF that has irreversibly and/or central vein stenosis resistant to angioplasty; 2) who have no other prospect even brachial AVF. was undertaken 7 HD...

Introduction. Patients with end-stage renal disease (ESRD) have poor physical performance and exercise capacity due to frequent dialysis treatments. Tai Chi exercises can be very useful in the area of rehabilitation people ESRD.The aim study was assess ESRD patients participating 6-month training. Methods. Twenty from Wroclaw took part training; at end project, 14 remained (age 69.2 ± 8.6 years). A 6-minute walk test (6MWT) spiroergometry were performed beginning after 6 months...

IgA nephropathy (IgAN) is the most frequent primary glomerulonephritis worldwide. Due to its heterogenicity, there a need establish robust biomarkers for IgAN, support treatment decisions and evaluate risk of progression end-stage renal disease. Using both clinical histopathological data, derived from biopsies, we aimed find predictors function deterioration proteinuria reduction. Clinical data 80 patients with biopsy proven IgAN were analyzed. In multivariate logarithmic regression model,...

Kidney recipients with failing allograft function face the vascular access problem again before returning to hemodialysis. An autologous arteriovenous fistula (AVF), according recent Disease Outcomes Quality Initiative (KDOQI) guidelines, is optimal and use of prosthetic grafts catheters should be limited. The objective this study was assess feasibility AVF reconstruction in patients reentering hemodialysis after kidney failure.Two hundred forty-one transplant reentered between 1990 2005....

Management of failing tunneled hemodialysis catheters, sometimes the only vascular access for hemodialysis, presents a difficult problem. In spite various techniques having been developed, no consensus has reached about preferred technique, associated with longest catheter patency.We report disruption fibrin sheath covering dysfunctional by means angioplasty, followed over guidewire exchange.Following procedure, placed in recovered lumen vessel presented correct function.The described...

Creation of arteriovenous fistula (AVF) may lead to left ventricle hypertrophy and predispose for development or worsening heart failure. It was postulated reduce access blood flow if exceeded 2 L/min cardiac index higher than 3.0 L/min/m2. Numbers techniques decreasing were described. The major disadvantage the complexity procedure necessity intraoperative measurement needed establish desired flow. technique dilator-assisted banding with no endovascular catheterization is presented. After...

Diabetics with stage V chronic kidney disease (CKD) on hemodialysis (HD) are considered as "difficult patients", because of problems creation the vascular access. There is controversy regarding results and recommendations for preparation access in these patients. The aim this retrospective study was to evaluate creating different types arteriovenous fistula (AVFs) consecutive series patients starting dialysis treatment. analysis performed 741 (385 females 356 males), average age 61.4±7...