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Blood Pressure Goals in CKD: Where Are We Going, and How Do We Get There? 慢性肾病的血压目标:我们要去哪里,我们如何达到目标?
Pub Date : 2011-11-01 DOI: 10.1097/01.NEP.0000409976.77735.df
R. Lafayette
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引用次数: 0
Estimated GFR As ‘Good’ as Gold Standard in CRIC Subset 估计GFR在CRIC子集中为“良好”金标准
Pub Date : 2011-10-01 DOI: 10.1097/01.nep.0000407883.56110.d2
F. Lowry
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引用次数: 0
Time to Talk About End-of-Life Care 是时候谈谈临终关怀了
Pub Date : 2011-10-01 DOI: 10.1097/01.NEP.0000407881.71357.35
A. Moss
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引用次数: 1
Proposed Donor-Derived Infection Guideline Has Transplant Community Speaking Out 拟议的供体来源感染指南引起了移植社区的关注
Pub Date : 2011-10-01 DOI: 10.1097/01.NEP.0000407879.63733.F2
M. Hogan
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引用次数: 0
The Potential for Graft First in Selected Patients 首先在选定患者中移植的潜力
Pub Date : 2011-09-01 DOI: 10.1097/01.NEP.0000406709.12001.7F
M. Allon
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引用次数: 0
Early Hematuria Associated with Increased ESRD Risk, but Rates Are Low 早期血尿与ESRD风险增加相关,但发生率较低
Pub Date : 2011-09-01 DOI: 10.1097/01.NEP.0000406711.19624.68
B. Roehr
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引用次数: 0
Acute Kidney Injury: We Must Do Better 急性肾损伤:我们必须做得更好
Pub Date : 2011-09-01 DOI: 10.1097/01.NEP.0000406710.12001.A9
R. Lafayette
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引用次数: 0
A suPAR FSGS Puzzle Solved 解决了一个超级FSGS谜题
Pub Date : 2011-09-01 DOI: 10.1097/01.NEP.0000406708.29927.E4
F. Fervenza
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引用次数: 0
Novel Technique Prevents Contrast-Induced Acute Kidney Injury 新技术预防造影剂引起的急性肾损伤
Pub Date : 2011-09-01 DOI: 10.1097/01.NEP.0000406712.96753.DA
F. Lowry
RenalGuard, a new physiologic therapy that washes contrast through the kidney rapidly, was superior to sodium bicarbonate and Nacetylcysteine (NAC) in preventing contrast-induced acute kidney injury in high-risk patients. These results came from the randomized, multicenter, investigator-driven Renal Insuffi ciency After Contrast Media Administration Trial II (REMEDIAL II), which was conducted in Italy and published online before print by Circulation. “The results of the REMEDIAL II trial support the concept that the most important strategy to prevent contrastinduced acute kidney injury is an optimal increase in the urine fl ow rate without inducing fl uid imbalance,” said lead author Carlo Briguori, MD, PhD, Chief of the Laboratory of Interventional Cardiology at Clinica Mediterranea (Mediterranean Clinic) in Naples, Italy, in an interview. “This effect is reached by the RenalGuard system in almost all patients. By contrast, it is hardly reached by standard hydration.” In REMEDIAL II, which was carried out at four interventional cardiology centers in Italy between January 2009 and December 2010, 294 patients were randomized to receive sodium bicarbonate solution plus NAC at a high dose (the control group), or hydration with saline and NAC at a high dose plus a low dose of furosemide controlled by the RenalGuard system. Two patients, one from each group, did not undergo scheduled treatment, leaving 146 patients in each group for the fi nal analysis.
RenalGuard是一种新的生理疗法,可以快速通过肾脏冲洗造影剂,在预防高危患者造影剂引起的急性肾损伤方面优于碳酸氢钠和乙酰半胱氨酸(NAC)。这些结果来自随机、多中心、研究者驱动的造影剂治疗后肾功能不全试验II(补救II),该试验在意大利进行,并在Circulation杂志印刷前在线发表。“补救II试验的结果支持这样一个概念,即预防造反差引起的急性肾损伤的最重要策略是在不引起液体失衡的情况下最佳地增加尿流量,”主要作者Carlo Briguori医学博士,意大利那不勒斯地中海诊所介入心脏病学实验室主任,在一次采访中说。RenalGuard系统在几乎所有患者中都达到了这种效果。相比之下,标准水合作用很难达到。”在2009年1月至2010年12月在意大利的四个介入心脏病中心进行的补救II中,294名患者随机接受高剂量的碳酸氢钠溶液加NAC(对照组),或高剂量的生理盐水和NAC水合,再加上RenalGuard系统控制的低剂量速尿。两名患者,每组一名,没有接受预定的治疗,每组留下146名患者进行最终分析。
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引用次数: 0
Hurricane Irene: Coordinated Response Prevents Dialysis Disruption 飓风艾琳:协调应对防止透析中断
Pub Date : 2011-09-01 DOI: 10.1097/01.NEP.0000406707.22303.6e
M. Hogan
As Hurricane Irene headed for the East Coast of the United States, the dialysis community was prepared for the worst. These efforts, coupled with changes in storm strength and the weekend timing of landfall, largely had their desired effect, with most units from North Carolina to Maine up, running, and dialyzing patients the day after the storm. “Irene was a large, powerful storm that impacted millions of people along the Eastern Seaboard, many of whom had never experienced the direct effects of a hurricane,” wrote Seth Holloway, MPH, CPH, Emergency Management Specialist for the Kidney Community Emergency Response (KCER) Coalition, in an e-mail message. “The kidney community, through preparation, collaboration, and coordinated response, greatly diminished the storm’s potential impacts to the dialysis and transplant populations, undoubtedly saving many lives.” Marathon and a Sprint The KCER Coalition, which was formed in January 2006, includes representatives of kidney patient and professional organizations, clinicians, dialysis facilities, End-Stage Renal Disease (ESRD) Networks, state emergency and survey representatives, and federal agencies. It facilitates timely and effi cient disaster preparedness, response, and recovery for the kidney community. Hurricane Irene: Coordinated Response Prevents Dialysis Disruption
随着飓风艾琳向美国东海岸移动,透析社区已经做好了最坏的准备。这些努力,再加上风暴强度的变化和登陆时间的周末,在很大程度上达到了预期的效果,从北卡罗来纳州到缅因州的大多数医疗机构都在风暴过后的第二天启动、运行并对病人进行透析。“艾琳是一场巨大而强大的风暴,影响了东海岸数百万人,其中许多人从未经历过飓风的直接影响,”肾脏社区应急响应(KCER)联盟的公共卫生硕士、公共卫生博士、应急管理专家塞思·霍洛威在一封电子邮件中写道。“肾脏社区通过准备、合作和协调响应,极大地减少了风暴对透析和移植人群的潜在影响,无疑挽救了许多生命。”KCER联盟成立于2006年1月,成员包括肾病患者和专业组织、临床医生、透析机构、终末期肾病(ESRD)网络、州紧急情况和调查代表以及联邦机构的代表。它促进了肾脏社区及时有效的备灾、响应和恢复。飓风艾琳:协调应对防止透析中断
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引用次数: 0
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