Turkish Nephrology Dialysis and Transplantation Journal最新文献_第10页

The Relationship Between Bioimpedance-Measured Volume and Nutritional Parameters and Mortality in Hemodialysis Patients 血液透析患者生物阻抗测量体积与营养参数及死亡率的关系

Turkish Nephrology Dialysis and Transplantation Journal Pub Date : 2017-05-22 DOI: 10.5262/TNDT.2017.1002.09

E. Hur, S. Budak, K. Mağden, G. Yıldız, U. Soyaltin, B. Toka, N. Turan, S. Çelikörs, B. Altundal, A. Tunç, A. Yılmaz, A. Sivri, S. Sezer, S. Duman

{"title":"The Relationship Between Bioimpedance-Measured Volume and Nutritional Parameters and Mortality in Hemodialysis Patients","authors":"E. Hur, S. Budak, K. Mağden, G. Yıldız, U. Soyaltin, B. Toka, N. Turan, S. Çelikörs, B. Altundal, A. Tunç, A. Yılmaz, A. Sivri, S. Sezer, S. Duman","doi":"10.5262/TNDT.2017.1002.09","DOIUrl":"https://doi.org/10.5262/TNDT.2017.1002.09","url":null,"abstract":"OBJECTIVE: Hypervolemia and malnutrition are often undiagnosed risk factors for hemodialysis (HD). Our aim was to investigate the long-term effects of hypervolemia and malnutrition evaluated by bioimpedance spectroscopy (BIS) on survival. (Clinical Trials. Gov Identifier: NCT01468363). MATERIAL and METHODS: A total of 431 Prevalent HD patients were followed for 32.2±14.4 months. The patients underwent BIS measurement, a medical history was obtained, and routine tests were analyzed at the baseline and at the end of the study. Hospitalizations and complications of HD were recorded. RESULTS: The mean age was 59.4±14.6 (10-92) years with a total of 431 (53.6% males) patients of which 125 died. The percentage of diabetics was 47%, erythropoietin use 67%, and diuretic use 40%. Predialysis systolic blood pressure (BP) was 133.4±25.8 and diastolic BP 79.2±12.4 mm Hg. The rate of diabetes, and the number of hospitalizations and blood transfusions were higher in the patients who died. Diastolic BP as a clinical hypervolemia finding, BIS hypervolemia indicator of over hydration (OH), and extracellular water (ECW) were all increased, and fat tissue index as a malnutrition finding was decreased in patients who died. There were significant rates of anemia and hypoalbuminemia in this group as well. The cumulative survival was lower in hypervolemic patients as assessed by relative hydration status OH/ECW. CONCLUSION: Hypervolemia and malnutrition are the long-term mortality indicators in hemodialysis. Early diagnosis and treatment is important. Clinical findings may not be sufficient and laboratory and BIS methods can be used for diagnosis. KEy wORDS: Overhydration, Bioimpedance, Malnutrition, Fat tissue index, Mortality","PeriodicalId":42328,"journal":{"name":"Turkish Nephrology Dialysis and Transplantation Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46023058","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}

引用次数: 1

Fibromuscular Dysplasia: A Rare Case of Renal Artery Stenosis Presenting with Stroke 纤维肌肉发育不良:肾动脉狭窄伴中风的罕见病例

Turkish Nephrology Dialysis and Transplantation Journal Pub Date : 2017-05-22 DOI: 10.5262/TNDT.2017.1002.16

S. Sarıtaş, N. Dundar, A. Anıl, C. Alparslan, F. Can, D. Çavuşoğlu, Ö. Öztekin, O. Yavascan

引用次数: 0

Hemodiyaliz Hastalarının Hipertansiyon Yönetimine İlişkin Evde Yaptıkları Uygulamalar

Turkish Nephrology Dialysis and Transplantation Journal Pub Date : 2017-05-22 DOI: 10.5262/TNDT.2017.1002.11

