Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia最新文献

{"title":"Optic nerve sheath calcification in a patient with chronic kidney disease: an unusual orbital manifestation.","authors":"Lara Hemerly De Mori, Nina Ventura, Diogo Goulart Corrêa","doi":"10.1590/2175-8239-JBN-2025-0085en","DOIUrl":"10.1590/2175-8239-JBN-2025-0085en","url":null,"abstract":"","PeriodicalId":14724,"journal":{"name":"Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia","volume":"47 3","pages":"e20250085"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatric disorders in chronic hemodialysis patients in a clinic in Bahia: the influence of the COVID-19 pandemic.","authors":"Daniela de Queiroz Moura Landim, Melina Pinheiro Gomes de Souza, Lianna Gabriella Dantas, Ana Flávia Moura, José A Moura-Neto, José Andrade Moura Júnior, Constança Margarida Sampaio Cruz","doi":"10.1590/2175-8239-JBN-2024-0147en","DOIUrl":"10.1590/2175-8239-JBN-2024-0147en","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic Kidney Disease is associated, due to several factors linked to the disease, with a high rate of psychiatric disorders. With the COVID-19 pandemic, evidence suggests an increase in the already high prevalence of these disorders in chronic kidney patients. It is assumed that early diagnosis of psychiatric disorders can contribute to the development of treatment strategies, reducing the morbidity and mortality caused by the disorders.</p><p><strong>Objective: </strong>To determine the prevalence of psychiatric disorders in hemodialysis patients, evaluating the association of COVID-19 and some variables with the occurrence of these disorders.</p><p><strong>Methodology: </strong>Cross-sectional study carried out in a nephrology clinic in Bahia, in 2023. The sample consisted of 119 patients chosen by simple randomization. Patients were evaluated by the Mini International Neuropsychiatric Interview, an internationally validated interview.</p><p><strong>Results: </strong>Sixty-two patients (52.1%) had at least one psychiatric disorder. The most common were Generalized Anxiety Disorder (GAD) (42%) and Major Depressive Episode (MDE) (18.5%). There was no association between COVID-19 diagnosis and any psychiatric disorder. Among the 58 patients who had COVID-19, men had a lower chance of developing some disorder (OR = 0.30; 95% CI [0.10-0.91]), as did patients with >5 years of treatment (OR = 0.17; 95% CI [0.05-0.61]).</p><p><strong>Conclusions: </strong>The prevalence of psychiatric disorders is high. Among patients who had COVID-19, women had more psychiatric disorders, as well as, specifically, more GAD, and patients who had more than 5 years of treatment had a significantly lower chance of developing some psychiatric disorder.</p>","PeriodicalId":14724,"journal":{"name":"Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia","volume":"47 3","pages":"e20240147"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12221274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hypertension in Latin America and the Caribbean: an analysis of recent progress and remaining challenges.","authors":"Andrea Pio de Abreu","doi":"10.1590/2175-8239-JBN-2024-0245en","DOIUrl":"https://doi.org/10.1590/2175-8239-JBN-2024-0245en","url":null,"abstract":"<p><p>This narrative review aims to present the current information on cardiovascular diseases, focusing on hypertension (HT) and associated comorbidities in Latin American and Caribbean (LAC) countries, and compare successful global studies on the subject. LAC countries have unique characteristics, including high socioeconomic inequality and unequal access to health and urban infrastructure. At the same time, urbanization and economic growth have contributed to the proliferation of unhealthy lifestyles. HT is the primary risk factor for cardiovascular morbidity and mortality, affecting between 20 and 40% of the population in this region. It is of utmost importance to address the alarmingly low rates of awareness, treatment, and control of HT. This is further compounded by the rising prevalence of patients with metabolic disorders. Obesity and HT are two pivotal drivers of the cardio-renal disease continuum because patients with uncontrolled cardiovascular risk in mid-life are likely to be at increased risk of clinical cardiovascular and chronic kidney disease in old age. A series of recommended actions include developing population-wide prevention and control programs, implementing opportunistic screening, and using out-of-office blood pressure measurements. It is imperative that primary care and treatment adherence are reinforced. Moreover, accessibility and optimal distribution of efficacious, cost-effective antihypertensive medications are of paramount importance. Insights from high-income countries should be effectively conveyed to LAC countries, respecting the particularities of the regions involved.</p>","PeriodicalId":14724,"journal":{"name":"Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia","volume":"47 3","pages":"e20240245"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiovascular-kidney-metabolic Syndrome: a current and urgent concept.","authors":"Andrea Pio de Abreu, Luciano Ferreira Drager, Madson Queiroz Almeida, Luiz Aparecido Bortolotto, Heno Ferreira Lopes","doi":"10.1590/2175-8239-JBN-2024-0277en","DOIUrl":"10.1590/2175-8239-JBN-2024-0277en","url":null,"abstract":"<p><p>The concept of cardiovascular-kidney-metabolic health is based on the idea of a multifaceted interaction among several cardiovascular, renal, and meta-bolic factors. Alterations in this complex interaction have a significant impact on morbidity and mortality. The ramifications of poor cardiovascular-kidney-metabolic health are far-reaching, with a notable clinical impact. A considerable proportion of the population is affected by precarious cardiovascular, renal, and metabolic health, and indivi-duals with adverse social determinants of health endure an even greater burden. To this end, it is essential to develop an approach that incorporates metabolic staging and prioritizes lifelong prevention. Equally imperative is integrating the social determinants of health into care models for Cardiovascular-kidney-metabolic syndrome, facilitating patient-centered interdisciplinary care. The American Heart Association (AHA) provides guidelines on the definition, staging, paradigms, and holistic approaches to the management of patients with this syndrome. Furthermore, it offers a comprehensive framework for effectively and equitably improving the cardiovascular, kidney, and metabolic health of the population.