Feray Gökdoğan, Duygu Kes, Gülay Turgay, D. Tuna

{"title":"Hemodiyaliz Hastalarının Hipertansiyon Yönetimine İlişkin Evde Yaptıkları Uygulamalar","authors":"Feray Gökdoğan, Duygu Kes, Gülay Turgay, D. Tuna","doi":"10.5262/TNDT.2017.1002.11","DOIUrl":"https://doi.org/10.5262/TNDT.2017.1002.11","url":null,"abstract":"OBJEcTIVE: This study aimed to determine home application by hemodialysis patients for hypertension management. MATERIAL and METhOdS: The population of the descriptive study included a total of 279 patients who were treated at the hemodialysis centers of two state hospitals, one private hospital and one training and research hospital situated within Karabük province. A total of 120 patients who were over 18 years of age, had hypertension, could communicate, and whose clinic state were stable, who did not have any mental and psychiatric disorder and who accepted to participate in the research voluntarily were included in the sample. RESuLTS: It was determined that 59.2% of the patients who participated in the study did not measure their blood pressures at home regularly; 44.6% did not take their medication regularly and did not know the name and dosages of their medication (60.7% and 64.3% respectively); 73.2% had stopped taking medication without the physician’s knowledge; 85% used salt in meals; and 70.8% and 46.7% respectively did not comply with the liquid limitation. cOncLuSIOn: It is important to reveal the effects of a nursing care approach for supporting hypertension self-management at home of our patients based on their individual characteristics through studies focusing on regular training, monitoring and providing consultancy services. kEY wORdS: Hypertension, Hemodialysis, Nursing, Home care * Çalışma, yazarları tarafından 25. Ulusal Böbrek Hastalıkları, Diyaliz ve Transplantasyon Hemşireliği Kongresi’nde sunulmuştur (21-25 Ekim 2015, Antalya).","PeriodicalId":42328,"journal":{"name":"Turkish Nephrology Dialysis and Transplantation Journal","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41835279","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}

引用次数: 0

Rare Complication in Tenchkoff Catheter Insertion: Placement in the Bladder Tenchkoff导管插入的罕见并发症：膀胱内放置

Turkish Nephrology Dialysis and Transplantation Journal Pub Date : 2017-05-22 DOI: 10.5262/tndt.2017.1002.17

B. Eser, I. Dogan, O. Yayar, S. Çalışkan

引用次数: 1

Prenatal Risk Factors for Congenital Anomalies of the Kidney and Urinary Tract 先天性肾脏和尿路异常的产前危险因素

Turkish Nephrology Dialysis and Transplantation Journal Pub Date : 2017-05-22 DOI: 10.5262/TNDT.2017.1002.05

A. Soylu, H. Eroglu, S. Çamlar, M. Türkmen, S. Kavukçu

{"title":"Prenatal Risk Factors for Congenital Anomalies of the Kidney and Urinary Tract","authors":"A. Soylu, H. Eroglu, S. Çamlar, M. Türkmen, S. Kavukçu","doi":"10.5262/TNDT.2017.1002.05","DOIUrl":"https://doi.org/10.5262/TNDT.2017.1002.05","url":null,"abstract":"OBJECTIVE: Congenital anomalies of the kidney and urinary tract (CAKUT) are the leading cause of chronic renal disease in childhood. Abnormal intrauterine conditions as well as genetic disorders play role in CAKUT development. We evaluated antenatal factors in CAKUT. MATERIAL and METHODS: The study and control groups included 140 CAKUT cases and 140 children without urinary malformation, respectively. Both groups were compared for antenatal (gestational period, prematurity, oligohydramios, preeclampsia, gestational diabetes, accompanying malformation, in vitro fertilization), maternal (age, body weight at pregnancy onset, weight gain during pregnancy, systemic disease, smoking, alcohol, medications) and familial (consanguinity, renal disease, urinary malformation) parameters. RESULTS: The study group had a shorter gestational period (38.8±2.9 vs. 39.5±0.9 week, p=0.004), but higher prematurity (9.3% vs. 0.7%, p=0.001), parity (≥2 parity 57.9% vs. 41.4%, p=0.006), oligohydramnios (6.4% vs. 0%, p=0.002), accompanying malformation (15.7% vs. 5.7%, p=0007), weight gain in pregnancy (18.8±2.9 vs. 18.1±2.8 kg, p=0.047) and familial renal disease (7.9% vs. 2.1%, p=0.028) rates. In vitro fertilization was present in only two cases in the study group. CONCLUSION: Weight gain in pregnancy and increased parity may be risk factors for CAKUT. Population-based studies are needed to determine the role of subfertility. KEy wORDS: CAKUT, Maternal weight, Parity, Risk factors, Subfertility","PeriodicalId":42328,"journal":{"name":"Turkish Nephrology Dialysis and Transplantation Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47328746","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}