</p>","PeriodicalId":14724,"journal":{"name":"Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia","volume":"47 2","pages":"e20240277"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"C3 glomerulonephritis associated with monoclonal gammopathy of renal significance: a diagnostic and therapeutic challenge.","authors":"Bárbara Beirão, Mariana Freitas, Natália Silva, Patrícia Ferraz, Catarina Prata, Teresa Morgado","doi":"10.1590/2175-8239-JBN-2024-0106en","DOIUrl":"10.1590/2175-8239-JBN-2024-0106en","url":null,"abstract":"<p><p>C3 glomerulopathy represents a heterogeneous group of glomerulopathies characterized by hyperactivity of the alternative complement pathway. Although the pathophysiology is incompletely understood, an association between this disease and monoclonal gammopathies is increasingly recognized, especially in older individuals. There is still some uncertainty regarding the best treatment for patients with monoclonal gammopathy-associated C3 glomerulopathy. However, recent evidence suggests that myeloma-targeted therapies are associated with improved renal outcomes compared with conservative or conventional immunosuppressive therapies. This case report describes the clinical course and long-term follow-up of a patient with monoclonal gammopathy-associated C3 glomerulonephritis treated with myeloma-targeted therapy.</p>","PeriodicalId":14724,"journal":{"name":"Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia","volume":"47 2","pages":"e20240106"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11804883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Renal osteodystrophy in Brazil: the skeleton calls for greater attention!","authors":"Carolina Aguiar Moreira, Sérgio Gardano Elias Bucharles","doi":"10.1590/2175-8239-JBN-2025-E007en","DOIUrl":"https://doi.org/10.1590/2175-8239-JBN-2025-E007en","url":null,"abstract":"","PeriodicalId":14724,"journal":{"name":"Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia","volume":"47 2","pages":"e2025E007"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144247897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutritional counseling tailored to the patient's learning type and its impact on interdialytic weight gain in chronic hemodialysis patients.","authors":"Naiane Rodrigues de Almeida, Caio Pellizzari, Cynthia Leinig, Fabiana Nerbass, Thyago Proença de Moraes","doi":"10.1590/2175-8239-JBN-2023-0205en","DOIUrl":"10.1590/2175-8239-JBN-2023-0205en","url":null,"abstract":"<p><strong>Introduction: </strong>Interdialytic weight gain (IDWG) is a risk factor for cardiovascular complications and mortality in hemodialysis (HD) patients. Sodium and fluid intake are important modifiable risk factors for these outcomes, and the role of the nutritionist as educator is essential in this process. However, patient adherence is often low, representing a significant challenge. Recent recommendations suggest personalizing the education process, but there is limited data on how to effectively carry out this adaptation. The present study aimed to assess the effectiveness of a personalized nutritional intervention based on learning style using the VARK tool with the goal of reducing IDWG in HD patients.</p><p><strong>Objective: </strong>This was a randomized crossover clinical trial. Patients in the intervention group received individualized nutritional guidance based on their learning style, as determined by the VARK questionnaire. The control group received standard guidance without any personalization or educational materials.</p><p><strong>Results: </strong>A total of 21 chronic HD patients participated in the study. On average, the baseline IDWG in the population was 2.61 ± 1.08 liters, and we did not observe any significant pattern of change in either IDWG (p = 0.55) or systolic blood pressure (p = 0.44) over the study period.</p><p><strong>Conclusion: </strong>Tailored nutritional counseling based on the patient's learning style did not lead to an improvement in IDWG in our population.</p>","PeriodicalId":14724,"journal":{"name":"Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia","volume":"47 2","pages":"e20230205"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: Long-term kidney outcomes in children after allogeneic hematopoietic stem cell transplantation assessed with estimated glomerular filtration rate equations, creatinine levels, and cystatin C levels.","authors":"","doi":"10.1590/2175-8239-JBN-2021-0231eren","DOIUrl":"https://doi.org/10.1590/2175-8239-JBN-2021-0231eren","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/2175-8239-JBN-2021-0231en] [This corrects the article doi: 10.1590/2175-8239-JBN-2021-0231pt].</p>","PeriodicalId":14724,"journal":{"name":"Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia","volume":"47 2","pages":"e20210231er"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12023911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kidney transplantation in lupus patients: from contraindicated to an excellent option for renal function replacement.","authors":"Vinicius Daher Alvares Delfino, Abel Esteves Soares","doi":"10.1590/2175-8239-JBN-2025-E009en","DOIUrl":"10.1590/2175-8239-JBN-2025-E009en","url":null,"abstract":"","PeriodicalId":14724,"journal":{"name":"Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia","volume":"47 2","pages":"e2025E009"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Secondary hyperparathyroidism in patients on dialysis therapy in 2025.","authors":"Tilman B Drüeke","doi":"10.1590/2175-8239-JBN-2025-E006en","DOIUrl":"https://doi.org/10.1590/2175-8239-JBN-2025-E006en","url":null,"abstract":"","PeriodicalId":14724,"journal":{"name":"Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia","volume":"47 2","pages":"e2025E006"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}