引用次数: 1

Therapeutic Plasma Exchange in Pediatric Patients with Nephrologic Diseases: Results from a Single Center 儿科肾病患者的治疗性血浆置换：来自单一中心的结果

Turkish Nephrology Dialysis and Transplantation Journal Pub Date : 2017-05-22 DOI: 10.5262/tndt.2017.1002.08

Y. Kandur, Yeşim Özdemir Atikel, Bahar Büyükkaragöz, Ş. Göral, İ. Yenicesu, S. Bakkaloğlu

{"title":"Therapeutic Plasma Exchange in Pediatric Patients with Nephrologic Diseases: Results from a Single Center","authors":"Y. Kandur, Yeşim Özdemir Atikel, Bahar Büyükkaragöz, Ş. Göral, İ. Yenicesu, S. Bakkaloğlu","doi":"10.5262/tndt.2017.1002.08","DOIUrl":"https://doi.org/10.5262/tndt.2017.1002.08","url":null,"abstract":"OBJECTIVE: Therapeutic plasma exchange (TPE) has been used in many diseases as primary or adjunctive therapy. We present our TPE experience in a pediatric nephrology practice setting. MATERIAL and METHODS: We retrospectively evaluated the indications and outcomes of TPE performed between 2008-2013 on the basis of the 2013 American Society for Apheresis Guidelines. RESULTS: One hundred and sixteen TPEs were performed in 15 patients (6 male / 9 female, mean age 12.9±3.5 years). The indications were hemolytic uremic syndrome (HUS) in 7 (four atypical) patients, pre-transplant TPE in 3 patients with focal segmental glomerulosclerosis (FSGS), treatment-resistant membranoproliferative glomerulonephritis (MPGN) in 1 patient, antibody mediated rejection (AMR) in 3 patients, and thrombotic microangiopathy (TMA) in 1 renal transplantation patient. Six months after TPE, hypertension persisted in two of seven and proteinuria in three of seven HUS patients, although all HUS patients had normal creatinine levels. Similarly, serum creatinine and urinary protein excretion were within the normal range in all FSGS patients and in one patient with AMR. Thrombocytopenia and anemia resolved and the blood creatinine level decreased in a patient with TMA. CONCLUSION: Although adherence to adult TPE guideline indications is around 50%, treatment results of TPE are satisfactory in 2/3 of our pediatric nephrology patients. Pediatric TPE Guidelines based on pediatric evidence-based data will help achieve better clinical outcomes in children. KEy wORDS: Plasmapheresis, Nephrology, Pediatric","PeriodicalId":42328,"journal":{"name":"Turkish Nephrology Dialysis and Transplantation Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48516232","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}

引用次数: 2

An Unexpected Agent in a Child with Urinary Tract Infection: Haemophilus influenzae 儿童尿路感染的意外因素:流感嗜血杆菌

Turkish Nephrology Dialysis and Transplantation Journal Pub Date : 2017-05-22 DOI: 10.5262/TNDT.2017.1002.19

M. C. Şirin, C. Elmas, N. Ağuş, C. Alparslan, N. Yılmaz, O. Yavascan

引用次数: 0

Kadavradan Organ Bağışında Aile Algısı ve İletişim 家族代数与自然器官交通中的交流

Turkish Nephrology Dialysis and Transplantation Journal Pub Date : 2017-05-22 DOI: 10.5262/tndt.2017.1002.03

A. Arslan, A. Dilek

引用次数: 0

İntravenöz İmmünglobulin Tedavisi ile İlişkili Akut Böbrek Hasarı: Olgu Sunumu 国际蒙药引起的急性肾损伤

Turkish Nephrology Dialysis and Transplantation Journal Pub Date : 2017-05-22 DOI: 10.5262/TNDT.2017.1002.18

Fatih Yılmaz, M. Bilici, Şebnem Karaçay Özkalaycı, Ali Borazan

引用次数: 0

Atypical Presentation of Rectus Sheath Hematoma in a Hemodialysis Patient: Recurrent Abdominal Pain After Dialysis Sessions 血液透析患者直肠鞘血肿的非典型表现：透析后复发性腹痛

Turkish Nephrology Dialysis and Transplantation Journal Pub Date : 2017-05-22 DOI: 10.5262/TNDT.2017.1002.15

İ. Kılıç, İ. Kurultak, S. Ustundag

引用次数: 0